Therapists in Bryn Mawr, PA
Nadine Hollander Slavitt
Clinical Social Work/Therapist, JD, LCSW, PCC
Verified Verified
Bryn Mawr, PA 19010
You’re working hard, wanting a good life, but you find yourself feeling anxious, dissatisfied and unfulfilled. Perhaps you’re unhappy at work - feeling overwhelmed and burned out, with no end in sight or path forward to greater satisfaction. Or perhaps you are struggling with strong emotions, feeling anxious and depressed, having conflict in your important relationships, or feeling lonely and disconnected. And so many of us are experiencing major life transition - getting divorced, having children, starting a new job, becoming an empty nester, or retiring from a career.
You’re working hard, wanting a good life, but you find yourself feeling anxious, dissatisfied and unfulfilled. Perhaps you’re unhappy at work - feeling overwhelmed and burned out, with no end in sight or path forward to greater satisfaction. Or perhaps you are struggling with strong emotions, feeling anxious and depressed, having conflict in your important relationships, or feeling lonely and disconnected. And so many of us are experiencing major life transition - getting divorced, having children, starting a new job, becoming an empty nester, or retiring from a career.
Neal King
Clinical Social Work/Therapist, LCSW
Verified Verified
Bryn Mawr, PA 19010
Licensed in PA and NJ - Accepting Telehealth Let’s take a direct, head-on approach to managing ANXIETY and STRESS – as that is known to be the trigger to many other ailments. I am on a personal mission to HELP TEENS and ADULTS GAIN INSIGHT into their anxious triggers that are self-limiting their incredible potential. I am a strength-based therapist with emphasis on mindfulness and stress management as it relates to improving your daily interactions and functioning. Let's learn and use effective problem-solving and cognitive restructuring skills; so your confidence and capabilities toward solutions will become part of you.
Licensed in PA and NJ - Accepting Telehealth Let’s take a direct, head-on approach to managing ANXIETY and STRESS – as that is known to be the trigger to many other ailments. I am on a personal mission to HELP TEENS and ADULTS GAIN INSIGHT into their anxious triggers that are self-limiting their incredible potential. I am a strength-based therapist with emphasis on mindfulness and stress management as it relates to improving your daily interactions and functioning. Let's learn and use effective problem-solving and cognitive restructuring skills; so your confidence and capabilities toward solutions will become part of you.
Andrew J. D'Amico
Psychologist, PhD, LLC
Verified Verified
Bryn Mawr, PA 19010
Andrew J. D'Amico PH.D LLC is a highly skilled cognitive behavioral therapist who uses a number of well researched methods such as Acceptance and Commitment Therapy, Relational Frame Theory, and Compassionate Focused Therapy to treat children, adolescents, adults and families. Dr. D'Amico specializes in the treatment of anxiety disorders such as Obsessive-Compulsive Disorder, Generalized Anxiety Disorder and Social Anxiety. A seasoned family therapist, he is an expert in childhood behavioral concerns and parenting skills. Dr. D'Amico has been trained by some of the world leading cognitive behaviorists.
Andrew J. D'Amico PH.D LLC is a highly skilled cognitive behavioral therapist who uses a number of well researched methods such as Acceptance and Commitment Therapy, Relational Frame Theory, and Compassionate Focused Therapy to treat children, adolescents, adults and families. Dr. D'Amico specializes in the treatment of anxiety disorders such as Obsessive-Compulsive Disorder, Generalized Anxiety Disorder and Social Anxiety. A seasoned family therapist, he is an expert in childhood behavioral concerns and parenting skills. Dr. D'Amico has been trained by some of the world leading cognitive behaviorists.
Michele Marianne Rice
Licensed Professional Counselor, MS, LPC
Verified Verified
Bryn Mawr, PA 19010
I use cognitive behavioral therapy to help my clients with marriage and relationship problems, depression, anxiety, substance abuse, and other issues. I take a proactive, holistic approach to effect changes not only in thinking but in behaviors, in order to promote increased well-being, contentment, and self esteem. I enjoy working with adolescents and adults, and maintain flexible working hours to accomodate work and school schedules. My practice is in network with several managed care companies, or I can assist you in filing a claim with your insurance company.
I use cognitive behavioral therapy to help my clients with marriage and relationship problems, depression, anxiety, substance abuse, and other issues. I take a proactive, holistic approach to effect changes not only in thinking but in behaviors, in order to promote increased well-being, contentment, and self esteem. I enjoy working with adolescents and adults, and maintain flexible working hours to accomodate work and school schedules. My practice is in network with several managed care companies, or I can assist you in filing a claim with your insurance company.
Kristine Y. Sudol
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
TELEHEALTH AVAIL: I am very interested in quickly discovering a person's needs and preferences. My style combines compassionate listening with active and direct problem-solving. I also tend to be humorous, which facilitates a more comfortable therapeutic relationship. I find that humor helps my clients to feel more at ease when they are discussing very difficult topics. I have a broad range of experience, particularly with trauma and anxiety disorders. However, I greatly enjoy working with all kinds of individuals and couples. Additionally, I am an adjunct faculty member in a local graduate program, and I have a private practice.
TELEHEALTH AVAIL: I am very interested in quickly discovering a person's needs and preferences. My style combines compassionate listening with active and direct problem-solving. I also tend to be humorous, which facilitates a more comfortable therapeutic relationship. I find that humor helps my clients to feel more at ease when they are discussing very difficult topics. I have a broad range of experience, particularly with trauma and anxiety disorders. However, I greatly enjoy working with all kinds of individuals and couples. Additionally, I am an adjunct faculty member in a local graduate program, and I have a private practice.
Krista Mancarella
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
Concerns related to sex and intimacy are some of the most sensitive and personal. Experiencing sexual concerns, such as low sexual desire, erectile dysfunction, pelvic pain, or difficulty with orgasm no longer has to be secretive or embarrassing. Finding a therapist who is open, supportive, and has effective tools is imperative on the journey to satisfaction and pleasure. Using a Cognitive Behavioral & collaborative approach, I work with individuals or couples to help them further understand the concerns that effect them, their relationships, & their sexual functioning.
Concerns related to sex and intimacy are some of the most sensitive and personal. Experiencing sexual concerns, such as low sexual desire, erectile dysfunction, pelvic pain, or difficulty with orgasm no longer has to be secretive or embarrassing. Finding a therapist who is open, supportive, and has effective tools is imperative on the journey to satisfaction and pleasure. Using a Cognitive Behavioral & collaborative approach, I work with individuals or couples to help them further understand the concerns that effect them, their relationships, & their sexual functioning.
Nickolas C Alikakos
Clinical Social Work/Therapist, MSS, LMSW
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
I am a LMSW who earned my Master’s degree from Bryn Mawr College. I am committed to providing quality therapeutic services that promote positive change through collaboration, reflection, compassion, and direction. I work on helping everyone find their own individualized path towards success and growth as I believe that everyone’s journeys and walks of life are unique. I have experience in both individual and group settings working with clients who are dealing with various mental health issues, interpersonal conflict, relationship issues and addiction.I use a combination of evidenced- based therapeutic modalities
I am a LMSW who earned my Master’s degree from Bryn Mawr College. I am committed to providing quality therapeutic services that promote positive change through collaboration, reflection, compassion, and direction. I work on helping everyone find their own individualized path towards success and growth as I believe that everyone’s journeys and walks of life are unique. I have experience in both individual and group settings working with clients who are dealing with various mental health issues, interpersonal conflict, relationship issues and addiction.I use a combination of evidenced- based therapeutic modalities
Steven D Tsao
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
I am a licensed clinical psychologist and the Co-Founder of the Center for Anxiety & Behavior Therapy which specializes in providing evidence-based treatment for anxiety disorders including OCD, PTSD, social anxiety, generalized anxiety, panic, and phobias. I also treat eating disorders, body-image issues, and hair-pulling/skin picking. My work is largely guided by cognitive behavioral therapy principles, but I often incorporate aspects of Acceptance and Commitment Therapy (ACT) when indicated. I seek to help clients meet their goals and return to the meaningful parts of their lives through a collaborative, goal-oriented, and practical approach.
I am a licensed clinical psychologist and the Co-Founder of the Center for Anxiety & Behavior Therapy which specializes in providing evidence-based treatment for anxiety disorders including OCD, PTSD, social anxiety, generalized anxiety, panic, and phobias. I also treat eating disorders, body-image issues, and hair-pulling/skin picking. My work is largely guided by cognitive behavioral therapy principles, but I often incorporate aspects of Acceptance and Commitment Therapy (ACT) when indicated. I seek to help clients meet their goals and return to the meaningful parts of their lives through a collaborative, goal-oriented, and practical approach.
Samantha Ciambro
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010 (Online Only)
Constant overthinking, poor self-esteem, relationship issues, people-pleasing tendencies, depressed mood. If this describes something that you are going through, you don't have to go through it alone. Life itself is hard and even more difficult when dealing with mental health struggles and life transitions. As a therapist, I'm here to walk along side you as you navigate life's difficulties. We can work together to find a unique therapeutic plan that meets your needs in order for you to obtain your goals and be in the place you want to be in.
Constant overthinking, poor self-esteem, relationship issues, people-pleasing tendencies, depressed mood. If this describes something that you are going through, you don't have to go through it alone. Life itself is hard and even more difficult when dealing with mental health struggles and life transitions. As a therapist, I'm here to walk along side you as you navigate life's difficulties. We can work together to find a unique therapeutic plan that meets your needs in order for you to obtain your goals and be in the place you want to be in.
Sion Segal
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
I work with a wide variety of clients and ages (school-age through adult) with a particular interest in adolescents and young adults having difficulty with life transitions. I frequently work with young people who struggle with anxiety, depression, mood disorders, ADHD/Executive dysfunction, and high functioning autism. I work with individuals, couples and families.
I work with a wide variety of clients and ages (school-age through adult) with a particular interest in adolescents and young adults having difficulty with life transitions. I frequently work with young people who struggle with anxiety, depression, mood disorders, ADHD/Executive dysfunction, and high functioning autism. I work with individuals, couples and families.
Jane M Hart
Licensed Professional Counselor, EdD, LPC, NCC
Verified Verified
Bryn Mawr, PA 19010
You may be facing your first counseling experience or after years of working with other practitioners--willing to try again. When we first meet, I trust you will know you are safe and respected. I commit my full presence, deep interest, and willingness to be open to who you truly are. In other words, I am "teachable"--by you, for you and with you. And rather than fit you into a model, I will "learn and flex"--learn how you learn, change and grow and flex my skills, style and tools to find what works best for you.
You may be facing your first counseling experience or after years of working with other practitioners--willing to try again. When we first meet, I trust you will know you are safe and respected. I commit my full presence, deep interest, and willingness to be open to who you truly are. In other words, I am "teachable"--by you, for you and with you. And rather than fit you into a model, I will "learn and flex"--learn how you learn, change and grow and flex my skills, style and tools to find what works best for you.
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Licensed Professional Counselor, LPC, MEd
Verified Verified
Bryn Mawr, PA 19010
It's isolating to suffer in silence and I am sure you know that. If you'd like guidance with defining and reaching your goals, I am here to offer help in a compassionate and inclusive environment. If you have anxiety that has increased during the Covid pandemic, you are not alone. Try to visualize what your life will be like when you develop healthy strategies that allow you to pursue your dreams. There will always be challenges in life and you can equip yourself to meet them. You can live with confidence that you're ready to move forward with strength and resilience to meet your life's challenges and enjoy your unique triumphs.
It's isolating to suffer in silence and I am sure you know that. If you'd like guidance with defining and reaching your goals, I am here to offer help in a compassionate and inclusive environment. If you have anxiety that has increased during the Covid pandemic, you are not alone. Try to visualize what your life will be like when you develop healthy strategies that allow you to pursue your dreams. There will always be challenges in life and you can equip yourself to meet them. You can live with confidence that you're ready to move forward with strength and resilience to meet your life's challenges and enjoy your unique triumphs.
Elana Gotfried
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
I am a licensed clinical psychologist, specializing in the treatment of trauma, addiction, depression, grief/loss, and emotional dysregulation. When your coping mechanisms are no longer sufficient, and you're feeling overwhelmed, unhappy, anxious, or disconnected, therapy is an opportunity to learn how to increase your ability to manage life's demands, improve your quality of life, and achieve the change you are looking for. Therapy will begin with a conversation about your hopes for our work. Together we will deepen our understanding of your concerns, and establish new ways of feeling and being in the world.
I am a licensed clinical psychologist, specializing in the treatment of trauma, addiction, depression, grief/loss, and emotional dysregulation. When your coping mechanisms are no longer sufficient, and you're feeling overwhelmed, unhappy, anxious, or disconnected, therapy is an opportunity to learn how to increase your ability to manage life's demands, improve your quality of life, and achieve the change you are looking for. Therapy will begin with a conversation about your hopes for our work. Together we will deepen our understanding of your concerns, and establish new ways of feeling and being in the world.
Teresa Cote @ The Healing Place Counseling LLC
Licensed Professional Counselor, MA , LPC, NCC
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
As a trauma therapist, I work with many individuals facing deep heartache and struggles that sometimes feel too overwhelming and scary. Trauma can be triggered from some experiences such as past abuse, grief, chronic illness, or being a witness to traumatic events. This can also lead to symptoms of depression, anxiety, panic, fear, phobias, irrational fears, and agitation. Trauma can also lead to negative coping skills such as addictive patterns and behaviors. I can walk alongside you in a journey of healing and assist you in coming to a place of safety and peace and help you overcome and move you towards a place of healing!
As a trauma therapist, I work with many individuals facing deep heartache and struggles that sometimes feel too overwhelming and scary. Trauma can be triggered from some experiences such as past abuse, grief, chronic illness, or being a witness to traumatic events. This can also lead to symptoms of depression, anxiety, panic, fear, phobias, irrational fears, and agitation. Trauma can also lead to negative coping skills such as addictive patterns and behaviors. I can walk alongside you in a journey of healing and assist you in coming to a place of safety and peace and help you overcome and move you towards a place of healing!
Peter C Badgio
Psychologist, PhD
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
I have been a psychologist for over 25 years, providing therapy and assessment services on an individualized, personal basis to people seeking help for many different aspects of life. I have expertise in neuropsychology, psychodynamic psychotherapy and psychoanalysis. I will respond to all calls directly. Your needs will be addressed privately and personally. From the time of the initial inquiry throughout the assessment and therapy process, your comfort and confidentiality is assured.
I have been a psychologist for over 25 years, providing therapy and assessment services on an individualized, personal basis to people seeking help for many different aspects of life. I have expertise in neuropsychology, psychodynamic psychotherapy and psychoanalysis. I will respond to all calls directly. Your needs will be addressed privately and personally. From the time of the initial inquiry throughout the assessment and therapy process, your comfort and confidentiality is assured.
Kristina Ferrari | Modern Relationship Therapy
Licensed Professional Counselor, MSEd, LPC
Verified Verified
7 Endorsed
Bryn Mawr, PA 19010
When you met your partner you likely didn't notice them across the room and say — "That looks like someone I could solve problems with." What attracts us to people initially usually has little to do with the factors that make conflict resolution possible — let alone productive and connective. Nobody teaches us how to do conflict well. It’s not a class in high school (although it absolutely should be). We aren’t born with these tools. In fact, some of our biology actively works against us here because our nervous system is wired to detect threat.
When you met your partner you likely didn't notice them across the room and say — "That looks like someone I could solve problems with." What attracts us to people initially usually has little to do with the factors that make conflict resolution possible — let alone productive and connective. Nobody teaches us how to do conflict well. It’s not a class in high school (although it absolutely should be). We aren’t born with these tools. In fact, some of our biology actively works against us here because our nervous system is wired to detect threat.
Patrick Smith
Licensed Professional Counselor, LPC, CAADC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010 (Online Only)
In my experience, all of us will ultimately experience problems that seem to overwhelm our normal abilities to cope. Life is hard and we need outlets to process those difficult times. I’ve worked with a variety of clients that have experienced anxiety, depression, bipolar disorder, codependency, PTSD, substance abuse/addiction, anger management, marital/relationship issues, grief and loss, trauma & abuse, stress management and OCD. All of my sessions are currently virtual.
In my experience, all of us will ultimately experience problems that seem to overwhelm our normal abilities to cope. Life is hard and we need outlets to process those difficult times. I’ve worked with a variety of clients that have experienced anxiety, depression, bipolar disorder, codependency, PTSD, substance abuse/addiction, anger management, marital/relationship issues, grief and loss, trauma & abuse, stress management and OCD. All of my sessions are currently virtual.
Eli Press
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Eli’s devotion in the field of therapy is working with pre-teens, teenagers, and young adults living with the feelings of depression, anxiety, and suicide. Eli has successfully worked with hundreds of clients in creating a life worth living. Clients have accomplished this through Eli’s use of CBT, DBT, EFT, mindfulness & meditation, exposure, and understanding that the therapy relationship is a key factor in a positive therapy experience.
Eli’s devotion in the field of therapy is working with pre-teens, teenagers, and young adults living with the feelings of depression, anxiety, and suicide. Eli has successfully worked with hundreds of clients in creating a life worth living. Clients have accomplished this through Eli’s use of CBT, DBT, EFT, mindfulness & meditation, exposure, and understanding that the therapy relationship is a key factor in a positive therapy experience.
Arielle Manganiello
Licensed Professional Counselor, PhD, MS, LPC, LPCC
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
I am here to support you step into your authentic self. The individuals, couples, and family constellations I work with are committed to making real changes in their lives. I will meet you with an unconditional, warm, and empathetic environment while we face and process some of the things that hurt, bewilder, or confuse you the most. By doing so, the goal is to release that which is no longer yours to carry and align with the most authentic version of yourself. Our work includes making meaning of your experiences and relationships. Through our work, patterns, and struggles become evident, and through this identification: change.
I am here to support you step into your authentic self. The individuals, couples, and family constellations I work with are committed to making real changes in their lives. I will meet you with an unconditional, warm, and empathetic environment while we face and process some of the things that hurt, bewilder, or confuse you the most. By doing so, the goal is to release that which is no longer yours to carry and align with the most authentic version of yourself. Our work includes making meaning of your experiences and relationships. Through our work, patterns, and struggles become evident, and through this identification: change.
Rachael Ariel Scott
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Bryn Mawr, PA 19010
My mindfulness based, play therapy training has taught me how to help children that have gone through or may be going through a trauma. A child's language is play. A play therapy room offers a variety of mediums that will help a child safely express what they need to in order to heal through their play. My sessions also will partially include the parents, where feelings and coping skills can be discussed before the play time begins.
My mindfulness based, play therapy training has taught me how to help children that have gone through or may be going through a trauma. A child's language is play. A play therapy room offers a variety of mediums that will help a child safely express what they need to in order to heal through their play. My sessions also will partially include the parents, where feelings and coping skills can be discussed before the play time begins.
See more therapy options for Bryn Mawr
How does your Therapist compare?
Number of Therapists in Bryn Mawr, PA
300+
Average cost per session
$160
Therapists in Bryn Mawr, PA who prioritize treating:
95% | Anxiety |
90% | Depression |
83% | Relationship Issues |
74% | Self Esteem |
68% | Trauma and PTSD |
65% | Stress |
63% | Grief |
Average years in practice
15 Years
Top 3 insurances accepted
70% | Aetna |
59% | Highmark |
51% | UnitedHealthcare UHC | UBH |
How Therapists in Bryn Mawr, PA see their clients
72% | In Person and Online | |
28% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Bryn Mawr?
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
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.
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.
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.