Therapists in Greensburg, PA

Photo of Jessica Howard, Clinical Social Work/Therapist in Greensburg, PA
Jessica Howard
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Greensburg, PA 15601
Hi, I’m Jes. My clinical and professional experience is rooted in community service, and I value a client-centered and collaborative approach to therapy. Life can be hard at times, and we all experience difficult and challenging events that we need help navigating. I received my Master's in Social Work from the University of Pittsburgh in 2015, and have been working in the field for 15+ years.
Hi, I’m Jes. My clinical and professional experience is rooted in community service, and I value a client-centered and collaborative approach to therapy. Life can be hard at times, and we all experience difficult and challenging events that we need help navigating. I received my Master's in Social Work from the University of Pittsburgh in 2015, and have been working in the field for 15+ years.
(724) 278-8915 View (724) 278-8915
Photo of Katherine Bumbernick, Licensed Professional Counselor in Greensburg, PA
Katherine Bumbernick
Licensed Professional Counselor, LPC, ATR, PMH-C
Verified Verified
3 Endorsed
Greensburg, PA 15601
I am passionate about empowering clients to foster the resilience they need to overcome emotional and existential distress. My approach is holistic, solution-based, and future-focused on ways to improve overall life satisfaction and direction. Professionally, I have specific experience in women's issues, life transitions and existentialism, criminal justice and forensics, and treating other mental health professionals.
I am passionate about empowering clients to foster the resilience they need to overcome emotional and existential distress. My approach is holistic, solution-based, and future-focused on ways to improve overall life satisfaction and direction. Professionally, I have specific experience in women's issues, life transitions and existentialism, criminal justice and forensics, and treating other mental health professionals.
(724) 399-3122 View (724) 399-3122
Photo of David J. Kemerer, Licensed Professional Counselor in Greensburg, PA
David J. Kemerer
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Greensburg, PA 15601
Life is a journey...have you wondered lately how your journey is working out? How would you know if you are headed in the best direction? Maybe you have a good idea of what you need to change you've just never done it before, or need help getting started. At True North Vitality, we want to partner with those looking to invest in their journey to live life to the fullest! Are you ready for transformation? Let us help you get on the best course and find your True North!
Life is a journey...have you wondered lately how your journey is working out? How would you know if you are headed in the best direction? Maybe you have a good idea of what you need to change you've just never done it before, or need help getting started. At True North Vitality, we want to partner with those looking to invest in their journey to live life to the fullest! Are you ready for transformation? Let us help you get on the best course and find your True North!
(412) 328-2819 View (412) 328-2819
Photo of Nicole Marie Niggel, Licensed Professional Counselor in Greensburg, PA
Nicole Marie Niggel
Licensed Professional Counselor, NCC, LPC
Verified Verified
1 Endorsed
Greensburg, PA 15601
I enjoy working with kids, teens and adults. I have worked many years with middle schoolers, but with kids in general. I work between two of our offices at Optimum Wellness Counseling - Belle Vernon and I am taking new clients at our newly opened Greensburg location. My focus is CBT, DBT and person centered therapy. I focus my sessions on strength based techniques and work to help the client through identifying positive coping skills, mindfulness and grounding techniques. I want to see success and growth for my clients to help them thrive in an ever-changing world.
I enjoy working with kids, teens and adults. I have worked many years with middle schoolers, but with kids in general. I work between two of our offices at Optimum Wellness Counseling - Belle Vernon and I am taking new clients at our newly opened Greensburg location. My focus is CBT, DBT and person centered therapy. I focus my sessions on strength based techniques and work to help the client through identifying positive coping skills, mindfulness and grounding techniques. I want to see success and growth for my clients to help them thrive in an ever-changing world.
(724) 546-5363 View (724) 546-5363
Photo of Mary O'Hara, Clinical Social Work/Therapist in Greensburg, PA
Mary O'Hara
Clinical Social Work/Therapist, LCSW
Verified Verified
Greensburg, PA 15601
Only when we are brave enough to explore the darkness will we discover the infinite power of our light- Brene Brown. Hello, I am a Licensed Clinical Social Worker. During sessions, I treat my clients compassionately and professionally, taking a collaborative approach to assist with personal empowerment to achieve personal and treatment plan goals. I believe it is important to meet a client where they are and not where they are told they should be.
Only when we are brave enough to explore the darkness will we discover the infinite power of our light- Brene Brown. Hello, I am a Licensed Clinical Social Worker. During sessions, I treat my clients compassionately and professionally, taking a collaborative approach to assist with personal empowerment to achieve personal and treatment plan goals. I believe it is important to meet a client where they are and not where they are told they should be.
(724) 200-8039 View (724) 200-8039
Photo of Morgan Zimmerman, Marriage & Family Therapist in Greensburg, PA
Morgan Zimmerman
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Greensburg, PA 15601
Life can be overwhelming and difficult at times. It is healthy and beneficial to take time for yourself to work through these stressors and to learn effective strategies to cope with these pressures. I am committed to creating a safe and therapeutic space for my clients to be able to begin the healing process. It is my life's passion to help individuals and families experience relief from their current symptoms and improve family relationships and family dynamics.
Life can be overwhelming and difficult at times. It is healthy and beneficial to take time for yourself to work through these stressors and to learn effective strategies to cope with these pressures. I am committed to creating a safe and therapeutic space for my clients to be able to begin the healing process. It is my life's passion to help individuals and families experience relief from their current symptoms and improve family relationships and family dynamics.
(724) 647-3351 View (724) 647-3351
Photo of Rose Marie Nehls, Clinical Social Work/Therapist in Greensburg, PA
Rose Marie Nehls
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Greensburg, PA 15601
Are you depressed due to difficulties in your current relationship? Do you have a history of physical, sexual or verbal abuse? Do you find yourself isolating out of fear of being hurt again? If you are struggeling in these areas I have extensive training in women's and men's issues and can help with restoring your self esteem and the balance in your life. Some of the difficulties that you may be facing can also stem from the loss of someone important in your life. As a certified grief counselor I will provide guidance and encouragement during this difficult time.
Are you depressed due to difficulties in your current relationship? Do you have a history of physical, sexual or verbal abuse? Do you find yourself isolating out of fear of being hurt again? If you are struggeling in these areas I have extensive training in women's and men's issues and can help with restoring your self esteem and the balance in your life. Some of the difficulties that you may be facing can also stem from the loss of someone important in your life. As a certified grief counselor I will provide guidance and encouragement during this difficult time.
(724) 964-7024 View (724) 964-7024
Photo of Sarah M Eidemiller, Clinical Social Work/Therapist in Greensburg, PA
Sarah M Eidemiller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Greensburg, PA 15601
If you’re looking for a safe place to discuss life challenges and to explore ways to better your overall sense of well-being, then entering therapy may be the right choice for you! I offer counseling for adults going through life transitions, grief-related issues, anxiety, depression, LGBTQ-related issues, as well as a range of other needs. I'm passionate about working with people who are hesitant to ask for help and feel that everyone, no matter who they are, really deserve someone to hear them. Entering therapy is a brave step. "If there is no struggle, there is no progress." - Frederick Douglass.
If you’re looking for a safe place to discuss life challenges and to explore ways to better your overall sense of well-being, then entering therapy may be the right choice for you! I offer counseling for adults going through life transitions, grief-related issues, anxiety, depression, LGBTQ-related issues, as well as a range of other needs. I'm passionate about working with people who are hesitant to ask for help and feel that everyone, no matter who they are, really deserve someone to hear them. Entering therapy is a brave step. "If there is no struggle, there is no progress." - Frederick Douglass.
(724) 221-9526 View (724) 221-9526
Photo of Eve Yelinek, Licensed Professional Counselor in Greensburg, PA
Eve Yelinek
Licensed Professional Counselor, MA, LPC
Verified Verified
Greensburg, PA 15601
Since therapy is about connection, finding the right fit for you is important. I aim to make this process more comfortable. I provide a safe and confidential environment. I have my Master of Art degree in Counseling with specialization in Clinical Mental Health. I am currently working on my doctorate in Psychology. I am a licensed professional counselor in the state of Pennsylvania. Among my areas of training and experience are the treatment of anxiety, depression, mood disorders, complex trauma, PTSD, dissociative disorders, and women’s issues.
Since therapy is about connection, finding the right fit for you is important. I aim to make this process more comfortable. I provide a safe and confidential environment. I have my Master of Art degree in Counseling with specialization in Clinical Mental Health. I am currently working on my doctorate in Psychology. I am a licensed professional counselor in the state of Pennsylvania. Among my areas of training and experience are the treatment of anxiety, depression, mood disorders, complex trauma, PTSD, dissociative disorders, and women’s issues.
(878) 206-1491 View (878) 206-1491
Photo of Medley Counseling, LLC, Licensed Professional Counselor in Greensburg, PA
Medley Counseling, LLC
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Greensburg, PA 15601
Waitlist for new clients
You deserve to live a life full of happiness, abundance and peace. Life can throw us in many different directions and it may become difficult to navigate. Your story needs to be told to somebody that has been there and done that and help guide you to where you want to be in life. Nobody knows you better than you. It is time to build a better version of yourself so let's start today. Please visit my website for further details on setting up your first appointment.
You deserve to live a life full of happiness, abundance and peace. Life can throw us in many different directions and it may become difficult to navigate. Your story needs to be told to somebody that has been there and done that and help guide you to where you want to be in life. Nobody knows you better than you. It is time to build a better version of yourself so let's start today. Please visit my website for further details on setting up your first appointment.
(724) 202-0848 View (724) 202-0848
Photo of Leigh Ann Mastorovich-Kubinec, Licensed Professional Counselor in Greensburg, PA
Leigh Ann Mastorovich-Kubinec
Licensed Professional Counselor, LPC, CAADC, CCDP-D, SAP
Verified Verified
Greensburg, PA 15601
We are all different in the way we experience life; each of us has a unique perspective in the way we interpret and how we feel about our personal experiences. What I don't do: I am not here to pass judgment or to tell you how to live your life. What I can do: I provide a compassionate approach to help guide and support your decision to make positive changes in your life and help you find alternate solutions to your everyday or recurring problems.
We are all different in the way we experience life; each of us has a unique perspective in the way we interpret and how we feel about our personal experiences. What I don't do: I am not here to pass judgment or to tell you how to live your life. What I can do: I provide a compassionate approach to help guide and support your decision to make positive changes in your life and help you find alternate solutions to your everyday or recurring problems.
(724) 330-7123 View (724) 330-7123
Photo of Susan Mastruserio, Psychologist in Greensburg, PA
Susan Mastruserio
Psychologist, PsyD
Verified Verified
1 Endorsed
Greensburg, PA 15601
We all go through stressful periods in our lives. Sometimes it's a result of a traumatic event, such as a sexual assault, loss of a loved one, or difficult life transition. Sometimes it's more complicated to pinpoint. Maybe we are having trouble coping with school, work, or everyday life and are not sure why. Maybe we feel stuck and just feel "off" or not ourselves. I believe that everyone is capable of changing their life and moving toward happiness. Whether you are new to therapy or have gone in the past, I'll work with you with non-judgment and compassion to help to you on your journey of personal growth.
We all go through stressful periods in our lives. Sometimes it's a result of a traumatic event, such as a sexual assault, loss of a loved one, or difficult life transition. Sometimes it's more complicated to pinpoint. Maybe we are having trouble coping with school, work, or everyday life and are not sure why. Maybe we feel stuck and just feel "off" or not ourselves. I believe that everyone is capable of changing their life and moving toward happiness. Whether you are new to therapy or have gone in the past, I'll work with you with non-judgment and compassion to help to you on your journey of personal growth.
(878) 313-6465 View (878) 313-6465
Photo of Bethanne Petrylak, Marriage & Family Therapist in Greensburg, PA
Bethanne Petrylak
Marriage & Family Therapist, MA, LMFT
Verified Verified
Greensburg, PA 15601
My passion is working with clients who struggle with eating concerns and body image issues. I have experience with anorexia, bulimia, and binge eating disorder. I can also help if you feel that your relationship with food and/or exercise is complicated but have not been diagnosed with an eating disorder. I practice from a Health at Every Size perspective and offer an inclusive space for all. I value being empathetic while challenging my clients to step outside of their comfort zone and unlock their strengths. Taking the first step to get help and support can be intimidating but it can lead to growth and change!
My passion is working with clients who struggle with eating concerns and body image issues. I have experience with anorexia, bulimia, and binge eating disorder. I can also help if you feel that your relationship with food and/or exercise is complicated but have not been diagnosed with an eating disorder. I practice from a Health at Every Size perspective and offer an inclusive space for all. I value being empathetic while challenging my clients to step outside of their comfort zone and unlock their strengths. Taking the first step to get help and support can be intimidating but it can lead to growth and change!
(878) 645-3667 View (878) 645-3667
Photo of Loriann Fetter Counseling & Psychotherapy, Licensed Professional Counselor in Greensburg, PA
Loriann Fetter Counseling & Psychotherapy
Licensed Professional Counselor, LPC, GC-C, CCTP, NCC
Verified Verified
4 Endorsed
Greensburg, PA 15601
Do you feel depressed or anxious? Are you suffering from a loss? Are you going through a divorce or a big transition in your life? Are you struggling with relationships? Are you feeling overwhelmed? Do you take care of everyone except yourself? I can help. Dealing with life's ever changing challenges can be stressful. By working together, I can help you regain control, find self fulfillment and happiness. We will work through the issues to learn healthy ways to cope, find control and create a sense of peace within yourself.
Do you feel depressed or anxious? Are you suffering from a loss? Are you going through a divorce or a big transition in your life? Are you struggling with relationships? Are you feeling overwhelmed? Do you take care of everyone except yourself? I can help. Dealing with life's ever changing challenges can be stressful. By working together, I can help you regain control, find self fulfillment and happiness. We will work through the issues to learn healthy ways to cope, find control and create a sense of peace within yourself.
(724) 560-1147 View (724) 560-1147
Photo of New Directions Mental Health Greensburg, Licensed Professional Counselor in Greensburg, PA
New Directions Mental Health Greensburg
Licensed Professional Counselor, LPC
Verified Verified
Greensburg, PA 15601
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Greensburg area. At our Greensburg clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
New Directions Mental Health is an outpatient mental health care provider dedicated to serving Pennsylvania and the local Greensburg area. At our Greensburg clinic we provide a broad array of services including psychotherapy, child & adolescent therapy, group therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
(724) 670-2768 View (724) 670-2768
Photo of Michael Chinn, Licensed Professional Counselor in Greensburg, PA
Michael Chinn
Licensed Professional Counselor, LPC, MSEd
Verified Verified
Greensburg, PA 15601
My approach to counseling that life is often uncontrollable, but we can control how we respond, how we communicate, and how we navigate through complex social/personal/professional issues. I work primarily with teens, young adults, college students, and adults on a variety of difficulties such as anxiety, depression, suicide/suicidality, personality disorders, and career/workplace stressors.
My approach to counseling that life is often uncontrollable, but we can control how we respond, how we communicate, and how we navigate through complex social/personal/professional issues. I work primarily with teens, young adults, college students, and adults on a variety of difficulties such as anxiety, depression, suicide/suicidality, personality disorders, and career/workplace stressors.
(724) 573-8170 View (724) 573-8170
Photo of Shining Star Therapy LLC, Clinical Social Work/Therapist in Greensburg, PA
Shining Star Therapy LLC
Clinical Social Work/Therapist, ACSW, LCSW
Verified Verified
Greensburg, PA 15601
Waitlist for new clients
When life becomes difficult, it can help to talk with a caring, seasoned therapist. I provide a safe, nonjudgmental atmosphere and will help you deal with the distress that is challenging and pulling you down. As an outpatient therapist, I have provided services to individuals, families, couples and groups. I was co-leader of a Dialectical Behavior Therapy (DBT) group for 8 years. Also, I received training in trauma focused CBT and Dyadic Developmental Psychotherapy (DDP) in a specialized trauma treatment program. I am now in private practice.
When life becomes difficult, it can help to talk with a caring, seasoned therapist. I provide a safe, nonjudgmental atmosphere and will help you deal with the distress that is challenging and pulling you down. As an outpatient therapist, I have provided services to individuals, families, couples and groups. I was co-leader of a Dialectical Behavior Therapy (DBT) group for 8 years. Also, I received training in trauma focused CBT and Dyadic Developmental Psychotherapy (DDP) in a specialized trauma treatment program. I am now in private practice.
(724) 471-4897 View (724) 471-4897
Photo of Bright Reflections LLC, Licensed Professional Counselor in Greensburg, PA
Bright Reflections LLC
Licensed Professional Counselor, LPC, CAADC, SAP, PMP
Verified Verified
Greensburg, PA 15601  (Online Only)
I am very fortunate that I love the work I do. Whether it's therapy, consultation or training, I enjoy working together with my clients to determine what they want and how to get them there. I have a great deal of respect for all my clients and appreciate each person's unique strengths and perspectives on life. In my experience, therapy is most effective and efficient when the clinician and the client work together to navigate treatment. You can always expect a person-centered experience when you work with me. My job is to partner with you to get you where you'd like to be, in a manner that works for you.
I am very fortunate that I love the work I do. Whether it's therapy, consultation or training, I enjoy working together with my clients to determine what they want and how to get them there. I have a great deal of respect for all my clients and appreciate each person's unique strengths and perspectives on life. In my experience, therapy is most effective and efficient when the clinician and the client work together to navigate treatment. You can always expect a person-centered experience when you work with me. My job is to partner with you to get you where you'd like to be, in a manner that works for you.
(878) 645-3547 View (878) 645-3547
Photo of Megan Byerly, Pre-Licensed Professional in Greensburg, PA
Megan Byerly
Pre-Licensed Professional, Intern
Verified Verified
1 Endorsed
Greensburg, PA 15601
I am a highly motivated, master's level intern therapist and I am passionate about walking with individuals through life’s challenges. I provide a collaborative approach to the therapeutic process, ensuring that techniques suit my client’s needs. I am particularly interested in a holistic approach to treating anxiety, depression, PTSD, mood disorders, relationship issues, family issues, addiction, as well as postpartum and other women’s issues. I work with teens and adults. I enjoy being creative with my clients. I also enjoy using a mindfulness and wellness approach to treatment.
I am a highly motivated, master's level intern therapist and I am passionate about walking with individuals through life’s challenges. I provide a collaborative approach to the therapeutic process, ensuring that techniques suit my client’s needs. I am particularly interested in a holistic approach to treating anxiety, depression, PTSD, mood disorders, relationship issues, family issues, addiction, as well as postpartum and other women’s issues. I work with teens and adults. I enjoy being creative with my clients. I also enjoy using a mindfulness and wellness approach to treatment.
(724) 302-3445 View (724) 302-3445
Photo of Aubrey Hopping, Pre-Licensed Professional in Greensburg, PA
Aubrey Hopping
Pre-Licensed Professional, MA, ATR
Verified Verified
1 Endorsed
Greensburg, PA 15601
We are all on our own individual journeys of healing and I hope to provide a space for people who feel they are ready to take the next steps, whatever that may be and if you're reading this, then a step that takes so much strength has already been taken. Healing happens in those spaces that are the most unexpected and sometimes it takes a different perspective to build acceptance of the different parts of ourselves and how we can incorporate them into who we are working to be.
We are all on our own individual journeys of healing and I hope to provide a space for people who feel they are ready to take the next steps, whatever that may be and if you're reading this, then a step that takes so much strength has already been taken. Healing happens in those spaces that are the most unexpected and sometimes it takes a different perspective to build acceptance of the different parts of ourselves and how we can incorporate them into who we are working to be.
(878) 333-9075 View (878) 333-9075

How does your Therapist compare?

Number of Therapists in Greensburg, PA

200+

Average cost per session

$100

Therapists in Greensburg, PA who prioritize treating:

96% Anxiety
94% Depression
82% Coping Skills
80% Relationship Issues
76% Trauma and PTSD
72% Grief
72% Stress

Average years in practice

11 Years

Top 3 insurances accepted

83% Highmark
81% Aetna
78% BlueCross and BlueShield

How Therapists in Greensburg, PA see their clients

91% In Person and Online
9% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Greensburg?

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.