Therapists in Amherst, MA

Photo of Sheri Weintraub, Clinical Social Work/Therapist in Amherst, MA
Sheri Weintraub
Clinical Social Work/Therapist, LICSW
Verified Verified
Amherst, MA 01002  (Online Only)
Not accepting new clients
Life introduces so many challenges which can be painful and difficult. Sometimes we feel that we have no control over what is happening around us. Do you feel sad, stressed out, stuck in day to day life? I provide a safe, supportive, interactive, compassionate place where you can explore thoughts, feelings and identify patterns that do not serve you anymore.
Life introduces so many challenges which can be painful and difficult. Sometimes we feel that we have no control over what is happening around us. Do you feel sad, stressed out, stuck in day to day life? I provide a safe, supportive, interactive, compassionate place where you can explore thoughts, feelings and identify patterns that do not serve you anymore.
(413) 216-2095 View (413) 216-2095
Photo of Laura Morrissette, Counselor in Amherst, MA
Laura Morrissette
Counselor, LMHC
Verified Verified
Amherst, MA 01002
I have over 20 years of experience helping people of diverse backgrounds heal from stuck emotions and patterns, anxiety, and trauma, I support individuals with life transitions, stress at home and at work, grief, coping with partner/family substance abuse, anxiety, family issues, family of origin issues, parenting issues, divorce, communication difficulties, and challenges, and confusion around career. I provide a nurturing and supportive environment to facilitate authentic self-expression. I believe in the innate ability of each individual to heal and realize unlimited potential. It is an honor for me to witness this journey.
I have over 20 years of experience helping people of diverse backgrounds heal from stuck emotions and patterns, anxiety, and trauma, I support individuals with life transitions, stress at home and at work, grief, coping with partner/family substance abuse, anxiety, family issues, family of origin issues, parenting issues, divorce, communication difficulties, and challenges, and confusion around career. I provide a nurturing and supportive environment to facilitate authentic self-expression. I believe in the innate ability of each individual to heal and realize unlimited potential. It is an honor for me to witness this journey.
(781) 417-5054 View (781) 417-5054
Photo of Patricia Gorman, Psychologist in Amherst, MA
Patricia Gorman
Psychologist, EdD, LP, LMFT
Verified Verified
Amherst, MA 01002  (Online Only)
Not accepting new clients
I am a licensed psychologist and licensed marriage and family therapist with a private practice in Amherst. I work with individuals and couples who are feeling overwhelmed and troubled by symptoms such as anxiety or depression, or having difficulty with relationships. My therapy is collaborative and strength-based. I use the best practices emerging from current research and theory. I listen carefully to you to help identify the most effective approach that is personalized to your situation.
I am a licensed psychologist and licensed marriage and family therapist with a private practice in Amherst. I work with individuals and couples who are feeling overwhelmed and troubled by symptoms such as anxiety or depression, or having difficulty with relationships. My therapy is collaborative and strength-based. I use the best practices emerging from current research and theory. I listen carefully to you to help identify the most effective approach that is personalized to your situation.
(413) 349-4054 View (413) 349-4054
Photo of Ashleigh Murphy, Pre-Licensed Professional in Amherst, MA
Ashleigh Murphy
Pre-Licensed Professional
Verified Verified
Amherst, MA 01002
Ashleigh provides a warm, compassionate space to talk. She believes that seeking counseling shows great courage and is one of the kindest things we can do for ourselves. We all go through times when we need help to make sense of our experiences or need support to move through places we feel stuck or weighed down. Ashleigh wants to hear your story and help you reach your goals. She is sensitive to the role beliefs and spirituality play in our lives and is open to incorporating faith values into sessions if that is important to you.
Ashleigh provides a warm, compassionate space to talk. She believes that seeking counseling shows great courage and is one of the kindest things we can do for ourselves. We all go through times when we need help to make sense of our experiences or need support to move through places we feel stuck or weighed down. Ashleigh wants to hear your story and help you reach your goals. She is sensitive to the role beliefs and spirituality play in our lives and is open to incorporating faith values into sessions if that is important to you.
(413) 666-1466 View (413) 666-1466
Photo of Felicia Sevene, Clinical Social Work/Therapist in Amherst, MA
Felicia Sevene
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Amherst, MA 01002
We all need help and support sometimes. Many of us have been taught that asking for help is a sign of weakness. We may have tried reaching out for help and were ignored, shamed, or hurt by those we trusted, leading us to create protections, to shut down, or to engage in unworkable coping strategies that keep us stuck and hurting. The truth is, asking for help is brave and takes courage and willingness. Sometimes it can feel overwhelming just trying to untangle and make sense of it all. Healing IS possible! And you don't have to do it alone. In fact, healing is best done in connection with others.
We all need help and support sometimes. Many of us have been taught that asking for help is a sign of weakness. We may have tried reaching out for help and were ignored, shamed, or hurt by those we trusted, leading us to create protections, to shut down, or to engage in unworkable coping strategies that keep us stuck and hurting. The truth is, asking for help is brave and takes courage and willingness. Sometimes it can feel overwhelming just trying to untangle and make sense of it all. Healing IS possible! And you don't have to do it alone. In fact, healing is best done in connection with others.
(413) 278-6792 View (413) 278-6792
Photo of Renee Levant, Counselor in Amherst, MA
Renee Levant
Counselor, LMHC
Verified Verified
Amherst, MA 01002  (Online Only)
I ‘ve worked with people trying to reignite their creativity, those seeking relief from panic attacks, depression or the impact of past trauma on present experience. those working with challenges in relationships & families, dealing with racial trauma or identity or navigating institutions & workplaces. My ideal client is someone who wants to feel seen and heard, who is curious & wants to suffer less, more fully enjoy their life & relationships and be empowered to make their unique contribution to the world. I particularly welcome BIPOC clients, mixed race as I am, the neuro-diverse, & those who seek to do good for others.
I ‘ve worked with people trying to reignite their creativity, those seeking relief from panic attacks, depression or the impact of past trauma on present experience. those working with challenges in relationships & families, dealing with racial trauma or identity or navigating institutions & workplaces. My ideal client is someone who wants to feel seen and heard, who is curious & wants to suffer less, more fully enjoy their life & relationships and be empowered to make their unique contribution to the world. I particularly welcome BIPOC clients, mixed race as I am, the neuro-diverse, & those who seek to do good for others.
(413) 299-2408 View (413) 299-2408
Photo of David Levit, Psychologist in Amherst, MA
David Levit
Psychologist, PhD, ABPP
Verified Verified
Amherst, MA 01002
I am a clinical psychologist in practice in Amherst since 1989. I work with a wide range of people, from college aged through older adults, and with a wide range of problems and issues including: negative or vulnerable self-image, depression, anxiety, relationship problems, losses, and life transitions. I strive to provide a warm, safe, collaborative, open atmosphere in which to help people find relief from suffering and enhanced vital engagement in living. I believe that pathways to growth and healing often involve increasing awareness of underlying self-defeating patterns in the ways people experience and live their lives.
I am a clinical psychologist in practice in Amherst since 1989. I work with a wide range of people, from college aged through older adults, and with a wide range of problems and issues including: negative or vulnerable self-image, depression, anxiety, relationship problems, losses, and life transitions. I strive to provide a warm, safe, collaborative, open atmosphere in which to help people find relief from suffering and enhanced vital engagement in living. I believe that pathways to growth and healing often involve increasing awareness of underlying self-defeating patterns in the ways people experience and live their lives.
(413) 248-4536 View (413) 248-4536
Photo of Jialin Xiang, Pre-Licensed Professional in Amherst, MA
Jialin Xiang
Pre-Licensed Professional, EdM
Verified Verified
Amherst, MA 01002  (Online Only)
Waitlist for new clients
I am a compassionate and dedicated Chinese counselor. Being a Chinese woman myself, I have a profound understanding of the unique challenges that Asian individuals face in the American context. I strongly believe that culture plays a significant role in shaping our mental health. It influences our thoughts, feelings, and behaviors. Recognizing this, I am committed to empowering Asian individuals living in the United States.
I am a compassionate and dedicated Chinese counselor. Being a Chinese woman myself, I have a profound understanding of the unique challenges that Asian individuals face in the American context. I strongly believe that culture plays a significant role in shaping our mental health. It influences our thoughts, feelings, and behaviors. Recognizing this, I am committed to empowering Asian individuals living in the United States.
(413) 414-4863 View (413) 414-4863
Photo of David A Ettelman, Marriage & Family Therapist in Amherst, MA
David A Ettelman
Marriage & Family Therapist, LMFT
Verified Verified
Amherst, MA 01002  (Online Only)
I help individuals and couples find the tools to become unstuck, to be more effective, to deepen connection, navigate differences, build emotional skill and intelligence, move through gridlock, and to learn and grow individually and in relationship. I support people with increasing capacity to cope with stress, manage anxiety and depression, find meaning, and manage the impact of complex trauma on one’s ability to maintain fulfilling connections and to live a fulfilling life. Working with, and holding safe space for, the diversity who we are and how we love, is my deepest commitment, honor, and practice.
I help individuals and couples find the tools to become unstuck, to be more effective, to deepen connection, navigate differences, build emotional skill and intelligence, move through gridlock, and to learn and grow individually and in relationship. I support people with increasing capacity to cope with stress, manage anxiety and depression, find meaning, and manage the impact of complex trauma on one’s ability to maintain fulfilling connections and to live a fulfilling life. Working with, and holding safe space for, the diversity who we are and how we love, is my deepest commitment, honor, and practice.
(413) 252-8834 View (413) 252-8834
Photo of Hope Miller in Amherst, MA
Hope Miller
MA
Verified Verified
Amherst, MA 01002
We are all so complicated. We love hard, we inflict hurt to our selves and others. But there is still so much beauty that lives within us all. I want to be able help you create the self-love, self-worth, self-compassionate and self- trust in you again. I have over 10 years in working with individuals that have experienced traumas in intimate partner and family violence. I am committed to supporting individuals to find that surviving self-love that lives within them, especially when feelings of brokenness and hopelessness is the only vision. We will develop communication with love and kindness for true change in our relationships.
We are all so complicated. We love hard, we inflict hurt to our selves and others. But there is still so much beauty that lives within us all. I want to be able help you create the self-love, self-worth, self-compassionate and self- trust in you again. I have over 10 years in working with individuals that have experienced traumas in intimate partner and family violence. I am committed to supporting individuals to find that surviving self-love that lives within them, especially when feelings of brokenness and hopelessness is the only vision. We will develop communication with love and kindness for true change in our relationships.
(413) 402-6548 View (413) 402-6548
Photo of Sally Kealy, Clinical Social Work/Therapist in Amherst, MA
Sally Kealy
Clinical Social Work/Therapist, LICSW
Verified Verified
Amherst, MA 01002
I feel honored to work with individuals who are motivated to explore issues, establish goals for change, and take restorative steps toward stress reduction and inner peace. I am a licensed Gestalt psychotherapist who focuses on reintegrating our broken parts, and an ordained Buddhist priest/Zen Teacher (Sensei). I believe returning to one's original self is key to entering life's many challenges. It is a humbling honor to enter this exploration and journey with clients that enter my practice.
I feel honored to work with individuals who are motivated to explore issues, establish goals for change, and take restorative steps toward stress reduction and inner peace. I am a licensed Gestalt psychotherapist who focuses on reintegrating our broken parts, and an ordained Buddhist priest/Zen Teacher (Sensei). I believe returning to one's original self is key to entering life's many challenges. It is a humbling honor to enter this exploration and journey with clients that enter my practice.
(413) 362-7570 View (413) 362-7570
Photo of Jalieh Shepard, Counselor in Amherst, MA
Jalieh Shepard
Counselor, MA, LMHC
Verified Verified
Amherst, MA 01002  (Online Only)
Joyous greetings! If you would like to explore the possibility of working together please see below the best ways to connect! For an appointment for private pay counseling and coaching services: Please call @ 413-216-9041 and or schedule an appointment @ https://jalieh-shepard.clientsecure.me. I look forward to connecting with you!
Joyous greetings! If you would like to explore the possibility of working together please see below the best ways to connect! For an appointment for private pay counseling and coaching services: Please call @ 413-216-9041 and or schedule an appointment @ https://jalieh-shepard.clientsecure.me. I look forward to connecting with you!
(413) 216-9041 View (413) 216-9041
Photo of Marlene Meinelt, Clinical Social Work/Therapist in Amherst, MA
Marlene Meinelt
Clinical Social Work/Therapist, LICSW, LCSW, CST
Verified Verified
Amherst, MA 01002  (Online Only)
I am an IFS-trained psychotherapist and I offer individual psychotherapy utilizing this model of treatment. IFS therapy focuses on the parts of ourselves that need healing, and creates the ability to be more aware of the parts that influences our behavior(s). I see couples for various issues including difficulty communicating, the desire to improve the quality of their relationship, and to feel more emotionally connected with each other.
I am an IFS-trained psychotherapist and I offer individual psychotherapy utilizing this model of treatment. IFS therapy focuses on the parts of ourselves that need healing, and creates the ability to be more aware of the parts that influences our behavior(s). I see couples for various issues including difficulty communicating, the desire to improve the quality of their relationship, and to feel more emotionally connected with each other.
(413) 485-7344 View (413) 485-7344
Photo of Laurie Broussard, Counselor in Amherst, MA
Laurie Broussard
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Amherst, MA 01002
Not accepting new clients
I'm a mental health professional who believes in the power of therapy for healing, growth and positive change. I enjoy working with adults, children and families using an eclectic approach to the therapeutic process. I deeply value people’s personal journeys offering therapeutic guidance, assistance with expansion of insight, a listening ear, an advocating voice and, at crucial times, a helping hand.
I'm a mental health professional who believes in the power of therapy for healing, growth and positive change. I enjoy working with adults, children and families using an eclectic approach to the therapeutic process. I deeply value people’s personal journeys offering therapeutic guidance, assistance with expansion of insight, a listening ear, an advocating voice and, at crucial times, a helping hand.
(413) 213-3809 View (413) 213-3809
Photo of Dean M. Janeff, Marriage & Family Therapist in Amherst, MA
Dean M. Janeff
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Amherst, MA 01002  (Online Only)
Things that happened to us in childhood create how we see ourselves and how we show up in relationships. Whether through neglect or abuse, we give up on our feelings, needs, vulnerability, and human connection. And as a result, as adults we feel alone, anxious, or hopeless. I can help you claim what was not afforded to you while you were growing up. And live a life with vitality, flow, a sense of belonging, depth in relationship, and authentic aliveness. I have master level training to help you find personal freedom from the past and live your best days now. You can make shifts that are life changing and long term!
Things that happened to us in childhood create how we see ourselves and how we show up in relationships. Whether through neglect or abuse, we give up on our feelings, needs, vulnerability, and human connection. And as a result, as adults we feel alone, anxious, or hopeless. I can help you claim what was not afforded to you while you were growing up. And live a life with vitality, flow, a sense of belonging, depth in relationship, and authentic aliveness. I have master level training to help you find personal freedom from the past and live your best days now. You can make shifts that are life changing and long term!
(737) 758-2760 View (737) 758-2760
Photo of Emily Reed Howard, Clinical Social Work/Therapist in Amherst, MA
Emily Reed Howard
Clinical Social Work/Therapist, LICSW, EdM
Verified Verified
1 Endorsed
Amherst, MA 01002
My intention is to create a nurturing relationship that supports your learning and growth. I believe the quality of the therapeutic relationship is the most important element of a helpful counseling experience. Together, we will explore your challenges with compassion and curiosity and discover your strengths and other resources that can help you move towards meaningful change. If you’re interested in working with me, please leave a message with your insurance and best times/days.
My intention is to create a nurturing relationship that supports your learning and growth. I believe the quality of the therapeutic relationship is the most important element of a helpful counseling experience. Together, we will explore your challenges with compassion and curiosity and discover your strengths and other resources that can help you move towards meaningful change. If you’re interested in working with me, please leave a message with your insurance and best times/days.
(413) 251-1397 View (413) 251-1397
Photo of Barbara Burkart, Counselor in Amherst, MA
Barbara Burkart
Counselor, MA, LMHC
Verified Verified
Amherst, MA 01002  (Online Only)
Not accepting new clients
I provide skilled and compassionate psychotherapy for adults of all ages who are dealing with difficult life challenges. Feel free to contact me if you are having emotional, personal, work, or relationship difficulties, and want a safe setting in which to address your problems. Your challenges may involve anxiety, depression, relationship or parenting issues, grief and loss, identity issues, or PTSD symptoms. I can guide you in addressing these concerns, achieving a broader understanding of yourself and your circumstances, and tapping into your inner resources.
I provide skilled and compassionate psychotherapy for adults of all ages who are dealing with difficult life challenges. Feel free to contact me if you are having emotional, personal, work, or relationship difficulties, and want a safe setting in which to address your problems. Your challenges may involve anxiety, depression, relationship or parenting issues, grief and loss, identity issues, or PTSD symptoms. I can guide you in addressing these concerns, achieving a broader understanding of yourself and your circumstances, and tapping into your inner resources.
(413) 579-6276 View (413) 579-6276
Photo of Jon Holcombe, Clinical Social Work/Therapist in Amherst, MA
Jon Holcombe
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Amherst, MA 01002
I am currently accepting new clients! The most significant factor in successful therapy is the therapeutic relationship itself. With this in mind, I adopt a warm and collaborative approach with each client. I enjoy working with a wide variety of issues, including treating mood disorders such as depression and anxiety; addressing relationship challenges and life transitions; supporting recovery from substance abuse; exploring issues of racial and cultural identity; and enhancing skills for management of trauma history.
I am currently accepting new clients! The most significant factor in successful therapy is the therapeutic relationship itself. With this in mind, I adopt a warm and collaborative approach with each client. I enjoy working with a wide variety of issues, including treating mood disorders such as depression and anxiety; addressing relationship challenges and life transitions; supporting recovery from substance abuse; exploring issues of racial and cultural identity; and enhancing skills for management of trauma history.
(413) 362-7677 View (413) 362-7677
Photo of Theodore Chelmow, Counselor in Amherst, MA
Theodore Chelmow
Counselor, PhD, MEd MA, LMHC
Verified Verified
Amherst, MA 01002  (Online Only)
Providing Massachusetts statewide services. Mental health issues are at an all time high. It's ok to ask for help. Please don't struggle alone. Dr. Chelmow has > 30 years in the mental health field - focusing on work, family, education, financial & social problems to quickly help reduce anxiety, depression, family issues & substance abuse. He has worked as a business executive & in governance. He has taught at Harvard Medical School, the University of Massachusetts, Cambridge College & Springfield College & written many articles on health care. He provides training to business on difficult work situations, stigma & multiculturalism.
Providing Massachusetts statewide services. Mental health issues are at an all time high. It's ok to ask for help. Please don't struggle alone. Dr. Chelmow has > 30 years in the mental health field - focusing on work, family, education, financial & social problems to quickly help reduce anxiety, depression, family issues & substance abuse. He has worked as a business executive & in governance. He has taught at Harvard Medical School, the University of Massachusetts, Cambridge College & Springfield College & written many articles on health care. He provides training to business on difficult work situations, stigma & multiculturalism.
(617) 855-0317 View (617) 855-0317
Photo of Eva Hudlicka, Clinical Social Work/Therapist in Amherst, MA
Eva Hudlicka
Clinical Social Work/Therapist, MSW, LICSW, PhD
Verified Verified
2 Endorsed
Amherst, MA 01002
I offer individual psychotherapy to adults. I view therapy not only as a means to reduce emotional distress, but also as an approach to personal growth. I believe that therapy should not be a way of life. I therefore emphasize the acquisition of concrete skills (communication, emotion regulation) and offer solution-focused therapy, while also recognizing that some issues require longer-term work. I view therapy as a collaborative process of exploration. I bring to this process an attitude of compassionate curiosity and non-judgment. I also draw on my own bi-cultural experience - I was born and raised in Prague, Czech Republic.
I offer individual psychotherapy to adults. I view therapy not only as a means to reduce emotional distress, but also as an approach to personal growth. I believe that therapy should not be a way of life. I therefore emphasize the acquisition of concrete skills (communication, emotion regulation) and offer solution-focused therapy, while also recognizing that some issues require longer-term work. I view therapy as a collaborative process of exploration. I bring to this process an attitude of compassionate curiosity and non-judgment. I also draw on my own bi-cultural experience - I was born and raised in Prague, Czech Republic.
(413) 314-2572 View (413) 314-2572

How does your Therapist compare?

Number of Therapists in Amherst, MA

300+

Average cost per session

$150

Therapists in Amherst, MA who prioritize treating:

88% Anxiety
87% Depression
77% Relationship Issues
70% Trauma and PTSD
69% Self Esteem
64% Grief
62% Stress

Average years in practice

16 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
53% UnitedHealthcare UHC | UBH
53% Optum

How Therapists in Amherst, MA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Amherst?

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.