Therapists in Philadelphia, PA

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Photo of Angelina Pelletier, Psychologist in Philadelphia, PA
Angelina Pelletier
Psychologist, PsyD
Verified Verified
Philadelphia, PA 19147
My ultimate goal is to empower you to navigate the challenges that life presents you with confidence. I have a passion for helping individuals connect with their values, reach their goals, and find relief from pains of the past. My goal is to make you feel comfortable, validated, and hopeful. I believe that seeking out a therapist can be a difficult action and see that as the first success you will feel in the work we will do together. We will work together to figure out what works best for you and your needs.
My ultimate goal is to empower you to navigate the challenges that life presents you with confidence. I have a passion for helping individuals connect with their values, reach their goals, and find relief from pains of the past. My goal is to make you feel comfortable, validated, and hopeful. I believe that seeking out a therapist can be a difficult action and see that as the first success you will feel in the work we will do together. We will work together to figure out what works best for you and your needs.
(267) 861-3685 x1 View (267) 861-3685 x1
Photo of Megan Pelko - Handspring Health (Insurance Accepted!), Licensed Professional Counselor in Philadelphia, PA
Megan Pelko - Handspring Health (Insurance Accepted!)
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19107  (Online Only)
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children ages 8-18 and young adults ages 18-24 who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children ages 8-18 and young adults ages 18-24 who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
(267) 494-6376 View (267) 494-6376
Photo of Council for Relationships, Clinical Social Work/Therapist in Philadelphia, PA
Council for Relationships
Clinical Social Work/Therapist
Verified Verified
Philadelphia, PA 19104
Because life’s challenges are often complex and diverse, Council for Relationships offers a wide range of counseling services. We provide expert individual, couple, and family therapy with highly experienced, multidisciplinary professionals.
Because life’s challenges are often complex and diverse, Council for Relationships offers a wide range of counseling services. We provide expert individual, couple, and family therapy with highly experienced, multidisciplinary professionals.
(267) 244-8404 x1 View (267) 244-8404 x1
Photo of Dawn Martin, Clinical Social Work/Therapist in Philadelphia, PA
Dawn Martin
Clinical Social Work/Therapist, LSW, MSW, MEd
Verified Verified
Philadelphia, PA 19143  (Online Only)
Let's face it, life isn't easy. How many times have you repressed your thoughts, feelings, and emotions? Have the unpaved roads of life wore you down? Are you struggling to unpack life issues like that marriage you thought would never end; teen dating or domestic violence; the abuse you suffered as a child; Are you struggling with a chronic medical illness or grieving the loss of a job? How are you managing?
Let's face it, life isn't easy. How many times have you repressed your thoughts, feelings, and emotions? Have the unpaved roads of life wore you down? Are you struggling to unpack life issues like that marriage you thought would never end; teen dating or domestic violence; the abuse you suffered as a child; Are you struggling with a chronic medical illness or grieving the loss of a job? How are you managing?
(478) 253-5761 View (478) 253-5761
Photo of Leonard Educational Evaluations, LLC. in Philadelphia, PA
Leonard Educational Evaluations, LLC.
Verified Verified
1 Endorsed
Philadelphia, PA 19106
We are highly skilled psychologists and educational specialists providing expertise in Psychological Evaluations, Educational Testing, IEE, Testing Accommodations for College Students (e.g., SAT, GRE, Law Bar Exam, NBME), Neuropsychological Testing, Mental Health Diagnoses. We also assess qualifications for an IEP, 504 Plan, Testing Accommodations, & Disability Services for children, adults, schools, and work. We offer virtually every evaluation, test, and assessment needed to address your concerns, identify the problem(s), and provide recommendations, interventions, and treatment options for personal, home, school, or work life!
We are highly skilled psychologists and educational specialists providing expertise in Psychological Evaluations, Educational Testing, IEE, Testing Accommodations for College Students (e.g., SAT, GRE, Law Bar Exam, NBME), Neuropsychological Testing, Mental Health Diagnoses. We also assess qualifications for an IEP, 504 Plan, Testing Accommodations, & Disability Services for children, adults, schools, and work. We offer virtually every evaluation, test, and assessment needed to address your concerns, identify the problem(s), and provide recommendations, interventions, and treatment options for personal, home, school, or work life!
(484) 986-2302 View (484) 986-2302
Photo of Sonja Harrison, Clinical Social Work/Therapist in Philadelphia, PA
Sonja Harrison
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19103  (Online Only)
I believe that everyone has the capacity to accomplish their goals. My role is to help you uncover and understand the obstacles and trauma that are getting in the way of achieving what you desire, and then help you tap into your inner resources to succeed. With empathy and authenticity, I work alongside my clients to promote healing and discovery of their power to change. Whether you are experiencing symptoms related to anxiety, depression, grief and loss; problems with relationships, parenting, or self-esteem; or a general sense of disconnectedness – whatever it is – I recognize that therapy is self-work, and it's not easy.
I believe that everyone has the capacity to accomplish their goals. My role is to help you uncover and understand the obstacles and trauma that are getting in the way of achieving what you desire, and then help you tap into your inner resources to succeed. With empathy and authenticity, I work alongside my clients to promote healing and discovery of their power to change. Whether you are experiencing symptoms related to anxiety, depression, grief and loss; problems with relationships, parenting, or self-esteem; or a general sense of disconnectedness – whatever it is – I recognize that therapy is self-work, and it's not easy.
(484) 559-6636 View (484) 559-6636
Photo of Jaynay C. Johnson, Marriage & Family Therapist in Philadelphia, PA
Jaynay C. Johnson
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Philadelphia, PA 19139  (Online Only)
If you found me, then I know you're doing your best to support your teenager or the teenager in your life through challenging circumstances. You've found the right therapist to help you to support them. I'm also going to help keep your teen navigate their experiences to learn skills to help them cope and manage their emotional wellness. With so many touchpoints, I believe it is critical to help teenagers create an informed decision-making self-compass to avoid self-inflicted harm, which can include self-mutilation, isolation, suicidal thoughts, and more.
If you found me, then I know you're doing your best to support your teenager or the teenager in your life through challenging circumstances. You've found the right therapist to help you to support them. I'm also going to help keep your teen navigate their experiences to learn skills to help them cope and manage their emotional wellness. With so many touchpoints, I believe it is critical to help teenagers create an informed decision-making self-compass to avoid self-inflicted harm, which can include self-mutilation, isolation, suicidal thoughts, and more.
(267) 489-1241 View (267) 489-1241
Photo of Lisa Grant-Feeley, Licensed Professional Counselor in Philadelphia, PA
Lisa Grant-Feeley
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Philadelphia, PA 19106  (Online Only)
I am a Licensed Professional Counselor and I work with individuals and families. My specialties include working with children who have ADHD and explosive behaviors, teens and adults who have symptoms of anxiety and depression, and adults facing life transitions including empty nesters and career and marriage transitions. My clients have found my support helpful in gaining insight into the life they want to create and in developing the skills needed to incorporate change. Since relationship is key in finding success, we establish a foundation of trust and compassion so there is safety in beginning this journey together.
I am a Licensed Professional Counselor and I work with individuals and families. My specialties include working with children who have ADHD and explosive behaviors, teens and adults who have symptoms of anxiety and depression, and adults facing life transitions including empty nesters and career and marriage transitions. My clients have found my support helpful in gaining insight into the life they want to create and in developing the skills needed to incorporate change. Since relationship is key in finding success, we establish a foundation of trust and compassion so there is safety in beginning this journey together.
(267) 367-6463 View (267) 367-6463
Photo of Karla Pazzi, Clinical Social Work/Therapist in Philadelphia, PA
Karla Pazzi
Clinical Social Work/Therapist, LCSW, C-DBT
Verified Verified
1 Endorsed
Philadelphia, PA 19118
As a therapist, my passion is helping clients develop a greater ability to understand themselves and handle what happens to them. I use an integrative approach which is grounded in research and shows that the most effective healing occurs in the context of a strong client-therapist relationship. Beginning therapy can be intimidating so I try to create a warm, safe space by using an empathic, nonjudgmental, and, at times, humorous approach. Clients have described my style as compassionate and supportive while also being honest and direct.
As a therapist, my passion is helping clients develop a greater ability to understand themselves and handle what happens to them. I use an integrative approach which is grounded in research and shows that the most effective healing occurs in the context of a strong client-therapist relationship. Beginning therapy can be intimidating so I try to create a warm, safe space by using an empathic, nonjudgmental, and, at times, humorous approach. Clients have described my style as compassionate and supportive while also being honest and direct.
(484) 380-9227 View (484) 380-9227
Photo of Jamie Steiner, Clinical Social Work/Therapist in Philadelphia, PA
Jamie Steiner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Philadelphia, PA 19102
Are you a high achiever struggling with anxiety or navigating a difficult life change? You knew life comes with stressors, but you weren’t expecting to feel this overwhelmed by your career, relationships, or starting a family. When my clients come to see me, their worrying and worst-case scenarios are sending them spiraling, & the pressure to constantly be productive is looming over them. You don't want to continue on this unsustainable path any longer. If you're ready to let go of anxiety and perfectionism, and find support and relief, you're in the right place. I’m here to help you get unstuck without sacrificing your well-being.
Are you a high achiever struggling with anxiety or navigating a difficult life change? You knew life comes with stressors, but you weren’t expecting to feel this overwhelmed by your career, relationships, or starting a family. When my clients come to see me, their worrying and worst-case scenarios are sending them spiraling, & the pressure to constantly be productive is looming over them. You don't want to continue on this unsustainable path any longer. If you're ready to let go of anxiety and perfectionism, and find support and relief, you're in the right place. I’m here to help you get unstuck without sacrificing your well-being.
(267) 619-7258 View (267) 619-7258
Photo of Sari Fleischman, PsyD, PLLC, Psychologist in Philadelphia, PA
Sari Fleischman, PsyD, PLLC
Psychologist, PsyD
Verified Verified
4 Endorsed
Philadelphia, PA 19103
Many find themselves at a point in their lives where external support is necessary to navigate life's challenges. My clients seek therapy for a variety of reasons. Some may come to therapy to deal with a specific struggle, such as anxiety or depression, while others initiate therapy during a difficult life transition. Even positive transitions, such as getting a new job or starting a new relationship can be stressful. Together, we will merge our resources to address these challenges in a safe environment by exploring patterns, processing events from the past, and creating plans for change in the future.
Many find themselves at a point in their lives where external support is necessary to navigate life's challenges. My clients seek therapy for a variety of reasons. Some may come to therapy to deal with a specific struggle, such as anxiety or depression, while others initiate therapy during a difficult life transition. Even positive transitions, such as getting a new job or starting a new relationship can be stressful. Together, we will merge our resources to address these challenges in a safe environment by exploring patterns, processing events from the past, and creating plans for change in the future.
(484) 938-1307 View (484) 938-1307
Photo of Brian Gordon Miller, Marriage & Family Therapist in Philadelphia, PA
Brian Gordon Miller
Marriage & Family Therapist, LMFT
Verified Verified
Philadelphia, PA 19129
I am a licensed Marriage and Family therapist. I've also practiced meditation in the Zen tradition for about 20 years, so I specialize in counseling couples and individuals who want to incorporate a more mindful way of being in life. We do this by exploring the present moment: looking at what is happening in the body, the mind, and the spirit--right here, right now. I help clients unlock old, painful patterns, and together we look at what is truly informing the emotional reactions and thought patterns governing our lives, so that a more awake and more joyful life can be lived.
I am a licensed Marriage and Family therapist. I've also practiced meditation in the Zen tradition for about 20 years, so I specialize in counseling couples and individuals who want to incorporate a more mindful way of being in life. We do this by exploring the present moment: looking at what is happening in the body, the mind, and the spirit--right here, right now. I help clients unlock old, painful patterns, and together we look at what is truly informing the emotional reactions and thought patterns governing our lives, so that a more awake and more joyful life can be lived.
(267) 296-9290 View (267) 296-9290
Photo of Amee Mickhael, Clinical Social Work/Therapist in Philadelphia, PA
Amee Mickhael
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Philadelphia, PA 19127
I believe one of the bravest things we can do is to understand our story. Owning our story can bring us to self-acceptance and healing. I can help get you there. Do you feel like you’re hitting a wall? Feeling stuck in unhealthy patterns? Stuck in your past trauma? Bad relationships? You deserve more than the anger and hurt that you’re carrying with you each day. These walls you’re hitting can be broken down. We just need to take a few steps back, and face these walls together. Come in, and enjoy a cup of coffee or tea (on me) and let’s talk about it.
I believe one of the bravest things we can do is to understand our story. Owning our story can bring us to self-acceptance and healing. I can help get you there. Do you feel like you’re hitting a wall? Feeling stuck in unhealthy patterns? Stuck in your past trauma? Bad relationships? You deserve more than the anger and hurt that you’re carrying with you each day. These walls you’re hitting can be broken down. We just need to take a few steps back, and face these walls together. Come in, and enjoy a cup of coffee or tea (on me) and let’s talk about it.
(484) 207-5446 View (484) 207-5446
Photo of Vishal Shah, Licensed Professional Counselor in Philadelphia, PA
Vishal Shah
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19143  (Online Only)
Whether you’re feeling stuck, overwhelmed, numb, hopeless, or just curious - talking to someone can help. With the right therapist, you’ll learn to identify patterns in your thinking and behavior, improve moment-to-moment awareness and self-regulation, and deepen your understanding of the circumstances around your suffering - and eventually come to terms with them and/or change them altogether.
Whether you’re feeling stuck, overwhelmed, numb, hopeless, or just curious - talking to someone can help. With the right therapist, you’ll learn to identify patterns in your thinking and behavior, improve moment-to-moment awareness and self-regulation, and deepen your understanding of the circumstances around your suffering - and eventually come to terms with them and/or change them altogether.
(215) 346-7454 View (215) 346-7454
Photo of Teresa Harrington, Clinical Social Work/Therapist in Philadelphia, PA
Teresa Harrington
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Philadelphia, PA 19102
I have a psychotherapeutic orientation, and am also trained in both cognitive-behavioral and mindfulness techniques. I offer compassionate therapy for grief, depression, anxiety, stress management and life transitions.
I have a psychotherapeutic orientation, and am also trained in both cognitive-behavioral and mindfulness techniques. I offer compassionate therapy for grief, depression, anxiety, stress management and life transitions.
(267) 932-2155 View (267) 932-2155
Photo of Megan Faralli, Counselor in Philadelphia, PA
Megan Faralli
Counselor, LMHC
Verified Verified
Philadelphia, PA 19103
I view therapy as a collaborative approach between myself and my patients. My goal is to assist you in living a fuller and more satisfying life by gaining insight into your thoughts, feelings, behaviors, and relationships. Through insight and accessibility to the many facets of your emotional and mental life, I hope to help you to live purposefully, flexibly and confidently, and in congruence with your true, innate potential and desires.
I view therapy as a collaborative approach between myself and my patients. My goal is to assist you in living a fuller and more satisfying life by gaining insight into your thoughts, feelings, behaviors, and relationships. Through insight and accessibility to the many facets of your emotional and mental life, I hope to help you to live purposefully, flexibly and confidently, and in congruence with your true, innate potential and desires.
(267) 458-3082 View (267) 458-3082
Photo of Sharon Kopyc, Clinical Social Work/Therapist in Philadelphia, PA
Sharon Kopyc
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19123  (Online Only)
I am a therapist with many years of experience and have several post-graduate certifications, but I understand very well that being an open and engaging professional is first most to help people feel comfortable to talk about how to untangle their issues. The therapeutic relationship is "a must" and I am often sought out because of my ability to connect easily with others. My speciality includes depression, anxiety, grief and trauma which so many individuals have experienced. Please give me a call and I'll be happy to answer any questions you have about therapy or about me. I am licensed in New York, New Jersey and Pennsylvania.
I am a therapist with many years of experience and have several post-graduate certifications, but I understand very well that being an open and engaging professional is first most to help people feel comfortable to talk about how to untangle their issues. The therapeutic relationship is "a must" and I am often sought out because of my ability to connect easily with others. My speciality includes depression, anxiety, grief and trauma which so many individuals have experienced. Please give me a call and I'll be happy to answer any questions you have about therapy or about me. I am licensed in New York, New Jersey and Pennsylvania.
(267) 497-2742 View (267) 497-2742
Photo of Kelli Wilson, Clinical Social Work/Therapist in Philadelphia, PA
Kelli Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19103  (Online Only)
Are you struggling to break free from the chains of OCD and Anxiety? Do you wish to live a life without crippling fear and worry? I am here to help! I believe the only way "out" is through. Together we will work on your or your child's OCD and anxiety to get you to the life you deserve! I am a Licensed Clinical Social Worker in the state of Pennsylvania. I believe that while starting treatment can be scary, it is one of the best things you could ever do for yourself or your child. Asking for help is a strength!
Are you struggling to break free from the chains of OCD and Anxiety? Do you wish to live a life without crippling fear and worry? I am here to help! I believe the only way "out" is through. Together we will work on your or your child's OCD and anxiety to get you to the life you deserve! I am a Licensed Clinical Social Worker in the state of Pennsylvania. I believe that while starting treatment can be scary, it is one of the best things you could ever do for yourself or your child. Asking for help is a strength!
(484) 591-3630 View (484) 591-3630
Photo of Jessica Ope-Oluwadare, Licensed Professional Counselor in Philadelphia, PA
Jessica Ope-Oluwadare
Licensed Professional Counselor, MS, LPC, PA & DE
Verified Verified
Philadelphia, PA 19143  (Online Only)
Are you confused as to what direction you are going or what steps to take? Is every other decision feeling overwhelming to make? Are you second guessing every action or decision you have ever made? Let's work through those times together and help you regain your confidence. Navigating life decisions required a mindful assessment of where we currently are and where we are going.
Are you confused as to what direction you are going or what steps to take? Is every other decision feeling overwhelming to make? Are you second guessing every action or decision you have ever made? Let's work through those times together and help you regain your confidence. Navigating life decisions required a mindful assessment of where we currently are and where we are going.
(215) 515-0790 View (215) 515-0790
Photo of Aleta Clark, Counselor in Philadelphia, PA
Aleta Clark
Counselor, LPC
Verified Verified
Philadelphia, PA 19151  (Online Only)
You've shattered barriers and soared to heights many only dream of. Yet, the higher you climb, the more you wonder if there's more to life. You excel in every challenge, but the silence at home doesn't bring peace at day's end. You find yourself constantly thinking about work and the pressure you feel to always perform, and although you have success, what you desire is internal satisfaction. If you find your personal life overshadowed by professional success and seek fulfillment matching your career achievements, know you're not alone. Let's discover how you can find peace and satisfaction in your personal and professional life.
You've shattered barriers and soared to heights many only dream of. Yet, the higher you climb, the more you wonder if there's more to life. You excel in every challenge, but the silence at home doesn't bring peace at day's end. You find yourself constantly thinking about work and the pressure you feel to always perform, and although you have success, what you desire is internal satisfaction. If you find your personal life overshadowed by professional success and seek fulfillment matching your career achievements, know you're not alone. Let's discover how you can find peace and satisfaction in your personal and professional life.
(610) 708-1749 View (610) 708-1749

See more therapy options for Philadelphia

How does your Therapist compare?

Number of Therapists in Philadelphia, PA

3,000+

Average cost per session

$143

Therapists in Philadelphia, PA who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
64% Coping Skills
60% Stress

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
67% UnitedHealthcare UHC | UBH
65% Cigna and Evernorth

How Therapists in Philadelphia, PA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Philadelphia?

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.