Therapists in Northumberland County, PA

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Photo of Stephanie Rushton, Clinical Social Work/Therapist in Northumberland County, PA
Stephanie Rushton
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Milton, PA 17847
I’m a behavioral health therapist committed to helping children, adolescents and adults learn how to overcome challenging thoughts, feelings, physical sensations, and/or experiences. My work focuses on partnering with you to take steps towards what is meaningful and valuable to you and your family, the way you want your life to look, and the person you want to be. I believe in continuous growth and development, everyone has value, and everyone has a reservoir of strength to draw from.
I’m a behavioral health therapist committed to helping children, adolescents and adults learn how to overcome challenging thoughts, feelings, physical sensations, and/or experiences. My work focuses on partnering with you to take steps towards what is meaningful and valuable to you and your family, the way you want your life to look, and the person you want to be. I believe in continuous growth and development, everyone has value, and everyone has a reservoir of strength to draw from.
(570) 206-8155 View (570) 206-8155
Photo of Denise Ellen Newman, Psychologist in Northumberland County, PA
Denise Ellen Newman
Psychologist, MA
Verified Verified
Herndon, PA 17830  (Online Only)
A Licensed psychologist for over thirty years my style of therapy has transformed to a more experiential approach for my clients. Approaching therapy from a Gestalt perspective focusing on what's showing up in the "Here and Now" while guiding folks to enter an embodied self awareness. More recently I have embarked on a new journey to use horses as part of an Equine Facilitated Psychotherapy modality. Horses like all animals live in the here and now and show up to sessions from a very present focused moment and non judgmental relational curiosity joining folks in their healing process.
A Licensed psychologist for over thirty years my style of therapy has transformed to a more experiential approach for my clients. Approaching therapy from a Gestalt perspective focusing on what's showing up in the "Here and Now" while guiding folks to enter an embodied self awareness. More recently I have embarked on a new journey to use horses as part of an Equine Facilitated Psychotherapy modality. Horses like all animals live in the here and now and show up to sessions from a very present focused moment and non judgmental relational curiosity joining folks in their healing process.
(272) 777-0203 View (272) 777-0203
Photo of Leon T Supsic Jr., Clinical Social Work/Therapist in Northumberland County, PA
Leon T Supsic Jr.
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Milton, PA 17847
As a Behavioral Health Therapist, I value dignity and worth of people. I believe that everyone has unique characteristics that make them special, and together, we can work to bring these strengths to the forefront of who you are and help you become your "desired version of self". I specialize in strengths-based approaches that assist in highlighting those special characteristics about you, and utilizing those strengths to create an individualized experience prioritizing social and emotional growth and satisfaction.
As a Behavioral Health Therapist, I value dignity and worth of people. I believe that everyone has unique characteristics that make them special, and together, we can work to bring these strengths to the forefront of who you are and help you become your "desired version of self". I specialize in strengths-based approaches that assist in highlighting those special characteristics about you, and utilizing those strengths to create an individualized experience prioritizing social and emotional growth and satisfaction.
(570) 843-1893 View (570) 843-1893
Photo of Darlene E Garcia-Johnson, Licensed Professional Counselor in Northumberland County, PA
Darlene E Garcia-Johnson
Licensed Professional Counselor, LPC, NCC, CCTP, MA, MS
Verified Verified
Milton, PA 17847
Not accepting new clients
Children & Adolescent issues, Parent-child relationship problems, Marital and family conflict, Anger management & impulse control, School conflicts & behavior problems, Depression, Anxiety & stress, Grief & loss, Challenging life transitions, Trauma & abuse and Domestic violence.
Children & Adolescent issues, Parent-child relationship problems, Marital and family conflict, Anger management & impulse control, School conflicts & behavior problems, Depression, Anxiety & stress, Grief & loss, Challenging life transitions, Trauma & abuse and Domestic violence.
(570) 230-7629 View (570) 230-7629
Photo of Erin Goedegebuure, Licensed Professional Counselor in Northumberland County, PA
Erin Goedegebuure
Licensed Professional Counselor, MA, LPC
Verified Verified
Sunbury, PA 17801
Not accepting new clients
NO CURRENT AVAILABILITY--I have been practicing psychotherapy in the Susquehanna Valley for over 12 years. I work with individuals, couples, and families on the problems they experience in their lives and relationships. My style is gentle and I encourage an environment that is open and supportive. I help clients to be comfortable and candid about their thoughts and feelings, and to make important emotional and behavioral changes that are positive for their lives and their families. In addition to conducting therapy, I am an adjunct professor of psychology at Susquehanna University.
NO CURRENT AVAILABILITY--I have been practicing psychotherapy in the Susquehanna Valley for over 12 years. I work with individuals, couples, and families on the problems they experience in their lives and relationships. My style is gentle and I encourage an environment that is open and supportive. I help clients to be comfortable and candid about their thoughts and feelings, and to make important emotional and behavioral changes that are positive for their lives and their families. In addition to conducting therapy, I am an adjunct professor of psychology at Susquehanna University.
(570) 726-1753 View (570) 726-1753
Photo of Alexis Haile, Licensed Professional Counselor in Northumberland County, PA
Alexis Haile
Licensed Professional Counselor, LPC
Verified Verified
Shamokin, PA 17872
I am a Licensed Professional Counselor and have been working in the mental health field since 2010. I work with individuals of any age, and families, to help them understand more about themselves, each other, and ways they can reach their treatment goals. I work with a variety of presenting concerns such as poor sleep quality, selective eating, disruptive behaviors, ADHD, autism, different types of anxiety, and depression.
I am a Licensed Professional Counselor and have been working in the mental health field since 2010. I work with individuals of any age, and families, to help them understand more about themselves, each other, and ways they can reach their treatment goals. I work with a variety of presenting concerns such as poor sleep quality, selective eating, disruptive behaviors, ADHD, autism, different types of anxiety, and depression.
(570) 929-0398 View (570) 929-0398
Lynnette Weisner
Clinical Social Work/Therapist
Verified Verified
Milton, PA 17847
With over 20 years experience, Mrs. Weisner uses a cognitive behavioral and family systems approach to help her clients achieve their desired goals. She has a special interest in working with depression, anxiety disorders, ADD/ADHD and Geriatric issues. In addition, Mrs. Weisner has many years of experience working with children, adolescents, and their families to resolve problems and enhance individual and family functioning.
With over 20 years experience, Mrs. Weisner uses a cognitive behavioral and family systems approach to help her clients achieve their desired goals. She has a special interest in working with depression, anxiety disorders, ADD/ADHD and Geriatric issues. In addition, Mrs. Weisner has many years of experience working with children, adolescents, and their families to resolve problems and enhance individual and family functioning.
(570) 266-7119 View (570) 266-7119
Photo of M L Corbin Sicoli, Psychologist in Northumberland County, PA
M L Corbin Sicoli
Psychologist, PhD
Verified Verified
Excelsior, PA 17866
I focus on psychoeducational evaluations of students of all ages,pre-schhol through graduate school, who are having difficulties with educational achievement,i.e.ADHD,LD,ED.I help students to understand the reasons for these difficulties and formulate a plan to help them succeed in an academic environment. These evaluations may also be for those seeking accomodations for nationally standardized tests, such as the SAT, GRE, LSAT,MCAT,etc.Evaluations include intelligence,achievement,personality and career testing.In addition, I do testing for students who seek to qualify for inclusion into school district programs for the gifted and for MENSA.
I focus on psychoeducational evaluations of students of all ages,pre-schhol through graduate school, who are having difficulties with educational achievement,i.e.ADHD,LD,ED.I help students to understand the reasons for these difficulties and formulate a plan to help them succeed in an academic environment. These evaluations may also be for those seeking accomodations for nationally standardized tests, such as the SAT, GRE, LSAT,MCAT,etc.Evaluations include intelligence,achievement,personality and career testing.In addition, I do testing for students who seek to qualify for inclusion into school district programs for the gifted and for MENSA.
(610) 915-8438 View (610) 915-8438
Photo of Glenn Jacobson, Psychologist in Northumberland County, PA
Glenn Jacobson
Psychologist, MA, PhD
Verified Verified
Sunbury, PA 17801
I pride myself on my professionalism, insight, and ability to listen with both empathy and an analytical perspective. I take my work seriously, but find humor to be helpful, too. While therapy works on a number of levels at the same time, one of my main roles is to provide an outsider's objective view of how clients understand themselves in the world, and the beliefs and assumptions that can prove to be counterproductive or problematic. I enjoy treating anxiety, depression, and OCD, and I appreciate working with couples, families, and older adolescents and young adults. I have a side interest in sports psychology.
I pride myself on my professionalism, insight, and ability to listen with both empathy and an analytical perspective. I take my work seriously, but find humor to be helpful, too. While therapy works on a number of levels at the same time, one of my main roles is to provide an outsider's objective view of how clients understand themselves in the world, and the beliefs and assumptions that can prove to be counterproductive or problematic. I enjoy treating anxiety, depression, and OCD, and I appreciate working with couples, families, and older adolescents and young adults. I have a side interest in sports psychology.
(570) 213-9591 View (570) 213-9591
Photo of Christine Fallon, Clinical Social Work/Therapist in Northumberland County, PA
Christine Fallon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sunbury, PA 17801  (Online Only)
Ready for a positive change? I am here to help guide you through your journey to be a better you. I focus on strengths and helping others maximize their potential. If you struggle with anxiety, depression, false beliefs, relationships, or other stressors please feel free to reach out to me.
Ready for a positive change? I am here to help guide you through your journey to be a better you. I focus on strengths and helping others maximize their potential. If you struggle with anxiety, depression, false beliefs, relationships, or other stressors please feel free to reach out to me.
(570) 857-2719 View (570) 857-2719
Photo of Colleen Acor, Clinical Social Work/Therapist in Northumberland County, PA
Colleen Acor
Clinical Social Work/Therapist, LSW
Verified Verified
Milton, PA 17847
As a therapist, I understand that life’s unexpected circumstances can sometimes feel overwhelming. But remember, it's OK to seek help. This is a sign of strength and the first step towards growth and healing. I feel privileged to guide clients on this journey, providing a warm, non-judgmental space where you feel valued and heard. With over 12 years of experience in the mental health field, I provide quality feedback in our sessions, helping to identify obstacles to your well-being. These may stem from mental health issues, trauma, unhealthy relationships, or limited coping strategies.
As a therapist, I understand that life’s unexpected circumstances can sometimes feel overwhelming. But remember, it's OK to seek help. This is a sign of strength and the first step towards growth and healing. I feel privileged to guide clients on this journey, providing a warm, non-judgmental space where you feel valued and heard. With over 12 years of experience in the mental health field, I provide quality feedback in our sessions, helping to identify obstacles to your well-being. These may stem from mental health issues, trauma, unhealthy relationships, or limited coping strategies.
(570) 659-6697 View (570) 659-6697
Photo of Nancy Becker, Licensed Professional Counselor in Northumberland County, PA
Nancy Becker
Licensed Professional Counselor, LPC, MS
Verified Verified
We all have times when we go through struggles in life and can the use help of someone who will care and listen without judging. I try always to create a warm and accepting environment, in which you can feel comfortable and understood. Maybe you are struggling with depression, anxieties, relationship issues, addiction, or other life challenges. My goal is always to walk along your path with you, and help you resolve any blocks that might be keeping you from creating the life you want.
We all have times when we go through struggles in life and can the use help of someone who will care and listen without judging. I try always to create a warm and accepting environment, in which you can feel comfortable and understood. Maybe you are struggling with depression, anxieties, relationship issues, addiction, or other life challenges. My goal is always to walk along your path with you, and help you resolve any blocks that might be keeping you from creating the life you want.
(570) 215-5320 View (570) 215-5320
Photo of Doug Richard, Marriage & Family Therapist in Northumberland County, PA
Doug Richard
Marriage & Family Therapist, MA, LMFT, AAMFT, ICEEFT
Verified Verified
Sunbury, PA 17801
Struggling with relationship difficulties? Depression, anxiety, stress? Dealing with grief, loss, or trauma? Feeling overwhelmed? Losing hope that things will change? You can trust us to help you! Rooted exists to help you experience growth, healing, and wholeness in your life and relationships. Whether you want to feel less stressed, experience less conflict, enjoy better communication, fall more deeply in love, or enjoy better self-esteem and more satisfying relationships with partners, friends, family, or kids (even adult children), our experienced and highly trained therapists can help you reach your goals.
Struggling with relationship difficulties? Depression, anxiety, stress? Dealing with grief, loss, or trauma? Feeling overwhelmed? Losing hope that things will change? You can trust us to help you! Rooted exists to help you experience growth, healing, and wholeness in your life and relationships. Whether you want to feel less stressed, experience less conflict, enjoy better communication, fall more deeply in love, or enjoy better self-esteem and more satisfying relationships with partners, friends, family, or kids (even adult children), our experienced and highly trained therapists can help you reach your goals.
(570) 884-4662 x1 View (570) 884-4662 x1
Photo of Sara Ansell, Licensed Professional Counselor in Northumberland County, PA
Sara Ansell
Licensed Professional Counselor, LPC
Verified Verified
Milton, PA 17847
I am incredibly passionate about my work as a therapist and find it to be a true honor to walk alongside my clients on their journey to find healing, peace, and restoration. My main priority is to offer a safe, judgement-free zone where a client can develop rapport quickly and build a genuine connection with someone who truly cares about their well-being and growth. I am a firm believer that empathy, compassion, and an ability to understand the pain, hurt, and challenges my clients are currently facing is absolutely necessary as these are the things that help build the foundation for trust to develop in a therapeutic relationship.
I am incredibly passionate about my work as a therapist and find it to be a true honor to walk alongside my clients on their journey to find healing, peace, and restoration. My main priority is to offer a safe, judgement-free zone where a client can develop rapport quickly and build a genuine connection with someone who truly cares about their well-being and growth. I am a firm believer that empathy, compassion, and an ability to understand the pain, hurt, and challenges my clients are currently facing is absolutely necessary as these are the things that help build the foundation for trust to develop in a therapeutic relationship.
(570) 529-9069 View (570) 529-9069
Photo of Diane Michalik Bonner, Psychologist in Northumberland County, PA
Diane Michalik Bonner
Psychologist, PsyD
Verified Verified
Sunbury, PA 17801
In my 30 years of experience, I have worked with people presenting concerns ranging from life crisis to significant mental health symptoms. I have experience with populations across the life span and conduct therapy with individuals, couples, and families. My approach is Transtheoretical: meaning I understand a problem from many perspectives and offer interventions which best fit each individual circumstance. I welcome your call and your questions.
In my 30 years of experience, I have worked with people presenting concerns ranging from life crisis to significant mental health symptoms. I have experience with populations across the life span and conduct therapy with individuals, couples, and families. My approach is Transtheoretical: meaning I understand a problem from many perspectives and offer interventions which best fit each individual circumstance. I welcome your call and your questions.
(272) 435-8248 View (272) 435-8248
Photo of Melissa Frame, Licensed Professional Counselor in Northumberland County, PA
Melissa Frame
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Sunbury, PA 17801  (Online Only)
My approach to therapy is to respectfully understand you, celebrate your strengths, and work with you as a collaborative partner. I have a warm, encouraging, and empathetic style, and I incorporate different approaches to fit your individual needs. As a trauma specialist, I can help alleviate your experiences of anxiety, depression, family and relationship issues and other life complications. l look forward to working with you to help you understand your options, build on your inner wisdom and resolve your difficulties. I am practical and warm and will help you develop solutions to life’s many challenges.
My approach to therapy is to respectfully understand you, celebrate your strengths, and work with you as a collaborative partner. I have a warm, encouraging, and empathetic style, and I incorporate different approaches to fit your individual needs. As a trauma specialist, I can help alleviate your experiences of anxiety, depression, family and relationship issues and other life complications. l look forward to working with you to help you understand your options, build on your inner wisdom and resolve your difficulties. I am practical and warm and will help you develop solutions to life’s many challenges.
(570) 671-2712 View (570) 671-2712
Photo of Christopher Morrison, Licensed Professional Counselor in Northumberland County, PA
Christopher Morrison
Licensed Professional Counselor, LPC, MT-BC
Verified Verified
3 Endorsed
Sunbury, PA 17801  (Online Only)
I help people work through complex trauma by using key approaches like mind-body techniques. My therapy sessions provide a safe and nurturing environment where you can explore your trauma with a compassionate and understanding professional. Together, we'll work towards healing the wounds of the past and empowering you to build a brighter future. You deserve to live a life free from the shackles of trauma, and I'm here to help you every step of the way. Take control of your healing journey today by booking a session with me.
I help people work through complex trauma by using key approaches like mind-body techniques. My therapy sessions provide a safe and nurturing environment where you can explore your trauma with a compassionate and understanding professional. Together, we'll work towards healing the wounds of the past and empowering you to build a brighter future. You deserve to live a life free from the shackles of trauma, and I'm here to help you every step of the way. Take control of your healing journey today by booking a session with me.
(267) 651-0605 View (267) 651-0605
Photo of Tom Palmieri, Licensed Professional Counselor in Northumberland County, PA
Tom Palmieri
Licensed Professional Counselor, MS, NCC, LPC, LBS
Verified Verified
2 Endorsed
Sunbury, PA 17801
Not accepting new clients
I have been a counselor for a decade in PA prior to relocating from Brooklyn, NY where I worked in wellness coaching. I take an integrated clinical approach at how the mind and body are impacted by our environments and relationships. I am also a doctoral candidate at Shippensburg University in the Department of Counselor Education and am looking forward to leveling up to "Dr. Tom" by the end of 2024! I am also the Associate Director at Courtyard Counseling Center, LCC and am a consultant for organizations around various mental health subjects. My mission is to help create systems where everyone can thrive.
I have been a counselor for a decade in PA prior to relocating from Brooklyn, NY where I worked in wellness coaching. I take an integrated clinical approach at how the mind and body are impacted by our environments and relationships. I am also a doctoral candidate at Shippensburg University in the Department of Counselor Education and am looking forward to leveling up to "Dr. Tom" by the end of 2024! I am also the Associate Director at Courtyard Counseling Center, LCC and am a consultant for organizations around various mental health subjects. My mission is to help create systems where everyone can thrive.
(570) 609-3405 View (570) 609-3405

Online Therapists

Photo of Jenna Scampton, Licensed Professional Counselor in Northumberland County, PA
Jenna Scampton
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Drexel Hill, PA 19026  (Online Only)
I specialize in trauma treatment. I believe that we are all destined to do great things if we have the appropriate support behind us. I am here to provide that support! I have about 4 years of experience so far in trauma, addictions and family/relationship systems. I also offer Prolonged Exposure therapy which is clinically proven to process traumatic memories in as little as 8-14 weeks!
I specialize in trauma treatment. I believe that we are all destined to do great things if we have the appropriate support behind us. I am here to provide that support! I have about 4 years of experience so far in trauma, addictions and family/relationship systems. I also offer Prolonged Exposure therapy which is clinically proven to process traumatic memories in as little as 8-14 weeks!
(484) 218-4940 View (484) 218-4940
Photo of Heidi Hughes, Licensed Professional Counselor in Northumberland County, PA
Heidi Hughes
Licensed Professional Counselor, LPC
Verified Verified
Warrington, PA 18976
Heidi Hughes, LPC Heidi has lived in Bucks County, Pa the majority of her childhood and adult life; minus a few years in the Pittsburgh, PA area. Her education focused primarily on Psychology (Counseling) , Cultural Anthropology, Marriage & Family Therapy and Music. Now, as a Licensed Professional Counselor (LPC) and Certified Advanced Alcohol and Drug Counselor (CAADC) with Problem Gambling endorsement, she puts her years of professional training to use helping people cope with Co-Occurring issues and Marriage, Couples & Family.
Heidi Hughes, LPC Heidi has lived in Bucks County, Pa the majority of her childhood and adult life; minus a few years in the Pittsburgh, PA area. Her education focused primarily on Psychology (Counseling) , Cultural Anthropology, Marriage & Family Therapy and Music. Now, as a Licensed Professional Counselor (LPC) and Certified Advanced Alcohol and Drug Counselor (CAADC) with Problem Gambling endorsement, she puts her years of professional training to use helping people cope with Co-Occurring issues and Marriage, Couples & Family.
(267) 692-5558 View (267) 692-5558

See more therapy options for Northumberland County

How does your Therapist compare?

Number of Therapists in Northumberland County, PA

10+

Average cost per session

$120

Therapists in Northumberland County, PA who prioritize treating:

94% Anxiety
89% Relationship Issues
83% Depression
83% Self Esteem
72% Grief
72% Parenting
72% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

88% Optum
81% Highmark
81% Geisinger

How Therapists in Northumberland County, PA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

69% Female
31% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Northumberland County?

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.