Therapists in Erie, PA

Photo of Jessica K Dombkowski, Licensed Professional Counselor in Erie, PA
Jessica K Dombkowski
Licensed Professional Counselor, MS, LPC
Verified Verified
Erie, PA 16506
Making the decision to begin therapy takes courage, and finding the right therapist is an important step in the healing process. I seek to help my clients achieve more fulfilling and balanced lives by offering a warm, accepting and nonjudgmental environment. I provide individual and group therapy to adolescents and adults with diverse backgrounds and concerns. Whether you are looking for strategies to manage new life situations, wish to improve your relationships with others, suffer from chronic mental illness, or seek to increase your overall well-being, I offer a safe environment to explore your concerns.
Making the decision to begin therapy takes courage, and finding the right therapist is an important step in the healing process. I seek to help my clients achieve more fulfilling and balanced lives by offering a warm, accepting and nonjudgmental environment. I provide individual and group therapy to adolescents and adults with diverse backgrounds and concerns. Whether you are looking for strategies to manage new life situations, wish to improve your relationships with others, suffer from chronic mental illness, or seek to increase your overall well-being, I offer a safe environment to explore your concerns.
(814) 703-4082 View (814) 703-4082
Photo of Mary Lynn Rote, Licensed Professional Counselor in Erie, PA
Mary Lynn Rote
Licensed Professional Counselor, LPC, CADC
Verified Verified
Erie, PA 16504
I am a Licensed Professional Counselor and Certified Addictions Counselor with over 30 years of counseling experience. I am the owner of ABC's of Building Better Lives Counseling, LLC. I specialize in marital and couples; depression; addictions/recovery; anxiety; bipolar disorder; stress management; unproductive communication patterns; grief, trauma/PTSD; low self-esteem; lack of fulfillment in life; spirituality; unhealthy family dynamics/ACOA; parenting related issues; confidence building; unhealthy lifestyle challenges; yoga instruction; LGBT and diversity related issues.
I am a Licensed Professional Counselor and Certified Addictions Counselor with over 30 years of counseling experience. I am the owner of ABC's of Building Better Lives Counseling, LLC. I specialize in marital and couples; depression; addictions/recovery; anxiety; bipolar disorder; stress management; unproductive communication patterns; grief, trauma/PTSD; low self-esteem; lack of fulfillment in life; spirituality; unhealthy family dynamics/ACOA; parenting related issues; confidence building; unhealthy lifestyle challenges; yoga instruction; LGBT and diversity related issues.
(814) 746-4559 View (814) 746-4559
Photo of Amy Leveto, Licensed Professional Counselor in Erie, PA
Amy Leveto
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Erie, PA 16506
Waitlist for new clients
In a world which can pull a person away from themselves, it is of vital importance to get back into a healthy and honest relationship with yourself. When this alignment happens within self, one tends to find inner balance and life begins to fall into place. I believe that by providing an environment of listening, empathy, non-judgement and validation, a person can get in touch with who they are, who they want to be, how they feel, and what they think and believe. This is where healing begins. I will support you as you rediscover an empowered version of yourself and encourage you in what you need and want in life.
In a world which can pull a person away from themselves, it is of vital importance to get back into a healthy and honest relationship with yourself. When this alignment happens within self, one tends to find inner balance and life begins to fall into place. I believe that by providing an environment of listening, empathy, non-judgement and validation, a person can get in touch with who they are, who they want to be, how they feel, and what they think and believe. This is where healing begins. I will support you as you rediscover an empowered version of yourself and encourage you in what you need and want in life.
(814) 205-0951 View (814) 205-0951
Photo of Justin Stilson, Licensed Professional Counselor in Erie, PA
Justin Stilson
Licensed Professional Counselor, LPC
Verified Verified
Erie, PA 16506
Hello, my name is Justin Stilson, and I am a licensed professional counselor (LPC) in Pennsylvania. I receive my masters of science in Community counseling from getting university have been practicing for 11 years.
Hello, my name is Justin Stilson, and I am a licensed professional counselor (LPC) in Pennsylvania. I receive my masters of science in Community counseling from getting university have been practicing for 11 years.
(814) 787-1257 View (814) 787-1257
Photo of Meagan Brown, Counselor in Erie, PA
Meagan Brown
Counselor, LPC
Verified Verified
Erie, PA 16506
Meagan specializes in working with individuals who may be experiencing anxiety, depression and/or the emotional and physical impact of trauma, healthy boundary setting, self-esteem and healthy communication patterns. Meagan aspires to practice what she preaches. She values honesty, respect, and boundaries. Meagan believes in the importance of self-care and often applies a holistic approach to wellness in her work. As a clinician, Meagan highly values the importance of growth, cultural awareness, and incorporating one’s unique individual background into treatment.
Meagan specializes in working with individuals who may be experiencing anxiety, depression and/or the emotional and physical impact of trauma, healthy boundary setting, self-esteem and healthy communication patterns. Meagan aspires to practice what she preaches. She values honesty, respect, and boundaries. Meagan believes in the importance of self-care and often applies a holistic approach to wellness in her work. As a clinician, Meagan highly values the importance of growth, cultural awareness, and incorporating one’s unique individual background into treatment.
(814) 498-4782 View (814) 498-4782
Photo of Jolene R Franz, Licensed Professional Counselor in Erie, PA
Jolene R Franz
Licensed Professional Counselor, MA, LPC
Verified Verified
Erie, PA 16509
Are you searching for hope amidst the chaos and confusion of everyday life? You are not alone. With compassion and God's guidance, I help individuals whose trials in life have created uncertainty & struggle. Our lives have many moving parts-all with such meaning and value. When we face uncertainty in our family, our work, our health, our purpose, and our own minds, it takes courage to reach out for guidance. My approach is to work alongside you on a journey toward healing and growth-as we focus on transforming the valleys to mountaintops. "I can do all things through Christ, who strengthens me" -Philippians 4:13
Are you searching for hope amidst the chaos and confusion of everyday life? You are not alone. With compassion and God's guidance, I help individuals whose trials in life have created uncertainty & struggle. Our lives have many moving parts-all with such meaning and value. When we face uncertainty in our family, our work, our health, our purpose, and our own minds, it takes courage to reach out for guidance. My approach is to work alongside you on a journey toward healing and growth-as we focus on transforming the valleys to mountaintops. "I can do all things through Christ, who strengthens me" -Philippians 4:13
(814) 808-4019 View (814) 808-4019
Photo of Mary Wilcox, Clinical Social Work/Therapist in Erie, PA
Mary Wilcox
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Erie, PA 16506
Not accepting new clients
Your health has changed and it feels like everything has changed with it. When people ask you how you are feeling, you smile and tell them, “I’m alright,” so they stop asking, or “I’m just grateful to be OK,” because you want to sound strong. Behind the mask you maintain, you feel lonely, defeated, and maybe even a little afraid. You keep trying to do what you used to be able to do, or find yourself sitting on the sidelines. You don’t want to accept that your body has limits, that chronic pain or conditions aren’t going to go away, that a diagnosis might progress and get worse. You try. You fight. You smile through the unknown.
Your health has changed and it feels like everything has changed with it. When people ask you how you are feeling, you smile and tell them, “I’m alright,” so they stop asking, or “I’m just grateful to be OK,” because you want to sound strong. Behind the mask you maintain, you feel lonely, defeated, and maybe even a little afraid. You keep trying to do what you used to be able to do, or find yourself sitting on the sidelines. You don’t want to accept that your body has limits, that chronic pain or conditions aren’t going to go away, that a diagnosis might progress and get worse. You try. You fight. You smile through the unknown.
(814) 424-9192 View (814) 424-9192
Photo of William J Krowinski, Clinical Social Work/Therapist in Erie, PA
William J Krowinski
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Erie, PA 16506
Do you wish for more joy, meaning and purpose in your life? Would you like your relationships with friends, partner and family to be more nourishing and loving? Do you want to unlearn old self defeating habits and discover more effective ways of coping with life circumstances and relationship problems? It would be my privilege to assist you in discovering your path and answers on the road of life. I have over 40 years of experience working with individuals, couples and families.
Do you wish for more joy, meaning and purpose in your life? Would you like your relationships with friends, partner and family to be more nourishing and loving? Do you want to unlearn old self defeating habits and discover more effective ways of coping with life circumstances and relationship problems? It would be my privilege to assist you in discovering your path and answers on the road of life. I have over 40 years of experience working with individuals, couples and families.
(814) 499-1911 View (814) 499-1911
Photo of Blair Currie Mead, Licensed Professional Counselor in Erie, PA
Blair Currie Mead
Licensed Professional Counselor, MA, LPC
Verified Verified
Erie, PA 16506  (Online Only)
Do you feel overwhelmed these days, finding yourself caught in a cycle of stress? Does the caretaking always fall to you? Are you also grappling with depression and anxiety in reaction to either a past trauma and/or burnout? My name is Blair Mead, and I'm a licensed professional counselor in Pennsylvania. I work with children, adolescents, and women who are experiencing what I like to call "multiple-role fatigue". I have experience in treating depression, anxiety, and I work with my clients using various evidence-based, trauma-informed treatment modalities, including EMDR.
Do you feel overwhelmed these days, finding yourself caught in a cycle of stress? Does the caretaking always fall to you? Are you also grappling with depression and anxiety in reaction to either a past trauma and/or burnout? My name is Blair Mead, and I'm a licensed professional counselor in Pennsylvania. I work with children, adolescents, and women who are experiencing what I like to call "multiple-role fatigue". I have experience in treating depression, anxiety, and I work with my clients using various evidence-based, trauma-informed treatment modalities, including EMDR.
(814) 801-3799 View (814) 801-3799
Photo of Cognitive Behavior Institute, Clinical Social Work/Therapist in Erie, PA
Cognitive Behavior Institute
Clinical Social Work/Therapist
Verified Verified
Erie, PA 16509
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
(814) 666-2920 View (814) 666-2920
Photo of Pensiri Nuk Oden, Licensed Professional Counselor in Erie, PA
Pensiri Nuk Oden
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Erie, PA 16501  (Online Only)
You are not alone if you struggle with anxiety, depression, trauma, or general difficulties in life. Coming to counseling is a vulnerable experience, and I strive to be a therapist that is aware of microaggressions and additional ways that make people feel unwelcomed or othered to ensure that I am not one more obstacle you have to deal with as you work towards better mental health. I am experienced at working with clients who may identify as BIPOC, LGBTQ+, multiracial, multicultural, third-culture kids, transracial adoptees, and adoptees.
You are not alone if you struggle with anxiety, depression, trauma, or general difficulties in life. Coming to counseling is a vulnerable experience, and I strive to be a therapist that is aware of microaggressions and additional ways that make people feel unwelcomed or othered to ensure that I am not one more obstacle you have to deal with as you work towards better mental health. I am experienced at working with clients who may identify as BIPOC, LGBTQ+, multiracial, multicultural, third-culture kids, transracial adoptees, and adoptees.
(814) 501-4481 View (814) 501-4481
Photo of Rob Giannamore, Licensed Professional Counselor in Erie, PA
Rob Giannamore
Licensed Professional Counselor, MDiv, MS, LPC, CPT
Verified Verified
1 Endorsed
Erie, PA 16504
What if tomorrow you did not feel as bad as you do today? Are you sick and tired of being sick and tired? Do you want to quit being miserable and live the life that you know you can live? My approach to therapy is different, I offer a safe place to ask dangerous questions; a place of peace and renewal and I want my presence to help reduce the suffering of those who are hurting. I want to help you become a better you. Give me a call and let's talk about how to go about doing that.
What if tomorrow you did not feel as bad as you do today? Are you sick and tired of being sick and tired? Do you want to quit being miserable and live the life that you know you can live? My approach to therapy is different, I offer a safe place to ask dangerous questions; a place of peace and renewal and I want my presence to help reduce the suffering of those who are hurting. I want to help you become a better you. Give me a call and let's talk about how to go about doing that.
(724) 367-7089 View (724) 367-7089
Photo of Patricia I Yurkewicz, Licensed Professional Counselor in Erie, PA
Patricia I Yurkewicz
Licensed Professional Counselor, LPC, NBCC, MS
Verified Verified
Erie, PA 16506
Maybe it was a difficult decision to think about asking for help due to stigma or fear. It has been my experience that even the strongest people need help sometimes. Whether you are under a lot of stress, are experiencing anxiety, depression, grief/loss, are suffering from PTSD or self esteem issues, you do not have to do it alone.
Maybe it was a difficult decision to think about asking for help due to stigma or fear. It has been my experience that even the strongest people need help sometimes. Whether you are under a lot of stress, are experiencing anxiety, depression, grief/loss, are suffering from PTSD or self esteem issues, you do not have to do it alone.
(814) 200-6389 View (814) 200-6389
Photo of Matthew Durney, Licensed Professional Counselor in Erie, PA
Matthew Durney
Licensed Professional Counselor, LPC, NCC
Verified Verified
Erie, PA 16506
*Accepting New Clients* *Sunday Availability* I am a Licensed Professional Counselor (LPC) and a Nationally Certified Counselor (NCC). I specialize in working with both children and adults in a trauma-informed perspective. I offer individual, couples, or family counseling working on a variety of issues including: depression, anxiety, self esteem issues, PTSD, life transitions, college counseling and career counseling, problems at work, self-harming behavior, sexual abuse and sexual issues, and spirituality concerns.
*Accepting New Clients* *Sunday Availability* I am a Licensed Professional Counselor (LPC) and a Nationally Certified Counselor (NCC). I specialize in working with both children and adults in a trauma-informed perspective. I offer individual, couples, or family counseling working on a variety of issues including: depression, anxiety, self esteem issues, PTSD, life transitions, college counseling and career counseling, problems at work, self-harming behavior, sexual abuse and sexual issues, and spirituality concerns.
(814) 245-3864 View (814) 245-3864
Photo of Desmond Alexander Kane, Licensed Professional Counselor in Erie, PA
Desmond Alexander Kane
Licensed Professional Counselor, LPC , NCC, CADC, CIP, CCTP
Verified Verified
Erie, PA 16506
Waitlist for new clients
“I just want a change that will work!” That’s a phrase that I have heard many times over my 10+ years in this field. If you desire real change and want help through this process I offer laughter filled, person-centered, evidence based interventions and guidance.
“I just want a change that will work!” That’s a phrase that I have heard many times over my 10+ years in this field. If you desire real change and want help through this process I offer laughter filled, person-centered, evidence based interventions and guidance.
(814) 546-5651 View (814) 546-5651
Photo of Ryan Robert Wood, Clinical Social Work/Therapist in Erie, PA
Ryan Robert Wood
Clinical Social Work/Therapist, LCSW, LICDC , ICADC, CADC
Verified Verified
Erie, PA 16508
Not accepting new clients
As a co-owner of Roots Counseling and Wellness, LLC, my mission is to provide clients with the necessary skills and support on their pathway to wellness. Whether you are struggling with a substance use disorder, gambling addiction, anxiety, trauma, or other life stressors, navigating the recovery process can be overwhelming and scary. My goal is to help clients develop the skills to improve their lives in a safe, supportive, and client-centered environment.
As a co-owner of Roots Counseling and Wellness, LLC, my mission is to provide clients with the necessary skills and support on their pathway to wellness. Whether you are struggling with a substance use disorder, gambling addiction, anxiety, trauma, or other life stressors, navigating the recovery process can be overwhelming and scary. My goal is to help clients develop the skills to improve their lives in a safe, supportive, and client-centered environment.
(814) 250-3121 View (814) 250-3121
Photo of Hillary Schultze Sabol, Licensed Professional Counselor in Erie, PA
Hillary Schultze Sabol
Licensed Professional Counselor, LPC
Verified Verified
Erie, PA 16501  (Online Only)
Hi, I am a licensed professional counselor in the state of Pennsylvania. I have over 10 years of experience in the counseling profession. In our first session, we will start the joining process. We will develop a treatment plan together. I have worked with a variety of different age groups and I have professional experience with many different forms of therapy.
Hi, I am a licensed professional counselor in the state of Pennsylvania. I have over 10 years of experience in the counseling profession. In our first session, we will start the joining process. We will develop a treatment plan together. I have worked with a variety of different age groups and I have professional experience with many different forms of therapy.
(814) 885-4954 View (814) 885-4954
Photo of Jessica Borrero Macrino, Licensed Professional Counselor in Erie, PA
Jessica Borrero Macrino
Licensed Professional Counselor, LPC
Verified Verified
Erie, PA 16506
Open days, some evenings & Saturday mornings. I am a Licensed Professional Counselor with experience helping clients learn to navigate through stress, depression, anxiety, sports performance/anxiety, LGBTQI+ specific concerns, transitions, low self-esteem and relationships. My experience has allowed me to work with a wide demographic of diverse and unique individuals of different ages and different backgrounds. I specialize in helping with struggles related to anxiety and depression using Mindfulness Based Cognitive Therapy & with an emphasis on overall health and wellness, although I tailor my approach to each unique individual.
Open days, some evenings & Saturday mornings. I am a Licensed Professional Counselor with experience helping clients learn to navigate through stress, depression, anxiety, sports performance/anxiety, LGBTQI+ specific concerns, transitions, low self-esteem and relationships. My experience has allowed me to work with a wide demographic of diverse and unique individuals of different ages and different backgrounds. I specialize in helping with struggles related to anxiety and depression using Mindfulness Based Cognitive Therapy & with an emphasis on overall health and wellness, although I tailor my approach to each unique individual.
(814) 261-0403 View (814) 261-0403
Photo of Counseling Services of Michelle Adler, Licensed Professional Counselor in Erie, PA
Counseling Services of Michelle Adler
Licensed Professional Counselor, MS, LPC
Verified Verified
Erie, PA 16510
Greetings! I am a Licensed Professional Counselor who believes in better mental health through compassion and kindness. I want to partner with you on your journey of recovery. I have worked in the mental health field since 2001 and I have been practicing counseling since 2005. I have worked in various levels of mental health (crisis services, inpatient, outpatient, prison, adult partial hospitalization program, mobile therapy, advocacy for victims, residential treatment facility, private practice) and have learned that people need to be heard, listened to, and treated with appropriate care. My office is private and comfortable.
Greetings! I am a Licensed Professional Counselor who believes in better mental health through compassion and kindness. I want to partner with you on your journey of recovery. I have worked in the mental health field since 2001 and I have been practicing counseling since 2005. I have worked in various levels of mental health (crisis services, inpatient, outpatient, prison, adult partial hospitalization program, mobile therapy, advocacy for victims, residential treatment facility, private practice) and have learned that people need to be heard, listened to, and treated with appropriate care. My office is private and comfortable.
(814) 246-2757 View (814) 246-2757
Photo of Chelsea Adams, Licensed Professional Counselor in Erie, PA
Chelsea Adams
Licensed Professional Counselor, LPC
Verified Verified
Erie, PA 16501  (Online Only)
Not accepting new clients
You might be seeking therapy because your inner pain has spilled out onto your close relationships, physical health, creative endeavors, career, or daily functioning, and it’s become unbearable for you to manage on your own. Maybe you are generally well-functioning, but you have long felt disconnected from life. Healing does not have to stop at mental health symptom management. Therapy can be a place to rediscover your true self, to free yourself from your past, to help you live a life you desire, or to build your psychological immunity. In the grace of the therapeutic space, you can transform your pain into new life.
You might be seeking therapy because your inner pain has spilled out onto your close relationships, physical health, creative endeavors, career, or daily functioning, and it’s become unbearable for you to manage on your own. Maybe you are generally well-functioning, but you have long felt disconnected from life. Healing does not have to stop at mental health symptom management. Therapy can be a place to rediscover your true self, to free yourself from your past, to help you live a life you desire, or to build your psychological immunity. In the grace of the therapeutic space, you can transform your pain into new life.
(814) 527-4188 View (814) 527-4188

How does your Therapist compare?

Number of Therapists in Erie, PA

200+

Average cost per session

$120

Therapists in Erie, PA who prioritize treating:

91% Anxiety
88% Depression
76% Self Esteem
72% Coping Skills
71% Trauma and PTSD
63% Relationship Issues
58% Grief

Average years in practice

11 Years

Top 3 insurances accepted

90% Optum
88% Highmark
83% UnitedHealthcare UHC | UBH

How Therapists in Erie, PA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Erie?

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.