Therapists in Paramus, NJ

Photo of Dr. Inna Matov, Psychologist in Paramus, NJ
Dr. Inna Matov
Psychologist, PsyD
Verified Verified
Paramus, NJ 07652
As a psychologist, I assist people in acquiring greater creative and emotional competencies, reconnecting with themselves and significant others, and removing obstacles to personal happiness and joy. Psychotherapy is about personal growth, healing after emotional trauma and grief, and realizing one's fullest potential. In therapy sessions we examine meaningful relationships, communication styles, and barriers to success with a goal of restoring a sense of balance to your life and, by extension, to the lives of others who care deeply about you. For those who wish to deepen their self-understanding, we explore the unconscious by analyzing dreams, memories, and fantasies.
As a psychologist, I assist people in acquiring greater creative and emotional competencies, reconnecting with themselves and significant others, and removing obstacles to personal happiness and joy. Psychotherapy is about personal growth, healing after emotional trauma and grief, and realizing one's fullest potential. In therapy sessions we examine meaningful relationships, communication styles, and barriers to success with a goal of restoring a sense of balance to your life and, by extension, to the lives of others who care deeply about you. For those who wish to deepen their self-understanding, we explore the unconscious by analyzing dreams, memories, and fantasies.
(650) 516-6741 View (650) 516-6741
Photo of Allyson Good, Licensed Professional Counselor in Paramus, NJ
Allyson Good
Licensed Professional Counselor
Verified Verified
Paramus, NJ 07653  (Online Only)
Whether you have been in therapy before or you are just beginning your therapeutic journey, I am so grateful you're here. We carry on our day-to-day lives, hope for change, work hard and at times still feel like nothing is working; we feel like these challenges make it impossible to move past or live the life we intend to live. It is my privilege to work alongside you to provide you the space to experience, examine and process your story, while collaboratively finding ways to not only “just deal”, but eventually, build compassion and thrive.
Whether you have been in therapy before or you are just beginning your therapeutic journey, I am so grateful you're here. We carry on our day-to-day lives, hope for change, work hard and at times still feel like nothing is working; we feel like these challenges make it impossible to move past or live the life we intend to live. It is my privilege to work alongside you to provide you the space to experience, examine and process your story, while collaboratively finding ways to not only “just deal”, but eventually, build compassion and thrive.
(201) 584-5028 View (201) 584-5028
Photo of Elina Polyakov, Clinical Social Work/Therapist in Paramus, NJ
Elina Polyakov
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Paramus, NJ 07652  (Online Only)
Are you tired of feeling overwhelmed by anxieties about the future and burdened by the pressures of daily life? Do you long for deeper connections in your relationships as well as inner peace? What if you could prioritize self-care without guilt or hesitation? Imagine waking up feeling refreshed and energized and ready to tackle the day ahead.
Are you tired of feeling overwhelmed by anxieties about the future and burdened by the pressures of daily life? Do you long for deeper connections in your relationships as well as inner peace? What if you could prioritize self-care without guilt or hesitation? Imagine waking up feeling refreshed and energized and ready to tackle the day ahead.
(201) 379-6248 View (201) 379-6248
Photo of Karen Surowiec, Psychologist in Paramus, NJ
Karen Surowiec
Psychologist, PsyD
Verified Verified
Paramus, NJ 07652
Welcome to my practice. I am a NY, NJ, and FL-licensed clinical psychologist specializing in testing for autism and immigration evaluations. If you or your child has signs of autism and you would like answers, I can help. If you are not sure what your symptoms mean, I specialize in hard to diagnose conditions and will often catch clues other tests have missed. I can help you figure it all out and make recommendations for a better life. I use evidence-based measures and methods where I trained at Albert Einstein, Montefiore, Mt. Sinai, Icahn Medical School, and the Seaver Center for Autism.
Welcome to my practice. I am a NY, NJ, and FL-licensed clinical psychologist specializing in testing for autism and immigration evaluations. If you or your child has signs of autism and you would like answers, I can help. If you are not sure what your symptoms mean, I specialize in hard to diagnose conditions and will often catch clues other tests have missed. I can help you figure it all out and make recommendations for a better life. I use evidence-based measures and methods where I trained at Albert Einstein, Montefiore, Mt. Sinai, Icahn Medical School, and the Seaver Center for Autism.
(718) 550-1080 View (718) 550-1080
Photo of Jhiree Jones, Licensed Professional Counselor in Paramus, NJ
Jhiree Jones
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Paramus, NJ 07652
Services in English, Spanish, & Mandingo! Life's experiences can be far too heavy to carry alone, and we all need someone to help us navigate the difficult times. Are you ready to regain control over your life? Do you struggle to find time for the things you enjoy? Have you or your child experienced a devastating loss, heartbreak, anxiety, or depression? Are you an empty nester? Do you want to learn how to manage the kids, partner, social obligations, self-care, work, and the twist and turns that life throws our way? If you answered yes, to any of the questions above, Call to Schedule Today!
Services in English, Spanish, & Mandingo! Life's experiences can be far too heavy to carry alone, and we all need someone to help us navigate the difficult times. Are you ready to regain control over your life? Do you struggle to find time for the things you enjoy? Have you or your child experienced a devastating loss, heartbreak, anxiety, or depression? Are you an empty nester? Do you want to learn how to manage the kids, partner, social obligations, self-care, work, and the twist and turns that life throws our way? If you answered yes, to any of the questions above, Call to Schedule Today!
(551) 227-9938 View (551) 227-9938
Photo of Andrew Lerman, Counselor in Paramus, NJ
Andrew Lerman
Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Paramus, NJ 07652
Andrew Lerman is a Licensed Professional Counselor (LPC) in NJ with experience working with adolescent and adult clients across various settings, including partial hospitalization programs, intensive outpatient programs, and private practice. Operating from the perspective that people are the experts of their own lives, Andrew supports clients to feel empowered.
Andrew Lerman is a Licensed Professional Counselor (LPC) in NJ with experience working with adolescent and adult clients across various settings, including partial hospitalization programs, intensive outpatient programs, and private practice. Operating from the perspective that people are the experts of their own lives, Andrew supports clients to feel empowered.
(973) 381-2481 View (973) 381-2481
Photo of Stacey Dutil, Clinical Social Work/Therapist in Paramus, NJ
Stacey Dutil
Clinical Social Work/Therapist, LCSW
Verified Verified
Paramus, NJ 07652
Dr. Stacey Dutil is a Licensed Clinical Social Worker in New Jersey who has been practicing since 2012. She has a Bachelor of Science from Champlain College as well as MSW and DSW degrees from New York University. Dr. Dutil has extensive experience with adolescents and adults in a variety of settings. Dr. Dutil believes that individuals are the experts in their own life, and she is here to assist in identifying existing strengths and skills as well as new ways of coping. Dr. Dutil uses a trauma-informed approach to therapy and treat each person based on their unique needs and strengths.
Dr. Stacey Dutil is a Licensed Clinical Social Worker in New Jersey who has been practicing since 2012. She has a Bachelor of Science from Champlain College as well as MSW and DSW degrees from New York University. Dr. Dutil has extensive experience with adolescents and adults in a variety of settings. Dr. Dutil believes that individuals are the experts in their own life, and she is here to assist in identifying existing strengths and skills as well as new ways of coping. Dr. Dutil uses a trauma-informed approach to therapy and treat each person based on their unique needs and strengths.
(973) 319-7657 View (973) 319-7657
Photo of Joan M Hess in Paramus, NJ
Joan M Hess
MA, NCPsyA, SCPsya
Verified Verified
1 Endorsed
Paramus, NJ 07652
Sometimes life's overwhelming issues require a larger canvas on which to express our emotions. The anger, the frustrations and feelings of emptiness that can perhaps lead to confusion and depression, need to be communicated and appreciated for what they represent. As my years of experience as a psychotherapist have proven, time taken to verbalize the drama of our personal and professional relationships help to stabilize and ultimately control our lives.
Sometimes life's overwhelming issues require a larger canvas on which to express our emotions. The anger, the frustrations and feelings of emptiness that can perhaps lead to confusion and depression, need to be communicated and appreciated for what they represent. As my years of experience as a psychotherapist have proven, time taken to verbalize the drama of our personal and professional relationships help to stabilize and ultimately control our lives.
(201) 877-4393 View (201) 877-4393
Photo of Marina Maurino in Paramus, NJ
Marina Maurino
MA
Verified Verified
Paramus, NJ 07652
Wanting to be happy is often a way of saying “I want peace”. Life’s difficulties test us and sometimes we feel defeated but it doesn’t have to be that way. Often, we suffer needlessly because we treat the symptom rather than the cure, we entertain the story rather than the truth and we give full rein to our personality rather than to our heart and soul. If this resonates with you, I invite you to ask yourself, "Am I living as fully as I can?" or, "Am I feeling powerless, stuck and not enjoying life?" If so, I can guide and support you to look inside for deeper truths that will allow you to grow and to find peace in your life.
Wanting to be happy is often a way of saying “I want peace”. Life’s difficulties test us and sometimes we feel defeated but it doesn’t have to be that way. Often, we suffer needlessly because we treat the symptom rather than the cure, we entertain the story rather than the truth and we give full rein to our personality rather than to our heart and soul. If this resonates with you, I invite you to ask yourself, "Am I living as fully as I can?" or, "Am I feeling powerless, stuck and not enjoying life?" If so, I can guide and support you to look inside for deeper truths that will allow you to grow and to find peace in your life.
(201) 942-1820 View (201) 942-1820
Photo of Sandra Nunez, Counselor in Paramus, NJ
Sandra Nunez
Counselor, MA, LAC, NCC
Verified Verified
Paramus, NJ 07652
Hi, I'm a warm and compassionate therapist passionate about helping people discover their inner potential and strength to deal with life's struggles. With over ten years of experience in both individual and group therapy, I have an expansive understanding of how relationship issues, stress, anxiety, or loss can affect our lives. I believe that with every challenge comes a positive outcome, and I love to be at the forefront of helping my clients reach these breakthroughs. Whether you are seeking support for current struggles or looking for guidance towards an overall betterment of your life, I'm here to guide your every step.
Hi, I'm a warm and compassionate therapist passionate about helping people discover their inner potential and strength to deal with life's struggles. With over ten years of experience in both individual and group therapy, I have an expansive understanding of how relationship issues, stress, anxiety, or loss can affect our lives. I believe that with every challenge comes a positive outcome, and I love to be at the forefront of helping my clients reach these breakthroughs. Whether you are seeking support for current struggles or looking for guidance towards an overall betterment of your life, I'm here to guide your every step.
(201) 903-4643 View (201) 903-4643
Photo of Alice Lynch, Clinical Social Work/Therapist in Paramus, NJ
Alice Lynch
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Paramus, NJ 07652
Alice is a Licensed Social Worker who holds a Master's in Social Work from NYU and a Master's in Special Education from Fordham University. Her professional journey encompasses valuable experience in school-based counseling and conducting evaluations and assessments for both individuals and groups.
Alice is a Licensed Social Worker who holds a Master's in Social Work from NYU and a Master's in Special Education from Fordham University. Her professional journey encompasses valuable experience in school-based counseling and conducting evaluations and assessments for both individuals and groups.
(973) 545-7304 View (973) 545-7304
Photo of Family Psychiatry and Therapy, Licensed Professional Counselor in Paramus, NJ
Family Psychiatry and Therapy
Licensed Professional Counselor, LPC
Verified Verified
Paramus, NJ 07652  (Online Only)
Michael is a Trilingual (English, Portuguese, and Spanish) counselor who graduated from Montclair State University with a Masters in Community Mental Health Counseling. Michael comes to Family Psychiatry and Therapy after years of experience treating adults, children, and adolescents in hospital, home, and community settings.
Michael is a Trilingual (English, Portuguese, and Spanish) counselor who graduated from Montclair State University with a Masters in Community Mental Health Counseling. Michael comes to Family Psychiatry and Therapy after years of experience treating adults, children, and adolescents in hospital, home, and community settings.
(551) 272-6904 View (551) 272-6904
Photo of Anna Tseytlina, Marriage & Family Therapist Associate in Paramus, NJ
Anna Tseytlina
Marriage & Family Therapist Associate, LAMFT
Verified Verified
1 Endorsed
Paramus, NJ 07652
Anna Tseytlina is a licensed associate marriage and family therapist and earned her master’s degree from Mercy College in New York. Anna encourages her clients to discuss their feelings while working towards their goals openly. Therapy occurs in a safe and confidential environment. She engages with her clients authentically with unconditional positive regard, and her approach is warm, caring, and nonjudgmental.
Anna Tseytlina is a licensed associate marriage and family therapist and earned her master’s degree from Mercy College in New York. Anna encourages her clients to discuss their feelings while working towards their goals openly. Therapy occurs in a safe and confidential environment. She engages with her clients authentically with unconditional positive regard, and her approach is warm, caring, and nonjudgmental.
(973) 339-0860 View (973) 339-0860
Photo of Stephanie Knight, Clinical Social Work/Therapist in Paramus, NJ
Stephanie Knight
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Paramus, NJ 07652
Stephanie Knight is a Licensed Clinical Social Worker who has been practicing since 2013. She has a Bachelor of Science Degree in Psychology from Northeastern University and a Master of Social Work Degree from Simmons University. Stephanie's goal is to assist you in unlocking your true potential and helping you to live your best life. In examining and exploring your strengths and stressors, your past achievements, and future goals, she can work together with you to create a future that is healthy and well balanced.
Stephanie Knight is a Licensed Clinical Social Worker who has been practicing since 2013. She has a Bachelor of Science Degree in Psychology from Northeastern University and a Master of Social Work Degree from Simmons University. Stephanie's goal is to assist you in unlocking your true potential and helping you to live your best life. In examining and exploring your strengths and stressors, your past achievements, and future goals, she can work together with you to create a future that is healthy and well balanced.
(973) 218-4937 View (973) 218-4937
Photo of Jeffrey Obiekwe, Licensed Professional Counselor in Paramus, NJ
Jeffrey Obiekwe
Licensed Professional Counselor, LPC, NCC
Verified Verified
4 Endorsed
Paramus, NJ 07652  (Online Only)
Jeff is a Licensed Professional Counselor with extensive experience working with children, adolescents, adults and families in diverse levels of care and treatment settings. As a therapist Jeff provides a safe supportive space for individuals to process their thoughts and feelings. Jeff seeks to empower his clients, foster self-awareness so that they can accomplish their goals and live healthier lives. Jeff provides individualized therapy focusing on issue related to depression, anxiety, substance use, anger management, trauma and interpersonal conflict.
Jeff is a Licensed Professional Counselor with extensive experience working with children, adolescents, adults and families in diverse levels of care and treatment settings. As a therapist Jeff provides a safe supportive space for individuals to process their thoughts and feelings. Jeff seeks to empower his clients, foster self-awareness so that they can accomplish their goals and live healthier lives. Jeff provides individualized therapy focusing on issue related to depression, anxiety, substance use, anger management, trauma and interpersonal conflict.
(973) 264-0538 View (973) 264-0538
Photo of Rebekah Thompson, Counselor in Paramus, NJ
Rebekah Thompson
Counselor, LPC, MA, NCC
Verified Verified
Paramus, NJ 07652
ACCEPTING NEW CLIENTS!!! I strive to create a non-judgmental environment for my clients where they feel welcomed, respected, heard, and have the support they deserve while collaboratively working towards their goals. The most rewarding part about being a mental health counselor is being able to witness individuals bettering themselves and overcoming obstacles whether they are big or small. As a counselor, I know that every individual is unique; therefore, I work with the client based on their needs and at a pace they are comfortable with, while also trying to challenge them in making steps towards their progress.
ACCEPTING NEW CLIENTS!!! I strive to create a non-judgmental environment for my clients where they feel welcomed, respected, heard, and have the support they deserve while collaboratively working towards their goals. The most rewarding part about being a mental health counselor is being able to witness individuals bettering themselves and overcoming obstacles whether they are big or small. As a counselor, I know that every individual is unique; therefore, I work with the client based on their needs and at a pace they are comfortable with, while also trying to challenge them in making steps towards their progress.
(973) 659-4171 View (973) 659-4171
Photo of Elijawon Scott, Counselor in Paramus, NJ
Elijawon Scott
Counselor, LAC
Verified Verified
Paramus, NJ 07652
Elijawon is a Licensed Associate Counselor pursuing his LPC as he continues to gain experience. He has over nine years of experience in the mental health field. He has experience working with children, adolescents, adults, families, couples, and individuals with developmental disabilities. Elijawon is passionate about helping others navigate unique challenges to improve their quality of life and achieve their goals and dreams. Elijawon is an eclectic counselor that does not believe in being a "One-Trick Pony," as each approach applies to the individual's different needs.
Elijawon is a Licensed Associate Counselor pursuing his LPC as he continues to gain experience. He has over nine years of experience in the mental health field. He has experience working with children, adolescents, adults, families, couples, and individuals with developmental disabilities. Elijawon is passionate about helping others navigate unique challenges to improve their quality of life and achieve their goals and dreams. Elijawon is an eclectic counselor that does not believe in being a "One-Trick Pony," as each approach applies to the individual's different needs.
(551) 266-4513 View (551) 266-4513
Photo of Brendan Guarino, Psychologist in Paramus, NJ
Brendan Guarino
Psychologist, PsyD
Verified Verified
Paramus, NJ 07652
The human experience is characterized by a blend of uncertainty and challenges that arise, demanding our attention and resilience. These challenges manifest in various forms, often triggering feelings of anxiety, sadness, and a sense of being lost and overwhelmed. However, what if amidst these struggles lies an opportunity for empowerment? What if we could reframe our perspective, viewing each day as an avenue for growth, learning, and self-discovery? By harnessing the power within our everyday difficulties, we have the potential to transform our mindset, cultivate resilience, and ultimately thrive amidst life's uncertainties.
The human experience is characterized by a blend of uncertainty and challenges that arise, demanding our attention and resilience. These challenges manifest in various forms, often triggering feelings of anxiety, sadness, and a sense of being lost and overwhelmed. However, what if amidst these struggles lies an opportunity for empowerment? What if we could reframe our perspective, viewing each day as an avenue for growth, learning, and self-discovery? By harnessing the power within our everyday difficulties, we have the potential to transform our mindset, cultivate resilience, and ultimately thrive amidst life's uncertainties.
(973) 587-2258 View (973) 587-2258
Photo of Lara Carter, Clinical Social Work/Therapist in Paramus, NJ
Lara Carter
Clinical Social Work/Therapist, LCSW
Verified Verified
Paramus, NJ 07652  (Online Only)
Lara Carter is a Licensed Clinical Social Worker (LCSW) in the state of New Jersey. Lara’s goal for her clients is to provide a safe, non-judgmental environment for every individual. These areas include depression, anxiety, mood disorders, trauma, anger management, life transitions, LGBTQIA+ issues, and substance use disorders.
Lara Carter is a Licensed Clinical Social Worker (LCSW) in the state of New Jersey. Lara’s goal for her clients is to provide a safe, non-judgmental environment for every individual. These areas include depression, anxiety, mood disorders, trauma, anger management, life transitions, LGBTQIA+ issues, and substance use disorders.
(201) 508-9609 View (201) 508-9609
Photo of Christopher Guico, Clinical Social Work/Therapist in Paramus, NJ
Christopher Guico
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Paramus, NJ 07652
Whether it's for navigating a difficult time in your life, struggling to achieve your goals, or even feeling overwhelmed by current events, everyone needs support. The type of support I provide combines motivational interviewing, psychodynamic, and cognitive behavioral therapies filtered through a trauma-informed, feminist, anti-oppression, and empowerment lens. In my practice, I strive to create a safe space that is culturally-sensitive and is affirming of all identities and spiritual paths, with a special interest in the LGBTQIA+ and BIPOC communities, as well as adolescents.
Whether it's for navigating a difficult time in your life, struggling to achieve your goals, or even feeling overwhelmed by current events, everyone needs support. The type of support I provide combines motivational interviewing, psychodynamic, and cognitive behavioral therapies filtered through a trauma-informed, feminist, anti-oppression, and empowerment lens. In my practice, I strive to create a safe space that is culturally-sensitive and is affirming of all identities and spiritual paths, with a special interest in the LGBTQIA+ and BIPOC communities, as well as adolescents.
(973) 310-5614 View (973) 310-5614

How does your Therapist compare?

Number of Therapists in Paramus, NJ

300+

Average cost per session

$175

Therapists in Paramus, NJ who prioritize treating:

92% Anxiety
89% Depression
77% Relationship Issues
74% Self Esteem
67% Coping Skills
63% Trauma and PTSD
62% Stress

Average years in practice

13 Years

Top 3 insurances accepted

65% Aetna
49% UnitedHealthcare UHC | UBH
47% Cigna and Evernorth

How Therapists in Paramus, NJ see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Paramus?

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.