Therapists in Bolton, MA

Photo of Jessica Marquis, Counselor in Bolton, MA
Jessica Marquis
Counselor, LMHC
Verified Verified
1 Endorsed
Bolton, MA 01740  (Online Only)
Not accepting new clients
Currently only meeting with clients via telemedicine. In my practice, I focus on creating a calming space where reflection is welcomed. I believe in the importance of a space where you can fully live in the present moment with your thoughts and feelings. Life can be filled with hardships, challenges, and transitions. Within this space, I make it a goal to support all of my clients in finding their inner needs, wants, and strengths that often become dismissed through the chaos of life. I take a holistic, collaborative, and person centered approach as I fully believe the client is the expert of themselves.
Currently only meeting with clients via telemedicine. In my practice, I focus on creating a calming space where reflection is welcomed. I believe in the importance of a space where you can fully live in the present moment with your thoughts and feelings. Life can be filled with hardships, challenges, and transitions. Within this space, I make it a goal to support all of my clients in finding their inner needs, wants, and strengths that often become dismissed through the chaos of life. I take a holistic, collaborative, and person centered approach as I fully believe the client is the expert of themselves.
(781) 917-3465 View (781) 917-3465
Photo of Synergy Wellness Center, Counselor in Bolton, MA
Synergy Wellness Center
Counselor, LMHC
Verified Verified
Bolton, MA 01740
Synergy Wellness Center supports the emotional, physical, and spiritual health of wellness seekers, with a distinct focus on caregiver support. Whether you are caring for loved ones, or are a caregiver by profession, Synergy offers an array of services customized to your individualized needs, including acupuncture, massage therapy, reflexology, yoga, energy healing, mental health counseling, life coaching, nutritional counseling, essential oils, speech/language consultations, inspiring workshops, and corporate wellness programs. Our team serves adults, youth, couples, and families,. We look forward to serving you at Synergy.
Synergy Wellness Center supports the emotional, physical, and spiritual health of wellness seekers, with a distinct focus on caregiver support. Whether you are caring for loved ones, or are a caregiver by profession, Synergy offers an array of services customized to your individualized needs, including acupuncture, massage therapy, reflexology, yoga, energy healing, mental health counseling, life coaching, nutritional counseling, essential oils, speech/language consultations, inspiring workshops, and corporate wellness programs. Our team serves adults, youth, couples, and families,. We look forward to serving you at Synergy.
(978) 310-3740 View (978) 310-3740
Photo of Jessica Jenkins, LMHC, Counselor in Bolton, MA
Jessica Jenkins, LMHC
Counselor, LMHC
Verified Verified
3 Endorsed
Bolton, MA 01740
I am an LMHC educated at Lesley University with over 15 years experience in the mental health field. I walk beside you as you get back in touch with who you are, your true potential, what you need & deserve as you discover your personal truth, identity and voice. I utilize person-centered CBT, DBT, inner child work, motivational interviewing, psychodynamics, expressive and play therapies, mindfulness and strength-based positive psychology to reduce the symptoms causing distress. I treat individual children age 6 +, adolescents and adults and occassionally will offer group therapy.
I am an LMHC educated at Lesley University with over 15 years experience in the mental health field. I walk beside you as you get back in touch with who you are, your true potential, what you need & deserve as you discover your personal truth, identity and voice. I utilize person-centered CBT, DBT, inner child work, motivational interviewing, psychodynamics, expressive and play therapies, mindfulness and strength-based positive psychology to reduce the symptoms causing distress. I treat individual children age 6 +, adolescents and adults and occassionally will offer group therapy.
(978) 384-1069 View (978) 384-1069
Photo of Ann L. Vasey, Counselor in Bolton, MA
Ann L. Vasey
Counselor, LMHC, LMFT
Verified Verified
Bolton, MA 01740  (Online Only)
Each person's needs are assessed to develop an approach which is best suited to the individual. Collaboratively a treatment plan is created, building on strengths. In addition to traditional therapy, a holistic approach is available. Traditional therapy with listening, assessment, support, and presenting an objective view enables positive movement. Integrating many perspectives widens the opportunity for balanced change. Drawing on over twenty years of experience, I counsel adults, adolescents, couples, and provide family therapy.
Each person's needs are assessed to develop an approach which is best suited to the individual. Collaboratively a treatment plan is created, building on strengths. In addition to traditional therapy, a holistic approach is available. Traditional therapy with listening, assessment, support, and presenting an objective view enables positive movement. Integrating many perspectives widens the opportunity for balanced change. Drawing on over twenty years of experience, I counsel adults, adolescents, couples, and provide family therapy.
(978) 309-9969 View (978) 309-9969
Photo of Jennifer Smith, Clinical Social Work/Therapist in Bolton, MA
Jennifer Smith
Clinical Social Work/Therapist, LICSW
Verified Verified
Bolton, MA 01740  (Online Only)
Do you want to understand yourself better, approach your problems with compassion and curiosity, and gain insight into your deepest drives and feelings? I believe that the practice of therapy will encourage you to expand your consciousness while simultaneously grounding you in the present. If depression, anxiety, substance use, family trauma, aging, or relationship obstacles are making life harder for you, I will work with you to identify areas you want to change and those you want to accept and integrate.
Do you want to understand yourself better, approach your problems with compassion and curiosity, and gain insight into your deepest drives and feelings? I believe that the practice of therapy will encourage you to expand your consciousness while simultaneously grounding you in the present. If depression, anxiety, substance use, family trauma, aging, or relationship obstacles are making life harder for you, I will work with you to identify areas you want to change and those you want to accept and integrate.
(978) 440-6645 View (978) 440-6645
Photo of Natalie Toth, Counselor in Bolton, MA
Natalie Toth
Counselor, MA, LMHC, LPC
Verified Verified
Bolton, MA 01740
I enjoy working with people of all ages who are interested in finding meaning in and making peace with their lives. My high school English teacher left two indelible ideas in my head, a quote from Socrates "The unexamined life is not worth living" and the Latin question "Quo Vadis?" or "Where are you going?". Since then, I have not only held this sense of curiosity for my own journey but practiced the profession in which I get to be present with other people as they embrace curiosity for their own lives, face their challenges, losses and changes, heal their wounds, and find their directions.
I enjoy working with people of all ages who are interested in finding meaning in and making peace with their lives. My high school English teacher left two indelible ideas in my head, a quote from Socrates "The unexamined life is not worth living" and the Latin question "Quo Vadis?" or "Where are you going?". Since then, I have not only held this sense of curiosity for my own journey but practiced the profession in which I get to be present with other people as they embrace curiosity for their own lives, face their challenges, losses and changes, heal their wounds, and find their directions.
(351) 300-4161 View (351) 300-4161
Photo of Cristina Sousa Bryant, Clinical Social Work/Therapist in Bolton, MA
Cristina Sousa Bryant
Clinical Social Work/Therapist, LICSW
Verified Verified
Bolton, MA 01740  (Online Only)
I create an environment which promotes safety and comfort in a way that is respectful and helpful. I work with the client at their own pace and we decide together what goals they want to address. Treatment is individually tailored to support clients managing daily stressors and coping with symptoms of anxiety, depression, chronic disease, relationship issues and grief. My goal is to work with clients to identify strengths and to develop different coping strategies that will help to facilitate a positive outcome.
I create an environment which promotes safety and comfort in a way that is respectful and helpful. I work with the client at their own pace and we decide together what goals they want to address. Treatment is individually tailored to support clients managing daily stressors and coping with symptoms of anxiety, depression, chronic disease, relationship issues and grief. My goal is to work with clients to identify strengths and to develop different coping strategies that will help to facilitate a positive outcome.
(978) 849-3115 View (978) 849-3115
Photo of Erin Chetwynd-LMHC, Counselor in Bolton, MA
Erin Chetwynd-LMHC
Counselor, LMHC
Verified Verified
Bolton, MA 01740  (Online Only)
Openings on Wednesdays at 2pm, 3pm and Thursdays at 4pm only. No evenings available. Taking BCBS. Anxiety and depression can be a daily struggle that feels isolating and overwhelming. I work with you to build a positive therapeutic relationship in order to find hope and learn ways to feel better. I work with adults who struggle with depression, anxiety, relationship issues, and anger management. My goal is to help you feel more empowered and connected while learning to be kinder to yourself. We will work together to help you identify and build on your strengths and learn healthy strategies to manage life when it feels difficult.
Openings on Wednesdays at 2pm, 3pm and Thursdays at 4pm only. No evenings available. Taking BCBS. Anxiety and depression can be a daily struggle that feels isolating and overwhelming. I work with you to build a positive therapeutic relationship in order to find hope and learn ways to feel better. I work with adults who struggle with depression, anxiety, relationship issues, and anger management. My goal is to help you feel more empowered and connected while learning to be kinder to yourself. We will work together to help you identify and build on your strengths and learn healthy strategies to manage life when it feels difficult.
(351) 200-8878 View (351) 200-8878

More Therapists Nearby

Photo of Julie Orozco, Clinical Social Work/Therapist in Bolton, MA
Julie Orozco
Clinical Social Work/Therapist, LICSW
Verified Verified
Leominster, MA 01453
Sometimes, the bravery it takes to step into the life you want for yourself can be shaken by the allure of familiarity- old patterns of behavior and thinking can be both maddening and comforting simultaneously. When the desire to change begins to outweigh the comfort associated with the ways you've always done things, knowing how to show up in the world in new ways is daunting. Helping you decipher the functions of unhelpful behavior patterns, release what is no longer serving you, and enhance the areas of your life that align with your ideal self are core to the work we will do together.
Sometimes, the bravery it takes to step into the life you want for yourself can be shaken by the allure of familiarity- old patterns of behavior and thinking can be both maddening and comforting simultaneously. When the desire to change begins to outweigh the comfort associated with the ways you've always done things, knowing how to show up in the world in new ways is daunting. Helping you decipher the functions of unhelpful behavior patterns, release what is no longer serving you, and enhance the areas of your life that align with your ideal self are core to the work we will do together.
(774) 450-7377 View (774) 450-7377
Photo of Heather Percy, Clinical Social Work/Therapist in Bolton, MA
Heather Percy
Clinical Social Work/Therapist, LICSW
Verified Verified
Leominster, MA 01453
Whether you're an adolescent, a young adult, or an adult grappling with the weight of depression, anxiety, and daily stressors, my goal is to be your unwavering support. If you've found that the heavy burden of depression, anxiety, or the relentless strain of daily stressors is affecting your life, then I'm here to offer a helping hand. I'm committed to helping you identify and achieve your goals, guiding you as you navigate and manage these symptoms or stressors. Together, we can work towards a brighter future, where you can regain control over your life, find peace amidst the chaos, and rediscover your sense of balance.
Whether you're an adolescent, a young adult, or an adult grappling with the weight of depression, anxiety, and daily stressors, my goal is to be your unwavering support. If you've found that the heavy burden of depression, anxiety, or the relentless strain of daily stressors is affecting your life, then I'm here to offer a helping hand. I'm committed to helping you identify and achieve your goals, guiding you as you navigate and manage these symptoms or stressors. Together, we can work towards a brighter future, where you can regain control over your life, find peace amidst the chaos, and rediscover your sense of balance.
(978) 300-8447 View (978) 300-8447
Photo of Abi Andrus, Clinical Social Work/Therapist in Bolton, MA
Abi Andrus
Clinical Social Work/Therapist, LICSW
Verified Verified
6 Endorsed
Marlborough, MA 01752  (Online Only)
When something traumatic happens in our lives it can be difficult to move forward in meaningful ways. We often keep getting drawn back into the same patterns of destructive thoughts or behaviors. It becomes difficult to get out of these habits until we process the traumatic events at the root of these thoughts and behaviors. Therapy is one stepping stone in the healing journey of many people who have experienced trauma in their lives.
When something traumatic happens in our lives it can be difficult to move forward in meaningful ways. We often keep getting drawn back into the same patterns of destructive thoughts or behaviors. It becomes difficult to get out of these habits until we process the traumatic events at the root of these thoughts and behaviors. Therapy is one stepping stone in the healing journey of many people who have experienced trauma in their lives.
(508) 388-1345 View (508) 388-1345
Photo of Jennifer Fitzpatrick, Clinical Social Work/Therapist in Bolton, MA
Jennifer Fitzpatrick
Clinical Social Work/Therapist, LICSW
Verified Verified
4 Endorsed
Harvard, MA 01451  (Online Only)
Morning availability only. I provide individual therapy to assist adults in gaining insight and increased coping abilities that are suffering from stress, anxiety, depression, self image and relationship issues as well as major life transitions (such as career, moving, relationship transitions and first time parents).
Morning availability only. I provide individual therapy to assist adults in gaining insight and increased coping abilities that are suffering from stress, anxiety, depression, self image and relationship issues as well as major life transitions (such as career, moving, relationship transitions and first time parents).
(857) 264-0641 View (857) 264-0641
Photo of Amanda Casto, Pre-Licensed Professional in Bolton, MA
Amanda Casto
Pre-Licensed Professional
Verified Verified
Leominster, MA 01453
Amanda Casto is working towards licensure as a Licensed Mental Health Counselor (LMHC) with over 2 years of experience in the mental health field. She is passionate in helping young adults, adults, and couples face any challenges they may be experiencing. Amanda specializes in depression, anxiety, grief, and life transitions. Amanda completed her Master's degree in Mental Health Counseling at Eastern Illinois University. She has experience with navigating stressors of student life and major life changes.
Amanda Casto is working towards licensure as a Licensed Mental Health Counselor (LMHC) with over 2 years of experience in the mental health field. She is passionate in helping young adults, adults, and couples face any challenges they may be experiencing. Amanda specializes in depression, anxiety, grief, and life transitions. Amanda completed her Master's degree in Mental Health Counseling at Eastern Illinois University. She has experience with navigating stressors of student life and major life changes.
(978) 440-6883 View (978) 440-6883
Photo of Lisa Storey, Counselor in Bolton, MA
Lisa Storey
Counselor, LMHC
Verified Verified
Northborough, MA 01532
I have worked for over 28 years in the field, with extensive experience in both counseling and supervisory roles. I graduated with a BA in Psychology from Westfield State University, and a MA in Counseling from Framingham State University. My experience has included working in outpatient clinics, school adjustment counseling, college counseling, and town youth and family agencies. I have been been able to work effectively with clients of all ages.
I have worked for over 28 years in the field, with extensive experience in both counseling and supervisory roles. I graduated with a BA in Psychology from Westfield State University, and a MA in Counseling from Framingham State University. My experience has included working in outpatient clinics, school adjustment counseling, college counseling, and town youth and family agencies. I have been been able to work effectively with clients of all ages.
(508) 393-2731 View (508) 393-2731
Photo of Jennifer LaFlamme, Counselor in Bolton, MA
Jennifer LaFlamme
Counselor, LMHC
Verified Verified
2 Endorsed
Northborough, MA 01532
Welcome! I am currently accepting new clients for morning and early afternoon sessions only. I am so glad that you have taken the first steps to well-being and better mental health. I feel that we all have the strengths needed to manage life’s challenges, but sometimes we need someone to guide us back toward those strengths. I am a licensed mental health counselor who supports individuals experiencing various challenges, such as anxiety, depression, trauma, and relationship issues. I look forward to working with you to explore your concerns, help you manage your symptoms, build your coping skills, and work toward personal growth.
Welcome! I am currently accepting new clients for morning and early afternoon sessions only. I am so glad that you have taken the first steps to well-being and better mental health. I feel that we all have the strengths needed to manage life’s challenges, but sometimes we need someone to guide us back toward those strengths. I am a licensed mental health counselor who supports individuals experiencing various challenges, such as anxiety, depression, trauma, and relationship issues. I look forward to working with you to explore your concerns, help you manage your symptoms, build your coping skills, and work toward personal growth.
(774) 220-7399 View (774) 220-7399
Photo of Laura Polvino, Counselor in Bolton, MA
Laura Polvino
Counselor, MA, LMHC
Verified Verified
Northborough, MA 01532
Not accepting new clients
With 20+ years of experience in the field, I work holistically from a collaborative, strength based approach. I apply specific therapeutic techniques and approaches based on identified client needs including, but not limited to, supportive talk therapy, individual therapy, family therapy, wellness strategies, psychoeducation around systems and mental health issues, parental guidance/support work, narrative therapy, and trauma work. I am specifically trained and certified in EFT/tapping, EMDR, and CBT. In practice, I meet you where you are, and use my experience to help guide you to where you want to be.
With 20+ years of experience in the field, I work holistically from a collaborative, strength based approach. I apply specific therapeutic techniques and approaches based on identified client needs including, but not limited to, supportive talk therapy, individual therapy, family therapy, wellness strategies, psychoeducation around systems and mental health issues, parental guidance/support work, narrative therapy, and trauma work. I am specifically trained and certified in EFT/tapping, EMDR, and CBT. In practice, I meet you where you are, and use my experience to help guide you to where you want to be.
(508) 300-9662 View (508) 300-9662
Photo of Desiree Maldonado, Clinical Social Work/Therapist in Bolton, MA
Desiree Maldonado
Clinical Social Work/Therapist, LICSW
Verified Verified
Leominster, MA 01453  (Online Only)
Desiree Maldonado is a Licensed Independent Clinical Social Worker (LICSW) with years of experience providing individual and family counseling with youth, adolescents, and young adults. She has had the opportunity to work with a variety of individuals seeking help in addressing depression, anxiety, communication, PTSD, mood disorders, and relationship issues, as well as a variety of mental health challenges. Desiree has her Master's in Social Work and a specialization in Children and Families.
Desiree Maldonado is a Licensed Independent Clinical Social Worker (LICSW) with years of experience providing individual and family counseling with youth, adolescents, and young adults. She has had the opportunity to work with a variety of individuals seeking help in addressing depression, anxiety, communication, PTSD, mood disorders, and relationship issues, as well as a variety of mental health challenges. Desiree has her Master's in Social Work and a specialization in Children and Families.
(978) 300-8717 View (978) 300-8717
Photo of Matthew Waugh, Marriage & Family Therapist in Bolton, MA
Matthew Waugh
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Northborough, MA 01532
Not accepting new clients
My ideal clients are couples and individuals struggling in relationship. I am a licensed marriage and family therapist and I chose this profession because I find helping couples very rewarding. I support clients working through the struggles of not feeling understood, feeling attacked and judged. I teach them how to step back and get curious about each other. As couples begin to understand each other better, the disconnection and discouragement shifts, connection deepens and they learn to work together. I work with them to develop tools for better communication and conflict resolution.
My ideal clients are couples and individuals struggling in relationship. I am a licensed marriage and family therapist and I chose this profession because I find helping couples very rewarding. I support clients working through the struggles of not feeling understood, feeling attacked and judged. I teach them how to step back and get curious about each other. As couples begin to understand each other better, the disconnection and discouragement shifts, connection deepens and they learn to work together. I work with them to develop tools for better communication and conflict resolution.
View
Photo of Darcy Woods, Counselor in Bolton, MA
Darcy Woods
Counselor, MA, LMHC
Verified Verified
Northborough, MA 01532  (Online Only)
The present is the ever moving shadow that divides yesterday from tomorrow. In that lies hope. - Frank Lloyd Wright. One of my main goals in the therapeutic relationship is to be a guide for people to have a safe space to develop what they already hold and have within to create the change they are seeking. Having hope and being able to tolerate the present moment are key components to coping with change and distress.
The present is the ever moving shadow that divides yesterday from tomorrow. In that lies hope. - Frank Lloyd Wright. One of my main goals in the therapeutic relationship is to be a guide for people to have a safe space to develop what they already hold and have within to create the change they are seeking. Having hope and being able to tolerate the present moment are key components to coping with change and distress.
(508) 794-3544 View (508) 794-3544
Photo of Concord Wellness Counseling, Counselor in Bolton, MA
Concord Wellness Counseling
Counselor, MS, LMHC
Verified Verified
Harvard, MA 01451  (Online Only)
Currently not accepting new clients for the next 3 to 4 months. Do you feel like something is off or missing from your life? Do you feel overwhelmed? Do you feel stuck? Have you been feeling tired, frustrated, anxious, worried, and/or sad? If you are searching on here you are seeking help and in the right place. If you are looking for a therapist you are most likely seeking change and relief. Life is short and you should enjoy it but stress can interfere with this, so let me help you. I can help.
Currently not accepting new clients for the next 3 to 4 months. Do you feel like something is off or missing from your life? Do you feel overwhelmed? Do you feel stuck? Have you been feeling tired, frustrated, anxious, worried, and/or sad? If you are searching on here you are seeking help and in the right place. If you are looking for a therapist you are most likely seeking change and relief. Life is short and you should enjoy it but stress can interfere with this, so let me help you. I can help.
(978) 226-4317 View (978) 226-4317

How does your Therapist compare?

Number of Therapists in Bolton, MA

< 10

Therapists in Bolton, MA who prioritize treating:

88% Relationship Issues
88% Depression
88% Anxiety
88% Grief
88% Self Esteem
88% Stress
88% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
67% UnitedHealthcare UHC | UBH
67% Optum

How Therapists in Bolton, MA see their clients

62% Online Only
38% In Person and Online

Gender breakdown

100% Female

FAQs - About Therapy and Counseling

How can I find a therapist in Bolton?

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.