Therapists in Concord, NH

Photo of David Ball, Counselor in Concord, NH
David Ball
Counselor, MA, LCMHC
Verified Verified
Concord, NH 03301  (Online Only)
My practice focuses on the treatment of depression, anxiety, chronic stress, and complex trauma. My approach weaves together western psychodynamic psychotherapy, CBT, and eastern mindfulness-based approaches rooted in trauma-informed, neurodiverse-friendly, intersectional, and anti-oppression frameworks.
My practice focuses on the treatment of depression, anxiety, chronic stress, and complex trauma. My approach weaves together western psychodynamic psychotherapy, CBT, and eastern mindfulness-based approaches rooted in trauma-informed, neurodiverse-friendly, intersectional, and anti-oppression frameworks.
(603) 932-5910 View (603) 932-5910
Photo of Maurice Regan, Psychologist in Concord, NH
Maurice Regan
Psychologist, PhD
Verified Verified
Concord, NH 03301
If you are ready to put in the work, I can show you what works. Most clients generally have some basic, limited behaviors that are causing them difficulties and often appear unaware of their strong and productive behaviors. With understanding and analysis of these problems, the solutions are often clear and with effort, their lives improve and become more productive.
If you are ready to put in the work, I can show you what works. Most clients generally have some basic, limited behaviors that are causing them difficulties and often appear unaware of their strong and productive behaviors. With understanding and analysis of these problems, the solutions are often clear and with effort, their lives improve and become more productive.
(603) 545-8355 View (603) 545-8355
Photo of Newfound Journey Counseling, PLLC, Clinical Social Work/Therapist in Concord, NH
Newfound Journey Counseling, PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Concord, NH 03301  (Online Only)
Are you someone going through the journey of life and feel something isn't aligning correctly to your desired path? You sit there with your thoughts and keep coming back to that unexplored aspect of yourself that keeps impeding your own personal progress. You've tried several different things to try to improve your situation, but your efforts continue to fail no matter what you try. Regardless of your situation, therapy has either been something you've considered or tried in the past and want to jump back in. If this resonates with you, know you are not alone and I hope to help!
Are you someone going through the journey of life and feel something isn't aligning correctly to your desired path? You sit there with your thoughts and keep coming back to that unexplored aspect of yourself that keeps impeding your own personal progress. You've tried several different things to try to improve your situation, but your efforts continue to fail no matter what you try. Regardless of your situation, therapy has either been something you've considered or tried in the past and want to jump back in. If this resonates with you, know you are not alone and I hope to help!
(603) 270-6645 View (603) 270-6645
Photo of Katie Bloch, Pre-Licensed Professional in Concord, NH
Katie Bloch
Pre-Licensed Professional
Verified Verified
Concord, NH 03301
Reaching out for help can be a difficult first step. I strive to create a safe and supportive therapeutic environment, where you feel heard, accepted, and comfortable being your authentic self. I'm passionate about fostering strong, trusting relationships, so that you can be a collaborative partner in the therapeutic process! I have a trauma-informed, strengths-based approach to therapy. I provide individualized treatment (age 15+) that is tailored to meet your specific goals and needs. I look forward to learning about your unique experiences and meeting you wherever you're at to help guide you on a path that's right for you.
Reaching out for help can be a difficult first step. I strive to create a safe and supportive therapeutic environment, where you feel heard, accepted, and comfortable being your authentic self. I'm passionate about fostering strong, trusting relationships, so that you can be a collaborative partner in the therapeutic process! I have a trauma-informed, strengths-based approach to therapy. I provide individualized treatment (age 15+) that is tailored to meet your specific goals and needs. I look forward to learning about your unique experiences and meeting you wherever you're at to help guide you on a path that's right for you.
(855) 284-8135 View (855) 284-8135
Photo of Ellette DiPietro, Pre-Licensed Professional in Concord, NH
Ellette DiPietro
Pre-Licensed Professional, PsyD
Verified Verified
Concord, NH 03301
Not accepting new clients
People are meant to be emotionally connected with others. When we experience problems in how we relate with others, we may develop anxiety, depression, or lose our self confidence. Much of the pain we experience in life occurs when we have trouble relating to others. Research has consistently found that in therapy, the relationship that develops between you and your therapist is the most powerful aspect of the healing process. With this in mind, I work to help you feel respected, safe, cared about and deeply heard.
People are meant to be emotionally connected with others. When we experience problems in how we relate with others, we may develop anxiety, depression, or lose our self confidence. Much of the pain we experience in life occurs when we have trouble relating to others. Research has consistently found that in therapy, the relationship that develops between you and your therapist is the most powerful aspect of the healing process. With this in mind, I work to help you feel respected, safe, cared about and deeply heard.
(434) 448-3135 View (434) 448-3135
Photo of Michelle Hebert, Pre-Licensed Professional in Concord, NH
Michelle Hebert
Pre-Licensed Professional, MS
Verified Verified
Concord, NH 03301
Accepting New Clients! Congratulations on taking this first step towards feeling better. If you feel you have no control over your life and are struggling to find that work/home/life balance- You are not alone. Often, our adverse childhood experiences, trauma, and grief impact our emotions, coping skills and relationships. Individual therapy can be challenging, but I am here to support and encourage you as you set the course for healing emotional wounds, understanding oneself, and lessen that ripple effect of trauma which may be preventing you from being your most authentic self.
Accepting New Clients! Congratulations on taking this first step towards feeling better. If you feel you have no control over your life and are struggling to find that work/home/life balance- You are not alone. Often, our adverse childhood experiences, trauma, and grief impact our emotions, coping skills and relationships. Individual therapy can be challenging, but I am here to support and encourage you as you set the course for healing emotional wounds, understanding oneself, and lessen that ripple effect of trauma which may be preventing you from being your most authentic self.
(603) 634-9522 View (603) 634-9522
Photo of Ed Orlowski, Clinical Social Work/Therapist in Concord, NH
Ed Orlowski
Clinical Social Work/Therapist, LICSW
Verified Verified
Concord, NH 03301
Are you struggling with anxiety or depression? Are there aspects of your life that you want or need to change? I will work with you to develop the skills needed to learn productive ways of handling difficulty in times of change. In therapy, you will learn to reduce stress and anxiety, enhance your overall health and well-being, and integrate new skills into your everyday life. I have experience working with issues such as: anxiety and depression, relationships, parenting and family conflict. I utilize an integrated approach of supportive psychotherapy, family therapy and Cognitive Behavioral Therapy.
Are you struggling with anxiety or depression? Are there aspects of your life that you want or need to change? I will work with you to develop the skills needed to learn productive ways of handling difficulty in times of change. In therapy, you will learn to reduce stress and anxiety, enhance your overall health and well-being, and integrate new skills into your everyday life. I have experience working with issues such as: anxiety and depression, relationships, parenting and family conflict. I utilize an integrated approach of supportive psychotherapy, family therapy and Cognitive Behavioral Therapy.
(603) 787-5069 x25 View (603) 787-5069 x25
Photo of Sarena Dyac, Pre-Licensed Professional in Concord, NH
Sarena Dyac
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Concord, NH 03301
Hi there! My name is Sarena and I’m here to help. To say I am passionate about my work is an understatement- it is so fulfilling to be in a position where I can support others in overcoming individual challenges, learning more about how their mind works, and changing their lives for the better. For those who are considering therapy for the first time or are taking another chance after a previous counseling experience: congratulations on taking this important step! You may find the idea of working with a therapist to be daunting or overwhelming at first, but I assure you that we are in this together and that I am here to guide you.
Hi there! My name is Sarena and I’m here to help. To say I am passionate about my work is an understatement- it is so fulfilling to be in a position where I can support others in overcoming individual challenges, learning more about how their mind works, and changing their lives for the better. For those who are considering therapy for the first time or are taking another chance after a previous counseling experience: congratulations on taking this important step! You may find the idea of working with a therapist to be daunting or overwhelming at first, but I assure you that we are in this together and that I am here to guide you.
(844) 661-0285 x1 View (844) 661-0285 x1
Photo of Veronica (Roni) Hardy, Counselor in Concord, NH
Veronica (Roni) Hardy
Counselor, MA, LCMHC
Verified Verified
Concord, NH 03301
Not accepting new clients
Not accepting new clients at this time. I have over 25 years of experience, working with a variety of clients. At this time, I am seeing primarily adults and couples.. Presenting issues include anxiety, depression, PTSD, grief and loss, relationship conflict, divorce adjustment, trauma and parenting issues. I've also recently been certified as a Forest Therapy Guide through the Association of Nature and Forest Therapy. I have been integrating nature therapy in my practice and am available for guided "forest bathing" experiences.
Not accepting new clients at this time. I have over 25 years of experience, working with a variety of clients. At this time, I am seeing primarily adults and couples.. Presenting issues include anxiety, depression, PTSD, grief and loss, relationship conflict, divorce adjustment, trauma and parenting issues. I've also recently been certified as a Forest Therapy Guide through the Association of Nature and Forest Therapy. I have been integrating nature therapy in my practice and am available for guided "forest bathing" experiences.
(603) 945-7928 x22 View (603) 945-7928 x22
Photo of Christine Beaudreau, Counselor in Concord, NH
Christine Beaudreau
Counselor, LCMHC, LCPC
Verified Verified
Concord, NH 03301  (Online Only)
I have been working in this field for almost 10 years, and up until August of 2021, I worked in community mental health which allowed me to work with people of all ages and needs. I have experience working with children as young as 2 and adults into their 70s. I am trained in Trauma Focused Cognitive Behavioral Therapy, and Modular Approach to Therapy for Children and Adolescents. I specialize in working with adolescents and adults mostly processing trauma, working through anxiety, depression, relationships, codependency and developing healthy boundaries. More recently I have worked through my own Postpartum Depression.
I have been working in this field for almost 10 years, and up until August of 2021, I worked in community mental health which allowed me to work with people of all ages and needs. I have experience working with children as young as 2 and adults into their 70s. I am trained in Trauma Focused Cognitive Behavioral Therapy, and Modular Approach to Therapy for Children and Adolescents. I specialize in working with adolescents and adults mostly processing trauma, working through anxiety, depression, relationships, codependency and developing healthy boundaries. More recently I have worked through my own Postpartum Depression.
(603) 288-1505 View (603) 288-1505
Photo of Steven Kirkilas, Clinical Social Work/Therapist in Concord, NH
Steven Kirkilas
Clinical Social Work/Therapist, LCSW
Verified Verified
Concord, NH 03301  (Online Only)
Hello, my name is Steven Kirkilas. I am a Licensed Clinical Social Worker with Masters Degree in Social Work from University of Illinois at Chicago. For the past 12 years, I have assisted individuals from a wide variety of backgrounds in overcoming their unique struggles. I believe my role is to meet individuals where they are at, nonjudgmentally. My most passionate work is in providing trauma informed care. I am trained in EMDR, IFS, and somatic therapies. I am also passionate about the benefit of mindfulness practice in managing anxiety, depression, PTSD, and many other struggles.
Hello, my name is Steven Kirkilas. I am a Licensed Clinical Social Worker with Masters Degree in Social Work from University of Illinois at Chicago. For the past 12 years, I have assisted individuals from a wide variety of backgrounds in overcoming their unique struggles. I believe my role is to meet individuals where they are at, nonjudgmentally. My most passionate work is in providing trauma informed care. I am trained in EMDR, IFS, and somatic therapies. I am also passionate about the benefit of mindfulness practice in managing anxiety, depression, PTSD, and many other struggles.
(603) 810-8771 View (603) 810-8771
Photo of Kayla Rivard, Pre-Licensed Professional in Concord, NH
Kayla Rivard
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Concord, NH 03301
A mental health counselor is a professional who helps individuals, couples, and families navigate through various mental health challenges and improve their overall well-being. They provide support, guidance, and therapy to clients dealing with issues such as anxiety, depression, trauma, addiction, relationship problems, and more. As a mental health counselor, my primary goal is to create a safe and non-judgmental space for clients to explore their thoughts, emotions, and experiences. I use evidence-based therapeutic techniques to help clients gain insight, develop coping skills, and make positive changes in their lives.
A mental health counselor is a professional who helps individuals, couples, and families navigate through various mental health challenges and improve their overall well-being. They provide support, guidance, and therapy to clients dealing with issues such as anxiety, depression, trauma, addiction, relationship problems, and more. As a mental health counselor, my primary goal is to create a safe and non-judgmental space for clients to explore their thoughts, emotions, and experiences. I use evidence-based therapeutic techniques to help clients gain insight, develop coping skills, and make positive changes in their lives.
(603) 316-6695 View (603) 316-6695
Photo of Mariah J Manning, Counselor in Concord, NH
Mariah J Manning
Counselor, MA, LPC, LCMHC
Verified Verified
Concord, NH 03301  (Online Only)
Waitlist for new clients
I feel strongly that creating a warm atmosphere in which individuals can safely and authentically tell their story is crucial to healing.
I feel strongly that creating a warm atmosphere in which individuals can safely and authentically tell their story is crucial to healing.
View
Photo of Dr. Roger Ballou: Online Couples Counseling, Marriage & Family Therapist in Concord, NH
Dr. Roger Ballou: Online Couples Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Concord, NH 03301  (Online Only)
I am a Marriage and Family Therapist licensed in New Hampshire and Maine. And I see couples online -- benefits are (1) partners don't have to travel to see me, (2) it's safe and private, (3) partners enter and participate in our sessions on separate devices in separate locations so each has some "space" to think clearly and reflect on what is going on, and (4) when our sessions end, partners are already back home, or still at the office, etc. The couple has saved a significant amount of time "coming and going." Couples report that they really like this format.
I am a Marriage and Family Therapist licensed in New Hampshire and Maine. And I see couples online -- benefits are (1) partners don't have to travel to see me, (2) it's safe and private, (3) partners enter and participate in our sessions on separate devices in separate locations so each has some "space" to think clearly and reflect on what is going on, and (4) when our sessions end, partners are already back home, or still at the office, etc. The couple has saved a significant amount of time "coming and going." Couples report that they really like this format.
(434) 448-4182 View (434) 448-4182
Photo of Heidi Page, Clinical Social Work/Therapist in Concord, NH
Heidi Page
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Concord, NH 03301
"I just want to be happy." - Everybody. I offer in person and Telehealth video sessions. I am an interactive therapist who works with adults on a variety of issues. I help people navigate life transitions and relationships. My focus is on helping people who are looking to free up negative energy, thought patterns or beliefs which inhibit change or growth. I specialize in the management of stress and anxiety, and depression. My framework is holistic, looking at a whole picture, not just a symptom.
"I just want to be happy." - Everybody. I offer in person and Telehealth video sessions. I am an interactive therapist who works with adults on a variety of issues. I help people navigate life transitions and relationships. My focus is on helping people who are looking to free up negative energy, thought patterns or beliefs which inhibit change or growth. I specialize in the management of stress and anxiety, and depression. My framework is holistic, looking at a whole picture, not just a symptom.
(603) 239-3168 View (603) 239-3168
Photo of Laurie Doucette, Clinical Social Work/Therapist in Concord, NH
Laurie Doucette
Clinical Social Work/Therapist, LICSW, MLADC
Verified Verified
Concord, NH 03301
I have been a Licensed Independent Clinical Social worker since 2009, practicing in the field of mental health since 2007. I love to see people achieve their goals and see my work as being a fellow traveler on the path with them. I find that so many are coping with anxiety, depression and trauma, and I am experienced in helping people to develop skills to cope more effectively and peacefully with the curve balls that life can throw in order to live happier, healthier lives.
I have been a Licensed Independent Clinical Social worker since 2009, practicing in the field of mental health since 2007. I love to see people achieve their goals and see my work as being a fellow traveler on the path with them. I find that so many are coping with anxiety, depression and trauma, and I am experienced in helping people to develop skills to cope more effectively and peacefully with the curve balls that life can throw in order to live happier, healthier lives.
(603) 288-1611 View (603) 288-1611
Photo of Annabel Fortier, Counselor in Concord, NH
Annabel Fortier
Counselor, LCMHC
Verified Verified
Concord, NH 03301
AYC is accepting new clients! Schedule an intake as soon as next week. Finding the courage to be true to yourself despite the challenges you have to overcome is the ultimate goal of therapy. I believe one of the greatest grievances is living an inauthentic life with who you are. Regardless of what you’ve been through, if something is stopping you from being true to yourself - if fear prevents you from engaging in life the way you want or you are attempting to live up to some societal or personal expectation so far out of reach it hurts - If something is preventing you from living your fullest life, you can make a difference!
AYC is accepting new clients! Schedule an intake as soon as next week. Finding the courage to be true to yourself despite the challenges you have to overcome is the ultimate goal of therapy. I believe one of the greatest grievances is living an inauthentic life with who you are. Regardless of what you’ve been through, if something is stopping you from being true to yourself - if fear prevents you from engaging in life the way you want or you are attempting to live up to some societal or personal expectation so far out of reach it hurts - If something is preventing you from living your fullest life, you can make a difference!
(603) 429-1999 View (603) 429-1999
Photo of Paul G Smith, Clinical Mental Health Counselor in Concord, NH
Paul G Smith
Clinical Mental Health Counselor, MA, LCMHC, CAS
Verified Verified
Concord, NH 03301  (Online Only)
Waitlist for new clients
I offer telehealth (Zoom) sessions only. Many counseling approaches help people feel better, but "feeling better" may not be enough. I assist individuals in getting to the root cause of their issues, and change self defeating patterns that previously appeared to be deeply entrenched. Having over 43 years of experience allows me to gear my approach to healing based on each individual's needs (including mind/body/energy techniques) in a safe, comfortable atmosphere where exploration and change is made easier.
I offer telehealth (Zoom) sessions only. Many counseling approaches help people feel better, but "feeling better" may not be enough. I assist individuals in getting to the root cause of their issues, and change self defeating patterns that previously appeared to be deeply entrenched. Having over 43 years of experience allows me to gear my approach to healing based on each individual's needs (including mind/body/energy techniques) in a safe, comfortable atmosphere where exploration and change is made easier.
(603) 547-9315 View (603) 547-9315
Photo of Lauri Johnson, Clinical Social Work/Therapist in Concord, NH
Lauri Johnson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Concord, NH 03301
Relationship stress, grief, loss, life transitions, a lack of sync or control can all feel overwhelming. When our minds and bodies are out of balance, emotional reactions can intensify, create chronic stress, and lead to other chronic illnesses. Regardless of how great your support system is, it's not easy for friends and family to remain neutral or even patient when you need to talk about what's bothering you. It can cause more frustration and decrease connection. When there are complex or long term pains and struggles, collaborating with someone who IS neutral and focused on YOUR needs helps facilitate healing and lasting peace!
Relationship stress, grief, loss, life transitions, a lack of sync or control can all feel overwhelming. When our minds and bodies are out of balance, emotional reactions can intensify, create chronic stress, and lead to other chronic illnesses. Regardless of how great your support system is, it's not easy for friends and family to remain neutral or even patient when you need to talk about what's bothering you. It can cause more frustration and decrease connection. When there are complex or long term pains and struggles, collaborating with someone who IS neutral and focused on YOUR needs helps facilitate healing and lasting peace!
(603) 632-3433 View (603) 632-3433
Photo of Kathleen Hall, Counselor in Concord, NH
Kathleen Hall
Counselor, LCMHC, ATR
Verified Verified
Concord, NH 03301
I am committed and passionate about helping individuals improve their quality of life. Sometimes we have such uncomfortable feelings that we don't know how we will make it through the day. Sometimes really bad things happen to us and around that we might not know how to manage. Sometimes our bodies and minds take over and we feel like we have no control over our lives. We try to understand and control the symptoms: the anxiety, depression, anger, headaches, insomnia, stomach pain and fatigue. Sound familiar? I believe that understanding the mind-body connection is the first step to improving your mental health and well-being.
I am committed and passionate about helping individuals improve their quality of life. Sometimes we have such uncomfortable feelings that we don't know how we will make it through the day. Sometimes really bad things happen to us and around that we might not know how to manage. Sometimes our bodies and minds take over and we feel like we have no control over our lives. We try to understand and control the symptoms: the anxiety, depression, anger, headaches, insomnia, stomach pain and fatigue. Sound familiar? I believe that understanding the mind-body connection is the first step to improving your mental health and well-being.
(603) 207-4002 View (603) 207-4002

How does your Therapist compare?

Number of Therapists in Concord, NH

200+

Average cost per session

$130

Therapists in Concord, NH who prioritize treating:

95% Anxiety
87% Depression
76% Relationship Issues
75% Self Esteem
73% Trauma and PTSD
71% Coping Skills
68% Stress

Average years in practice

12 Years

Top 3 insurances accepted

82% Anthem | Elevance
75% BlueCross and BlueShield
74% Cigna and Evernorth

How Therapists in Concord, NH see their clients

71% In Person and Online
29% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Concord?

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.