Therapists in Arlington, MA

Photo of Ireneusz Sielski, Marriage & Family Therapist in Arlington, MA
Ireneusz Sielski
Marriage & Family Therapist, LMFT
Verified Verified
Arlington, MA 02476  (Online Only)
Hello, I'm a Licensed Marriage and Family Therapist with expertise in anxiety, depression, trauma, and relationship issues. I work with individuals, couples, and families, drawing on experience with clients from the US and Europe. Licensed in MA and CT.
Hello, I'm a Licensed Marriage and Family Therapist with expertise in anxiety, depression, trauma, and relationship issues. I work with individuals, couples, and families, drawing on experience with clients from the US and Europe. Licensed in MA and CT.
(508) 501-0561 View (508) 501-0561
Photo of Michael R Goldstein, Psychologist in Arlington, MA
Michael R Goldstein
Psychologist, PhD
Verified Verified
Arlington, MA 02474
Not accepting new clients
I am a clinical psychologist and have been involved in mental health care & research for over 10 years in various settings including a teen & family counseling center, college health clinic, VA hospital, and academic medical centers. Prior to joining Cambridge Psychology Group, I completed a research fellowship at Harvard Medical School and was Clinical Director & Staff Psychologist for the Division of Digital Psychiatry at Beth Israel Deaconess Medical Center. Whether you prefer tech-based tools and data visuals to optimize therapy, or a more open-ended exploration of your life experiences, I'd be honored to work with you!
I am a clinical psychologist and have been involved in mental health care & research for over 10 years in various settings including a teen & family counseling center, college health clinic, VA hospital, and academic medical centers. Prior to joining Cambridge Psychology Group, I completed a research fellowship at Harvard Medical School and was Clinical Director & Staff Psychologist for the Division of Digital Psychiatry at Beth Israel Deaconess Medical Center. Whether you prefer tech-based tools and data visuals to optimize therapy, or a more open-ended exploration of your life experiences, I'd be honored to work with you!
(617) 892-4492 View (617) 892-4492
Photo of Aaron Brandes in Arlington, MA
Aaron Brandes
LCSW, MEd, IASI
Verified Verified
Arlington, MA 02476
Therapy is an opportunity to intentionally pause, acknowledge our experience, and forge a deeper connection with ourselves. In these times of elevated stress and fear, it becomes vital to cultivate meaningful pathways for self-nurturing. As we navigate the waves of life, we learn to embrace them with greater acceptance and tenderness. I offer a unique blend of modalities that include that include psychotherapy, IFS parts work, somatic bodywork and creative arts therapies. Whether you seek support for physical discomfort, emotional healing, or personal growth, my practice provides a safe haven where you can explore new ways of being.
Therapy is an opportunity to intentionally pause, acknowledge our experience, and forge a deeper connection with ourselves. In these times of elevated stress and fear, it becomes vital to cultivate meaningful pathways for self-nurturing. As we navigate the waves of life, we learn to embrace them with greater acceptance and tenderness. I offer a unique blend of modalities that include that include psychotherapy, IFS parts work, somatic bodywork and creative arts therapies. Whether you seek support for physical discomfort, emotional healing, or personal growth, my practice provides a safe haven where you can explore new ways of being.
(413) 269-8627 View (413) 269-8627
Photo of Brianna Lear, Clinical Social Work/Therapist in Arlington, MA
Brianna Lear
Clinical Social Work/Therapist, LICSW
Verified Verified
Arlington, MA 02474
I feel honored to be able to sit with people through the peaks and valleys of the human condition. As a Licensed Independent Clinical Social Worker, I am dedicated to providing compassionate research-supported care for adults, children, adolescents, and families. My specialties include treating anxiety and mood disorders, relational challenges, life transitions, OCD, and complex trauma. I also have extensive experience supporting individuals navigating neurodivergence, substance use disorders, gender dysphoria, psychosis-spectrum disorders, emotion dysregulation, family conflict, suicidality, and social isolation.
I feel honored to be able to sit with people through the peaks and valleys of the human condition. As a Licensed Independent Clinical Social Worker, I am dedicated to providing compassionate research-supported care for adults, children, adolescents, and families. My specialties include treating anxiety and mood disorders, relational challenges, life transitions, OCD, and complex trauma. I also have extensive experience supporting individuals navigating neurodivergence, substance use disorders, gender dysphoria, psychosis-spectrum disorders, emotion dysregulation, family conflict, suicidality, and social isolation.
(617) 977-4770 View (617) 977-4770
Photo of Sage Hess, Pre-Licensed Professional in Arlington, MA
Sage Hess
Pre-Licensed Professional, MA
Verified Verified
Arlington, MA 02474
I am an expressive art therapist, I work primarily with neurodivergent, LGBTQIA+ people who struggle to feel seen and validated in the healthcare system and American capitalist systems at large. I enjoy working with people who are seeking a therapist with overlapping lived experiences. I highly value feedback and open communication with clients. In my opinion, the therapeutic relationship is the most important part of good therapy and mutual respect is critical to that. I love working with many age groups ranging from teens to adults.
I am an expressive art therapist, I work primarily with neurodivergent, LGBTQIA+ people who struggle to feel seen and validated in the healthcare system and American capitalist systems at large. I enjoy working with people who are seeking a therapist with overlapping lived experiences. I highly value feedback and open communication with clients. In my opinion, the therapeutic relationship is the most important part of good therapy and mutual respect is critical to that. I love working with many age groups ranging from teens to adults.
(781) 633-6681 View (781) 633-6681
Photo of Oona Metz, Clinical Social Work/Therapist in Arlington, MA
Oona Metz
Clinical Social Work/Therapist, LICSW, CGP
Verified Verified
1 Endorsed
Arlington, MA 02474
I treat adults and adolescents in individual and group therapy in my Brookline and Arlington offices. I work with clients on a variety of issues including depression, anxiety, sexuality, divorce, step-parenting, trauma, loss and grief. Through exploration and collaboration, I help clients gain more clarity, become more connected, and feel greater satisfaction with their lives. In addition, I provide supervision, consultation and training to clinicians on group therapy and a variety of other topics.
I treat adults and adolescents in individual and group therapy in my Brookline and Arlington offices. I work with clients on a variety of issues including depression, anxiety, sexuality, divorce, step-parenting, trauma, loss and grief. Through exploration and collaboration, I help clients gain more clarity, become more connected, and feel greater satisfaction with their lives. In addition, I provide supervision, consultation and training to clinicians on group therapy and a variety of other topics.
(617) 682-9046 View (617) 682-9046
Photo of Center Psychotherapy, Clinical Social Work/Therapist in Arlington, MA
Center Psychotherapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, MA 02476
Waitlist for new clients
Neesi is an LCSW and a therapist. She works predominantly with adults and a few teens. Neesi is currently looking for clients who wish to primarily meet in-person, with occasional virtual meetings. Some of the typical concerns she works with folx on are romantic relationships, stress management, anxiety, depression, trauma, ADHD, spirituality, and communicating boundaries with one's parents. LGBTQ+ folx of all colors (white/BIPOC/etc) are welcome to request therapy, including those who are "questioning." Please mention any RELEVANt identities you have when messaging her. Thank you!
Neesi is an LCSW and a therapist. She works predominantly with adults and a few teens. Neesi is currently looking for clients who wish to primarily meet in-person, with occasional virtual meetings. Some of the typical concerns she works with folx on are romantic relationships, stress management, anxiety, depression, trauma, ADHD, spirituality, and communicating boundaries with one's parents. LGBTQ+ folx of all colors (white/BIPOC/etc) are welcome to request therapy, including those who are "questioning." Please mention any RELEVANt identities you have when messaging her. Thank you!
(781) 208-5876 View (781) 208-5876
Photo of Christine Carr, Clinical Social Work/Therapist in Arlington, MA
Christine Carr
Clinical Social Work/Therapist, LICSW, MEd
Verified Verified
1 Endorsed
Arlington, MA 02474
Waitlist for new clients
I work with individuals and groups to cope with anxiety, depression, relationship/school/work concerns, trauma, substance use and other obstacles. I believe in creating a safe space, developing a therapeutic partnership, identify strengths and practice the skills so that you will have the tools to thrive.
I work with individuals and groups to cope with anxiety, depression, relationship/school/work concerns, trauma, substance use and other obstacles. I believe in creating a safe space, developing a therapeutic partnership, identify strengths and practice the skills so that you will have the tools to thrive.
(508) 684-2996 View (508) 684-2996
Photo of Lauren Killeen, Psychologist in Arlington, MA
Lauren Killeen
Psychologist, PhD
Verified Verified
Arlington, MA 02476
Not accepting new clients
I am a child clinical psychologist with specialized training in pediatric neuropsychology and I have been partnering with families for over 12 years to help children thrive in their social, emotional, and academic lives. I founded SEEDS to help caregivers better understand their child's strengths and challenges, and to use that information to design individualized interventions. I conduct personalized, comprehensive, neuropsychological evaluations and have expertise evaluating individuals with Autism, intellectual disabilities, learning disabilities, language disabilities, ADHD, and emotional and behavioral difficulties.
I am a child clinical psychologist with specialized training in pediatric neuropsychology and I have been partnering with families for over 12 years to help children thrive in their social, emotional, and academic lives. I founded SEEDS to help caregivers better understand their child's strengths and challenges, and to use that information to design individualized interventions. I conduct personalized, comprehensive, neuropsychological evaluations and have expertise evaluating individuals with Autism, intellectual disabilities, learning disabilities, language disabilities, ADHD, and emotional and behavioral difficulties.
(781) 325-8977 View (781) 325-8977
Photo of Alicia Bartosik, Counselor in Arlington, MA
Alicia Bartosik
Counselor, LMHC
Verified Verified
1 Endorsed
Arlington, MA 02474
Waitlist for new clients
We can often catch ourselves feeling overwhelmed by this ever-changing world. Maybe we even notice unhealthy habits popping up as we try to find ways to relieve our stress. By facing our challenges head on we can start to create healthier coping patterns and more meaningful connections with the world around us. My experience includes working with adolescents and adults. I focus on a variety of mental health concerns, including anxiety, depression, trauma and relationship issues.
We can often catch ourselves feeling overwhelmed by this ever-changing world. Maybe we even notice unhealthy habits popping up as we try to find ways to relieve our stress. By facing our challenges head on we can start to create healthier coping patterns and more meaningful connections with the world around us. My experience includes working with adolescents and adults. I focus on a variety of mental health concerns, including anxiety, depression, trauma and relationship issues.
(339) 900-3267 View (339) 900-3267
Photo of Carita M Anderson, Psychologist in Arlington, MA
Carita M Anderson
Psychologist, PhD
Verified Verified
2 Endorsed
Arlington, MA 02474
Not accepting new clients
At the Boston Center for Couples and Sexuality, we help patients to increase the emotional and physical connections in their lives, whether it is with a partner, children, parents, or themselves. Our patients find that we can facilitate their ability to look at tough issues, communicate with others, accept themselves, and reach mutually agreed upon goals. You can learn how to regulate your body, be less reactive, and have empathy and compassion for yourself and others. The only thing you have control over is how you respond in a situation.
At the Boston Center for Couples and Sexuality, we help patients to increase the emotional and physical connections in their lives, whether it is with a partner, children, parents, or themselves. Our patients find that we can facilitate their ability to look at tough issues, communicate with others, accept themselves, and reach mutually agreed upon goals. You can learn how to regulate your body, be less reactive, and have empathy and compassion for yourself and others. The only thing you have control over is how you respond in a situation.
(617) 981-6529 View (617) 981-6529
Photo of Lore Andrescavage, Clinical Social Work/Therapist in Arlington, MA
Lore Andrescavage
Clinical Social Work/Therapist, LICSW
Verified Verified
Arlington, MA 02476
Do you struggle with anxiety that is having an impact at work, home, school, and/or in your social life? Or do you have Body-Focused Repetitive Behaviors (BFRBs), like trichotillomania or dermatillomania, that impact your emotional and physical wellbeing? I’d love to work with you as I treat both anxiety disorders and BFRBs in older children, adolescents and women. My aim is to help you build awareness of your thoughts, emotions, and behaviors and to identify and use healthier strategies. I address BFRBs using the Comprehensive Behavior Model, and I use a variety of therapeutic approaches to help clients better manage their anxiety.
Do you struggle with anxiety that is having an impact at work, home, school, and/or in your social life? Or do you have Body-Focused Repetitive Behaviors (BFRBs), like trichotillomania or dermatillomania, that impact your emotional and physical wellbeing? I’d love to work with you as I treat both anxiety disorders and BFRBs in older children, adolescents and women. My aim is to help you build awareness of your thoughts, emotions, and behaviors and to identify and use healthier strategies. I address BFRBs using the Comprehensive Behavior Model, and I use a variety of therapeutic approaches to help clients better manage their anxiety.
(339) 230-0631 View (339) 230-0631
Photo of Marah Paley, Clinical Social Work/Therapist in Arlington, MA
Marah Paley
Clinical Social Work/Therapist, LICSW, MEd
Verified Verified
Arlington, MA 02474
I work with adolescents and adults who are struggling with anxiety and depression, relationship issues, and life changes. I strive to listen deeply and to build meaningful connections, while helping people to better understand themselves and their experiences. My approach is warm, kind, curious and non-judgmental. My hope is that therapy is a safe, supportive space where you can be authentic and gain insight about your life.
I work with adolescents and adults who are struggling with anxiety and depression, relationship issues, and life changes. I strive to listen deeply and to build meaningful connections, while helping people to better understand themselves and their experiences. My approach is warm, kind, curious and non-judgmental. My hope is that therapy is a safe, supportive space where you can be authentic and gain insight about your life.
(857) 290-5345 View (857) 290-5345
Photo of Siobhan Kerr, LCSW, CCTP, Clinical Social Work/Therapist in Arlington, MA
Siobhan Kerr, LCSW, CCTP
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
Arlington, MA 02476  (Online Only)
Waitlist for new clients
Do you struggle with feeling anxious, replaying past traumatic moments over and over, or constantly running worst-case scenarios in your head? Do you lie awake at night anxiously planning the next day? I am the kind of therapist who likes to partner with you to make sense of what is happening and work with your mind and body to heal. We’ll use mindfulness strategies, and breathing techniques to help you find more peace, and be more present in your day. If you’re curious and open to trying new things, I am committed to being open, and patient, to drop my assumptions, and to be flexible, so you have the freedom to heal.
Do you struggle with feeling anxious, replaying past traumatic moments over and over, or constantly running worst-case scenarios in your head? Do you lie awake at night anxiously planning the next day? I am the kind of therapist who likes to partner with you to make sense of what is happening and work with your mind and body to heal. We’ll use mindfulness strategies, and breathing techniques to help you find more peace, and be more present in your day. If you’re curious and open to trying new things, I am committed to being open, and patient, to drop my assumptions, and to be flexible, so you have the freedom to heal.
(339) 233-4320 View (339) 233-4320
Photo of Stephanie Campbell, Occupational Therapist in Arlington, MA
Stephanie Campbell
Occupational Therapist, OTD, OTR/L
Verified Verified
1 Endorsed
Arlington, MA 02474  (Online Only)
As an occupational therapist my focus is on helping you participate in the areas of your life that are most important to you. Some of my clients have a new diagnosis of chronic illness and the ways they have approached life are no longer working for them. Others are looking to change habits rooted in perfectionism or over-working. Whatever your personal goals, I hope to help you pursue wellness and achieve a balance between your body, brain, and goals.
As an occupational therapist my focus is on helping you participate in the areas of your life that are most important to you. Some of my clients have a new diagnosis of chronic illness and the ways they have approached life are no longer working for them. Others are looking to change habits rooted in perfectionism or over-working. Whatever your personal goals, I hope to help you pursue wellness and achieve a balance between your body, brain, and goals.
(339) 888-9652 View (339) 888-9652
Photo of Katherine L. Alson, Clinical Social Work/Therapist in Arlington, MA
Katherine L. Alson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Arlington, MA 02476  (Online Only)
*NOW ACCEPTING ONLINE CLIENTS IN DAYTIME HOURS* Are you unhappy w/ your relationship? Are you engaged married or in a committed relationship? Does it feel like you & your partner speak different languages, or are having the same arguments over again? Want to feel more connected? I provide pre-marital, marital, & relationship counseling to engaged, married, or dating couples to help build solid, positive connections for the future. I work with you - individually, or as a couple - to anticipate the bumps in the road, & help to have successful, loving relationships. I also work w/ Grief & Loss, Life Transitions, & Sandwich Generation.
*NOW ACCEPTING ONLINE CLIENTS IN DAYTIME HOURS* Are you unhappy w/ your relationship? Are you engaged married or in a committed relationship? Does it feel like you & your partner speak different languages, or are having the same arguments over again? Want to feel more connected? I provide pre-marital, marital, & relationship counseling to engaged, married, or dating couples to help build solid, positive connections for the future. I work with you - individually, or as a couple - to anticipate the bumps in the road, & help to have successful, loving relationships. I also work w/ Grief & Loss, Life Transitions, & Sandwich Generation.
(339) 707-7067 View (339) 707-7067
Photo of Gabe Gruner, Clinical Social Work/Therapist in Arlington, MA
Gabe Gruner
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Arlington, MA 02476
I have training and experience in treating a variety of psychological problems, and I specialize in treating anxiety, OCD and related disorders (hair pulling, skin picking). I have specialized training in the most modern psychological treatments that are supported by research evidence. My style is warm and collaborative; I am dedicated to understanding your experience and helping you make changes that are important to you.
I have training and experience in treating a variety of psychological problems, and I specialize in treating anxiety, OCD and related disorders (hair pulling, skin picking). I have specialized training in the most modern psychological treatments that are supported by research evidence. My style is warm and collaborative; I am dedicated to understanding your experience and helping you make changes that are important to you.
(617) 855-6410 View (617) 855-6410
Photo of Jennifer Alosso, Psychologist in Arlington, MA
Jennifer Alosso
Psychologist, PsyD
Verified Verified
1 Endorsed
Arlington, MA 02476  (Online Only)
www.DrJenAlosso.com
www.DrJenAlosso.com
(617) 571-6099 View (617) 571-6099
Photo of Danielle Green, Clinical Social Work/Therapist in Arlington, MA
Danielle Green
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Arlington, MA 02476
I help couples develop skills to restore trust, communicate and express feelings effectively, understand and resolve differences, and enhance intimacy. It is my passion to help couples repair their connections and create secure and lasting bonds with those who matter the most. I also offer supervision to advanced practitioners interested in learning more about working with couples. I am a Principal Staff member of NECCF and Psych Garden. I received my MSW from Columbia University in 1993 and went on to complete 5 years of specialist training in couples and family therapy at the Ackerman Institute for the Family, in New York City.
I help couples develop skills to restore trust, communicate and express feelings effectively, understand and resolve differences, and enhance intimacy. It is my passion to help couples repair their connections and create secure and lasting bonds with those who matter the most. I also offer supervision to advanced practitioners interested in learning more about working with couples. I am a Principal Staff member of NECCF and Psych Garden. I received my MSW from Columbia University in 1993 and went on to complete 5 years of specialist training in couples and family therapy at the Ackerman Institute for the Family, in New York City.
(617) 360-8833 View (617) 360-8833
Photo of Fabienne Bain, Psychologist in Arlington, MA
Fabienne Bain
Psychologist, PhD
Verified Verified
2 Endorsed
Arlington, MA 02476
Are you wondering how to support your struggling child? Maybe you're a struggling young adult. I help children to young adults (ages 2-25) who have behavioral and emotional challenges through evidence-based treatment. Using a collaborative approach, compassion, and empathy, I identify the intervention that best meets your goals. During sessions, I create a friendly, warm, and welcoming atmosphere to help make clients comfortable and get the most out of therapy. By the end of treatment, I have seen clients leaving feeling more empowered, happier, and better equipped to cope with future challenges.
Are you wondering how to support your struggling child? Maybe you're a struggling young adult. I help children to young adults (ages 2-25) who have behavioral and emotional challenges through evidence-based treatment. Using a collaborative approach, compassion, and empathy, I identify the intervention that best meets your goals. During sessions, I create a friendly, warm, and welcoming atmosphere to help make clients comfortable and get the most out of therapy. By the end of treatment, I have seen clients leaving feeling more empowered, happier, and better equipped to cope with future challenges.
(508) 594-3199 View (508) 594-3199

How does your Therapist compare?

Number of Therapists in Arlington, MA

400+

Average cost per session

$175

Therapists in Arlington, MA who prioritize treating:

92% Anxiety
87% Depression
79% Relationship Issues
76% Self Esteem
67% Coping Skills
66% Trauma and PTSD
64% Stress

Average years in practice

12 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
51% UnitedHealthcare UHC | UBH
50% Optum

How Therapists in Arlington, MA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Arlington?

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.