Therapists in New York, NY

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Photo of Deborah Ann Perlick, Psychologist in New York, NY
Deborah Ann Perlick
Psychologist, PhD
Verified Verified
New York, NY 10075  (Online Only)
I work with people troubled by mood or anxiety problems, and friends or family who help them through the rough spots, sometimes referred to as caregivers. During the pandemic, mental health needs have increased exponentially, with clients seeking help with stress reduction, coping and relationship skills. I provide help for people with stress-related problems, and for those coping with lifetime problems, such as bipolar disorder or major depression. I work with caregivers to improve communication and empathy for the partner or family member. I also work with groups, where clients where clients learn and feel supported by others.
I work with people troubled by mood or anxiety problems, and friends or family who help them through the rough spots, sometimes referred to as caregivers. During the pandemic, mental health needs have increased exponentially, with clients seeking help with stress reduction, coping and relationship skills. I provide help for people with stress-related problems, and for those coping with lifetime problems, such as bipolar disorder or major depression. I work with caregivers to improve communication and empathy for the partner or family member. I also work with groups, where clients where clients learn and feel supported by others.
(646) 791-3443 View (646) 791-3443
Photo of Olga Radecka, Clinical Social Work/Therapist in New York, NY
Olga Radecka
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10031  (Online Only)
Beginning therapy can be scary, intimidating, and stressful, but can also make a big difference in your life. There are times we feel stuck, lost, confused, angry, or hurt. Periods when relationships feel like they’re falling apart, life feels aimless, or we feel unhappy and can’t quite pinpoint why. For some this is new, while for others it can be a lifelong struggle. Therapy provides a safe space for processing thoughts and feelings, for exploring the past and its influence over the present, and for risking change. Therapy can help you cope with challenges and make sense of what has happened so you can gather the skills to grow.
Beginning therapy can be scary, intimidating, and stressful, but can also make a big difference in your life. There are times we feel stuck, lost, confused, angry, or hurt. Periods when relationships feel like they’re falling apart, life feels aimless, or we feel unhappy and can’t quite pinpoint why. For some this is new, while for others it can be a lifelong struggle. Therapy provides a safe space for processing thoughts and feelings, for exploring the past and its influence over the present, and for risking change. Therapy can help you cope with challenges and make sense of what has happened so you can gather the skills to grow.
(646) 679-5893 View (646) 679-5893
Photo of Erica G. Rojas, Psychologist in New York, NY
Erica G. Rojas
Psychologist, PhD
Verified Verified
5 Endorsed
New York, NY 10101  (Online Only)
My clients find themselves to be successful in many areas of their life, yet are experiencing concerns that interfere with their ability to feel truly fulfilled. These concerns may include anxious thoughts, burn-out/depression, perfectionistic tendencies, familial/relationship issues & physical symptoms related to stress (including panic attacks, digestive issues & chronic pain). I work with adults of all backgrounds to cultivate self-awareness & implement practical coping strategies.
My clients find themselves to be successful in many areas of their life, yet are experiencing concerns that interfere with their ability to feel truly fulfilled. These concerns may include anxious thoughts, burn-out/depression, perfectionistic tendencies, familial/relationship issues & physical symptoms related to stress (including panic attacks, digestive issues & chronic pain). I work with adults of all backgrounds to cultivate self-awareness & implement practical coping strategies.
(646) 713-0167 View (646) 713-0167
Photo of Vanessa Alpert, Counselor in New York, NY
Vanessa Alpert
Counselor, MA, LMHC
Verified Verified
1 Endorsed
New York, NY 10012  (Online Only)
As a Mental Health Counselor, I believe in supporting and empowering clients to focus on their many strengths and become the best version of themselves. My goal as a counselor is to cultivate a warm and safe environment that offers a space for growth and positive change. I utilize an integrative approach, using various techniques that encourage clients to discuss the many emotions and challenges they face in life. I believe in meeting the client where they're at and giving you the space to do the work and reach your personal goals.
As a Mental Health Counselor, I believe in supporting and empowering clients to focus on their many strengths and become the best version of themselves. My goal as a counselor is to cultivate a warm and safe environment that offers a space for growth and positive change. I utilize an integrative approach, using various techniques that encourage clients to discuss the many emotions and challenges they face in life. I believe in meeting the client where they're at and giving you the space to do the work and reach your personal goals.
(914) 300-1862 View (914) 300-1862
Photo of Eliza Davis, Clinical Social Work/Therapist in New York, NY
Eliza Davis
Clinical Social Work/Therapist, LMSW
Verified Verified
12 Endorsed
New York, NY 10010
Eliza takes an empathetic approach to her practice, which allows her to establish deep connections with her clients. She supports her clients by giving them the necessary tools to improve their emotional well-being, allowing them to build confidence and make positive changes in their lives. Eliza helps clients who are experiencing self-doubt, relationship issues, anxiety, depression, and life transitions.
Eliza takes an empathetic approach to her practice, which allows her to establish deep connections with her clients. She supports her clients by giving them the necessary tools to improve their emotional well-being, allowing them to build confidence and make positive changes in their lives. Eliza helps clients who are experiencing self-doubt, relationship issues, anxiety, depression, and life transitions.
(332) 239-6448 View (332) 239-6448
Photo of Sadé Barksadale, LCAT at Dr Fallon's Practice, Art Therapist in New York, NY
Sadé Barksadale, LCAT at Dr Fallon's Practice
Art Therapist, LCAT, LPAT, MPS
Verified Verified
New York, NY 10017  (Online Only)
Sadé is licensed to practice psychotherapy and creative art therapy in both NY and NJ! Sadé's genuineness, impressive skill set, diverse experience, warmth, and core professional values are just part of what makes her an incredible therapist. In therapeutic partnership with her clients Sadé facilitates an exploration of what may be getting in the way of a more rewarding life. She helps her clients to find liberation from painful past experiences, overwhelming stressors, and a negative self image. She is extremely passionate about helping her clients to no longer limit themselves with doubt and discouragement.
Sadé is licensed to practice psychotherapy and creative art therapy in both NY and NJ! Sadé's genuineness, impressive skill set, diverse experience, warmth, and core professional values are just part of what makes her an incredible therapist. In therapeutic partnership with her clients Sadé facilitates an exploration of what may be getting in the way of a more rewarding life. She helps her clients to find liberation from painful past experiences, overwhelming stressors, and a negative self image. She is extremely passionate about helping her clients to no longer limit themselves with doubt and discouragement.
(646) 687-7346 View (646) 687-7346
Photo of Gabriel Sanchez, Pre-Licensed Professional in New York, NY
Gabriel Sanchez
Pre-Licensed Professional
Verified Verified
New York, NY 10029
Are you finding it hard to muster the motivation to pursue what you want in life? Do you often find yourself consumed by worry or trapped in thoughts of the past? Are you grappling with questions about who you are and who you want to become? If any of this resonates with you, I am glad you are here. I am a bilingual Latine therapist specializing in supporting individuals dealing with anxiety, depression, stress, trauma, and identity-related challenges. My dedication lies in serving marginalized, neurodivergent, and LGBTQ+ communities.
Are you finding it hard to muster the motivation to pursue what you want in life? Do you often find yourself consumed by worry or trapped in thoughts of the past? Are you grappling with questions about who you are and who you want to become? If any of this resonates with you, I am glad you are here. I am a bilingual Latine therapist specializing in supporting individuals dealing with anxiety, depression, stress, trauma, and identity-related challenges. My dedication lies in serving marginalized, neurodivergent, and LGBTQ+ communities.
(347) 923-6498 View (347) 923-6498
Photo of Kelle Kenzik, Clinical Social Work/Therapist in New York, NY
Kelle Kenzik
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10018  (Online Only)
Kelle Kenzik is a licensed clinical social worker. During sessions, Kelle engages with her clients, helping them dig deep and identify the roots of their struggles so they can work through them and ultimately feel more connected to their lives and others. Her goal is to inspire her clients so they can discover what tools they can use to have a more connected, fuller sense of self. Kelle’s clients can expect a safe, non-judgmental space to work toward change and a happier life. She helps her clients by challenging them to become the best version of themselves.
Kelle Kenzik is a licensed clinical social worker. During sessions, Kelle engages with her clients, helping them dig deep and identify the roots of their struggles so they can work through them and ultimately feel more connected to their lives and others. Her goal is to inspire her clients so they can discover what tools they can use to have a more connected, fuller sense of self. Kelle’s clients can expect a safe, non-judgmental space to work toward change and a happier life. She helps her clients by challenging them to become the best version of themselves.
(929) 203-4790 View (929) 203-4790
Photo of Lisa Juliano, Psychologist in New York, NY
Lisa Juliano
Psychologist, PsyD
Verified Verified
New York, NY 10019
Waitlist for new clients
My primary focus is working with the creative community. What I mean by "creative community" includes actors, singers, dancers, directors, film makers, writers, visual artists, designers, video artists, photographers...anyone who struggles with the obstacles inherent in trying to create from nothing but grit and inspiration. Anxieties can follow upon a life dedicated to great aspirations with little to no guarantee of success. My experience as a former theater professional, I feel, qualifies me to assist those in the creative arts to balance the uncertainties with their unique gifts.
My primary focus is working with the creative community. What I mean by "creative community" includes actors, singers, dancers, directors, film makers, writers, visual artists, designers, video artists, photographers...anyone who struggles with the obstacles inherent in trying to create from nothing but grit and inspiration. Anxieties can follow upon a life dedicated to great aspirations with little to no guarantee of success. My experience as a former theater professional, I feel, qualifies me to assist those in the creative arts to balance the uncertainties with their unique gifts.
(646) 480-6317 View (646) 480-6317
Photo of Victoria Levina, Clinical Social Work/Therapist in New York, NY
Victoria Levina
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
New York, NY 10010  (Online Only)
My top therapeutic strengths lie in helping those in early, middle, and late adulthood. I have extensive experience working with individuals 21+ and feel am able to relate & help guide them towards the direction they desire to move in. I also enjoy working with veterans, individuals in marginalized communities, and those struggling with substance disorders.
My top therapeutic strengths lie in helping those in early, middle, and late adulthood. I have extensive experience working with individuals 21+ and feel am able to relate & help guide them towards the direction they desire to move in. I also enjoy working with veterans, individuals in marginalized communities, and those struggling with substance disorders.
(332) 334-8281 View (332) 334-8281
Photo of Alicia D. Henry, Clinical Social Work/Therapist in New York, NY
Alicia D. Henry
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
7 Endorsed
New York, NY 10128  (Online Only)
Drawing on more than a decade of experience, I specialize in addressing a wide range of challenges including anxiety, trauma, grief, relationship issues, negative thought patterns, perfectionism, life transitions, low self-esteem, family dynamics, and more. Through our collaborative efforts, you'll develop invaluable self-awareness & insight, empowering you to break free from unhelpful patterns, foster healthier coping mechanisms, & evolve into the best version of yourself.
Drawing on more than a decade of experience, I specialize in addressing a wide range of challenges including anxiety, trauma, grief, relationship issues, negative thought patterns, perfectionism, life transitions, low self-esteem, family dynamics, and more. Through our collaborative efforts, you'll develop invaluable self-awareness & insight, empowering you to break free from unhelpful patterns, foster healthier coping mechanisms, & evolve into the best version of yourself.
(720) 263-9902 View (720) 263-9902
Photo of Suzan Sherman, Licensed Psychoanalyst in New York, NY
Suzan Sherman
Licensed Psychoanalyst, MFA, LP
Verified Verified
2 Endorsed
New York, NY 10001
If you’re looking for emotional support and insight, I’m here to help—whether it’s a pressing issue that’s come to a head or a longstanding dynamic that you feel ready to change. Whatever the reason you are seeking help, I will utilize my extensive training in psychoanalytic psychotherapy, as well as my compassion and intuition, to gently collaborate with you on developing the awareness, understanding, and acceptance that’s needed to heal and transform.
If you’re looking for emotional support and insight, I’m here to help—whether it’s a pressing issue that’s come to a head or a longstanding dynamic that you feel ready to change. Whatever the reason you are seeking help, I will utilize my extensive training in psychoanalytic psychotherapy, as well as my compassion and intuition, to gently collaborate with you on developing the awareness, understanding, and acceptance that’s needed to heal and transform.
(929) 238-8978 View (929) 238-8978
Photo of Mary Herzog, Counselor in New York, NY
Mary Herzog
Counselor, LMHC, LCAT
Verified Verified
New York, NY 10018
CREATIVITY DEVELOPMENT COUNSELING: I am an artist and psychotherapist with special training and extensive experience counseling visual artists, writers, musicians, actors and other creative professionals. Establishing a life which supports and nourishes one's creativity is an enormous challenge. There are conflicts of time versus money, structure vs. freedom, the need for connection to others and the need for solitude and creative time. Societal values and internalized parental expectations exert an unconscious influence on what we believe is possible.
CREATIVITY DEVELOPMENT COUNSELING: I am an artist and psychotherapist with special training and extensive experience counseling visual artists, writers, musicians, actors and other creative professionals. Establishing a life which supports and nourishes one's creativity is an enormous challenge. There are conflicts of time versus money, structure vs. freedom, the need for connection to others and the need for solitude and creative time. Societal values and internalized parental expectations exert an unconscious influence on what we believe is possible.
(718) 569-8658 View (718) 569-8658
Photo of Silvia B. Espinal, Clinical Social Work/Therapist in New York, NY
Silvia B. Espinal
Clinical Social Work/Therapist, LCSW, MSW, EMDR
Verified Verified
New York, NY 10010
“To love well is the task in all meaningful relationships, not just romantic bonds.” bell hooks. Would you like professional support to understand and heal your relationships? if you are searching for a safe therapeutic space where you can openly express your emotions and find solutions to your issues, I will be a suitable therapist for you. I am a relational psychotherapist, clinical supervisor, and educator, and I will work with you in coping with heartaches caused by trauma, ruptures, loneliness, discord, and loss and support you through your healing.
“To love well is the task in all meaningful relationships, not just romantic bonds.” bell hooks. Would you like professional support to understand and heal your relationships? if you are searching for a safe therapeutic space where you can openly express your emotions and find solutions to your issues, I will be a suitable therapist for you. I am a relational psychotherapist, clinical supervisor, and educator, and I will work with you in coping with heartaches caused by trauma, ruptures, loneliness, discord, and loss and support you through your healing.
(917) 994-6446 View (917) 994-6446
Photo of Lisa Jill Marcus, Clinical Social Work/Therapist in New York, NY
Lisa Jill Marcus
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
New York, NY 10010
I have broad experience over twenty five years, in private practice, family agencies and clinical settings. I offer short and long term treatment for problems in living and relating. My approach is relational, with a mind-body, whole person perspective. My practice includes clinical supervision, psychotherapy and psychoanalysis. I often support couples in healing stuck relational dynamics; at any stage of a relationship. Having lived abroad, I work well with expats around questions of identity, acculturation and belonging. I also work with new mothers and those who have lost a parent during early adulthood.
I have broad experience over twenty five years, in private practice, family agencies and clinical settings. I offer short and long term treatment for problems in living and relating. My approach is relational, with a mind-body, whole person perspective. My practice includes clinical supervision, psychotherapy and psychoanalysis. I often support couples in healing stuck relational dynamics; at any stage of a relationship. Having lived abroad, I work well with expats around questions of identity, acculturation and belonging. I also work with new mothers and those who have lost a parent during early adulthood.
(646) 760-4257 View (646) 760-4257
Photo of Christine Tangel, Clinical Social Work/Therapist in New York, NY
Christine Tangel
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10003
Family life can be complicated. From deciding to become a parent or struggling with creating a family to losing relationships or loved ones, and all of the ups & downs in between; you need a place to process the complexities that arise. Do you or your child need support to address what is troubling you? I provide a warm and trusting space to work on those challenges. I specialize in addressing issues related to adoption, attachment, grief & loss and relationship conflict in children and adults. I understand the importance connection and safety have on healing.
Family life can be complicated. From deciding to become a parent or struggling with creating a family to losing relationships or loved ones, and all of the ups & downs in between; you need a place to process the complexities that arise. Do you or your child need support to address what is troubling you? I provide a warm and trusting space to work on those challenges. I specialize in addressing issues related to adoption, attachment, grief & loss and relationship conflict in children and adults. I understand the importance connection and safety have on healing.
(917) 383-0361 View (917) 383-0361
Photo of Jessica Wolsiefer, Clinical Social Work/Therapist in New York, NY
Jessica Wolsiefer
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
Jessica is a NY state licensed LCSW with over 9 years experience in telehealth therapy. She obtained her bachelor's in psychology from Marist College and her master's in social work from Adelphi University. Jessica ultilizes an individualized and client centered approach while incorporating interventions and modalities from cognitive behavioral, creative areas, motivational interviewing and dialectical behavioral therapies. Jessica has several years experience with substance abuse counseling and is familar with current drug trends by keeping to date with trainings.
Jessica is a NY state licensed LCSW with over 9 years experience in telehealth therapy. She obtained her bachelor's in psychology from Marist College and her master's in social work from Adelphi University. Jessica ultilizes an individualized and client centered approach while incorporating interventions and modalities from cognitive behavioral, creative areas, motivational interviewing and dialectical behavioral therapies. Jessica has several years experience with substance abuse counseling and is familar with current drug trends by keeping to date with trainings.
(347) 625-5790 View (347) 625-5790
Photo of Andi Lyn Kornfeld, Licensed Psychoanalyst in New York, NY
Andi Lyn Kornfeld
Licensed Psychoanalyst, LPsych, LMFT
Verified Verified
New York, NY 10010
I specialize in working with people who are committed to enhancing their lives through self-exploration under the guidance of a highly trained professional. I work with adults who desire a better understanding of themselves and look for freedom in how they experience their emotional life and the world around them. I am also the Founder and Clinical Director of Gotham Mental Health Group, PLLC, a Flatiron (and Northern Westchester) based group private practice. We offer individual, couples, family and group psychotherapy. www.gothammft.com
I specialize in working with people who are committed to enhancing their lives through self-exploration under the guidance of a highly trained professional. I work with adults who desire a better understanding of themselves and look for freedom in how they experience their emotional life and the world around them. I am also the Founder and Clinical Director of Gotham Mental Health Group, PLLC, a Flatiron (and Northern Westchester) based group private practice. We offer individual, couples, family and group psychotherapy. www.gothammft.com
(646) 553-6404 View (646) 553-6404
Photo of Angela Jennings, Clinical Social Work/Therapist in New York, NY
Angela Jennings
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10025  (Online Only)
Do you find yourself feeling worried and overwhelmed? Stuck in the same thought patterns, facing the same fears and avoiding things? Has life got you down and feeling lost or unsure? I would love to work with you to overcome the challenges you are facing in your life right now. We can work through past hurts and you can become a new, healthier version of the person you wake up wanting to be each day.
Do you find yourself feeling worried and overwhelmed? Stuck in the same thought patterns, facing the same fears and avoiding things? Has life got you down and feeling lost or unsure? I would love to work with you to overcome the challenges you are facing in your life right now. We can work through past hurts and you can become a new, healthier version of the person you wake up wanting to be each day.
(607) 325-8563 x100 View (607) 325-8563 x100
Photo of Merry Weitzman, Clinical Social Work/Therapist in New York, NY
Merry Weitzman
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
We all want to be at our best selves mentally and emotionally, but there are times in life when we get stuck and can’t do it ourselves. We may feel anxious and depressed, or don’t quite know what is bothering us. I have found in my many years of experience, that in an atmosphere of safety, warmth, humor and nonjudgmental support, people can work through their issues and lead happier lives.
We all want to be at our best selves mentally and emotionally, but there are times in life when we get stuck and can’t do it ourselves. We may feel anxious and depressed, or don’t quite know what is bothering us. I have found in my many years of experience, that in an atmosphere of safety, warmth, humor and nonjudgmental support, people can work through their issues and lead happier lives.
(646) 480-7192 View (646) 480-7192

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

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

How can I find a therapist in New York?

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.