Therapists in Richmond Heights, OH

Photo of Kendra Kay Esser, Clinical Social Work/Therapist in Richmond Heights, OH
Kendra Kay Esser
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Richmond Heights, OH 44143
I believe the therapeutic relationship is at the heart of a successful therapy experience. It is my sincere desire to support you to uncover and manifest your potential and empower you to learn the skills to take action to bring about a positive change in your life. My intention is to really listen to what is troubling you and offer you honest guidance to help you find the most growthful path through to the resolution you are seeking. I believe there is a deeper/higher meaning behind any issue facing you and will assist you to find this New Perspective.
I believe the therapeutic relationship is at the heart of a successful therapy experience. It is my sincere desire to support you to uncover and manifest your potential and empower you to learn the skills to take action to bring about a positive change in your life. My intention is to really listen to what is troubling you and offer you honest guidance to help you find the most growthful path through to the resolution you are seeking. I believe there is a deeper/higher meaning behind any issue facing you and will assist you to find this New Perspective.
(216) 452-8464 x1 View (216) 452-8464 x1
Photo of Brooke H Kroto, Clinical Social Work/Therapist in Richmond Heights, OH
Brooke H Kroto
Clinical Social Work/Therapist, LISW-S, CGT
Verified Verified
2 Endorsed
Richmond Heights, OH 44143  (Online Only)
When you need help with difficult life challenges, important changes, loss, illness, or moving forward with personal goals, I provide the right support, tools and guidance to help you effectively. My mission is to enhance your ability to live a life of purpose, creativity and optimum health. Using a positive and optimistic approach, I support a process in which your innate wisdom is powerfully engaged towards resolution and healing.
When you need help with difficult life challenges, important changes, loss, illness, or moving forward with personal goals, I provide the right support, tools and guidance to help you effectively. My mission is to enhance your ability to live a life of purpose, creativity and optimum health. Using a positive and optimistic approach, I support a process in which your innate wisdom is powerfully engaged towards resolution and healing.
(216) 245-3675 View (216) 245-3675
Photo of Nancy Anne, Licensed Professional Counselor in Richmond Heights, OH
Nancy Anne
Licensed Professional Counselor
Verified Verified
Richmond Heights, OH 44143
Nancy is dedicated to helping both individuals and couples learn skills to lead happier, more meaningful, loving and successful lives. She assists each individual discover their unique strengths and identify their true needs and values. Her methods are based on a a combination of positive psychology, compassionate communication and basic spiritual principles. She often works with individuals who feel stuck; or those in a crisis who don't understand how to work through to a place of stability and harmony. She believes we can all learn to be optimistic. Nancy is a Licensed Professional Counselor in Private Practice for 22 years.
Nancy is dedicated to helping both individuals and couples learn skills to lead happier, more meaningful, loving and successful lives. She assists each individual discover their unique strengths and identify their true needs and values. Her methods are based on a a combination of positive psychology, compassionate communication and basic spiritual principles. She often works with individuals who feel stuck; or those in a crisis who don't understand how to work through to a place of stability and harmony. She believes we can all learn to be optimistic. Nancy is a Licensed Professional Counselor in Private Practice for 22 years.
(216) 772-0136 View (216) 772-0136

More Therapists Nearby

Photo of Sara D Stein, Clinical Social Work/Therapist in Richmond Heights, OH
Sara D Stein
Clinical Social Work/Therapist, MSW, LISW, LCSW
Verified Verified
1 Endorsed
Cleveland, OH 44124  (Online Only)
Not accepting new clients
Are you self-aware yet keep repeating similar patterns? Have you tried traditional talk-therapy yet yearn for the next level? Are you drawn to alternative healing modalities & wish to intertwine these with traditional methods? If so, please read/inquire further! I benefit those wishing to heal anxiety disorders, OCD, low self-esteem, eating disorders, depressive symptoms & much more. I inspire empowerment in others, radical self-care & self-compassion, embracing vulnerability, forgiveness & making peace with the past. I utilize creative processes & meditation. I also can implement Craniosacral Therapy and other healing practices.
Are you self-aware yet keep repeating similar patterns? Have you tried traditional talk-therapy yet yearn for the next level? Are you drawn to alternative healing modalities & wish to intertwine these with traditional methods? If so, please read/inquire further! I benefit those wishing to heal anxiety disorders, OCD, low self-esteem, eating disorders, depressive symptoms & much more. I inspire empowerment in others, radical self-care & self-compassion, embracing vulnerability, forgiveness & making peace with the past. I utilize creative processes & meditation. I also can implement Craniosacral Therapy and other healing practices.
(440) 276-3371 View (440) 276-3371
Photo of Sunflower Therapy Services , Licensed Professional Clinical Counselor in Richmond Heights, OH
Sunflower Therapy Services
Licensed Professional Clinical Counselor , LPCC
Verified Verified
1 Endorsed
Mayfield Heights, OH 44124  (Online Only)
You feel misunderstood, unnoticed, and underappreciated. You are questioning yourself and your abilities to handle life. You are thinking the same things over and over, with no real resolution. You haven’t quite found your “people” and it’s been weighing you down lately. I enjoy working with young adults who are learning who they are and what they want to offer the world, but struggle with motivation and self-esteem to accomplish their goals. I am here to help and support you.
You feel misunderstood, unnoticed, and underappreciated. You are questioning yourself and your abilities to handle life. You are thinking the same things over and over, with no real resolution. You haven’t quite found your “people” and it’s been weighing you down lately. I enjoy working with young adults who are learning who they are and what they want to offer the world, but struggle with motivation and self-esteem to accomplish their goals. I am here to help and support you.
(440) 497-4014 View (440) 497-4014
Photo of Dr. Nancy Caito, Licensed Professional Clinical Counselor in Richmond Heights, OH
Dr. Nancy Caito
Licensed Professional Clinical Counselor, PhD, LPCC
Verified Verified
Pepper Pike, OH 44124
I assist adults, couples, families, and adolescents ages 14 and up having difficulties managing their lives due to emotional/mood disturbances, adjustment issues, and life transitions. My areas of experience include severe mental illness, self-harming behaviors, depression, anxiety, personality disorders, women’s issues, relationship and communication issues, substance abuse, anger, self-esteem, grief and loss issues, couples counseling, parent child relationship counseling, parenting, adjustment issues, family counseling, and adolescent concerns.
I assist adults, couples, families, and adolescents ages 14 and up having difficulties managing their lives due to emotional/mood disturbances, adjustment issues, and life transitions. My areas of experience include severe mental illness, self-harming behaviors, depression, anxiety, personality disorders, women’s issues, relationship and communication issues, substance abuse, anger, self-esteem, grief and loss issues, couples counseling, parent child relationship counseling, parenting, adjustment issues, family counseling, and adolescent concerns.
(216) 264-6540 View (216) 264-6540
Photo of Nicole Durbin, Counselor in Richmond Heights, OH
Nicole Durbin
Counselor, LPCC
Verified Verified
Cleveland, OH 44121
Nicole Durbin is a Licensed Professional Clinical Counselor Supervisor with more than 11 years of experience in community mental health and private practice. Her continued education began at Muskingum University with a bachelor's degree in Psychology and Child and Family Studies. She went on to graduate from Malone University with a Master's in Clinical Mental Health Counseling and continued by gaining a Master's Certificate in Applied Behavior Analysis from The Chicago School of Professional Psychology.
Nicole Durbin is a Licensed Professional Clinical Counselor Supervisor with more than 11 years of experience in community mental health and private practice. Her continued education began at Muskingum University with a bachelor's degree in Psychology and Child and Family Studies. She went on to graduate from Malone University with a Master's in Clinical Mental Health Counseling and continued by gaining a Master's Certificate in Applied Behavior Analysis from The Chicago School of Professional Psychology.
(330) 859-4238 View (330) 859-4238
Photo of Lena Harris, Licensed Professional Counselor in Richmond Heights, OH
Lena Harris
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Mayfield, OH 44143
I'm a Licensed Professional Counselor specializing in athlete mental health and wellness, sports performance, and transition. My experience comes from individual and group therapy in community mental health agencies, school settings and crisis facilities. I have worked with teens and adults with a variety of presenting issues, including stress and anxiety, coping with grief and loss, motivation, self-esteem and confidence, life transitions, career changes and depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
I'm a Licensed Professional Counselor specializing in athlete mental health and wellness, sports performance, and transition. My experience comes from individual and group therapy in community mental health agencies, school settings and crisis facilities. I have worked with teens and adults with a variety of presenting issues, including stress and anxiety, coping with grief and loss, motivation, self-esteem and confidence, life transitions, career changes and depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
(440) 467-4094 View (440) 467-4094
Photo of Marirhetta Crosby, Marriage & Family Therapist in Richmond Heights, OH
Marirhetta Crosby
Marriage & Family Therapist, LIMFT, LPCC, NBCC, C-DBT
Verified Verified
1 Endorsed
Lyndhurst, OH 44124
Hello! Thanks for visiting my profile! I have experience working with individuals, couples and families that may be suffering with substance abuse, trauma, anxiety, depression, and other mood disorders. We develop patterns of thinking and behaving based on our past experiences, culture, genetics, and nature, that directly impact our lives and responses in our relationships with others and the world around us. I take a CBT, systematic and DBT approach with clients to help them achieve the best results in the quickest time possible. Reach out today. I look forward to serving you!
Hello! Thanks for visiting my profile! I have experience working with individuals, couples and families that may be suffering with substance abuse, trauma, anxiety, depression, and other mood disorders. We develop patterns of thinking and behaving based on our past experiences, culture, genetics, and nature, that directly impact our lives and responses in our relationships with others and the world around us. I take a CBT, systematic and DBT approach with clients to help them achieve the best results in the quickest time possible. Reach out today. I look forward to serving you!
(216) 677-4882 View (216) 677-4882
Photo of Robin Leichtman, Counselor in Richmond Heights, OH
Robin Leichtman
Counselor, PhD, LPCC-S
Verified Verified
Mayfield Village, OH 44143
How often has someone asked you “how are you?” and your automatic response is “fine” but inside your head, you are listing all the times and ways you are not feeling fine? Societal norms keep us from actually sharing in that moment. We move on with our day but not forward. What keeps us from asking for help? Fear of appearing weak or stupid? Is it not knowing where to turn? Who to call? Or you have asked for help in the past, but it was a negative experience? Often times, individuals are not suffering from mental illness, per se, but would benefit in receiving counseling services for life issues like feeling sad or anxious.
How often has someone asked you “how are you?” and your automatic response is “fine” but inside your head, you are listing all the times and ways you are not feeling fine? Societal norms keep us from actually sharing in that moment. We move on with our day but not forward. What keeps us from asking for help? Fear of appearing weak or stupid? Is it not knowing where to turn? Who to call? Or you have asked for help in the past, but it was a negative experience? Often times, individuals are not suffering from mental illness, per se, but would benefit in receiving counseling services for life issues like feeling sad or anxious.
(216) 820-9511 View (216) 820-9511
Photo of Karal H Stern, Clinical Social Work/Therapist in Richmond Heights, OH
Karal H Stern
Clinical Social Work/Therapist, LISW-S, LICDCCS
Verified Verified
1 Endorsed
Mayfield Heights, OH 44124
A major challenge for many individuals, couples, and families is creating and sustaining meaningful connections. Feeling connected to loved ones and friends, purposeful work, or creative endeavors is not easy. Sometimes people do not feel connected to themselves and need support in understanding their feelings and behaviors. Likewise, there are times when disconnecting from toxic relationships and activities is necessary and requires strategies and skills that are not easily acquired or encouraged by others. Stressful life transitions, traumatic events, addictive behaviors, and painful losses are concerns for many of my clients.
A major challenge for many individuals, couples, and families is creating and sustaining meaningful connections. Feeling connected to loved ones and friends, purposeful work, or creative endeavors is not easy. Sometimes people do not feel connected to themselves and need support in understanding their feelings and behaviors. Likewise, there are times when disconnecting from toxic relationships and activities is necessary and requires strategies and skills that are not easily acquired or encouraged by others. Stressful life transitions, traumatic events, addictive behaviors, and painful losses are concerns for many of my clients.
(440) 434-3640 View (440) 434-3640
Photo of Julie Janco-Gidley, Psychologist in Richmond Heights, OH
Julie Janco-Gidley
Psychologist, PsyD
Verified Verified
Cleveland, OH 44121
Dr. Julie Janco-Gidley is a licensed psychologist who has been practicing since 2010. She received her B.A. in psychology from Case Western Reserve University, her M. A. from Cleveland State University in Clinical/Counseling Psychology, and her Ph.D. from The University of Akron in Counseling Psychology.
Dr. Julie Janco-Gidley is a licensed psychologist who has been practicing since 2010. She received her B.A. in psychology from Case Western Reserve University, her M. A. from Cleveland State University in Clinical/Counseling Psychology, and her Ph.D. from The University of Akron in Counseling Psychology.
(216) 810-3072 View (216) 810-3072
Photo of Tom Gigliotti, Clinical Social Work/Therapist in Richmond Heights, OH
Tom Gigliotti
Clinical Social Work/Therapist, LISW-S, ACHT, SAP
Verified Verified
5 Endorsed
Lyndhurst, OH 44124
I have 38 years experience as a life change specialist. If you want to feel better today book an appointment now. The experience I have as teacher and research specialist will give you the life you want today. My clients come from all walks of life and have indicated what they most like is my client-centered approach to treatment. If you are ready to do a deep dive into life and and create the life you have been aspiring to by removing blocks to healthy living then call me and set up an appt. I provide video mental health tips also on my YouTube channel which is (use the character (at) tomgigliotti6677.
I have 38 years experience as a life change specialist. If you want to feel better today book an appointment now. The experience I have as teacher and research specialist will give you the life you want today. My clients come from all walks of life and have indicated what they most like is my client-centered approach to treatment. If you are ready to do a deep dive into life and and create the life you have been aspiring to by removing blocks to healthy living then call me and set up an appt. I provide video mental health tips also on my YouTube channel which is (use the character (at) tomgigliotti6677.
(714) 582-4009 View (714) 582-4009
Photo of Steve Fratantonio, Licensed Professional Clinical Counselor in Richmond Heights, OH
Steve Fratantonio
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Cleveland, OH 44121
Steve Fratantonio is a licensed mental health counselor studying for his doctorate in counseling psychology. He has more than 15 years of experience providing mental health care services to children, adolescents and adults in private practice and community mental health. His specialty area of interest is working with both adults and adolescents, as well as their families. He has advanced training in trauma-focused cognitive behavioral therapy (TF-CBT) and alternatives for families: cognitive behavioral therapy (AF-CBT).
Steve Fratantonio is a licensed mental health counselor studying for his doctorate in counseling psychology. He has more than 15 years of experience providing mental health care services to children, adolescents and adults in private practice and community mental health. His specialty area of interest is working with both adults and adolescents, as well as their families. He has advanced training in trauma-focused cognitive behavioral therapy (TF-CBT) and alternatives for families: cognitive behavioral therapy (AF-CBT).
(216) 450-6660 View (216) 450-6660
Photo of Gerald Mc Gee, Clinical Social Work/Therapist in Richmond Heights, OH
Gerald Mc Gee
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
2 Endorsed
Mayfield Heights, OH 44124
Hello, we live in a very stressful time and things are becoming more difficult for couples, families and children everyday. I have over 9 years of clinical experience and I understand many of the societal, family, and interpersonal factors that contribute to the challenges we face today. I have a strong passion for working with children with conduct, depression, anxiety and ADHD issues. I enjoy helping families and individuals find their confidence and strength during times of adversity.
Hello, we live in a very stressful time and things are becoming more difficult for couples, families and children everyday. I have over 9 years of clinical experience and I understand many of the societal, family, and interpersonal factors that contribute to the challenges we face today. I have a strong passion for working with children with conduct, depression, anxiety and ADHD issues. I enjoy helping families and individuals find their confidence and strength during times of adversity.
(216) 452-6451 View (216) 452-6451
Photo of Paula Williams Mays, Clinical Social Work/Therapist in Richmond Heights, OH
Paula Williams Mays
Clinical Social Work/Therapist, LSW
Verified Verified
South Euclid, OH 44121
I am committed to listen and provide you with the most effective professional support and guidance. Together, we will work to gain the options available to develop the strength necessary to appreciate all that is great within you. I am available when you are depressed, feeling anxious or just need to talk without judgement.
I am committed to listen and provide you with the most effective professional support and guidance. Together, we will work to gain the options available to develop the strength necessary to appreciate all that is great within you. I am available when you are depressed, feeling anxious or just need to talk without judgement.
(216) 868-7110 View (216) 868-7110
Photo of Marilyn Murray, Psychologist in Richmond Heights, OH
Marilyn Murray
Psychologist, PhD
Verified Verified
Lyndhurst, OH 44124  (Online Only)
I believe most people go through times in their lives when extra help is needed. It is actually healthy to know when you need some support and a competent caring person to help sort through life's problems. I work from a solution focused approach to help you live fully aware, with purpose, accomplishing your goals and coming to a better understanding of how to live as a mature adult in this world. Please note: practicing telephone and video therapy at this time. Details provided when we speak.
I believe most people go through times in their lives when extra help is needed. It is actually healthy to know when you need some support and a competent caring person to help sort through life's problems. I work from a solution focused approach to help you live fully aware, with purpose, accomplishing your goals and coming to a better understanding of how to live as a mature adult in this world. Please note: practicing telephone and video therapy at this time. Details provided when we speak.
(216) 279-3816 View (216) 279-3816
Photo of Jessica Jenkins Thomas, Clinical Social Work/Therapist in Richmond Heights, OH
Jessica Jenkins Thomas
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Cleveland Heights, OH 44121
My passion is working with individuals and families who desire to make positive changes in their lives by setting realistic and attainable goals. My passion is partnering with people who desire to work towards change not only in session but outside of sessions. I have experience working with individuals who struggle with anxiety, depression, stress, work/life balance, various life transitions and grief/loss.
My passion is working with individuals and families who desire to make positive changes in their lives by setting realistic and attainable goals. My passion is partnering with people who desire to work towards change not only in session but outside of sessions. I have experience working with individuals who struggle with anxiety, depression, stress, work/life balance, various life transitions and grief/loss.
(216) 284-7893 View (216) 284-7893
Photo of Kerri Sutton, Clinical Social Work/Therapist in Richmond Heights, OH
Kerri Sutton
Clinical Social Work/Therapist, MSSA, LISW
Verified Verified
Pepper Pike, OH 44124
My ideal client may or may not have an idea where his or her distress is coming from but IS motivated to make changes to alleviate that distress. Together, we will develop strategies tailored to you to help you cope with current and/or past stressors so that you may lead a more peaceful, content life. My goal with all my clients is to help them feel like the best version of themselves.
My ideal client may or may not have an idea where his or her distress is coming from but IS motivated to make changes to alleviate that distress. Together, we will develop strategies tailored to you to help you cope with current and/or past stressors so that you may lead a more peaceful, content life. My goal with all my clients is to help them feel like the best version of themselves.
(216) 223-8921 View (216) 223-8921
Photo of Iris Lynn Bailey, Counselor in Richmond Heights, OH
Iris Lynn Bailey
Counselor, M-Div, MA, PCC-S
Verified Verified
1 Endorsed
Lyndhurst, OH 44124
Many of us struggle with family conflict, marriage and relationship issues. Perhaps you are single parenting, and your job, responsibilities at home, and conflict with your children seem overwhelming; maybe pain from your past prevents you from moving into your future. I assist families in working-through the circumstances in which we often find ourselves. My specialty is family relationship-building. I work with adults, families and children. An often asked question: "How can I help my family when it's such a struggle to address my own concerns?" I'd like to assist with the important emotional decisions and changes in your life.
Many of us struggle with family conflict, marriage and relationship issues. Perhaps you are single parenting, and your job, responsibilities at home, and conflict with your children seem overwhelming; maybe pain from your past prevents you from moving into your future. I assist families in working-through the circumstances in which we often find ourselves. My specialty is family relationship-building. I work with adults, families and children. An often asked question: "How can I help my family when it's such a struggle to address my own concerns?" I'd like to assist with the important emotional decisions and changes in your life.
(216) 502-4674 View (216) 502-4674

See more therapy options for Richmond Heights

How does your Therapist compare?

Number of Therapists in Richmond Heights, OH

< 10

Therapists in Richmond Heights, OH who prioritize treating:

100% Anxiety
100% Life Coaching
100% Grief
100% Spirituality
67% Relationship Issues
67% Depression
67% Trauma and PTSD

Average years in practice

33 Years

Top 3 insurances accepted

100% Aetna
100% Medical Mutual
67% BlueCross and BlueShield

How Therapists in Richmond Heights, OH see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond Heights?

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.