Therapists in Leominster, MA

Photo of Josephine Amato, MS, LMHC, Counselor
Josephine Amato
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Leominster, MA 01453
We are taking new clients with Masshealth MBHP, Wellsense, BlueCross BlueShield, Aetna, Commonwealth care Alliance, Unicare insurance and private pay. The Center for Counseling and wellness, LLC is a growing group practice with a team of mental health clinicians that specialize in working with children, adolescents and adults. Our therapists strive to help empower clients to work with their own positive qualities, identify their strengths and make necessary changes. Our life experiences and stressors can make this feel extremely difficult. Seeking out help at these times can be helpful and is a very courageous step.
We are taking new clients with Masshealth MBHP, Wellsense, BlueCross BlueShield, Aetna, Commonwealth care Alliance, Unicare insurance and private pay. The Center for Counseling and wellness, LLC is a growing group practice with a team of mental health clinicians that specialize in working with children, adolescents and adults. Our therapists strive to help empower clients to work with their own positive qualities, identify their strengths and make necessary changes. Our life experiences and stressors can make this feel extremely difficult. Seeking out help at these times can be helpful and is a very courageous step.
(978) 636-6065 View (978) 636-6065
Photo of Lyndsay Whitaker, LMHC, ATR-BC, Counselor
Lyndsay Whitaker
Counselor, LMHC, ATR-BC
Verified Verified
5 Endorsed
Leominster, MA 01453  (Online Only)
Have you noticed yourself having a hard time managing overwhelming emotions, and/or feeling anxious, distracted, irritable, and/or unable to finish certain tasks? When thinking about a distressing event, does it feel as if you're experiencing it for the first time? These symptoms are typical after experiencing a traumatic event, as your brain works to protect itself. As you know, these symptoms can interfere with your life in a very big way, oftentimes presenting as unpleasant sensations, feelings, and images. Together we can cross the bridge to a more hopeful future. I treat first responders, teenagers, and trauma survivors.
Have you noticed yourself having a hard time managing overwhelming emotions, and/or feeling anxious, distracted, irritable, and/or unable to finish certain tasks? When thinking about a distressing event, does it feel as if you're experiencing it for the first time? These symptoms are typical after experiencing a traumatic event, as your brain works to protect itself. As you know, these symptoms can interfere with your life in a very big way, oftentimes presenting as unpleasant sensations, feelings, and images. Together we can cross the bridge to a more hopeful future. I treat first responders, teenagers, and trauma survivors.
(617) 850-9531 View (617) 850-9531
Photo of Willard M Daggett, MEd, LMHC, Counselor
Willard M Daggett
Counselor, MEd, LMHC
Verified Verified
Leominster, MA 01453
For a nearly a quarter of a century I have been helping people work through some of life's most difficult and challenging moments. Together we work to clarify problems, reveal barriers, and challenge misconceptions. Transformation occurs! You develop new ways of coping; live more fully; experience an improved sense of wellness. You emerge from the process with a greater understanding of yourself, your circumstances, and what is possible. Let me show you what awaits you on the other side of life's challenges.
For a nearly a quarter of a century I have been helping people work through some of life's most difficult and challenging moments. Together we work to clarify problems, reveal barriers, and challenge misconceptions. Transformation occurs! You develop new ways of coping; live more fully; experience an improved sense of wellness. You emerge from the process with a greater understanding of yourself, your circumstances, and what is possible. Let me show you what awaits you on the other side of life's challenges.
(508) 277-5158 View (508) 277-5158
Photo of undefined - John Beland, LICSW, LICSW, Clinical Social Work/Therapist
John Beland, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Leominster, MA 01453
Not accepting new clients
Looking for a therapist can feel daunting when you already feel sad, hopeless or lost. It takes courage to consider that something in your life is not working, that you could use help. Psychotherapy allows you to get acquainted with yourself and the world you inhabit in a new way. Through this expanded field of view, you are better equipped to make choices that will help you achieve your goals. It is also not uncommon to have difficulty identifying goals, desires and feelings. Together, we can help you to discover, develop, and integrate these many different parts of you.
Looking for a therapist can feel daunting when you already feel sad, hopeless or lost. It takes courage to consider that something in your life is not working, that you could use help. Psychotherapy allows you to get acquainted with yourself and the world you inhabit in a new way. Through this expanded field of view, you are better equipped to make choices that will help you achieve your goals. It is also not uncommon to have difficulty identifying goals, desires and feelings. Together, we can help you to discover, develop, and integrate these many different parts of you.
(774) 484-1985 View (774) 484-1985
Photo of George D. Bozicas, PhD, Psychologist
George D. Bozicas
Psychologist, PhD
Verified Verified
Leominster, MA 01453
Please note: At this time, I am only accepting referrals for ADHD evaluations. A major focus of my work is in the evaluation and treatment of ADHD children, teens and adults. I understand how ADHD affects families and relationships, school, work and self-esteem. Because of the level of misinformation, I provide the facts about ADHD along with evidence-based strategies for bringing about change. Additional practice areas include couples counseling, parenting issues and helping adults with anxiety, depression and/or relationship difficulties.
Please note: At this time, I am only accepting referrals for ADHD evaluations. A major focus of my work is in the evaluation and treatment of ADHD children, teens and adults. I understand how ADHD affects families and relationships, school, work and self-esteem. Because of the level of misinformation, I provide the facts about ADHD along with evidence-based strategies for bringing about change. Additional practice areas include couples counseling, parenting issues and helping adults with anxiety, depression and/or relationship difficulties.
(351) 222-2668 View (351) 222-2668
Photo of Michelle Forni, LMHC, Counselor
Michelle Forni
Counselor, LMHC
Verified Verified
Leominster, MA 01453
My greatest passion is connecting deeply with adults who are on the path to self-reflection/awareness and who are striving to not only evolve, but also make peace with themselves. Navigating vulnerability and complex emotions does not have to be a solo journey. Together, through the lens of cognitive behavioral therapy, positive psychology, and mindfulness, we will alleviate detrimental behavior patterns, learn tangible solutions to dilemmas, and build healthy relationships with yourself, others, and the world around you.
My greatest passion is connecting deeply with adults who are on the path to self-reflection/awareness and who are striving to not only evolve, but also make peace with themselves. Navigating vulnerability and complex emotions does not have to be a solo journey. Together, through the lens of cognitive behavioral therapy, positive psychology, and mindfulness, we will alleviate detrimental behavior patterns, learn tangible solutions to dilemmas, and build healthy relationships with yourself, others, and the world around you.
View
Photo of Juliette Anderson, LCSW, Clinical Social Work/Therapist
Juliette Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Leominster, MA 01453
Hello! I am accepting new clients for remote sessions. My goal for my clients is to provide them with the skills and tools so that they may achieve the lifestyle that they want. Life is challenging and the pressure to strive for perfection is as strong as ever. I work with children, adolescents, and adults who have a range of obstacles that they wish to overcome along with providing a restful environment to explore their abilities and potential. Treatment modalities: person-centered, CBT, and mindfulness training.
Hello! I am accepting new clients for remote sessions. My goal for my clients is to provide them with the skills and tools so that they may achieve the lifestyle that they want. Life is challenging and the pressure to strive for perfection is as strong as ever. I work with children, adolescents, and adults who have a range of obstacles that they wish to overcome along with providing a restful environment to explore their abilities and potential. Treatment modalities: person-centered, CBT, and mindfulness training.
(603) 691-1811 View (603) 691-1811
Photo of Queen S Moore, LMHC, LADC, Counselor
Queen S Moore
Counselor, LMHC, LADC
Verified Verified
Leominster, MA 01453  (Online Only)
I was inspired to name my business SPEAK counseling services because I truly believe that untreated mental health and substance abuse dependence stems from our inability to understand how it is our mind, emotions, and body is trying to speak to us. Since mental/emotional pain is a foreign and misunderstood language we often lean on behaviors that sooth It quickly (e.g addiction, avoidance, fighting, fawning) these responses ultimately increase symptoms anxiety/depression as the pain/discomfort is never truly managed. Therapy with me focuses on learning to translate the thoughts, emotions, and behaviors.
I was inspired to name my business SPEAK counseling services because I truly believe that untreated mental health and substance abuse dependence stems from our inability to understand how it is our mind, emotions, and body is trying to speak to us. Since mental/emotional pain is a foreign and misunderstood language we often lean on behaviors that sooth It quickly (e.g addiction, avoidance, fighting, fawning) these responses ultimately increase symptoms anxiety/depression as the pain/discomfort is never truly managed. Therapy with me focuses on learning to translate the thoughts, emotions, and behaviors.
(978) 705-4618 View (978) 705-4618
Photo of Shelly Kelley, MA, LMHC, Counselor
Shelly Kelley
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Leominster, MA 01453
Not accepting new clients
We experience a great deal of change in life. Change in age, expectations, relationships, family, work, etc. Change can be viewed as terrifying to some and exciting to others. Either way, it brings about feelings of discomfort and, at times, can be difficult to manage. On the other hand, change can also be something we aspire for whether it be getting ourselves “unstuck” in life, moving towards recovery from addiction, or working towards making healthier choices for ourselves and our loved ones.
We experience a great deal of change in life. Change in age, expectations, relationships, family, work, etc. Change can be viewed as terrifying to some and exciting to others. Either way, it brings about feelings of discomfort and, at times, can be difficult to manage. On the other hand, change can also be something we aspire for whether it be getting ourselves “unstuck” in life, moving towards recovery from addiction, or working towards making healthier choices for ourselves and our loved ones.
(978) 798-6146 View (978) 798-6146
Photo of Tamara Perini, MSW, LICSW, Clinical Social Work/Therapist
Tamara Perini
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Leominster, MA 01453
Not accepting new clients
Providing confidential psychotherapy for individuals, couples and families ranging from adolescents to older adults. Specializing in treatment for depression, anxiety, mood disorders, PTSD, adjustment disorders and stress in both a cognitive behavioral and psychodynamic approach. I am here to help you through difficult times, such as a divorce, loss of a loved one, or just getting through a rough patch in your life. We will focus on empowerment and self-change to help motivate a more positive, stable, and meaningful life.
Providing confidential psychotherapy for individuals, couples and families ranging from adolescents to older adults. Specializing in treatment for depression, anxiety, mood disorders, PTSD, adjustment disorders and stress in both a cognitive behavioral and psychodynamic approach. I am here to help you through difficult times, such as a divorce, loss of a loved one, or just getting through a rough patch in your life. We will focus on empowerment and self-change to help motivate a more positive, stable, and meaningful life.
(978) 216-5112 View (978) 216-5112
Photo of Yaileen Celado, MS, LMHC, Counselor
Yaileen Celado
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Leominster, MA 01453
Waitlist for new clients
We’re not meant to deal with our problems alone, so let's figure it out together. I’m a Licensed Mental Health Counselor with 8+ years of experience working with children and adults. I’m excited to help people work through a range of concerns, like stress, anxiety, depression, trauma, foster/adoptive transitions, co-parenting, adjustment issues, and identity development. I’m particularly passionate about providing culturally-sensitive and empowering therapy services to the BIPOC and LGBTQ+ communities.
We’re not meant to deal with our problems alone, so let's figure it out together. I’m a Licensed Mental Health Counselor with 8+ years of experience working with children and adults. I’m excited to help people work through a range of concerns, like stress, anxiety, depression, trauma, foster/adoptive transitions, co-parenting, adjustment issues, and identity development. I’m particularly passionate about providing culturally-sensitive and empowering therapy services to the BIPOC and LGBTQ+ communities.
(978) 788-9564 View (978) 788-9564
Photo of undefined - Connecting to Greatness, LCSW, Clinical Social Work/Therapist
Connecting to Greatness
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Leominster, MA 01453
Are you facing challenges related to trauma, grief, parenting, or adoption? Do you struggle with attachment, behavioral, or communication difficulties? Are anxiety, depression, or PTSD symptoms holding you back due to significant trauma or loss? Are you ready to transform your life?
Are you facing challenges related to trauma, grief, parenting, or adoption? Do you struggle with attachment, behavioral, or communication difficulties? Are anxiety, depression, or PTSD symptoms holding you back due to significant trauma or loss? Are you ready to transform your life?
(978) 813-4288 x1 View (978) 813-4288 x1
Photo of Karen Sullivan, LICSW, Clinical Social Work/Therapist
Karen Sullivan
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Leominster, MA 01453
Waitlist for new clients
I have been a social worker for over 23 years and have worked in a number of different settings, which allowed me to gain knowledge and experience to address any presenting concerns you may have. In my practice, I will guide, nurture, and work together with you on your concerns. I will work with you using a solution-based approach based upon your own individual situation. I am here to help you transform your life through awareness, support, and insight. You are not in this alone, I am here to help you!
I have been a social worker for over 23 years and have worked in a number of different settings, which allowed me to gain knowledge and experience to address any presenting concerns you may have. In my practice, I will guide, nurture, and work together with you on your concerns. I will work with you using a solution-based approach based upon your own individual situation. I am here to help you transform your life through awareness, support, and insight. You are not in this alone, I am here to help you!
(978) 310-0762 View (978) 310-0762
Photo of undefined - Leominster Wellness - Dr. Paul Bail, Psychologist, PhD, Psychologist
Leominster Wellness - Dr. Paul Bail, Psychologist
Psychologist, PhD
Verified Verified
Leominster, MA 01453  (Online Only)
Not accepting new clients
[NOTE: TEMPORARILY FULL; NOT TAKING NEW CLIENTS NOW!!] 30 years of experience. Evening appointments. Concrete tools and suggestions. Holistic, Mind-Body approach, Cognitive-Behavioral (CBT), Positive Psychology. Energy Psychology. . . Specialities: (1) COUPLES & RELATIONSHIP THERAPY: improve communication, intimacy, affection. awareness of self-talk. -- (2) ANXIETY, PANIC, WORRY, OCD -- grounding and letting go (4) SELF-ACCEPTANCE, self-care. . .There doesn't have to be something "wrong" with you to seek counseling. . . Let me help you remember "what's right" with you (your strengths), and resolve what's distressing you
[NOTE: TEMPORARILY FULL; NOT TAKING NEW CLIENTS NOW!!] 30 years of experience. Evening appointments. Concrete tools and suggestions. Holistic, Mind-Body approach, Cognitive-Behavioral (CBT), Positive Psychology. Energy Psychology. . . Specialities: (1) COUPLES & RELATIONSHIP THERAPY: improve communication, intimacy, affection. awareness of self-talk. -- (2) ANXIETY, PANIC, WORRY, OCD -- grounding and letting go (4) SELF-ACCEPTANCE, self-care. . .There doesn't have to be something "wrong" with you to seek counseling. . . Let me help you remember "what's right" with you (your strengths), and resolve what's distressing you
(978) 571-9990 View (978) 571-9990
Photo of Vanessa Owen, MS, LMHC, Counselor
Vanessa Owen
Counselor, MS, LMHC
Verified Verified
Leominster, MA 01453  (Online Only)
Waitlist Currently - Do you feel like you are drowning in stress and overwhelm from the day-to-day grind? Is your inner voice one of negativity, even though you truly desire to feel and be more positive? Are you finding that anxiety, stress, low mood, and/or trouble sleeping are holding you back from experiencing joy and fullfilment in your life? I am here to help.
Waitlist Currently - Do you feel like you are drowning in stress and overwhelm from the day-to-day grind? Is your inner voice one of negativity, even though you truly desire to feel and be more positive? Are you finding that anxiety, stress, low mood, and/or trouble sleeping are holding you back from experiencing joy and fullfilment in your life? I am here to help.
View
Photo of Derek Atherholt, LMHC, Counselor
Derek Atherholt
Counselor, LMHC
Verified Verified
Leominster, MA 01453
I am a Licensed Mental Health Counselor with 15 yrs of experience treating children, adolescents, & young adults/adults. I committed my career to assisting individuals develop their true potential to be more... Entering into therapy takes courage, which is an investment in yourself to make lasting change toward better functioning & optimizing your well being. I strive to facilitate a non-judgemental space to be your authentic self. I am passionate about my role assisting you in gaining self awareness & developing healthier relationships with self & others. I enjoy working with all ages & dynamics
I am a Licensed Mental Health Counselor with 15 yrs of experience treating children, adolescents, & young adults/adults. I committed my career to assisting individuals develop their true potential to be more... Entering into therapy takes courage, which is an investment in yourself to make lasting change toward better functioning & optimizing your well being. I strive to facilitate a non-judgemental space to be your authentic self. I am passionate about my role assisting you in gaining self awareness & developing healthier relationships with self & others. I enjoy working with all ages & dynamics
(978) 755-2789 View (978) 755-2789
Photo of Brandy Alweiss, LCSW, Clinical Social Work/Therapist
Brandy Alweiss
Clinical Social Work/Therapist, LCSW
Verified Verified
Leominster, MA 01453
I am a Licensed Certified Social Worker who has had the joy and honor of helping others for the last ten years. My lived experiences as a woman of color, a former foster child, and a member of the LGBTQIA+ community allows me to connect with others on topics of gender, sexuality, race, intersectionality and more as it relates to everyday life and its challenges. My focus is on helping persons experiencing depression, anxiety, and adjustment to life stressors while working on improving communication skills, building boundaries, and strengthening relationships.
I am a Licensed Certified Social Worker who has had the joy and honor of helping others for the last ten years. My lived experiences as a woman of color, a former foster child, and a member of the LGBTQIA+ community allows me to connect with others on topics of gender, sexuality, race, intersectionality and more as it relates to everyday life and its challenges. My focus is on helping persons experiencing depression, anxiety, and adjustment to life stressors while working on improving communication skills, building boundaries, and strengthening relationships.
(978) 718-5473 View (978) 718-5473
Photo of undefined - Inspire Counseling and Support Center, LADC-I, LADC-II, CADC, LCSW, LMHC, Drug & Alcohol Counselor
Inspire Counseling and Support Center
Drug & Alcohol Counselor, LADC-I, LADC-II, CADC, LCSW, LMHC
Verified Verified
Leominster, MA 01453
Waitlist for new clients
Inspire Counseling and Support Center is a comprehensive, full-spectrum community health center. Our goal is to assist our clients in accomplishing their goals for a healthier and better life. Our highly qualified clinicians work with you to help develop a personalized course of treatment to best meet your needs. We are here to guide you and help you learn to make healthy decisions and live a productive life.
Inspire Counseling and Support Center is a comprehensive, full-spectrum community health center. Our goal is to assist our clients in accomplishing their goals for a healthier and better life. Our highly qualified clinicians work with you to help develop a personalized course of treatment to best meet your needs. We are here to guide you and help you learn to make healthy decisions and live a productive life.
(978) 786-9660 View (978) 786-9660
Photo of undefined - Connecting to Greatness LLC, MSW, LICSW, Clinical Social Work/Therapist
Connecting to Greatness LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Leominster, MA 01453
Are you struggling with fear? Can't remember the last time you were happy? Habor feelings of worthlessness, shame, or guilt? Are you ready to transform your life?
Are you struggling with fear? Can't remember the last time you were happy? Habor feelings of worthlessness, shame, or guilt? Are you ready to transform your life?
(978) 627-7351 x1 View (978) 627-7351 x1
Photo of Monica Leger, LMFT, Marriage & Family Therapist
Monica Leger
Marriage & Family Therapist, LMFT
Verified Verified
Leominster, MA 01453  (Online Only)
Hello and thank you for being here! I have been a licensed therapist for over a decade with experience working with children, teens, and adults in school, home, inpatient, and outpatient settings. For the past few years, I’ve specifically focused on working with adults to help resolve something that isn’t working anymore. I understand it is difficult to handle concerns such as loss, relationship conflict, anxiety, or addiction along with many other problems that impact health and well-being.
Hello and thank you for being here! I have been a licensed therapist for over a decade with experience working with children, teens, and adults in school, home, inpatient, and outpatient settings. For the past few years, I’ve specifically focused on working with adults to help resolve something that isn’t working anymore. I understand it is difficult to handle concerns such as loss, relationship conflict, anxiety, or addiction along with many other problems that impact health and well-being.
View

How does your Therapist compare?

Number of Therapists in Leominster, MA

80+

Average cost per session

$130

Therapists in Leominster, MA who prioritize treating:

98% Anxiety
95% Depression
88% Coping Skills
85% Self Esteem
78% Relationship Issues
78% Stress
72% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
73% Harvard Pilgrim
65% UnitedHealthcare UHC | UBH

How Therapists in Leominster, MA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Leominster?

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.