Therapists in Leverett, MA

Photo of Gabrielle E Slavin, Counselor, M Ed, MA, LMHC
Gabrielle E Slavin
Counselor, M Ed, MA, LMHC
Leverett, MA 01054
Not accepting new clients
I am a Licensed Mental Health Counselor in private practice in Leverett MA. My style is warm, genuine and collaborative. I work with clients to identify therapeutic goals and pathways for reaching those goals. I use an integrative mind-body approach which may include: psychodynamic therapy, cognitive behavioral therapy, self compassion, mindfulness, EMDR, and sandplay therapy. I see adults, young adults, teens and children (limited openings for children) online or in-person or a combo, with the exception of children who I see in-person only. Learn more by visiting my website by searching gabrielle slavin psychotherapy.
I am a Licensed Mental Health Counselor in private practice in Leverett MA. My style is warm, genuine and collaborative. I work with clients to identify therapeutic goals and pathways for reaching those goals. I use an integrative mind-body approach which may include: psychodynamic therapy, cognitive behavioral therapy, self compassion, mindfulness, EMDR, and sandplay therapy. I see adults, young adults, teens and children (limited openings for children) online or in-person or a combo, with the exception of children who I see in-person only. Learn more by visiting my website by searching gabrielle slavin psychotherapy.
(413) 376-4256 View (413) 376-4256
Photo of Levin Sibley-Schwartz, Clinical Social Work/Therapist, MSW, LICSW
Levin Sibley-Schwartz
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Online Only
Transformative Therapeutic Services Rooted in Compassion, Evidence, and Experience: Are you seeking a therapeutic partner who brings not only clinical expertise but also a deep understanding of trauma, resilience, and systemic change? I’m a Licensed Independent Clinical Social Worker (LICSW) with over a decade of experience delivering trauma-informed, evidence-based care across diverse settings. Through my private practice, Values Based Behavioral Strategies, LLC, I offer therapeutic services that integrate:
Transformative Therapeutic Services Rooted in Compassion, Evidence, and Experience: Are you seeking a therapeutic partner who brings not only clinical expertise but also a deep understanding of trauma, resilience, and systemic change? I’m a Licensed Independent Clinical Social Worker (LICSW) with over a decade of experience delivering trauma-informed, evidence-based care across diverse settings. Through my private practice, Values Based Behavioral Strategies, LLC, I offer therapeutic services that integrate:
(413) 834-4528 View (413) 834-4528
Photo of Carolyn McGill, Clinical Social Work/Therapist, MSW, LICSW
Carolyn McGill
Clinical Social Work/Therapist, MSW, LICSW
Online Only
Not accepting new clients
I work with adult clients experiencing symptoms of depression, anxiety, post traumatic stress and adjustment issues related to life stressors. I have extensive experience working with individuals impacted by trauma,issues of loss, disability, chronic illness and pain. My work includes assisting individuals who have survived trauma and abuse, as well as those who struggle with addiction. I blend introspective exploration of one self with cognitive, behavioral, supportive and problem-solving approaches. My goal is to create a safe setting where one is able to explore and create a path towards healing and growth.
I work with adult clients experiencing symptoms of depression, anxiety, post traumatic stress and adjustment issues related to life stressors. I have extensive experience working with individuals impacted by trauma,issues of loss, disability, chronic illness and pain. My work includes assisting individuals who have survived trauma and abuse, as well as those who struggle with addiction. I blend introspective exploration of one self with cognitive, behavioral, supportive and problem-solving approaches. My goal is to create a safe setting where one is able to explore and create a path towards healing and growth.
(413) 241-5491 View (413) 241-5491
Photo of Abriete Medore - Heart's Journey Counseling w/Spiritual Perspective, Abriete, Medore, MEd
Are you fighting with your partner and don't know how to stop? I specialize in bringing couples from the brink of divorce to experiencing loving intimacy again. Have you gone to counseling only to feel worse after a session? This is different. We go underneath the specifics to make love most important. We focus on connection and listening, truly listening, so each of you is heard and understood and your needs can be addressed. You chose each other for a reason. That reason was love. Let me help you get back to the actual experience of your love for and with each other. I promise. It works.
Are you fighting with your partner and don't know how to stop? I specialize in bringing couples from the brink of divorce to experiencing loving intimacy again. Have you gone to counseling only to feel worse after a session? This is different. We go underneath the specifics to make love most important. We focus on connection and listening, truly listening, so each of you is heard and understood and your needs can be addressed. You chose each other for a reason. That reason was love. Let me help you get back to the actual experience of your love for and with each other. I promise. It works.
(413) 923-6059 View (413) 923-6059
Photo of Chuck Genre, Counselor, LMHC, LPC, MCCS
Chuck Genre
Counselor, LMHC, LPC, MCCS
Leverett, MA 01054
Inner Leader Therapy (ILT) activates what anxiety and trauma shut down. Your trust. Your balance. Your capacity to move forward. You may be productive, creative, and capable—yet still feel tense or caught in the grip of overthinking or fearful living. You might understand some of your patterns, but insight hasn’t translated into change. Inner Leader Therapy is for people ready to stop circling and start moving. ILT is an active, developmental and trauma-informed approach that helps you skillfully use and trust your life-giving instincts—the vital signals that guide safety, pleasure, growth and connection.
Inner Leader Therapy (ILT) activates what anxiety and trauma shut down. Your trust. Your balance. Your capacity to move forward. You may be productive, creative, and capable—yet still feel tense or caught in the grip of overthinking or fearful living. You might understand some of your patterns, but insight hasn’t translated into change. Inner Leader Therapy is for people ready to stop circling and start moving. ILT is an active, developmental and trauma-informed approach that helps you skillfully use and trust your life-giving instincts—the vital signals that guide safety, pleasure, growth and connection.
(413) 299-2726 View (413) 299-2726

More Therapists Nearby

Photo of Cristina di Nardo-Dupre, Clinical Social Work/Therapist, MSW, LICSW
Cristina di Nardo-Dupre
Clinical Social Work/Therapist, MSW, LICSW
Agawam, MA 01001
I have immediate availability for new clients. I work with adults, families, and couples. I work with clients who need to work on symptoms such as anxiety, depression, agoraphobia, academic problems, ADD/ADHD, anger management, bereavement and grief issues, communication problems with family and partners, PTSD, self-esteem, separation, divorce, sleep disturbance, work stress, and much more. I also use Clinical Hypnosis for weight loss, smoke cessation, nail biting, drug and alcohol use and more. I use hypnosis as a motivational tool to help clients reach their goals. I also do Christian counseling with focus on spirituality.
I have immediate availability for new clients. I work with adults, families, and couples. I work with clients who need to work on symptoms such as anxiety, depression, agoraphobia, academic problems, ADD/ADHD, anger management, bereavement and grief issues, communication problems with family and partners, PTSD, self-esteem, separation, divorce, sleep disturbance, work stress, and much more. I also use Clinical Hypnosis for weight loss, smoke cessation, nail biting, drug and alcohol use and more. I use hypnosis as a motivational tool to help clients reach their goals. I also do Christian counseling with focus on spirituality.
(413) 337-1378 View (413) 337-1378
Photo of Emily Jacobson, Pastoral Counselor, MDiv
Emily Jacobson
Pastoral Counselor, MDiv
1 Endorsed
Online Only
I blend alternative therapeutic models with the latest research in epigenetics, insights from ancient spiritual traditions, wisdom from earth-based living, and embodied rituals to create processes that shift your relationship to suffering, sorrow, or emotional challenges and open you into deeper connection with your true self and harmony with life. I am affirming of LGBTQ+, poly/ENM, and kink identities. I use anti-oppression, anti-racist, ecopsychology & trauma-informed frameworks to support individual and collective liberation.
I blend alternative therapeutic models with the latest research in epigenetics, insights from ancient spiritual traditions, wisdom from earth-based living, and embodied rituals to create processes that shift your relationship to suffering, sorrow, or emotional challenges and open you into deeper connection with your true self and harmony with life. I am affirming of LGBTQ+, poly/ENM, and kink identities. I use anti-oppression, anti-racist, ecopsychology & trauma-informed frameworks to support individual and collective liberation.
View
Photo of Julie Paquette, Clinical Social Work/Therapist, LICSW, MSW
Julie Paquette
Clinical Social Work/Therapist, LICSW, MSW
Online Only
I work with every age- because managing difficult thoughts, feelings and behaviors is a human experience. Having difficult times is a human experience. I teach parents how to help their children regulate their feeling manage difficult behaviors. I focus on the mind, heart and body. I focus on reducing unnecessary suffering by learning how to explore the thoughts, feelings and behaviors that created the suffering. I help you overcome life obstacles while respecting you and your journey. My goal is to pass my skills and knowledge onto parents, adults and children, so you don't need me anymore. I work late afternoons and evenings.
I work with every age- because managing difficult thoughts, feelings and behaviors is a human experience. Having difficult times is a human experience. I teach parents how to help their children regulate their feeling manage difficult behaviors. I focus on the mind, heart and body. I focus on reducing unnecessary suffering by learning how to explore the thoughts, feelings and behaviors that created the suffering. I help you overcome life obstacles while respecting you and your journey. My goal is to pass my skills and knowledge onto parents, adults and children, so you don't need me anymore. I work late afternoons and evenings.
(413) 937-7180 View (413) 937-7180
Photo of Lisa L. Cyr - Downtown Therapy Associates, LLC, Clinical Social Work/Therapist, LICSW
Downtown Therapy Associates, LLC
Clinical Social Work/Therapist, LICSW
Amherst, MA 01002
Do you find yourself struggling to connect with others, even though you long for meaningful, authentic relationships? Are worries, fears, or self-doubt keeping you from living the life you desire? If you feel stuck, disconnected, or weighed down by past regrets and emotions, you don’t have to stay there. Therapy is a space where you can learn to understand yourself more deeply, grow through the challenges holding you back, and heal from past wounds that are preventing you from moving forward. You have the potential to create the life you truly want—it all starts with taking that first step toward healing and growth.
Do you find yourself struggling to connect with others, even though you long for meaningful, authentic relationships? Are worries, fears, or self-doubt keeping you from living the life you desire? If you feel stuck, disconnected, or weighed down by past regrets and emotions, you don’t have to stay there. Therapy is a space where you can learn to understand yourself more deeply, grow through the challenges holding you back, and heal from past wounds that are preventing you from moving forward. You have the potential to create the life you truly want—it all starts with taking that first step toward healing and growth.
(413) 253-0237 View (413) 253-0237
Photo of Tamara Barbasch, Counselor, PhD, LMFT
Tamara Barbasch
Counselor, PhD, LMFT
Williamsburg, MA 01096
I provide an empathic and supportive therapeutic relationship working toward the goals of healing past emotional wounds, developing healthier self-image and healthier relationships, and inspiring positive growth and change.
I provide an empathic and supportive therapeutic relationship working toward the goals of healing past emotional wounds, developing healthier self-image and healthier relationships, and inspiring positive growth and change.
(413) 687-3164 View (413) 687-3164
Photo of Aaron Shragge, MA, MT-BC, LCAT
Aaron Shragge
Verified Verified
Online Only
Creative practices can often be a safer and more direct way of expressing, experiencing and understanding the most challenging emotions. I'm a creative arts therapist who has been working in clinical settings in NY/MA area since 2012. I integrate my experience as a performer in Jazz, improvised and World music as well as my zen practice of over ten years into a unique and effective approach to therapy. Using both verbal psychotherapy and creative art mediums in a safe and supportive environment I work to guide the therapeutic process towards achieving a client's unique goals.
Creative practices can often be a safer and more direct way of expressing, experiencing and understanding the most challenging emotions. I'm a creative arts therapist who has been working in clinical settings in NY/MA area since 2012. I integrate my experience as a performer in Jazz, improvised and World music as well as my zen practice of over ten years into a unique and effective approach to therapy. Using both verbal psychotherapy and creative art mediums in a safe and supportive environment I work to guide the therapeutic process towards achieving a client's unique goals.
(917) 633-9060 View (917) 633-9060
Photo of Donna Bernardi-Agnes, LMHC, LPC, LADC I
Donna Bernardi-Agnes
Verified Verified
Online Only
I am accepting new telehealth clients in MASS and CT! I work with adults. If you are going through a stressful situation, a transition, grief/loss, or are dealing with depression, anxiety, or other mental health symptoms. Mental health symptoms or difficulty managing your life can arise due to circumstances, life transitions, issues related to loss, addiction, or past/present trauma. Life stressors, issues, or transitions can feel overwhelming and can significantly impact your mental health and functioning. I can assist you in your mental health journey, and together we can figure out the best solutions.
I am accepting new telehealth clients in MASS and CT! I work with adults. If you are going through a stressful situation, a transition, grief/loss, or are dealing with depression, anxiety, or other mental health symptoms. Mental health symptoms or difficulty managing your life can arise due to circumstances, life transitions, issues related to loss, addiction, or past/present trauma. Life stressors, issues, or transitions can feel overwhelming and can significantly impact your mental health and functioning. I can assist you in your mental health journey, and together we can figure out the best solutions.
(781) 557-4411 View (781) 557-4411
Photo of Thomas Michael Vassar, Counselor, LMHC
Thomas Michael Vassar
Counselor, LMHC
Online Only
Whether you are an individual or a couple, do you feel stuck and you aren't even sure why? Do you experience a lack of intimacy or feel that you're a failure you need a breakthrough? Are you wrestling with medical issues or dealing with the loss of a loved one? Both cause grieving and may make you feel helpless. I'm here to help you in a multifaceted approach. Depending on what you need, I can help you identify when and how the direction of you life changed - along with how you think and respond changed too. I'll bring my flashlight with fresh batteries and I know where to look and strategies to effect positive changes. Let's go!
Whether you are an individual or a couple, do you feel stuck and you aren't even sure why? Do you experience a lack of intimacy or feel that you're a failure you need a breakthrough? Are you wrestling with medical issues or dealing with the loss of a loved one? Both cause grieving and may make you feel helpless. I'm here to help you in a multifaceted approach. Depending on what you need, I can help you identify when and how the direction of you life changed - along with how you think and respond changed too. I'll bring my flashlight with fresh batteries and I know where to look and strategies to effect positive changes. Let's go!
(843) 941-7724 View (843) 941-7724
Photo of Donna Merrill, Clinical Social Work/Therapist, LICSW
Donna Merrill
Clinical Social Work/Therapist, LICSW
Chicopee, MA 01020
DCF-involved families, (reunification and custody-related) families in conflict/relationship struggles, parenting children who have experienced trauma or delays/disabilities, work with teens, anyone wanting to explore their own family patterns to break the cycle for themselves and/or their family, people in recovery, people experiencing challenges with after-incarceration transitions, issues related to anger management and parenting struggles, strategies for handling behavioral/school-related issues with children-including issues related to foster care and adoption.
DCF-involved families, (reunification and custody-related) families in conflict/relationship struggles, parenting children who have experienced trauma or delays/disabilities, work with teens, anyone wanting to explore their own family patterns to break the cycle for themselves and/or their family, people in recovery, people experiencing challenges with after-incarceration transitions, issues related to anger management and parenting struggles, strategies for handling behavioral/school-related issues with children-including issues related to foster care and adoption.
(413) 213-3876 View (413) 213-3876
Photo of Deborah Gromack, Counselor, MA , LMHC, MT-BC
Deborah Gromack
Counselor, MA , LMHC, MT-BC
Online Only
Hello! My name is Deborah Gromack and I'm a Board Certified Licensed Mental Health Counselor (LMHC-MA) in Massachusetts and a nationally Board Certified Music Therapist (MT-BC). I've been working online as a therapist and counselor since 2020; and use video and phone to communicate with my clients. I received my B.S. in Psychology from UMASS Amherst in 1988 and my M.A. in Expressive Therapies/Music Therapy/Counseling and Psychology from Lesley University in 1998 and have been practicing as an MT-BC and LMHC since 1998 in office settings, schools, day programs, assisted living and nursing home settings,
Hello! My name is Deborah Gromack and I'm a Board Certified Licensed Mental Health Counselor (LMHC-MA) in Massachusetts and a nationally Board Certified Music Therapist (MT-BC). I've been working online as a therapist and counselor since 2020; and use video and phone to communicate with my clients. I received my B.S. in Psychology from UMASS Amherst in 1988 and my M.A. in Expressive Therapies/Music Therapy/Counseling and Psychology from Lesley University in 1998 and have been practicing as an MT-BC and LMHC since 1998 in office settings, schools, day programs, assisted living and nursing home settings,
(339) 217-0522 View (339) 217-0522
Meryl Fingrutd
Clinical Social Work/Therapist, LICSW
Northampton, MA 01060
I have a general psychotherapy practice for individuals, couples or families ages 17+. My approach is to use basic talk therapy as a way of gaining insight, strengthening the self and making positive changes in thinking and behavior. As a generalist, I am open to all mental health issues. However, my specialty areas include major mental illness and psychotic disorders, with help for both the client and family and couples work.
I have a general psychotherapy practice for individuals, couples or families ages 17+. My approach is to use basic talk therapy as a way of gaining insight, strengthening the self and making positive changes in thinking and behavior. As a generalist, I am open to all mental health issues. However, my specialty areas include major mental illness and psychotic disorders, with help for both the client and family and couples work.
(413) 650-1343 View (413) 650-1343
Photo of Tyler Boudreau, Clinical Social Work/Therapist, LICSW, PhD, EMDR
Tyler Boudreau
Clinical Social Work/Therapist, LICSW, PhD, EMDR
Northampton, MA 01060
I work primarily with complex trauma, dissociation, and attachment injuries, as well as addictions, anxiety, and depression. I also work with couples through a trauma-informed approach.
I work primarily with complex trauma, dissociation, and attachment injuries, as well as addictions, anxiety, and depression. I also work with couples through a trauma-informed approach.
(413) 613-4844 View (413) 613-4844
Photo of Claire Elwyn, Counselor, LMHC
Claire Elwyn
Counselor, LMHC
Online Only
Hi there! With over 11 years of experience as a clinician, I’ve walked alongside people through some of life’s most difficult moments. Whether you're navigating relationship challenges, adjusting to major life transitions, or seeking support for mood and anxiety-related concerns, I’m here to offer compassion, insight, and a touch of humor to help you move forward. I am now licensed to practice in MA and NY.
Hi there! With over 11 years of experience as a clinician, I’ve walked alongside people through some of life’s most difficult moments. Whether you're navigating relationship challenges, adjusting to major life transitions, or seeking support for mood and anxiety-related concerns, I’m here to offer compassion, insight, and a touch of humor to help you move forward. I am now licensed to practice in MA and NY.
(617) 420-7144 View (617) 420-7144
Photo of Samuel Newman, Counselor, LMHC, MA
Samuel Newman
Counselor, LMHC, MA
Online Only
I am a compassionate and dedicated therapist with a passion for supporting individuals in their journey towards emotional well-being. My goal is to create a safe and non-judgmental space for clients to explore their concerns, gain insight into their thought and behavioral patterns, and develop effective strategies for personal growth. I primarily work with adults (18+) experiencing difficulties with anxiety, depression, trauma, ADHD, and grief.
I am a compassionate and dedicated therapist with a passion for supporting individuals in their journey towards emotional well-being. My goal is to create a safe and non-judgmental space for clients to explore their concerns, gain insight into their thought and behavioral patterns, and develop effective strategies for personal growth. I primarily work with adults (18+) experiencing difficulties with anxiety, depression, trauma, ADHD, and grief.
(781) 650-7714 View (781) 650-7714
Photo of Jeni Rhodes, Clinical Social Work/Therapist, LCSW
Jeni Rhodes
Clinical Social Work/Therapist, LCSW
1 Endorsed
Amherst, MA 01002
I am a psychotherapist who brings empathy, curiosity, and insight to my work helping adults navigate life’s challenges. I have a strong commitment to holistic mental health and trauma-informed care that is personalized to each client’s needs. I believe deeply in the transformative power of the therapeutic process, and offer clients a supportive and non-pathologizing environment to explore, heal, and thrive. I practice with a relational approach that is grounded in psychodynamic theory, and draws from Internal Family Systems, Somatic therapy, Acceptance Commitment Therapy (ACT), and narrative therapy.
I am a psychotherapist who brings empathy, curiosity, and insight to my work helping adults navigate life’s challenges. I have a strong commitment to holistic mental health and trauma-informed care that is personalized to each client’s needs. I believe deeply in the transformative power of the therapeutic process, and offer clients a supportive and non-pathologizing environment to explore, heal, and thrive. I practice with a relational approach that is grounded in psychodynamic theory, and draws from Internal Family Systems, Somatic therapy, Acceptance Commitment Therapy (ACT), and narrative therapy.
(413) 798-5114 View (413) 798-5114

How does your Therapist compare?

Number of Therapists in Leverett, MA

< 10

Therapists in Leverett, MA who prioritize treating:

100% Relationship Issues
100% Anxiety
80% Depression
80% Trauma and PTSD
60% Grief
60% Life Coaching
60% Parenting

Average years in practice

16 Years

Top 3 insurances accepted

100% Harvard Pilgrim
100% Tufts
75% BlueCross and BlueShield

How Therapists in Leverett, MA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

60% Female
40% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Leverett?

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.