Therapists in Marlborough, MA

Photo of Ivy Olcott, Counselor in Marlborough, MA
Ivy Olcott
Counselor, LMHC
Verified Verified
Marlborough, MA 01752  (Online Only)
Hello! I'm Ivy. I work with adults with concerns such as anxiety associated with vocational, familial, academic, and relational stress; life changes, adjustment disorders, panic disorders, depression, LGBTQ+, and neurodiversity. I use Cognitive-Behavioral Therapy (CBT), Mindfulness-Based Stress Reduction (MBSR), and Positive Psychology to help clients achieve their goals.
Hello! I'm Ivy. I work with adults with concerns such as anxiety associated with vocational, familial, academic, and relational stress; life changes, adjustment disorders, panic disorders, depression, LGBTQ+, and neurodiversity. I use Cognitive-Behavioral Therapy (CBT), Mindfulness-Based Stress Reduction (MBSR), and Positive Psychology to help clients achieve their goals.
(508) 594-3295 View (508) 594-3295
Photo of Chelsea Randall, Clinical Social Work/Therapist in Marlborough, MA
Chelsea Randall
Clinical Social Work/Therapist, LICSW
Verified Verified
Marlborough, MA 01752  (Online Only)
First off, I want to congratulate you on starting your journey to find eternal peace. Finding a new therapist is hard but you're actively making the first steps and that's incredible. Welcome, I'm Chelsea and I'm a LICSW out of Rhode Island and Massachusetts. I received my Master's of Social Work from Rhode Island in 2020 and have been practicing clinically since.
First off, I want to congratulate you on starting your journey to find eternal peace. Finding a new therapist is hard but you're actively making the first steps and that's incredible. Welcome, I'm Chelsea and I'm a LICSW out of Rhode Island and Massachusetts. I received my Master's of Social Work from Rhode Island in 2020 and have been practicing clinically since.
(508) 684-2666 View (508) 684-2666
Photo of Rita Zeller, Clinical Social Work/Therapist in Marlborough, MA
Rita Zeller
Clinical Social Work/Therapist
Verified Verified
Marlborough, MA 01752  (Online Only)
Hello, I'm Rita Zeller, and I'm here to offer my support and guidance on your journey towards personal growth and a more fulfilling life. With two decades of experience as a dedicated social worker, my commitment to helping individuals like you has only grown stronger over the years. I firmly believe that every person has the capacity for positive change and transformation. My approach is grounded in empathy and understanding, creating a warm and inviting space where you can explore your thoughts, emotions, and experiences without judgment. I hold licenses in Kansas, Massachusetts, and Iowa, and I accept insurance in Massachusetts
Hello, I'm Rita Zeller, and I'm here to offer my support and guidance on your journey towards personal growth and a more fulfilling life. With two decades of experience as a dedicated social worker, my commitment to helping individuals like you has only grown stronger over the years. I firmly believe that every person has the capacity for positive change and transformation. My approach is grounded in empathy and understanding, creating a warm and inviting space where you can explore your thoughts, emotions, and experiences without judgment. I hold licenses in Kansas, Massachusetts, and Iowa, and I accept insurance in Massachusetts
(508) 403-7675 View (508) 403-7675
Photo of Jennifer Eaton, Counselor in Marlborough, MA
Jennifer Eaton
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Marlborough, MA 01752
I am launching my DBT skills training series for 18-29 year old's next week! Please see details under groups. If you want to communicate, email is most effective. Phone call replies will have a delay. I specialize in working with individuals who are often considered to be "high-risk", have more than 1 diagnosis, and a lot going on. This usually includes those who have trouble managing and tolerating their emotions and relationships resulting in engaging in behaviors to manage oneself like self-injury, substance abuse, suicidal thinking, and suicidal behavior. Do you resonate with me and think we may match? Email me!
I am launching my DBT skills training series for 18-29 year old's next week! Please see details under groups. If you want to communicate, email is most effective. Phone call replies will have a delay. I specialize in working with individuals who are often considered to be "high-risk", have more than 1 diagnosis, and a lot going on. This usually includes those who have trouble managing and tolerating their emotions and relationships resulting in engaging in behaviors to manage oneself like self-injury, substance abuse, suicidal thinking, and suicidal behavior. Do you resonate with me and think we may match? Email me!
(774) 847-7344 View (774) 847-7344
Photo of Silvia Franco, Counselor in Marlborough, MA
Silvia Franco
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Marlborough, MA 01752  (Online Only)
In my practice, I deeply believe that each person holds the secret of their own well being and my role is to help my patients to uncover their strengths, overcome obstacles and fulfill their lives. My private practice is primarily focused on services to adults (21 years and old), in individual or group psychotherapy. I also offer couples and family therapy. Creo profundamente que cada persona guarda el secreto de su propio bienestar y mi rol es ayudar a mis pacientes a descubrir sus fortalezas, superar obstaculos y alcanzar sus objetivos.
In my practice, I deeply believe that each person holds the secret of their own well being and my role is to help my patients to uncover their strengths, overcome obstacles and fulfill their lives. My private practice is primarily focused on services to adults (21 years and old), in individual or group psychotherapy. I also offer couples and family therapy. Creo profundamente que cada persona guarda el secreto de su propio bienestar y mi rol es ayudar a mis pacientes a descubrir sus fortalezas, superar obstaculos y alcanzar sus objetivos.
(508) 329-8238 View (508) 329-8238
Photo of Rebecca Patt, Clinical Social Work/Therapist in Marlborough, MA
Rebecca Patt
Clinical Social Work/Therapist, LICSW
Verified Verified
Marlborough, MA 01752
Waitlist for new clients
Starting therapy can bring up lots of different emotions - excitement, curiosity, often some anxiety or uncertainty. Embarking on a journey of self-discovery and change is a big deal! I can be by your side as you explore past issues and current patterns, and find new ways of moving forward. I have experience and interest in providing therapy to address anxiety, depression, trauma, and family-of-origin issues. Many of my clients are looking to address the impact of traumatic experiences or attachment wounds.
Starting therapy can bring up lots of different emotions - excitement, curiosity, often some anxiety or uncertainty. Embarking on a journey of self-discovery and change is a big deal! I can be by your side as you explore past issues and current patterns, and find new ways of moving forward. I have experience and interest in providing therapy to address anxiety, depression, trauma, and family-of-origin issues. Many of my clients are looking to address the impact of traumatic experiences or attachment wounds.
(508) 571-6983 View (508) 571-6983
Photo of Lacey Liebert, Counselor in Marlborough, MA
Lacey Liebert
Counselor, LMHC
Verified Verified
1 Endorsed
Marlborough, MA 01752  (Online Only)
Hello and welcome! I have spent years working alongside individuals impacted by complex trauma, depression, anxiety, and issues arising in relationships. We are all human in this world- with our lived experiences, range of emotions, and our best efforts to cope with it all. Sometimes our best attempts to cope can end up holding us back or hurting us in the long run. The good news is that we are amazing and adaptive beings. What was learned as a way to stay safe in the world can be considered and evaluated. In a supportive and trusting environment, we can expand our awareness and make informed choices for ourselves in the present.
Hello and welcome! I have spent years working alongside individuals impacted by complex trauma, depression, anxiety, and issues arising in relationships. We are all human in this world- with our lived experiences, range of emotions, and our best efforts to cope with it all. Sometimes our best attempts to cope can end up holding us back or hurting us in the long run. The good news is that we are amazing and adaptive beings. What was learned as a way to stay safe in the world can be considered and evaluated. In a supportive and trusting environment, we can expand our awareness and make informed choices for ourselves in the present.
(508) 433-3488 View (508) 433-3488
Steven DiFrancesco
Psychologist, PhD
Verified Verified
Marlborough, MA 01752  (Online Only)
Dr. Steven Di Francesco is a Clinical Psychologist with a range of professional experiences in various outpatient settings including primary care within academic medical centers. His main treatment modality is cognitive behavioral therapy. He earned his Master’s and Ph.D. in Clinical Psychology, and a Postdoctoral Fellowship in Health Psychology at Cleveland Clinic. Thank you for your interest in Dr. DiFrancesco’s practice as he looks forward to starting this journey for your optimal well-being!
Dr. Steven Di Francesco is a Clinical Psychologist with a range of professional experiences in various outpatient settings including primary care within academic medical centers. His main treatment modality is cognitive behavioral therapy. He earned his Master’s and Ph.D. in Clinical Psychology, and a Postdoctoral Fellowship in Health Psychology at Cleveland Clinic. Thank you for your interest in Dr. DiFrancesco’s practice as he looks forward to starting this journey for your optimal well-being!
(508) 501-1045 View (508) 501-1045
Photo of Shane MacDonald, LICSW, New Inspiration Counseling, Clinical Social Work/Therapist in Marlborough, MA
Shane MacDonald, LICSW, New Inspiration Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Marlborough, MA 01752  (Online Only)
When you improve your relationship with yourself and your relationships with others, you are “on the path” to a happier, healthier life. I’d like to help you along that path. Together, we can explore a range of approaches: whatever works. But – so you know where I’m coming from – in the end, it’s always about relationships. I’d like to meet you.
When you improve your relationship with yourself and your relationships with others, you are “on the path” to a happier, healthier life. I’d like to help you along that path. Together, we can explore a range of approaches: whatever works. But – so you know where I’m coming from – in the end, it’s always about relationships. I’d like to meet you.
(617) 675-2000 View (617) 675-2000
Photo of Nicole Dell'Erario, Clinical Social Work/Therapist in Marlborough, MA
Nicole Dell'Erario
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Marlborough, MA 01752  (Online Only)
Nicole specializes in working with individuals who are battling with addiction, depression, anxiety, suicidal thoughts, trauma and anger management.
Nicole specializes in working with individuals who are battling with addiction, depression, anxiety, suicidal thoughts, trauma and anger management.
(978) 999-2165 View (978) 999-2165
Photo of Julie Casella, Counselor in Marlborough, MA
Julie Casella
Counselor, MA, LMHC
Verified Verified
Marlborough, MA 01752
Not accepting new clients
Navigating life's challenges and obstacles can be overwhelming. The therapeutic process provides an opportunity to discover new ways of responding to stressors and barriers that keep us from feeling our best. As a licensed mental health counselor and expressive arts therapist, I provide a compassionate, non-judgmental environment in which one can safely explore root causes of issues, deepen self understanding and build coping skills necessary to move toward healing and lasting change.
Navigating life's challenges and obstacles can be overwhelming. The therapeutic process provides an opportunity to discover new ways of responding to stressors and barriers that keep us from feeling our best. As a licensed mental health counselor and expressive arts therapist, I provide a compassionate, non-judgmental environment in which one can safely explore root causes of issues, deepen self understanding and build coping skills necessary to move toward healing and lasting change.
(617) 340-8739 View (617) 340-8739
Photo of Ellen Quinlan, Clinical Social Work/Therapist in Marlborough, MA
Ellen Quinlan
Clinical Social Work/Therapist, LICSW
Verified Verified
Marlborough, MA 01752  (Online Only)
Are you experiencing a time in your life where you feel stuck or overwhelmed by life's challenges? This can be a result of specific challenging events such as career struggles, divorce, bereavement, retirement, becoming a new parent or empty nester or generally feeling that your life has come to an impasse and you don't know what action to take next. Sometimes people feel they have been leading a life that has been difficult since childhood, often as a result of loss or traumatic events. This can result in feeling disconnected from your authentic self and other people.
Are you experiencing a time in your life where you feel stuck or overwhelmed by life's challenges? This can be a result of specific challenging events such as career struggles, divorce, bereavement, retirement, becoming a new parent or empty nester or generally feeling that your life has come to an impasse and you don't know what action to take next. Sometimes people feel they have been leading a life that has been difficult since childhood, often as a result of loss or traumatic events. This can result in feeling disconnected from your authentic self and other people.
(508) 928-8606 View (508) 928-8606
Photo of Lauren Ineson, Pre-Licensed Professional in Marlborough, MA
Lauren Ineson
Pre-Licensed Professional, MA CMHC
Verified Verified
Marlborough, MA 01752
Accepting new clients! Limited Availability! I specialize in the treatment of eating disorders, anxiety and phobias, mood disorders, personality disorders, and trauma/PTSD. I have experience working with adolescents and adults and specialize in late adolescence/young adulthood. I believe that every person deserves a space where they can be heard, understood, and appreciated and I hope to offer an environment that will allow client's to grow and build confidence. I have a background in sports and coaching which has taught me effective communication styles and the ability to adapt to every situation.
Accepting new clients! Limited Availability! I specialize in the treatment of eating disorders, anxiety and phobias, mood disorders, personality disorders, and trauma/PTSD. I have experience working with adolescents and adults and specialize in late adolescence/young adulthood. I believe that every person deserves a space where they can be heard, understood, and appreciated and I hope to offer an environment that will allow client's to grow and build confidence. I have a background in sports and coaching which has taught me effective communication styles and the ability to adapt to every situation.
(508) 680-0048 View (508) 680-0048
Photo of CSGB,LLC: First Responder Mental Health Services, Counselor in Marlborough, MA
CSGB,LLC: First Responder Mental Health Services
Counselor, LMHC, ATR
Verified Verified
Marlborough, MA 01752  (Online Only)
*Immediate openings for First Responders* At CSGB we utilize Cognitive Behavioral Therapy techniques to strengthen healthy decision making, establish adaptive coping mechanisms and mindfulness techniques to manage stress. With over decade of experience in community mental health clinics, we have worked with firefighters, nurses, corrections officers and EMS.
*Immediate openings for First Responders* At CSGB we utilize Cognitive Behavioral Therapy techniques to strengthen healthy decision making, establish adaptive coping mechanisms and mindfulness techniques to manage stress. With over decade of experience in community mental health clinics, we have worked with firefighters, nurses, corrections officers and EMS.
(508) 762-4719 x100 View (508) 762-4719 x100
Photo of Katie Bedford, Clinical Social Work/Therapist in Marlborough, MA
Katie Bedford
Clinical Social Work/Therapist, LICSW
Verified Verified
Marlborough, MA 01752
Not accepting new clients
Currently accepting new clients, immediate openings! Starting therapy is a big step & finding the right therapist can feel scary. Through a compassionate and non-judgmental approach, I will assist you on your path to self discovery and healing. Primarily my work has been with adults and adolescents (15 and up). Utilizing a trauma informed & culturally sensitive approach, I help clients to process challenging thoughts, behavioral patterns, and emotions to identify a greater sense of self.
Currently accepting new clients, immediate openings! Starting therapy is a big step & finding the right therapist can feel scary. Through a compassionate and non-judgmental approach, I will assist you on your path to self discovery and healing. Primarily my work has been with adults and adolescents (15 and up). Utilizing a trauma informed & culturally sensitive approach, I help clients to process challenging thoughts, behavioral patterns, and emotions to identify a greater sense of self.
(508) 978-4994 View (508) 978-4994
Photo of Sara Murphy, Pre-Licensed Professional in Marlborough, MA
Sara Murphy
Pre-Licensed Professional
Verified Verified
Marlborough, MA 01752
Not accepting new clients
Not accepting new clients at this time. Welcome, I'm so glad you're here. I am an empathetic compassionate clinician dedicated to supporting individuals and couples embarking on their healing journey. I have extensive experience working with complex trauma, PTSD, bipolar disorder, eating disorders, ADHD, self harm, survivors of sexual abuse and domestic violence, survivors of narcissistic abuse, depression, and anxiety. I believe that there is no "one size fits all" to therapy so I create catered individualized treatment plans to meet each clients needs. It would be an honor to stand by your side through this journey of healing.
Not accepting new clients at this time. Welcome, I'm so glad you're here. I am an empathetic compassionate clinician dedicated to supporting individuals and couples embarking on their healing journey. I have extensive experience working with complex trauma, PTSD, bipolar disorder, eating disorders, ADHD, self harm, survivors of sexual abuse and domestic violence, survivors of narcissistic abuse, depression, and anxiety. I believe that there is no "one size fits all" to therapy so I create catered individualized treatment plans to meet each clients needs. It would be an honor to stand by your side through this journey of healing.
(508) 290-8398 View (508) 290-8398
Photo of Elevate You LLC , Clinical Social Work/Therapist in Marlborough, MA
Elevate You LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Marlborough, MA 01752  (Online Only)
My name is Cindi Frechette and my passion is helping you save hours from worry and overthinking. My areas of specialty include ADHD, anxiety, stress, relationships and parenting. My methods are strengths based and solutions focused – we will work together to identify what thoughts are creating your feelings, what your challenges are and how to leverage the resources around you to shift your mindset and solve your problems. I draw on multiple treatment modalities including solutions focused therapy, cognitive behavior therapy (CBT), mindfulness, narrative therapy, and mindset/life coaching.
My name is Cindi Frechette and my passion is helping you save hours from worry and overthinking. My areas of specialty include ADHD, anxiety, stress, relationships and parenting. My methods are strengths based and solutions focused – we will work together to identify what thoughts are creating your feelings, what your challenges are and how to leverage the resources around you to shift your mindset and solve your problems. I draw on multiple treatment modalities including solutions focused therapy, cognitive behavior therapy (CBT), mindfulness, narrative therapy, and mindset/life coaching.
(508) 500-1601 View (508) 500-1601
Photo of Peggye Arcouette, Clinical Social Work/Therapist in Marlborough, MA
Peggye Arcouette
Clinical Social Work/Therapist, LCSW
Verified Verified
Marlborough, MA 01752  (Online Only)
I hold a Master’s degree (MSW; LCSW) in Social Work and have been practicing in the state of Massachusetts for over 8 years. My counseling experience centers around grief, provided in a variety of settings including hospice, palliative care, bereavement and other mental health facilities. I have practiced on both an individual and group scale. Unconditional support and security in the therapeutic relationship are of the utmost importance to me in my approach. I am client-centered, which means I move with you, at a safe and comfortable pace. I seek to serve my clients holistically;
I hold a Master’s degree (MSW; LCSW) in Social Work and have been practicing in the state of Massachusetts for over 8 years. My counseling experience centers around grief, provided in a variety of settings including hospice, palliative care, bereavement and other mental health facilities. I have practiced on both an individual and group scale. Unconditional support and security in the therapeutic relationship are of the utmost importance to me in my approach. I am client-centered, which means I move with you, at a safe and comfortable pace. I seek to serve my clients holistically;
(774) 541-1539 View (774) 541-1539
Photo of Dipali Patel, Psychologist in Marlborough, MA
Dipali Patel
Psychologist, PsyD
Verified Verified
1 Endorsed
Marlborough, MA 01752  (Online Only)
Welcome! I am so glad you are here. I am a licensed clinical psychologist who is passionate about helping people lead a meaningful, fulfilled life. I specialize in treating emerging adults, adults, and seniors who are managing post traumatic stress disorder, anxiety, depression, and substance use disorders. I also have expertise in helping individuals who are managing identity and relationship issues, grief, life transitions, and disordered eating/body image concerns.
Welcome! I am so glad you are here. I am a licensed clinical psychologist who is passionate about helping people lead a meaningful, fulfilled life. I specialize in treating emerging adults, adults, and seniors who are managing post traumatic stress disorder, anxiety, depression, and substance use disorders. I also have expertise in helping individuals who are managing identity and relationship issues, grief, life transitions, and disordered eating/body image concerns.
(508) 593-9792 View (508) 593-9792
Photo of Dr. Kristina Pinto in Marlborough, MA
Dr. Kristina Pinto
EdD
Verified Verified
Marlborough, MA 01752  (Online Only)
Challenges with attention, memory, executive function, and communication can disrupt work, school, and home life. Stress, poor sleep, anxiety, health conditions, trauma, and mood difficulties often make things worse. Concern for disorders such as ADHD, autism, dementia, or other cognitive conditions typically calls for a formal neuropsychological evaluation to identify strengths and weaknesses, provide diagnostic clarity, and determine next steps. This can empower you to secure academic and work accommodations, implement appropriate strategies, and access needed resources.
Challenges with attention, memory, executive function, and communication can disrupt work, school, and home life. Stress, poor sleep, anxiety, health conditions, trauma, and mood difficulties often make things worse. Concern for disorders such as ADHD, autism, dementia, or other cognitive conditions typically calls for a formal neuropsychological evaluation to identify strengths and weaknesses, provide diagnostic clarity, and determine next steps. This can empower you to secure academic and work accommodations, implement appropriate strategies, and access needed resources.
(508) 257-1662 View (508) 257-1662

How does your Therapist compare?

Number of Therapists in Marlborough, MA

100+

Average cost per session

$147

Therapists in Marlborough, MA who prioritize treating:

92% Anxiety
82% Depression
70% Coping Skills
68% Self Esteem
66% Trauma and PTSD
58% Relationship Issues
57% Grief

Average years in practice

14 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
71% UnitedHealthcare UHC | UBH
63% Optum

How Therapists in Marlborough, MA see their clients

50% Online Only
50% In Person and Online

Gender breakdown

87% Female
13% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Marlborough?

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.