Therapists in Cumberland County, ME

View cities in Cumberland County
Photo of Lauren Dattilo, Psychologist in Cumberland County, ME
Lauren Dattilo
Psychologist, PhD
Verified
Brunswick, ME 04011
Currently accepting Adult referrals for our seasonal 8-week Online ADHD Coaching and Skills Group beginning Spring 2023. The goals of the group include 1) Increase knowledge about attention, organization, planning, and executive functioning, 2) Improving skills such as time and task management, planning, organization, productivity, and self-compassion and support an understanding of mindfulness and Cognitive Behavioral Therapy (CBT) strategies for managing attention, stress, and mood. We accept Anthem, MCHO, and MaineHealth as well as self-pay and out of network insurance. Rate is $75 for self pay.
Currently accepting Adult referrals for our seasonal 8-week Online ADHD Coaching and Skills Group beginning Spring 2023. The goals of the group include 1) Increase knowledge about attention, organization, planning, and executive functioning, 2) Improving skills such as time and task management, planning, organization, productivity, and self-compassion and support an understanding of mindfulness and Cognitive Behavioral Therapy (CBT) strategies for managing attention, stress, and mood. We accept Anthem, MCHO, and MaineHealth as well as self-pay and out of network insurance. Rate is $75 for self pay.
(207) 290-8198 View (207) 290-8198
Photo of Norma Kraus-Eule Counseling and Therapy, Clinical Social Work/Therapist in Cumberland County, ME
Norma Kraus-Eule Counseling and Therapy
Clinical Social Work/Therapist, MSW, LCSW
Verified
Portland, ME 04101
I am an interested, active listener offering feedback and understanding in a nonjudgemental manner so that we can explore together the possibilities for change. I work cooperatively with the client to develop their goals thru problem solving. I believe our work together will provide solutions that can relieve stress and confusion.
I am an interested, active listener offering feedback and understanding in a nonjudgemental manner so that we can explore together the possibilities for change. I work cooperatively with the client to develop their goals thru problem solving. I believe our work together will provide solutions that can relieve stress and confusion.
(207) 358-4509 View (207) 358-4509
Photo of Tessy Seward, Counselor in Cumberland County, ME
Tessy Seward
Counselor, MS, LCPC
Verified
Are you feeling ready to shift patterns, expand awareness, and release outgrown stories? Are you looking for deeper connection with yourself and in your relationships? Are you navigating illness, the end of a relationship, a career or similar major transition? These shifts can feel overwhelming to the parts of us that have been wounded in the past, even when our core self wants to choose growth. I support people with heart-centered listening and skillful practices for way-finding in times of destabilization and change.
Are you feeling ready to shift patterns, expand awareness, and release outgrown stories? Are you looking for deeper connection with yourself and in your relationships? Are you navigating illness, the end of a relationship, a career or similar major transition? These shifts can feel overwhelming to the parts of us that have been wounded in the past, even when our core self wants to choose growth. I support people with heart-centered listening and skillful practices for way-finding in times of destabilization and change.
(207) 503-3735 View (207) 503-3735
Photo of Sue Wiley, Clinical Professional Counselor in Cumberland County, ME
Sue Wiley
Clinical Professional Counselor, MA, EdS, LCPC
Verified
3 Endorsed
Portland, ME 04103
I believe that we are all equipped with the strength to face life's challenges, but depression, anxiety, grief, loss, and other life issues can become barriers to our natural ability to overcome obstacles. At times we can all use some support in order come through these issues. My aim as a counselor is to support you to better deal with life's challenges, while respecting you as the unique individual that you are, and incorporating holistic wellness and other evidence based techniques into a healing environment.
I believe that we are all equipped with the strength to face life's challenges, but depression, anxiety, grief, loss, and other life issues can become barriers to our natural ability to overcome obstacles. At times we can all use some support in order come through these issues. My aim as a counselor is to support you to better deal with life's challenges, while respecting you as the unique individual that you are, and incorporating holistic wellness and other evidence based techniques into a healing environment.
(207) 613-2479 x156 View (207) 613-2479 x156
Photo of Sean Mitchell, Counselor in Cumberland County, ME
Sean Mitchell
Counselor, LCPC-C, NCC
Verified
1 Endorsed
Portland, ME 04101
Living your best life starts with finding and using the tools you need to build awareness, healthy habits, and a positive outlook. My name is Sean Mitchell, and I look forward to working with you, and embarking on a journey to wellness together. My approach to counseling is based on a humanistic approach that emphasizes the importance of being one's true self in order to lead the most fulfilling life. We all have our own unique ways of looking at the world and this approach involves a core belief that people are good at heart, capable of making the right choices in life and can work towards developing their full potential.
Living your best life starts with finding and using the tools you need to build awareness, healthy habits, and a positive outlook. My name is Sean Mitchell, and I look forward to working with you, and embarking on a journey to wellness together. My approach to counseling is based on a humanistic approach that emphasizes the importance of being one's true self in order to lead the most fulfilling life. We all have our own unique ways of looking at the world and this approach involves a core belief that people are good at heart, capable of making the right choices in life and can work towards developing their full potential.
(207) 421-9472 View (207) 421-9472
Photo of Donna Bann, Counselor in Cumberland County, ME
Donna Bann
Counselor, LCPC, PMH-C
Verified
6 Endorsed
Brunswick, ME 04011
Would you like to feel more calm, confident, hopeful, and energetic? Are you facing roadblocks or transitions in your relationships or family life? Would you like to become more effective at getting your needs met through self-compassion rather than self-criticism?
Would you like to feel more calm, confident, hopeful, and energetic? Are you facing roadblocks or transitions in your relationships or family life? Would you like to become more effective at getting your needs met through self-compassion rather than self-criticism?
(207) 945-8082 View (207) 945-8082
Photo of Lori Gato, Clinical Social Work/Therapist in Cumberland County, ME
Lori Gato
Clinical Social Work/Therapist, LCSW
Verified
Falmouth, ME 04105
Want a supportive space to work on your relationship or explore your personal goals? I have immediate openings for couples and individuals in-person in Falmouth or via telehealth! It is important to find a space that feels supportive and productive to make life changes, big and small. I am an experienced therapist who approaches the work with compassion and humor. I draw on my extensive experience to tailor my approach to your particular needs. I am here to support your unique goals that will improve your mental health. For couples, I offer an evidence-based relationship checkup as well as couples therapy.
Want a supportive space to work on your relationship or explore your personal goals? I have immediate openings for couples and individuals in-person in Falmouth or via telehealth! It is important to find a space that feels supportive and productive to make life changes, big and small. I am an experienced therapist who approaches the work with compassion and humor. I draw on my extensive experience to tailor my approach to your particular needs. I am here to support your unique goals that will improve your mental health. For couples, I offer an evidence-based relationship checkup as well as couples therapy.
(207) 739-8485 View (207) 739-8485
Photo of Jenna Ostrowski, Counselor in Cumberland County, ME
Jenna Ostrowski
Counselor, LCPC
Verified
Falmouth, ME 04105  (Online Only)
Does the concept of therapy scare you? I get it. Therapy is challenging, therapy can be scary, therapy can feel vulnerable...but therapy can also be healing, cathartic, freeing, and well...beautiful. My goal as a therapist is to provide my clients with a safe, comforting, and nonjudgmental space where you can be yourself as this is where the work can truly be done. During our sessions, I listen to your story, which helps me get to know you as a person rather than just a "patient". I also help my clients reflect on patterns that no longer serve them while drawing from their strengths and resiliency to make everlasting changes.
Does the concept of therapy scare you? I get it. Therapy is challenging, therapy can be scary, therapy can feel vulnerable...but therapy can also be healing, cathartic, freeing, and well...beautiful. My goal as a therapist is to provide my clients with a safe, comforting, and nonjudgmental space where you can be yourself as this is where the work can truly be done. During our sessions, I listen to your story, which helps me get to know you as a person rather than just a "patient". I also help my clients reflect on patterns that no longer serve them while drawing from their strengths and resiliency to make everlasting changes.
(207) 656-1497 View (207) 656-1497
Photo of William H. Sandberg, Psychologist in Cumberland County, ME
William H. Sandberg
Psychologist, PhD
Verified
Falmouth, ME 04105  (Online Only)
Not accepting new clients
*NOTE: I AM CURRENTLY CLOSED TO NEW REFERRALS* Welcome! I hope you are successful in your search for a clinician to address your concerns and that the information here will help with your decision. Some of my core values as a psychologist are to work openly and collaboratively with my patients. I generally work from a contemporary/relational psychoanalytic perspective. So, along with focusing on the here and now difficulties you face, I strive to understand how past experiences and relationships influence expectations about the future, and how these unconscious expectations can drive maladaptive patterns.
*NOTE: I AM CURRENTLY CLOSED TO NEW REFERRALS* Welcome! I hope you are successful in your search for a clinician to address your concerns and that the information here will help with your decision. Some of my core values as a psychologist are to work openly and collaboratively with my patients. I generally work from a contemporary/relational psychoanalytic perspective. So, along with focusing on the here and now difficulties you face, I strive to understand how past experiences and relationships influence expectations about the future, and how these unconscious expectations can drive maladaptive patterns.
(207) 358-6309 View (207) 358-6309
Photo of Nicole Firth, Clinical Social Work/Therapist in Cumberland County, ME
Nicole Firth
Clinical Social Work/Therapist, LCSW
Verified
Portland, ME 04101
Nicole is a Licensed Clinical Social worker, who earned her Master of Social work degree from the University of New England in 2013. During her previous work experience, she worked in various clinical settings focusing on medical social work, community case management, domestic violence advocacy, and counseling clients with co-occurring disorders. Recently she has worked in a hospital detox, as a Home-based Community Therapy clinician, and a Primary Therapist at a men's residential program and has over 10 years of experience. Nicole utilizes several different therapeutic approaches, but enjoys motivational interviewing the most.
Nicole is a Licensed Clinical Social worker, who earned her Master of Social work degree from the University of New England in 2013. During her previous work experience, she worked in various clinical settings focusing on medical social work, community case management, domestic violence advocacy, and counseling clients with co-occurring disorders. Recently she has worked in a hospital detox, as a Home-based Community Therapy clinician, and a Primary Therapist at a men's residential program and has over 10 years of experience. Nicole utilizes several different therapeutic approaches, but enjoys motivational interviewing the most.
(207) 819-8894 View (207) 819-8894
Photo of Susan J Levine, Clinical Social Work/Therapist in Cumberland County, ME
Susan J Levine
Clinical Social Work/Therapist, LCSW, LICSW, RYT
Verified
Yarmouth, ME 04096
Everyone's journey is unique, so I integrate a variety of modalities into my clinical practice to provide strategies that best meet your individual needs and style. I offer the tools of breath, body, mind, and narrative, teaching you to respond rather than to react. Through mind-body therapy practices along with the spirit of curiosity and creativity, I can help you gain greater clarity in your present life and cultivate more compassion towards yourself and others. Our work will be collaborative, as I believe that connection and mutual understanding best promotes healing.
Everyone's journey is unique, so I integrate a variety of modalities into my clinical practice to provide strategies that best meet your individual needs and style. I offer the tools of breath, body, mind, and narrative, teaching you to respond rather than to react. Through mind-body therapy practices along with the spirit of curiosity and creativity, I can help you gain greater clarity in your present life and cultivate more compassion towards yourself and others. Our work will be collaborative, as I believe that connection and mutual understanding best promotes healing.
(207) 613-0427 View (207) 613-0427
Photo of Laura Lutton Pollard, Clinical Social Work/Therapist in Cumberland County, ME
Laura Lutton Pollard
Clinical Social Work/Therapist, LMFT
Verified
Portland, ME 04101
Laura Lutton Pollard is a Licensed Marriage and Family Therapist practicing in Maine. She received her bachelor’s degree from New England College and obtained her master’s degree in counseling psychology with a focus in Community Mental Health at the California Institute of Integral Studies. Laura has a background in clinical counseling and clinical case management with adults and their families in managing severe mental health conditions with co-occurring substance use addiction.
Laura Lutton Pollard is a Licensed Marriage and Family Therapist practicing in Maine. She received her bachelor’s degree from New England College and obtained her master’s degree in counseling psychology with a focus in Community Mental Health at the California Institute of Integral Studies. Laura has a background in clinical counseling and clinical case management with adults and their families in managing severe mental health conditions with co-occurring substance use addiction.
(207) 705-5714 View (207) 705-5714
Photo of Paige Geraghty, Clinical Social Work/Therapist in Cumberland County, ME
Paige Geraghty
Clinical Social Work/Therapist, LCSW
Verified
Portland, ME 04103  (Online Only)
Partnering with a therapist is a unique experience, and one that I am honored you're considering me for. I find that a strengths based, solution focused approach describes my style best. I am warm yet direct and can help you identify patterns of behavior which may no longer be serving you.
Partnering with a therapist is a unique experience, and one that I am honored you're considering me for. I find that a strengths based, solution focused approach describes my style best. I am warm yet direct and can help you identify patterns of behavior which may no longer be serving you.
(646) 736-4958 View (646) 736-4958
Photo of Victoria St Louis, Counselor in Cumberland County, ME
Victoria St Louis
Counselor, LCPC-C
Verified
1 Endorsed
Scarborough, ME 04074
Not accepting new clients
You may be experiencing stressors related to relational conflicts, family of origin challenges, parenting children (especially if they have special needs), life transitions or grief and loss. You may be coping with a disability or trauma. I am passionate about collaborating with you to identify your strengths and discover how you can leverage those strengths in building solutions that are congruent with your values and goals, as well as identifying ways to increase your resilience. If you would like to explore your relationship with substances or how your family system impacts you, I would be honored to be a witness to your process.
You may be experiencing stressors related to relational conflicts, family of origin challenges, parenting children (especially if they have special needs), life transitions or grief and loss. You may be coping with a disability or trauma. I am passionate about collaborating with you to identify your strengths and discover how you can leverage those strengths in building solutions that are congruent with your values and goals, as well as identifying ways to increase your resilience. If you would like to explore your relationship with substances or how your family system impacts you, I would be honored to be a witness to your process.
(207) 656-1797 x108 View (207) 656-1797 x108
Photo of Susan Cook, Psychologist in Cumberland County, ME
Susan Cook
Psychologist, EdD
Verified
Brunswick, ME 04011
In my calm, safe, confidential office, I am currently offering HIPAA secure Online video sessions using a HIPPA-compliant secure platform or phone consultations. We integrate CDC guidelines for COVID-19 for any inperson sessions. My 25 years of clinical experience have taught me about the courage those facing complex life difficulties bring to psychotherapy. Adults, children and adolescents are given help finding solutions. Mindfulness techniques which I have discovered the value of through a 25+ year meditation practice are also of benefit to clients who are looking to make life changes.
In my calm, safe, confidential office, I am currently offering HIPAA secure Online video sessions using a HIPPA-compliant secure platform or phone consultations. We integrate CDC guidelines for COVID-19 for any inperson sessions. My 25 years of clinical experience have taught me about the courage those facing complex life difficulties bring to psychotherapy. Adults, children and adolescents are given help finding solutions. Mindfulness techniques which I have discovered the value of through a 25+ year meditation practice are also of benefit to clients who are looking to make life changes.
(207) 747-3831 View (207) 747-3831
Photo of Christina Fay, Clinical Social Work/Therapist in Cumberland County, ME
Christina Fay
Clinical Social Work/Therapist, LCSW
Verified
Portland, ME 04102
Not accepting new clients
Sometimes it helps to shift our perspective, even slightly. What we have been doing is comfortable, but not necessarily effective. People are full of life and strength and vigor; and they are the primary architects for their happiness. Things that happen to us that aren't our fault, and we still have to resolve them anyway. Counseling can help make the perspective shift, and uncover the life, strength and vigor in all of us. I exclusively provide comprehensive DBT or DBT Complex Trauma models.
Sometimes it helps to shift our perspective, even slightly. What we have been doing is comfortable, but not necessarily effective. People are full of life and strength and vigor; and they are the primary architects for their happiness. Things that happen to us that aren't our fault, and we still have to resolve them anyway. Counseling can help make the perspective shift, and uncover the life, strength and vigor in all of us. I exclusively provide comprehensive DBT or DBT Complex Trauma models.
(207) 618-8981 View (207) 618-8981
Photo of Dr. Jeff J. Rocker, Counselor in Cumberland County, ME
Dr. Jeff J. Rocker
Counselor, PhD, NCC, LPC, LMHC, LCPC
Verified
Portland, ME 04101
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 22 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 22 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
(207) 962-1355 View (207) 962-1355
Photo of Monique Rafuse, Counselor in Cumberland County, ME
Monique Rafuse
Counselor, LCPC, CADC
Verified
Portland, ME 04101
Not accepting new clients
Counseling is a process, not an end goal; and it’s a process by which challenges can be defined, addressed, and worked on. It’s a process that brings a therapist and a client into safe and confidential relationship built on trust and authenticity. The counselor encourages strength and establishes hope for real change through connection and exploration. We consider choices, challenges, and triumphs together, recognizing that while difficult, change is the vehicle we sometimes need to reach our destination or desired goal.
Counseling is a process, not an end goal; and it’s a process by which challenges can be defined, addressed, and worked on. It’s a process that brings a therapist and a client into safe and confidential relationship built on trust and authenticity. The counselor encourages strength and establishes hope for real change through connection and exploration. We consider choices, challenges, and triumphs together, recognizing that while difficult, change is the vehicle we sometimes need to reach our destination or desired goal.
(207) 558-1814 View (207) 558-1814
Photo of L.anna Rutherford, Counselor in Cumberland County, ME
L.anna Rutherford
Counselor, LCPC
Verified
Portland, ME 04101
L. Anna Rutherford, LCPC L. Anna Rutherford is a Licensed Clinical Professional Counselor in Maine who has been practicing since 2010. L. Anna helps clients with self-care, calming and de-escalation skills, communication skills, personal insight, accepting issues and concerns, letting go of perseveration of thoughts, evolving choices and goals, self-advocacy, and in the moment skill use. Outside of work, L. Anna enjoys silent walking for meditation/exercise and personal physical and emotional health, reading, going to the ocean daily, enjoying the sights, and viewing animals in their native habitats.
L. Anna Rutherford, LCPC L. Anna Rutherford is a Licensed Clinical Professional Counselor in Maine who has been practicing since 2010. L. Anna helps clients with self-care, calming and de-escalation skills, communication skills, personal insight, accepting issues and concerns, letting go of perseveration of thoughts, evolving choices and goals, self-advocacy, and in the moment skill use. Outside of work, L. Anna enjoys silent walking for meditation/exercise and personal physical and emotional health, reading, going to the ocean daily, enjoying the sights, and viewing animals in their native habitats.
(207) 426-4723 View (207) 426-4723
Photo of Pine Tree Recovery Center, Drug & Alcohol Counselor in Cumberland County, ME
Pine Tree Recovery Center
Drug & Alcohol Counselor, LDAC
Verified
Portland, ME 04103
Pine Tree Recovery Center utilizes a combination of evidence-based practices and holistic methods to provide an individualized recovery experience that is tailored to each patient’s unique situation. The disease of chemical dependency can strike anyone, regardless of age, gender, education, or socioeconomic status. Pine Tree Recovery Center is here to help people redirect themselves out of that negative trajectory and successfully enter a new life free from addiction.
Pine Tree Recovery Center utilizes a combination of evidence-based practices and holistic methods to provide an individualized recovery experience that is tailored to each patient’s unique situation. The disease of chemical dependency can strike anyone, regardless of age, gender, education, or socioeconomic status. Pine Tree Recovery Center is here to help people redirect themselves out of that negative trajectory and successfully enter a new life free from addiction.
(207) 600-2832 View (207) 600-2832

See more therapy options for Cumberland County

How does your Therapist compare?

Number of Therapists in Cumberland County, ME

1,000+

Average cost per session

$130

Therapists in Cumberland County, ME who prioritize treating:

92% Anxiety
85% Depression
76% Relationship Issues
72% Self Esteem
70% Trauma and PTSD
67% Coping Skills
65% Life Transitions

Average years in practice

14 Years

Top 3 insurances accepted

65% Anthem | Elevance
59% BlueCross and BlueShield
55% UnitedHealthcare UHC | UBH

How Therapists in Cumberland County, ME see their clients

67% In Person and Online
33% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Cumberland County?

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.