Therapists in North Tonawanda, NY

Photo of Justin Higgins, Clinical Social Work/Therapist in North Tonawanda, NY
Justin Higgins
Clinical Social Work/Therapist, LCSW-R
Verified Verified
5 Endorsed
North Tonawanda, NY 14120
Current openings. www.jhigginscounseling.com/contact to request a free telephone consultation. Do you ever feel stuck? Find yourself worrying about the future? Or find yourself dwelling on or re-living events from the past? What about comparing yourself to others, or criticizing yourself or those around you? Maybe creating rules for yourself that feel limiting? You may have tried to solve these problems by getting rid of them, avoiding them, outsmarting them, or overpowering them. While natural, it's often unhelpful with thoughts, feelings, memories, sensations, and urges.
Current openings. www.jhigginscounseling.com/contact to request a free telephone consultation. Do you ever feel stuck? Find yourself worrying about the future? Or find yourself dwelling on or re-living events from the past? What about comparing yourself to others, or criticizing yourself or those around you? Maybe creating rules for yourself that feel limiting? You may have tried to solve these problems by getting rid of them, avoiding them, outsmarting them, or overpowering them. While natural, it's often unhelpful with thoughts, feelings, memories, sensations, and urges.
(716) 202-2900 View (716) 202-2900
Photo of Nina M Maines, Clinical Social Work/Therapist in North Tonawanda, NY
Nina M Maines
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
North Tonawanda, NY 14120
Not accepting new clients
When we talk about our feelings, they become less overwhelming, less upsetting, and less scary. - Fred Rogers
When we talk about our feelings, they become less overwhelming, less upsetting, and less scary. - Fred Rogers
(716) 271-7344 View (716) 271-7344
Photo of Heart's Desire Hypnosis in North Tonawanda, NY
Heart's Desire Hypnosis
CH, CHC
Verified Verified
North Tonawanda, NY 14120
I have named my practice Heart's Desire Hypnosis because I love to help people fulfill their hearts' desires and see their lives transform for the better. I use hypnosis and other modalities (Sound, EFT, NLP, Hypno-waving, guided visualization and mindfulness meditation, Qigong) to help my clients overcome obstacles to their health and happiness. The most common hypnotic applications are smoking cessation, physical and emotional weight release, stress management, meditation instruction, healing from grief and trauma, and intentional living coaching.
I have named my practice Heart's Desire Hypnosis because I love to help people fulfill their hearts' desires and see their lives transform for the better. I use hypnosis and other modalities (Sound, EFT, NLP, Hypno-waving, guided visualization and mindfulness meditation, Qigong) to help my clients overcome obstacles to their health and happiness. The most common hypnotic applications are smoking cessation, physical and emotional weight release, stress management, meditation instruction, healing from grief and trauma, and intentional living coaching.
(716) 312-4999 View (716) 312-4999
Photo of Teresa L Weston, Art Therapist in North Tonawanda, NY
Teresa L Weston
Art Therapist, MS, LCAT, ATR-BC
Verified Verified
1 Endorsed
North Tonawanda, NY 14120
Creatively facilitating a safe and therapeutic environment for youth and adults, with a focus on trauma; using Art Therapy, EMDR and talk therapy, both online and in person. Art Therapy and EMDR are highly effective ways of expression for many who have experienced trauma and have mental health concerns. I believe that building rapport and trust is one of the most important parts of the therapeutic relationship.
Creatively facilitating a safe and therapeutic environment for youth and adults, with a focus on trauma; using Art Therapy, EMDR and talk therapy, both online and in person. Art Therapy and EMDR are highly effective ways of expression for many who have experienced trauma and have mental health concerns. I believe that building rapport and trust is one of the most important parts of the therapeutic relationship.
(716) 393-2941 View (716) 393-2941
Photo of Jolynn Feagin, Clinical Social Work/Therapist in North Tonawanda, NY
Jolynn Feagin
Clinical Social Work/Therapist, LCSW-R
Verified Verified
North Tonawanda, NY 14120
I understand the importance of integrating not only evidenced based interventions, but also compassion into the counseling relationship. I am an experienced clinical therapist with almost ten years of experience. My career began in substance abuse and then transitioned into serving individuals with mental health challenges. I use a number of strategies to help individuals achieve their goal with a few tactics as examining how perceptions impact problem behaviors, exploring how childhood events impact current functioning & coping as an adult and working to develop tools for improvement of emotional regulation. I also provide Christian counseling to those who are interested.
I understand the importance of integrating not only evidenced based interventions, but also compassion into the counseling relationship. I am an experienced clinical therapist with almost ten years of experience. My career began in substance abuse and then transitioned into serving individuals with mental health challenges. I use a number of strategies to help individuals achieve their goal with a few tactics as examining how perceptions impact problem behaviors, exploring how childhood events impact current functioning & coping as an adult and working to develop tools for improvement of emotional regulation. I also provide Christian counseling to those who are interested.
(585) 481-8422 View (585) 481-8422
Photo of Anna W McCarthy, Creative Arts Therapist in North Tonawanda, NY
Anna W McCarthy
Creative Arts Therapist, LCAT
Verified Verified
1 Endorsed
North Tonawanda, NY 14120
Not accepting new clients
Hey there, my name is Anna. Have you been looking for a new approach to therapy? As an art therapist, I can help you slow down, explore and express yourself creatively (no artistic experience necessary), and be witness as you rediscover your brilliant, insightful and authentic self. Whether you choose to use art in our sessions or not, I am here to hold space for your big emotions, encourage you to express them, witness your growth, and celebrate in your wins. I will help you get back in touch with yourself, where all your answers are.
Hey there, my name is Anna. Have you been looking for a new approach to therapy? As an art therapist, I can help you slow down, explore and express yourself creatively (no artistic experience necessary), and be witness as you rediscover your brilliant, insightful and authentic self. Whether you choose to use art in our sessions or not, I am here to hold space for your big emotions, encourage you to express them, witness your growth, and celebrate in your wins. I will help you get back in touch with yourself, where all your answers are.
(716) 271-3657 View (716) 271-3657
Photo of Laurie Krull, Clinical Social Work/Therapist in North Tonawanda, NY
Laurie Krull
Clinical Social Work/Therapist, LCSW-R
Verified Verified
North Tonawanda, NY 14120
I have a passion for walking alongside individuals and families as they strive to live rich, fulfilling lives. Since 2000, I have been providing Dyadic Developmental Psychotherapy to children struggling with attachment sensitivities. As part of of treating children with attachment issues, I have also developed strategies for addressing many of the challenges that often exist alongside attachment problems such as anxiety, depression, bipolar disorder, sensory issues and executive function delays. I find great joy watching children and families find a way forward to a place of hope and joy. I also offer counseling for Christians interested in christian counseling.
I have a passion for walking alongside individuals and families as they strive to live rich, fulfilling lives. Since 2000, I have been providing Dyadic Developmental Psychotherapy to children struggling with attachment sensitivities. As part of of treating children with attachment issues, I have also developed strategies for addressing many of the challenges that often exist alongside attachment problems such as anxiety, depression, bipolar disorder, sensory issues and executive function delays. I find great joy watching children and families find a way forward to a place of hope and joy. I also offer counseling for Christians interested in christian counseling.
(716) 261-2446 View (716) 261-2446
Photo of Lisa Allan Horlein, Art Therapist in North Tonawanda, NY
Lisa Allan Horlein
Art Therapist, LCAT, ATR-BC
Verified Verified
1 Endorsed
North Tonawanda, NY 14120
I believe we all want to live a life worth living. If you are struggling in life, feeling stuck, finding it difficult to manage your emotions, paralyzed by fear, or not understanding why you can't let go of the past, I can help. As a Licensed Creative Arts Therapist, I have extensive training and experience integrating evidence based talk therapy interventions with the creative process, which has the potential to be intrinsically healing and therapeutic.
I believe we all want to live a life worth living. If you are struggling in life, feeling stuck, finding it difficult to manage your emotions, paralyzed by fear, or not understanding why you can't let go of the past, I can help. As a Licensed Creative Arts Therapist, I have extensive training and experience integrating evidence based talk therapy interventions with the creative process, which has the potential to be intrinsically healing and therapeutic.
(716) 710-9628 View (716) 710-9628
Photo of Erin Matecki`, Mental Health Counselor in North Tonawanda, NY
Erin Matecki`
Mental Health Counselor, LMHC
Verified Verified
North Tonawanda, NY 14120  (Online Only)
First and foremost, I know that it takes courage to reach out to talk to someone, and I am glad you have found this page. More than anything, I hope to help my clients navigate their paths in life and find the happiness they want and deserve. I especially enjoy working with females as they explore the ups and downs of everyday life. I have a special interest and skill set in working with women with Perinatal Mood Disorders and various life transitions. As mother myself, I know it can be hard to reach out. Life gets busy, but it's always important to make time for yourself.
First and foremost, I know that it takes courage to reach out to talk to someone, and I am glad you have found this page. More than anything, I hope to help my clients navigate their paths in life and find the happiness they want and deserve. I especially enjoy working with females as they explore the ups and downs of everyday life. I have a special interest and skill set in working with women with Perinatal Mood Disorders and various life transitions. As mother myself, I know it can be hard to reach out. Life gets busy, but it's always important to make time for yourself.
(716) 293-2738 View (716) 293-2738
Photo of Peace, Love, & Counseling by Fran - Francis A. Bax, Counselor in North Tonawanda, NY
Peace, Love, & Counseling by Fran - Francis A. Bax
Counselor, MS, LMHC, LPC, CASAC-M
Verified Verified
North Tonawanda, NY 14120  (Online Only)
I am a Licensed Mental Health Counselor in New York State and a Licensed Professional Counselor in Nevada with over 25 years of clinical experience in behavioral health counseling. I’ve worked with individuals dealing with chemical dependency, mental health issues and co-occurring disorders. I work with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD. I help people who have experienced physical trauma and emotional abuse. I work with athletes to help them improve their sports performance and mental framework.
I am a Licensed Mental Health Counselor in New York State and a Licensed Professional Counselor in Nevada with over 25 years of clinical experience in behavioral health counseling. I’ve worked with individuals dealing with chemical dependency, mental health issues and co-occurring disorders. I work with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD. I help people who have experienced physical trauma and emotional abuse. I work with athletes to help them improve their sports performance and mental framework.
(716) 219-0152 View (716) 219-0152
Photo of Erin Fritz, Clinical Social Work/Therapist in North Tonawanda, NY
Erin Fritz
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
North Tonawanda, NY 14120
Enduring your own mental health and addiction can be exhausting, and loving someone with these issues can leave us feeling powerless. No matter the journey you are facing, you do not have to face it alone. Overcoming your mental health, addiction or finding control within chaos is an option with the proper support, skills, and evidenced based therapies.
Enduring your own mental health and addiction can be exhausting, and loving someone with these issues can leave us feeling powerless. No matter the journey you are facing, you do not have to face it alone. Overcoming your mental health, addiction or finding control within chaos is an option with the proper support, skills, and evidenced based therapies.
(716) 703-2520 View (716) 703-2520
Photo of Trish Brydalski, Clinical Social Work/Therapist in North Tonawanda, NY
Trish Brydalski
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Tonawanda, NY 14120
Current evening and weekend openings! Navigating life’s day to day challenges can be difficult at times. Circumstances and relationships can be complicated and bring about feelings of anxiousness, sadness or just being unsure of what to do next. Trying to navigate these challenges on our own can often leave us feeling overwhelmed and alone. Therapy can be an effective tool that provides the support you need to help you find balance, gain insight, build confidence and feel empowered to develop new skills and make positive changes.
Current evening and weekend openings! Navigating life’s day to day challenges can be difficult at times. Circumstances and relationships can be complicated and bring about feelings of anxiousness, sadness or just being unsure of what to do next. Trying to navigate these challenges on our own can often leave us feeling overwhelmed and alone. Therapy can be an effective tool that provides the support you need to help you find balance, gain insight, build confidence and feel empowered to develop new skills and make positive changes.
(716) 202-2900 View (716) 202-2900
Photo of Maureen Diane Gerwitz, Clinical Social Work/Therapist in North Tonawanda, NY
Maureen Diane Gerwitz
Clinical Social Work/Therapist, LCSW-R, MSW
Verified Verified
North Tonawanda, NY 14120
I have had the pleasure of working in this field for more than 35 years and have found that no problem is too big, peace is a position of power, and change is another word for refine/revise/adapt. My favorite quote is: "You have to fall in love with your life." Counseling is a way to learn the barriers to doing this, the tools and techniques for doing so, and shifts in beliefs needed to attain the trickle down effect from this. Clients with whom I work often are seeking shifts in their life/spiritual view, focus, behaviors and coping skills.
I have had the pleasure of working in this field for more than 35 years and have found that no problem is too big, peace is a position of power, and change is another word for refine/revise/adapt. My favorite quote is: "You have to fall in love with your life." Counseling is a way to learn the barriers to doing this, the tools and techniques for doing so, and shifts in beliefs needed to attain the trickle down effect from this. Clients with whom I work often are seeking shifts in their life/spiritual view, focus, behaviors and coping skills.
(716) 330-2932 View (716) 330-2932
Photo of Jenna Cirbus, Counselor in North Tonawanda, NY
Jenna Cirbus
Counselor, LMHC
Verified Verified
2 Endorsed
North Tonawanda, NY 14120  (Online Only)
Have you been feeling overwhelmed by life or that you are just passively existing? Has it been difficult to let go of a traumatic event? Do you experience general feelings of fear, panic attacks, irritability, insomnia, fatigue, lack of interest in activities, or negative self-talk? Have your symptoms kept you from going to work, school or social functions? We can work together to get you feeling and functioning better.
Have you been feeling overwhelmed by life or that you are just passively existing? Has it been difficult to let go of a traumatic event? Do you experience general feelings of fear, panic attacks, irritability, insomnia, fatigue, lack of interest in activities, or negative self-talk? Have your symptoms kept you from going to work, school or social functions? We can work together to get you feeling and functioning better.
(716) 869-6495 View (716) 869-6495
Photo of Bryna R. May, Counselor in North Tonawanda, NY
Bryna R. May
Counselor, LPC, LMHC, CSAC, CSOTP
Verified Verified
2 Endorsed
North Tonawanda, NY 14120
Not accepting new clients
To be seen and known by others is an incredible feeling of connection but it means being authentic and vulnerable. Sadly, we live in a time with the illusion of connection while being more disconnected than ever. You may feel disconnected from others and even from yourself. Though you are a gift to this world, it is often blocked and unexpressed. This may leave you feeling alone and invisible. The truth is, you may be starving for deeper connection and that starvation looks like depression, anxiety, stress, and more. When you are living disconnected, you are abandoning yourself.
To be seen and known by others is an incredible feeling of connection but it means being authentic and vulnerable. Sadly, we live in a time with the illusion of connection while being more disconnected than ever. You may feel disconnected from others and even from yourself. Though you are a gift to this world, it is often blocked and unexpressed. This may leave you feeling alone and invisible. The truth is, you may be starving for deeper connection and that starvation looks like depression, anxiety, stress, and more. When you are living disconnected, you are abandoning yourself.
(716) 869-0074 View (716) 869-0074
Photo of Shannon Baehr, Clinical Social Work/Therapist in North Tonawanda, NY
Shannon Baehr
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Tonawanda, NY 14120
Welcome! I am a trauma-informed and patient-centered therapist; trained in EMDR and specialize in trauma, perinatal mental health and mood disorders. I enjoy working with women, adults and young adults on managing mental health, life transitions, and improving relationships with themselves and others. I am passionate about helping people develop insight and awareness, as well as exploring how to break through negative patterns in order to live a more fulfilling and happier life. I am accepting new clients and accept private pay as well as United, Univera, Aetna, Oscar, Oxford, Cigna, Fidelis, Highmark BCBS and Independent Health.
Welcome! I am a trauma-informed and patient-centered therapist; trained in EMDR and specialize in trauma, perinatal mental health and mood disorders. I enjoy working with women, adults and young adults on managing mental health, life transitions, and improving relationships with themselves and others. I am passionate about helping people develop insight and awareness, as well as exploring how to break through negative patterns in order to live a more fulfilling and happier life. I am accepting new clients and accept private pay as well as United, Univera, Aetna, Oscar, Oxford, Cigna, Fidelis, Highmark BCBS and Independent Health.
(716) 354-8759 View (716) 354-8759
Photo of Erin Koprevich, Clinical Social Work/Therapist in North Tonawanda, NY
Erin Koprevich
Clinical Social Work/Therapist, CRC, LCSW-R
Verified Verified
2 Endorsed
North Tonawanda, NY 14120
Counseling varies depending on the personality of both the therapist and the client and the particular problems that you may be experiencing. I want to help you address the problems you hope to address. Often this includes building skills to: reduce feelings of distress, improve relationships, communication with others, and/or to resolve difficult personal issues. In order for therapy to be most successful, you will be asked to work on things we talk about both during our sessions and at home.
Counseling varies depending on the personality of both the therapist and the client and the particular problems that you may be experiencing. I want to help you address the problems you hope to address. Often this includes building skills to: reduce feelings of distress, improve relationships, communication with others, and/or to resolve difficult personal issues. In order for therapy to be most successful, you will be asked to work on things we talk about both during our sessions and at home.
(716) 573-7026 View (716) 573-7026
Photo of Anna Marie Skop, Counselor in North Tonawanda, NY
Anna Marie Skop
Counselor, MS, LMHC
Verified Verified
North Tonawanda, NY 14120
Not accepting new clients
I am a trilingual Licensed Mental Health Therapist (English,French, Spanish) with experience working with children, adolescents and adults. I am trained in trauma resolution, CBT, and DBT. I have been practicing for over 14 years in various clinical and school settings, you can be certain that I will be a great source of support for referrals and advocacy needs. I am a solution-focused, person centered, strength-based and goal focused therapist. I use mostly evidence based practice therapy but my approach is holistic. Because I am solely working at my private practice, you can expect flexible individualized treatment.
I am a trilingual Licensed Mental Health Therapist (English,French, Spanish) with experience working with children, adolescents and adults. I am trained in trauma resolution, CBT, and DBT. I have been practicing for over 14 years in various clinical and school settings, you can be certain that I will be a great source of support for referrals and advocacy needs. I am a solution-focused, person centered, strength-based and goal focused therapist. I use mostly evidence based practice therapy but my approach is holistic. Because I am solely working at my private practice, you can expect flexible individualized treatment.
(716) 708-4595 View (716) 708-4595
Photo of Timothy M Pieczonka, Counselor in North Tonawanda, NY
Timothy M Pieczonka
Counselor, LMHC
Verified Verified
North Tonawanda, NY 14120
We all face changes in our daily lives, it just depends on where those challenges come from and how you handle them. Sometimes family, friends or other areas cause one to struggle and seek guidance. Other times it is about improving a break-down in communication between parent and child, by improving interactions and communication. I understand the importance of setting reasonable expectations and helping the family to reach success as quickly as possible. I am a skilled therapist, with over ten years of experience, offering a safe place to explore challenges and make potential life changes.
We all face changes in our daily lives, it just depends on where those challenges come from and how you handle them. Sometimes family, friends or other areas cause one to struggle and seek guidance. Other times it is about improving a break-down in communication between parent and child, by improving interactions and communication. I understand the importance of setting reasonable expectations and helping the family to reach success as quickly as possible. I am a skilled therapist, with over ten years of experience, offering a safe place to explore challenges and make potential life changes.
(716) 293-0035 View (716) 293-0035
Photo of Jessica Allen, Clinical Social Work/Therapist in North Tonawanda, NY
Jessica Allen
Clinical Social Work/Therapist, LCSW
Verified Verified
North Tonawanda, NY 14120  (Online Only)
I strive to meet my clients where they are at without judgment or expectation; to offer a guiding light in the storms of life and provide a safe harbor. My approach to therapy is to provide individuals with a person-centered and strengths-based partnership grounded in trauma-informed evidence-based practices.
I strive to meet my clients where they are at without judgment or expectation; to offer a guiding light in the storms of life and provide a safe harbor. My approach to therapy is to provide individuals with a person-centered and strengths-based partnership grounded in trauma-informed evidence-based practices.
(716) 687-0288 View (716) 687-0288

See more therapy options for North Tonawanda

How does your Therapist compare?

Number of Therapists in North Tonawanda, NY

30+

Average cost per session

$120

Therapists in North Tonawanda, NY who prioritize treating:

94% Anxiety
85% Depression
82% Coping Skills
82% Self Esteem
76% Relationship Issues
71% Grief
68% Trauma and PTSD

Average years in practice

17 Years

Top 3 insurances accepted

63% Independent Health
57% Cigna and Evernorth
53% Aetna

How Therapists in North Tonawanda, NY see their clients

83% In Person and Online
17% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in North Tonawanda?

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.