Therapists in Bedford, NH

Photo of Jennifer E Yebba, Counselor in Bedford, NH
Jennifer E Yebba
Counselor, LCMHC, MLADC
Verified Verified
Bedford, NH 03110
I am a licensed LCMHC and MLADC in the state of NH. I work with individuals who are experiencing anxiety, depression, and/or struggling to get through past traumas. In addition, I specialize in working with individuals who have substance and alcohol addictions and/or are seeking to maintain long-term recovery. I use a person-centered approach to therapy to best serve the individual and help them achieve their greatest outcome.
I am a licensed LCMHC and MLADC in the state of NH. I work with individuals who are experiencing anxiety, depression, and/or struggling to get through past traumas. In addition, I specialize in working with individuals who have substance and alcohol addictions and/or are seeking to maintain long-term recovery. I use a person-centered approach to therapy to best serve the individual and help them achieve their greatest outcome.
(978) 308-2193 View (978) 308-2193
Photo of Molly Mizula, Counselor in Bedford, NH
Molly Mizula
Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Bedford, NH 03110
Finding peace and calm in the anxieties that surround you can be an overwhelming challenge. Do you desire to improve your relationships and ease the impact of daily stress in your life? I can walk with you on a path of empowerment in making needed changes. My hope is that you will feel empowered, validated, and accepted as you work toward change. Developing coping skills using evidence based practices helps guide our progress together.
Finding peace and calm in the anxieties that surround you can be an overwhelming challenge. Do you desire to improve your relationships and ease the impact of daily stress in your life? I can walk with you on a path of empowerment in making needed changes. My hope is that you will feel empowered, validated, and accepted as you work toward change. Developing coping skills using evidence based practices helps guide our progress together.
(844) 708-3067 View (844) 708-3067
Photo of Emily Foskitt, Pre-Licensed Professional in Bedford, NH
Emily Foskitt
Pre-Licensed Professional, CMHC
Verified Verified
2 Endorsed
Bedford, NH 03110
Waitlist for new clients
It is never easy to make the decision for change in one’s life and coming to counseling is no exception. While the present is the time to make changes and take action to improve one’s well-being, it can also be important to examine our pasts and how they may influence our beliefs and behaviors today. In sessions, we will work towards a deeper understanding of yourself as an individual and use that to find what may work for you. My passion is in working with individuals who have experienced different types of traumas, individuals in the LGBTQIA+ community, and those experiencing major life changes.
It is never easy to make the decision for change in one’s life and coming to counseling is no exception. While the present is the time to make changes and take action to improve one’s well-being, it can also be important to examine our pasts and how they may influence our beliefs and behaviors today. In sessions, we will work towards a deeper understanding of yourself as an individual and use that to find what may work for you. My passion is in working with individuals who have experienced different types of traumas, individuals in the LGBTQIA+ community, and those experiencing major life changes.
(603) 722-0533 View (603) 722-0533
Photo of Sage Counseling - Hannah Karamanoogian, Counselor in Bedford, NH
Sage Counseling - Hannah Karamanoogian
Counselor, MA, LCMHC, ATR-BC
Verified Verified
2 Endorsed
Bedford, NH 03110
NOTICE <>Limited Daytime Weekday Openings<>After School on Waitlist<> . . . Struggling to manage your worries? Racing thoughts holding you back? Navigating anxiety on your own can be a challenge. Effectively managing thoughts & feelings is a skill that can be learned & practiced. As a Licensed Clinical Mental Health Counselor and Board Certified Art Therapist I look forward to supporting you in successfully implementing these skills in your life so that you can thrive. I have over a decade of experience helping others manage anxiety, stress, and OCD. I offer in-person sessions in NH, and telehealth for persons in NH, MA, VT, & FL.
NOTICE <>Limited Daytime Weekday Openings<>After School on Waitlist<> . . . Struggling to manage your worries? Racing thoughts holding you back? Navigating anxiety on your own can be a challenge. Effectively managing thoughts & feelings is a skill that can be learned & practiced. As a Licensed Clinical Mental Health Counselor and Board Certified Art Therapist I look forward to supporting you in successfully implementing these skills in your life so that you can thrive. I have over a decade of experience helping others manage anxiety, stress, and OCD. I offer in-person sessions in NH, and telehealth for persons in NH, MA, VT, & FL.
(603) 803-6057 View (603) 803-6057
Photo of Rachel Hagen, Clinical Social Work/Therapist in Bedford, NH
Rachel Hagen
Clinical Social Work/Therapist, LICSW
Verified Verified
Bedford, NH 03110
Rachel Hagen (she/her) is a Licensed Independent Clinical Social Worker licensed in Massachusetts and New Hampshire. Rachel earned her B.A. from St. Bonaventure University in 2008 and her MSW from University of New Hampshire in 2014. Rachel has over a decade experience specializing in depression, anxiety, trauma, mood disorders, and co-occurring substance use disorders. Rachel has worked with children and adults from age 5 to 85, and utilizes an integrated approach tailored to meet each individuals' unique needs.
Rachel Hagen (she/her) is a Licensed Independent Clinical Social Worker licensed in Massachusetts and New Hampshire. Rachel earned her B.A. from St. Bonaventure University in 2008 and her MSW from University of New Hampshire in 2014. Rachel has over a decade experience specializing in depression, anxiety, trauma, mood disorders, and co-occurring substance use disorders. Rachel has worked with children and adults from age 5 to 85, and utilizes an integrated approach tailored to meet each individuals' unique needs.
(603) 825-6141 View (603) 825-6141
Photo of Cheryl A Laurenza, Counselor in Bedford, NH
Cheryl A Laurenza
Counselor, LCMHC, NCC, ACS, CPCS, LPC
Verified Verified
Bedford, NH 03110  (Online Only)
Are you struggling with Anxiety or Depression? Life transitions, Losses, Relationship in trouble? Feeling alone? There is hope. I work with clients to id problems, and focus on where they started as well as tools to help in the here and now. I've worked with individuals, adults, 21 and up, as well as couples to help them on their journey. Depression, Anxiety, Low Self Esteem, Affair Recovery, Childhood Sexual Abuse, Shame, and others,Call today! Times are difficult, don’t suffer in silence alone. Please expect new requests to be answered in 48+ hours or more.
Are you struggling with Anxiety or Depression? Life transitions, Losses, Relationship in trouble? Feeling alone? There is hope. I work with clients to id problems, and focus on where they started as well as tools to help in the here and now. I've worked with individuals, adults, 21 and up, as well as couples to help them on their journey. Depression, Anxiety, Low Self Esteem, Affair Recovery, Childhood Sexual Abuse, Shame, and others,Call today! Times are difficult, don’t suffer in silence alone. Please expect new requests to be answered in 48+ hours or more.
(603) 236-7509 View (603) 236-7509
Photo of Nick Pigeon, Clinical Social Work/Therapist in Bedford, NH
Nick Pigeon
Clinical Social Work/Therapist, LICSW
Verified Verified
7 Endorsed
Bedford, NH 03110
Nick Pigeon emphasizes a holistic, individualized approach. Individuals will set specific and personalized goals around their therapy and coaching experiences. We offer many cutting edge styles, such as DBT & IFS. My clients are looking to improve their well-being through all-around wellness and goal-setting. If I am unable to personally take your case, I am happy to discuss other options for you.
Nick Pigeon emphasizes a holistic, individualized approach. Individuals will set specific and personalized goals around their therapy and coaching experiences. We offer many cutting edge styles, such as DBT & IFS. My clients are looking to improve their well-being through all-around wellness and goal-setting. If I am unable to personally take your case, I am happy to discuss other options for you.
(603) 207-3493 View (603) 207-3493
Photo of True North Healing Center, Clinical Social Work/Therapist in Bedford, NH
True North Healing Center
Clinical Social Work/Therapist, LICSW
Verified Verified
Bedford, NH 03110
You must find the place inside yourself where nothing is impossible - Deepak Chopra. Healing emotional wounds is no easy feat and it takes bravery to initiate the process of healing. Whether it is PTSD, Anxiety, Depression, Substance Use, Eating Disorders, or more, you are no longer alone and therapists at True North Healing Center are here to help guide you to a more healed version of yourself, the true you. To learn more about our therapists please visit www.truenorthhealingcenter.com or contact us via this page!
You must find the place inside yourself where nothing is impossible - Deepak Chopra. Healing emotional wounds is no easy feat and it takes bravery to initiate the process of healing. Whether it is PTSD, Anxiety, Depression, Substance Use, Eating Disorders, or more, you are no longer alone and therapists at True North Healing Center are here to help guide you to a more healed version of yourself, the true you. To learn more about our therapists please visit www.truenorthhealingcenter.com or contact us via this page!
(603) 825-4885 View (603) 825-4885
Photo of Heather Torrens, Marriage & Family Therapist in Bedford, NH
Heather Torrens
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Bedford, NH 03110
My name is Heather and I am a licensed marriage and family therapist in Bedford, NH. I specialize in working with teens, families, couples and adults. My job is to cultivate and foster a safe and secure environment where my clients are free to talk about, process, and manage any life stressors, past, present or future in order to improve their overall quality of life and live happier, healthier and more productive lives. I believe in a client-centered, systemic approach to therapy and integrate the client’s biopsychosocial factors into treatment as well as coordinating care between mental and physical health care providers.
My name is Heather and I am a licensed marriage and family therapist in Bedford, NH. I specialize in working with teens, families, couples and adults. My job is to cultivate and foster a safe and secure environment where my clients are free to talk about, process, and manage any life stressors, past, present or future in order to improve their overall quality of life and live happier, healthier and more productive lives. I believe in a client-centered, systemic approach to therapy and integrate the client’s biopsychosocial factors into treatment as well as coordinating care between mental and physical health care providers.
(978) 226-8025 View (978) 226-8025
Photo of Ralph Sperry, Psychologist in Bedford, NH
Ralph Sperry
Psychologist, PhD
Verified Verified
Bedford, NH 03110
Dr Ralph Sperry is a Licensed and Board Certified Clinical Psychologist. He has 30 years experience as the senior leading clinician in large behavioral health organizations and hospitals. He treats a wide range of mental health and substance use disorders with patients of all ages.
Dr Ralph Sperry is a Licensed and Board Certified Clinical Psychologist. He has 30 years experience as the senior leading clinician in large behavioral health organizations and hospitals. He treats a wide range of mental health and substance use disorders with patients of all ages.
(888) 491-5017 View (888) 491-5017
Photo of LaTosha Jackson, Clinical Social Work/Therapist in Bedford, NH
LaTosha Jackson
Clinical Social Work/Therapist, LICSW
Verified Verified
Bedford, NH 03110  (Online Only)
Life is hard. It did not come with a manual so we would know what to do when we are struggling. Knowing that there are people out there that can help is what makes therapy so important. I’ve had the pleasure of working with individuals, professionals, and families to address different mental health illnesses for the past five years. I believe that the best kind of therapy is one in which I work with you to identify your goals in life, utilize your strengths, and come up with a plan to make your best self a reality.
Life is hard. It did not come with a manual so we would know what to do when we are struggling. Knowing that there are people out there that can help is what makes therapy so important. I’ve had the pleasure of working with individuals, professionals, and families to address different mental health illnesses for the past five years. I believe that the best kind of therapy is one in which I work with you to identify your goals in life, utilize your strengths, and come up with a plan to make your best self a reality.
(531) 208-1653 View (531) 208-1653
Photo of Carolyn Breaud, Marriage & Family Therapist in Bedford, NH
Carolyn Breaud
Marriage & Family Therapist, LMFT
Verified Verified
Bedford, NH 03110
If you've never had therapy before, you may be imagining a silent, clinical note-taker who may not truly understand your perspective. I want to be the therapist to change that for you. My interactive, laid-back, upfront style helps my clients feel at ease. Alfred Adler, an early pioneer of psychotherapy says, "Empathy is seeing with the eyes of another, listening with the ears of another and feeling with the heart of another." This best describes my approach to therapy. I have a natural authentic interest in the stories of others and the experiences they bring in.
If you've never had therapy before, you may be imagining a silent, clinical note-taker who may not truly understand your perspective. I want to be the therapist to change that for you. My interactive, laid-back, upfront style helps my clients feel at ease. Alfred Adler, an early pioneer of psychotherapy says, "Empathy is seeing with the eyes of another, listening with the ears of another and feeling with the heart of another." This best describes my approach to therapy. I have a natural authentic interest in the stories of others and the experiences they bring in.
(603) 825-4836 View (603) 825-4836
Photo of Abi Mello, Pre-Licensed Professional in Bedford, NH
Abi Mello
Pre-Licensed Professional, LMFT
Verified Verified
Bedford, NH 03110
Abi Mello is a Marriage and Family Therapist in New Hampshire who has been practicing since 2022. Abi enjoys working with all age ranges and sees individuals, families, and couples. Abi approaches therapy from a non-judgmental and authentic stance. She understands the value in providing a brave space where clients feel safe and can be vulnerable. Abi has worked in high level substance abuse, seeing diverse mental health disorders, and working with adoptees. She has also provided anger management and parenting education. As a Military Veteran herself, she welcomes all Military and Veteran individuals, couples, and families.
Abi Mello is a Marriage and Family Therapist in New Hampshire who has been practicing since 2022. Abi enjoys working with all age ranges and sees individuals, families, and couples. Abi approaches therapy from a non-judgmental and authentic stance. She understands the value in providing a brave space where clients feel safe and can be vulnerable. Abi has worked in high level substance abuse, seeing diverse mental health disorders, and working with adoptees. She has also provided anger management and parenting education. As a Military Veteran herself, she welcomes all Military and Veteran individuals, couples, and families.
(888) 859-1344 View (888) 859-1344
Photo of Kevin Cannon, Psychologist in Bedford, NH
Kevin Cannon
Psychologist, PhD, HSP
Verified Verified
Bedford, NH 03110
Not accepting new clients
The best way to get in touch with me is via email. I am licensed in both NH and MA and able to see people in person (in Bedford, NH) or via Zoom. I work with older adolescents and adults on a broad range of issues, including: Depression, anxiety, relationship problems, grief and loss, coping with chronic pain, trauma, sexual health and wellness, questions of spirituality, meaning and purpose, and life transitions.
The best way to get in touch with me is via email. I am licensed in both NH and MA and able to see people in person (in Bedford, NH) or via Zoom. I work with older adolescents and adults on a broad range of issues, including: Depression, anxiety, relationship problems, grief and loss, coping with chronic pain, trauma, sexual health and wellness, questions of spirituality, meaning and purpose, and life transitions.
(603) 803-6866 View (603) 803-6866
Photo of Tricia Wenrich Maynard, Clinical Social Work/Therapist in Bedford, NH
Tricia Wenrich Maynard
Clinical Social Work/Therapist, LICSW
Verified Verified
Bedford, NH 03110
I am a LICSW and have been a clinician for 34 years, working in a variety of settings and with diverse clientele. I started my MSW career in Community Mental Health then transitioned to Inpatient Psychiatry. From there I worked in Emergency Departments doing Behavioral Health Crisis and Trauma interventions, working both for OhioHealth and The Ohio State University Psychiatric Intake Department. I have always had a foot in private practice on the side, becoming trained in EDMR and DBT therapies as well as Gottman interventions for marriage, partners and couples.
I am a LICSW and have been a clinician for 34 years, working in a variety of settings and with diverse clientele. I started my MSW career in Community Mental Health then transitioned to Inpatient Psychiatry. From there I worked in Emergency Departments doing Behavioral Health Crisis and Trauma interventions, working both for OhioHealth and The Ohio State University Psychiatric Intake Department. I have always had a foot in private practice on the side, becoming trained in EDMR and DBT therapies as well as Gottman interventions for marriage, partners and couples.
(833) 843-0459 View (833) 843-0459
Photo of Robin Vergato, Licensed Clinical Mental Health Counselor in Bedford, NH
Robin Vergato
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
3 Endorsed
Bedford, NH 03110
I am accepting new clients. My ideal client is one that is motivated to make changes in their life. With this foundation you can leave therapy with confidence that you can get through life’s challenges and appreciate each day life has to offer.
I am accepting new clients. My ideal client is one that is motivated to make changes in their life. With this foundation you can leave therapy with confidence that you can get through life’s challenges and appreciate each day life has to offer.
(603) 819-3816 x701 View (603) 819-3816 x701
Photo of Michelle Gosselin Wright, Counselor in Bedford, NH
Michelle Gosselin Wright
Counselor, MA, LCMHC
Verified Verified
Bedford, NH 03110
Not accepting new clients
Reaching out for help can be a significant first step when you are stuck and working toward change. Perhaps depression or anxiety are draining your energy. Perhaps you are struggling with one of the key relationships in your life such as with your kids, spouse, significant other, parents, friends, or co-workers. I help individuals move closer to their goals of greater hope, joy, peace, and connection.
Reaching out for help can be a significant first step when you are stuck and working toward change. Perhaps depression or anxiety are draining your energy. Perhaps you are struggling with one of the key relationships in your life such as with your kids, spouse, significant other, parents, friends, or co-workers. I help individuals move closer to their goals of greater hope, joy, peace, and connection.
(603) 546-7638 View (603) 546-7638
Photo of Southern New Hampshire EMDR & Counseling Services, Counselor in Bedford, NH
Southern New Hampshire EMDR & Counseling Services
Counselor, LCMHC
Verified Verified
Bedford, NH 03110
Are you feeling overwhelmed? Having difficulty managing stress and emotions? Do you worry excessively? Have you spent hours talking about your problems with little relief? Maybe you’re experiencing intrusive thoughts or memories, ruminating, or overreacting. Persistent negative beliefs about yourself might be keeping you stuck. Difficulty setting boundaries and people-pleasing is a common complaint. Perhaps you've experienced emotional abuse in a past or present relationship. These things make it hard to enjoy life and relationships. Psychological symptoms are often the result of unprocessed memories and experiences.
Are you feeling overwhelmed? Having difficulty managing stress and emotions? Do you worry excessively? Have you spent hours talking about your problems with little relief? Maybe you’re experiencing intrusive thoughts or memories, ruminating, or overreacting. Persistent negative beliefs about yourself might be keeping you stuck. Difficulty setting boundaries and people-pleasing is a common complaint. Perhaps you've experienced emotional abuse in a past or present relationship. These things make it hard to enjoy life and relationships. Psychological symptoms are often the result of unprocessed memories and experiences.
(603) 838-3810 View (603) 838-3810
Photo of Jacqueline J Thompson, Pre-Licensed Professional in Bedford, NH
Jacqueline J Thompson
Pre-Licensed Professional, MS, CMHC
Verified Verified
Bedford, NH 03110
Welcome! As a Clinical Mental Health Counselor, I'm not only on the journey to licensure but also on a mission to support adolescents and families through life's twists and turns. Beyond my professional role, and performance enhancement coaching has taught me valuable lessons about resiliency and teamwork—skills that I integrate into my counseling approach. Whether it's running, on the soccer field or spending quality time with my own family, I understand the importance of maintaining balance and fostering connections. Drawing from these experiences, I provide a compassionate and nonjudgmental space for exploration and growth.
Welcome! As a Clinical Mental Health Counselor, I'm not only on the journey to licensure but also on a mission to support adolescents and families through life's twists and turns. Beyond my professional role, and performance enhancement coaching has taught me valuable lessons about resiliency and teamwork—skills that I integrate into my counseling approach. Whether it's running, on the soccer field or spending quality time with my own family, I understand the importance of maintaining balance and fostering connections. Drawing from these experiences, I provide a compassionate and nonjudgmental space for exploration and growth.
(877) 842-9843 View (877) 842-9843
Photo of Bethany L Toolin, Counselor in Bedford, NH
Bethany L Toolin
Counselor, MA, LCMHC
Verified Verified
Bedford, NH 03110
I am a licensed mental health clinician with nearly 20 years of working with children, adolescents and adults. My current focus is in providing counseling support to adolescents and adults who have concerns regarding depression/mood disorders, anxiety, trauma, women's health and wellness and adjustment to life transitions/events. I believe in a person centered, holistic approach that utilizes collaborative problem solving to help individuals optimize their overall physical and emotional wellness.
I am a licensed mental health clinician with nearly 20 years of working with children, adolescents and adults. My current focus is in providing counseling support to adolescents and adults who have concerns regarding depression/mood disorders, anxiety, trauma, women's health and wellness and adjustment to life transitions/events. I believe in a person centered, holistic approach that utilizes collaborative problem solving to help individuals optimize their overall physical and emotional wellness.
(603) 215-7215 View (603) 215-7215

How does your Therapist compare?

Number of Therapists in Bedford, NH

100+

Average cost per session

$150

Therapists in Bedford, NH who prioritize treating:

94% Anxiety
89% Depression
76% Self Esteem
74% Relationship Issues
70% Trauma and PTSD
68% Coping Skills
68% Stress

Average years in practice

13 Years

Top 3 insurances accepted

78% UnitedHealthcare UHC | UBH
78% Optum
76% Cigna and Evernorth

How Therapists in Bedford, NH see their clients

79% In Person and Online
21% Online Only

Gender breakdown

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

How can I find a therapist in Bedford?

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.