Therapists in Skillman, NJ

Photo of Elaine H Handleman, LCSW, Clinical Social Work/Therapist
Elaine H Handleman
Clinical Social Work/Therapist, LCSW
Verified Verified
Skillman, NJ 08558  (Online Only)
Finding the right therapist can be confusing and overwhelming. One of the most crucial aspects of therapy is feeling understood in a safe, comfortable environment. As a seasoned clinician, I work with clients in a supportive, nonjudgemental way. Individuals often repeat behavioral patterns learned growing up in their families. This can lead to low self esteem, depression, anxiety and unfulfilling relationships. Psychotherapy can help people grieve losses and navigate through transitions healthier ways. Individual, couples and family therapy can help identify ineffective couple and family patterns and eliminate longstanding resentments, loneliness and low self esteem.
Finding the right therapist can be confusing and overwhelming. One of the most crucial aspects of therapy is feeling understood in a safe, comfortable environment. As a seasoned clinician, I work with clients in a supportive, nonjudgemental way. Individuals often repeat behavioral patterns learned growing up in their families. This can lead to low self esteem, depression, anxiety and unfulfilling relationships. Psychotherapy can help people grieve losses and navigate through transitions healthier ways. Individual, couples and family therapy can help identify ineffective couple and family patterns and eliminate longstanding resentments, loneliness and low self esteem.
(609) 316-4257 View (609) 316-4257
Photo of Dr. Debra Ruisard, DSW, LCSW, LCADC, Clinical Social Work/Therapist
Dr. Debra Ruisard
Clinical Social Work/Therapist, DSW, LCSW, LCADC
Verified Verified
1 Endorsed
Skillman, NJ 08558
Not accepting new clients
Making the decision to engage in psychotherapy is an important step in healing from traumatic life events that leave emotional wounds long into adulthood. My approach to working with individuals suffering from traumatic stress comes from an understanding that trauma is stored in the body. Often traditional talk therapy is ineffective until one learns how to calm the body’s heightened state of anxiety and therefore allowing the mind to focus on healing rather than survival. Substance abuse is often an effective but maladaptive coping strategy for the emotional and physical stress responses that linger long after the traumatic experience is over. I assist clients who struggle with substances to discover the connection between their substance use and their trauma symptoms, and to develop new strategies for recovery that start with the body.
Making the decision to engage in psychotherapy is an important step in healing from traumatic life events that leave emotional wounds long into adulthood. My approach to working with individuals suffering from traumatic stress comes from an understanding that trauma is stored in the body. Often traditional talk therapy is ineffective until one learns how to calm the body’s heightened state of anxiety and therefore allowing the mind to focus on healing rather than survival. Substance abuse is often an effective but maladaptive coping strategy for the emotional and physical stress responses that linger long after the traumatic experience is over. I assist clients who struggle with substances to discover the connection between their substance use and their trauma symptoms, and to develop new strategies for recovery that start with the body.
(908) 402-4799 View (908) 402-4799
Photo of Peter A. Miller - Peter A. Miller Psychotherapy, LLC, LCSW, DCSW, Clinical Social Work/Therapist
Peter A. Miller Psychotherapy, LLC
Clinical Social Work/Therapist, LCSW, DCSW
Verified Verified
3 Endorsed
Skillman, NJ 08558
Do you feel like your life is changing, but you don't know how to cope? Do you wonder where to go from here? Sometimes the way we think and the things we do that have worked in the past, don't work anymore. It takes a deeper exploration to find new ways of being one's true self in the world. We are a group psychotherapy practice specializing in working with grief and loss, relationship issues, trauma, life transitions and the anxiety and depression that often accompany these issues.
Do you feel like your life is changing, but you don't know how to cope? Do you wonder where to go from here? Sometimes the way we think and the things we do that have worked in the past, don't work anymore. It takes a deeper exploration to find new ways of being one's true self in the world. We are a group psychotherapy practice specializing in working with grief and loss, relationship issues, trauma, life transitions and the anxiety and depression that often accompany these issues.
(609) 283-2212 View (609) 283-2212
Photo of Mahuya Ghosh, PhD, Psychologist
Mahuya Ghosh
Psychologist, PhD
Verified Verified
Skillman, NJ 08558
It's that "A-ha" moment. It's that look of recognition and relief. Those are the feelings I love to see when I've finally crossed the "psychological" bridge and have developed a connection with someone. Over the past 10 years, I have worked with children/adolescents struggling with numerous issues, such as ADHD, depression and family conflict. I provide a supportive and nurturing environment and in conjunction with positive reinforcement from parents, you start to see a change.
It's that "A-ha" moment. It's that look of recognition and relief. Those are the feelings I love to see when I've finally crossed the "psychological" bridge and have developed a connection with someone. Over the past 10 years, I have worked with children/adolescents struggling with numerous issues, such as ADHD, depression and family conflict. I provide a supportive and nurturing environment and in conjunction with positive reinforcement from parents, you start to see a change.
(609) 688-8300 View (609) 688-8300
Photo of Meghan Collins, LCSW, Clinical Social Work/Therapist
Meghan Collins
Clinical Social Work/Therapist, LCSW
Verified Verified
Skillman, NJ 08558
I have a great passion in helping individuals assess situations, behaviors and emotions with the goal of finding effective management and empowerment within their own lives. I strive to work with clients to create a collaborative space to work on their individual goals.I have worked in the mental health field in various roles and have experience working with individuals in various settings.
I have a great passion in helping individuals assess situations, behaviors and emotions with the goal of finding effective management and empowerment within their own lives. I strive to work with clients to create a collaborative space to work on their individual goals.I have worked in the mental health field in various roles and have experience working with individuals in various settings.
(908) 493-4394 View (908) 493-4394
Photo of Crystal J Fitzpatrick, PhD, APN, CARN-AP, MHt
Crystal J Fitzpatrick
PhD, APN, CARN-AP, MHt
Verified Verified
Skillman, NJ 08558
I believe that Balance is an important components of life. Not unlike the human body, our mind strives for equilibrium, also known as Balance. I also believe that when one works to seek and achieve Clarity, he or she will find peace and comfort. I interpret Clarity as the continual state of obtaining information and knowledge, communicating, as well as validating information and feelings received from people around us. I believe that Mindfulness is the key to maintaining continued balance and clarity in life. I interpret mindfulness as being in the "now"; being in the present moment and being available.
I believe that Balance is an important components of life. Not unlike the human body, our mind strives for equilibrium, also known as Balance. I also believe that when one works to seek and achieve Clarity, he or she will find peace and comfort. I interpret Clarity as the continual state of obtaining information and knowledge, communicating, as well as validating information and feelings received from people around us. I believe that Mindfulness is the key to maintaining continued balance and clarity in life. I interpret mindfulness as being in the "now"; being in the present moment and being available.
(609) 812-2091 View (609) 812-2091
Photo of Laura G Kogan, PsyD, Psychologist
Laura G Kogan
Psychologist, PsyD
Verified Verified
Skillman, NJ 08558
I work primarily with adults and specialize in anxiety disorders, post-traumatic stress disorder (including complex or developmental PTSD) as well as depression, relationship issues, performance enhancement and work stress. Please don't hesitate to call me if you have questions. You will find additional information on my website at www.drlaurakogan.com.
I work primarily with adults and specialize in anxiety disorders, post-traumatic stress disorder (including complex or developmental PTSD) as well as depression, relationship issues, performance enhancement and work stress. Please don't hesitate to call me if you have questions. You will find additional information on my website at www.drlaurakogan.com.
(609) 318-3229 View (609) 318-3229
Photo of Jean M Robinson, LPC, MA, Licensed Professional Counselor
Jean M Robinson
Licensed Professional Counselor, LPC, MA
Verified Verified
Skillman, NJ 08558
I create a supportive, non-judgmental, compassionate environment for client's to feel safe, respected and free to discuss any topic brought to counseling. My approach to counseling is client-centered & integrates various modalities using Internal Family Systems Therapy (IFS). I provide counseling that is direct and goal oriented, yet compassionate, focusing on strengths and building on success. I enjoy working with teens/parents & couples to facilitate conscious communication which enhances their intimate relationships. I help connect clients with their own inner wisdom, enhance their clarity & decision making so that they can experience real transformation in their lives.
I create a supportive, non-judgmental, compassionate environment for client's to feel safe, respected and free to discuss any topic brought to counseling. My approach to counseling is client-centered & integrates various modalities using Internal Family Systems Therapy (IFS). I provide counseling that is direct and goal oriented, yet compassionate, focusing on strengths and building on success. I enjoy working with teens/parents & couples to facilitate conscious communication which enhances their intimate relationships. I help connect clients with their own inner wisdom, enhance their clarity & decision making so that they can experience real transformation in their lives.
(609) 375-8260 View (609) 375-8260
Photo of Lisa M Zaneto, LPC, LMHC, ACS, NCC, Licensed Professional Counselor
Lisa M Zaneto
Licensed Professional Counselor, LPC, LMHC, ACS, NCC
Verified Verified
1 Endorsed
Skillman, NJ 08558
Choosing to find support is brave! Being dually licensed in NJ and FL, my approach is to help individuals navigate through past traumas, emotional junctures, milestone celebrations, and stages of growth in a safe and non-judgmental environment. Individuals will feel supported and heard while utilizing creative therapeutic techniques; especially when having trouble verbalizing what they are experiencing or feeling. Individuals will be able to increase personal confidence allowing goals to be met while increasing positive decisions and setting the foundation for future success.
Choosing to find support is brave! Being dually licensed in NJ and FL, my approach is to help individuals navigate through past traumas, emotional junctures, milestone celebrations, and stages of growth in a safe and non-judgmental environment. Individuals will feel supported and heard while utilizing creative therapeutic techniques; especially when having trouble verbalizing what they are experiencing or feeling. Individuals will be able to increase personal confidence allowing goals to be met while increasing positive decisions and setting the foundation for future success.
(609) 795-7246 View (609) 795-7246
Photo of Allen P Blasucci, PsyD, LCADC, ABPP, Psychologist
Allen P Blasucci
Psychologist, PsyD, LCADC, ABPP
Verified Verified
Skillman, NJ 08558
Dr. Blasucci has been a practicing psychologist for over 30 years. His expertise is in Cognitive Behavioral Psychotherapy. Additionally, he specializes in Substance Abuse and is a Licensed Clinical Alcohol and Drug counselor. He received his Doctorate from the Graduate School of Applied and Professional Psychology at Rutgers University. He received his undergraduate degree from Boston University.
Dr. Blasucci has been a practicing psychologist for over 30 years. His expertise is in Cognitive Behavioral Psychotherapy. Additionally, he specializes in Substance Abuse and is a Licensed Clinical Alcohol and Drug counselor. He received his Doctorate from the Graduate School of Applied and Professional Psychology at Rutgers University. He received his undergraduate degree from Boston University.
(609) 829-3142 View (609) 829-3142
Photo of Ethan Moutner, MSW, LSW, Clinical Social Work/Therapist
Ethan Moutner
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Skillman, NJ 08558
I truly enjoy the way adolescent and young adult minds work – the questions they ask, the perspectives they take, and the ambition they can possess. We know that childhood and adolescence shape our future, but healthy, positive, and goal-oriented decisions need to be made. While the importance of this can not be overstated, we also know that life events, social interaction, and trauma can complicate this. I believe in building a strong therapeutic relationship and working together in an empathetic and non-judgemental setting to achieve goals, manage conflict and relationships, and build confidence.
I truly enjoy the way adolescent and young adult minds work – the questions they ask, the perspectives they take, and the ambition they can possess. We know that childhood and adolescence shape our future, but healthy, positive, and goal-oriented decisions need to be made. While the importance of this can not be overstated, we also know that life events, social interaction, and trauma can complicate this. I believe in building a strong therapeutic relationship and working together in an empathetic and non-judgemental setting to achieve goals, manage conflict and relationships, and build confidence.
(908) 970-8320 View (908) 970-8320
Photo of Timmesha A Butler - Mastery Counseling and Consulting LLC, PhD, LCSW, Clinical Social Work/Therapist
Mastery Counseling and Consulting LLC
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Skillman, NJ 08558
I am a Licensed Clinical Social Worker and Assistant Professor at Ramapo College of New Jersey. As a licensed social worker I have 10 years of experience working with adults and teenagers. I have an extensive history working with individuals who experience anxiety, depression, low sense of self-worth, and adjustment disorders as a result of major life transitions.
I am a Licensed Clinical Social Worker and Assistant Professor at Ramapo College of New Jersey. As a licensed social worker I have 10 years of experience working with adults and teenagers. I have an extensive history working with individuals who experience anxiety, depression, low sense of self-worth, and adjustment disorders as a result of major life transitions.
(609) 493-4640 View (609) 493-4640
Photo of Ellen Herr-Israel, MA, MBA, PhD, Psychologist
Ellen Herr-Israel
Psychologist, MA, MBA, PhD
Verified Verified
Skillman, NJ 08558
Intergenerational family dysfunction is not inevitable. I work with adults and children to untangle relational and behavioral patterns that are often foundational to the presenting problem. I take an integrative, strength-based approach and help the client identify perceptions and attributions that may be interfering with optimal self development and fulfilling relationships. This therapeutic approach is helpful in changing dysfunctional relational dynamics to those that promote growth and well-being.
Intergenerational family dysfunction is not inevitable. I work with adults and children to untangle relational and behavioral patterns that are often foundational to the presenting problem. I take an integrative, strength-based approach and help the client identify perceptions and attributions that may be interfering with optimal self development and fulfilling relationships. This therapeutic approach is helpful in changing dysfunctional relational dynamics to those that promote growth and well-being.
(908) 386-5142 View (908) 386-5142
Photo of Karishma Chawla, MS, LPC, Licensed Professional Counselor
Karishma Chawla
Licensed Professional Counselor, MS, LPC
Verified Verified
5 Endorsed
Skillman, NJ 08558
At Authentic Healing, I will help empower you to improve your overall well-being & life satisfaction by learning to living in alignment and to develop deep self-trust. With 20+ years as a psychotherapist & professor, I know I can help you gain access to important internal information to develop deep awareness, and to identify unhelpful & irrational beliefs that drive problematic and self-defeating behaviors. I'm excited to help you develop an authentic relationship with yourself....which will in turn lead to more fulfilling relationships with others, and a life that feels meaningful.
At Authentic Healing, I will help empower you to improve your overall well-being & life satisfaction by learning to living in alignment and to develop deep self-trust. With 20+ years as a psychotherapist & professor, I know I can help you gain access to important internal information to develop deep awareness, and to identify unhelpful & irrational beliefs that drive problematic and self-defeating behaviors. I'm excited to help you develop an authentic relationship with yourself....which will in turn lead to more fulfilling relationships with others, and a life that feels meaningful.
(609) 681-2698 View (609) 681-2698
Photo of Safe Place Therapy, LPC, NCC, LCADC, LCSW, Licensed Professional Counselor
Safe Place Therapy
Licensed Professional Counselor, LPC, NCC, LCADC, LCSW
Verified Verified
1 Endorsed
Skillman, NJ 08558
At our practice, you will be supported by a dedicated team of compassionate and caring therapists. We are a trauma-informed, community-oriented practice that only uses evidence and research-based treatment modalities for depression, anxiety, trauma/PTSD, and other life challenges and transitions. We believe in mind/body connection, so body-oriented skills are taught and incorporated into our therapy sessions. We will teach you/work with you on integrating mindfulness, meditation, grounding, and other effective coping skills to address emotional distress, change behavioral patterns and enhance relationships. All are welcome.
At our practice, you will be supported by a dedicated team of compassionate and caring therapists. We are a trauma-informed, community-oriented practice that only uses evidence and research-based treatment modalities for depression, anxiety, trauma/PTSD, and other life challenges and transitions. We believe in mind/body connection, so body-oriented skills are taught and incorporated into our therapy sessions. We will teach you/work with you on integrating mindfulness, meditation, grounding, and other effective coping skills to address emotional distress, change behavioral patterns and enhance relationships. All are welcome.
(609) 375-0135 View (609) 375-0135
Photo of Erin Webb, LPC, NCC, Licensed Professional Counselor
Erin Webb
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Skillman, NJ 08558
I strive to make the process of seeking help as smooth and welcoming as possible as I believe that each client that I work with deserves individualized care and attention. My approach to counseling is client-centered & integrates various modalities through an Internal Family Systems Therapy (IFS) framework. I meet clients where they are at and work collaboratively with them to establish realistic goals for treatment, to identify and build on strengths, and to create a supportive environment where clients feel safe to connect to their emotions or express vulnerabilities.
I strive to make the process of seeking help as smooth and welcoming as possible as I believe that each client that I work with deserves individualized care and attention. My approach to counseling is client-centered & integrates various modalities through an Internal Family Systems Therapy (IFS) framework. I meet clients where they are at and work collaboratively with them to establish realistic goals for treatment, to identify and build on strengths, and to create a supportive environment where clients feel safe to connect to their emotions or express vulnerabilities.
(908) 356-4331 View (908) 356-4331
Photo of Edward Callaghan - Integrative Therapy Institute of NJ, Psychologist
Integrative Therapy Institute of NJ
Psychologist
Verified Verified
Skillman, NJ 08558
The Integrative Therapy Institute of New Jersey (ITI-NJ) is a group practice in clinical and counseling psychology that provides psychotherapy services for individuals, couples, and families. ITI-NJ operates at a number of locations throughout the state of NJ and the great majority of our therapists are in-network with all major insurance plans.
The Integrative Therapy Institute of New Jersey (ITI-NJ) is a group practice in clinical and counseling psychology that provides psychotherapy services for individuals, couples, and families. ITI-NJ operates at a number of locations throughout the state of NJ and the great majority of our therapists are in-network with all major insurance plans.
(908) 460-1990 View (908) 460-1990
Photo of Rebecca LaSala, LCSW, CCS, Clinical Social Work/Therapist
Rebecca LaSala
Clinical Social Work/Therapist, LCSW, CCS
Verified Verified
Skillman, NJ 08558
Building genuine therapeutic relationships is the foundation of my work. I believe that when people have a sense of emotional safety there is a natural opening for healing, growth, discovery, and transformation. My goal is to provide an environment where people will feel safe enough to express their vulnerabilities, allow themselves to connect to their emotions, and tap into their innate inner strengths to be successful and meet their goals. My approach to therapy is psychodynamic which gives individuals the freedom to self-reflect and help them identify patterns that contribute to unique challenges they face.
Building genuine therapeutic relationships is the foundation of my work. I believe that when people have a sense of emotional safety there is a natural opening for healing, growth, discovery, and transformation. My goal is to provide an environment where people will feel safe enough to express their vulnerabilities, allow themselves to connect to their emotions, and tap into their innate inner strengths to be successful and meet their goals. My approach to therapy is psychodynamic which gives individuals the freedom to self-reflect and help them identify patterns that contribute to unique challenges they face.
(908) 869-8499 View (908) 869-8499
Photo of Liza Howe, LCSW, LCADC, Clinical Social Work/Therapist
Liza Howe
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Skillman, NJ 08558  (Online Only)
I look forward to meeting you and listening to your story. Over the years I have worked with a variety of populations, and I always appreciate the opportunity to connect. Specifically, I have worked with adults with mood disorders, substance issues and coping with adjusting to changes. Book with me by clicking on my website.
I look forward to meeting you and listening to your story. Over the years I have worked with a variety of populations, and I always appreciate the opportunity to connect. Specifically, I have worked with adults with mood disorders, substance issues and coping with adjusting to changes. Book with me by clicking on my website.
(908) 663-1240 View (908) 663-1240
Photo of Shamila Malik, LCSW, Clinical Social Work/Therapist
Shamila Malik
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Skillman, NJ 08558
Whether you are dealing with the loss of a loved one, coping with an illness or disability, struggling with caregiver stress or adjusting to a life transition, my customized approach to psychotherapy can help you move forward to a brighter path. I offer an eclectic approach to psychotherapy, drawing upon a variety of different techniques to help you identify your goals and achieve a better quality of life.
Whether you are dealing with the loss of a loved one, coping with an illness or disability, struggling with caregiver stress or adjusting to a life transition, my customized approach to psychotherapy can help you move forward to a brighter path. I offer an eclectic approach to psychotherapy, drawing upon a variety of different techniques to help you identify your goals and achieve a better quality of life.
(609) 436-9397 View (609) 436-9397
1

How does your Therapist compare?

Number of Therapists in Skillman, NJ

40+

Average cost per session

$170

Therapists in Skillman, NJ who prioritize treating:

96% Depression
96% Anxiety
77% Relationship Issues
72% Coping Skills
70% Self Esteem
62% Parenting
62% Family Conflict

Average years in practice

13 Years

Top 3 insurances accepted

61% Aetna
57% Cigna and Evernorth
52% Horizon Blue Cross and Blue Shield

How Therapists in Skillman, NJ see their clients

81% In Person and Online
19% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Skillman?

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.