Therapists in Union, NJ

Photo of Baktha Kumar, Clinical Social Work/Therapist in Union, NJ
Baktha Kumar
Clinical Social Work/Therapist, MSW, LCSW
Verified
Union, NJ 07083  (Online Only)
My name is Baktha Kumar, LCSW I have forty plus years of experience as clinical social worker offering individual, marital and family counseling. Life brings conflicts and interpersonal challenge in marriage, families, dealing with adolescent children. My desire for you is that you, your loved one should experience peace, happiness and quality of life. Each one of us go through trials, tribulations, depression, anxiety, anger, loneliness, disappointments and grief in some point of our life.
My name is Baktha Kumar, LCSW I have forty plus years of experience as clinical social worker offering individual, marital and family counseling. Life brings conflicts and interpersonal challenge in marriage, families, dealing with adolescent children. My desire for you is that you, your loved one should experience peace, happiness and quality of life. Each one of us go through trials, tribulations, depression, anxiety, anger, loneliness, disappointments and grief in some point of our life.
(908) 279-0210 View (908) 279-0210
Photo of Dr. Damita Lucas PHD LLC, Pastoral Counselor in Union, NJ
Dr. Damita Lucas PHD LLC
Pastoral Counselor, PhD, LCPC, LCCC, FDC, CLC
Verified
1 Endorsed
Union, NJ 07083  (Online Only)
I help children, teens, adults, couples and families to better understand their temperament so they can experience improved emotional, spiritual and mental health. As the Traveling Counselor, I provide in-home, on-site and teletherapy for life coaching, counseling, therapy and consulting services for individuals, church organizations, family agencies and educational programs. As a public speaker, presentations are unlimited such as parent meetings, churches, mental health events, private events, panels and facilitation of trainings and workshops.
I help children, teens, adults, couples and families to better understand their temperament so they can experience improved emotional, spiritual and mental health. As the Traveling Counselor, I provide in-home, on-site and teletherapy for life coaching, counseling, therapy and consulting services for individuals, church organizations, family agencies and educational programs. As a public speaker, presentations are unlimited such as parent meetings, churches, mental health events, private events, panels and facilitation of trainings and workshops.
(973) 658-4264 View (973) 658-4264
Evelyn Quintana
Clinical Social Work/Therapist, MSW, LCSW
Verified
Union, NJ 07083
Waitlist for new clients
My philosophy is to listen, attend and provide quality care in a compassionate and confidential manner. I focus on understanding the thoughts and emotions that have impaired a patient's life and try my best to help them attain their full potential.
My philosophy is to listen, attend and provide quality care in a compassionate and confidential manner. I focus on understanding the thoughts and emotions that have impaired a patient's life and try my best to help them attain their full potential.
(855) 622-8456 View (855) 622-8456
Photo of Danielle Van Der Verken, Licensed Professional Counselor in Union, NJ
Danielle Van Der Verken
Licensed Professional Counselor, LPC, NCC, SAC
Verified
Union, NJ 07083
Danielle has experience working with adolescents, young adults, and adults in the individual and group setting. Danielle has worked exclusively with women in a long-term residential inpatient program for five years. Prior to this Danielle worked with adolescents who were inpatient as well, along with working part-time at the intensive outpatient level of care. Full time, Danielle works with adolescents as a Student Assistance Counselor (SAC). Danielle is knowledgeable in the areas of anxiety, depression, mood disorders, trauma, substance abuse disorders, and co-occurring disorders.
Danielle has experience working with adolescents, young adults, and adults in the individual and group setting. Danielle has worked exclusively with women in a long-term residential inpatient program for five years. Prior to this Danielle worked with adolescents who were inpatient as well, along with working part-time at the intensive outpatient level of care. Full time, Danielle works with adolescents as a Student Assistance Counselor (SAC). Danielle is knowledgeable in the areas of anxiety, depression, mood disorders, trauma, substance abuse disorders, and co-occurring disorders.
(908) 460-1919 View (908) 460-1919
Photo of Shaynna Hunter, Clinical Social Work/Therapist in Union, NJ
Shaynna Hunter
Clinical Social Work/Therapist, MSW, LCSW
Verified
Union, NJ 07083
My name is Shaynna Hunter, LCSW I have been providing counseling services for over 19 years. If you are feeling anxious, sad, worried, and uncertain as to what to do to feel better, I can help. We will work together to uncover the past/present issues in your life where you feel stuck. I will assist you with developing healthy coping skills to successfully reduce and/or eliminate anxiety and feelings of depression. I have a therapeutic style that is supportive, empathetic and engaging.
My name is Shaynna Hunter, LCSW I have been providing counseling services for over 19 years. If you are feeling anxious, sad, worried, and uncertain as to what to do to feel better, I can help. We will work together to uncover the past/present issues in your life where you feel stuck. I will assist you with developing healthy coping skills to successfully reduce and/or eliminate anxiety and feelings of depression. I have a therapeutic style that is supportive, empathetic and engaging.
(908) 386-4789 View (908) 386-4789
Photo of Cindy Walker, Licensed Professional Counselor in Union, NJ
Cindy Walker
Licensed Professional Counselor, LPC
Verified
Union, NJ 07083
Cindy has worked with a variety of populations such as the elderly within assisted living homes, children with severe emotional disturbances, adolescents and young adults adjusting to new phases of life, survivors of trauma, and those who embody that of the “walking wounded”. Cindy’s strengths are within the areas of depression, anxiety, ADHD, and PTSD. Cindy also utilizes a variety of interventions including that of mindfulness, trauma sensitive yoga, and the integration of art and music.
Cindy has worked with a variety of populations such as the elderly within assisted living homes, children with severe emotional disturbances, adolescents and young adults adjusting to new phases of life, survivors of trauma, and those who embody that of the “walking wounded”. Cindy’s strengths are within the areas of depression, anxiety, ADHD, and PTSD. Cindy also utilizes a variety of interventions including that of mindfulness, trauma sensitive yoga, and the integration of art and music.
(908) 620-5162 View (908) 620-5162
Photo of Carli Hench, Clinical Social Work/Therapist in Union, NJ
Carli Hench
Clinical Social Work/Therapist, LCSW
Verified
Union, NJ 07083  (Online Only)
I thrive in collaborating with adolescents through adults in realizing their potential and identifying their true inner self. I assist clients through the stress and uncertainty of life transitions through college, career, parenthood and retirement. I work with individuals and couples through communication and conflict resolution in relationship challenges. I support women in balancing multiple roles. I hold safe space for LGBTQIA+ in self actualizing identity and working through finding support and asserting needs.
I thrive in collaborating with adolescents through adults in realizing their potential and identifying their true inner self. I assist clients through the stress and uncertainty of life transitions through college, career, parenthood and retirement. I work with individuals and couples through communication and conflict resolution in relationship challenges. I support women in balancing multiple roles. I hold safe space for LGBTQIA+ in self actualizing identity and working through finding support and asserting needs.
(908) 274-1306 View (908) 274-1306
Photo of Carlos Rojas, Clinical Social Work/Therapist in Union, NJ
Carlos Rojas
Clinical Social Work/Therapist, MSW, MS, LCSW
Verified
Union, NJ 07083
As a committed practitioner with more than 20 years’ experience, my private practice is primarily devoted not only addressing the conditions related to mental health but also identifying and addressing the unmet needs related to them. I bring a level of empathy and caring to all my patients. My private practice is primarily working with individuals, couples and facilitating training and supervision. My areas of clinical specialization include anxiety, depression, relationships, past trauma, narcissism, cultural issues and acculturation, immigration, and athletic performance. I hold LCSW licenses in New Jersey and Florida.
As a committed practitioner with more than 20 years’ experience, my private practice is primarily devoted not only addressing the conditions related to mental health but also identifying and addressing the unmet needs related to them. I bring a level of empathy and caring to all my patients. My private practice is primarily working with individuals, couples and facilitating training and supervision. My areas of clinical specialization include anxiety, depression, relationships, past trauma, narcissism, cultural issues and acculturation, immigration, and athletic performance. I hold LCSW licenses in New Jersey and Florida.
(908) 829-9076 View (908) 829-9076
Photo of Barbara A Prempeh, Psychologist in Union, NJ
Barbara A Prempeh
Psychologist, PsyD
Verified
Union, NJ 07083
Waitlist for new clients
“You don’t have to see the whole staircase, just take the first step.”-MLK, Jr. Taking the first step can be a bit scary, but taking the first step toward wellness can add an empowering component to it. My goal is to provide you with a supportive and safe space in taking the walk toward change and wellness. With 15 years of experience providing direct care, I have a firm belief that we cannot talk about adversities, setbacks, failures, or traumas, without acknowledging resilience as well. I strive to help my clients shift from stress and anxiety to realizing their inner strength and external resources to overcome obstacles.
“You don’t have to see the whole staircase, just take the first step.”-MLK, Jr. Taking the first step can be a bit scary, but taking the first step toward wellness can add an empowering component to it. My goal is to provide you with a supportive and safe space in taking the walk toward change and wellness. With 15 years of experience providing direct care, I have a firm belief that we cannot talk about adversities, setbacks, failures, or traumas, without acknowledging resilience as well. I strive to help my clients shift from stress and anxiety to realizing their inner strength and external resources to overcome obstacles.
(973) 264-0128 View (973) 264-0128
Photo of Victoria Jutrowski, Clinical Social Work/Therapist in Union, NJ
Victoria Jutrowski
Clinical Social Work/Therapist, LCSW, LCADC
Verified
Union, NJ 07083
It requires insight and vulnerability to identify the need for help, support and guidance when life becomes challenging. Take a moment to validate yourself and the strength it takes to say "I need some help please!" I am here to help you navigate through life's difficulties utilizing a humanistic, client centered approach. I value fostering vulnerability in the safe space of a thearpeutic alliance in order to build my client's self efficacy and self-esteem. My goal is to guide you to the solutions you have always had within you, but just have needed some help accessing.
It requires insight and vulnerability to identify the need for help, support and guidance when life becomes challenging. Take a moment to validate yourself and the strength it takes to say "I need some help please!" I am here to help you navigate through life's difficulties utilizing a humanistic, client centered approach. I value fostering vulnerability in the safe space of a thearpeutic alliance in order to build my client's self efficacy and self-esteem. My goal is to guide you to the solutions you have always had within you, but just have needed some help accessing.
(908) 402-0680 View (908) 402-0680
Photo of Ariana Luciano, Clinical Social Work/Therapist in Union, NJ
Ariana Luciano
Clinical Social Work/Therapist, LCSW
Verified
Union, NJ 07083
Ariana is experienced working with pre-teens, adolescents, individual adults and families who are struggling with a range of challenges and provides therapy fluently in both English and Spanish. Some treatment issues Ariana specializes in include, but are not limited to: trauma, depression, anxiety, interpersonal relationship issues, marital discord, domestic violence, self-harm and PTSD.
Ariana is experienced working with pre-teens, adolescents, individual adults and families who are struggling with a range of challenges and provides therapy fluently in both English and Spanish. Some treatment issues Ariana specializes in include, but are not limited to: trauma, depression, anxiety, interpersonal relationship issues, marital discord, domestic violence, self-harm and PTSD.
(908) 895-6026 View (908) 895-6026
Photo of Viviana Villalobos, Licensed Professional Counselor in Union, NJ
Viviana Villalobos
Licensed Professional Counselor, LPC
Verified
Union, NJ 07083
I am a licensed therapist in the state on New Jersey. I conduct immigration evaluations as well as provide individual, couples and family therapy with English/Spanish Speaking population. I have extensive clinical experience working with the Hispanic population. I have expertise in trauma focused therapy and evidence-based interventions for children, adolescents and adults. I specialize in physical and sexual abuse, trauma, play therapy, personality and mood/anxiety disorders, and family conflict. I also provide Immigration Evaluations in both English and Spanish.
I am a licensed therapist in the state on New Jersey. I conduct immigration evaluations as well as provide individual, couples and family therapy with English/Spanish Speaking population. I have extensive clinical experience working with the Hispanic population. I have expertise in trauma focused therapy and evidence-based interventions for children, adolescents and adults. I specialize in physical and sexual abuse, trauma, play therapy, personality and mood/anxiety disorders, and family conflict. I also provide Immigration Evaluations in both English and Spanish.
(908) 504-8026 View (908) 504-8026
Photo of Iona Francis-Santa Cruz, Licensed Professional Counselor in Union, NJ
Iona Francis-Santa Cruz
Licensed Professional Counselor, MA, NCC, LPC
Verified
Union, NJ 07083
Welcome to therapy! My goal when entering a therapeutic relationship is to provide a safe, inclusive, and nonjudgmental space to tell your story. It takes courage to seek out a more fulfilling and happier life, and I am here to support and empower you in that journey. I use Cognitive Behavioral Therapy and Solution Focused Therapy techniques to help you improve your thoughts, emotions, and behaviors, and work on achieving your personal goals in a timely manner. The goal is to work on your perception of your issues through a different lens and to understand that you have the power to make meaningful changes in the healing process.
Welcome to therapy! My goal when entering a therapeutic relationship is to provide a safe, inclusive, and nonjudgmental space to tell your story. It takes courage to seek out a more fulfilling and happier life, and I am here to support and empower you in that journey. I use Cognitive Behavioral Therapy and Solution Focused Therapy techniques to help you improve your thoughts, emotions, and behaviors, and work on achieving your personal goals in a timely manner. The goal is to work on your perception of your issues through a different lens and to understand that you have the power to make meaningful changes in the healing process.
(862) 203-2159 View (862) 203-2159
Photo of Denyta Girard, Licensed Professional Counselor in Union, NJ
Denyta Girard
Licensed Professional Counselor, MA, LPC
Verified
Union, NJ 07083  (Online Only)
If you are noticing an increase in worries, low moods, intrusive thoughts, or a change in your routine that is causing stress, that is the time to utilize your supports. If you are having relationship issues, difficulty communicating, sifting through generational trauma, or peer conflict. I am here to support you through the transition. Thank you for your interest. Please contact by email for quickest response regarding starting or the waitlist.
If you are noticing an increase in worries, low moods, intrusive thoughts, or a change in your routine that is causing stress, that is the time to utilize your supports. If you are having relationship issues, difficulty communicating, sifting through generational trauma, or peer conflict. I am here to support you through the transition. Thank you for your interest. Please contact by email for quickest response regarding starting or the waitlist.
(908) 266-6171 View (908) 266-6171
Photo of Emma Palacio, Counselor in Union, NJ
Emma Palacio
Counselor, LAC
Verified
Union, NJ 07083
Emma has experience providing group, individual, couple’s, and family therapy across various settings. Emma’s specialties include working with individuals who are experiencing depression, anxiety, life transitions, relationship problems, family problems, and self-esteem issues. Emma’s main focus is to work collaboratively with her clients to help them set and achieve their personalized goals. She utilizes a person-centered approach and incorporates techniques from Cognitive Behavior Therapy, Dialectical Behavior Therapy, mindfulness-based techniques along with other evidence-based practices.
Emma has experience providing group, individual, couple’s, and family therapy across various settings. Emma’s specialties include working with individuals who are experiencing depression, anxiety, life transitions, relationship problems, family problems, and self-esteem issues. Emma’s main focus is to work collaboratively with her clients to help them set and achieve their personalized goals. She utilizes a person-centered approach and incorporates techniques from Cognitive Behavior Therapy, Dialectical Behavior Therapy, mindfulness-based techniques along with other evidence-based practices.
(908) 923-3935 View (908) 923-3935
Photo of Therese Gray Counseling, Licensed Professional Counselor in Union, NJ
Therese Gray Counseling
Licensed Professional Counselor, LPC, LRC, CCBT, CRCC
Verified
Union, NJ 07083
I believe that people are basically good. Most people want to do well- want to live happy and satisfying lives. I am committed to providing a therapeutic environment that is warm, safe, personal and supportive - an environment in which I assist my clients as they work through life's difficulties, learn new skills and find solutions that will help them to achieve their goals and develop their potential. An important goal is to assist my clients to achieve their goals in a timely manner- as soon as possible.
I believe that people are basically good. Most people want to do well- want to live happy and satisfying lives. I am committed to providing a therapeutic environment that is warm, safe, personal and supportive - an environment in which I assist my clients as they work through life's difficulties, learn new skills and find solutions that will help them to achieve their goals and develop their potential. An important goal is to assist my clients to achieve their goals in a timely manner- as soon as possible.
(973) 917-8174 View (973) 917-8174
Photo of Jonathan Schwartz, Psychologist in Union, NJ
Jonathan Schwartz
Psychologist, PsyD
Verified
Union, NJ 07083
People who seek treatment are often burdened with the worry that it might take too long, will "not work" or will come back. Since beginning clinical practice, I have always made it my business to have my patients engage in the therapy both in and out of session, understand the therapy process and stick to one's goals. The CBT model that I use and tailor to each particular individual's need, helps empower patients to reach their goals both in therapy and beyond... in life itself.
People who seek treatment are often burdened with the worry that it might take too long, will "not work" or will come back. Since beginning clinical practice, I have always made it my business to have my patients engage in the therapy both in and out of session, understand the therapy process and stick to one's goals. The CBT model that I use and tailor to each particular individual's need, helps empower patients to reach their goals both in therapy and beyond... in life itself.
(908) 628-0353 View (908) 628-0353
Photo of Ming Psychotherapy Group|Vanessa Ming, Licensed Professional Counselor in Union, NJ
Ming Psychotherapy Group|Vanessa Ming
Licensed Professional Counselor, MS, CAS, LPC
Verified
Union, NJ 07083  (Online Only)
Waitlist for new clients
Life presents ups and downs. We all experience challenges some of which we are able to cope and manage without assistance; other times, we may need some support. I provide a listening ear, a sounding board and guidance. My approach is Cognitive Behavioral Therapy (CBT) coupled with spiritual & cultural outlook . As a licensed counselor, I have worked with adolescents, adults and couples. I specialize in depression, anxiety, and relationship challenges. I believe self-care is vital to one’s ability to approach this thing call “Life.” Together we will begin the journey to be at peace.
Life presents ups and downs. We all experience challenges some of which we are able to cope and manage without assistance; other times, we may need some support. I provide a listening ear, a sounding board and guidance. My approach is Cognitive Behavioral Therapy (CBT) coupled with spiritual & cultural outlook . As a licensed counselor, I have worked with adolescents, adults and couples. I specialize in depression, anxiety, and relationship challenges. I believe self-care is vital to one’s ability to approach this thing call “Life.” Together we will begin the journey to be at peace.
(908) 460-7330 View (908) 460-7330
Photo of Dana DeCarlo, Clinical Social Work/Therapist in Union, NJ
Dana DeCarlo
Clinical Social Work/Therapist, LSW
Verified
Union, NJ 07083
Dana is passionate about her experience working with adolescents, young adults, and families struggling with ADHD, anxiety, depression, special education needs, teen issues, emotional regulation, life adjustments/ transitions, and interpersonal relationships. Using a strengths based, eclectic approach, Dana draws from several evidenced based modalities including but not limited to, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Positive Psychology, and Psychodynamic Therapy while valuing that each client has their own unique qualities and needs.
Dana is passionate about her experience working with adolescents, young adults, and families struggling with ADHD, anxiety, depression, special education needs, teen issues, emotional regulation, life adjustments/ transitions, and interpersonal relationships. Using a strengths based, eclectic approach, Dana draws from several evidenced based modalities including but not limited to, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Positive Psychology, and Psychodynamic Therapy while valuing that each client has their own unique qualities and needs.
(908) 867-9028 View (908) 867-9028
Photo of Olivia Rosemarie Lewis-Chang, Psychologist in Union, NJ
Olivia Rosemarie Lewis-Chang
Psychologist, PhD
Verified
Union, NJ 07083
I am committed to providing a service that treats the whole person. You can expect an integrative approach to treating your concerns as you move to psychological wellness. My approach is collaborative and our relationship is vital to enabling you to discover your strengths and achieving your full potential. It is my hope that within the framework of interpersonal, psycho-dynamic psychotherapy, your journey is rewarded with self discovery and growth. I embrace skill building and the integration of mindfulness and meditation when needed.
I am committed to providing a service that treats the whole person. You can expect an integrative approach to treating your concerns as you move to psychological wellness. My approach is collaborative and our relationship is vital to enabling you to discover your strengths and achieving your full potential. It is my hope that within the framework of interpersonal, psycho-dynamic psychotherapy, your journey is rewarded with self discovery and growth. I embrace skill building and the integration of mindfulness and meditation when needed.
(908) 332-8776 View (908) 332-8776

See more therapy options for Union

How does your Therapist compare?

Number of Therapists in Union, NJ

100+

Average cost per session

$150

Therapists in Union, NJ who prioritize treating:

93% Anxiety
90% Depression
80% Relationship Issues
77% Self Esteem
74% Coping Skills
67% Stress
63% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

88% Aetna
70% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in Union, NJ see their clients

58% In Person and Online
42% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Union?

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.