Therapists in Suffolk County, NY

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Photo of Samantha McGuire, Pre-Licensed Professional in Suffolk County, NY
Samantha McGuire
Pre-Licensed Professional, LMSW
Verified Verified
Huntington, NY 11743
Are you feeling like no matter what you do, it is never good enough? Maybe you are feeling hopeless and unsure how to start feeling more positive about yourself and your life. Anxiety and depression can feel crippling at times and keep you from living the life you want to be living. Overcoming this negative self-talk is not easy, but it's possible. I help clients learn how to live the life they desire and stop letting their inner critic stop them! I will challenge you to try new things, but I will be there to provide support, feedback and education along the way. You don't have to do this alone.
Are you feeling like no matter what you do, it is never good enough? Maybe you are feeling hopeless and unsure how to start feeling more positive about yourself and your life. Anxiety and depression can feel crippling at times and keep you from living the life you want to be living. Overcoming this negative self-talk is not easy, but it's possible. I help clients learn how to live the life they desire and stop letting their inner critic stop them! I will challenge you to try new things, but I will be there to provide support, feedback and education along the way. You don't have to do this alone.
(516) 908-8531 View (516) 908-8531
Photo of Kelly Vecchio, Clinical Social Work/Therapist in Suffolk County, NY
Kelly Vecchio
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Shoreham, NY 11786
I love the work that I do because I understand how important emotional and mental health are in the life of every individual. In my practice I strive to provide each client with a safe place to explore their thoughts and feelings, as well as their experiences and behaviors. Together, you and I will begin to explore what in your life is creating barriers. Step by step we will create goals to help you begin to thrive. Working with clients at various stages of life and personal growth has taught me that we all want to feel respected and understood, and that it is never too late to make your happiness a priority.
I love the work that I do because I understand how important emotional and mental health are in the life of every individual. In my practice I strive to provide each client with a safe place to explore their thoughts and feelings, as well as their experiences and behaviors. Together, you and I will begin to explore what in your life is creating barriers. Step by step we will create goals to help you begin to thrive. Working with clients at various stages of life and personal growth has taught me that we all want to feel respected and understood, and that it is never too late to make your happiness a priority.
(631) 706-4249 View (631) 706-4249
Photo of Jessie Wilkinson, Clinical Social Work/Therapist in Suffolk County, NY
Jessie Wilkinson
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Patchogue, NY 11772
Are you struggling with emotional distress? Do you often feel weighed down by feelings of anxiety? Do you find yourself returning to comfortable, although detrimental ways of dealing with stress, relationships, or disturbing experiences? Come talk to me, and we can work together on revealing underlying causes of dysfunction and building up your resources to overcome adversity. I believe in a collaborative approach where the client controls the pace of treatment and my role is to promote curiosity and guide the client to connect with inner strengths.
Are you struggling with emotional distress? Do you often feel weighed down by feelings of anxiety? Do you find yourself returning to comfortable, although detrimental ways of dealing with stress, relationships, or disturbing experiences? Come talk to me, and we can work together on revealing underlying causes of dysfunction and building up your resources to overcome adversity. I believe in a collaborative approach where the client controls the pace of treatment and my role is to promote curiosity and guide the client to connect with inner strengths.
(347) 779-1186 View (347) 779-1186
Photo of Cassandra Gonzalez, Clinical Social Work/Therapist in Suffolk County, NY
Cassandra Gonzalez
Clinical Social Work/Therapist, LCSW, SIFI
Verified Verified
Manorville, NY 11949
Your life may seems like it's going okay but you feel like you're putting on an act or simply going through the motions. You’re doing your best to be a good parent, partner, friend, son, daughter, grandchild, student, or employee but you end up feeling like you could do more. At times, you're dealing with automatic, restless thoughts that reminds you of the things you have not done or simply criticizing everything. You may see changes in your sleeping patterns and eating habits. It could be hard to see the beauty around you, leaving you feeling weary, overwhelmed, numb, angry, or stuck. Change is possible, one step at a time.
Your life may seems like it's going okay but you feel like you're putting on an act or simply going through the motions. You’re doing your best to be a good parent, partner, friend, son, daughter, grandchild, student, or employee but you end up feeling like you could do more. At times, you're dealing with automatic, restless thoughts that reminds you of the things you have not done or simply criticizing everything. You may see changes in your sleeping patterns and eating habits. It could be hard to see the beauty around you, leaving you feeling weary, overwhelmed, numb, angry, or stuck. Change is possible, one step at a time.
(631) 203-2365 View (631) 203-2365
Photo of Luann Quackenbush, Clinical Social Work/Therapist in Suffolk County, NY
Luann Quackenbush
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Commack, NY 11725
I have been working in the social work field since 1984. About 25 years ago, I started my full time private practice, and can still say that I love what I do. 30 years working with people provides me with a wealth of knowledge. A client only needs to bring themselves and have a willingness to commit to the therapeutic process. I have also enjoyed teaching as an adjunct instructor at The Adelphi University School of Social Work, where I teach graduate level classes in Individual Treatment, Group Treatment and Family/Marital Treatment.
I have been working in the social work field since 1984. About 25 years ago, I started my full time private practice, and can still say that I love what I do. 30 years working with people provides me with a wealth of knowledge. A client only needs to bring themselves and have a willingness to commit to the therapeutic process. I have also enjoyed teaching as an adjunct instructor at The Adelphi University School of Social Work, where I teach graduate level classes in Individual Treatment, Group Treatment and Family/Marital Treatment.
(631) 898-4135 View (631) 898-4135
Photo of Family & Personal Counseling, Counselor in Suffolk County, NY
Family & Personal Counseling
Counselor, MS, LMHC, ASAC, CCH
Verified Verified
Smithtown, NY 11787
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, trauma, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start... and we will answer your call TODAY.
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, trauma, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start... and we will answer your call TODAY.
(631) 652-9308 View (631) 652-9308
Photo of Meghan Mcleod LCSW, Clinical Social Work/Therapist in Suffolk County, NY
Meghan Mcleod LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Bay Shore, NY 11706  (Online Only)
Not accepting new clients
Intrusive thoughts, negative thinking, fear. Anxiety, pressure, control. If this sounds like you, it can sometimes feel like things will never get better. It can. You can manage intrusive thoughts. You can live without fear. Life can be better. Together we can reduce some of that pressure, and relinquish some of the control. We can work together to help change negative thinking and ease your anxiety.
Intrusive thoughts, negative thinking, fear. Anxiety, pressure, control. If this sounds like you, it can sometimes feel like things will never get better. It can. You can manage intrusive thoughts. You can live without fear. Life can be better. Together we can reduce some of that pressure, and relinquish some of the control. We can work together to help change negative thinking and ease your anxiety.
(631) 919-4859 View (631) 919-4859
Photo of Melanie Vinueza in Suffolk County, NY
Melanie Vinueza
MHC-LP
Verified Verified
1 Endorsed
Babylon, NY 11702
Welcome! My name is Melanie Vinueza and I am glad you are here. Whether you are starting therapy for the first time or looking for a new fit, I would be happy to work with you to get yourself on the path to a fulfilled and happy life. I graduated with a major in Criminal Justice from John Jay College and have a Master's in Mental Health Counseling from Manhattan College. In addition, I completed various pieces of training that taught me how to become a Trauma-informed counselor and work with individuals with a history of trauma, substance use, anxiety, depression, and mood disorders.
Welcome! My name is Melanie Vinueza and I am glad you are here. Whether you are starting therapy for the first time or looking for a new fit, I would be happy to work with you to get yourself on the path to a fulfilled and happy life. I graduated with a major in Criminal Justice from John Jay College and have a Master's in Mental Health Counseling from Manhattan College. In addition, I completed various pieces of training that taught me how to become a Trauma-informed counselor and work with individuals with a history of trauma, substance use, anxiety, depression, and mood disorders.
(631) 888-5973 x107 View (631) 888-5973 x107
Photo of Fran Donovan, Clinical Social Work/Therapist in Suffolk County, NY
Fran Donovan
Clinical Social Work/Therapist, LCSW
Verified Verified
East Hampton, NY 11937
For over 35 years I've been serving the community of the East End of Long Island as a therapist, lecturer and consultant in schools and private practice. I utilize varying modalities such as EMDR, mindfulness, stress reduction techniques and traditional talk therapy.
For over 35 years I've been serving the community of the East End of Long Island as a therapist, lecturer and consultant in schools and private practice. I utilize varying modalities such as EMDR, mindfulness, stress reduction techniques and traditional talk therapy.
(631) 527-3589 View (631) 527-3589
Photo of Nicole J LaMariana, Clinical Social Work/Therapist in Suffolk County, NY
Nicole J LaMariana
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Mount Sinai, NY 11766
One of the most challenging steps in the process of facilitating change is that in which the person realizes a change is needed. A client may seek my counseling services, specifically, for a number of reasons. In a broad sense, I provide psychotherapy to individuals who may be facing a stressful life event / change, who are struggling with depression or anxiety, or may be looking for assistance developing the coping skills necessary to succeed in their life. I also specialize in working with individuals suffering from anticipatory grief due to the impending loss of a loved one, caregiver burnout, and bereavement.
One of the most challenging steps in the process of facilitating change is that in which the person realizes a change is needed. A client may seek my counseling services, specifically, for a number of reasons. In a broad sense, I provide psychotherapy to individuals who may be facing a stressful life event / change, who are struggling with depression or anxiety, or may be looking for assistance developing the coping skills necessary to succeed in their life. I also specialize in working with individuals suffering from anticipatory grief due to the impending loss of a loved one, caregiver burnout, and bereavement.
(516) 407-9577 View (516) 407-9577
Photo of Antonia Porco, Clinical Social Work/Therapist in Suffolk County, NY
Antonia Porco
Clinical Social Work/Therapist, LCSW
Verified Verified
Northport, NY 11768
Therapy is ultimately meant to be a life altering process, from how you understand your personal challenges and problematic situations to how you choose your coping strategies and the options you see as possible for your life. It is my goal to guide and support you through this therapeutic experience to help you create a higher quality of life that resonates with your true self. Therapy starts where you are at, and it progresses one step at a time. I approach my clients with commitment, integrity and a vision of positive growth.
Therapy is ultimately meant to be a life altering process, from how you understand your personal challenges and problematic situations to how you choose your coping strategies and the options you see as possible for your life. It is my goal to guide and support you through this therapeutic experience to help you create a higher quality of life that resonates with your true self. Therapy starts where you are at, and it progresses one step at a time. I approach my clients with commitment, integrity and a vision of positive growth.
(631) 850-3549 View (631) 850-3549
Photo of Kristen Memoli, Psychologist in Suffolk County, NY
Kristen Memoli
Psychologist, PsyD
Verified Verified
Huntington, NY 11743
Are you a parent noticing your child struggling at home, school, or with friends? Do you have a suspicion that your child might be on the autism spectrum or perhaps in the grip of a cycle of anxiety or anger? Does your child spend too much time online and not enough time connecting with others and the world around them? Perhaps you are not seeking support for a child, but instead for yourself. Many adults struggle with these very issues. All of these things can lead to a great amount of stress for children, adults, and their loved ones. I'm glad you're here and I'm here to help.
Are you a parent noticing your child struggling at home, school, or with friends? Do you have a suspicion that your child might be on the autism spectrum or perhaps in the grip of a cycle of anxiety or anger? Does your child spend too much time online and not enough time connecting with others and the world around them? Perhaps you are not seeking support for a child, but instead for yourself. Many adults struggle with these very issues. All of these things can lead to a great amount of stress for children, adults, and their loved ones. I'm glad you're here and I'm here to help.
(516) 513-8327 View (516) 513-8327
Photo of Courtney Gonzalez, Licensed Master Social Worker in Suffolk County, NY
Courtney Gonzalez
Licensed Master Social Worker, LMSW, CSSW
Verified Verified
Islip, NY 11751
While developing our therapeutic relationship, my goal is to help you gain self-awareness and develop the skills needed to be your own best support system. As a licensed social worker my goal is to use my skills and prior experience to treat each client with specific goals in mind. I have several years of experience working with school aged to college aged clients, ages 5-25. This work has been within the school and clinical setting. I work with you or your child to determine the best therapeutic approach to address life stressors in order to develop the different tools to help take control of your life.
While developing our therapeutic relationship, my goal is to help you gain self-awareness and develop the skills needed to be your own best support system. As a licensed social worker my goal is to use my skills and prior experience to treat each client with specific goals in mind. I have several years of experience working with school aged to college aged clients, ages 5-25. This work has been within the school and clinical setting. I work with you or your child to determine the best therapeutic approach to address life stressors in order to develop the different tools to help take control of your life.
(631) 540-2085 View (631) 540-2085
Photo of Feel Alive Therapy LCSW P.C., Licensed Master Social Worker in Suffolk County, NY
Feel Alive Therapy LCSW P.C.
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Hauppauge, NY 11788
Hi! We are so happy you're here. At Feel Alive Therapy LCSW P.C. we believe in capitalizing on our client's strengths in order to empower them to heal and self-improve. We create a safe, welcoming, and comforting environment for our clients to process their feelings and emotions. Our goal is to assist our clients in developing an increased sense of self-awareness and insight. Our clients focus on learning the necessary coping mechanisms necessary to live a happy, healthy, and balanced life.
Hi! We are so happy you're here. At Feel Alive Therapy LCSW P.C. we believe in capitalizing on our client's strengths in order to empower them to heal and self-improve. We create a safe, welcoming, and comforting environment for our clients to process their feelings and emotions. Our goal is to assist our clients in developing an increased sense of self-awareness and insight. Our clients focus on learning the necessary coping mechanisms necessary to live a happy, healthy, and balanced life.
(631) 616-8854 View (631) 616-8854
Photo of Lindsey Denninger, Licensed Master Social Worker in Suffolk County, NY
Lindsey Denninger
Licensed Master Social Worker, LMSW
Verified Verified
Smithtown, NY 11787
Perhaps one of the most important decisions you can make is the decision to see a therapist. I understand how personal this is for you. The connection you make with the therapist that you choose is equally as important as taking that first step. That is why I create a safe, supportive and non-judgmental environment for you to discuss the challenges that you currently face. We will partner together to develop tools and coping skills to make positive change and live a happier life.
Perhaps one of the most important decisions you can make is the decision to see a therapist. I understand how personal this is for you. The connection you make with the therapist that you choose is equally as important as taking that first step. That is why I create a safe, supportive and non-judgmental environment for you to discuss the challenges that you currently face. We will partner together to develop tools and coping skills to make positive change and live a happier life.
(631) 818-1819 View (631) 818-1819
Photo of Janice Martin, Clinical Social Work/Therapist in Suffolk County, NY
Janice Martin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
I have been in private practice for over 20 years, and being a psychotherapist is my life's work and passion. I love helping people deal with issues that may block them from being themselves and living their desired life. I, too, have a group practice with Therapists that use the same approach and modalities called Lightpath counseling group. The website is on this account for you to view.
I have been in private practice for over 20 years, and being a psychotherapist is my life's work and passion. I love helping people deal with issues that may block them from being themselves and living their desired life. I, too, have a group practice with Therapists that use the same approach and modalities called Lightpath counseling group. The website is on this account for you to view.
(631) 938-7132 View (631) 938-7132
Photo of Mary Starke, Counselor in Suffolk County, NY
Mary Starke
Counselor, LMHC
Verified Verified
Amityville, NY 11701
Not accepting new clients
I work with clients to achieve desired goals with a focus on solutions; I enjoy helping clients identify barriers to self growth and discover personal strengths. We all struggle at times with anxiety, depression and low self worth which can sabotage our best efforts to develop and shape the life we want. I provide a supportive, accepting and nurturing space where you can explore your thoughts, feelings and behaviors to enhance self fulfillment.
I work with clients to achieve desired goals with a focus on solutions; I enjoy helping clients identify barriers to self growth and discover personal strengths. We all struggle at times with anxiety, depression and low self worth which can sabotage our best efforts to develop and shape the life we want. I provide a supportive, accepting and nurturing space where you can explore your thoughts, feelings and behaviors to enhance self fulfillment.
(516) 226-7837 View (516) 226-7837
Photo of Robert Balzarano, Clinical Social Work/Therapist in Suffolk County, NY
Robert Balzarano
Clinical Social Work/Therapist, LCSW
Verified Verified
Hauppauge, NY 11788
Robert is a very open, sensitive, and caring therapist with a genuine interest in your life and well-being. Firmly believing in the power of psychotherapy and its positive impact on life, he welcomes the opportunity to work with those seeking therapy to become a healthier, happier person. He works with a large range of people/clients dealing with various personal challenges, both lifelong and/or situational. He wants to work with you and help you to accomplish and maintain goals, healthy relationships, meet your potential, and experience a sense of inner-peace and calmness.
Robert is a very open, sensitive, and caring therapist with a genuine interest in your life and well-being. Firmly believing in the power of psychotherapy and its positive impact on life, he welcomes the opportunity to work with those seeking therapy to become a healthier, happier person. He works with a large range of people/clients dealing with various personal challenges, both lifelong and/or situational. He wants to work with you and help you to accomplish and maintain goals, healthy relationships, meet your potential, and experience a sense of inner-peace and calmness.
(631) 706-3718 View (631) 706-3718
Photo of Advanced Psychological Assessment, P.C., Psychologist in Suffolk County, NY
Advanced Psychological Assessment, P.C.
Psychologist, PhD
Verified Verified
Smithtown, NY 11787
I am a New York State licensed clinical psychologist with office in Smithtown, Forest Hills & Murray Hill. I specialize in the neuropsychological assessment of individuals with special needs. My clientele includes children, adolescents & adults with genetic disorders, epilepsy, intellectual disabilities, autism, concussion and traumatic brain injury, sex chromosome differences, dementia and acquired brain disorders. I also work extensively with children who present with learning disorders, including dyslexia, problems with behavior and attention (e.g., ADHD and Conduct Disorder), and/or who require academic modifications for giftedness.
I am a New York State licensed clinical psychologist with office in Smithtown, Forest Hills & Murray Hill. I specialize in the neuropsychological assessment of individuals with special needs. My clientele includes children, adolescents & adults with genetic disorders, epilepsy, intellectual disabilities, autism, concussion and traumatic brain injury, sex chromosome differences, dementia and acquired brain disorders. I also work extensively with children who present with learning disorders, including dyslexia, problems with behavior and attention (e.g., ADHD and Conduct Disorder), and/or who require academic modifications for giftedness.
(631) 593-5620 View (631) 593-5620
Photo of Michael Toomey, Clinical Social Work/Therapist in Suffolk County, NY
Michael Toomey
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Patchogue, NY 11772
My ideal client is someone looking to explore and discuss their issues, develop a plan, and work towards change. I love to support my clients in their journey and enable them to make their own progress individually. I am happy to work with anyone struggling to manage their emotions, impulsive behaviors, relationships, major life changes, or someone simply working towards their best life.
My ideal client is someone looking to explore and discuss their issues, develop a plan, and work towards change. I love to support my clients in their journey and enable them to make their own progress individually. I am happy to work with anyone struggling to manage their emotions, impulsive behaviors, relationships, major life changes, or someone simply working towards their best life.
(631) 557-6749 View (631) 557-6749

See more therapy options for Suffolk County

How does your Therapist compare?

Number of Therapists in Suffolk County, NY

2,000+

Average cost per session

$150

Therapists in Suffolk County, NY who prioritize treating:

92% Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues
75% Coping Skills
69% Stress
61% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
70% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in Suffolk County, NY see their clients

68% In Person and Online
32% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Suffolk County?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.