Therapists in Camp Hill, PA

Photo of Kathleen Semerad Hoagland, Licensed Professional Counselor, LPC
Kathleen Semerad Hoagland
Licensed Professional Counselor, LPC
Camp Hill, PA 17011
Not accepting new clients
I am particularly passionate about working with: - Individuals in midlife who are feeling lost, numb, or unfulfilled - Individuals impacted by religious trauma - Parents of young children/teenagers who notice their own trauma symptoms resurfacing through the course of interactions with their kiddos - Individuals who have experienced significant losses (death of a loved one, being laid off, divorce, cancer, chronic pain, etc) - High achievers/perfectionists - Those in high stress professions i.e. first responders, law enforcement, politics, medical professionals, etc. - Athletes struggling with mental blocks, injury, burnout.
I am particularly passionate about working with: - Individuals in midlife who are feeling lost, numb, or unfulfilled - Individuals impacted by religious trauma - Parents of young children/teenagers who notice their own trauma symptoms resurfacing through the course of interactions with their kiddos - Individuals who have experienced significant losses (death of a loved one, being laid off, divorce, cancer, chronic pain, etc) - High achievers/perfectionists - Those in high stress professions i.e. first responders, law enforcement, politics, medical professionals, etc. - Athletes struggling with mental blocks, injury, burnout.
(717) 356-9788 View (717) 356-9788
Photo of Mark Verber, Licensed Professional Counselor, MS, LPC
Mark Verber
Licensed Professional Counselor, MS, LPC
Camp Hill, PA 17011
Do you miss your relationship as it once was? You’re likely feeling stuck between two unimaginable fates- struggling with the way things currently are, but you don’t want the relationship to end either. You don’t want to give in or give up. Yet, the more you struggle against the pattern that has developed, the more stuck you seem to get. Communication is not productive or non-existent- leaving you frustrated. Conflict is ever-present or unresolved- leaving you angry. Intimacy is absent or distant- leaving you feeling alone. When your relationship suffers, everything suffers.
Do you miss your relationship as it once was? You’re likely feeling stuck between two unimaginable fates- struggling with the way things currently are, but you don’t want the relationship to end either. You don’t want to give in or give up. Yet, the more you struggle against the pattern that has developed, the more stuck you seem to get. Communication is not productive or non-existent- leaving you frustrated. Conflict is ever-present or unresolved- leaving you angry. Intimacy is absent or distant- leaving you feeling alone. When your relationship suffers, everything suffers.
(717) 384-2890 View (717) 384-2890
Photo of Tracie A. Maille, Licensed Professional Counselor, MS, CRC, CCTP, LPC
Tracie A. Maille
Licensed Professional Counselor, MS, CRC, CCTP, LPC
Camp Hill, PA 17011
I believe that growth occurs at the edge of our comfort zone. When we become complacent and just "settle", we have cut off our opportunity for happiness. Together, we can discuss obstacles, concerns, and life stressors, whether it be related to work, relationships, trauma, addiction, or life transitions. I strongly believe that it is important to meet each client where they are at. When this occurs, I am able to offer an integrative approach, combining different therapeutic tools and approaches to meet your individual needs. I have experience with and continue to see children (age 5+), adolescents, adults, couples, and families.
I believe that growth occurs at the edge of our comfort zone. When we become complacent and just "settle", we have cut off our opportunity for happiness. Together, we can discuss obstacles, concerns, and life stressors, whether it be related to work, relationships, trauma, addiction, or life transitions. I strongly believe that it is important to meet each client where they are at. When this occurs, I am able to offer an integrative approach, combining different therapeutic tools and approaches to meet your individual needs. I have experience with and continue to see children (age 5+), adolescents, adults, couples, and families.
(717) 619-9674 View (717) 619-9674
Photo of Sarah Miller - Sarah Miller LCSW, Clinical Social Work/Therapist, LCSW
Sarah Miller LCSW
Clinical Social Work/Therapist, LCSW
1 Endorsed
Camp Hill, PA 17011
Not accepting new clients
Navigating these challenging times can often feel impossible. You’re not alone! Whether you are grieving the loss of a dear friend or loved one, coping with changes in relationships and routines, facing a chronic illness that is making it hard to even get out of bed some days, or you just feel stuck, overwhelmed, and don’t see a way through your circumstances, I’m here to help! Together, we can develop tools that will prove to be a steady anchor, restoring hope that you can weather life’s future storms.
Navigating these challenging times can often feel impossible. You’re not alone! Whether you are grieving the loss of a dear friend or loved one, coping with changes in relationships and routines, facing a chronic illness that is making it hard to even get out of bed some days, or you just feel stuck, overwhelmed, and don’t see a way through your circumstances, I’m here to help! Together, we can develop tools that will prove to be a steady anchor, restoring hope that you can weather life’s future storms.
(717) 937-8065 View (717) 937-8065
Photo of Katie Merritt, Clinical Social Work/Therapist, MSW, LSW
Katie Merritt
Clinical Social Work/Therapist, MSW, LSW
Online Only
I work with individuals navigating trauma, anxiety, depression, burnout, relationship issues, and major life transitions—especially those who feel the weight of expectations and high pressure situations pulling them in every direction. Many of the people I work with are struggling in their relationships—whether that’s with a partner, family member, or themselves. Together, we explore the patterns that keep you stuck and build the clarity and confidence needed to create more authentic, fulfilling connections.
I work with individuals navigating trauma, anxiety, depression, burnout, relationship issues, and major life transitions—especially those who feel the weight of expectations and high pressure situations pulling them in every direction. Many of the people I work with are struggling in their relationships—whether that’s with a partner, family member, or themselves. Together, we explore the patterns that keep you stuck and build the clarity and confidence needed to create more authentic, fulfilling connections.
(717) 789-7450 View (717) 789-7450
Photo of Christine L. Lemke - Christine L. Lemke, LLC, Licensed Professional Counselor, MS, LPC
Christine L. Lemke, LLC
Licensed Professional Counselor, MS, LPC
Online Only
If you are reading this, please feel proud of yourself. You've already accomplished two goals: You're not happy with how your life is and you've decided to do something about it. You’ve taken the initial steps. You likely have doubts: “How can just talking to someone change my life? I’ll still have the same problems.” The answer? Talking to someone can make all the difference in the world! I can help you look at life issues in a whole new way, with new ways to deal with them. There’s a saying that goes, “Joys shared are joys doubled; sorrows shared are sorrows halved.” It’s true...There is nothing that cannot be made better.
If you are reading this, please feel proud of yourself. You've already accomplished two goals: You're not happy with how your life is and you've decided to do something about it. You’ve taken the initial steps. You likely have doubts: “How can just talking to someone change my life? I’ll still have the same problems.” The answer? Talking to someone can make all the difference in the world! I can help you look at life issues in a whole new way, with new ways to deal with them. There’s a saying that goes, “Joys shared are joys doubled; sorrows shared are sorrows halved.” It’s true...There is nothing that cannot be made better.
(717) 613-6064 View (717) 613-6064
Photo of Marcia Delafield, Clinical Social Work/Therapist, MSW, LCSW
Marcia Delafield
Clinical Social Work/Therapist, MSW, LCSW
Camp Hill, PA 17011
Not accepting new clients
Everyone has experienced some sort of trauma in their life. Sometimes this trauma can be too much for us. We might say to ourselves, 'just get over it', but it's not that easy. Let me guide you through proven strategies for recovering from trauma, adversity, and emotional strain. I treat adults who are trying to recover from a variety of emotional ordeals. Together we can restore your resiliency to the point where you feel confident enough to overcome life's challenges.
Everyone has experienced some sort of trauma in their life. Sometimes this trauma can be too much for us. We might say to ourselves, 'just get over it', but it's not that easy. Let me guide you through proven strategies for recovering from trauma, adversity, and emotional strain. I treat adults who are trying to recover from a variety of emotional ordeals. Together we can restore your resiliency to the point where you feel confident enough to overcome life's challenges.
(717) 208-8366 View (717) 208-8366
Photo of Christine M Samuelsen, Psychologist, PsyD
Christine M Samuelsen
Psychologist, PsyD
Camp Hill, PA 17011
Reaching out for professional support when life is feeling challenging can be difficult, but know you are not alone. People decide to come to therapy for a wide variety of reasons- you may be struggling with mental or emotional distress, desire to change behaviors or you may want to gain a new perspective on your life. Whatever your reasons for seeking help, I am here to offer you a warm, supportive environment to help you work through the difficulties you are facing.
Reaching out for professional support when life is feeling challenging can be difficult, but know you are not alone. People decide to come to therapy for a wide variety of reasons- you may be struggling with mental or emotional distress, desire to change behaviors or you may want to gain a new perspective on your life. Whatever your reasons for seeking help, I am here to offer you a warm, supportive environment to help you work through the difficulties you are facing.
(717) 409-5414 View (717) 409-5414
David R Miller
Psychologist, PhD, MSPHARM
Camp Hill, PA 17011
Hello. I have over 20 yrs of clinical experience with children, teens, and adults. I grew up in central Pennsylvania and attended Penn State for undergraduate schooling. I then earned a Ph.D. in Clinical Psychology from Central Michigan University and later a masters degree in Psychopharmacology from Argosy University. I also completed a two year fellowship in Clinical Child Psychology to work with children, teens, and families. I enjoy working with all age groups. Whether you are a parent wanting support for your child or teenager or an adult I would be happy to help you.
Hello. I have over 20 yrs of clinical experience with children, teens, and adults. I grew up in central Pennsylvania and attended Penn State for undergraduate schooling. I then earned a Ph.D. in Clinical Psychology from Central Michigan University and later a masters degree in Psychopharmacology from Argosy University. I also completed a two year fellowship in Clinical Child Psychology to work with children, teens, and families. I enjoy working with all age groups. Whether you are a parent wanting support for your child or teenager or an adult I would be happy to help you.
(717) 954-0293 View (717) 954-0293
Photo of Gwyn Lipari, Clinical Social Work/Therapist, LSW, LCSW
Gwyn Lipari
Clinical Social Work/Therapist, LSW, LCSW
Camp Hill, PA 17011
Are you overwhelmed by anxiety, overthinking, or relationship struggles? Do you find yourself stuck in unhealthy patterns, struggling with boundaries, or people-pleasing? You’re not alone—you don’t have to figure it out alone. I help college students, young professionals, and adults navigate attachment challenges, build confidence, and create healthier connections—without losing themselves. Whether it’s codependency, boundary struggles, or communication challenges, I help clients break old patterns and develop more fulfilling relationships—with themselves and others.
Are you overwhelmed by anxiety, overthinking, or relationship struggles? Do you find yourself stuck in unhealthy patterns, struggling with boundaries, or people-pleasing? You’re not alone—you don’t have to figure it out alone. I help college students, young professionals, and adults navigate attachment challenges, build confidence, and create healthier connections—without losing themselves. Whether it’s codependency, boundary struggles, or communication challenges, I help clients break old patterns and develop more fulfilling relationships—with themselves and others.
(717) 789-6044 View (717) 789-6044
Photo of Shannon M Weise - The Anxiety & OCD Treatment Center of Central PA, Clinical Social Work/Therapist, MSW, LCSW, LISW-CP
The Anxiety & OCD Treatment Center of Central PA
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP
2 Endorsed
Camp Hill, PA 17011
Our specialized experience in the treatment of children, adolescents, and adults with anxiety disorders, panic disorder, social anxiety disorder, obsessive-compulsive disorder, generalized anxiety disorder, PTSD, BFRBs, and specific phobias will help you meet your goals and improve your life. We can also help with other life issues. Our approach to treatment involves collaborative goal-setting with clients to determine areas for intervention and the use of evidence-based treatment methods tailored to each individual. We provide in-office and virtual sessions.
Our specialized experience in the treatment of children, adolescents, and adults with anxiety disorders, panic disorder, social anxiety disorder, obsessive-compulsive disorder, generalized anxiety disorder, PTSD, BFRBs, and specific phobias will help you meet your goals and improve your life. We can also help with other life issues. Our approach to treatment involves collaborative goal-setting with clients to determine areas for intervention and the use of evidence-based treatment methods tailored to each individual. We provide in-office and virtual sessions.
(717) 647-5270 View (717) 647-5270
Photo of Kristin Hollis, Clinical Social Work/Therapist, LCSW
Kristin Hollis
Clinical Social Work/Therapist, LCSW
3 Endorsed
Camp Hill, PA 17011
Are you having difficulty managing life’s challenges such as transitions, anxiety, depression, trauma, or attention issues? I understand how scary it can be to take the first step towards change and I am honored to work with you through this. You are the expert on your own life and we will work collaboratively to develop effective strategies to better manage your life. I specialize in working with teens and adults who are struggling with sadness, constant worries, difficulty concentrating, loneliness, relationship difficulties, traumatic experiences, feeling overwhelmed, and/or stress in the family, work, or school environment.
Are you having difficulty managing life’s challenges such as transitions, anxiety, depression, trauma, or attention issues? I understand how scary it can be to take the first step towards change and I am honored to work with you through this. You are the expert on your own life and we will work collaboratively to develop effective strategies to better manage your life. I specialize in working with teens and adults who are struggling with sadness, constant worries, difficulty concentrating, loneliness, relationship difficulties, traumatic experiences, feeling overwhelmed, and/or stress in the family, work, or school environment.
(717) 325-4459 View (717) 325-4459
Photo of Tiffany Dampier, Licensed Professional Counselor, LPC
Tiffany Dampier
Licensed Professional Counselor, LPC
Camp Hill, PA 17011
Are you struggling to remain psychologically flexible in an ever-changing world? Psychological flexibility means contacting the present moment fully as a conscious human being and based on what the situation affords, changing or persisting in behavior in the service of chosen values.
Are you struggling to remain psychologically flexible in an ever-changing world? Psychological flexibility means contacting the present moment fully as a conscious human being and based on what the situation affords, changing or persisting in behavior in the service of chosen values.
(717) 912-8859 View (717) 912-8859
Photo of Shonyah Hawkins-Cottman, PhD, MA, BCCC, CCTP, AMS
Shonyah Hawkins-Cottman
Verified Verified
Camp Hill, PA 17011
Do you need a Certified Trauma Professional and Substance Use Disorder Clinician who has a passion for helping individuals explore ways to overcome cognitive and behavioral challenges that may exist? Are you trying to find a caring, experienced therapist who will provide a supportive environment that will meet your individual needs? Let me help you arrest your maladaptive behaviors and emotions through managing your thoughts and cognitions, using positivity and mindfulness to encourage optimism and excitement about the future as you reconcile your past while standing in the present. Freedom, growth, and lasting change is near!
Do you need a Certified Trauma Professional and Substance Use Disorder Clinician who has a passion for helping individuals explore ways to overcome cognitive and behavioral challenges that may exist? Are you trying to find a caring, experienced therapist who will provide a supportive environment that will meet your individual needs? Let me help you arrest your maladaptive behaviors and emotions through managing your thoughts and cognitions, using positivity and mindfulness to encourage optimism and excitement about the future as you reconcile your past while standing in the present. Freedom, growth, and lasting change is near!
(717) 563-7222 View (717) 563-7222
Photo of Pauline Wallin, Psychologist, PhD
Pauline Wallin
Psychologist, PhD
Camp Hill, PA 17011
If you've clicked onto this page, you're considering making some important changes in your life. Are you faced with a decision? Are you unhappy with how your life is going? Do you need better ways to manage stress? Do you find yourself engaging in self-defeating thought and behavior? Does your relationship need repair? I've been helping people with these problems and more for over 30 years. During that time I've certainly seen a great deal of misery, confusion, and despair among my clients.
If you've clicked onto this page, you're considering making some important changes in your life. Are you faced with a decision? Are you unhappy with how your life is going? Do you need better ways to manage stress? Do you find yourself engaging in self-defeating thought and behavior? Does your relationship need repair? I've been helping people with these problems and more for over 30 years. During that time I've certainly seen a great deal of misery, confusion, and despair among my clients.
(717) 761-1814 View (717) 761-1814
Photo of Terri J. Robinson, Pre-Licensed Professional, MA, LBS, NCC
Terri J. Robinson
Pre-Licensed Professional, MA, LBS, NCC
Camp Hill, PA 17011
I have worked extensively with children and teens struggling with emotional and behavioral challenges and with couples and families who experience difficulty with positive interactions and connecting. If you are in a state of confusion, frustration or even if you are angry about your situation, I will be committed to helping you uncover your strengths that will decrease your distress. So as we join, we will investigate and strategize next steps to overcome the conditions that negatively affect your thoughts, feelings and actions.
I have worked extensively with children and teens struggling with emotional and behavioral challenges and with couples and families who experience difficulty with positive interactions and connecting. If you are in a state of confusion, frustration or even if you are angry about your situation, I will be committed to helping you uncover your strengths that will decrease your distress. So as we join, we will investigate and strategize next steps to overcome the conditions that negatively affect your thoughts, feelings and actions.
(717) 573-0594 View (717) 573-0594
Photo of Jessica Ambrose, Licensed Professional Counselor, MA, LPC
Jessica Ambrose
Licensed Professional Counselor, MA, LPC
Camp Hill, PA 17011
Everyone is deserving of a life of peace and genuine happiness! My ideal clients are those that are looking to work towards that life through personal growth and healing! Does that sound like something you are looking for? Through an honest and passionate approach, I want to help you navigate your experiences and challenges, while creating an opportunity for you to enjoy the process as much as possible. I understand that seeking out therapy can be intimidating, but you are already making steps towards finding that genuine happiness and peace that you deserve!
Everyone is deserving of a life of peace and genuine happiness! My ideal clients are those that are looking to work towards that life through personal growth and healing! Does that sound like something you are looking for? Through an honest and passionate approach, I want to help you navigate your experiences and challenges, while creating an opportunity for you to enjoy the process as much as possible. I understand that seeking out therapy can be intimidating, but you are already making steps towards finding that genuine happiness and peace that you deserve!
(717) 912-5717 View (717) 912-5717
Photo of Nicole Wade, Clinical Social Work/Therapist, LCSW
Nicole Wade
Clinical Social Work/Therapist, LCSW
Camp Hill, PA 17011
I believe one of the most important aspects of therapy is providing a safe place for people to express themselves without judgement. A place to talk out difficult thoughts and feelings with someone who wants nothing but healing and success for you. My ideal client is open to exploring their thoughts and looking to start their healing journey. If you need support getting to that place of change, I am here to help.
I believe one of the most important aspects of therapy is providing a safe place for people to express themselves without judgement. A place to talk out difficult thoughts and feelings with someone who wants nothing but healing and success for you. My ideal client is open to exploring their thoughts and looking to start their healing journey. If you need support getting to that place of change, I am here to help.
(717) 904-7620 View (717) 904-7620
Photo of Kelly Dague, Associate Professional Counselor, MS, LAPC, CRC
Kelly Dague
Associate Professional Counselor, MS, LAPC, CRC
1 Endorsed
Camp Hill, PA 17011
Are you feeling stuck in your life or maybe unfulfilled personally or professionally? Do you have thoughts or feelings that are weighing you down? You are not alone. Sometimes we just need a little help to move forward and process our emotions in a safe place. My goal is to help support you in a trusting environment where your thoughts and feelings are validated as you focus on being the best version of you.
Are you feeling stuck in your life or maybe unfulfilled personally or professionally? Do you have thoughts or feelings that are weighing you down? You are not alone. Sometimes we just need a little help to move forward and process our emotions in a safe place. My goal is to help support you in a trusting environment where your thoughts and feelings are validated as you focus on being the best version of you.
(717) 788-5468 View (717) 788-5468
Photo of Cindy Devine, Licensed Professional Counselor, LPC
Cindy Devine
Licensed Professional Counselor, LPC
Camp Hill, PA 17011
Sometimes life just feels like too much. No matter what you do, you might feel stuck or overwhelmed by your emotions. Maybe you’re dealing with anger, sadness, anxiety, or loneliness—or you’re caught in self-doubt and unsure of your next steps. You might be feeling the weight of relationship conflict, disconnection, or unclear boundaries and just want a sense of peace and clarity. You may be looking for support, practical tools, or a space where you simply feel heard—where healing feels possible and you're not carrying it all alone.
Sometimes life just feels like too much. No matter what you do, you might feel stuck or overwhelmed by your emotions. Maybe you’re dealing with anger, sadness, anxiety, or loneliness—or you’re caught in self-doubt and unsure of your next steps. You might be feeling the weight of relationship conflict, disconnection, or unclear boundaries and just want a sense of peace and clarity. You may be looking for support, practical tools, or a space where you simply feel heard—where healing feels possible and you're not carrying it all alone.
(717) 899-1256 View (717) 899-1256

See more therapy options for Camp Hill

How does your Therapist compare?

Number of Therapists in Camp Hill, PA

100+

Average cost per session

$135

Therapists in Camp Hill, PA who prioritize treating:

94% Anxiety
88% Depression
77% Trauma and PTSD
73% Coping Skills
73% Self Esteem
68% Relationship Issues
65% Stress

Average years in practice

12 Years

Top 3 insurances accepted

85% Highmark
79% Aetna
74% Capital Blue Cross

How Therapists in Camp Hill, PA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Camp Hill?

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.