Therapists in Finleyville, PA

Photo of Melody Dascanio, Licensed Professional Counselor, MS, NCC, C-PD, CCTP-II, LPC
Melody Dascanio
Licensed Professional Counselor, MS, NCC, C-PD, CCTP-II, LPC
Online Only
Will I ever be good enough?....Maybe I AM the crazy one?... Have you had these thoughts? Are you anxious, depressed, a chronic people pleaser? Have your "loved ones" blamed you for "everything that is wrong"? Do you hate the way they act around you, but then a few memories of when they were nice make you feel guilty for having those thoughts (cognitive dissonance)? This is all normal if you have experienced narcissistic abuse or emotionally immature parents. This is where I come in. Healing is a real possibility. You deserve it and I'm dedicated to helping you move from surviving to thriving!
Will I ever be good enough?....Maybe I AM the crazy one?... Have you had these thoughts? Are you anxious, depressed, a chronic people pleaser? Have your "loved ones" blamed you for "everything that is wrong"? Do you hate the way they act around you, but then a few memories of when they were nice make you feel guilty for having those thoughts (cognitive dissonance)? This is all normal if you have experienced narcissistic abuse or emotionally immature parents. This is where I come in. Healing is a real possibility. You deserve it and I'm dedicated to helping you move from surviving to thriving!
(332) 213-2960 View (332) 213-2960
Photo of Annmarie Kopec, Clinical Social Work/Therapist, LCSW
Annmarie Kopec
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
Do you ever catch yourself thinking, “Anxiety has taken over my life,” or feeling like the weight of past traumas is too heavy to bear? It’s those sleepless nights, that constant unease, and the haunting memories that just won’t let go. You’re longing for a way to break free, to step out from the shadows of your past, and finally find peace. You know something needs to change, but you’re unsure how to make it happen. Let’s work together to turn that hope into reality.
Do you ever catch yourself thinking, “Anxiety has taken over my life,” or feeling like the weight of past traumas is too heavy to bear? It’s those sleepless nights, that constant unease, and the haunting memories that just won’t let go. You’re longing for a way to break free, to step out from the shadows of your past, and finally find peace. You know something needs to change, but you’re unsure how to make it happen. Let’s work together to turn that hope into reality.
(272) 225-6711 View (272) 225-6711
Photo of Alora D'Andrea, Clinical Social Work/Therapist, LCSW
Alora D'Andrea
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
With a comprehensive background in working with individuals and families across the lifespan, I specialize in supporting clients through grief, loss, and life transitions of all kinds. As an Advanced Grief Counseling Specialist, I understand the many facets of change that come with supporting someone who is grieving a loss of any kind. I have also completed level 2 training in Gottman Method Couples Therapy. I recognize and honor each client's uniqueness, and empower clients to explore their inner strengths, build resilience, and create meaningful change in their lives.
With a comprehensive background in working with individuals and families across the lifespan, I specialize in supporting clients through grief, loss, and life transitions of all kinds. As an Advanced Grief Counseling Specialist, I understand the many facets of change that come with supporting someone who is grieving a loss of any kind. I have also completed level 2 training in Gottman Method Couples Therapy. I recognize and honor each client's uniqueness, and empower clients to explore their inner strengths, build resilience, and create meaningful change in their lives.
(515) 375-9035 View (515) 375-9035
Photo of Janaya Carlisle, Pre-Licensed Professional, MS, NCC, LAPC
Janaya Carlisle
Pre-Licensed Professional, MS, NCC, LAPC
2 Endorsed
Serves Area
I am a Licensed Associate Professional Counselor at Ellie Mental Health, dedicated to providing compassionate trauma-informed therapy to individuals of all ages. My holistic approach considers each client’s emotional and behavioral concerns in the broader context of their life experiences. I specialize in helping individuals with trauma histories, emotional regulation issues, anxiety, and interpersonal challenges. Using evidence-based therapies, I guide clients in developing practical skills to navigate their lives with confidence and resilience.
I am a Licensed Associate Professional Counselor at Ellie Mental Health, dedicated to providing compassionate trauma-informed therapy to individuals of all ages. My holistic approach considers each client’s emotional and behavioral concerns in the broader context of their life experiences. I specialize in helping individuals with trauma histories, emotional regulation issues, anxiety, and interpersonal challenges. Using evidence-based therapies, I guide clients in developing practical skills to navigate their lives with confidence and resilience.
(412) 991-2988 View (412) 991-2988
Photo of Stacy Dubina, Licensed Professional Counselor, MS, NCC, LPC
Stacy Dubina
Licensed Professional Counselor, MS, NCC, LPC
1 Endorsed
Serves Area
With over 20 years of experience, I specialize in providing compassionate, evidence-based therapy to individuals 18 and older. I offer virtual and in-person sessions, using a blend of Trauma-Focused CBT and Applied Behavioral Analysis to help clients navigate anxiety, depression, trauma, anger management, self-esteem, and relationship challenges. I am also passionate about supporting neurodivergent clients and find great fulfillment in helping them thrive. Together, we can work toward meaningful growth and healing.
With over 20 years of experience, I specialize in providing compassionate, evidence-based therapy to individuals 18 and older. I offer virtual and in-person sessions, using a blend of Trauma-Focused CBT and Applied Behavioral Analysis to help clients navigate anxiety, depression, trauma, anger management, self-esteem, and relationship challenges. I am also passionate about supporting neurodivergent clients and find great fulfillment in helping them thrive. Together, we can work toward meaningful growth and healing.
(724) 558-6601 View (724) 558-6601
Photo of Dr. Dawn Marie Friend, Psychologist, PsyD, MSCP
Dr. Dawn Marie Friend
Psychologist, PsyD, MSCP
3 Endorsed
Serves Area
I have been helping clients of all ages, races, and backgrounds live more fulfilling, rewarding, hopeful lives for as long as I can remember. It was natural for me to become a psychologist and make my mark on the world by doing exactly what I loved to do. Although my clients continually tell me how much they are helped by therapy, I can honestly say that I am the one who is truly changed by helping others. No matter what your difficulties are, I can assure you that you will be changed in some way by entering therapy. There is no difficulty too great or too small to work on in therapy. The only constant in life is change.
I have been helping clients of all ages, races, and backgrounds live more fulfilling, rewarding, hopeful lives for as long as I can remember. It was natural for me to become a psychologist and make my mark on the world by doing exactly what I loved to do. Although my clients continually tell me how much they are helped by therapy, I can honestly say that I am the one who is truly changed by helping others. No matter what your difficulties are, I can assure you that you will be changed in some way by entering therapy. There is no difficulty too great or too small to work on in therapy. The only constant in life is change.
(412) 924-8276 View (412) 924-8276

More Therapists Nearby

Photo of Ashley E Solt, Licensed Professional Counselor, MA, LPC
Ashley E Solt
Licensed Professional Counselor, MA, LPC
Washington, PA 15301
Hello! My name is Ashley Solt with In The Now Counseling. My practice focuses on the issues faced by children/adolescents, women, and couples. Life is hard. Our lives are busy. There’s a lot of pressure on our children. Our romantic relationships can suffer from the fast pace that we keep. In my work as a therapist, I’ve gained valuable experience working with young people and collaborating with their families. I’ve supported women with things like self-esteem building, boundary setting, and stress management and I help couples with parenting struggles, relationship dynamics and becoming better communicators.
Hello! My name is Ashley Solt with In The Now Counseling. My practice focuses on the issues faced by children/adolescents, women, and couples. Life is hard. Our lives are busy. There’s a lot of pressure on our children. Our romantic relationships can suffer from the fast pace that we keep. In my work as a therapist, I’ve gained valuable experience working with young people and collaborating with their families. I’ve supported women with things like self-esteem building, boundary setting, and stress management and I help couples with parenting struggles, relationship dynamics and becoming better communicators.
(724) 262-5633 View (724) 262-5633
Photo of Lianne Wassell, Licensed Professional Counselor, MA, NCC, LPC
Lianne Wassell
Licensed Professional Counselor, MA, NCC, LPC
Carnegie, PA 15106
Hi! I'm a Licensed Professional Counsellor (LPC) based in the state of Pennsylvania. I received my Masters degree from Slippery Rock University and have been practicing as a therapist for 14 years. I have worked in different settings within Community Mental Health and have been in a private practice setting for the past 7 years.
Hi! I'm a Licensed Professional Counsellor (LPC) based in the state of Pennsylvania. I received my Masters degree from Slippery Rock University and have been practicing as a therapist for 14 years. I have worked in different settings within Community Mental Health and have been in a private practice setting for the past 7 years.
(412) 534-5103 View (412) 534-5103
Photo of Mariellen Kerr - Mariellen Kerr, PhD, Licensed Professional Counselor, PhD, LPC, CSP
Mariellen Kerr, PhD
Licensed Professional Counselor, PhD, LPC, CSP
Pittsburgh, PA 15241
I am here to help you. Having worked for years in the schools, my experience & advanced training equip me with the skills to help my clients learn how to manage the struggles in their life enabling them to feel happier and healthier. I use a client-centered, cognitive-behavioral approach (art, play, & music therapy with younger clients) to teach coping strategies, new skills, and behavior modification techniques for managing ADHD, ASD, anxiety, stress, and life transitions such as divorce, loss of a job, moving, changing schools, or the death of a loved one. Together, we can improve the quality of your life whenever you are ready.
I am here to help you. Having worked for years in the schools, my experience & advanced training equip me with the skills to help my clients learn how to manage the struggles in their life enabling them to feel happier and healthier. I use a client-centered, cognitive-behavioral approach (art, play, & music therapy with younger clients) to teach coping strategies, new skills, and behavior modification techniques for managing ADHD, ASD, anxiety, stress, and life transitions such as divorce, loss of a job, moving, changing schools, or the death of a loved one. Together, we can improve the quality of your life whenever you are ready.
(412) 891-6906 View (412) 891-6906
Photo of Leza Vivio, Licensed Professional Counselor, LPC, CIMHP
Leza Vivio
Licensed Professional Counselor, LPC, CIMHP
Online Only
Are you feeling overwhelmed, disconnected, or stuck in patterns that no longer serve you? You’re not alone and you don’t have to navigate it all by yourself. For over two decades, I’ve helped individuals move through pain and uncertainty with compassion, clarity, and purpose. Clients often describe me as grounding, warm, and “dangerously nonjudgmental.” I offer a safe, supportive space where you can be your full self — even the parts that feel confusing, messy, or painful. My approach is direct but kind, deeply empathetic, and shaped by my own lived experience and healing journey.
Are you feeling overwhelmed, disconnected, or stuck in patterns that no longer serve you? You’re not alone and you don’t have to navigate it all by yourself. For over two decades, I’ve helped individuals move through pain and uncertainty with compassion, clarity, and purpose. Clients often describe me as grounding, warm, and “dangerously nonjudgmental.” I offer a safe, supportive space where you can be your full self — even the parts that feel confusing, messy, or painful. My approach is direct but kind, deeply empathetic, and shaped by my own lived experience and healing journey.
(724) 607-8157 View (724) 607-8157
Photo of Nina Ankney, Clinical Social Work/Therapist, MSW, LSW
Nina Ankney
Clinical Social Work/Therapist, MSW, LSW
2 Endorsed
Online Only
Feeling Stuck, Overwhelmed, or Just Not Yourself Lately? You’re not alone — and you don’t have to go through it alone either. Hi, I’m a licensed social worker with 8 years of experience helping people navigate anxiety, depression, relationship challenges, and self-esteem struggles. I offer a safe, supportive space where you can be heard, understood, and empowered to make real, lasting changes.
Feeling Stuck, Overwhelmed, or Just Not Yourself Lately? You’re not alone — and you don’t have to go through it alone either. Hi, I’m a licensed social worker with 8 years of experience helping people navigate anxiety, depression, relationship challenges, and self-esteem struggles. I offer a safe, supportive space where you can be heard, understood, and empowered to make real, lasting changes.
(412) 564-3723 View (412) 564-3723
Photo of Jim LoPresti, Licensed Professional Counselor, MA, LPC
Jim LoPresti
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
“I am not what happened to me, I am what I choose to become.” - Carl Jung. Does it feel like something doesn’t fit? Do you wonder if you’re heading in the right direction? Do you know what you want but you’re not sure how to there? I’d love to talk to you about it! I’m ready to listen to your experiences, challenges, thoughts, and feelings. Let’s go on a journey through your past, present, and into your future. We’re going to find answers within yourself; answers that you never knew you had all along because you are your own expert.
“I am not what happened to me, I am what I choose to become.” - Carl Jung. Does it feel like something doesn’t fit? Do you wonder if you’re heading in the right direction? Do you know what you want but you’re not sure how to there? I’d love to talk to you about it! I’m ready to listen to your experiences, challenges, thoughts, and feelings. Let’s go on a journey through your past, present, and into your future. We’re going to find answers within yourself; answers that you never knew you had all along because you are your own expert.
(724) 538-7478 View (724) 538-7478
Photo of Samantha Lalama, Associate Professional Counselor, MS, LAPC, NCC
Samantha Lalama
Associate Professional Counselor, MS, LAPC, NCC
1 Endorsed
McMurray, PA 15317
Waitlist for new clients
Have you found it difficult to live your life authentically? Have you ever felt out of place or different? You are not alone. I value an integrative approach to therapy which allows me to tailor my treatment methods to work best with each individual as no two people are the same. Focusing on a holistic point of view, I encourage self-discovery through the mind, body, relationships, spirituality, thoughts, and emotions. A large part of my work includes mindfulness-based cognitive behavioral therapy which aids in connecting thoughts and emotions to promote healthy behavior.
Have you found it difficult to live your life authentically? Have you ever felt out of place or different? You are not alone. I value an integrative approach to therapy which allows me to tailor my treatment methods to work best with each individual as no two people are the same. Focusing on a holistic point of view, I encourage self-discovery through the mind, body, relationships, spirituality, thoughts, and emotions. A large part of my work includes mindfulness-based cognitive behavioral therapy which aids in connecting thoughts and emotions to promote healthy behavior.
View
Photo of Leah Lashlee, Clinical Social Work/Therapist, MSW, LSW, CPRP
Leah Lashlee
Clinical Social Work/Therapist, MSW, LSW, CPRP
West Homestead, PA 15120
Do you struggle with life transitions, coping with stress, relationship issues, learning how to communicate effectively, etc? Do you want to learn social or coping skills, build self-esteem, or talk through life stressors? Is your goal to gain insight into your emotions/behaviors, learn adaptive coping skills, and communicate effectively with others? My ideal client would be motivated to improve themselves in whichever goal they chose and would strive to meet their fullest potential. The client would be willing to take accountability and acknowledge their behaviors and how they may have affected them, whether good or bad.
Do you struggle with life transitions, coping with stress, relationship issues, learning how to communicate effectively, etc? Do you want to learn social or coping skills, build self-esteem, or talk through life stressors? Is your goal to gain insight into your emotions/behaviors, learn adaptive coping skills, and communicate effectively with others? My ideal client would be motivated to improve themselves in whichever goal they chose and would strive to meet their fullest potential. The client would be willing to take accountability and acknowledge their behaviors and how they may have affected them, whether good or bad.
(412) 981-1761 View (412) 981-1761
Photo of Samantha J Lacy, Licensed Professional Counselor, MA, LPC
Samantha J Lacy
Licensed Professional Counselor, MA, LPC
South Park, PA 15129
Are you currently living your best life? Are you living your truth? Or maybe events from your past and/or present are weighing on you and you're not sure what to do at this point or where to turn. I am a Licensed Professional Counselor who prides myself on my ability to help others achieve their therapeutic goals and be the best version of themselves. I have over 19 years of experience in the field of psychology, and have worked in many different settings such as partial hospital, IBHS, Social Skills programming, school settings, and Outpatient MH. I enjoy working with children, adolescents, and adults.
Are you currently living your best life? Are you living your truth? Or maybe events from your past and/or present are weighing on you and you're not sure what to do at this point or where to turn. I am a Licensed Professional Counselor who prides myself on my ability to help others achieve their therapeutic goals and be the best version of themselves. I have over 19 years of experience in the field of psychology, and have worked in many different settings such as partial hospital, IBHS, Social Skills programming, school settings, and Outpatient MH. I enjoy working with children, adolescents, and adults.
(412) 790-2059 View (412) 790-2059
Photo of Allison Smith, Pre-Licensed Professional, MA
Allison Smith
Pre-Licensed Professional, MA
Online Only
Do you feel alone, down, overwhelmed, or stressed out? Maybe your life has taken a sudden turn in a direction you were not expecting. Or maybe you feel your relationship is not what it used to be, or possibly, you're wondering if you're stuck in an abusive dynamic. In a world filled with challenges, uncertainties, and moments of self-doubt, finding the right professional counselor to accompany you on your journey of self-discovery is crucial.
Do you feel alone, down, overwhelmed, or stressed out? Maybe your life has taken a sudden turn in a direction you were not expecting. Or maybe you feel your relationship is not what it used to be, or possibly, you're wondering if you're stuck in an abusive dynamic. In a world filled with challenges, uncertainties, and moments of self-doubt, finding the right professional counselor to accompany you on your journey of self-discovery is crucial.
(724) 399-3710 View (724) 399-3710
Photo of Elizabeth Skibinski-Bortman, Psychologist, PhD
Elizabeth Skibinski-Bortman
Psychologist, PhD
Canonsburg, PA 15317
Are you confused and overwhelmed? Are you irritable, “cranky“ and prone to losing your temper? Are you having trouble concentrating or are you more forgetful than usual? Are you suffering from sleep problems or food cravings? Is stress affecting your daily functioning? I assure you that you can feel better. I teach my clients daily that there is a better way to live your life. If you’re willing to do the work, you can feel better and live better. Please call me so I can help you.
Are you confused and overwhelmed? Are you irritable, “cranky“ and prone to losing your temper? Are you having trouble concentrating or are you more forgetful than usual? Are you suffering from sleep problems or food cravings? Is stress affecting your daily functioning? I assure you that you can feel better. I teach my clients daily that there is a better way to live your life. If you’re willing to do the work, you can feel better and live better. Please call me so I can help you.
(724) 765-0856 View (724) 765-0856
Photo of Kathleen Joyce Fullmer, Licensed Professional Counselor, LPC
Kathleen Joyce Fullmer
Licensed Professional Counselor, LPC
1 Endorsed
Pittsburgh, PA 15229
I love working with people of all ages who are seeking to understand themselves and other significant people in their lives! It is my joy to help my clients find peace and make meaning of both the usual challenges in life and the events that threaten to rob us of hope.
I love working with people of all ages who are seeking to understand themselves and other significant people in their lives! It is my joy to help my clients find peace and make meaning of both the usual challenges in life and the events that threaten to rob us of hope.
(412) 981-2554 View (412) 981-2554
Photo of Linh H Pham, Clinical Social Work/Therapist, LICSW, LCSW
Linh H Pham
Clinical Social Work/Therapist, LICSW, LCSW
Online Only
In years of practice, I often work with clients who feel stuck—whether from anxiety, depression, past trauma, life transitions, or a growing sense of disconnection from themselves or others. These struggles can lead to self-doubt, perfectionism, or a harsh inner critic, often masking deep emotional burdens they’ve learned to keep hidden.
In years of practice, I often work with clients who feel stuck—whether from anxiety, depression, past trauma, life transitions, or a growing sense of disconnection from themselves or others. These struggles can lead to self-doubt, perfectionism, or a harsh inner critic, often masking deep emotional burdens they’ve learned to keep hidden.
(724) 670-2881 View (724) 670-2881
Photo of Michael Anderson, Counselor, MS, LMHC, LPC
Michael Anderson
Counselor, MS, LMHC, LPC
1 Endorsed
Pittsburgh, PA 15217
Welcome to Anderson Counsel Works. I specialize in supporting LGBTQ+ individuals and those living with Parkinson’s disease. As a sex-positive, kink-allied therapist, I provide a safe, affirming space for all forms of consensual expression. I also offer specialized care for Parkinson’s, with training from the Parkinson’s Foundation. Up to 40% of those with Parkinson’s experience depression—I’m here to support your mental health and overall well-being.
Welcome to Anderson Counsel Works. I specialize in supporting LGBTQ+ individuals and those living with Parkinson’s disease. As a sex-positive, kink-allied therapist, I provide a safe, affirming space for all forms of consensual expression. I also offer specialized care for Parkinson’s, with training from the Parkinson’s Foundation. Up to 40% of those with Parkinson’s experience depression—I’m here to support your mental health and overall well-being.
(754) 212-8951 View (754) 212-8951

See more therapy options for Finleyville

How does your Therapist compare?

Number of Therapists in Finleyville, PA

< 10

Therapists in Finleyville, PA who prioritize treating:

100% Depression
100% Anxiety
83% Relationship Issues
83% Trauma and PTSD
83% Self Esteem
67% Grief
67% Coping Skills

Average years in practice

25 Years

Top 3 insurances accepted

83% Aetna
83% BlueCross and BlueShield
83% Highmark

How Therapists in Finleyville, PA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Finleyville?

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.