Therapists in Homestead, PA

Photo of Thaddeus Osuagwu - Pathway Human Services, LLC, LCSW, Clinical Social Work/Therapist
Pathway Human Services, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Homestead, PA 15120  (Online Only)
Are you going through unhealed past that are often accompanied by sad feeling, guilt, fear, regret, stressful events associated with grief and loss, relationship rupture, intrusive thoughts, racing thoughts, and unresolved past that could not go away? Are you having trouble navigating stressful events in your steam of life? When you feel tossed around by the storm of life's journey feeling almost overwhelmed and discouraged, when you are faced with many challenges in life and isolated, when you feel you need counseling or just need support, at pathway Human Services, we accompany you in your journey toward healing.
Are you going through unhealed past that are often accompanied by sad feeling, guilt, fear, regret, stressful events associated with grief and loss, relationship rupture, intrusive thoughts, racing thoughts, and unresolved past that could not go away? Are you having trouble navigating stressful events in your steam of life? When you feel tossed around by the storm of life's journey feeling almost overwhelmed and discouraged, when you are faced with many challenges in life and isolated, when you feel you need counseling or just need support, at pathway Human Services, we accompany you in your journey toward healing.
(412) 547-9164 View (412) 547-9164
Photo of Melinda Stupar Fedoris, MSEd, NCC, LPC, Licensed Professional Counselor
Melinda Stupar Fedoris
Licensed Professional Counselor, MSEd, NCC, LPC
Verified Verified
2 Endorsed
Homestead, PA 15120  (Online Only)
The scope of my practice encompasses treating those who experience Anxiety, Negative Beliefs about Self (worth, responsibility, power, choice, etc), Trauma, Body Image and Diet Culture, Life Stress, and Grief. Life can sometimes take hold of us and we feel like we have lost our grasp, I work to help those get a better hold on things again. My focus is on helping you find ways to heal and feel whole again. We often have a lot of unpacking we have to do to heal and feel lighter to move forward. I like to intertwine humor into the treatment experience.
The scope of my practice encompasses treating those who experience Anxiety, Negative Beliefs about Self (worth, responsibility, power, choice, etc), Trauma, Body Image and Diet Culture, Life Stress, and Grief. Life can sometimes take hold of us and we feel like we have lost our grasp, I work to help those get a better hold on things again. My focus is on helping you find ways to heal and feel whole again. We often have a lot of unpacking we have to do to heal and feel lighter to move forward. I like to intertwine humor into the treatment experience.
(412) 754-7758 View (412) 754-7758
Photo of Michael J. Connelly - Positive Pathways Counseling, MEd, LPC, Licensed Professional Counselor
Positive Pathways Counseling
Licensed Professional Counselor, MEd, LPC
Verified Verified
Homestead, PA 15120  (Online Only)
Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all. This is a quote by Dale Carnegie. It is what we truly believe to be true. Hope is always present even when you can't see it. We pride ourselves in helping others see the hope and courage they have inside of them.
Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all. This is a quote by Dale Carnegie. It is what we truly believe to be true. Hope is always present even when you can't see it. We pride ourselves in helping others see the hope and courage they have inside of them.
(412) 226-4823 View (412) 226-4823
Photo of April McCrum, LCSW, Clinical Social Work/Therapist
April McCrum
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Homestead, PA 15120  (Online Only)
Hello there! My name is April and I have been in this field for 9 years now. My main goal is to make a space for you and your healing journey. I deliver my therapy modalities as kind and respectful as I do truthful. Honesty may be hard but toxic positivity is harmful, I approach life with a strength based perspective. “Know all the theories, master all the techniques, but as you touch a human soul be just another human soul” - Carl Jung
Hello there! My name is April and I have been in this field for 9 years now. My main goal is to make a space for you and your healing journey. I deliver my therapy modalities as kind and respectful as I do truthful. Honesty may be hard but toxic positivity is harmful, I approach life with a strength based perspective. “Know all the theories, master all the techniques, but as you touch a human soul be just another human soul” - Carl Jung
(484) 715-0581 View (484) 715-0581
Photo of David Mente, MA, LPC, Licensed Professional Counselor
David Mente
Licensed Professional Counselor, MA, LPC
Verified Verified
Homestead, PA 15120
I have been working as a psychotherapist for over 30 years. Having a respectful, productive working relationship with my clients is my first priority. This is true whether I am working with an adult individual, a couple, children, adolescents or families. I will encourage you to evaluate whether you are improving in the ways that you desire and will strive to provide you with treatment which suits you. I have intentionally worked in a wide variety of settings and with many different kinds of clients and problems. I welcome any questions you have and offer a free initial consultation.
I have been working as a psychotherapist for over 30 years. Having a respectful, productive working relationship with my clients is my first priority. This is true whether I am working with an adult individual, a couple, children, adolescents or families. I will encourage you to evaluate whether you are improving in the ways that you desire and will strive to provide you with treatment which suits you. I have intentionally worked in a wide variety of settings and with many different kinds of clients and problems. I welcome any questions you have and offer a free initial consultation.
(412) 532-1602 View (412) 532-1602
Photo of Chanel M Spaulding, MS, MFT, Marriage & Family Therapist Intern
Chanel M Spaulding
Marriage & Family Therapist Intern, MS, MFT
Verified Verified
Homestead, PA 15120  (Online Only)
As a Marriage and Family Therapist, my role is to assist you navigate the complexities of relationships with empathy and expertise. I believe that everyone can have the life that they desire, individually and relationally. The determining factor is: what will you do to have what you desire? You are here, so you realize you cannot do it alone. I am happy and ready to delve into this journey with you and your family help you create your path of growth, empowering you to shed old habits and embrace a life that radiates confidence and authenticity.
As a Marriage and Family Therapist, my role is to assist you navigate the complexities of relationships with empathy and expertise. I believe that everyone can have the life that they desire, individually and relationally. The determining factor is: what will you do to have what you desire? You are here, so you realize you cannot do it alone. I am happy and ready to delve into this journey with you and your family help you create your path of growth, empowering you to shed old habits and embrace a life that radiates confidence and authenticity.
(412) 903-3937 View (412) 903-3937
Photo of Laura Bauder, LPC, CAADC, ATR-BC, CCTP, EMDR-PT, Licensed Professional Counselor
Laura Bauder
Licensed Professional Counselor, LPC, CAADC, ATR-BC, CCTP, EMDR-PT
Verified Verified
2 Endorsed
Homestead, PA 15120  (Online Only)
Overcome trauma through EMDR and/or art therapy/talk therapy.
Overcome trauma through EMDR and/or art therapy/talk therapy.
(484) 991-4528 View (484) 991-4528
Photo of Elizabeth Hammond, LCSW, Clinical Social Work/Therapist
Elizabeth Hammond
Clinical Social Work/Therapist, LCSW
Verified Verified
Homestead, PA 15120
Immediate openings - Hello and welcome to my page! I am a therapist who is dedicated to helping individuals overcome mood disorders (depression, bipolar, cyclothymia, etc) but I also specialize in treating suicidal ideation. With over five years of clinical practice, I have developed a deep understanding of the complexities surrounding these conditions and their impact on one's overall well-being. My experience has taught me that no two individuals are the same, and I am committed to tailoring my approach to suit your unique circumstances. I offer a welcoming environment where we will tackle what is going on.
Immediate openings - Hello and welcome to my page! I am a therapist who is dedicated to helping individuals overcome mood disorders (depression, bipolar, cyclothymia, etc) but I also specialize in treating suicidal ideation. With over five years of clinical practice, I have developed a deep understanding of the complexities surrounding these conditions and their impact on one's overall well-being. My experience has taught me that no two individuals are the same, and I am committed to tailoring my approach to suit your unique circumstances. I offer a welcoming environment where we will tackle what is going on.
(412) 790-2191 View (412) 790-2191

More Therapists Nearby

Photo of Dr. Ronald J. Dahl, PhD, Psychologist
Dr. Ronald J. Dahl
Psychologist, PhD
Verified Verified
Pittsburgh, PA 15122
Virtual Visits are possible. Sometimes the demands of everyday life can be overwhelming. Relationships, work, and daily life can be difficult to navigate when we are stuck in symptoms. But you don't have to let issues negatively impact your life. We will work together to move you out of the difficulties and on to better living. My treatment style is collaborative, using a non-judgmental approach, with achievable goals to help develop effective coping skills and reduce symptoms.
Virtual Visits are possible. Sometimes the demands of everyday life can be overwhelming. Relationships, work, and daily life can be difficult to navigate when we are stuck in symptoms. But you don't have to let issues negatively impact your life. We will work together to move you out of the difficulties and on to better living. My treatment style is collaborative, using a non-judgmental approach, with achievable goals to help develop effective coping skills and reduce symptoms.
(240) 376-3350 View (240) 376-3350
Photo of Deborah Sharp Molchan, PhD, Psychologist
Deborah Sharp Molchan
Psychologist, PhD
Verified Verified
Squirrel Hill, PA 15217
Not accepting new clients
** Currently not accepting new clients. ** I believe you can promote wellness in your life. I have deep respect for the client's I work with and believe choosing therapy is a healthy act of growth. My style is to create a collaborative, respectful, and compassionate relationship in which we explore both your challenges and your strengths. I emphasize a whole-person integrative treatment plan utilizing evidence-based interventions and complimentary approaches as appropriate.
** Currently not accepting new clients. ** I believe you can promote wellness in your life. I have deep respect for the client's I work with and believe choosing therapy is a healthy act of growth. My style is to create a collaborative, respectful, and compassionate relationship in which we explore both your challenges and your strengths. I emphasize a whole-person integrative treatment plan utilizing evidence-based interventions and complimentary approaches as appropriate.
(412) 312-4177 View (412) 312-4177
Photo of Tomilyn Ward, LPC, MPC, EMDR, PCIT, Licensed Professional Counselor
Tomilyn Ward
Licensed Professional Counselor, LPC, MPC, EMDR, PCIT
Verified Verified
5 Endorsed
Swissvale, PA 15218
I specialize in EMDR. therapy. I also work with clients who suffer from Post Traumatic Stress Disorder (PTSD), depression, anxiety, mood disorders, personality disorders, and more. I have training in Perinatal Mood and Anxiety Disorder. I also have experience with working closely with clients who have experienced traumatic births as well as birth workers and medical providers who witness traumatic births. I have attended over 30 births as a birth doula and I understand the process of birth for parents and providers.
I specialize in EMDR. therapy. I also work with clients who suffer from Post Traumatic Stress Disorder (PTSD), depression, anxiety, mood disorders, personality disorders, and more. I have training in Perinatal Mood and Anxiety Disorder. I also have experience with working closely with clients who have experienced traumatic births as well as birth workers and medical providers who witness traumatic births. I have attended over 30 births as a birth doula and I understand the process of birth for parents and providers.
(412) 837-8121 View (412) 837-8121
Photo of Karen Kapsanis, MS, NCC, LPC, Licensed Professional Counselor
Karen Kapsanis
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15218
Accepting new patients. Are you handling too much stress with too little support, hurting from a relationship, or struggling with other painful life events? Talking to someone who listens sensitively and thinks deeply with you can get you on a path to feeling better. My approach to therapy is holistic and collaborative, with the aim of helping you deepen your self-understanding, increase your life satisfaction, and create meaningful change.
Accepting new patients. Are you handling too much stress with too little support, hurting from a relationship, or struggling with other painful life events? Talking to someone who listens sensitively and thinks deeply with you can get you on a path to feeling better. My approach to therapy is holistic and collaborative, with the aim of helping you deepen your self-understanding, increase your life satisfaction, and create meaningful change.
(412) 404-0137 View (412) 404-0137
Photo of Frank Bienkowski - Frank Bienkowski at True to You Counseling, MSEd, LPC, Licensed Professional Counselor
Frank Bienkowski at True to You Counseling
Licensed Professional Counselor, MSEd, LPC
Verified Verified
3 Endorsed
Pittsburgh, PA 15217
Beginning in January 2024, my valued colleague, Jennifer Huffman and I are launching a combined practice that will be known as True to You. Each of us brings 20+ years of experience in the helping professions into this new venture. Both Jennifer and I have a background in addictions treatment, working together at Gateway Rehabilitation Center for 8 years. In the past decade we have both expanded our focus into other areas of therapeutic work. A common thread of purpose in our work has been to assist our clients in actively living from a more authentic sense of themselves. We hope to help you along on your path to being true to you.
Beginning in January 2024, my valued colleague, Jennifer Huffman and I are launching a combined practice that will be known as True to You. Each of us brings 20+ years of experience in the helping professions into this new venture. Both Jennifer and I have a background in addictions treatment, working together at Gateway Rehabilitation Center for 8 years. In the past decade we have both expanded our focus into other areas of therapeutic work. A common thread of purpose in our work has been to assist our clients in actively living from a more authentic sense of themselves. We hope to help you along on your path to being true to you.
(412) 532-1784 View (412) 532-1784
Photo of Richard Hoffman - Christian Counseling Associates of Western PA, Licensed Professional Counselor
Christian Counseling Associates of Western PA
Licensed Professional Counselor
Verified Verified
West Mifflin, PA 15122  (Online Only)
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
(724) 202-0362 View (724) 202-0362
Photo of Karen Garland, LPC, Licensed Professional Counselor
Karen Garland
Licensed Professional Counselor, LPC
Verified Verified
Dravosburg, PA 15034
Hello! I'm a Licensed Professional Counselor (LPC) practicing in Pennsylvania. I received my masters in Clinical Mental Health from Indiana University of Pennsylvania. I am a doctorial candidate; working towards a PhD in Counseling Education and Supervision. I have been practicing for over 20 years with individuals with a substance use disorder in in-patient facilities, as well as, private practice working with children 8 years old through adults assisting them in becoming the best version of themself with skills to manage their future.
Hello! I'm a Licensed Professional Counselor (LPC) practicing in Pennsylvania. I received my masters in Clinical Mental Health from Indiana University of Pennsylvania. I am a doctorial candidate; working towards a PhD in Counseling Education and Supervision. I have been practicing for over 20 years with individuals with a substance use disorder in in-patient facilities, as well as, private practice working with children 8 years old through adults assisting them in becoming the best version of themself with skills to manage their future.
(412) 850-2262 View (412) 850-2262
Photo of Robert Kalas, LCSW, Clinical Social Work/Therapist
Robert Kalas
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15217
Robert Kalas is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2022. He has a Master's of Social Work from the University of Pittsburgh. Robert believes therapy is an environment for exploration of oneself. Navigating these processes can be overwhelming, but doing so through an empathetic, non-critical approach is what Robert feels allows the individual to understand and attend to the needs causing distress. Overall, personal growth is done through exploration, and doing so through a holistic style that attends to both emotional and social needs to best build awareness into oneself.
Robert Kalas is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2022. He has a Master's of Social Work from the University of Pittsburgh. Robert believes therapy is an environment for exploration of oneself. Navigating these processes can be overwhelming, but doing so through an empathetic, non-critical approach is what Robert feels allows the individual to understand and attend to the needs causing distress. Overall, personal growth is done through exploration, and doing so through a holistic style that attends to both emotional and social needs to best build awareness into oneself.
(412) 517-7493 View (412) 517-7493
Photo of Dr. Anastasha Earl, PhD, MS, LAPC, NCC, Counselor
Dr. Anastasha Earl
Counselor, PhD, MS, LAPC, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15122  (Online Only)
Are you struggling to find a sense of calm in your day? Do you need someone to walk along side you as you navigate your current season of life? Have you noticed difficulty in your relationships or work, but don't know where to turn? I have spent the last 8 years working with preteens, teens, and adults of all circumstances to find more peace and purpose in their lives and relationships. Whether you're dealing with trauma, addiction, stress, changes to your mood, or just trying to find better balance, I'm here to help.
Are you struggling to find a sense of calm in your day? Do you need someone to walk along side you as you navigate your current season of life? Have you noticed difficulty in your relationships or work, but don't know where to turn? I have spent the last 8 years working with preteens, teens, and adults of all circumstances to find more peace and purpose in their lives and relationships. Whether you're dealing with trauma, addiction, stress, changes to your mood, or just trying to find better balance, I'm here to help.
(878) 645-8717 View (878) 645-8717
Jodi Peppel
Licensed Professional Counselor, MA, LPC, NCC, CRS
Verified Verified
Swissvale, PA 15218
I have been exploring the healing arts,psychology,spirituality,the mind-body connection, and personal growth both professionally and personally for the past 30 years. My personal healing journey has supported and guided my heart's desire to be a facilitator in guiding others home to their selves. I maintain a private practice as psychotherapist and Certified Rubenfeld Synergist in Pittsburgh,Pa. My practice is eclectic and dynamic. It allows me to explore the depths of my being while facilitating others to do the same. I am a dedicated therapist, dedicated to my growth and the growth of my clients.
I have been exploring the healing arts,psychology,spirituality,the mind-body connection, and personal growth both professionally and personally for the past 30 years. My personal healing journey has supported and guided my heart's desire to be a facilitator in guiding others home to their selves. I maintain a private practice as psychotherapist and Certified Rubenfeld Synergist in Pittsburgh,Pa. My practice is eclectic and dynamic. It allows me to explore the depths of my being while facilitating others to do the same. I am a dedicated therapist, dedicated to my growth and the growth of my clients.
(412) 543-8004 View (412) 543-8004
Photo of Brie (Brianne) Scott, LCSW, Clinical Social Work/Therapist
Brie (Brianne) Scott
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15122  (Online Only)
Current openings: Tuesdays 2 or 3, Thursdays 3 or 4 and Fridays 11. I am a Hispanic, white, able-bodied, queer, women. I practice from an anti-oppression frame work, harm reduction perspective and I believe that you are the expert on your life, I’m just here to support you.
Current openings: Tuesdays 2 or 3, Thursdays 3 or 4 and Fridays 11. I am a Hispanic, white, able-bodied, queer, women. I practice from an anti-oppression frame work, harm reduction perspective and I believe that you are the expert on your life, I’m just here to support you.
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Photo of Kelly Horvath, MSW, Pre-Licensed Professional
Kelly Horvath
Pre-Licensed Professional, MSW
Verified Verified
Pittsburgh, PA 15218
Trauma can affect anyone over the course of their lifetime. Dealing with difficult feelings and experiences can be challenging, but with the right tools, you can manage your symptoms, reclaim your sense of self, and move toward living your best life. The choice to begin therapy can be the first step toward finding relief. My name is Kelly, and I'd be honored to be your therapist. I strive to view my practice through the lenses of cultural competence, progressive social values, a systems perspective, and the Sanctuary Model, among other theories
Trauma can affect anyone over the course of their lifetime. Dealing with difficult feelings and experiences can be challenging, but with the right tools, you can manage your symptoms, reclaim your sense of self, and move toward living your best life. The choice to begin therapy can be the first step toward finding relief. My name is Kelly, and I'd be honored to be your therapist. I strive to view my practice through the lenses of cultural competence, progressive social values, a systems perspective, and the Sanctuary Model, among other theories
(412) 851-6153 View (412) 851-6153

See more therapy options for Homestead

How does your Therapist compare?

Number of Therapists in Homestead, PA

< 10

Therapists in Homestead, PA who prioritize treating:

88% Depression
88% Anxiety
88% Grief
75% Relationship Issues
63% Parenting
63% Trauma and PTSD
63% Family Conflict

Average years in practice

8 Years

Top 3 insurances accepted

100% Highmark
100% Optum
88% Cigna and Evernorth

How Therapists in Homestead, PA see their clients

75% Online Only
25% In Person and Online

Gender breakdown

63% Female
37% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Homestead?

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.