Therapists in Lansdale, PA

Photo of Jeremy Richfield, Licensed Professional Counselor, LPC, CAADC
Jeremy Richfield
Licensed Professional Counselor, LPC, CAADC
2 Endorsed
Online Only
Are you feeling overwhelmed or conflicted about starting therapy? Reaching out for help can be a difficult decision. It's critical to find a therapist who displays warmth, compassion, empathy, attentiveness and a safe space to facilitate self-understanding and healing. Whether you’re experiencing anxiety, relationship difficulties, ADHD, or career burnout, therapy can be a powerful step toward clarity and change. I help individuals and couples rediscover their strengths, build resilience, and move forward with greater self-awareness and confidence.
Are you feeling overwhelmed or conflicted about starting therapy? Reaching out for help can be a difficult decision. It's critical to find a therapist who displays warmth, compassion, empathy, attentiveness and a safe space to facilitate self-understanding and healing. Whether you’re experiencing anxiety, relationship difficulties, ADHD, or career burnout, therapy can be a powerful step toward clarity and change. I help individuals and couples rediscover their strengths, build resilience, and move forward with greater self-awareness and confidence.
(267) 263-7441 View (267) 263-7441
Photo of Elizabeth A. Horwin, Licensed Professional Counselor, MS, LPC, CRC, CDMS, CCM
Elizabeth A. Horwin
Licensed Professional Counselor, MS, LPC, CRC, CDMS, CCM
Lansdale, PA 19446
Life today is very complex and difficult. Individuals dealing with life challenges and responsibilities,do experience life events (death, divorce, etc.) they were not prepared for that cause them to get stuck. I offer counseling to assist individuals and families in coping with these life experiences. Cognitive Behavioral Therapy teaches the individual or family how to become healthier and happier by modifying thought and behavior patterns. Past Life Regression Therapy (PLRT), is available in conjunction with CBT. I was trained and certified by Dr. Brian Weiss, author of Many Lives, Many Masters, to offer PLRT.
Life today is very complex and difficult. Individuals dealing with life challenges and responsibilities,do experience life events (death, divorce, etc.) they were not prepared for that cause them to get stuck. I offer counseling to assist individuals and families in coping with these life experiences. Cognitive Behavioral Therapy teaches the individual or family how to become healthier and happier by modifying thought and behavior patterns. Past Life Regression Therapy (PLRT), is available in conjunction with CBT. I was trained and certified by Dr. Brian Weiss, author of Many Lives, Many Masters, to offer PLRT.
(215) 839-9917 View (215) 839-9917
Photo of Clarie-Ann Henriques, Psychologist, PsyD
Clarie-Ann Henriques
Psychologist, PsyD
2 Endorsed
Online Only
Not accepting new clients
Hi, I'm Dr. Henriques! I help others alleviate their suffering, alter the relationship with their discomfort, and live a more present and meaningful life. I specialize in perinatal mood and anxiety disorders (PMADs), relationship issues, identity exploration, and anxiety disorders.
Hi, I'm Dr. Henriques! I help others alleviate their suffering, alter the relationship with their discomfort, and live a more present and meaningful life. I specialize in perinatal mood and anxiety disorders (PMADs), relationship issues, identity exploration, and anxiety disorders.
(610) 795-9602 View (610) 795-9602
Photo of Kristina DeMuro Maldonado, Licensed Professional Counselor, MA, LPC
Kristina DeMuro Maldonado
Licensed Professional Counselor, MA, LPC
Lansdale, PA 19446
Beginning the therapy process can be intimidating and challenging but you are not alone. My first goal is to provide compassion and unwavering support for my clients to feel safe and accepted. It can be difficult to navigate the uncertainty of life and all the intense emotions it brings. Whether feeling overwhelmed by changes, struggling to connect with yourself and/or others, dealing with difficult emotions, or feeling trapped in past experiences; I am here to guide my clients through the therapeutic process toward healing, growth, and a stronger sense of self.
Beginning the therapy process can be intimidating and challenging but you are not alone. My first goal is to provide compassion and unwavering support for my clients to feel safe and accepted. It can be difficult to navigate the uncertainty of life and all the intense emotions it brings. Whether feeling overwhelmed by changes, struggling to connect with yourself and/or others, dealing with difficult emotions, or feeling trapped in past experiences; I am here to guide my clients through the therapeutic process toward healing, growth, and a stronger sense of self.
(267) 500-9068 View (267) 500-9068
Photo of Jennifer Anne Murphy, Licensed Professional Counselor, LPC, MS
Jennifer Anne Murphy
Licensed Professional Counselor, LPC, MS
3 Endorsed
Lansdale, PA 19446
What sets me apart is that I will call you within 24 hours of getting a call from you.I suppose my ideal client would be the one that would feel the best fit with me. After the research that has been done, what matters most is the relationship (the fit) you have with your therapist, not their level of expertise, sense of humor, great coping skills, etc. However, I do best with individuals who are highly motivated to change. That does not mean that there will not be setbacks. However, it's how we view those setbacks. Are they failures or learning experiences? I prefer learning experiences. My goal is to get you to be your ideal self.
What sets me apart is that I will call you within 24 hours of getting a call from you.I suppose my ideal client would be the one that would feel the best fit with me. After the research that has been done, what matters most is the relationship (the fit) you have with your therapist, not their level of expertise, sense of humor, great coping skills, etc. However, I do best with individuals who are highly motivated to change. That does not mean that there will not be setbacks. However, it's how we view those setbacks. Are they failures or learning experiences? I prefer learning experiences. My goal is to get you to be your ideal self.
(610) 400-8898 View (610) 400-8898
Photo of Jessica L. Shinton, Licensed Professional Counselor, LPC
Jessica L. Shinton
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
When everything feels heavy and your thoughts are racing, it’s easy to forget how capable you truly are. Taking a moment to breathe doesn’t mean you’re giving up; it means you’re giving yourself space to reset. Even if your confidence feels shaky right now, it isn’t gone — it’s simply waiting for you to notice it again. You deserve compassion from yourself, and you’re allowed to believe in your own strength, even on the days when it feels out of reach. If you want, we can explore ways to build on that inner steadiness or talk through small steps that help you feel grounded.
When everything feels heavy and your thoughts are racing, it’s easy to forget how capable you truly are. Taking a moment to breathe doesn’t mean you’re giving up; it means you’re giving yourself space to reset. Even if your confidence feels shaky right now, it isn’t gone — it’s simply waiting for you to notice it again. You deserve compassion from yourself, and you’re allowed to believe in your own strength, even on the days when it feels out of reach. If you want, we can explore ways to build on that inner steadiness or talk through small steps that help you feel grounded.
(267) 478-8841 View (267) 478-8841
Photo of Maria Procopio-Moser, Clinical Social Work/Therapist, LCSW
Maria Procopio-Moser
Clinical Social Work/Therapist, LCSW
Lansdale, PA 19446
Waitlist for new clients
Do you ever feel stuck engaging in the same behavioral patterns and wonder if your outcomes would change only if you could change? Sometimes we feel that our lives are predetermined, and we have no control over our own destiny. Allow me to guide you through your journey of change and healing through evidence-based methods that will help you regain personal agency, so that you may live your life to your fullest potential. I am a licensed-clinical social worker with decades of experience helping people.
Do you ever feel stuck engaging in the same behavioral patterns and wonder if your outcomes would change only if you could change? Sometimes we feel that our lives are predetermined, and we have no control over our own destiny. Allow me to guide you through your journey of change and healing through evidence-based methods that will help you regain personal agency, so that you may live your life to your fullest potential. I am a licensed-clinical social worker with decades of experience helping people.
(215) 935-4188 View (215) 935-4188
Photo of Kim Wright, Clinical Social Work/Therapist, LCSW
Kim Wright
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
Feeling stuck, anxious, or misunderstood? I help individuals and couples navigating anxiety, depression, relationship struggles, sexuality/intimacy issues, and life transitions. My approach blends proven therapy methods, life coaching, and a Sex+ lens; with realness and warmth. I won’t just nod or pathologize everything. Sometimes life just sucks and you need a person. I offer honest feedback, real tools, and space where you're seen, heard, and challenged to grow. Whether you're burnt out, disconnected, or ready for change, therapy with me is a space to reclaim your voice and direction. Invest in yourself - you’re worth it.
Feeling stuck, anxious, or misunderstood? I help individuals and couples navigating anxiety, depression, relationship struggles, sexuality/intimacy issues, and life transitions. My approach blends proven therapy methods, life coaching, and a Sex+ lens; with realness and warmth. I won’t just nod or pathologize everything. Sometimes life just sucks and you need a person. I offer honest feedback, real tools, and space where you're seen, heard, and challenged to grow. Whether you're burnt out, disconnected, or ready for change, therapy with me is a space to reclaim your voice and direction. Invest in yourself - you’re worth it.
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Photo of Asia Luna, Clinical Social Work/Therapist, LCSW
Asia Luna
Clinical Social Work/Therapist, LCSW
Online Only
I provide a calm and supportive space where you can explore your story with curiosity and compassion. Together, we’ll examine how past experiences influence your emotions, relationships, and sense of self. Using evidence-based techniques, I help you build self-trust, resilience, and confidence while supporting healing and creating more balance in your life. In sessions, you can expect a safe environment where you’ll be heard, gently challenged, and encouraged to practice new ways of thinking, feeling, and relating.
I provide a calm and supportive space where you can explore your story with curiosity and compassion. Together, we’ll examine how past experiences influence your emotions, relationships, and sense of self. Using evidence-based techniques, I help you build self-trust, resilience, and confidence while supporting healing and creating more balance in your life. In sessions, you can expect a safe environment where you’ll be heard, gently challenged, and encouraged to practice new ways of thinking, feeling, and relating.
(267) 863-8580 View (267) 863-8580
Photo of Matthew Yeager Licensed Behavior Specialist, MS, LBS
I passionately specialize in treating depression and anxiety using a behavioral approach. In the field for 10 years, I have an extensive background working with individuals as well as families. I am warm and genuine. I use a strength-based model to my sessions; when you're ready, we will talk about what is bothering you, but I am also interested to learn about the whole-you. You are not defined by your struggles, but together, we may discover valuable lessons to take from them. My patients receive 110% of my full attention and consideration. Join me for a free 1 hour session.
I passionately specialize in treating depression and anxiety using a behavioral approach. In the field for 10 years, I have an extensive background working with individuals as well as families. I am warm and genuine. I use a strength-based model to my sessions; when you're ready, we will talk about what is bothering you, but I am also interested to learn about the whole-you. You are not defined by your struggles, but together, we may discover valuable lessons to take from them. My patients receive 110% of my full attention and consideration. Join me for a free 1 hour session.
(267) 762-1425 View (267) 762-1425
Photo of Shannon Bender, Clinical Social Work/Therapist, LCSW
Shannon Bender
Clinical Social Work/Therapist, LCSW
Online Only
Hi! My name is Shannon! I am a licensed clinical social worker in the state of Pennsylvania. I specialize in helping adolescents and adults manage anxiety, depression, and mood disorders, using a blend of Cognitive Behavioral Therapy (CBT), person-centered techniques, and solution-focused approaches. Together, we’ll identify practical strategies that help you better understand your thoughts and emotions, build on your strengths, and move toward meaningful change.
Hi! My name is Shannon! I am a licensed clinical social worker in the state of Pennsylvania. I specialize in helping adolescents and adults manage anxiety, depression, and mood disorders, using a blend of Cognitive Behavioral Therapy (CBT), person-centered techniques, and solution-focused approaches. Together, we’ll identify practical strategies that help you better understand your thoughts and emotions, build on your strengths, and move toward meaningful change.
(215) 267-5949 View (215) 267-5949
Photo of Monique Stevenson, Pre-Licensed Professional, MHS, LPC
Monique Stevenson
Pre-Licensed Professional, MHS, LPC
1 Endorsed
Online Only
Hello. I am Monique! Welcome to your healing journey! I look forward to exploring your hopes, goals, and dreams for the future. I want to help you let go of the fears or insecurities which are holding you back from being your true authentic self. I want to be able to maximize your strengths and overcome the weakness that has inhibited you from being your best self. Let's embark on a therapeutic path which will help you obtain the skills and tools you may need to move forward in your life and be free from the negative past experiences. You just need to be open minded and believe in yourself.
Hello. I am Monique! Welcome to your healing journey! I look forward to exploring your hopes, goals, and dreams for the future. I want to help you let go of the fears or insecurities which are holding you back from being your true authentic self. I want to be able to maximize your strengths and overcome the weakness that has inhibited you from being your best self. Let's embark on a therapeutic path which will help you obtain the skills and tools you may need to move forward in your life and be free from the negative past experiences. You just need to be open minded and believe in yourself.
(412) 324-7744 View (412) 324-7744
Photo of Anna D. Kilmer, Licensed Professional Counselor, MEd, LPC, CAADC
Anna D. Kilmer
Licensed Professional Counselor, MEd, LPC, CAADC
Lansdale, PA 19446
I work with people to heal from trauma, whether that presents as PTSD, anxiety, depression, dissociation, or any of the persistent difficulties that may show up after living through one or more experiences that compromise your basic sense of safety. People deserve peace and safety, and I want to help you find it!
I work with people to heal from trauma, whether that presents as PTSD, anxiety, depression, dissociation, or any of the persistent difficulties that may show up after living through one or more experiences that compromise your basic sense of safety. People deserve peace and safety, and I want to help you find it!
(267) 458-2927 View (267) 458-2927
Photo of Jennifer Rivera, Clinical Social Work/Therapist, LCSW
Jennifer Rivera
Clinical Social Work/Therapist, LCSW
1 Endorsed
Lansdale, PA 19446
You may seem like you have it all together on the outside, but inside you feel anxious, burnt out, or completely overwhelmed! You’re navigating work stress, perfectionism, a major life transition (new parenthood, career changes, military life, or caregiving) and the mental load of keeping everything going! You want relief from constant overthinking and pressure, but you also want to understand why you feel this way not just cope better, but feel more grounded, confident, and like yourself again!
You may seem like you have it all together on the outside, but inside you feel anxious, burnt out, or completely overwhelmed! You’re navigating work stress, perfectionism, a major life transition (new parenthood, career changes, military life, or caregiving) and the mental load of keeping everything going! You want relief from constant overthinking and pressure, but you also want to understand why you feel this way not just cope better, but feel more grounded, confident, and like yourself again!
(267) 662-2883 View (267) 662-2883
Photo of Patricia Taylor Lowry, Clinical Social Work/Therapist, MSW, LCSW
Patricia Taylor Lowry
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Lansdale, PA 19446
My practice focuses on treating anxiety in all its forms, including chronic worry and stress, OCD, panic attacks, phobias, irritability, insomnia, fear of driving, health anxiety, or social anxiety. I also assist clients in coping with significant life changes, such as divorce, becoming a parent, school or workforce changes, relocation, retirement, empty nest, adjusting to illness, or becoming a caregiver for others. I help clients overcome challenges by promoting insight, and by helping clients develop coping strategies that work for them individually.
My practice focuses on treating anxiety in all its forms, including chronic worry and stress, OCD, panic attacks, phobias, irritability, insomnia, fear of driving, health anxiety, or social anxiety. I also assist clients in coping with significant life changes, such as divorce, becoming a parent, school or workforce changes, relocation, retirement, empty nest, adjusting to illness, or becoming a caregiver for others. I help clients overcome challenges by promoting insight, and by helping clients develop coping strategies that work for them individually.
(215) 995-5208 View (215) 995-5208
Photo of Felice Tucker, Clinical Social Work/Therapist, LCSW, ACSW, CEAP
Felice Tucker
Clinical Social Work/Therapist, LCSW, ACSW, CEAP
Lansdale, PA 19446
I specialize in helping children, adolescents, and adults achieve their goals and lead healthier, more fulfilling lives. Whether addressing issues like depression, anxiety, mood disorders, life transitions, stress management, adjusting to health related issues, or personal obstacles, my goal is to empower clients to thrive & live their best lives Adolescence and young adulthood can be times of significant stress and adjustment; I provide a safe, supportive space for this age group to identify and process their feelings, offering guidance on how to navigate this pivotal stage of life with confidence, strength, and coping strategies.
I specialize in helping children, adolescents, and adults achieve their goals and lead healthier, more fulfilling lives. Whether addressing issues like depression, anxiety, mood disorders, life transitions, stress management, adjusting to health related issues, or personal obstacles, my goal is to empower clients to thrive & live their best lives Adolescence and young adulthood can be times of significant stress and adjustment; I provide a safe, supportive space for this age group to identify and process their feelings, offering guidance on how to navigate this pivotal stage of life with confidence, strength, and coping strategies.
(267) 727-2832 View (267) 727-2832
Photo of Jillian Altomare-Breuninger, Licensed Professional Counselor, MA, LPC
Jillian Altomare-Breuninger
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
My typical client comes to me when they feel overwhelmed by stress, anxiety, or depression, are struggling with relationships, or are navigating major life changes. They may feel stuck, frustrated, or unsure how to manage their emotions and daily challenges. They want to feel more balanced, confident, and connected to themselves and the people they care about.
My typical client comes to me when they feel overwhelmed by stress, anxiety, or depression, are struggling with relationships, or are navigating major life changes. They may feel stuck, frustrated, or unsure how to manage their emotions and daily challenges. They want to feel more balanced, confident, and connected to themselves and the people they care about.
(484) 401-7392 View (484) 401-7392
Photo of Dr. Sarah Caverly, Psychologist, PsyD, LPC, NCC
Dr. Sarah Caverly
Psychologist, PsyD, LPC, NCC
2 Endorsed
Lansdale, PA 19446
There are many reasons why people struggle in their daily lives, which leads them to seek out therapy. Sometimes, it's because people want to learn more about themselves or cope with stressors and relationships; other times, it's due to specific issues (e.g., depression, anxiety, etc.) that are starting to significantly impact their lives and functioning. We will work together to get to the root of the issue and learn ways to cope with these challenges so you can find fulfillment in your life. It is incredibly meaningful to me to help others learn about themselves and grow through the therapeutic process.
There are many reasons why people struggle in their daily lives, which leads them to seek out therapy. Sometimes, it's because people want to learn more about themselves or cope with stressors and relationships; other times, it's due to specific issues (e.g., depression, anxiety, etc.) that are starting to significantly impact their lives and functioning. We will work together to get to the root of the issue and learn ways to cope with these challenges so you can find fulfillment in your life. It is incredibly meaningful to me to help others learn about themselves and grow through the therapeutic process.
(267) 459-4030 View (267) 459-4030
Photo of Nicole Tuohey, Clinical Social Work/Therapist, LCSW
Nicole Tuohey
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Not accepting new clients
I am focused working with individuals who are either feeling challenged on what direction they should move towards in their life's journey, struggling with anxiety or depression or perhaps are at a place in life in which they feel ready to begin to heal and process past trauma. The clients I work with will always encounter a supportive and validating environment and be met with openness and honesty. If this seems like the environment you are looking for, please feel open to reach out.
I am focused working with individuals who are either feeling challenged on what direction they should move towards in their life's journey, struggling with anxiety or depression or perhaps are at a place in life in which they feel ready to begin to heal and process past trauma. The clients I work with will always encounter a supportive and validating environment and be met with openness and honesty. If this seems like the environment you are looking for, please feel open to reach out.
(215) 608-4843 View (215) 608-4843
Photo of Robert Carter, Licensed Professional Counselor, MS, LPC, CADC
Robert Carter
Licensed Professional Counselor, MS, LPC, CADC
2 Endorsed
Lansdale, PA 19446
I work with clients in order to help them to find wellness and balance. People often face difficulties with life's challenges, whether it's a temporary struggle or something that has been a long standing problem, I strive to empower my clients to find their own inner resources. We all have our own unique sources of strength and resiliency to deal with difficulties. My goal is to help guide you to your own strength by listening, engaging genuinely, and providing practical tools that you can use in your every day life.
I work with clients in order to help them to find wellness and balance. People often face difficulties with life's challenges, whether it's a temporary struggle or something that has been a long standing problem, I strive to empower my clients to find their own inner resources. We all have our own unique sources of strength and resiliency to deal with difficulties. My goal is to help guide you to your own strength by listening, engaging genuinely, and providing practical tools that you can use in your every day life.
(267) 296-1654 View (267) 296-1654

See more therapy options for Lansdale

How does your Therapist compare?

Number of Therapists in Lansdale, PA

100+

Average cost per session

$140

Therapists in Lansdale, PA who prioritize treating:

93% Anxiety
87% Depression
80% Relationship Issues
74% Self Esteem
69% Trauma and PTSD
67% Stress
58% Grief

Average years in practice

14 Years

Top 3 insurances accepted

86% Aetna
69% Highmark
66% Cigna and Evernorth

How Therapists in Lansdale, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lansdale?

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.