Therapists in Lederach, PA

Photo of Alphonso Josiah Nathan, LPC, Licensed Professional Counselor
Alphonso Josiah Nathan
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Lederach, PA 19450
I am a Licensed Professional Counselor. I am here to help out with all your therapeutic needs. I Also DO Affordable Psychological Evaluations to help determine what is going on and what you need to work on.
I am a Licensed Professional Counselor. I am here to help out with all your therapeutic needs. I Also DO Affordable Psychological Evaluations to help determine what is going on and what you need to work on.
(215) 874-0255 View (215) 874-0255
Photo of Kris Bronson, PhD, Psychologist
Kris Bronson
Psychologist, PhD
Verified Verified
3 Endorsed
Lederach, PA 19450
Licensed Psychologist / Career Development Specialist. I provide individual counseling and psychotherapy, working with clients across the life-span treating stress, depression, anxiety, insomnia, eating disorders, relationship issues, and adjustment to change. I believe that a strong working relationship between therapist and client is essential to promote change and healing. My therapeutic style is collaborative and active, including support and empathy as well as cognitive-behavioral and mindfulness approaches. Many clients say that they appreciate my focus on identifying and working toward their goals.
Licensed Psychologist / Career Development Specialist. I provide individual counseling and psychotherapy, working with clients across the life-span treating stress, depression, anxiety, insomnia, eating disorders, relationship issues, and adjustment to change. I believe that a strong working relationship between therapist and client is essential to promote change and healing. My therapeutic style is collaborative and active, including support and empathy as well as cognitive-behavioral and mindfulness approaches. Many clients say that they appreciate my focus on identifying and working toward their goals.
(302) 497-3609 View (302) 497-3609

More Therapists Nearby

Photo of Danielle Brazinski, LPC, ATR-BC, Licensed Professional Counselor
Danielle Brazinski
Licensed Professional Counselor, LPC, ATR-BC
Verified Verified
Jenkintown, PA 19046
"Life isn't about finding yourself, it's about creating yourself"- G. Shaw. Need help tapping into that creative side? Maybe you are going through life hoping that things get better. Let's make that thought creative and make it a reality. You can count on every session to be a growing experience. I offer my knowledge, honesty, and encouragement so that you can make choices, changes and self-discoveries to create and enhance your life. Ultimately you are the driver of your life, and I will offer a safe environment for you to get behind the wheel and take control of your thoughts, feelings, and behaviors.
"Life isn't about finding yourself, it's about creating yourself"- G. Shaw. Need help tapping into that creative side? Maybe you are going through life hoping that things get better. Let's make that thought creative and make it a reality. You can count on every session to be a growing experience. I offer my knowledge, honesty, and encouragement so that you can make choices, changes and self-discoveries to create and enhance your life. Ultimately you are the driver of your life, and I will offer a safe environment for you to get behind the wheel and take control of your thoughts, feelings, and behaviors.
(267) 613-7556 View (267) 613-7556
Photo of Megan MacDonnell, PsyD, Psychologist
Megan MacDonnell
Psychologist, PsyD
Verified Verified
1 Endorsed
Blue Bell, PA 19422
Seeking therapy takes immense strength and courage. It can feel vulnerable to trust another human with your struggles, fear, and pain. From the beginning, I will do my best to listen deeply and carefully, respecting that you have been doing the best you can with what you’ve been handed in life. I believe that our symptoms often provide information about how we have had to adapt to our circumstances. I therefore strive to honor how you have had to cope while working towards alleviating your distress and deepening your connection with yourself and others.
Seeking therapy takes immense strength and courage. It can feel vulnerable to trust another human with your struggles, fear, and pain. From the beginning, I will do my best to listen deeply and carefully, respecting that you have been doing the best you can with what you’ve been handed in life. I believe that our symptoms often provide information about how we have had to adapt to our circumstances. I therefore strive to honor how you have had to cope while working towards alleviating your distress and deepening your connection with yourself and others.
View
Photo of Danielle Bickert, MA, NCC, LPC, Licensed Professional Counselor
Danielle Bickert
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Royersford, PA 19468
In our sessions, I provide a safe and non-judgmental space where you can explore your thoughts, feelings, and experiences without fear of being judged. I believe that you are the expert of your own life and my role is to actively listen, empathize, and help you gain a deeper understanding of yourself. Each person has their own unique journey and my role is to walk alongside you as you navigate challenges and work towards discovering and identifying your strengths.
In our sessions, I provide a safe and non-judgmental space where you can explore your thoughts, feelings, and experiences without fear of being judged. I believe that you are the expert of your own life and my role is to actively listen, empathize, and help you gain a deeper understanding of yourself. Each person has their own unique journey and my role is to walk alongside you as you navigate challenges and work towards discovering and identifying your strengths.
(484) 878-5883 View (484) 878-5883
Photo of Annie Allen, PhD, MSS, LSW
Annie Allen
PhD, MSS, LSW
Verified Verified
1 Endorsed
Wyndmoor, PA 19038
I offer psychotherapy for adults of all ages and young people ages 16 and older. I work with individuals, couples, and groups. My clinical interests are working with people experiencing relationship difficulties, anxiety, depression, identity development, loss, and life transitions. I draw on therapeutic approaches based in mindfulness and compassion, and relational, psychodynamic, systems, and cognitive behavioral approaches. My approach is developmental, culturally-attuned, strengths-based and trauma-informed, and I bring respect for how you have coped with life to this point.
I offer psychotherapy for adults of all ages and young people ages 16 and older. I work with individuals, couples, and groups. My clinical interests are working with people experiencing relationship difficulties, anxiety, depression, identity development, loss, and life transitions. I draw on therapeutic approaches based in mindfulness and compassion, and relational, psychodynamic, systems, and cognitive behavioral approaches. My approach is developmental, culturally-attuned, strengths-based and trauma-informed, and I bring respect for how you have coped with life to this point.
(267) 356-5255 View (267) 356-5255
Photo of Suzanne Chuchian Chong (She Her Hers), PhD, Psychologist
Suzanne Chuchian Chong (She Her Hers)
Psychologist, PhD
Verified Verified
5 Endorsed
Collegeville, PA 19426
Do you often feel like you are threading water, instead of surfing above it? Are you doubting that you are not where you want to be in your life? Perhaps you are seeking clarity and insight, and calm after turbulence. I strive to facilitate self-empowerment and self-efficacy through adaptive coping/behavioral skills, strengthening cognitive insight, while honoring that change is hard when life gets hard. My work with individuals who have felt unheard and invalidated has led me to conceptualize concerns related to eating disorders, anxiety, depression, and substance use as closely intertwined.
Do you often feel like you are threading water, instead of surfing above it? Are you doubting that you are not where you want to be in your life? Perhaps you are seeking clarity and insight, and calm after turbulence. I strive to facilitate self-empowerment and self-efficacy through adaptive coping/behavioral skills, strengthening cognitive insight, while honoring that change is hard when life gets hard. My work with individuals who have felt unheard and invalidated has led me to conceptualize concerns related to eating disorders, anxiety, depression, and substance use as closely intertwined.
(267) 930-1278 View (267) 930-1278
Photo of Mia Parker - Mending Hearts And Lives, LLC, MS, LAMFT, Marriage & Family Therapist Associate
Mending Hearts And Lives, LLC
Marriage & Family Therapist Associate, MS, LAMFT
Verified Verified
King Of Prussia, PA 19406
Are you looking to start the healing journey from painful past experiences? Are you feeling stuck, overwhelmed, depressed, or unfulfilled? Do you feel uncertain about what to do? Are you having difficulty in your relationships with your loved ones? Are you seeking a safe space to be seen, heard, and understood?
Are you looking to start the healing journey from painful past experiences? Are you feeling stuck, overwhelmed, depressed, or unfulfilled? Do you feel uncertain about what to do? Are you having difficulty in your relationships with your loved ones? Are you seeking a safe space to be seen, heard, and understood?
(267) 382-5358 View (267) 382-5358
Photo of Brigitte Dechiaro, MA, ATR-BC, LPC, Licensed Professional Counselor
Brigitte Dechiaro
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
1 Endorsed
Warrington, PA 18976
I focus on identification, awareness, healing, empowerment, and resolution of daily life struggles in a safe, supportive environment. I encourage use of verbal and non-verbal means of self expression as well as identification of strategies of self development and formulating healthy new perceptions and interventions to heal for positive change. My focus is working with adolescents with emotional and behavioral health needs and their families.
I focus on identification, awareness, healing, empowerment, and resolution of daily life struggles in a safe, supportive environment. I encourage use of verbal and non-verbal means of self expression as well as identification of strategies of self development and formulating healthy new perceptions and interventions to heal for positive change. My focus is working with adolescents with emotional and behavioral health needs and their families.
(215) 874-4435 View (215) 874-4435
Photo of Vanessa Zottoli, MS, LPC, NCC, Licensed Professional Counselor
Vanessa Zottoli
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Downingtown, PA 19335
Waitlist for new clients
Hi! I am an anti-diet, weight inclusive provider. I specialize in working with clients who struggle with eating disorders and anxiety disorders. Are you struggling with restricting, binging, purging? Have a love/hate relationship with food? Anxious thoughts about school, social settings, or life? Maybe you feel like you will never recover, and have trouble feeling supported due to diet culture.
Hi! I am an anti-diet, weight inclusive provider. I specialize in working with clients who struggle with eating disorders and anxiety disorders. Are you struggling with restricting, binging, purging? Have a love/hate relationship with food? Anxious thoughts about school, social settings, or life? Maybe you feel like you will never recover, and have trouble feeling supported due to diet culture.
(484) 759-7552 View (484) 759-7552
Photo of Constance Lucy Cunningham, LPC, NCC, Licensed Professional Counselor
Constance Lucy Cunningham
Licensed Professional Counselor, LPC, NCC
Verified Verified
Online Only
I a a professional counselor licensed in Pennsylvania. I practice using primarily psychodynamic and person-centered therapy. Through these modalities, you will work on a deeper level to explore causes and underlying patterns of presenting problems and easing resistance. I will provide unconditional positive regard, so you do not have to worry about feeling pressured or judged. Areas of expertise include relationship issues, anxiety, low self-esteem and feelings of being stuck in unhealthy patterns of functioning.
I a a professional counselor licensed in Pennsylvania. I practice using primarily psychodynamic and person-centered therapy. Through these modalities, you will work on a deeper level to explore causes and underlying patterns of presenting problems and easing resistance. I will provide unconditional positive regard, so you do not have to worry about feeling pressured or judged. Areas of expertise include relationship issues, anxiety, low self-esteem and feelings of being stuck in unhealthy patterns of functioning.
(267) 399-3625 View (267) 399-3625
Photo of Taunya Marie Tinsley, PhD, DMin, NCC, LPC, Licensed Professional Counselor
Taunya Marie Tinsley
Licensed Professional Counselor, PhD, DMin, NCC, LPC
Verified Verified
Paoli, PA 19301
I provide individual and group counseling services as well as educational programs across the life span. I operate from an existential, humanistic, person-centered philosophy that emphasizes meaning in one's life, self-actualization, responsibility, and relationships. I view counseling from a tripartite approach where I assist my clients with self-awareness, gaining knowledge, and developing strategies to manage effectively and successfully the various transitions they are experiencing in their lives. I employ my diverse training and integrate a multiplicity of therapeutic interventions that yield optimum results for the individual.
I provide individual and group counseling services as well as educational programs across the life span. I operate from an existential, humanistic, person-centered philosophy that emphasizes meaning in one's life, self-actualization, responsibility, and relationships. I view counseling from a tripartite approach where I assist my clients with self-awareness, gaining knowledge, and developing strategies to manage effectively and successfully the various transitions they are experiencing in their lives. I employ my diverse training and integrate a multiplicity of therapeutic interventions that yield optimum results for the individual.
(610) 854-9240 View (610) 854-9240
Photo of Hannah Gilmore, LSW, MSW, Clinical Social Work/Therapist
Hannah Gilmore
Clinical Social Work/Therapist, LSW, MSW
Verified Verified
Horsham, PA 19044
Whether you are coming to therapy for anxiety, depression, grief, relationship issues, a life change, or just a general sense of unease, facing these issues can be scary. Healing isn’t easy because it involves confronting our pain and hurts. Healing can also be full of joy, hope, connection, and freedom as we experience new possibilities of being and relating. My approach is warm, relational, and integrative. I strive to offer a space where you can feel safe enough to look inward – to gently and compassionately welcome all parts of yourself with less judgment and shame.
Whether you are coming to therapy for anxiety, depression, grief, relationship issues, a life change, or just a general sense of unease, facing these issues can be scary. Healing isn’t easy because it involves confronting our pain and hurts. Healing can also be full of joy, hope, connection, and freedom as we experience new possibilities of being and relating. My approach is warm, relational, and integrative. I strive to offer a space where you can feel safe enough to look inward – to gently and compassionately welcome all parts of yourself with less judgment and shame.
(215) 826-3304 View (215) 826-3304
Photo of Ellen M Adelman - PsyCare Solutions, PhD
PsyCare Solutions
PhD
Verified Verified
Online Only
Welcome. You want the best therapist, and also one who is in-network with your insurance company. That way you can get affordable care. Our psychologists, social workers and Licensed Professional Counselors are highly trained and are in-network with all major insurances. At PsyCare, our therapists have many different specialties. This allows you to choose a clinician who understands and works with problems just like yours. Our areas of expertise include depression, anxiety, couples and family issues, trauma, anger management, child and adolescent problems, ADHD, gay/lesbian issues, and stress.
Welcome. You want the best therapist, and also one who is in-network with your insurance company. That way you can get affordable care. Our psychologists, social workers and Licensed Professional Counselors are highly trained and are in-network with all major insurances. At PsyCare, our therapists have many different specialties. This allows you to choose a clinician who understands and works with problems just like yours. Our areas of expertise include depression, anxiety, couples and family issues, trauma, anger management, child and adolescent problems, ADHD, gay/lesbian issues, and stress.
(267) 403-4137 View (267) 403-4137
Photo of Judy Turner-Dunphy, LPC, Licensed Professional Counselor
Judy Turner-Dunphy
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I employ a variety of therapeutic techniques to help enhance individual strengths and provide support through challenges including life stressors, anxiety, depression, PTSD, challenging relationship dynamics, social or emotional issues, and difficult transitions. I believe there is power in a collaborative, warm, and empathic therapeutic relationship, and use this as the basis of my therapeutic approach.
I employ a variety of therapeutic techniques to help enhance individual strengths and provide support through challenges including life stressors, anxiety, depression, PTSD, challenging relationship dynamics, social or emotional issues, and difficult transitions. I believe there is power in a collaborative, warm, and empathic therapeutic relationship, and use this as the basis of my therapeutic approach.
(484) 279-4590 View (484) 279-4590
Photo of Lauren Daniels, LPC, SEP, Licensed Professional Counselor
Lauren Daniels
Licensed Professional Counselor, LPC, SEP
Verified Verified
2 Endorsed
Quakertown, PA 18951
You can heal from trauma. I can help you. Trauma Therapy Intensives bring faster relief from PTSD and C-PTSD, anxiety, hypervigilance, flashbacks, emotional reactivity, negative self-worth. I specialize in providing therapy in an intensive format to individuals dealing with traumatic experiences, PTSD, and complex trauma, as well as helping athletes work through injuries and blocks. I am a Licensed Professional Counselor providing a holistic trauma informed, strength-based approach to individuals, helping you create the healing, growth, and change you desire. Get relief in days versus months or years.
You can heal from trauma. I can help you. Trauma Therapy Intensives bring faster relief from PTSD and C-PTSD, anxiety, hypervigilance, flashbacks, emotional reactivity, negative self-worth. I specialize in providing therapy in an intensive format to individuals dealing with traumatic experiences, PTSD, and complex trauma, as well as helping athletes work through injuries and blocks. I am a Licensed Professional Counselor providing a holistic trauma informed, strength-based approach to individuals, helping you create the healing, growth, and change you desire. Get relief in days versus months or years.
(484) 214-2997 View (484) 214-2997
Photo of Brittany Knight, MS, Pre-Licensed Professional
Brittany Knight
Pre-Licensed Professional, MS
Verified Verified
Online Only
Welcome! I'm so glad you're here. As a therapist, my goal is to create a safe, supportive, and non-judgmental space where you can explore your challenges and work toward positive change. Life is full of transitions, and I specialize in helping individuals navigate the complex challenges they face during critical times of growth. I work primarily with college students, particularly those struggling with the transition to college life. I also support high school students dealing with risky behaviors, impulsivity, and relationship challenges. Together, we’ll focus on building emotional awareness and better decision-making skills.
Welcome! I'm so glad you're here. As a therapist, my goal is to create a safe, supportive, and non-judgmental space where you can explore your challenges and work toward positive change. Life is full of transitions, and I specialize in helping individuals navigate the complex challenges they face during critical times of growth. I work primarily with college students, particularly those struggling with the transition to college life. I also support high school students dealing with risky behaviors, impulsivity, and relationship challenges. Together, we’ll focus on building emotional awareness and better decision-making skills.
(484) 376-5822 View (484) 376-5822
Photo of Jessica Paist - The Center for Family Empowerment, MA, LMFT
The Center for Family Empowerment
MA, LMFT
Verified Verified
2 Endorsed
Jenkintown, PA 19046
Do you have a child or teen struggling with big emotions or fitting in with peers? Anxiety, depression, or self-harm? Self-esteem, confidence, or body image? Maybe something at home feels off, communication is lacking, frustrations are running high, and you're feeling lost as to the next best steps. As a team of highly specialized and skilled clinicians with extensive experience working with tweens, teens, and families in a variety of settings, we are equipped to support you as an individual, or your child, your teen, and your family.
Do you have a child or teen struggling with big emotions or fitting in with peers? Anxiety, depression, or self-harm? Self-esteem, confidence, or body image? Maybe something at home feels off, communication is lacking, frustrations are running high, and you're feeling lost as to the next best steps. As a team of highly specialized and skilled clinicians with extensive experience working with tweens, teens, and families in a variety of settings, we are equipped to support you as an individual, or your child, your teen, and your family.
(215) 613-4758 View (215) 613-4758
Photo of Levi Bentley, MFA, MA, Pre-LPC, Pre-Licensed Professional
Levi Bentley
Pre-Licensed Professional, MFA, MA, Pre-LPC
Verified Verified
Philadelphia, PA 19107
My name is Levi (they/them), I am a non-binary, transmasculine transgender therapist working from a trauma-informed, IFS lense. I believe that you make sense and that you are the expert on your own experience. I enjoy working with queer and trans clients navigating the effects of trauma in their current reality. Choosing therapy is a bold step. My goal as a therapist is to work with you to realize relational and personal goals by providing empathetic connection, structure and support. Together we will make a container for staying present with difficult emotions that can arise on the journey towards healing and self-realization.
My name is Levi (they/them), I am a non-binary, transmasculine transgender therapist working from a trauma-informed, IFS lense. I believe that you make sense and that you are the expert on your own experience. I enjoy working with queer and trans clients navigating the effects of trauma in their current reality. Choosing therapy is a bold step. My goal as a therapist is to work with you to realize relational and personal goals by providing empathetic connection, structure and support. Together we will make a container for staying present with difficult emotions that can arise on the journey towards healing and self-realization.
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Photo of Natashja James, BSW, MS, LPC, Licensed Professional Counselor
Natashja James
Licensed Professional Counselor, BSW, MS, LPC
Verified Verified
Online Only
You’re here, which means you’re showing up for yourself—Yes, Go you! Maybe you’re navigating a life change, experiencing difficult emotions, balancing school or work, or simply wanting to check in on your mental health. Whatever it is, I’m here to help you sort through it. I specialize in working with young adults and people from diverse backgrounds. My style is authentic, collaborative and holistic. Therapy with me isn’t about having all the answers—it’s about figuring out what works best for you, at your own pace.
You’re here, which means you’re showing up for yourself—Yes, Go you! Maybe you’re navigating a life change, experiencing difficult emotions, balancing school or work, or simply wanting to check in on your mental health. Whatever it is, I’m here to help you sort through it. I specialize in working with young adults and people from diverse backgrounds. My style is authentic, collaborative and holistic. Therapy with me isn’t about having all the answers—it’s about figuring out what works best for you, at your own pace.
(267) 440-6821 View (267) 440-6821

See more therapy options for Lederach

How does your Therapist compare?

Number of Therapists in Lederach, PA

< 10

Therapists in Lederach, PA who prioritize treating:

100% Depression
100% Anxiety
100% Life Coaching
100% Trauma and PTSD
100% Career Counseling
100% School Issues
100% Coping Skills

Average years in practice

19 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Therapists in Lederach, PA see their clients

100% In Person and Online

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lederach?

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.