Therapists in Mount Joy, PA

Photo of Gretchen Ringenberg, LPC, LMFT, Licensed Professional Counselor
Gretchen Ringenberg
Licensed Professional Counselor, LPC, LMFT
Verified Verified
3 Endorsed
Mount Joy, PA 17552
Want a therapist that flexes and adapts to your needs, goals, and style? I believe it is my job to learn about and conform to what my clients need, whether it's a more laid-back listening-oriented style or a more directive goal-oriented style. Your counseling process should be completely unique to who you are as a person, couple, or family and you should be encouraged to sit in the driver's seat. I am comfortable using a variety of therapy modalities and love creating tailored therapeutic experiences that "fit just right" for all of my clients. I am also open to discussing holistic options including diet, exercise, and spirituality.
Want a therapist that flexes and adapts to your needs, goals, and style? I believe it is my job to learn about and conform to what my clients need, whether it's a more laid-back listening-oriented style or a more directive goal-oriented style. Your counseling process should be completely unique to who you are as a person, couple, or family and you should be encouraged to sit in the driver's seat. I am comfortable using a variety of therapy modalities and love creating tailored therapeutic experiences that "fit just right" for all of my clients. I am also open to discussing holistic options including diet, exercise, and spirituality.
(717) 271-7076 View (717) 271-7076
Photo of Jeff Bare - Oasis Counseling Services, LMFT, S-PSB, Marriage & Family Therapist
Oasis Counseling Services
Marriage & Family Therapist, LMFT, S-PSB
Verified Verified
3 Endorsed
Mount Joy, PA 17552  (Online Only)
Not accepting new clients
There comes a day when we find ourselves in a place we never, ever expected to be. We face some painful realities and make very difficult decisions and choices. Later, we look back on our decisions and realize we could have done things better, or differently. What is important is what we do with what we have learned from those mistakes and how to deal with the guilt and shame that goes with it. Successful therapy involves a commitment to heal and become strong, stable and able to put our wounds where they might be appropriately placed. Not as defense shields to distort realities, but instead, to live the life we all desire.
There comes a day when we find ourselves in a place we never, ever expected to be. We face some painful realities and make very difficult decisions and choices. Later, we look back on our decisions and realize we could have done things better, or differently. What is important is what we do with what we have learned from those mistakes and how to deal with the guilt and shame that goes with it. Successful therapy involves a commitment to heal and become strong, stable and able to put our wounds where they might be appropriately placed. Not as defense shields to distort realities, but instead, to live the life we all desire.
(717) 610-1568 View (717) 610-1568
Photo of Sean Rajnic, MA, LPC, Licensed Professional Counselor
Sean Rajnic
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Mount Joy, PA 17552
Many people look for a counselor because something in life isn't working - a challenging relationship, inability to cope with life's stress in a healthy way, a lack of joy or peace, or some harmful behavior that is out of control. Trying to change on our own isn't working and we've hit a dead end. As a licensed counselor, it's my passion to help you discover a way to navigate these difficulties and move forward toward a life of purpose, fulfillment, and joy.
Many people look for a counselor because something in life isn't working - a challenging relationship, inability to cope with life's stress in a healthy way, a lack of joy or peace, or some harmful behavior that is out of control. Trying to change on our own isn't working and we've hit a dead end. As a licensed counselor, it's my passion to help you discover a way to navigate these difficulties and move forward toward a life of purpose, fulfillment, and joy.
(717) 925-8177 View (717) 925-8177
Photo of Shawna N Dixon - Diversity Works Counseling, LLC, MSW, Pre-Licensed Professional
Diversity Works Counseling, LLC
Pre-Licensed Professional, MSW
Verified Verified
Mount Joy, PA 17552  (Online Only)
I provide counseling services for adolescents, teens, and adults. My therapeutic services are rendered to the client's needs. I assist clients with behavioral, and emotional issues. My main focus is to help heal the whole person spiritually, mentally, and physically by equipping the individual with coping techniques to use when facing challenging situations.
I provide counseling services for adolescents, teens, and adults. My therapeutic services are rendered to the client's needs. I assist clients with behavioral, and emotional issues. My main focus is to help heal the whole person spiritually, mentally, and physically by equipping the individual with coping techniques to use when facing challenging situations.
(223) 336-4827 View (223) 336-4827
Photo of Daena Longenecker, BSed, LMFT, Marriage & Family Therapist
Daena Longenecker
Marriage & Family Therapist, BSed, LMFT
Verified Verified
2 Endorsed
Mount Joy, PA 17552
Facilitating healing in relationships and families drives my work as a marriage and family therapist. I love the powerful potentialities available for clients through our work together. Further, I am mindful to carefully listen to my clients and then collaborate with them to form goals for our work together in therapy. I understand that my clients need a safe place to experience the richness of life available when they feel heard and validated in relationship.
Facilitating healing in relationships and families drives my work as a marriage and family therapist. I love the powerful potentialities available for clients through our work together. Further, I am mindful to carefully listen to my clients and then collaborate with them to form goals for our work together in therapy. I understand that my clients need a safe place to experience the richness of life available when they feel heard and validated in relationship.
(717) 417-4884 View (717) 417-4884
Photo of Tessa Snavely, MS, LPC, CIMPH, Licensed Professional Counselor
Tessa Snavely
Licensed Professional Counselor, MS, LPC, CIMPH
Verified Verified
1 Endorsed
Mount Joy, PA 17552  (Online Only)
Not accepting new clients
Hi! I'm a Licensed Professional Counselor with around 10 years of experience in the mental health field. I currently offer telehealth sessions on Tuesdays and Thursdays for ages pre-adolescent through adult. Although my main focus areas are trauma, anxiety, depression, grief, boundary and relationship issues and life transitions, I have experience working with a variety of other issues as well.
Hi! I'm a Licensed Professional Counselor with around 10 years of experience in the mental health field. I currently offer telehealth sessions on Tuesdays and Thursdays for ages pre-adolescent through adult. Although my main focus areas are trauma, anxiety, depression, grief, boundary and relationship issues and life transitions, I have experience working with a variety of other issues as well.
(717) 475-8851 View (717) 475-8851
Photo of Alyssa Andre, MA, LAC, Pre-Licensed Professional
Alyssa Andre
Pre-Licensed Professional, MA, LAC
Verified Verified
Mount Joy, PA 17552
Alyssa earned her Master’s degree in Clinical Mental Health Counseling, and is a Licensed Associate Counselor (LAC). After years as an educator and adolescent life coach, Alyssa pursued an education in therapeutic disciplines where she witnessed the vast needs of young people, families, and couples alike who were navigating relationships, trauma, mental health challenges, behavioral concerns, loss and change. Alyssa takes a holistic approach with her clients, specializing in adult and adolescent therapy, couples and families, and uses a client-centered approach informed by Internal Family Systems, and Adlerian Theory.
Alyssa earned her Master’s degree in Clinical Mental Health Counseling, and is a Licensed Associate Counselor (LAC). After years as an educator and adolescent life coach, Alyssa pursued an education in therapeutic disciplines where she witnessed the vast needs of young people, families, and couples alike who were navigating relationships, trauma, mental health challenges, behavioral concerns, loss and change. Alyssa takes a holistic approach with her clients, specializing in adult and adolescent therapy, couples and families, and uses a client-centered approach informed by Internal Family Systems, and Adlerian Theory.
(717) 915-5882 View (717) 915-5882
Photo of Blake William Ringenberg - Gethsemane Counseling & Coaching, LPC, NCC, Licensed Professional Counselor
Gethsemane Counseling & Coaching
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Mount Joy, PA 17552
MEN'S GROUP - Thursday evenings at 5pm. Please reach out if you are interested- Clarity, Accountability, Challenge, and Support (run by my colleague, Alyssa Andre). As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more meaningful life.
MEN'S GROUP - Thursday evenings at 5pm. Please reach out if you are interested- Clarity, Accountability, Challenge, and Support (run by my colleague, Alyssa Andre). As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more meaningful life.
(717) 455-3053 View (717) 455-3053
Photo of Nancy Cotton, BS, MAMFT
Nancy Cotton
BS, MAMFT
Verified Verified
Mount Joy, PA 17552
I believe we are most content with ourselves and others when we live in authentic relationship to our true self and can be genuinely known; so relationship is the backbone of my therapeutic work. Being vulnerable in relationships is a gift; but can also be fraught with difficulties and setbacks. I believe people have immeasurable potential for self-actualization and healthy relationships. Many of us need a safe environment, empathy, and validation to explore our potentials and move toward healthier and more fulfilling lives. I seek to listen to and collaborate with clients through integrative modalities and a systemic perspective.
I believe we are most content with ourselves and others when we live in authentic relationship to our true self and can be genuinely known; so relationship is the backbone of my therapeutic work. Being vulnerable in relationships is a gift; but can also be fraught with difficulties and setbacks. I believe people have immeasurable potential for self-actualization and healthy relationships. Many of us need a safe environment, empathy, and validation to explore our potentials and move toward healthier and more fulfilling lives. I seek to listen to and collaborate with clients through integrative modalities and a systemic perspective.
(717) 928-8104 View (717) 928-8104
Photo of Jenna Renfroe - Tailored Brain Health, PhD, ABPP, Psychologist
Tailored Brain Health
Psychologist, PhD, ABPP
Verified Verified
1 Endorsed
Mount Joy, PA 17552
Are you a so-called empath, overachiever, perfectionist or riddled with anxiety? Has life just become too much and you need some space to process it? Do you or someone you love have a brain health challenge? Parkinson’s disease, traumatic brain injury/concussion, mild cognitive impairment, multiple sclerosis, ADHD, problems with concentration or memory? Good news. I’m a board-certified neuropsychologist. I know what these challenges mean - scientifically, and how they affect your day-to-day and relationships.
Are you a so-called empath, overachiever, perfectionist or riddled with anxiety? Has life just become too much and you need some space to process it? Do you or someone you love have a brain health challenge? Parkinson’s disease, traumatic brain injury/concussion, mild cognitive impairment, multiple sclerosis, ADHD, problems with concentration or memory? Good news. I’m a board-certified neuropsychologist. I know what these challenges mean - scientifically, and how they affect your day-to-day and relationships.
(336) 739-6079 View (336) 739-6079
Photo of Laurie Schein - New Journey Family Center, LCSW, MAMFT, RPT, Clinical Social Work/Therapist
New Journey Family Center
Clinical Social Work/Therapist, LCSW, MAMFT, RPT
Verified Verified
1 Endorsed
Mount Joy, PA 17552
Our passion for therapy is helping people of all ages discover their full potential in life and overcome obstacles. Our goal is to create a safe environment for you to turn and face the challenges you experience and identify new ways to create a meaningful life. For us, therapy is relationship and we would be honored to walk with you along your journey. We would like to offer our trainings and experiences, both professionally and personally to collaborate with you to help you reach your goals. We look forward to walking with you on this journey of healing and self-discovery!
Our passion for therapy is helping people of all ages discover their full potential in life and overcome obstacles. Our goal is to create a safe environment for you to turn and face the challenges you experience and identify new ways to create a meaningful life. For us, therapy is relationship and we would be honored to walk with you along your journey. We would like to offer our trainings and experiences, both professionally and personally to collaborate with you to help you reach your goals. We look forward to walking with you on this journey of healing and self-discovery!
(717) 850-9573 View (717) 850-9573
Bette Landis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Mount Joy, PA 17552
In my practice I work to assist clients in regaining a sense of balance and peace in their lives. Together we work through whatever changes or transitions life has presented. These include changes in family, relationship or employment status as well as losses, big or small, that impact his/her life. I assist them in processing through the emotions that go with these changes and/or losses. Mine is a strengths based, client oriented approach. I model the therapy based on what works best for the client and the strengths and skills he/she brings with them to therapy.
In my practice I work to assist clients in regaining a sense of balance and peace in their lives. Together we work through whatever changes or transitions life has presented. These include changes in family, relationship or employment status as well as losses, big or small, that impact his/her life. I assist them in processing through the emotions that go with these changes and/or losses. Mine is a strengths based, client oriented approach. I model the therapy based on what works best for the client and the strengths and skills he/she brings with them to therapy.
(717) 483-8085 View (717) 483-8085
Photo of Susan Elaine Grubb, MA, LPC, Licensed Professional Counselor
Susan Elaine Grubb
Licensed Professional Counselor, MA, LPC
Verified Verified
Mount Joy, PA 17552
Are you feeling stuck? Does it feel like life’s events have knocked you off your feet? Are you struggling with feeling sad and as if life will never get better? Have you tried to solve the problems in your life on your own and realized you need help from someone else?
Are you feeling stuck? Does it feel like life’s events have knocked you off your feet? Are you struggling with feeling sad and as if life will never get better? Have you tried to solve the problems in your life on your own and realized you need help from someone else?
(717) 366-9355 View (717) 366-9355
Photo of Sharon Rose Geiner - Concord Counseling Services, LLC/Sharon Geiner, MEd, LPC, Licensed Professional Counselor
Concord Counseling Services, LLC/Sharon Geiner
Licensed Professional Counselor, MEd, LPC
Verified Verified
Mount Joy, PA 17552  (Online Only)
Greetings, amazing clients! I offer an unwavering commitment as an LPC, proudly holding dual licensure in both Pennsylvania and Delaware. My passion lies in the empowerment of individuals, the cultivation of self-awareness, and the delivery of pragmatic coping strategies. Through counseling sessions customized to each individual, I empower clients to enhance their emotional intelligence, improve communication skills, and foster healthier relationships. My goal is to guide clients towards meaningful growth, resilience, and fulfillment in their lives.
Greetings, amazing clients! I offer an unwavering commitment as an LPC, proudly holding dual licensure in both Pennsylvania and Delaware. My passion lies in the empowerment of individuals, the cultivation of self-awareness, and the delivery of pragmatic coping strategies. Through counseling sessions customized to each individual, I empower clients to enhance their emotional intelligence, improve communication skills, and foster healthier relationships. My goal is to guide clients towards meaningful growth, resilience, and fulfillment in their lives.
(484) 718-9925 View (484) 718-9925
Photo of Karin Laszakovits - Building Blocks Counseling, Karin Laszakovits, LCSW, Clinical Social Work/Therapist
Building Blocks Counseling, Karin Laszakovits
Clinical Social Work/Therapist, LCSW
Verified Verified
Mount Joy, PA 17552
Navigating feelings, relationships, communities and the world can be confusing and hard. I use an eclectic approach in therapy to fit the individual needs of the client, but always within a strengths-focused and collaborative framework. I believe that the therapeutic relationship is crucial for growth and healing. I have worked in private practice, clinic and school settings where I have helped children, adolescents and adults address a range of issues relating to adjustment, grief, depression and anxiety. I have significant experience working with Autism.
Navigating feelings, relationships, communities and the world can be confusing and hard. I use an eclectic approach in therapy to fit the individual needs of the client, but always within a strengths-focused and collaborative framework. I believe that the therapeutic relationship is crucial for growth and healing. I have worked in private practice, clinic and school settings where I have helped children, adolescents and adults address a range of issues relating to adjustment, grief, depression and anxiety. I have significant experience working with Autism.
(223) 832-6279 View (223) 832-6279
Photo of Maggie Harbord, MA, Pre-Licensed Professional
Maggie Harbord
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Mount Joy, PA 17552
If you are someone who has experienced a recent life-altering event, finding it difficult to keep up with your day to day tasks, or even just need a safe person to tell your story to, I would love to help. I enjoy working with people who are struggling to grasp the changes happening around them. Life can move so quickly, and often times it is hard to keep up. Learning the skills to cope and processing those life-altering events can vastly improve how you feel when life is feeling unmanageable.
If you are someone who has experienced a recent life-altering event, finding it difficult to keep up with your day to day tasks, or even just need a safe person to tell your story to, I would love to help. I enjoy working with people who are struggling to grasp the changes happening around them. Life can move so quickly, and often times it is hard to keep up. Learning the skills to cope and processing those life-altering events can vastly improve how you feel when life is feeling unmanageable.
(223) 218-4576 View (223) 218-4576
Photo of Tracie R Hassell, LCSW, Clinical Social Work/Therapist
Tracie R Hassell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Mount Joy, PA 17552
In today’s society it is sometimes difficult to manage our mental health. We become anxious and/or depressed and sometimes our relationships suffer. Many of us have survived traumatic experiences that we have not properly processed. It is important to find ways to cope with our anxiety, overcome our depression, process our trauma and learn to communicate in a positive manner in order to build healthy relationships with others as well as with ourself.
In today’s society it is sometimes difficult to manage our mental health. We become anxious and/or depressed and sometimes our relationships suffer. Many of us have survived traumatic experiences that we have not properly processed. It is important to find ways to cope with our anxiety, overcome our depression, process our trauma and learn to communicate in a positive manner in order to build healthy relationships with others as well as with ourself.
(717) 820-9129 View (717) 820-9129
Photo of Amy Cannon, MA, LPC, Licensed Professional Counselor
Amy Cannon
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Mount Joy, PA 17552
Grief and loss happen to all of us, and yet we each experience it in our own unique way. Grief can feel a lot like anger, anxiety, depression, fear, sadness, guilt, and other strong emotions and can feel hard to manage. As a Licensed Professional Counselor with 10+ years of experience working in the mental health field, and as a Certified Advanced Grief Counseling Specialist (CAGCS), I strive to come alongside each individual, help them utilize their strengths and their resources, find new hope, heal old wounds, and grow in new ways.
Grief and loss happen to all of us, and yet we each experience it in our own unique way. Grief can feel a lot like anger, anxiety, depression, fear, sadness, guilt, and other strong emotions and can feel hard to manage. As a Licensed Professional Counselor with 10+ years of experience working in the mental health field, and as a Certified Advanced Grief Counseling Specialist (CAGCS), I strive to come alongside each individual, help them utilize their strengths and their resources, find new hope, heal old wounds, and grow in new ways.
(223) 218-5257 View (223) 218-5257
Photo of Becca King, LCSW, Clinical Social Work/Therapist
Becca King
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Mount Joy, PA 17552
Choosing to pursue therapy can be daunting. It takes effort and intention, things that don't come easily when experiencing stress or crisis. I understand this and want to support you in the step you're about to take. Perhaps you'd like to consider the "why's" behind certain decisions, or connect better with significant people in your life. Maybe you're struggling to keep the lid on hurtful or damaging experiences.
Choosing to pursue therapy can be daunting. It takes effort and intention, things that don't come easily when experiencing stress or crisis. I understand this and want to support you in the step you're about to take. Perhaps you'd like to consider the "why's" behind certain decisions, or connect better with significant people in your life. Maybe you're struggling to keep the lid on hurtful or damaging experiences.
(717) 696-0662 View (717) 696-0662
Photo of Charlene Eshleman - Behavioral Healthcare Corporation, MD, PsyD, MEd, LPC, LCSW
Behavioral Healthcare Corporation
MD, PsyD, MEd, LPC, LCSW
Verified Verified
Mount Joy, PA 17552
Our mission: Mental health for all we serve. Our passion: Helping you achieve mental health. Life can be hard. We all have challenges. We all experience loss, stress, grief and, at some point, all of us feel overwhelmed. The team at Behavioral Healthcare Corporation has been helping people just like you deal with life's issues and restore their mental health since 2002.
Our mission: Mental health for all we serve. Our passion: Helping you achieve mental health. Life can be hard. We all have challenges. We all experience loss, stress, grief and, at some point, all of us feel overwhelmed. The team at Behavioral Healthcare Corporation has been helping people just like you deal with life's issues and restore their mental health since 2002.
(717) 502-4771 View (717) 502-4771
1

See more therapy options for Mount Joy

How does your Therapist compare?

Number of Therapists in Mount Joy, PA

20+

Average cost per session

$125

Therapists in Mount Joy, PA who prioritize treating:

87% Anxiety
78% Depression
70% Trauma and PTSD
70% Self Esteem
65% Grief
61% Relationship Issues
61% Stress

Average years in practice

11 Years

Top 3 insurances accepted

86% Highmark
71% Quest Behavioral Health
57% BlueCross and BlueShield

How Therapists in Mount Joy, PA see their clients

83% In Person and Online
17% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Joy?

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.