Therapists in North Wales, PA

Photo of Evelyn Busby, Clinical Social Work/Therapist, LCSW
Evelyn Busby
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I am Evelyn Busby, a licensed clinical social worker and certified trauma and ADHD specialist with three decades of experience. I provide Telehealth services throughout the state, focusing on integrative holistic approaches to therapy in addressing symptoms of anxiety, depression, trauma, life transitions, and ADHD. I offer therapeutic services in a relaxing and inviting space conducive to healing. This calming space encourages self-connection centered on your inner life—a place of growth and healing cultivated through an ongoing relationship with each patient that instills hope and optimism and nurtures expectancy.
Hi, I am Evelyn Busby, a licensed clinical social worker and certified trauma and ADHD specialist with three decades of experience. I provide Telehealth services throughout the state, focusing on integrative holistic approaches to therapy in addressing symptoms of anxiety, depression, trauma, life transitions, and ADHD. I offer therapeutic services in a relaxing and inviting space conducive to healing. This calming space encourages self-connection centered on your inner life—a place of growth and healing cultivated through an ongoing relationship with each patient that instills hope and optimism and nurtures expectancy.
(267) 754-1465 View (267) 754-1465
Photo of Kristen Malora, Psychologist, PsyD
Kristen Malora
Psychologist, PsyD
North Wales, PA 19454
Hi! My name is Kristen, and I am a Licensed Clinical Psychologist with over 15 years of experience helping individuals, couples, and families strengthen their relationships and find deeper connection. My clients come to therapy feeling stressed, overwhelmed, burnt out, and anxious. Many are navigating modern parenting or adjusting to the role of motherhood, looking to improve relationships with partners or children that may feel disconnected or tense, attempting to set healthier boundaries or increase balance at work, working to heal from past pain or trauma, or striving to find greater fulfillment overall.
Hi! My name is Kristen, and I am a Licensed Clinical Psychologist with over 15 years of experience helping individuals, couples, and families strengthen their relationships and find deeper connection. My clients come to therapy feeling stressed, overwhelmed, burnt out, and anxious. Many are navigating modern parenting or adjusting to the role of motherhood, looking to improve relationships with partners or children that may feel disconnected or tense, attempting to set healthier boundaries or increase balance at work, working to heal from past pain or trauma, or striving to find greater fulfillment overall.
(215) 261-5150 View (215) 261-5150
Photo of Dr. Jacqueline Burke, Psychologist, PsyD
Dr. Jacqueline Burke
Psychologist, PsyD
North Wales, PA 19454
If you're feeling stuck, overwhelmed, ready to make some changes, or seek healing from past trauma or longstanding struggles, I can help. I am dedicated to providing services that are tailored to meet your unique needs, wants, and wellness goals. I'll collaborate closely with you to identify the root(s) of current concerns, changes you'd like to see, and how to best approach those changes to find relief and come into alignment with the life you truly want. Call/message here or via my website contact page to schedule a free phone consultation.
If you're feeling stuck, overwhelmed, ready to make some changes, or seek healing from past trauma or longstanding struggles, I can help. I am dedicated to providing services that are tailored to meet your unique needs, wants, and wellness goals. I'll collaborate closely with you to identify the root(s) of current concerns, changes you'd like to see, and how to best approach those changes to find relief and come into alignment with the life you truly want. Call/message here or via my website contact page to schedule a free phone consultation.
(267) 310-1624 View (267) 310-1624
Photo of Laurie Heller, Clinical Social Work/Therapist, MSW, LCSW
Laurie Heller
Clinical Social Work/Therapist, MSW, LCSW
North Wales, PA 19454
My practice is dedicated to assist individuals, couples, and families by empowering them to overcome adversities. Entering therapy is a step in demonstrating strength and resiliency. I have an appreciation for this strength and consider it an important part of the therapy process. I approach each client with respect on where they are at the time when entering therapy. When personal growth is felt and experienced it can be rewarding and life altering. It is my intention and responsibility to be an active listener, give thoughtful and educational input for growth and healing at the pace and needs of each client.
My practice is dedicated to assist individuals, couples, and families by empowering them to overcome adversities. Entering therapy is a step in demonstrating strength and resiliency. I have an appreciation for this strength and consider it an important part of the therapy process. I approach each client with respect on where they are at the time when entering therapy. When personal growth is felt and experienced it can be rewarding and life altering. It is my intention and responsibility to be an active listener, give thoughtful and educational input for growth and healing at the pace and needs of each client.
(267) 394-9316 View (267) 394-9316
Photo of Kristine LaRay Kershner, Licensed Professional Counselor, MS, LPC
Kristine LaRay Kershner
Licensed Professional Counselor, MS, LPC
North Wales, PA 19454
Most days your body feels like it is on high alert, waiting for something bad to happen. You have feelings of danger panic or dread, and it is making it increasingly difficult to get through your day. Everyone experiences anxiety from time to time, you tell yourself, but this nervousness and tension is starting to interfere with your day to day activities- work, family, friends and fun. You can’t concentrate and feel like you overthink everything. A restful night’s sleep seems to be a thing of the past, and you are worried it is impacting your physical health. As your irritability increases, you realize this is no way to live.
Most days your body feels like it is on high alert, waiting for something bad to happen. You have feelings of danger panic or dread, and it is making it increasingly difficult to get through your day. Everyone experiences anxiety from time to time, you tell yourself, but this nervousness and tension is starting to interfere with your day to day activities- work, family, friends and fun. You can’t concentrate and feel like you overthink everything. A restful night’s sleep seems to be a thing of the past, and you are worried it is impacting your physical health. As your irritability increases, you realize this is no way to live.
(267) 656-6034 View (267) 656-6034
Photo of Monique Allen, Licensed Professional Counselor, LPC
Monique Allen
Licensed Professional Counselor, LPC
Online Only
My name is Monique Allen. I am a Licensed Professional Counselor and National Certified Counselor. I have worked with various populations and have a diverse background including people with trauma, crisis, depression, anxiety, and relationship problems. I like approach therapy from a positive and holistic perspective. I think it is important to find balance in your life and it starts with improving self-esteem and good self-care. I like a person-centered approach meaning you are in charge, we go at your speed and things should always be comfortable for you during therapy.
My name is Monique Allen. I am a Licensed Professional Counselor and National Certified Counselor. I have worked with various populations and have a diverse background including people with trauma, crisis, depression, anxiety, and relationship problems. I like approach therapy from a positive and holistic perspective. I think it is important to find balance in your life and it starts with improving self-esteem and good self-care. I like a person-centered approach meaning you are in charge, we go at your speed and things should always be comfortable for you during therapy.
(267) 497-3254 View (267) 497-3254
Photo of Vanessa E Hari, Licensed Professional Counselor, MA, LPC
Vanessa E Hari
Licensed Professional Counselor, MA, LPC
1 Endorsed
Online Only
I believe in treating clients as co-creators in their therapeutic process. I strive to create an affirming, non-judgemental, and empathetic environment for my clients to express themselves authentically. The therapeutic process is one in which I will utilize cognitive restructuring, mindfulness, and self-compassion practices to facilitate processing, feeling, and connecting to oneself and emotions. My preferred populations are adolescents 16-18, transitional adults 19-25, and adults. I specialize in Autism Spectrum, Attention Deficit Hyperactivity Disorder, Post-Traumatic Stress Disorder, trauma-related disorders,&anxiety disorders,
I believe in treating clients as co-creators in their therapeutic process. I strive to create an affirming, non-judgemental, and empathetic environment for my clients to express themselves authentically. The therapeutic process is one in which I will utilize cognitive restructuring, mindfulness, and self-compassion practices to facilitate processing, feeling, and connecting to oneself and emotions. My preferred populations are adolescents 16-18, transitional adults 19-25, and adults. I specialize in Autism Spectrum, Attention Deficit Hyperactivity Disorder, Post-Traumatic Stress Disorder, trauma-related disorders,&anxiety disorders,
(215) 709-8961 View (215) 709-8961
Photo of Evelyn Jones Busby, Clinical Social Work/Therapist, LCSW
Evelyn Jones Busby
Clinical Social Work/Therapist, LCSW
North Wales, PA 19454
As a Licensed Clinical Social Worker and certified Trauma and ADHD specialist with extensive experience, I bring a wealth of knowledge and expertise to my practice. My journey in social work began at Washington University in St. Louis, MO, and has led me to operate a private practice in Montgomery and Bucks Counties, Pennsylvania. I offer my services throughout the state via telehealth, providing compassionate care and utilizing evidence-based therapeutic tools to help individuals overcome fear and anxiety. The first steps towards therapy can be scary and daunting, but I'm here to celebrate your decision to seek help.
As a Licensed Clinical Social Worker and certified Trauma and ADHD specialist with extensive experience, I bring a wealth of knowledge and expertise to my practice. My journey in social work began at Washington University in St. Louis, MO, and has led me to operate a private practice in Montgomery and Bucks Counties, Pennsylvania. I offer my services throughout the state via telehealth, providing compassionate care and utilizing evidence-based therapeutic tools to help individuals overcome fear and anxiety. The first steps towards therapy can be scary and daunting, but I'm here to celebrate your decision to seek help.
(267) 367-6686 View (267) 367-6686
Photo of Monique Allen, Licensed Professional Counselor, LPC
Monique Allen
Licensed Professional Counselor, LPC
Online Only
Hello, my name is Monique Allen. I am a Pennsylvania Licensed Professional Counselor. I received my Bachelor of Arts in Behavioral Health from Alvernia University in 2007. I then received my Master of Arts in Community Counseling from Alvernia University in 2013. I became a National Certified Counselor in 2016. I am direct and solution focused. I work collaboratively with my clients to address their needs.
Hello, my name is Monique Allen. I am a Pennsylvania Licensed Professional Counselor. I received my Bachelor of Arts in Behavioral Health from Alvernia University in 2007. I then received my Master of Arts in Community Counseling from Alvernia University in 2013. I became a National Certified Counselor in 2016. I am direct and solution focused. I work collaboratively with my clients to address their needs.
(267) 682-6985 View (267) 682-6985
Photo of Alicia D'Alessandro, Marriage & Family Therapist, MA, LMFT
Alicia D'Alessandro
Marriage & Family Therapist, MA, LMFT
Online Only
Relationships are a big part of our lives. Whether it be with a parent, friend or a significant other, managing them can be difficult. My training as a couple and family therapist has prepared me to help my clients resolve interpersonal issues and form loving and rewarding relationships.
Relationships are a big part of our lives. Whether it be with a parent, friend or a significant other, managing them can be difficult. My training as a couple and family therapist has prepared me to help my clients resolve interpersonal issues and form loving and rewarding relationships.
(267) 352-4157 View (267) 352-4157
Photo of Donna Ann Tonrey - Dr. Donna Tonrey and Associates, Psychologist, PsyD, LMFT, LPC
Dr. Donna Tonrey and Associates
Psychologist, PsyD, LMFT, LPC
2 Endorsed
North Wales, PA 19454
My practice is dedicated to helping individuals, couples, and families. Entering therapy is a significant decision and making this decision comes from a place of strength. I have an appreciation for this strength, and consider it an important part of the therapy process. Making personal changes can be challenging. The aim of therapy is to help people make changes within their thoughts, feelings, and relationships that lead to being their most authentic self. I consider myself as an invited guest into the client's life and it is an honor to be a part of the process.
My practice is dedicated to helping individuals, couples, and families. Entering therapy is a significant decision and making this decision comes from a place of strength. I have an appreciation for this strength, and consider it an important part of the therapy process. Making personal changes can be challenging. The aim of therapy is to help people make changes within their thoughts, feelings, and relationships that lead to being their most authentic self. I consider myself as an invited guest into the client's life and it is an honor to be a part of the process.
(215) 613-4778 View (215) 613-4778
Photo of Monique Allen, Licensed Professional Counselor, LPC
Monique Allen
Licensed Professional Counselor, LPC
Online Only
My name is Monique Allen. I am a Licensed Professional Counselor and National Certified Counselor. I have worked with various populations and have a diverse background including people with trauma, crisis, depression, anxiety, and relationship problems. I like approach therapy from a positive and holistic perspective. I think it is important to find balance in your life and it starts with improving self-esteem and good self-care. I like a person-centered approach meaning you are in charge, we go at your speed and things should always be comfortable for you during therapy.
My name is Monique Allen. I am a Licensed Professional Counselor and National Certified Counselor. I have worked with various populations and have a diverse background including people with trauma, crisis, depression, anxiety, and relationship problems. I like approach therapy from a positive and holistic perspective. I think it is important to find balance in your life and it starts with improving self-esteem and good self-care. I like a person-centered approach meaning you are in charge, we go at your speed and things should always be comfortable for you during therapy.
(267) 713-3827 View (267) 713-3827
Photo of Elena Saraga, Marriage & Family Therapist, MA, LMFT
Elena Saraga
Marriage & Family Therapist, MA, LMFT
North Wales, PA 19454
Entering therapy is an act of self care that takes courage. It is an opportunity to take pause and honor who we are and how we got here. My approach is to encourage clients to dig deep into what it means to be happy, content, and fulfilled. This process is as much about the questions as it is the answers. I work collaboratively with clients to better understand themselves and their relationships, build insight and distress tolerance, and to develop a "toolbox" to better communicate and relate with their loved ones. Combined, this results in a refined awareness of self and a deeper permission to feel, change, and grow.
Entering therapy is an act of self care that takes courage. It is an opportunity to take pause and honor who we are and how we got here. My approach is to encourage clients to dig deep into what it means to be happy, content, and fulfilled. This process is as much about the questions as it is the answers. I work collaboratively with clients to better understand themselves and their relationships, build insight and distress tolerance, and to develop a "toolbox" to better communicate and relate with their loved ones. Combined, this results in a refined awareness of self and a deeper permission to feel, change, and grow.
(215) 867-6680 View (215) 867-6680
Photo of Monique Allen, Licensed Professional Counselor, LPC
Monique Allen
Licensed Professional Counselor, LPC
Online Only
My name is Monique Allen. I am a Licensed Professional Counselor and National Certified Counselor. I have worked with various populations and have a diverse background including people with trauma, crisis, depression, anxiety, and relationship problems. I like approach therapy from a positive and holistic perspective. I think it is important to find balance in your life and it starts with improving self-esteem and good self-care. I like a person-centered approach meaning you are in charge, we go at your speed and things should always be comfortable for you during therapy.
My name is Monique Allen. I am a Licensed Professional Counselor and National Certified Counselor. I have worked with various populations and have a diverse background including people with trauma, crisis, depression, anxiety, and relationship problems. I like approach therapy from a positive and holistic perspective. I think it is important to find balance in your life and it starts with improving self-esteem and good self-care. I like a person-centered approach meaning you are in charge, we go at your speed and things should always be comfortable for you during therapy.
(267) 578-2880 View (267) 578-2880
Photo of Stacey Simpson, Licensed Professional Counselor, MS, LPC, CNLP, CHT, CYT200
Stacey Simpson
Licensed Professional Counselor, MS, LPC, CNLP, CHT, CYT200
Online Only
My name is Stacey Simpson and I created The Life Connection (TLC) over 28 years ago, offering counseling, coaching and classes to help people create their best life. I love being a counselor and a teacher and have worked with thousands of clients and students. I like helping people figure out what they want from their life and how to make the changes and tap into the resources to make that happen. To learn how to create balance in every area. One of my favorite expressions is people don't care how much you know until they know how much you care. The reason I became a counselor is to help make a difference one person at a time.
My name is Stacey Simpson and I created The Life Connection (TLC) over 28 years ago, offering counseling, coaching and classes to help people create their best life. I love being a counselor and a teacher and have worked with thousands of clients and students. I like helping people figure out what they want from their life and how to make the changes and tap into the resources to make that happen. To learn how to create balance in every area. One of my favorite expressions is people don't care how much you know until they know how much you care. The reason I became a counselor is to help make a difference one person at a time.
(267) 915-2991 View (267) 915-2991
Photo of Christine Bergman, Clinical Social Work/Therapist, LCSW
Christine Bergman
Clinical Social Work/Therapist, LCSW
North Wales, PA 19454
Waitlist for new clients
Hi:) Thanks for your curiosity about me. Looking for a therapist can be such an overwhelming process but when you get that right fit it truly can be life changing. I have been in private practice for 20 years, specializing in work with teens, young adults and parents. I know it can be so scary to begin the important work of healing and growing and will be right beside you as you do the work, offering that safe place to land to work through it all.
Hi:) Thanks for your curiosity about me. Looking for a therapist can be such an overwhelming process but when you get that right fit it truly can be life changing. I have been in private practice for 20 years, specializing in work with teens, young adults and parents. I know it can be so scary to begin the important work of healing and growing and will be right beside you as you do the work, offering that safe place to land to work through it all.
(267) 214-9766 View (267) 214-9766
Photo of Suzanne Iannuzzi, Licensed Professional Counselor, MA, LPC
Suzanne Iannuzzi
Licensed Professional Counselor, MA, LPC
1 Endorsed
North Wales, PA 19454
In order for effective change to happen in psychotherapy there has to be a good alliance between therapist and client. I seek to provide a sense of safety and understanding so that issues can be explored, overcome or reconciled. I work with people who are suffering from depression, anxiety, stress related illness, anger management problems and relationship issues. My intention is to help people improve their overall health, enhance their well being, recognize their inherent strengths and feel more fulfilled.
In order for effective change to happen in psychotherapy there has to be a good alliance between therapist and client. I seek to provide a sense of safety and understanding so that issues can be explored, overcome or reconciled. I work with people who are suffering from depression, anxiety, stress related illness, anger management problems and relationship issues. My intention is to help people improve their overall health, enhance their well being, recognize their inherent strengths and feel more fulfilled.
(215) 987-4652 View (215) 987-4652
Photo of Evelyn Busby, Clinical Social Work/Therapist, LCSW
Evelyn Busby
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I am Evelyn Busby, a licensed clinical social worker and certified trauma and ADHD specialist with three decades of experience. I provide Telehealth services throughout the state, focusing on integrative holistic approaches to therapy in addressing symptoms of anxiety, depression, trauma, life transitions, and ADHD. I offer therapeutic services in a relaxing and inviting space conducive to healing. This calming space encourages self-connection centered on your inner life—a place of growth and healing cultivated through an ongoing relationship with each patient that instills hope and optimism and nurtures expectancy.
Hi, I am Evelyn Busby, a licensed clinical social worker and certified trauma and ADHD specialist with three decades of experience. I provide Telehealth services throughout the state, focusing on integrative holistic approaches to therapy in addressing symptoms of anxiety, depression, trauma, life transitions, and ADHD. I offer therapeutic services in a relaxing and inviting space conducive to healing. This calming space encourages self-connection centered on your inner life—a place of growth and healing cultivated through an ongoing relationship with each patient that instills hope and optimism and nurtures expectancy.
(267) 754-2546 View (267) 754-2546
Photo of Risa Mandell, Clinical Social Work/Therapist, LCSW
Risa Mandell
Clinical Social Work/Therapist, LCSW
Online Only
I imagine you're already a reflective person. Beginning psychotherapy is courageous and I commend you for taking this first step. A variety of issues may bring you here. We'll collaborate so that you get to know yourself in a new way - whether it's to change something about yourself or to understand yourself through another who's trained to listen. You'll be learning to listen to yourself articulate as we explore your relationship to your thoughts, feelings, body, people and the natural world. I'm working exclusively with people in their 20s through their 40s. Contact me directly to work out a fee that's doable for you.
I imagine you're already a reflective person. Beginning psychotherapy is courageous and I commend you for taking this first step. A variety of issues may bring you here. We'll collaborate so that you get to know yourself in a new way - whether it's to change something about yourself or to understand yourself through another who's trained to listen. You'll be learning to listen to yourself articulate as we explore your relationship to your thoughts, feelings, body, people and the natural world. I'm working exclusively with people in their 20s through their 40s. Contact me directly to work out a fee that's doable for you.
(267) 813-1410 View (267) 813-1410
Photo of Keith Casey, Clinical Social Work/Therapist, LCSW
Keith Casey
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Are you feeling depressed? Unmotivated? Struggling with rumination and compulsive behaviors? Experiencing low self-esteem? It can be hard to address your core issues but I believe taking the first step and making your therapy appointment can ultimately be the change your life needs.
Are you feeling depressed? Unmotivated? Struggling with rumination and compulsive behaviors? Experiencing low self-esteem? It can be hard to address your core issues but I believe taking the first step and making your therapy appointment can ultimately be the change your life needs.
(267) 651-8573 View (267) 651-8573

See more therapy options for North Wales

How does your Therapist compare?

Number of Therapists in North Wales, PA

60+

Average cost per session

$130

Therapists in North Wales, PA who prioritize treating:

96% Depression
96% Anxiety
79% Relationship Issues
68% Trauma and PTSD
68% Self Esteem
60% Marriage Counseling
57% Grief

Average years in practice

18 Years

Top 3 insurances accepted

86% Aetna
68% Cigna and Evernorth
68% Highmark

How Therapists in North Wales, PA see their clients

51% In Person and Online
49% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in North Wales?

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.