Therapists in Pipersville, PA

Photo of Angela M Clymer, Licensed Professional Counselor, LPC, CAADC, CPTT, CSAT-C
Angela M Clymer
Licensed Professional Counselor, LPC, CAADC, CPTT, CSAT-C
1 Endorsed
Pipersville, PA 18947
Hello and welcome, Here is a little about my approach to therapy. I love working with people as they begin exploring the roots of their story to begin healing, breathing and being fully present in their bodies. As we begin focusing on your past and current struggles, you will learn how you hold trauma, stress and pain in your body to help bring relief and connection to yourself and others. I believe there is beauty in our brokenness and I strive to bring meaning to your experiences. I specialize in the areas of Betrayal Trauma, Sexual Addiction, Substance Use Disorder, Anxiety, Depression and Trauma.
Hello and welcome, Here is a little about my approach to therapy. I love working with people as they begin exploring the roots of their story to begin healing, breathing and being fully present in their bodies. As we begin focusing on your past and current struggles, you will learn how you hold trauma, stress and pain in your body to help bring relief and connection to yourself and others. I believe there is beauty in our brokenness and I strive to bring meaning to your experiences. I specialize in the areas of Betrayal Trauma, Sexual Addiction, Substance Use Disorder, Anxiety, Depression and Trauma.
(267) 772-2884 View (267) 772-2884
Photo of Dr. Christine Marston, Psychologist, PhD, LP, CEDS
Dr. Christine Marston
Psychologist, PhD, LP, CEDS
6 Endorsed
Pipersville, PA 18947
I help people who are overwhelmed, stressed & struggling to feel like themselves again. As an experienced Psychologist (30 years!) I'll help you gain perspective & inspire change. We'll make sense of why you feel bad and help you to live better. I treat men, women, teens, couples & I'm a therapist to therapists. I can help with depression, anxiety & panic, eating issues & disorders, relationship problems, trauma, dissociative disorders & life transitions. I'm a brainspotting practitionner & collaborate with dietitians & physicians. Call me to schedule a first session. We'll get to know each other and make a plan from there.
I help people who are overwhelmed, stressed & struggling to feel like themselves again. As an experienced Psychologist (30 years!) I'll help you gain perspective & inspire change. We'll make sense of why you feel bad and help you to live better. I treat men, women, teens, couples & I'm a therapist to therapists. I can help with depression, anxiety & panic, eating issues & disorders, relationship problems, trauma, dissociative disorders & life transitions. I'm a brainspotting practitionner & collaborate with dietitians & physicians. Call me to schedule a first session. We'll get to know each other and make a plan from there.
(267) 221-6478 View (267) 221-6478
Photo of Alan I Stevens, Clinical Social Work/Therapist, MSW, LSW, ACSW
Alan I Stevens
Clinical Social Work/Therapist, MSW, LSW, ACSW
Online Only
I have been working in mental health and substance abuse for over 40 years. I can help those who want a well seasoned professional who can help you identify obstacles in your life and how best to overcome them. I still have people stay in touch with me from 25 years ago and let me know their progress. Trauma, stress, self medication, anxiety and depression are all topics i can assist with. Honestly, I can assess your situation usually in the first session or 2 and give you a pretty good idea of what direction therapy will go and where we would start.
I have been working in mental health and substance abuse for over 40 years. I can help those who want a well seasoned professional who can help you identify obstacles in your life and how best to overcome them. I still have people stay in touch with me from 25 years ago and let me know their progress. Trauma, stress, self medication, anxiety and depression are all topics i can assist with. Honestly, I can assess your situation usually in the first session or 2 and give you a pretty good idea of what direction therapy will go and where we would start.
(561) 516-0194 View (561) 516-0194
Photo of Justine Ionta Corio, Pre-Licensed Professional, MA
Justine Ionta Corio
Pre-Licensed Professional, MA
Pipersville, PA 18947
Connection and trust are essential to me as a therapist. I strive to hold a safe space for my clients, supporting them in their journey towards personal growth and well-being. My individualized, whole person approach focuses on 9 domains of self-wellness, which is unique to each client. My approach integrates a variety of therapeutic techniques including CBT, DBT, Bowen Family Therapy, Play Therapy, Psychodynamic Family Therapy, Somatic and Energy Therapies. My ideal client or family wishes to make positive change in their life and is committed to the work it takes each day to be their best.
Connection and trust are essential to me as a therapist. I strive to hold a safe space for my clients, supporting them in their journey towards personal growth and well-being. My individualized, whole person approach focuses on 9 domains of self-wellness, which is unique to each client. My approach integrates a variety of therapeutic techniques including CBT, DBT, Bowen Family Therapy, Play Therapy, Psychodynamic Family Therapy, Somatic and Energy Therapies. My ideal client or family wishes to make positive change in their life and is committed to the work it takes each day to be their best.
(267) 362-9343 View (267) 362-9343
Photo of Dr. Adrianna Vernace, Psychologist, PhD
Dr. Adrianna Vernace
Psychologist, PhD
2 Endorsed
Pipersville, PA 18947
Accepting clients immediately for June! I do my best to respond within 24 hours :) I would love to help you feel your best. I earned my PhD in Counseling Psychology with an emphasis in Integrated Behavioral Health and completed my doctoral internship at Penn State University’s Counseling & Psychological Services. I treat my clients with empathy and flexibility, so they feel heard and understood. Using Person-Centered Therapy, Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT), I help my clients get relief from their symptoms and foster meaningful change.
Accepting clients immediately for June! I do my best to respond within 24 hours :) I would love to help you feel your best. I earned my PhD in Counseling Psychology with an emphasis in Integrated Behavioral Health and completed my doctoral internship at Penn State University’s Counseling & Psychological Services. I treat my clients with empathy and flexibility, so they feel heard and understood. Using Person-Centered Therapy, Acceptance and Commitment Therapy (ACT), and Cognitive Behavioral Therapy (CBT), I help my clients get relief from their symptoms and foster meaningful change.
(267) 365-5938 View (267) 365-5938
Photo of Michelle Perna, Licensed Professional Counselor, LPC
Michelle Perna
Licensed Professional Counselor, LPC
Serves Area
I am experienced in depression, anxiety, stress, trauma, relational conflict, family systems, addiction, criminal justice, anger management, eating disorders/body image, and mood disorders. The ideal client actively wants to explore their behaviors and thinking patterns and identify the underlying causes of these behaviors. In addition, the ideal client will be willing to tackle goals inside & outside therapy sessions. My ideal client would be an individual who is internally and externally motivated to change their life. They show up to sessions on time consistently and make a conscious effort to engage in the therapeutic process.
I am experienced in depression, anxiety, stress, trauma, relational conflict, family systems, addiction, criminal justice, anger management, eating disorders/body image, and mood disorders. The ideal client actively wants to explore their behaviors and thinking patterns and identify the underlying causes of these behaviors. In addition, the ideal client will be willing to tackle goals inside & outside therapy sessions. My ideal client would be an individual who is internally and externally motivated to change their life. They show up to sessions on time consistently and make a conscious effort to engage in the therapeutic process.
(267) 489-2941 View (267) 489-2941
Photo of Hannah Gilmore, Clinical Social Work/Therapist, LSW
Hannah Gilmore
Clinical Social Work/Therapist, LSW
Serves Area
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.
(267) 699-7289 View (267) 699-7289
Photo of Ashley Lunt, Licensed Professional Counselor, LPC
Ashley Lunt
Licensed Professional Counselor, LPC
Serves Area
My ideal client is someone who is committed to wanting better for themselves . I provide an open and honest space so my clients feel safe especially clients who suffer from trauma, depression and anxiety.
My ideal client is someone who is committed to wanting better for themselves . I provide an open and honest space so my clients feel safe especially clients who suffer from trauma, depression and anxiety.
(267) 508-7061 View (267) 508-7061
Photo of Kim Burdick, Licensed Professional Counselor, LPC
Kim Burdick
Licensed Professional Counselor, LPC
Serves Area
My ideal client would be open to change and exploring more positive ways to see themselves. My ideal client would be someone that values our time together and is present for sessions. My ideal client would be someone who can reflect from within and be willing to do the work, with a sincere desire to change their lifestyle. This client would be flexible and willing to see the other side of the coin, exploring the past and delving into the present.
My ideal client would be open to change and exploring more positive ways to see themselves. My ideal client would be someone that values our time together and is present for sessions. My ideal client would be someone who can reflect from within and be willing to do the work, with a sincere desire to change their lifestyle. This client would be flexible and willing to see the other side of the coin, exploring the past and delving into the present.
(267) 494-0371 View (267) 494-0371
Photo of Cynthia Rumery, Licensed Professional Counselor, MS, LPC
Cynthia Rumery
Licensed Professional Counselor, MS, LPC
Serves Area
Are you feeling overwhelmed by anxiety, struggling with mood swings, or facing challenges with anger and behavioral issues? With over a decade of experience in mental health crisis management, trauma-informed care, & addiction needs, I specialize in helping navigate complex emotions and behaviors. We will identify your strengths and resources, empowering you to take charge of your mental health and work towards a more fulfilling life.
Are you feeling overwhelmed by anxiety, struggling with mood swings, or facing challenges with anger and behavioral issues? With over a decade of experience in mental health crisis management, trauma-informed care, & addiction needs, I specialize in helping navigate complex emotions and behaviors. We will identify your strengths and resources, empowering you to take charge of your mental health and work towards a more fulfilling life.
(267) 692-2486 View (267) 692-2486
Photo of Andrew Ellen Oostdyk, Clinical Social Work/Therapist, LSW, NCC
Andrew Ellen Oostdyk
Clinical Social Work/Therapist, LSW, NCC
Serves Area
My ideal client is one with motivation for self-care, openness to change, and a desire to learn more about themselves and others. My ideal population consists of adults with a mental health diagnosis of anxiety, depression, PTSD, substance use disorder, and other increasingly complex diagnoses. However, I am also devoted to assisting those seeking help without a defined diagnosis and who are beginning therapy without a clear vision of treatment needs. I welcome working with anyone who may benefit from my skillset who is dealing with life’s many challenges and searching for a clearer definition and understanding of their stressors.
My ideal client is one with motivation for self-care, openness to change, and a desire to learn more about themselves and others. My ideal population consists of adults with a mental health diagnosis of anxiety, depression, PTSD, substance use disorder, and other increasingly complex diagnoses. However, I am also devoted to assisting those seeking help without a defined diagnosis and who are beginning therapy without a clear vision of treatment needs. I welcome working with anyone who may benefit from my skillset who is dealing with life’s many challenges and searching for a clearer definition and understanding of their stressors.
(267) 963-9520 View (267) 963-9520
Photo of Jennifer Granozio, Licensed Professional Counselor, LPC, CEDS, CCTP
Jennifer Granozio
Licensed Professional Counselor, LPC, CEDS, CCTP
Serves Area
Do you struggle with an eating disorder, anxiety, or depression? Are you facing life transitions & want to regain control over your life, develop a positive relationship with yourself, and find inner peace and fulfillment? I will teach you coping skills, relaxation techniques, & mindfulness exercises to manage your symptoms and break free from the cycle of distress. Our goals would be achieving greater self-awareness, building resilience, fostering a sense of empowerment, and interrupting symptoms. We'll work together to develop healthier coping mechanisms, improve self-esteem, and cultivate meaningful connections with others.
Do you struggle with an eating disorder, anxiety, or depression? Are you facing life transitions & want to regain control over your life, develop a positive relationship with yourself, and find inner peace and fulfillment? I will teach you coping skills, relaxation techniques, & mindfulness exercises to manage your symptoms and break free from the cycle of distress. Our goals would be achieving greater self-awareness, building resilience, fostering a sense of empowerment, and interrupting symptoms. We'll work together to develop healthier coping mechanisms, improve self-esteem, and cultivate meaningful connections with others.
(267) 388-2882 View (267) 388-2882
Photo of Courtney Pursell, Licensed Professional Counselor, LPC, NCC, C-DBT, CCTP
Courtney Pursell
Licensed Professional Counselor, LPC, NCC, C-DBT, CCTP
Serves Area
Struggling with overwhelming emotions or constant anxiety? Are you finding it hard to break free from negative thinking patterns & triggers? I’m here to help. As a Licensed Professional Counselor and Certified Clinical Trauma Professional, I specialize in treating Anxiety, Depression, Bipolar Disorder, and Borderline Personality Disorder. My goal is to support you in managing your thoughts & feelings, reducing distress, and achieving a sense of inner calm and happiness. I understand that navigating life’s challenges can feel daunting, especially if you’re unsure where to start.
Struggling with overwhelming emotions or constant anxiety? Are you finding it hard to break free from negative thinking patterns & triggers? I’m here to help. As a Licensed Professional Counselor and Certified Clinical Trauma Professional, I specialize in treating Anxiety, Depression, Bipolar Disorder, and Borderline Personality Disorder. My goal is to support you in managing your thoughts & feelings, reducing distress, and achieving a sense of inner calm and happiness. I understand that navigating life’s challenges can feel daunting, especially if you’re unsure where to start.
(267) 412-2219 View (267) 412-2219
Photo of Mary Ellen Griffin, Licensed Professional Counselor, LPC, MA, NCC
Mary Ellen Griffin
Licensed Professional Counselor, LPC, MA, NCC
Serves Area
Are you struggling with a life transition, stressors, anxiety, or depression? Are you a college student having a difficult time adjusting to their first year in college, a young adult/adult working through career, family, relationship, or personal discovery stressors, or someone who is struggling with depression and finds they have a general lack of motivation?
Are you struggling with a life transition, stressors, anxiety, or depression? Are you a college student having a difficult time adjusting to their first year in college, a young adult/adult working through career, family, relationship, or personal discovery stressors, or someone who is struggling with depression and finds they have a general lack of motivation?
(267) 382-4246 View (267) 382-4246
Photo of Kathleen Martinez, Licensed Professional Counselor, LPC
Kathleen Martinez
Licensed Professional Counselor, LPC
Serves Area
My ideal client struggles with Anxiety, Depression, Eating Disorders, Trauma, and/or related conditions. They are motivated for change or at least open to the possibility of change. They are open to feedback and willing to lean into the therapeutic process. They do not need to have clear goals for the therapeutic process right away but are willing to work to identify these goals in the treatment process. They would want to improve their life in some way, or even just their relationship with themselves.
My ideal client struggles with Anxiety, Depression, Eating Disorders, Trauma, and/or related conditions. They are motivated for change or at least open to the possibility of change. They are open to feedback and willing to lean into the therapeutic process. They do not need to have clear goals for the therapeutic process right away but are willing to work to identify these goals in the treatment process. They would want to improve their life in some way, or even just their relationship with themselves.
(267) 653-6136 View (267) 653-6136
Photo of Elijah Jackson, Clinical Social Work/Therapist, LCSW
Elijah Jackson
Clinical Social Work/Therapist, LCSW
Serves Area
Are you trying to learn more about yourself and how you can best navigate your world? Are you exploring all parts of your identity and what makes you "you"? I have focused primarily on identity-related challenges, including Gender/Sexuality exploration, Race/Ethnic identity concerns, Religious/Cultural trauma, and Sex/Intimacy issues. I also have experience helping clients navigate issues related to depression, anxiety, and ADHD/Neurodivergent disorders. I'm here to be a collaborative and warm therapist who isn't going to throw a therapy book at them but instead wants someone who sees them as human beings walking through life.
Are you trying to learn more about yourself and how you can best navigate your world? Are you exploring all parts of your identity and what makes you "you"? I have focused primarily on identity-related challenges, including Gender/Sexuality exploration, Race/Ethnic identity concerns, Religious/Cultural trauma, and Sex/Intimacy issues. I also have experience helping clients navigate issues related to depression, anxiety, and ADHD/Neurodivergent disorders. I'm here to be a collaborative and warm therapist who isn't going to throw a therapy book at them but instead wants someone who sees them as human beings walking through life.
(267) 651-8474 View (267) 651-8474
Photo of Erin Eckman, Clinical Social Work/Therapist, LSW, MSW
Erin Eckman
Clinical Social Work/Therapist, LSW, MSW
Serves Area
Are you dealing with anxiety, depression, and ADHD symptoms that are exacerbated by external life circumstances? Do you want to understand your emotions and learn how to cope with them? My ideal client is seeking support and wants to begin the journey of improving their mental health. The client may have short-term or long-term goals but needs support to achieve them. The client might also want to improve their self-esteem through therapeutic work. Working with a strengths-based, trauma-informed, person-centered eclectic approach can help clients feel supported, develop coping skills, and improve self-esteem.
Are you dealing with anxiety, depression, and ADHD symptoms that are exacerbated by external life circumstances? Do you want to understand your emotions and learn how to cope with them? My ideal client is seeking support and wants to begin the journey of improving their mental health. The client may have short-term or long-term goals but needs support to achieve them. The client might also want to improve their self-esteem through therapeutic work. Working with a strengths-based, trauma-informed, person-centered eclectic approach can help clients feel supported, develop coping skills, and improve self-esteem.
(267) 840-9426 View (267) 840-9426
Photo of Christine Cremonni, Licensed Professional Counselor, LPC
Christine Cremonni
Licensed Professional Counselor, LPC
Serves Area
My ideal candidate is struggling with intrusive thoughts and anxiety; they need both a safe space to share their thoughts and emotions, as well as guidance; their goals are to develop a healthier relationship with themself, as well as develop coping skills and tools to manage their mental health concerns better.
My ideal candidate is struggling with intrusive thoughts and anxiety; they need both a safe space to share their thoughts and emotions, as well as guidance; their goals are to develop a healthier relationship with themself, as well as develop coping skills and tools to manage their mental health concerns better.
(267) 594-3527 View (267) 594-3527
Photo of Leah Lashlee, Clinical Social Work/Therapist, LSW
Leah Lashlee
Clinical Social Work/Therapist, LSW
Serves Area
Do you struggle with life transitions, coping with stress, relationship issues, learning how to communicate effectively, etc.? Do you want to learn social or coping skills, build self-esteem, or talk through life stressors? Is your goal to gain insight into your emotions/behaviors, learn adaptive coping skills, and communicate effectively with others? My ideal client would be motivated to improve in whichever goal they choose and strive to meet their fullest potential. The client would be willing to take accountability and acknowledge their behaviors and how they may have affected them, whether good or bad.
Do you struggle with life transitions, coping with stress, relationship issues, learning how to communicate effectively, etc.? Do you want to learn social or coping skills, build self-esteem, or talk through life stressors? Is your goal to gain insight into your emotions/behaviors, learn adaptive coping skills, and communicate effectively with others? My ideal client would be motivated to improve in whichever goal they choose and strive to meet their fullest potential. The client would be willing to take accountability and acknowledge their behaviors and how they may have affected them, whether good or bad.
(267) 552-4093 View (267) 552-4093
Photo of Gregory Mairs, Marriage & Family Therapist, LMFT
Gregory Mairs
Marriage & Family Therapist, LMFT
Serves Area
I have an extensive professional history of working with families and couples in crisis. Many of us struggle in our relationships & find that clear communication is challenging for many reasons. The barriers may include issues with past trauma or failed attempts to find the right words during a conflict. I bring the structural therapy tools to help a family, couple, or individual recognize the triggers of their conflicts, explore past trauma & the impact it may have on the current relationship/situation, help the individual challenge automatic negative assumptions, & find a response which leads to clear communication.
I have an extensive professional history of working with families and couples in crisis. Many of us struggle in our relationships & find that clear communication is challenging for many reasons. The barriers may include issues with past trauma or failed attempts to find the right words during a conflict. I bring the structural therapy tools to help a family, couple, or individual recognize the triggers of their conflicts, explore past trauma & the impact it may have on the current relationship/situation, help the individual challenge automatic negative assumptions, & find a response which leads to clear communication.
(267) 540-9913 View (267) 540-9913

See more therapy options for Pipersville

How does your Therapist compare?

Number of Therapists in Pipersville, PA

20+

Average cost per session

$150

Therapists in Pipersville, PA who prioritize treating:

88% Depression
88% Anxiety
62% Relationship Issues
62% Trauma and PTSD
54% Self Esteem
50% Stress
50% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

95% Aetna
95% BlueCross and BlueShield
90% AmeriHealth

How Therapists in Pipersville, PA see their clients

96% In Person and Online
4% Online Only

Gender breakdown

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

How can I find a therapist in Pipersville?

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.