Therapists in Punxsutawney, PA

Photo of Barbara Elkin LPC, Licensed Professional Counselor in Punxsutawney, PA
Barbara Elkin LPC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Punxsutawney, PA 15767
Waitlist for new clients
Hey, when life gets tough and you've tried everything you can think of to find the answers and solve the problems, it's okay to look for help. Trying to find a good therapist, one that listens, understands, encourages, and supports you can be challenging. I encourage you to give me a call. Ask me questions and find out for yourself that I am a caring therapist and I enjoy helping others. I will focus on you and your specific concerns. I can help you with decreasing anxiety, improving moods, managing stress, depression, grief, and anger. So call me at 724.471.8171. Barbara Elkin, You will feel much better!
Hey, when life gets tough and you've tried everything you can think of to find the answers and solve the problems, it's okay to look for help. Trying to find a good therapist, one that listens, understands, encourages, and supports you can be challenging. I encourage you to give me a call. Ask me questions and find out for yourself that I am a caring therapist and I enjoy helping others. I will focus on you and your specific concerns. I can help you with decreasing anxiety, improving moods, managing stress, depression, grief, and anger. So call me at 724.471.8171. Barbara Elkin, You will feel much better!
(724) 471-8171 View (724) 471-8171
Photo of Christian Counseling Associates of Western PA, Licensed Professional Counselor in Punxsutawney, PA
Christian Counseling Associates of Western PA
Licensed Professional Counselor, PhD
Verified Verified
Punxsutawney, PA 15767
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
(814) 618-6018 View (814) 618-6018
Photo of Christian Counseling Associates of Western PA, Licensed Professional Counselor in Punxsutawney, PA
Christian Counseling Associates of Western PA
Licensed Professional Counselor
Verified Verified
Punxsutawney, PA 15767
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
(814) 703-4528 View (814) 703-4528
Photo of Marijana (Mare) Stovic, Psychologist in Punxsutawney, PA
Marijana (Mare) Stovic
Psychologist, PsyD
Verified Verified
Punxsutawney, PA 15767
Not accepting new clients
We come by our struggles honestly. Sometimes we need help in how we cope with and relate to ourselves, others, and our circumstances. Turning to family and friends might not be possible or enough. Psychotherapy provides a respectful invitation to address your concerns and challenges, and to discover and collaborate on ways to cope, heal, and grow. My approach includes a solution and skill focus, and also an attachment, interpersonal, and psychodynamic focus if/when a deeper understanding of oneself becomes helpful. My clients have been among my most inspirational teachers on courage, resiliency, and creative problem-solving.
We come by our struggles honestly. Sometimes we need help in how we cope with and relate to ourselves, others, and our circumstances. Turning to family and friends might not be possible or enough. Psychotherapy provides a respectful invitation to address your concerns and challenges, and to discover and collaborate on ways to cope, heal, and grow. My approach includes a solution and skill focus, and also an attachment, interpersonal, and psychodynamic focus if/when a deeper understanding of oneself becomes helpful. My clients have been among my most inspirational teachers on courage, resiliency, and creative problem-solving.
(724) 939-6004 View (724) 939-6004
Photo of Jessica Frantz Waymaker Services Pllc, Licensed Professional Counselor in Punxsutawney, PA
Jessica Frantz Waymaker Services Pllc
Licensed Professional Counselor, MA, CRC, LPC
Verified Verified
Punxsutawney, PA 15767
Not accepting new clients
Hi! My name is Jess and I recently decided to embark on this beautiful journey of outpatient mental health services with a focus on neurodiversity and accompanying MH diagnosis. Through much of my experience, I have first hand witnessed a cliff of outpatient services to support those with major mental health diagnosis accompanied by neurodivergence, especially into adulthood. I want to see this change and give understanding to these strengths, so I'm stepping out to pave the way! I have a combined 15 years of experience throughout the mental health field, working with autism, IDD, as well as other major mental health diagnoses.
Hi! My name is Jess and I recently decided to embark on this beautiful journey of outpatient mental health services with a focus on neurodiversity and accompanying MH diagnosis. Through much of my experience, I have first hand witnessed a cliff of outpatient services to support those with major mental health diagnosis accompanied by neurodivergence, especially into adulthood. I want to see this change and give understanding to these strengths, so I'm stepping out to pave the way! I have a combined 15 years of experience throughout the mental health field, working with autism, IDD, as well as other major mental health diagnoses.
(814) 363-4953 View (814) 363-4953
Photo of Joseph Van Hannak, Licensed Professional Counselor in Punxsutawney, PA
Joseph Van Hannak
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Punxsutawney, PA 15767
Not accepting new clients
**NOT accepting new patients**. My approach is based on building strong relationships because trust and compassion is essential for change. While emotional pain is universal, every person is unique. I listen with empathy and provide honest feedback to help people grow and heal. I have experience with diverse populations in addressing struggles with trauma histories, mood disorders, boundaries, identity, and relationships. We will address how to get through the worst parts of the day right away, but we also discover what is keeping us stuck in not so helpful patterns. I believe this approach gives more relief in the long term.
**NOT accepting new patients**. My approach is based on building strong relationships because trust and compassion is essential for change. While emotional pain is universal, every person is unique. I listen with empathy and provide honest feedback to help people grow and heal. I have experience with diverse populations in addressing struggles with trauma histories, mood disorders, boundaries, identity, and relationships. We will address how to get through the worst parts of the day right away, but we also discover what is keeping us stuck in not so helpful patterns. I believe this approach gives more relief in the long term.
(724) 717-2150 View (724) 717-2150

Online Therapists

Photo of Alexis B Rosendo, Pre-Licensed Professional in Punxsutawney, PA
Alexis B Rosendo
Pre-Licensed Professional, MA, MA
Verified Verified
Bethel Park, PA 15102
Welcome! I'm Alexis and I have experience working with every age group (children, teens, adults, retirees/senior citizens) over the span of mental health concerns including clinical symptoms, relational distress, emotional disturbance, and behavioral adjustment. Additionally, I have served couples in marriage counseling and families through family counseling/parenting support. Ideal clients are motivated for change, interested in exploring deep roots of present issues, and willing to try what might be uncomfortable or new to take ownership of their health + be empowered to pursue true behavior modification and healing.
Welcome! I'm Alexis and I have experience working with every age group (children, teens, adults, retirees/senior citizens) over the span of mental health concerns including clinical symptoms, relational distress, emotional disturbance, and behavioral adjustment. Additionally, I have served couples in marriage counseling and families through family counseling/parenting support. Ideal clients are motivated for change, interested in exploring deep roots of present issues, and willing to try what might be uncomfortable or new to take ownership of their health + be empowered to pursue true behavior modification and healing.
(412) 754-5990 View (412) 754-5990
Photo of Holly Zill, Licensed Professional Counselor in Punxsutawney, PA
Holly Zill
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15222
Holly Zill is Licensed Professional Counselor (LPC) who works with her clients by meeting them at their pace and need level to achieve their personal goals, decrease negative symptoms, improve interpersonal relationships, and increase quality of life. Holly has 7 years of experience in the mental health field. Holly completed her Master of Arts (MA) in Couples, Marriage and Family Therapy at Kutztown University.
Holly Zill is Licensed Professional Counselor (LPC) who works with her clients by meeting them at their pace and need level to achieve their personal goals, decrease negative symptoms, improve interpersonal relationships, and increase quality of life. Holly has 7 years of experience in the mental health field. Holly completed her Master of Arts (MA) in Couples, Marriage and Family Therapy at Kutztown University.
(339) 244-7023 View (339) 244-7023
Photo of David J Jerome, Licensed Professional Counselor in Punxsutawney, PA
David J Jerome
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15238
Therapy is a great opportunity to rediscover yourself and build a better future. I will help you to facilitate positive change, feelings of satisfaction and improve the overall quality of your life. Let’s work together to understand your needs through effective communication and take that first step towards wellness together.
Therapy is a great opportunity to rediscover yourself and build a better future. I will help you to facilitate positive change, feelings of satisfaction and improve the overall quality of your life. Let’s work together to understand your needs through effective communication and take that first step towards wellness together.
(412) 226-4319 View (412) 226-4319
Photo of Forward Path Counseling, Marriage & Family Therapist in Punxsutawney, PA
Forward Path Counseling
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
State College, PA 16801
As we journey through life, there are times our travel becomes weary. We may feel lost, plagued by doubt, or burdened by uncertainty. Yet we are strong, resilient, and determined. We simply need a guide to help us discover the path forward. That is where Forward Path Counseling can help.
As we journey through life, there are times our travel becomes weary. We may feel lost, plagued by doubt, or burdened by uncertainty. Yet we are strong, resilient, and determined. We simply need a guide to help us discover the path forward. That is where Forward Path Counseling can help.
(814) 531-5659 View (814) 531-5659
Photo of Deja Wofford, Pre-Licensed Professional in Punxsutawney, PA
Deja Wofford
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Pittsburgh, PA 15232
You're tired of feeling like your experiences are minimized and being told you're "using it as an excuse." You're mentally and physically exhausted from always feeling "other". You want to FINALLY be able to open up and talk about ALL of the pieces of your life because you can't continue carrying all of this shit around, but you're terrified of being judged. You know you engage in unhealthy patterns of behavior and self-talk, but you just can't seem to stop. You have "checked off the box" that you're "in therapy" in the past, but you need to do something different this time.
You're tired of feeling like your experiences are minimized and being told you're "using it as an excuse." You're mentally and physically exhausted from always feeling "other". You want to FINALLY be able to open up and talk about ALL of the pieces of your life because you can't continue carrying all of this shit around, but you're terrified of being judged. You know you engage in unhealthy patterns of behavior and self-talk, but you just can't seem to stop. You have "checked off the box" that you're "in therapy" in the past, but you need to do something different this time.
(412) 218-3007 View (412) 218-3007
Photo of Kimberly Carlin, Licensed Professional Counselor in Punxsutawney, PA
Kimberly Carlin
Licensed Professional Counselor, LPC, NCC
Verified Verified
Saint Marys, PA 15857  (Online Only)
Are you a woman whose anxiety, unmet expectations or comparison of others is causing you to feel emotionally drained? Do you struggle with disordered eating, body image issues or behaviors that make you want to hide and isolate from others? Are you dealing with unresolved trauma, grief and loss, difficult life transitions or unhealthy boundaries that are causing problems in your relationships? Are you a friend, mother, or significant other who never feels good enough or appreciated so you react with anger, defensiveness and then feel guilt and shame afterwards? If any of this sounds like you, I can help!
Are you a woman whose anxiety, unmet expectations or comparison of others is causing you to feel emotionally drained? Do you struggle with disordered eating, body image issues or behaviors that make you want to hide and isolate from others? Are you dealing with unresolved trauma, grief and loss, difficult life transitions or unhealthy boundaries that are causing problems in your relationships? Are you a friend, mother, or significant other who never feels good enough or appreciated so you react with anger, defensiveness and then feel guilt and shame afterwards? If any of this sounds like you, I can help!
(610) 756-2403 View (610) 756-2403
Photo of Jessica N Namias, Licensed Professional Counselor in Punxsutawney, PA
Jessica N Namias
Licensed Professional Counselor, LPC
Verified Verified
State College, PA 16801
I have 15 years of experience working with children and adults of diverse backgrounds. I have helped clients with issues including, but not limited to, depression, anxiety, anger management, addiction, stress & time management, relationship concerns, general communication skills, and spiritual and religious concerns/inquiry.
I have 15 years of experience working with children and adults of diverse backgrounds. I have helped clients with issues including, but not limited to, depression, anxiety, anger management, addiction, stress & time management, relationship concerns, general communication skills, and spiritual and religious concerns/inquiry.
(814) 250-8169 View (814) 250-8169
Photo of Grace & Hope for Families in Punxsutawney, PA
Grace & Hope for Families
MA
Verified Verified
Johnstown, PA 15904  (Online Only)
The life you are living might not feel like the life you want. Do you feel controlled by your emotions instead of being in control of them? Do you feel like a prisoner of your circumstances? Are you overwhelmed and frustrated but can't find a way out? As soon as you deal with one thing, something else would happen and just bring you down. All this would leave you feeling emotionally, mentally, and spiritually depleted. Sounds familiar?
The life you are living might not feel like the life you want. Do you feel controlled by your emotions instead of being in control of them? Do you feel like a prisoner of your circumstances? Are you overwhelmed and frustrated but can't find a way out? As soon as you deal with one thing, something else would happen and just bring you down. All this would leave you feeling emotionally, mentally, and spiritually depleted. Sounds familiar?
(717) 502-9314 View (717) 502-9314
Photo of Crystal Lynn Longanecker, Licensed Professional Counselor in Punxsutawney, PA
Crystal Lynn Longanecker
Licensed Professional Counselor, MA, MFT, LPC, CCTP
Verified Verified
1 Endorsed
Export, PA 15632
We all face certain hardships and challenges in our lives, and at times we can feel unsupported and ill-equipped to manage them. I feel that every person is unique and their experience should be treated as such. It is my goal to offer a compassionate and supportive environment to heal and grow.
We all face certain hardships and challenges in our lives, and at times we can feel unsupported and ill-equipped to manage them. I feel that every person is unique and their experience should be treated as such. It is my goal to offer a compassionate and supportive environment to heal and grow.
(412) 567-4019 View (412) 567-4019
Photo of Meagan Narvaez, Licensed Professional Counselor in Punxsutawney, PA
Meagan Narvaez
Licensed Professional Counselor, MEd, LMHC
Verified Verified
5 Endorsed
Pittsburgh, PA 15210  (Online Only)
At times in our lives, sex and intimacy may not be a top priority. You might have a hard time expressing your desires, or knowing what those desires are in the first place! Does that resonate with you? If you’re in a relationship rut or you’ve simply never learned that sex is for YOUR pleasure, you might be feeling disconnected from your body. The root of these challenges is that sex is a skill, and society doesn’t teach us to hone in on our sexy, sensual side for our own benefit. When we struggle with sex or intimacy, we tend to go on struggling until it becomes overwhelming and we can’t avoid it any longer. Now, it’s time to grow.
At times in our lives, sex and intimacy may not be a top priority. You might have a hard time expressing your desires, or knowing what those desires are in the first place! Does that resonate with you? If you’re in a relationship rut or you’ve simply never learned that sex is for YOUR pleasure, you might be feeling disconnected from your body. The root of these challenges is that sex is a skill, and society doesn’t teach us to hone in on our sexy, sensual side for our own benefit. When we struggle with sex or intimacy, we tend to go on struggling until it becomes overwhelming and we can’t avoid it any longer. Now, it’s time to grow.
(412) 207-3868 View (412) 207-3868
Photo of Callan Weisser, Licensed Professional Counselor in Punxsutawney, PA
Callan Weisser
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Pittsburgh, PA 15222  (Online Only)
Hi, my name is Callan Weisser, and I am a Licensed Professional Counselor and a National Certified Counselor. I have a master's degree in Professional Counseling from Carlow University. I work with children, teens, emerging adults and adults with a variety of mental health needs including Anxiety, Depression, self-esteem, stress management, and life transitions such as co-parenting, career, and college transitions.
Hi, my name is Callan Weisser, and I am a Licensed Professional Counselor and a National Certified Counselor. I have a master's degree in Professional Counseling from Carlow University. I work with children, teens, emerging adults and adults with a variety of mental health needs including Anxiety, Depression, self-esteem, stress management, and life transitions such as co-parenting, career, and college transitions.
(412) 776-6165 View (412) 776-6165
Photo of Jaclyn Deem, Licensed Professional Counselor in Punxsutawney, PA
Jaclyn Deem
Licensed Professional Counselor, LPC, MS, NCC
Verified Verified
McMurray, PA 15317  (Online Only)
Thank you so much for taking the time to seek out a therapist. It can be a stressful experience, but it is worth it. As a community mental health therapist for over 15 years, I have worked with clients and their families through their addiction, trauma, grief, divorce and crises. I work with families navigating diagnosis including PTSD, bipolar, psychosis, depression, anxiety, and autism. Now more than ever, we have to balance so much at any given time. Everyone deserves a space where they can reflect and restore what helps them find sense and serenity.
Thank you so much for taking the time to seek out a therapist. It can be a stressful experience, but it is worth it. As a community mental health therapist for over 15 years, I have worked with clients and their families through their addiction, trauma, grief, divorce and crises. I work with families navigating diagnosis including PTSD, bipolar, psychosis, depression, anxiety, and autism. Now more than ever, we have to balance so much at any given time. Everyone deserves a space where they can reflect and restore what helps them find sense and serenity.
(412) 435-5936 View (412) 435-5936
Photo of Bria Boyd, Pre-Licensed Professional in Punxsutawney, PA
Bria Boyd
Pre-Licensed Professional, MA
Verified Verified
Canonsburg, PA 15317  (Online Only)
My life experience paired with a strong drive to help people better understand themselves led me to becoming a therapist. I truly believe that small changes can make BIG waves and enjoy assisting clients in finding the small changes they may need to make in order to achieve their happiness. I strive to provide a calm, validating, yet challenging environment that helps to facilitate positive relationships in my client's lives.
My life experience paired with a strong drive to help people better understand themselves led me to becoming a therapist. I truly believe that small changes can make BIG waves and enjoy assisting clients in finding the small changes they may need to make in order to achieve their happiness. I strive to provide a calm, validating, yet challenging environment that helps to facilitate positive relationships in my client's lives.
(724) 617-5124 View (724) 617-5124
Photo of Lisa M Wilson, Licensed Professional Counselor in Punxsutawney, PA
Lisa M Wilson
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Coraopolis, PA 15108
As a therapist with over 20 years experience, the relationship I develop with clients is based on respect, support, and encouragement, and is focused on building their individual strengths and resources. I believe that a nonjudgmental and welcoming environment is crucial to provide a safe space for clients discuss past and current issues and move forward. I work with children, teens and adults who are seeking help with trauma, depression, anxiety, stress, adjustment problems, social difficulties, parenting, maternal health and life transitions.
As a therapist with over 20 years experience, the relationship I develop with clients is based on respect, support, and encouragement, and is focused on building their individual strengths and resources. I believe that a nonjudgmental and welcoming environment is crucial to provide a safe space for clients discuss past and current issues and move forward. I work with children, teens and adults who are seeking help with trauma, depression, anxiety, stress, adjustment problems, social difficulties, parenting, maternal health and life transitions.
(412) 538-5982 View (412) 538-5982

See more therapy options for Punxsutawney

How does your Therapist compare?

Number of Therapists in Punxsutawney, PA

< 10

Therapists in Punxsutawney, PA who prioritize treating:

100% Depression
100% Anxiety
83% Grief
83% Coping Skills
83% Stress
67% Relationship Issues
67% Trauma and PTSD

Average years in practice

27 Years

Top 3 insurances accepted

100% University of Pittsburgh Medical Center
83% BlueCross and BlueShield
83% UnitedHealthcare UHC | UBH

How Therapists in Punxsutawney, PA see their clients

100% In Person and Online

Gender breakdown

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

How can I find a therapist in Punxsutawney?

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.