Therapists in Harrisburg, PA

Photo of Jason Boes, Licensed Professional Counselor in Harrisburg, PA
Jason Boes
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
3 Endorsed
Harrisburg, PA 17109
If you're looking for extra support and guidance through a challenging situation, or you're just looking to refine your parenting skills, I look forward to working with you and your family.
If you're looking for extra support and guidance through a challenging situation, or you're just looking to refine your parenting skills, I look forward to working with you and your family.
(717) 639-2499 View (717) 639-2499
Photo of Latreshia Lilly, Pre-Licensed Professional in Harrisburg, PA
Latreshia Lilly
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Harrisburg, PA 17110
In-office and Virtual Sessions are available for Couples, Individuals (adults and children), and Families. Specialize in Couples and Adolescents. Many clients are challenged with Depression, Anxiety, Grief, Loss, Adjustment or transition into College, a new job, or Adulthood, Relationship Conflicts, Communication, Intimacy, ADHD, Trauma, Self-Harm, Gender Identity, and Drug/Alcohol addictions.
In-office and Virtual Sessions are available for Couples, Individuals (adults and children), and Families. Specialize in Couples and Adolescents. Many clients are challenged with Depression, Anxiety, Grief, Loss, Adjustment or transition into College, a new job, or Adulthood, Relationship Conflicts, Communication, Intimacy, ADHD, Trauma, Self-Harm, Gender Identity, and Drug/Alcohol addictions.
(717) 523-9340 View (717) 523-9340
Photo of Chris Schwab, Clinical Social Work/Therapist in Harrisburg, PA
Chris Schwab
Clinical Social Work/Therapist, LCSW
Verified Verified
Harrisburg, PA 17112
Chris Schwab is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2013. He has a Masters in Divinity and a Masters in Social Work. Chris offers a strengths-based perspective in counselling. He is open to working with people of all faiths. In his free time, Chris enjoys swimming and reading.
Chris Schwab is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2013. He has a Masters in Divinity and a Masters in Social Work. Chris offers a strengths-based perspective in counselling. He is open to working with people of all faiths. In his free time, Chris enjoys swimming and reading.
(717) 820-7850 View (717) 820-7850
Photo of Steven Lamar Johnson in Harrisburg, PA
Steven Lamar Johnson
LSW, MSW, MA
Verified Verified
Harrisburg, PA 17111
Do you continue to fall short of your goals? Is the trauma you experienced preventing you from reaching your fullest potential? Do you suffer from social anxiety? depression? anger issues? ADHD? bipolar in adults? substance abuse? relationship issues, co-parenting? Etc... I have worked tirelessly for over 20 years helping families overcome their mental health issues and I would be honored to do the same for you.
Do you continue to fall short of your goals? Is the trauma you experienced preventing you from reaching your fullest potential? Do you suffer from social anxiety? depression? anger issues? ADHD? bipolar in adults? substance abuse? relationship issues, co-parenting? Etc... I have worked tirelessly for over 20 years helping families overcome their mental health issues and I would be honored to do the same for you.
(717) 773-4485 View (717) 773-4485
Photo of Kelsey Kline, Licensed Professional Counselor in Harrisburg, PA
Kelsey Kline
Licensed Professional Counselor, LPC, NCC, MS
Verified Verified
1 Endorsed
Harrisburg, PA 17109
I specialize in working with individuals (pre-teens, teenagers, and adults) who have experienced trauma resulting in complex PTSD (c-PTSD) and PTSD. Trauma, in childhood or adulthood, has prolonged effects on your mental, emotional, physical, and spiritual health. I invest in each client to assist in a greater sense of fulfillment and confidence in their (often complex) healing journey after life-altering experiences. Each client’s treatment approach and modality is tailored to the client’s needs at each session.
I specialize in working with individuals (pre-teens, teenagers, and adults) who have experienced trauma resulting in complex PTSD (c-PTSD) and PTSD. Trauma, in childhood or adulthood, has prolonged effects on your mental, emotional, physical, and spiritual health. I invest in each client to assist in a greater sense of fulfillment and confidence in their (often complex) healing journey after life-altering experiences. Each client’s treatment approach and modality is tailored to the client’s needs at each session.
(717) 973-6761 View (717) 973-6761
Photo of Transgender Dysphoria Diagnosis - WPATH Letters, Clinical Social Work/Therapist in Harrisburg, PA
Transgender Dysphoria Diagnosis - WPATH Letters
Clinical Social Work/Therapist, LCSW
Verified Verified
Harrisburg, PA 17101  (Online Only)
Your transition ally is waiting at Queer Talk Therapy. Specializing in gender identity, they offer thorough assessments and readiness letters, rooted in an informed consent model, simplifying your path to medical transition. Your $175 investment goes beyond an assessment—it's a comprehensive, WPATH-compliant roadmap, inclusive of letter updates and ongoing support. More than an assessment, it’s an invaluable bridge to your next chapter. Simply visit our WEBSITE to schedule and get started today.
Your transition ally is waiting at Queer Talk Therapy. Specializing in gender identity, they offer thorough assessments and readiness letters, rooted in an informed consent model, simplifying your path to medical transition. Your $175 investment goes beyond an assessment—it's a comprehensive, WPATH-compliant roadmap, inclusive of letter updates and ongoing support. More than an assessment, it’s an invaluable bridge to your next chapter. Simply visit our WEBSITE to schedule and get started today.
Photo of Sarah Miller LCSW, Clinical Social Work/Therapist in Harrisburg, PA
Sarah Miller LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Harrisburg, PA 17102
Navigating these challenging times can often feel impossible. You’re not alone! Whether you are grieving the loss of a dear friend or loved one, coping with changes in relationships and routines, facing a chronic illness that is making it hard to even get out of bed some days, or you just feel stuck, overwhelmed, and don’t see a way through your circumstances, I’m here to help! Together, we can develop tools that will prove to be a steady anchor, allowing you to weather life’s future storms.
Navigating these challenging times can often feel impossible. You’re not alone! Whether you are grieving the loss of a dear friend or loved one, coping with changes in relationships and routines, facing a chronic illness that is making it hard to even get out of bed some days, or you just feel stuck, overwhelmed, and don’t see a way through your circumstances, I’m here to help! Together, we can develop tools that will prove to be a steady anchor, allowing you to weather life’s future storms.
(717) 937-8065 View (717) 937-8065
Photo of Rosanne G Johnson, Licensed Professional Counselor in Harrisburg, PA
Rosanne G Johnson
Licensed Professional Counselor, MEd, LPC, NCC, RYT 200, ACS
Verified Verified
2 Endorsed
Harrisburg, PA 17109  (Online Only)
As a psychotherapist with over 20 yrs of private practice experience, I draw upon a blend of cognitive, somatic and integrative therapies to help women assess and address their mental wellness goals. I believe... at the core of our "issues", lies invaluable wisdom to help us on this sojourn of life.
As a psychotherapist with over 20 yrs of private practice experience, I draw upon a blend of cognitive, somatic and integrative therapies to help women assess and address their mental wellness goals. I believe... at the core of our "issues", lies invaluable wisdom to help us on this sojourn of life.
(717) 306-9211 View (717) 306-9211
Photo of Sean M. O'Dell, Psychologist in Harrisburg, PA
Sean M. O'Dell
Psychologist, PhD, LP, HSP-P
Verified Verified
Harrisburg, PA 17110
After asking your teenager countless times to clean their room, you walk in to see them playing video games with their dirty socks all over the floor! Now you’re seeing red. You’re either giving in to their bad behavior, snapping in frustration, and then feeling guilty about it. You know your kid needs extra support. His teachers have been throwing around “ADHD” as a diagnosis, but no one has any helpful advice. You’re in over your head. The habits he learns now will affect the rest of his life, and you feel like you’re failing him as a parent. You want what’s best for your child­, but this feels like more than you can handle alone.
After asking your teenager countless times to clean their room, you walk in to see them playing video games with their dirty socks all over the floor! Now you’re seeing red. You’re either giving in to their bad behavior, snapping in frustration, and then feeling guilty about it. You know your kid needs extra support. His teachers have been throwing around “ADHD” as a diagnosis, but no one has any helpful advice. You’re in over your head. The habits he learns now will affect the rest of his life, and you feel like you’re failing him as a parent. You want what’s best for your child­, but this feels like more than you can handle alone.
(717) 923-5351 View (717) 923-5351
Photo of Alexandria L Jones ( Holistic Sex And Relationship Therapist), Clinical Social Work/Therapist in Harrisburg, PA
Alexandria L Jones ( Holistic Sex And Relationship Therapist)
Clinical Social Work/Therapist, MSW, LMSW, KAP-C
Verified Verified
1 Endorsed
Harrisburg, PA 17109
Welcome to RHS, I hold a Master of Social Work Degree from Kutztown University of Pennsylvania. Currently specializing in Sex and Relationship Therapy, Ketamine Assisted Psychotherapy, Family systems therapy, and a wide variety of mindfulness-based holistic clinical approaches. I am currently being supervised by Dr. Tony Reigle, PhD, LPC and Dr. Estefanía Simich Muñoz, PhD, LCPC, CST, CST-S, Patricia Rich LCSW, CST-S, CST. I work with women, men, 2SLGBTQ+, survivors of abuse, folks with HIV/AIDS, in the Kink/BDSM lifestyle, folks struggling with sexual function issues, and those in relationships struggling to build intimacy.
Welcome to RHS, I hold a Master of Social Work Degree from Kutztown University of Pennsylvania. Currently specializing in Sex and Relationship Therapy, Ketamine Assisted Psychotherapy, Family systems therapy, and a wide variety of mindfulness-based holistic clinical approaches. I am currently being supervised by Dr. Tony Reigle, PhD, LPC and Dr. Estefanía Simich Muñoz, PhD, LCPC, CST, CST-S, Patricia Rich LCSW, CST-S, CST. I work with women, men, 2SLGBTQ+, survivors of abuse, folks with HIV/AIDS, in the Kink/BDSM lifestyle, folks struggling with sexual function issues, and those in relationships struggling to build intimacy.
(717) 970-5545 View (717) 970-5545
Photo of Eileen Hunt, Licensed Professional Counselor in Harrisburg, PA
Eileen Hunt
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Harrisburg, PA 17112  (Online Only)
When we are no longer able to change a situation .. we are challenged to change ourselves. - Viktor E. Frankl
When we are no longer able to change a situation .. we are challenged to change ourselves. - Viktor E. Frankl
(272) 422-2049 View (272) 422-2049
Photo of Sharon Presta, Licensed Professional Counselor in Harrisburg, PA
Sharon Presta
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Harrisburg, PA 17109
You are not alone. There is care and support waiting just for you. You are showing true strength by seeking assistance in your journey. I am a Licensed Professional Counselor in the state of Pennsylvania and my goal is to create a safe space for you to grow, learn, and understand yourself and your emotions better. We learn through our relationships. That is why I foster and prioritize a strong therapeutic relationship. By building a trusting and open rapport, clients can gain a deeper understanding of their beliefs, thoughts and actions. Ask yourself - when was the last time you dedicated time for someone to focus solely on you?
You are not alone. There is care and support waiting just for you. You are showing true strength by seeking assistance in your journey. I am a Licensed Professional Counselor in the state of Pennsylvania and my goal is to create a safe space for you to grow, learn, and understand yourself and your emotions better. We learn through our relationships. That is why I foster and prioritize a strong therapeutic relationship. By building a trusting and open rapport, clients can gain a deeper understanding of their beliefs, thoughts and actions. Ask yourself - when was the last time you dedicated time for someone to focus solely on you?
(717) 905-4053 View (717) 905-4053
Photo of Denise Verchimak, Licensed Professional Counselor in Harrisburg, PA
Denise Verchimak
Licensed Professional Counselor, MA, CRC, LPC
Verified Verified
1 Endorsed
Harrisburg, PA 17110
Hello! My name is Denise Verchimak and I look forward to working with you! Life can pull us down and sometimes we need a little help to re-balance and get back on track. I believe in creating a safe place for you to share your experiences. In sessions with clients, I use a warm, encouraging model of counseling that allows you to share your deepest thoughts and concerns. I have great respect for my clients and am constantly in awe of how much people are balancing in life or how much they are dealing with emotionally. I would like to help you on your journey!
Hello! My name is Denise Verchimak and I look forward to working with you! Life can pull us down and sometimes we need a little help to re-balance and get back on track. I believe in creating a safe place for you to share your experiences. In sessions with clients, I use a warm, encouraging model of counseling that allows you to share your deepest thoughts and concerns. I have great respect for my clients and am constantly in awe of how much people are balancing in life or how much they are dealing with emotionally. I would like to help you on your journey!
(717) 535-8097 View (717) 535-8097
Photo of Jessica Myers-Adams, Clinical Social Work/Therapist in Harrisburg, PA
Jessica Myers-Adams
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Harrisburg, PA 17110
Communicating with your partner can be a real struggle. You wonder, Will I ever stop feeling like I have to walk on eggshells with my partner? Couples want to stop having the same fight over and over again. Wouldn't it be great if you could have a conversation where you could resolve things? Partners want to feel valued, supported and loved. My mission is to help people who are caught in the terrible cycle of fighting, shutting down, and retreating to transform their relationship into one filled with joy and happiness.
Communicating with your partner can be a real struggle. You wonder, Will I ever stop feeling like I have to walk on eggshells with my partner? Couples want to stop having the same fight over and over again. Wouldn't it be great if you could have a conversation where you could resolve things? Partners want to feel valued, supported and loved. My mission is to help people who are caught in the terrible cycle of fighting, shutting down, and retreating to transform their relationship into one filled with joy and happiness.
(717) 340-9301 View (717) 340-9301
Photo of Dr. Christopher T. Watts Sr, Licensed Professional Counselor in Harrisburg, PA
Dr. Christopher T. Watts Sr
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Harrisburg, PA 17102
Dr. Christopher T. Watts, Sr is a Licensed Professional Counselor, National Board Certified Counselor, and National Certified Custody Evaluator who has worked with children, adolescence, adults, couples, families, and groups since 2005. He is the founder and owner of C.T. Watts & Associates, PC located in Harrisburg, PA.
Dr. Christopher T. Watts, Sr is a Licensed Professional Counselor, National Board Certified Counselor, and National Certified Custody Evaluator who has worked with children, adolescence, adults, couples, families, and groups since 2005. He is the founder and owner of C.T. Watts & Associates, PC located in Harrisburg, PA.
(717) 963-2269 View (717) 963-2269
Photo of Earl DeLong, Psychologist in Harrisburg, PA
Earl DeLong
Psychologist, PsyD
Verified Verified
Harrisburg, PA 17112
E. Eugene DeLong, PhD E. Eugene DeLong is a Psychologist in Pennsylvania who has been practicing since 2007. He has an M. Ed. and a Ph.D. from Temple University. Eugene primarily utilizes Cognitive Behavioral Therapy along with Positive Psychotherapy as his treatment philosophy. In his spare time, Eugene enjoys playing with his kids, reading, hiking, exercise/fitness, and dining.
E. Eugene DeLong, PhD E. Eugene DeLong is a Psychologist in Pennsylvania who has been practicing since 2007. He has an M. Ed. and a Ph.D. from Temple University. Eugene primarily utilizes Cognitive Behavioral Therapy along with Positive Psychotherapy as his treatment philosophy. In his spare time, Eugene enjoys playing with his kids, reading, hiking, exercise/fitness, and dining.
(717) 832-9784 View (717) 832-9784
Photo of Caralyne Schoffstall, Marriage & Family Therapist in Harrisburg, PA
Caralyne Schoffstall
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Harrisburg, PA 17112
Not accepting new clients
There is no shame in being a "work in progress." Each of us is one - myself included. I am a human being just like you, and I am here to say that it's okay to be where you are. It's okay to ask for help. Therapy is a sacred place in which there is no judgment, only room to explore the origins and outcomes of your struggles. Whether those struggles are in areas of identity, self-worth, depression, anxiety, relationships, trust, parenting, illness, loss, or spirituality, I'm here to help you make meaning of whatever troubles you.
There is no shame in being a "work in progress." Each of us is one - myself included. I am a human being just like you, and I am here to say that it's okay to be where you are. It's okay to ask for help. Therapy is a sacred place in which there is no judgment, only room to explore the origins and outcomes of your struggles. Whether those struggles are in areas of identity, self-worth, depression, anxiety, relationships, trust, parenting, illness, loss, or spirituality, I'm here to help you make meaning of whatever troubles you.
(223) 217-2509 View (223) 217-2509
Photo of Darryl McClish, Pre-Licensed Professional in Harrisburg, PA
Darryl McClish
Pre-Licensed Professional
Verified Verified
2 Endorsed
Harrisburg, PA 17109
Throughout my life I have been interested in listening to others as they discuss their struggles and hardships. Helping others in this manner has always come naturally to me, and it is rewarding to be able to serve others in this capacity. I made the determination that I would pursue a career in counseling during my senior year of high school. Since I made that decision, I have done everything in my power to prepare myself to serve others utilizing several tools such as reflective listening, various modalities, and cultural competence.
Throughout my life I have been interested in listening to others as they discuss their struggles and hardships. Helping others in this manner has always come naturally to me, and it is rewarding to be able to serve others in this capacity. I made the determination that I would pursue a career in counseling during my senior year of high school. Since I made that decision, I have done everything in my power to prepare myself to serve others utilizing several tools such as reflective listening, various modalities, and cultural competence.
(717) 219-5362 View (717) 219-5362
Photo of Kelly Myers Therapy LLC, Clinical Social Work/Therapist in Harrisburg, PA
Kelly Myers Therapy LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Harrisburg, PA 17109
Not accepting new clients
Hello! My name is Kelly and I have been a practicing clinician for over 20 years, working with all age groups. I hail from the suburbs of Detroit, MI but am currently living in Harrisburg, PA. I am able to see clients from both PA and MI. I hold a BS from Michigan State Univ. and my Master of Social Work from Wayne State University. I work as an eclectic practitioner, meaning, I pull a lot of different treatment modalities in when we work together in order to help support you along your journey towards self empowerment. I’m very personable and really love to get to know you to see if we're a good match. I can't wait to meet you!
Hello! My name is Kelly and I have been a practicing clinician for over 20 years, working with all age groups. I hail from the suburbs of Detroit, MI but am currently living in Harrisburg, PA. I am able to see clients from both PA and MI. I hold a BS from Michigan State Univ. and my Master of Social Work from Wayne State University. I work as an eclectic practitioner, meaning, I pull a lot of different treatment modalities in when we work together in order to help support you along your journey towards self empowerment. I’m very personable and really love to get to know you to see if we're a good match. I can't wait to meet you!
(717) 899-9680 View (717) 899-9680
Photo of Ed Stuber, Licensed Professional Counselor in Harrisburg, PA
Ed Stuber
Licensed Professional Counselor, LPC, ICAADC
Verified Verified
Harrisburg, PA 17109  (Online Only)
Finding a kink-friendly therapist isn't easy; WE KNOW! Understanding the complexities of your lifestyle is not for the faint of heart. You can't tell just anyone that you love wearing/holding a collar, dressing as another gender, or the sweet smell of a woman's shoes. Or, can you? Being different is not a novel concept; being understood is. Some days, it's difficult to understand yourself, so how could a therapist possibly begin to wade through it all? The complexity only deepens when you can't even discuss these issues with your own partner. The desperation builds. The isolation intensifies. Your online search yields little success
Finding a kink-friendly therapist isn't easy; WE KNOW! Understanding the complexities of your lifestyle is not for the faint of heart. You can't tell just anyone that you love wearing/holding a collar, dressing as another gender, or the sweet smell of a woman's shoes. Or, can you? Being different is not a novel concept; being understood is. Some days, it's difficult to understand yourself, so how could a therapist possibly begin to wade through it all? The complexity only deepens when you can't even discuss these issues with your own partner. The desperation builds. The isolation intensifies. Your online search yields little success
(717) 788-5433 View (717) 788-5433

How does your Therapist compare?

Number of Therapists in Harrisburg, PA

300+

Average cost per session

$125

Therapists in Harrisburg, PA who prioritize treating:

94% Anxiety
89% Depression
73% Trauma and PTSD
71% Self Esteem
69% Coping Skills
68% Relationship Issues
63% Stress

Average years in practice

11 Years

Top 3 insurances accepted

80% Highmark
74% Optum
71% Aetna

How Therapists in Harrisburg, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Harrisburg?

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.