Therapists in Forest, VA

Photo of Gwen Seiler, Licensed Professional Counselor, MA, LPC
Gwen Seiler
Licensed Professional Counselor, MA, LPC
1 Endorsed
Forest, VA 24551
My career background before pursuing a Master of Arts in counseling was as an RN and then as executive director of a nonprofit women's ministry focused on eating disorders and other co-existing conditions. When assessing a client I try to take in the whole person: body, mind, and spirit, considering how each of these components is impacting the others. If a client chooses, I am willing to incorporate Christian faith-based counseling, in addition to a mix of therapeutic approaches. I also provide couples and family counseling. I have been married for 37 years and we have three grown children, 4 grandchildren, and 2 doodle-pups.
My career background before pursuing a Master of Arts in counseling was as an RN and then as executive director of a nonprofit women's ministry focused on eating disorders and other co-existing conditions. When assessing a client I try to take in the whole person: body, mind, and spirit, considering how each of these components is impacting the others. If a client chooses, I am willing to incorporate Christian faith-based counseling, in addition to a mix of therapeutic approaches. I also provide couples and family counseling. I have been married for 37 years and we have three grown children, 4 grandchildren, and 2 doodle-pups.
(434) 201-7441 View (434) 201-7441
Photo of Gregory Scott Mears, Licensed Professional Counselor, PhD, LPC
Gregory Scott Mears
Licensed Professional Counselor, PhD, LPC
Online Only
It is not uncommon for people to struggle as they go about their everyday lives. Often these struggles are easily overcome, such as running late for an appointment or getting a flat tire, but at other times these struggles are more serious, affecting individuals at a deeper level. For example, depression can make it difficult to get out of bed in the morning or anxiety can paralyze decision making, while both can lead to isolation from friends, family, and other support systems that are the best resources in such moments. Likewise trauma can lead to self-doubt and feelings of worthlessness. Most people want something better.
It is not uncommon for people to struggle as they go about their everyday lives. Often these struggles are easily overcome, such as running late for an appointment or getting a flat tire, but at other times these struggles are more serious, affecting individuals at a deeper level. For example, depression can make it difficult to get out of bed in the morning or anxiety can paralyze decision making, while both can lead to isolation from friends, family, and other support systems that are the best resources in such moments. Likewise trauma can lead to self-doubt and feelings of worthlessness. Most people want something better.
(434) 595-4154 View (434) 595-4154
Photo of Katelyn Childs, Licensed Professional Counselor, MEd, LPC
Katelyn Childs
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Forest, VA 24551
I love working with individuals who are introspective & committed to meaningful change. I integrate humanistic, existential, & CBT approaches with specialities in ERP & EMDR (not for OCD). These methods highlight the importance of acceptance, finding meaning/purpose & that you have the freedom to make choices, even in the face of fear or uncertainty. Together, we’ll unravel patterns, confront fears, and pave the way for profound meaning in your life. Whether you’re grappling with OCD/anxiety, trauma, depression, or simply feeling stuck, we’ll approach the process step by step, tailoring it to your unique needs and preferences.
I love working with individuals who are introspective & committed to meaningful change. I integrate humanistic, existential, & CBT approaches with specialities in ERP & EMDR (not for OCD). These methods highlight the importance of acceptance, finding meaning/purpose & that you have the freedom to make choices, even in the face of fear or uncertainty. Together, we’ll unravel patterns, confront fears, and pave the way for profound meaning in your life. Whether you’re grappling with OCD/anxiety, trauma, depression, or simply feeling stuck, we’ll approach the process step by step, tailoring it to your unique needs and preferences.
(434) 201-7539 View (434) 201-7539
Photo of Stephanie Ramey Warren, Clinical Social Work/Therapist, MSW, LCSW, LISW-CP, EMDR-C
Stephanie Ramey Warren
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP, EMDR-C
2 Endorsed
Online Only
I specialize in working with adult clients who are dealing with past trauma, depression, and/or anxiety. I am certified in EMDR therapy and have over 5 years of experience with it. I also have additional training in anxiety and anxiety interventions. I enjoy developing a strong rapport with clients through empathy, emotional support, and humor.
I specialize in working with adult clients who are dealing with past trauma, depression, and/or anxiety. I am certified in EMDR therapy and have over 5 years of experience with it. I also have additional training in anxiety and anxiety interventions. I enjoy developing a strong rapport with clients through empathy, emotional support, and humor.
(434) 204-9580 View (434) 204-9580
Photo of Skyler Heston, Clinical Social Work/Therapist
Skyler Heston
Clinical Social Work/Therapist
1 Endorsed
Forest, VA 24551
Skyler is passionate about creating a safe space to facilitate healing. Skyler grew up on the mission field and quickly gained a heart for loving people and meeting individuals where they are at. This led Skyler to pursue her Masters in Social Work at Virginia Commonwealth University. Skyler has a wide variety of experience including play therapy, Trust-Based-Relational Intervention, anger-management counseling, and working with those who have experienced sexual assault.
Skyler is passionate about creating a safe space to facilitate healing. Skyler grew up on the mission field and quickly gained a heart for loving people and meeting individuals where they are at. This led Skyler to pursue her Masters in Social Work at Virginia Commonwealth University. Skyler has a wide variety of experience including play therapy, Trust-Based-Relational Intervention, anger-management counseling, and working with those who have experienced sexual assault.
(434) 813-1573 View (434) 813-1573
Photo of Greer Brieaddy Fernando, Resident in Marriage and Family Therapy, MA
Greer Brieaddy Fernando
Resident in Marriage and Family Therapy, MA
Forest, VA 24551
I work with individuals, chidren, & couples to help them process trauma, shift unhelpful thought patterns, and build stronger, more connected relationships. I'm especially passionate about supporting individuals as they heal from childhood and family wounds, guiding children as they experience the ups and downs of growing up, and helping partners become friends again. I believe therapy should be a space where you feel safe to be yourself—where your story is heard with compassion.
I work with individuals, chidren, & couples to help them process trauma, shift unhelpful thought patterns, and build stronger, more connected relationships. I'm especially passionate about supporting individuals as they heal from childhood and family wounds, guiding children as they experience the ups and downs of growing up, and helping partners become friends again. I believe therapy should be a space where you feel safe to be yourself—where your story is heard with compassion.
(434) 423-6079 View (434) 423-6079
Photo of Dave Wriston, Clinical Social Work/Therapist
Dave Wriston
Clinical Social Work/Therapist
1 Endorsed
Forest, VA 24551
Dave is a Licensed Clinical Social Worker (LCSW) and has been working in Lynchburg for the last 25 years. For over 20 of those years, Dave worked as an In-Home Therapist and Supervisor at Horizon Behavioral Health specializing in working with teens and their families. Dave led a team of therapists in implementing Multisystemic Therapy (MST) which is an evidence-based program designed to help teens avoid the court system by enabling their parents to hold them accountable for their behavior. Dave has been doing private practice outpatient counseling for the last three years.
Dave is a Licensed Clinical Social Worker (LCSW) and has been working in Lynchburg for the last 25 years. For over 20 of those years, Dave worked as an In-Home Therapist and Supervisor at Horizon Behavioral Health specializing in working with teens and their families. Dave led a team of therapists in implementing Multisystemic Therapy (MST) which is an evidence-based program designed to help teens avoid the court system by enabling their parents to hold them accountable for their behavior. Dave has been doing private practice outpatient counseling for the last three years.
(434) 303-5777 View (434) 303-5777
Photo of Alyssa Penrod, Pre-Licensed Professional, LMHP-R
Alyssa Penrod
Pre-Licensed Professional, LMHP-R
2 Endorsed
Forest, VA 24551
Alyssa Penrod is a Licensed Resident at Light Counseling. She received her M.A. in Marriage and Family Therapy from Southeastern Baptist Theological Seminary. She has experience working with various ages from children to adults. Alyssa has implemented both emotion focused and cognitive behavioral therapies in her sessions. She is passionate about creating a safe space for clients to be seen and heard. When not counseling, Alyssa can be found tending to her house plants, walking one of Lynchburg’s many trails, or planning her next road trip.
Alyssa Penrod is a Licensed Resident at Light Counseling. She received her M.A. in Marriage and Family Therapy from Southeastern Baptist Theological Seminary. She has experience working with various ages from children to adults. Alyssa has implemented both emotion focused and cognitive behavioral therapies in her sessions. She is passionate about creating a safe space for clients to be seen and heard. When not counseling, Alyssa can be found tending to her house plants, walking one of Lynchburg’s many trails, or planning her next road trip.
(888) 808-6050 View (888) 808-6050
Photo of Ellie Towe, Pre-Licensed Professional
Ellie Towe
Pre-Licensed Professional
2 Endorsed
Forest, VA 24551
I love to work with people who are ready to explore their stories in a safe, compassionate space. My hope is to be an empathetic witness for my clients to explore their stories, process pain, and experience hope.
I love to work with people who are ready to explore their stories in a safe, compassionate space. My hope is to be an empathetic witness for my clients to explore their stories, process pain, and experience hope.
(434) 436-2031 View (434) 436-2031
Photo of Arpenik Stepanyan, Pre-Licensed Professional, LMHP-R
Arpenik Stepanyan
Pre-Licensed Professional, LMHP-R
1 Endorsed
Forest, VA 24551
Arpenik Stepanyan is a Licensed Resident at Light Counseling. She received her undergraduate degree in psychology from Texas A&M University and furthered her education at Liberty University, where she received her M.A. in Clinical Mental Health Counseling. During her time at Texas A&M, she continued to develop a passion for service and ministry. She was involved in helping freshmen get plugged into the local church, serving at camps, mentoring middle school girls, and teaching English classes to international students. Towards the end of her degree when she was deciding her next steps, she took a course on counseling, which change
Arpenik Stepanyan is a Licensed Resident at Light Counseling. She received her undergraduate degree in psychology from Texas A&M University and furthered her education at Liberty University, where she received her M.A. in Clinical Mental Health Counseling. During her time at Texas A&M, she continued to develop a passion for service and ministry. She was involved in helping freshmen get plugged into the local church, serving at camps, mentoring middle school girls, and teaching English classes to international students. Towards the end of her degree when she was deciding her next steps, she took a course on counseling, which change
(888) 808-6050 View (888) 808-6050
Photo of Amy Scott Roupe, Licensed Professional Counselor, LPC
Amy Scott Roupe
Licensed Professional Counselor, LPC
1 Endorsed
Forest, VA 24551
Waitlist for new clients
Congratulations on taking the next steps towards making meaningful changes in your life. I have dedicated the past 10 years to walking with clients through anxiety, depression, trauma, life transitions, and relationship challenges. As an LPC, and a Board Certified Telemental Health Clinician, I have predominately worked with college aged students. In the last 2 years I have expanded my focus to include all ages and stages of adults, military and first responders.
Congratulations on taking the next steps towards making meaningful changes in your life. I have dedicated the past 10 years to walking with clients through anxiety, depression, trauma, life transitions, and relationship challenges. As an LPC, and a Board Certified Telemental Health Clinician, I have predominately worked with college aged students. In the last 2 years I have expanded my focus to include all ages and stages of adults, military and first responders.
(434) 423-5665 View (434) 423-5665
Photo of Lisa Whitaker, Licensed Professional Counselor, MEd, LPC
Lisa Whitaker
Licensed Professional Counselor, MEd, LPC
Forest, VA 24551
If you are hurting or confused or just curious, counseling can be very helpful for improving your quality of life. I've worked with many issues for more than 12 years, each as unique as the individual or couple, but the list on my full profile will give you a general idea. It's always a pleasure to meet new people and build therapeutic relationships.
If you are hurting or confused or just curious, counseling can be very helpful for improving your quality of life. I've worked with many issues for more than 12 years, each as unique as the individual or couple, but the list on my full profile will give you a general idea. It's always a pleasure to meet new people and build therapeutic relationships.
(434) 509-4083 View (434) 509-4083
Photo of Adam Cothren, Licensed Professional Counselor, MEd, LPC
Adam Cothren
Licensed Professional Counselor, MEd, LPC
Forest, VA 24551
Waitlist for new clients
People seek a counselor for a number of reasons. You are likely feeling down and mentally fatigued, overwhelmed, stuck in a rut, scared, or you may be struggling with substances. You are valuable, and you deserve a peaceful and fulfilling life. I am here to help you achieve your goals, and build tools to help you manage adversity. Since 2005 I have enjoyed working in outpatient settings, emergency mental health treatment, residential, and community mental health agencies. I am currently accepting clients for individual outpatient counseling.
People seek a counselor for a number of reasons. You are likely feeling down and mentally fatigued, overwhelmed, stuck in a rut, scared, or you may be struggling with substances. You are valuable, and you deserve a peaceful and fulfilling life. I am here to help you achieve your goals, and build tools to help you manage adversity. Since 2005 I have enjoyed working in outpatient settings, emergency mental health treatment, residential, and community mental health agencies. I am currently accepting clients for individual outpatient counseling.
(434) 226-7919 View (434) 226-7919
Photo of Karina Blest, Resident in Counseling
Karina Blest
Resident in Counseling
1 Endorsed
Forest, VA 24551
Karina is a Licensed Resident in Counseling with a degree in Clinical Mental Health Counseling from Liberty University. With a strong foundation in addressing diverse mental health challenges, she specializes in supporting clients through substance use disorders, life transitions, anxiety, depression, and relational concerns. Karina’s therapeutic approach integrates emotion-focused therapy with a holistic perspective, emphasizing the importance of understanding each client’s unique experiences.
Karina is a Licensed Resident in Counseling with a degree in Clinical Mental Health Counseling from Liberty University. With a strong foundation in addressing diverse mental health challenges, she specializes in supporting clients through substance use disorders, life transitions, anxiety, depression, and relational concerns. Karina’s therapeutic approach integrates emotion-focused therapy with a holistic perspective, emphasizing the importance of understanding each client’s unique experiences.
(434) 788-9604 View (434) 788-9604
Photo of Doris DeMato, Licensed Professional Counselor, LPC
Doris DeMato
Licensed Professional Counselor, LPC
1 Endorsed
Forest, VA 24551
Dr. Doris DeMato brings over twenty years of experience as a Licensed Professional Counselor to Light Counseling. She earned her doctoral degree in counseling from Virginia Tech in Blacksburg, VA. She has extensive experience working with anxiety disorders, mood disorders, and obsessive-compulsive disorder. Many of Dr. DeMato’s clients navigate feelings of stress, anxiety, depression, grief and loss, phase of life problems, interpersonal conflicts, and family of origin concerns that have become overwhelming and are impacting work and relationships.
Dr. Doris DeMato brings over twenty years of experience as a Licensed Professional Counselor to Light Counseling. She earned her doctoral degree in counseling from Virginia Tech in Blacksburg, VA. She has extensive experience working with anxiety disorders, mood disorders, and obsessive-compulsive disorder. Many of Dr. DeMato’s clients navigate feelings of stress, anxiety, depression, grief and loss, phase of life problems, interpersonal conflicts, and family of origin concerns that have become overwhelming and are impacting work and relationships.
(434) 425-7255 View (434) 425-7255
Photo of Mattew Scott, Licensed Professional Counselor
Mattew Scott
Licensed Professional Counselor
1 Endorsed
Forest, VA 24551
Matthew has had over 18 years experience collectively working in Clinical Settings, Residential Treatment Facilities, Home Visiting Programs, Outpatient Hospital Mental Health Facilities and Christian Based Counseling Services. As a Mental Health professional, he has had over 10 years experience specifically in clinical settings working in both Outpatient and Christian based counseling services. Matthew co-lead a Dialectical Behavioral Therapy Program for Adolescents and Adults working for an Outpatient Mental Health Facility in NY State for 2 years.
Matthew has had over 18 years experience collectively working in Clinical Settings, Residential Treatment Facilities, Home Visiting Programs, Outpatient Hospital Mental Health Facilities and Christian Based Counseling Services. As a Mental Health professional, he has had over 10 years experience specifically in clinical settings working in both Outpatient and Christian based counseling services. Matthew co-lead a Dialectical Behavioral Therapy Program for Adolescents and Adults working for an Outpatient Mental Health Facility in NY State for 2 years.
(434) 423-5882 View (434) 423-5882
Photo of Kaitlyn Rogojan, Pre-Licensed Professional, MA, LPC-R
Kaitlyn Rogojan
Pre-Licensed Professional, MA, LPC-R
3 Endorsed
Forest, VA 24551
Do you long for connection yet often feel weighed down by anxiety, self-doubt, or the lingering effects of trauma? You may appear strong to others, but inside, you struggle to regulate emotions or trust yourself. My clients come to therapy seeking balance, understanding, and a safe space to be authentic. Together, we explore their story and uncover the patterns that keep them feeling stuck, working toward healing and self-trust.
Do you long for connection yet often feel weighed down by anxiety, self-doubt, or the lingering effects of trauma? You may appear strong to others, but inside, you struggle to regulate emotions or trust yourself. My clients come to therapy seeking balance, understanding, and a safe space to be authentic. Together, we explore their story and uncover the patterns that keep them feeling stuck, working toward healing and self-trust.
(434) 216-5758 View (434) 216-5758
Photo of Cynthia Payne, Licensed Professional Counselor, LPC
Cynthia Payne
Licensed Professional Counselor, LPC
Online Only
With over 30 years of experience dedicated to improving mental health, I bring a compassionate, person-centered approach to therapy. My practice is rooted in ethical care, deep empathy, and genuine passion for helping others navigate life’s challenges. From our first session, I aim to create a safe, supportive environment where you feel comfortable exploring your thoughts, emotions, and goals. I believe each person holds the strength and wisdom to overcome difficulties, and my role is to help you access those inner resources.
With over 30 years of experience dedicated to improving mental health, I bring a compassionate, person-centered approach to therapy. My practice is rooted in ethical care, deep empathy, and genuine passion for helping others navigate life’s challenges. From our first session, I aim to create a safe, supportive environment where you feel comfortable exploring your thoughts, emotions, and goals. I believe each person holds the strength and wisdom to overcome difficulties, and my role is to help you access those inner resources.
(804) 532-4812 View (804) 532-4812
Photo of Laura Wilcoxen, Resident in Counseling
Laura Wilcoxen
Resident in Counseling
2 Endorsed
Forest, VA 24551
Are you feeling stuck in self-doubt, yearning to reclaim your power and voice in a world that often overlooks your strength? Or maybe you are navigating the overwhelming fog of postpartum life as a new mother, trying to rediscover who you are, I see you. Perhaps you're grappling with questions of self-identity, adjusting to major life transitions like leaving home or starting a career, and feeling lost in the pressure to "figure it all out." Or maybe you're dealing with the relentless grip of OCD, disrupting your day leaving you exhausted and isolated. Whatever brings you here, know that I'm here to walk alongside you.
Are you feeling stuck in self-doubt, yearning to reclaim your power and voice in a world that often overlooks your strength? Or maybe you are navigating the overwhelming fog of postpartum life as a new mother, trying to rediscover who you are, I see you. Perhaps you're grappling with questions of self-identity, adjusting to major life transitions like leaving home or starting a career, and feeling lost in the pressure to "figure it all out." Or maybe you're dealing with the relentless grip of OCD, disrupting your day leaving you exhausted and isolated. Whatever brings you here, know that I'm here to walk alongside you.
(434) 595-5850 View (434) 595-5850
Photo of Deena Melika, Psychologist, LP
Deena Melika
Psychologist, LP
Online Only
Hi! I am a Licensed Clinical Psychologist in Virginia. I am currently not accepting referrals for psychological evaluations/psychoeducational evaluations. I have over 18 years of experience working with families, helping them navigate the challenges of mental illness, including anxiety, depression, OCD, ADHD, Autism, PTSD, and Bipolar Disorder. I use evidence-based techniques from Cognitive Behavior Therapy (CBT), Exposure with Response Prevention (ERP), Prolonged Exposure therapy (PE), Solution-Focused Brief Therapy, Dialectical Behavior Therapy (DBT), and other treatment modalities to tailor treatment to the needs of my clients.
Hi! I am a Licensed Clinical Psychologist in Virginia. I am currently not accepting referrals for psychological evaluations/psychoeducational evaluations. I have over 18 years of experience working with families, helping them navigate the challenges of mental illness, including anxiety, depression, OCD, ADHD, Autism, PTSD, and Bipolar Disorder. I use evidence-based techniques from Cognitive Behavior Therapy (CBT), Exposure with Response Prevention (ERP), Prolonged Exposure therapy (PE), Solution-Focused Brief Therapy, Dialectical Behavior Therapy (DBT), and other treatment modalities to tailor treatment to the needs of my clients.
(434) 474-1122 View (434) 474-1122

See more therapy options for Forest

How does your Therapist compare?

Number of Therapists in Forest, VA

100+

Average cost per session

$125

Therapists in Forest, VA who prioritize treating:

88% Anxiety
82% Depression
74% Trauma and PTSD
71% Relationship Issues
71% Stress
61% Life Transitions
59% Grief

Average years in practice

9 Years

Top 3 insurances accepted

93% Aetna
84% Anthem
77% BlueCross and BlueShield

How Therapists in Forest, VA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Forest?

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.