Therapists in Brooklyn, NY

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Photo of Syma Karine Sambar-Lande, Clinical Social Work/Therapist in Brooklyn, NY
Syma Karine Sambar-Lande
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Brooklyn, NY 11201
I work with adults, children, and families. Whether you are enduring some very challenging issues or just need someone to unload your burden, I am here to help. Healing ourselves improves our functioning and restores our relationships. Based on your needs, I use a combination of techniques like Cognitive Behavioral Therapy, Motivational Interviewing, and Psychodynamic theory. My goal is to meet you where you are, help you feel heard, and support you as you navigate your life’s journey.
I work with adults, children, and families. Whether you are enduring some very challenging issues or just need someone to unload your burden, I am here to help. Healing ourselves improves our functioning and restores our relationships. Based on your needs, I use a combination of techniques like Cognitive Behavioral Therapy, Motivational Interviewing, and Psychodynamic theory. My goal is to meet you where you are, help you feel heard, and support you as you navigate your life’s journey.
(929) 368-5421 View (929) 368-5421
Photo of Sylvia Teresa Ortiz, Clinical Social Work/Therapist in Brooklyn, NY
Sylvia Teresa Ortiz
Clinical Social Work/Therapist, LCSW, MSEd, SEP
Verified Verified
Brooklyn, NY 11201  (Online Only)
Are you feeling a diminished sense of self-confidence? Are you feeling that the way you view yourself is keeping you from experiencing life fully and/or causing you suffering? Are you experiencing nightmares, flashbacks, anxiety, depression, fears, anger, impaired concentration, difficulties at work, school or home? If you answered "yes" to any question, you may be reacting to trauma.
Are you feeling a diminished sense of self-confidence? Are you feeling that the way you view yourself is keeping you from experiencing life fully and/or causing you suffering? Are you experiencing nightmares, flashbacks, anxiety, depression, fears, anger, impaired concentration, difficulties at work, school or home? If you answered "yes" to any question, you may be reacting to trauma.
(917) 675-3984 View (917) 675-3984
Photo of Danielle Myers Frierson, Limited Licensed Psychologist in Brooklyn, NY
Danielle Myers Frierson
Limited Licensed Psychologist, LPMHC, CSC, MA
Verified Verified
Brooklyn, NY 11212  (Online Only)
I am a Mental Health Counselor, LLP at Live Well Brooklyn, Mental Health Counseling, PLLC as well as a Certified CT State School Counselor. I was born and raised in Hartford, Connecticut, to a single mother. I am the mother of three, and I specialize in working with diverse populations, and am culturally competent. I attended, and graduated loan free from Clark Atlanta University where I received my B.A. in Speech Communication. In 2021, I graduated from New York University with my Masters in School Counseling, where I was also the recipient of the NYU Wasserman Center Internship Grant and the Gilbert M. Trachtman Scholarship.
I am a Mental Health Counselor, LLP at Live Well Brooklyn, Mental Health Counseling, PLLC as well as a Certified CT State School Counselor. I was born and raised in Hartford, Connecticut, to a single mother. I am the mother of three, and I specialize in working with diverse populations, and am culturally competent. I attended, and graduated loan free from Clark Atlanta University where I received my B.A. in Speech Communication. In 2021, I graduated from New York University with my Masters in School Counseling, where I was also the recipient of the NYU Wasserman Center Internship Grant and the Gilbert M. Trachtman Scholarship.
(718) 808-6329 View (718) 808-6329
Photo of Meghan Bernhardt, Psychologist in Brooklyn, NY
Meghan Bernhardt
Psychologist, PsyD, MS
Verified Verified
2 Endorsed
Brooklyn, NY 11201
I treat adolescents and adults dealing with anxiety, questioning their careers, having relationship issues, or just feeling like something isn't right and craving change. I work with people - students, artists, musicians, freelancers, and working professionals - who want to know and understand themselves better.
I treat adolescents and adults dealing with anxiety, questioning their careers, having relationship issues, or just feeling like something isn't right and craving change. I work with people - students, artists, musicians, freelancers, and working professionals - who want to know and understand themselves better.
(516) 246-2279 View (516) 246-2279
Photo of Alan Thompson, Creative Arts Therapist in Brooklyn, NY
Alan Thompson
Creative Arts Therapist, LCAT, MT-BC
Verified Verified
1 Endorsed
Brooklyn, NY 11226
Your decision to enter therapy is an act of self-compassion, which demands that I meet you with the utmost respect and commitment to your growth and self-actualization. I specialize in working with adolescents and adults who are trying to find a better way of approaching life's challenges, gaining insight into patterns and behaviors, developing healthy coping strategies, and breaking down barriers to creating a more meaningful and fulfilling life. I approach therapy from humanistic, existential, and client centered perspectives using an integration of music, talk therapies, breath & body awareness, and sound meditations.
Your decision to enter therapy is an act of self-compassion, which demands that I meet you with the utmost respect and commitment to your growth and self-actualization. I specialize in working with adolescents and adults who are trying to find a better way of approaching life's challenges, gaining insight into patterns and behaviors, developing healthy coping strategies, and breaking down barriers to creating a more meaningful and fulfilling life. I approach therapy from humanistic, existential, and client centered perspectives using an integration of music, talk therapies, breath & body awareness, and sound meditations.
(929) 552-6480 View (929) 552-6480
Photo of Tanasia Betts, Counselor in Brooklyn, NY
Tanasia Betts
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Brooklyn, NY 11210  (Online Only)
My goal is to understand each client and their story. The counseling process is guided by your concerns and goals. My counseling style is non-judgmental and person-centered. As we work on treatment goals guided by your most important concerns, skills will be introduced to help you better cope with life stressors. My hours are evenings Monday - Friday & sessions are virtual.
My goal is to understand each client and their story. The counseling process is guided by your concerns and goals. My counseling style is non-judgmental and person-centered. As we work on treatment goals guided by your most important concerns, skills will be introduced to help you better cope with life stressors. My hours are evenings Monday - Friday & sessions are virtual.
(929) 325-0154 View (929) 325-0154
Photo of Nicole Jordan, Clinical Social Work/Therapist in Brooklyn, NY
Nicole Jordan
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11236
My name is Nicole Jordan and I am a Licensed Clinical Social Worker with over a decade of experience in a variety of diverse populations, which have included, Families, individuals, criminal background (juvenile and adult), and bariatric clients. My approach to therapy is a collaboration based on individualized solutions. The clients I work with may typically be dealing with anxiety which is interfering with daily life: parents and caregivers of children of all ages; individuals dealing with life cycle changes; individuals dealing with life stressors such as relationships, work, or demanding responsibilities;
My name is Nicole Jordan and I am a Licensed Clinical Social Worker with over a decade of experience in a variety of diverse populations, which have included, Families, individuals, criminal background (juvenile and adult), and bariatric clients. My approach to therapy is a collaboration based on individualized solutions. The clients I work with may typically be dealing with anxiety which is interfering with daily life: parents and caregivers of children of all ages; individuals dealing with life cycle changes; individuals dealing with life stressors such as relationships, work, or demanding responsibilities;
(929) 203-9563 View (929) 203-9563
Photo of Ameya Lee Calvocoressi, Clinical Social Work/Therapist in Brooklyn, NY
Ameya Lee Calvocoressi
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Brooklyn, NY 11218  (Online Only)
Not accepting new clients
I strongly believe that each of us are the experts of our own experience and, simultaneously, often faced with circumstances that obstruct our attunement to our own needs. For many individuals (particularly those with marginalized identities), to access and honor one’s expertise surrounding their own needs and aspirations is to begin a radical and heroic journey—one in which therapy can serve as a transformative means of not only surviving but thriving.
I strongly believe that each of us are the experts of our own experience and, simultaneously, often faced with circumstances that obstruct our attunement to our own needs. For many individuals (particularly those with marginalized identities), to access and honor one’s expertise surrounding their own needs and aspirations is to begin a radical and heroic journey—one in which therapy can serve as a transformative means of not only surviving but thriving.
(646) 386-2293 View (646) 386-2293
Photo of Dr. Joseph Reich, Psychologist in Brooklyn, NY
Dr. Joseph Reich
Psychologist, PsyD
Verified Verified
4 Endorsed
Brooklyn, NY 11219
Be yourself - everyone else is taken! My practice focuses on people struggling with depression, anxiety, relationships, self-esteem, trauma, and anxiety. These often manifest as difficulties in romantic, social, and work success. I help my clients feel better about themselves, less alone, and more capable of loving and being loved. My clients end up feeling more comfortable in their own skins and engage in life, work, and relationships with greater confidence.
Be yourself - everyone else is taken! My practice focuses on people struggling with depression, anxiety, relationships, self-esteem, trauma, and anxiety. These often manifest as difficulties in romantic, social, and work success. I help my clients feel better about themselves, less alone, and more capable of loving and being loved. My clients end up feeling more comfortable in their own skins and engage in life, work, and relationships with greater confidence.
(646) 233-3572 View (646) 233-3572
Photo of Heidi Schaul-Yoder, Licensed Psychoanalyst in Brooklyn, NY
Heidi Schaul-Yoder
Licensed Psychoanalyst, MM, LP
Verified Verified
Brooklyn, NY 11222
Are you feeling like no matter how hard you try, there always seems to be something holding you back from your most joyful, peaceful and authentic life? I believe that your pain and struggle isn’t a problem to be solved, but actually contains within it the exact wisdom you need to reach your highest potential. As your therapist, I’m interested in helping you access that wisdom - in gently getting to the root of what has been missing for you on the level of mind, body, and spirit. I firmly believe that we’re all wired to heal, and that it is entirely possible to resolve the core wounds and patterns that are holding you back.
Are you feeling like no matter how hard you try, there always seems to be something holding you back from your most joyful, peaceful and authentic life? I believe that your pain and struggle isn’t a problem to be solved, but actually contains within it the exact wisdom you need to reach your highest potential. As your therapist, I’m interested in helping you access that wisdom - in gently getting to the root of what has been missing for you on the level of mind, body, and spirit. I firmly believe that we’re all wired to heal, and that it is entirely possible to resolve the core wounds and patterns that are holding you back.
(914) 529-6584 View (914) 529-6584
Photo of Bryan Luna, Pre-Licensed Professional in Brooklyn, NY
Bryan Luna
Pre-Licensed Professional, MHC, Intern
Verified Verified
Brooklyn, NY 11226  (Online Only)
Accessing therapeutic services is a step on the path of growth. Through a client centered lens, I seek to collaborate with you to set and meet goals. Together we can build on and explore strengths to address your needs. I impart empathy and empowerment to clients, while exploring insight, overall leading to a healthier life.
Accessing therapeutic services is a step on the path of growth. Through a client centered lens, I seek to collaborate with you to set and meet goals. Together we can build on and explore strengths to address your needs. I impart empathy and empowerment to clients, while exploring insight, overall leading to a healthier life.
(347) 695-8673 View (347) 695-8673
Photo of Pam Schwartz, Clinical Social Work/Therapist in Brooklyn, NY
Pam Schwartz
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Brooklyn, NY 11222  (Online Only)
I received my Social Work degree in 1997 and spent many years working in hospitals. I worked in psychiatry, pediatrics, medicine, and the emergency department of a level one trauma center. Many patients I saw in the Emergency Department were victims of severe trauma, including sexual assault and domestic violence. In addition to my Social Work license, I am Licensed in Education, and have many years of training in Applied Behavior Analysis. I have worked with children as a school counselor and educator. Much of my experience has been with autistic children and their families to provide support for the many challenges they face.
I received my Social Work degree in 1997 and spent many years working in hospitals. I worked in psychiatry, pediatrics, medicine, and the emergency department of a level one trauma center. Many patients I saw in the Emergency Department were victims of severe trauma, including sexual assault and domestic violence. In addition to my Social Work license, I am Licensed in Education, and have many years of training in Applied Behavior Analysis. I have worked with children as a school counselor and educator. Much of my experience has been with autistic children and their families to provide support for the many challenges they face.
(347) 767-4428 x16 View (347) 767-4428 x16
Photo of Nehal P Vadhan, Psychologist in Brooklyn, NY
Nehal P Vadhan
Psychologist, PhD
Verified Verified
Brooklyn, NY 11222
My practice is geared towards helping individuals who are suffering from addiction problems of any kind, cognitive problems (e.g., ADHD, Learning Disabilities) or problems with disordered thought or perception. My goal is to assist clients improve their psychological functioning with a combination of individualized clinical evaluation and treatment. I am also a research scientist at Northwell's Feinstein Institutes for Medical Research (https://feinstein.northwell.edu/institutes-researchers/our-researchers/nehal-p-vadhan-phd) and director of the Center for Psychedelics Research and Treatment.
My practice is geared towards helping individuals who are suffering from addiction problems of any kind, cognitive problems (e.g., ADHD, Learning Disabilities) or problems with disordered thought or perception. My goal is to assist clients improve their psychological functioning with a combination of individualized clinical evaluation and treatment. I am also a research scientist at Northwell's Feinstein Institutes for Medical Research (https://feinstein.northwell.edu/institutes-researchers/our-researchers/nehal-p-vadhan-phd) and director of the Center for Psychedelics Research and Treatment.
(347) 894-2520 View (347) 894-2520
Photo of Ana Maria Parrilla, Clinical Social Work/Therapist in Brooklyn, NY
Ana Maria Parrilla
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Brooklyn, NY 11216  (Online Only)
I provide therapy to adults of all ages navigating challenges such as depression, anxiety, relationship issues, feeling stagnant, identity exploration, major life changes, negative thought patterns, and grief/loss
I provide therapy to adults of all ages navigating challenges such as depression, anxiety, relationship issues, feeling stagnant, identity exploration, major life changes, negative thought patterns, and grief/loss
(646) 722-0745 View (646) 722-0745
Photo of Laurel Stephens, Clinical Social Work/Therapist in Brooklyn, NY
Laurel Stephens
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11226
Laurel Stephens, Licensed Clinical Social Worker in NYS. My approach to therapy is to gently guide and support clients to move toward their goals and to help them find their goals if needed.
Laurel Stephens, Licensed Clinical Social Worker in NYS. My approach to therapy is to gently guide and support clients to move toward their goals and to help them find their goals if needed.
(929) 396-3141 View (929) 396-3141
Photo of Shirley Bernard, Licensed Master Social Worker in Brooklyn, NY
Shirley Bernard
Licensed Master Social Worker, LMSW
Verified Verified
Brooklyn, NY 11201
Shirley Bernard is a licensed master-level social worker with more than 15 years of experience specializing in trauma, depression, anxiety, ADHD, domestic violence, and other life-related stressors. Shirley treats clients utilizing a person-centered, holistic approach. Her eclectic professional experience has led her to effectively engage children, adolescents, adults, and seniors; utilizing different modalities such as families, couples, and groups in both clinical and outpatient settings. She utilizes CBT, Mindfulness, role play through exploration, and guided imagery.
Shirley Bernard is a licensed master-level social worker with more than 15 years of experience specializing in trauma, depression, anxiety, ADHD, domestic violence, and other life-related stressors. Shirley treats clients utilizing a person-centered, holistic approach. Her eclectic professional experience has led her to effectively engage children, adolescents, adults, and seniors; utilizing different modalities such as families, couples, and groups in both clinical and outpatient settings. She utilizes CBT, Mindfulness, role play through exploration, and guided imagery.
(929) 470-3940 View (929) 470-3940
Photo of Hope Services, LLC, Counselor in Brooklyn, NY
Hope Services, LLC
Counselor, PhD, LMHC
Verified Verified
Brooklyn, NY 11234
Our individual therapies include play, creative arts and talk therapy for children and adolescents struggling with functioning in their families, school, community, and social/interpersonal relationships. Cognitive Behavioral / Behavior Modification interventions are also provided. Hope Services, LLC is located in the Mill Basin section of Brooklyn, New York. We are a dynamic, innovative, pragmatic and professional outpatient mental health service program with a patient-centered treatment model that is geared toward providing services to the multicultural community within which it operates. With a specialty in providing treatment to children and adolescents (ages 5-18), Hope Services, LLC also accepts and treats adults. We are therefore dedicated to the mental and behavioral healthcare of children, adolescents, adults, families and couples. We offer a safe, therapeutic, comfortable, and respectful environment. Additional Languages Spoken: French, Haitian Creole.
Our individual therapies include play, creative arts and talk therapy for children and adolescents struggling with functioning in their families, school, community, and social/interpersonal relationships. Cognitive Behavioral / Behavior Modification interventions are also provided. Hope Services, LLC is located in the Mill Basin section of Brooklyn, New York. We are a dynamic, innovative, pragmatic and professional outpatient mental health service program with a patient-centered treatment model that is geared toward providing services to the multicultural community within which it operates. With a specialty in providing treatment to children and adolescents (ages 5-18), Hope Services, LLC also accepts and treats adults. We are therefore dedicated to the mental and behavioral healthcare of children, adolescents, adults, families and couples. We offer a safe, therapeutic, comfortable, and respectful environment. Additional Languages Spoken: French, Haitian Creole.
(347) 609-7854 View (347) 609-7854
Photo of Rashida Gordon, Clinical Social Work/Therapist in Brooklyn, NY
Rashida Gordon
Clinical Social Work/Therapist, LCSW, Casac-t
Verified Verified
Brooklyn, NY 11235  (Online Only)
I like to begin by creating a safe space for you to be vulnerable as you embark on this journey to address things in your life, relationships and from your past that have you feeling “stuck”. My specialty is working with the individual (s) to explore behavioral patterns that lead to problem areas to increase insight, motivation and a sense of agency to take on change. I do not see individuals as problem but rather as people with problems. Problems are temporary. Let’s begin this journey.....to discovering to best version of yourself.
I like to begin by creating a safe space for you to be vulnerable as you embark on this journey to address things in your life, relationships and from your past that have you feeling “stuck”. My specialty is working with the individual (s) to explore behavioral patterns that lead to problem areas to increase insight, motivation and a sense of agency to take on change. I do not see individuals as problem but rather as people with problems. Problems are temporary. Let’s begin this journey.....to discovering to best version of yourself.
(646) 791-4034 View (646) 791-4034
Photo of Hope Choman, Clinical Social Work/Therapist in Brooklyn, NY
Hope Choman
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11222  (Online Only)
Do you feel like your traumatic experience is holding you back? Has your anxiety made you feel like you want change but don't know where to begin? If these experiences sound familiar to you please know that you are not alone. There is support available to you. I want to take the time to acknowledge you for taking the first step in starting therapy and getting the support you deserve to achieve a good quality of life for yourself.
Do you feel like your traumatic experience is holding you back? Has your anxiety made you feel like you want change but don't know where to begin? If these experiences sound familiar to you please know that you are not alone. There is support available to you. I want to take the time to acknowledge you for taking the first step in starting therapy and getting the support you deserve to achieve a good quality of life for yourself.
(718) 866-4693 View (718) 866-4693
Photo of Eugenia Rozenberg, Clinical Social Work/Therapist in Brooklyn, NY
Eugenia Rozenberg
Clinical Social Work/Therapist, LCSWR, MA, BS
Verified Verified
1 Endorsed
Brooklyn, NY 11229  (Online Only)
As an experienced therapist I believe that everyone owes to him/herself to live a satisfying life. If you do not like the place you are in today - do something not to be there. As Einstein said, "Nothing happens until something moves". Choosing therapy is definitely the right move for you. It is not a sign of weakness but rather of your determination. Whatever problem you are facing today: anxiety, depression, disturbing relationship, or work related stress - I am here to help you facilitate changes that will allow you to reach your goals.
As an experienced therapist I believe that everyone owes to him/herself to live a satisfying life. If you do not like the place you are in today - do something not to be there. As Einstein said, "Nothing happens until something moves". Choosing therapy is definitely the right move for you. It is not a sign of weakness but rather of your determination. Whatever problem you are facing today: anxiety, depression, disturbing relationship, or work related stress - I am here to help you facilitate changes that will allow you to reach your goals.
(347) 352-8631 View (347) 352-8631

How does your Therapist compare?

Number of Therapists in Brooklyn, NY

3,000+

Average cost per session

$175

Therapists in Brooklyn, NY who prioritize treating:

94% Anxiety
89% Depression
82% Relationship Issues
77% Self Esteem
71% Trauma and PTSD
69% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
66% Cigna and Evernorth
65% UnitedHealthcare UHC | UBH

How Therapists in Brooklyn, NY see their clients

50% Online Only
50% In Person and Online

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Brooklyn?

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.