Therapists in Wellesley, MA

Photo of Susan J Noonan in Wellesley, MA
Susan J Noonan
MD, MPH, LLC
Verified Verified
Wellesley, MA 02482
Do you want to thrive rather than tolerate? Welcome to my virtual, private and discreet mental health and wellness coaching practice. I strive to support and guide those struggling with depression, bipolar disorder, stress, or anxiety to get back on their feet and on a path to recovery that they choose. I have firsthand lived experience and understand what a person wants and needs and the barriers you face in getting there.
Do you want to thrive rather than tolerate? Welcome to my virtual, private and discreet mental health and wellness coaching practice. I strive to support and guide those struggling with depression, bipolar disorder, stress, or anxiety to get back on their feet and on a path to recovery that they choose. I have firsthand lived experience and understand what a person wants and needs and the barriers you face in getting there.
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Photo of Alex Harris, Pre-Licensed Professional in Wellesley, MA
Alex Harris
Pre-Licensed Professional, MA
Verified Verified
Wellesley, MA 02482
I am passionate about creating a supportive, non-judgmental, and safe environment where my clients feel empowered to explore their thoughts, emotions, and struggles. I firmly believe in the collaborative nature of therapy. Building trust and fostering a positive therapeutic relationship are vital components of a successful therapeutic experience. I work with children, teens, young adults, and families, and I specialize in treating depression, anxiety, relational issues, trauma, life transitions, and grief.
I am passionate about creating a supportive, non-judgmental, and safe environment where my clients feel empowered to explore their thoughts, emotions, and struggles. I firmly believe in the collaborative nature of therapy. Building trust and fostering a positive therapeutic relationship are vital components of a successful therapeutic experience. I work with children, teens, young adults, and families, and I specialize in treating depression, anxiety, relational issues, trauma, life transitions, and grief.
(774) 772-5192 View (774) 772-5192
Photo of Kathleen MacNaughton, Psychologist in Wellesley, MA
Kathleen MacNaughton
Psychologist, PhD
Verified Verified
Wellesley, MA 02482
Not accepting new clients
Ready to find peace with specific problems you face or make changes that will alter how you feel about yourself, your life and your relationships? Therapy involves a large commitment of time, money and energy, so finding a therapist you match well with is essential. My approach is very interactive, supportive and engaged. My first goal is to help you shed light on issues you may be struggling with. Next, we actively work to make expedient changes that will qualitatively change the way you feel on a daily basis with yourself and in your relationships.
Ready to find peace with specific problems you face or make changes that will alter how you feel about yourself, your life and your relationships? Therapy involves a large commitment of time, money and energy, so finding a therapist you match well with is essential. My approach is very interactive, supportive and engaged. My first goal is to help you shed light on issues you may be struggling with. Next, we actively work to make expedient changes that will qualitatively change the way you feel on a daily basis with yourself and in your relationships.
(617) 702-2505 View (617) 702-2505
Photo of Lisa Bearak Shuman, Clinical Social Work/Therapist in Wellesley, MA
Lisa Bearak Shuman
Clinical Social Work/Therapist, MSW, LICSW, BCD, QCSW, ACC
Verified Verified
Wellesley, MA 02482
I provide clients with a safe, supportive & respectful therapy/coaching experience. I’m there to listen. They can share “stories, past, present, life stresses/transition, mental health issues, family/couples goals” etc. I build upon clients strengths as we work together to achieve their goals. As a therapist & life coach I strive to provide my clients with a positive experience. Treatment concludes with them feeling better about themselves & having met "their goals”. The passion I felt when chose this field, early on in high school, still remains:). Through challenging times I’m grateful to be here, to help those in need.
I provide clients with a safe, supportive & respectful therapy/coaching experience. I’m there to listen. They can share “stories, past, present, life stresses/transition, mental health issues, family/couples goals” etc. I build upon clients strengths as we work together to achieve their goals. As a therapist & life coach I strive to provide my clients with a positive experience. Treatment concludes with them feeling better about themselves & having met "their goals”. The passion I felt when chose this field, early on in high school, still remains:). Through challenging times I’m grateful to be here, to help those in need.
(857) 342-3268 View (857) 342-3268
Photo of Kristin Rajala, Psychologist in Wellesley, MA
Kristin Rajala
Psychologist, PsyD
Verified Verified
Wellesley, MA 02481
I thoroughly enjoy working with patients across the lifespan to address a wide range of behavioral health concerns (mental health, substance use, and physical health conditions). I have particular specialty in treating physical health conditions through psychological interventions including chronic pain and medically unexplained physical symptoms; however, I support clients with an array of other presenting concerns (Depression, Anxiety, Grief, Stress). My clients are often seeking active support in making meaningful changes in their personal, work, or social lives and relationships.
I thoroughly enjoy working with patients across the lifespan to address a wide range of behavioral health concerns (mental health, substance use, and physical health conditions). I have particular specialty in treating physical health conditions through psychological interventions including chronic pain and medically unexplained physical symptoms; however, I support clients with an array of other presenting concerns (Depression, Anxiety, Grief, Stress). My clients are often seeking active support in making meaningful changes in their personal, work, or social lives and relationships.
(781) 390-9981 View (781) 390-9981
Photo of Dr. Magdalena J Fosse, Psychologist in Wellesley, MA
Dr. Magdalena J Fosse
Psychologist, MA, MS, PsyD, CST
Verified Verified
1 Endorsed
Wellesley, MA 02481
Step into a world where expertise meets compassion, where questions about sexuality, intimacy, and identity find their answers. In my practice, I blend the wisdom of a clinical psychologist, a certified sex therapist, and a couples counselor, crafting a space where monogamous or nonmonogamous individuals of all genders and orientations can explore their deepest desires and challenges. Whether you're wrestling with issues of trauma, betrayal, or the complexities of eroticism, I'm here to guide you. I'm also an author, consultant, and educator committed to sharing insights and empowering others to cultivate fulfilling relationships.
Step into a world where expertise meets compassion, where questions about sexuality, intimacy, and identity find their answers. In my practice, I blend the wisdom of a clinical psychologist, a certified sex therapist, and a couples counselor, crafting a space where monogamous or nonmonogamous individuals of all genders and orientations can explore their deepest desires and challenges. Whether you're wrestling with issues of trauma, betrayal, or the complexities of eroticism, I'm here to guide you. I'm also an author, consultant, and educator committed to sharing insights and empowering others to cultivate fulfilling relationships.
(857) 362-0937 View (857) 362-0937
Photo of Sarah E Hines, Psychologist in Wellesley, MA
Sarah E Hines
Psychologist, PsyD, MEd
Verified Verified
Wellesley, MA 02481  (Online Only)
Dr. Sarah E. Hines is a licensed clinical psychologist who specializes in working with emerging adults, adolescents, and adults. Her warm and collaborative approach integrates a variety of therapeutic modalities including CBT, DBT, Mindfulness, Psychodynamic, Humanistic, ACT, and Emotion-Focused Therapy to meet each individual's needs. Her work involves helping clients to develop a cohesive sense of self and create a life worth living through partnership, curiosity, understanding, and perseverance.
Dr. Sarah E. Hines is a licensed clinical psychologist who specializes in working with emerging adults, adolescents, and adults. Her warm and collaborative approach integrates a variety of therapeutic modalities including CBT, DBT, Mindfulness, Psychodynamic, Humanistic, ACT, and Emotion-Focused Therapy to meet each individual's needs. Her work involves helping clients to develop a cohesive sense of self and create a life worth living through partnership, curiosity, understanding, and perseverance.
(781) 488-5095 View (781) 488-5095
Photo of Trina B. Zilla, Psychologist in Wellesley, MA
Trina B. Zilla
Psychologist, PsyD
Verified Verified
Wellesley, MA 02481  (Online Only)
As a cognitive-behavioral psychologist, I help clients understand how thoughts directly impact feelings and behaviors. Clients and I will work together to identify the automatic thoughts that accompany feelings such as anxiety, sadness, frustration, and anger. When we're anxious or upset our thoughts are often inaccurate and overly negative. When we start listening to these thoughts we can learn to replace them with more accurate and constructive ones, ultimately resulting in more positive feelings and behaviors.
As a cognitive-behavioral psychologist, I help clients understand how thoughts directly impact feelings and behaviors. Clients and I will work together to identify the automatic thoughts that accompany feelings such as anxiety, sadness, frustration, and anger. When we're anxious or upset our thoughts are often inaccurate and overly negative. When we start listening to these thoughts we can learn to replace them with more accurate and constructive ones, ultimately resulting in more positive feelings and behaviors.
(781) 269-9329 View (781) 269-9329
Photo of Colleen E. McHorney, LICSW, LLC, Clinical Social Work/Therapist in Wellesley, MA
Colleen E. McHorney, LICSW, LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Wellesley, MA 02482  (Online Only)
Have you ever felt overwhelmed by feelings of fear, anxiety, anger or sadness and don't know why? Have you ever felt like no one is really listening or truly understands how you are feeling inside? While taking the first step toward seeking help can be difficult, I believe finding a therapist who is the right fit for you can make all the difference. I would describe myself as a caring, genuine and candid therapist with a grounded, supportive and direct style that provides a calming environment, allowing you to feel comfortable and at ease in discussing your personal issues.
Have you ever felt overwhelmed by feelings of fear, anxiety, anger or sadness and don't know why? Have you ever felt like no one is really listening or truly understands how you are feeling inside? While taking the first step toward seeking help can be difficult, I believe finding a therapist who is the right fit for you can make all the difference. I would describe myself as a caring, genuine and candid therapist with a grounded, supportive and direct style that provides a calming environment, allowing you to feel comfortable and at ease in discussing your personal issues.
(857) 576-5779 View (857) 576-5779
Photo of Ashley O'Dell, Clinical Social Work/Therapist in Wellesley, MA
Ashley O'Dell
Clinical Social Work/Therapist, LICSW
Verified Verified
Wellesley, MA 02481
I have a passion for working with adults who are healing from trauma; members of the LGBTQIA+ community; artists and creatives; and suicide loss survivors.
I have a passion for working with adults who are healing from trauma; members of the LGBTQIA+ community; artists and creatives; and suicide loss survivors.
(781) 731-1804 View (781) 731-1804
Photo of Sara Meldon, Psychologist in Wellesley, MA
Sara Meldon
Psychologist, PsyD
Verified Verified
Wellesley, MA 02481  (Online Only)
I work with adults (18+) who have difficulty managing their emotions and who struggle with depression, anxiety, interpersonal problems, and problems functioning at work or school. I provide evidence-based treatments including Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) to help my clients change ineffective behavioral patterns, develop more helpful ways of thinking, and accept difficult realities to build the lives they want. I also see clients with Perinatal Mood and Anxiety Disorders through all stages of the pregnancy and parenthood process.
I work with adults (18+) who have difficulty managing their emotions and who struggle with depression, anxiety, interpersonal problems, and problems functioning at work or school. I provide evidence-based treatments including Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) to help my clients change ineffective behavioral patterns, develop more helpful ways of thinking, and accept difficult realities to build the lives they want. I also see clients with Perinatal Mood and Anxiety Disorders through all stages of the pregnancy and parenthood process.
(339) 331-1709 View (339) 331-1709
Photo of Jamara Possemato, Clinical Social Work/Therapist in Wellesley, MA
Jamara Possemato
Clinical Social Work/Therapist, LICSW
Verified Verified
Wellesley, MA 02481  (Online Only)
Jamara graduated with her undergraduate degree in Community Psychology at the University of Washington, and graduated with her master’s degree in Social Work from Simmons University. She has experience working with adults to address anxiety, depression, trauma, grief/loss, relational challenges, and chronic medical diagnoses. Jamara enjoys working with all adults from diverse backgrounds, and firmly believes in the importance of collaboration in the therapeutic relationship. She meets with all her clients through a strengths-based and holistic lens, and from a place of compassion and empathy to facilitate healing and growth.
Jamara graduated with her undergraduate degree in Community Psychology at the University of Washington, and graduated with her master’s degree in Social Work from Simmons University. She has experience working with adults to address anxiety, depression, trauma, grief/loss, relational challenges, and chronic medical diagnoses. Jamara enjoys working with all adults from diverse backgrounds, and firmly believes in the importance of collaboration in the therapeutic relationship. She meets with all her clients through a strengths-based and holistic lens, and from a place of compassion and empathy to facilitate healing and growth.
(781) 476-7856 View (781) 476-7856
Photo of Archer Angels Family Services, LLC, Counselor in Wellesley, MA
Archer Angels Family Services, LLC
Counselor, MEd, LMHC
Verified Verified
Wellesley, MA 02481
We strive to motivate participants to overcome life’s challenges. Feeling stressed, frustrated or overwhelmed? Is COVID-19 related changes impacting your life in anyway? Whether some of these apply to you or a loved one, WE CAN HELP! This practice encourages positive lifestyle changes. Therapeutic interventions may assist you cope, adjust and make progress. We pride ourselves on our honest commitment to support our clients reach their goals at any age.
We strive to motivate participants to overcome life’s challenges. Feeling stressed, frustrated or overwhelmed? Is COVID-19 related changes impacting your life in anyway? Whether some of these apply to you or a loved one, WE CAN HELP! This practice encourages positive lifestyle changes. Therapeutic interventions may assist you cope, adjust and make progress. We pride ourselves on our honest commitment to support our clients reach their goals at any age.
(857) 424-3154 View (857) 424-3154
Photo of Sarah Bell, Clinical Social Work/Therapist in Wellesley, MA
Sarah Bell
Clinical Social Work/Therapist, LICSW
Verified Verified
Wellesley, MA 02481
If you or your family members are experiencing depression, anxiety or relationship issues, whether from a painful or traumatic history or more recent difficulties, I would like to help. Through talking we begin to understand, become less alone with our pain, and build a bridge to recovery. I welcome working with adults from diverse backgrounds, from various cultures and at different points in their healing process. My method is to blend the more traditional psychodynamic approach with concrete strategies. The tools I use are mostly derived from Cognitive-Behavioral Therapy (CBT), Internal Family Systems Model (IFS), and EMDR.
If you or your family members are experiencing depression, anxiety or relationship issues, whether from a painful or traumatic history or more recent difficulties, I would like to help. Through talking we begin to understand, become less alone with our pain, and build a bridge to recovery. I welcome working with adults from diverse backgrounds, from various cultures and at different points in their healing process. My method is to blend the more traditional psychodynamic approach with concrete strategies. The tools I use are mostly derived from Cognitive-Behavioral Therapy (CBT), Internal Family Systems Model (IFS), and EMDR.
(617) 917-3759 View (617) 917-3759
Photo of Jessica Buttner, Clinical Social Work/Therapist in Wellesley, MA
Jessica Buttner
Clinical Social Work/Therapist, LICSW
Verified Verified
Wellesley, MA 02482
I am a Licensed Independent Clinical Social Worker in the state of Massachusetts with over 15 years of clinical experience providing services in English and Spanish in a number of school and community-based settings in the Boston area, and in various locations in Latin America. I love working with adolescents, young adults, and families. I have experience partnering with people experiencing depression. anxiety, trauma ADHD, identity issues, relational challenges and stressors that arise from life transitions.
I am a Licensed Independent Clinical Social Worker in the state of Massachusetts with over 15 years of clinical experience providing services in English and Spanish in a number of school and community-based settings in the Boston area, and in various locations in Latin America. I love working with adolescents, young adults, and families. I have experience partnering with people experiencing depression. anxiety, trauma ADHD, identity issues, relational challenges and stressors that arise from life transitions.
(774) 338-3241 View (774) 338-3241
Photo of Dr. Julia Braunstein, Psychologist in Wellesley, MA
Dr. Julia Braunstein
Psychologist, PsyD
Verified Verified
Wellesley, MA 02482
I am a licensed Clinical Psychologist with experience working with young children through adulthood. I have worked in a variety of settings and have experience providing outpatient therapy, school-based counseling services, and neuropsychological testing. My experience includes a wide variety of ages and symptom presentation. I use an eclectic approach and believe that each individual deserves specialized treatment based on their presentation and goals. I incorporate elements of Psychodynamic, Mindfulness, Motivational Interviewing, Exposure and Response Prevision, Cognitive-Behavioral Therapy, and Solution-Focused Therapy.
I am a licensed Clinical Psychologist with experience working with young children through adulthood. I have worked in a variety of settings and have experience providing outpatient therapy, school-based counseling services, and neuropsychological testing. My experience includes a wide variety of ages and symptom presentation. I use an eclectic approach and believe that each individual deserves specialized treatment based on their presentation and goals. I incorporate elements of Psychodynamic, Mindfulness, Motivational Interviewing, Exposure and Response Prevision, Cognitive-Behavioral Therapy, and Solution-Focused Therapy.
(774) 344-3793 View (774) 344-3793
Photo of Sheila DeMelle, Clinical Social Work/Therapist in Wellesley, MA
Sheila DeMelle
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Wellesley, MA 02481
Waitlist for new clients
Do you want to find a therapist who is attentive, respectful, empathic and effective? Are you struggling with feelings of deep sadness or anxiety? Do you find certain issues in your life overwhelming? I will provide a safe and non-judgmental environment for you to talk comfortably about your problems, challenges, hopes and goals. I enjoy developing warm and trusting relationships with my clients, and believe that you deserve to be happier.
Do you want to find a therapist who is attentive, respectful, empathic and effective? Are you struggling with feelings of deep sadness or anxiety? Do you find certain issues in your life overwhelming? I will provide a safe and non-judgmental environment for you to talk comfortably about your problems, challenges, hopes and goals. I enjoy developing warm and trusting relationships with my clients, and believe that you deserve to be happier.
(617) 383-9942 View (617) 383-9942
Jaclyn Gray
Clinical Social Work/Therapist, LCSW, C-DBT
Verified Verified
1 Endorsed
Wellesley, MA 02482
I hope to support you and be an agent of change in your life as you identify and build upon your strength and resilience. I have experience working with all ages using a trauma informed lens while reinforcing interventions and tools with psychoeducation. I feel confident supporting clients struggling with anxiety, depression, ADHD, complex trauma as well as challenges with self-esteem. I have experience working with survivors of sexual abuse and childhood abuse.
I hope to support you and be an agent of change in your life as you identify and build upon your strength and resilience. I have experience working with all ages using a trauma informed lens while reinforcing interventions and tools with psychoeducation. I feel confident supporting clients struggling with anxiety, depression, ADHD, complex trauma as well as challenges with self-esteem. I have experience working with survivors of sexual abuse and childhood abuse.
(339) 217-9978 View (339) 217-9978
Photo of Amy Harkins, Counselor in Wellesley, MA
Amy Harkins
Counselor, MA, LMHC
Verified Verified
Wellesley, MA 02482
I have been a licensed Mental Health Counselor for 20 years, with a holistic approach to look at the individual's functioning in all aspects of their life. I will work with you to identify obstacles that are preventing you from having a happy and healthy lifestyle and develop a plan to achieve your personal goals. Some of the areas I focus on include family conflicts, relationship issues, sports psychology, self-esteem, depression and anxiety.
I have been a licensed Mental Health Counselor for 20 years, with a holistic approach to look at the individual's functioning in all aspects of their life. I will work with you to identify obstacles that are preventing you from having a happy and healthy lifestyle and develop a plan to achieve your personal goals. Some of the areas I focus on include family conflicts, relationship issues, sports psychology, self-esteem, depression and anxiety.
(617) 997-4052 View (617) 997-4052
Photo of Irena Cafasso, Counselor in Wellesley, MA
Irena Cafasso
Counselor, LMHC
Verified Verified
Wellesley, MA 02482  (Online Only)
I offer a warm, compassionate and approachable environment with hope that each client has chance to be exactly who they are in the moment. I give each client my fullest, as I believe the power of being truly heard and seen without judgement. I believe that therapy is not necessarily about trying to fix oneself or fix one’s life, but an act of self-care. And, that increased self-awareness and self-compassion, both greatly contribute to healthier life and inner peace.
I offer a warm, compassionate and approachable environment with hope that each client has chance to be exactly who they are in the moment. I give each client my fullest, as I believe the power of being truly heard and seen without judgement. I believe that therapy is not necessarily about trying to fix oneself or fix one’s life, but an act of self-care. And, that increased self-awareness and self-compassion, both greatly contribute to healthier life and inner peace.
(339) 218-3448 View (339) 218-3448

How does your Therapist compare?

Number of Therapists in Wellesley, MA

400+

Average cost per session

$200

Therapists in Wellesley, MA who prioritize treating:

94% Anxiety
87% Depression
78% Relationship Issues
74% Self Esteem
66% Coping Skills
65% Stress
62% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
52% Aetna
50% UnitedHealthcare UHC | UBH

How Therapists in Wellesley, MA see their clients

64% In Person and Online
36% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Wellesley?

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.