Therapists in Garrettsville, OH

Photo of Jamie Sitko, Counselor in Garrettsville, OH
Jamie Sitko
Counselor, M, Ed, LPCC
Verified Verified
1 Endorsed
Garrettsville, OH 44231
For counseling to be successful, the client-counselor relationship must be safe, supportive, respectful, compassionate, trusting, and confidential. Our relationship must be a safe haven in order to discuss concerns and to explore ways to realize growth, healing, and a whole and healthy way of being. Our work together is based upon my deep respect for your innate strengths, building upon what is already successful for you. My approach to therapy, and its length, will depend on your particular needs and goals. Together we can identify the problems and potential solutions in a straightforward and understandable manner.
For counseling to be successful, the client-counselor relationship must be safe, supportive, respectful, compassionate, trusting, and confidential. Our relationship must be a safe haven in order to discuss concerns and to explore ways to realize growth, healing, and a whole and healthy way of being. Our work together is based upon my deep respect for your innate strengths, building upon what is already successful for you. My approach to therapy, and its length, will depend on your particular needs and goals. Together we can identify the problems and potential solutions in a straightforward and understandable manner.
(330) 536-7020 View (330) 536-7020

More Therapists Nearby

Photo of Stephanie Burbridge, Counselor in Garrettsville, OH
Stephanie Burbridge
Counselor, MEd, LPCC-S
Verified Verified
Mantua, OH 44255  (Online Only)
My name is Stephanie Burbridge, and I am a Licensed Professional Clinical Counselor. I have a Master's in Clinical Mental Health Counseling, and I have enjoyed working in various settings over the last 9 years. My current practice helps individuals with anxiety, depression, stress, and trauma take control of their symptoms and improve their overall quality of life.
My name is Stephanie Burbridge, and I am a Licensed Professional Clinical Counselor. I have a Master's in Clinical Mental Health Counseling, and I have enjoyed working in various settings over the last 9 years. My current practice helps individuals with anxiety, depression, stress, and trauma take control of their symptoms and improve their overall quality of life.
(216) 350-1081 View (216) 350-1081
Photo of Ron Leonard, Counselor in Garrettsville, OH
Ron Leonard
Counselor, PCC, MBA
Verified Verified
Chagrin Falls, OH 44023
I am a Christian Counselor seeing clients for marital, emotional, and family issues. I like to work with serious and deep issues in a safe and laid-back atmosphere. I've been doing this for eight years and enjoy it immensely. I use primarily Cognitive-Behavioral and Biblical approaches to get to the root of your issues so they can be dealt with convincingly. It is hard to believe, but the things you have carried around for YEARS can be minimized and often resolved. Some work is required, but results are a lot more possible than they presently feel.
I am a Christian Counselor seeing clients for marital, emotional, and family issues. I like to work with serious and deep issues in a safe and laid-back atmosphere. I've been doing this for eight years and enjoy it immensely. I use primarily Cognitive-Behavioral and Biblical approaches to get to the root of your issues so they can be dealt with convincingly. It is hard to believe, but the things you have carried around for YEARS can be minimized and often resolved. Some work is required, but results are a lot more possible than they presently feel.
(440) 709-8082 View (440) 709-8082
Photo of Josie Platt, Clinical Social Work/Therapist in Garrettsville, OH
Josie Platt
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
Hiram, OH 44234  (Online Only)
I have been working with teens, children, families and adults since 1988. I believe in warmly supporting my clients through the struggles and traumas of life. I use a variety of theoretical approaches, as therapy is not a one size fits all medium. I have worked in In-Patient settings as well as Out-Patient settings. My goal for my clients is that I am able to provide them with a safe and supportive environment where together we can explore their hopes, needs, and possibilities so they are able to move forward towards a better, kinder and gentler path in life.
I have been working with teens, children, families and adults since 1988. I believe in warmly supporting my clients through the struggles and traumas of life. I use a variety of theoretical approaches, as therapy is not a one size fits all medium. I have worked in In-Patient settings as well as Out-Patient settings. My goal for my clients is that I am able to provide them with a safe and supportive environment where together we can explore their hopes, needs, and possibilities so they are able to move forward towards a better, kinder and gentler path in life.
(440) 635-3856 View (440) 635-3856
Photo of LifeTime Impact Counseling: Gail Papay, MEd, LPCC, Counselor in Garrettsville, OH
LifeTime Impact Counseling: Gail Papay, MEd, LPCC
Counselor, MEd, LPCC
Verified Verified
Hiram, OH 44234
As a Licensed Professional Clinical Counselor, I am committed to providing a safe environment where self-exploration and insight is achieved; to offering the support and empathy necessary for clients to resolve their own problems; to enabling clients to empower themselves with confidence to reach their own self-defined goals and potentials.
As a Licensed Professional Clinical Counselor, I am committed to providing a safe environment where self-exploration and insight is achieved; to offering the support and empathy necessary for clients to resolve their own problems; to enabling clients to empower themselves with confidence to reach their own self-defined goals and potentials.
(440) 703-6885 View (440) 703-6885
Photo of Collaborative Counseling, Counselor in Garrettsville, OH
Collaborative Counseling
Counselor, LPCC
Verified Verified
Hiram, OH 44234
I am independently licensed through the state of Ohio to counsel all diagnosis. I specialize in Depression, Anxiety, Grief, Career, Relationships, and Adventure Therapies. All inquiries are kept confidential and comply with HIPAA regulations. You can expect most of your counseling sessions to last about an hour. You'll be involved in your treatment process. We'll combine the knowledge you have of yourself with my knowledge of counseling techniques and psychology to assist you in overcoming obstacles, so you can attain your goals.
I am independently licensed through the state of Ohio to counsel all diagnosis. I specialize in Depression, Anxiety, Grief, Career, Relationships, and Adventure Therapies. All inquiries are kept confidential and comply with HIPAA regulations. You can expect most of your counseling sessions to last about an hour. You'll be involved in your treatment process. We'll combine the knowledge you have of yourself with my knowledge of counseling techniques and psychology to assist you in overcoming obstacles, so you can attain your goals.
(234) 230-6322 View (234) 230-6322
Photo of Marsha E Ferrick, PhD, BCC, Psychologist in Garrettsville, OH
Marsha E Ferrick, PhD, BCC
Psychologist, PhD, BCC
Verified Verified
Mantua, OH 44255  (Online Only)
I specialize in Deep Transformational Coaching (DTC). DTC is not for the faint of heart. DTC is for you only if you want to change. DTC is a powerful process that inspires you to live the awesome life you desire. DTC supports you in...Heightening your self-awareness, and connecting with your deepest inner self. Communicating meaningfully with others. Creating the life you want.
I specialize in Deep Transformational Coaching (DTC). DTC is not for the faint of heart. DTC is for you only if you want to change. DTC is a powerful process that inspires you to live the awesome life you desire. DTC supports you in...Heightening your self-awareness, and connecting with your deepest inner self. Communicating meaningfully with others. Creating the life you want.
(928) 437-1932 View (928) 437-1932

Online Therapists

Photo of Todd Esterburg, Clinical Social Work/Therapist in Garrettsville, OH
Todd Esterburg
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
1 Endorsed
Rocky River, OH 44116
The majority of us experience difficulties in our lives, but the experiences themselves can be very personal and unique. The key principles of Cognitive Behavioral Therapy (the impact that our feelings, thoughts, and actions have on each other) can be life changing when embraced. CBT teaches us to be better stewards of ourselves and allows us to take charge of feeling better and maintaining our improvements after we've achieved them with our changed perspective and skill set. I’m an approachable professional who can help. I encourage you to call, text, or email me to see if we may be a good fit for your change process.
The majority of us experience difficulties in our lives, but the experiences themselves can be very personal and unique. The key principles of Cognitive Behavioral Therapy (the impact that our feelings, thoughts, and actions have on each other) can be life changing when embraced. CBT teaches us to be better stewards of ourselves and allows us to take charge of feeling better and maintaining our improvements after we've achieved them with our changed perspective and skill set. I’m an approachable professional who can help. I encourage you to call, text, or email me to see if we may be a good fit for your change process.
(216) 224-9230 View (216) 224-9230
Photo of Melanie Tabak, Licensed Professional Counselor in Garrettsville, OH
Melanie Tabak
Licensed Professional Counselor, LPC
Verified Verified
Akron, OH 44333
Hi! I am a Licensed Professional Counselor who works alongside you to approach all problems with empathy, non-judgement and mindfulness. My specialties include couples therapy and trauma, but also have a lot of experience with depression, anxiety, religious deconstruction/trauma. I hope to help you explore meaning through trauma, grief and life transitions, and help you process through emotions using an evidence-based practice, including existential/humanistic techniques, ACT and EMDR. For couples therapy, I focus on helping couples develop a deeper bond, and communicate with one another, using Emotion-Focused Therapy.
Hi! I am a Licensed Professional Counselor who works alongside you to approach all problems with empathy, non-judgement and mindfulness. My specialties include couples therapy and trauma, but also have a lot of experience with depression, anxiety, religious deconstruction/trauma. I hope to help you explore meaning through trauma, grief and life transitions, and help you process through emotions using an evidence-based practice, including existential/humanistic techniques, ACT and EMDR. For couples therapy, I focus on helping couples develop a deeper bond, and communicate with one another, using Emotion-Focused Therapy.
(234) 224-1983 View (234) 224-1983
Photo of Kayla D McNeil, Pre-Licensed Professional in Garrettsville, OH
Kayla D McNeil
Pre-Licensed Professional
Verified Verified
Beachwood, OH 44122
As a licensed social worker in training, I am dedicated to providing compassionate and evidence-based therapy to support individuals in achieving their personal growth and mental health goals. My approach is collaborative and client-centered, focusing on creating a safe and supportive environment for exploring and addressing emotional challenges. I believe in the power of therapy to foster self-awareness, resilience, and healing. I am committed to continually expanding my knowledge and skills to best serve my clients and help them navigate their unique paths toward wellness.
As a licensed social worker in training, I am dedicated to providing compassionate and evidence-based therapy to support individuals in achieving their personal growth and mental health goals. My approach is collaborative and client-centered, focusing on creating a safe and supportive environment for exploring and addressing emotional challenges. I believe in the power of therapy to foster self-awareness, resilience, and healing. I am committed to continually expanding my knowledge and skills to best serve my clients and help them navigate their unique paths toward wellness.
(216) 616-3312 View (216) 616-3312
Photo of Karryl J Lindsey, Clinical Social Work/Therapist in Garrettsville, OH
Karryl J Lindsey
Clinical Social Work/Therapist, MSSA, LISW-S, LICDC-S, SAP
Verified Verified
Cleveland Heights, OH 44118
I very much enjoy working with children, teens, adults, couples and families. I specialize in working with individuals/families challenged in their relationships and choices due to a difficulty in identifying and sharing their thoughts and emotions appropriately. I enjoy assisting clients in addressing issues and/or emotions that have caused problems in one's relationships in the home, community, and/or the workplace. Those impacted by substance abuse, both individually or as a family member are also welcomed. Other areas of focus include grief recovery, anger management; faith-based; ADHD; and whatever challenges you in life.
I very much enjoy working with children, teens, adults, couples and families. I specialize in working with individuals/families challenged in their relationships and choices due to a difficulty in identifying and sharing their thoughts and emotions appropriately. I enjoy assisting clients in addressing issues and/or emotions that have caused problems in one's relationships in the home, community, and/or the workplace. Those impacted by substance abuse, both individually or as a family member are also welcomed. Other areas of focus include grief recovery, anger management; faith-based; ADHD; and whatever challenges you in life.
(216) 672-5462 View (216) 672-5462
Photo of Racheal Wilson, Licensed Professional Counselor in Garrettsville, OH
Racheal Wilson
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Mentor, OH 44060
Racheal Wilson (she/her) is a Licensed Professional Counselor (LPC) who is supervised by Michael Pollak, PCC-S. She provides individual counseling to adolescents (16+) and adults. Her areas of focus include bipolar disorder, dual-diagnosis, substance-use disorders, schizophrenia spectrum and other psychotic disorders, complex trauma, and post-traumatic stress disorder.
Racheal Wilson (she/her) is a Licensed Professional Counselor (LPC) who is supervised by Michael Pollak, PCC-S. She provides individual counseling to adolescents (16+) and adults. Her areas of focus include bipolar disorder, dual-diagnosis, substance-use disorders, schizophrenia spectrum and other psychotic disorders, complex trauma, and post-traumatic stress disorder.
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Photo of Kara Klein, Counselor in Garrettsville, OH
Kara Klein
Counselor, PCC
Verified Verified
Akron, OH 44333
In my practice I develop a trusting, professional relationship with the client. Many of the issues they present with include depression, anxiety, relationship conflict, grief, feelings of being overwhelmed, unhealthy coping skills and overall life dissatisfaction. I work best with a client ready to accept responsibility to feel better.
In my practice I develop a trusting, professional relationship with the client. Many of the issues they present with include depression, anxiety, relationship conflict, grief, feelings of being overwhelmed, unhealthy coping skills and overall life dissatisfaction. I work best with a client ready to accept responsibility to feel better.
(234) 407-0893 View (234) 407-0893
Photo of Derek Stegner, Licensed Professional Clinical Counselor in Garrettsville, OH
Derek Stegner
Licensed Professional Clinical Counselor , LPCC
Verified Verified
Hudson, OH 44236  (Online Only)
I have many years of experience working with early childhood trauma and severe, persistent mental illness, varying from ages of 5 years to 70+. My goal is to empower and advocate for positive change within you, as the individual, and the system as a whole. The place that we will create together is a safe and judgement free space. I work through an Existential foundation, to help those I work with seek meaning and purpose, with skills built from experience with Dialectical Behavior Therapy, Solution-Focused Brief Therapy, and Cognitive Behavior Therapy, all within the context of a trauma-informed approach.
I have many years of experience working with early childhood trauma and severe, persistent mental illness, varying from ages of 5 years to 70+. My goal is to empower and advocate for positive change within you, as the individual, and the system as a whole. The place that we will create together is a safe and judgement free space. I work through an Existential foundation, to help those I work with seek meaning and purpose, with skills built from experience with Dialectical Behavior Therapy, Solution-Focused Brief Therapy, and Cognitive Behavior Therapy, all within the context of a trauma-informed approach.
(330) 359-1833 View (330) 359-1833
Photo of LeeAnn Parker, Clinical Social Work/Therapist in Garrettsville, OH
LeeAnn Parker
Clinical Social Work/Therapist, LSW
Verified Verified
Westlake, OH 44145
My goal as a therapist is to offer a place where you feel comfortable, confident, validated, and empowered. Therapy is a collaborative effort between client and therapist, and it is essential that you feel you are a part of your treatment. My therapy approach includes using a strengths-based perspective to focus on the whole of an individual and use that to assist them in their therapeutic journey.
My goal as a therapist is to offer a place where you feel comfortable, confident, validated, and empowered. Therapy is a collaborative effort between client and therapist, and it is essential that you feel you are a part of your treatment. My therapy approach includes using a strengths-based perspective to focus on the whole of an individual and use that to assist them in their therapeutic journey.
(440) 335-6169 View (440) 335-6169
Photo of Tory Trimble, Counselor in Garrettsville, OH
Tory Trimble
Counselor, MA, LPCC, RYT-200
Verified Verified
3 Endorsed
Akron, OH 44304  (Online Only)
Hi, I'm Tory! I've been a mental health professional for several years and have experience working with people from a broad range of backgrounds, cultures, ages, and presenting concerns. I am especially passionate about, and skilled in, working with young adults and folks in the LGBTQIA+ and polyamorous/ENM communities (both of which are identities I hold myself). I strive to show up in session as my authentic self, and bring curiosity, kindness, and humor to my work. I am endlessly grateful to have the privilege of walking alongside clients every day, and to be a part of supporting their healing and growth.
Hi, I'm Tory! I've been a mental health professional for several years and have experience working with people from a broad range of backgrounds, cultures, ages, and presenting concerns. I am especially passionate about, and skilled in, working with young adults and folks in the LGBTQIA+ and polyamorous/ENM communities (both of which are identities I hold myself). I strive to show up in session as my authentic self, and bring curiosity, kindness, and humor to my work. I am endlessly grateful to have the privilege of walking alongside clients every day, and to be a part of supporting their healing and growth.
(740) 842-7885 View (740) 842-7885
Photo of Bridgett Holzheimer, Licensed Professional Clinical Counselor in Garrettsville, OH
Bridgett Holzheimer
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Chagrin Falls, OH 44023
Bridgett Holzheimer earned her master’s degree in community counseling at John Carroll University in 2006. She has worked as a Licensed Professional Counselor for about 18 years in different environments that include agency, hospital, private practice, and telehealth platforms. Bridgett embraces the multisystemic approach to therapy with the idea there are many solutions to living a better and healthier life. She enjoys using modalities that connect with her clients. Some examples of those modalities are cognitive behavioral therapy, dialectical behavioral therapy, mindfulness, motivational interviewing, grounding, empathetic, and c
Bridgett Holzheimer earned her master’s degree in community counseling at John Carroll University in 2006. She has worked as a Licensed Professional Counselor for about 18 years in different environments that include agency, hospital, private practice, and telehealth platforms. Bridgett embraces the multisystemic approach to therapy with the idea there are many solutions to living a better and healthier life. She enjoys using modalities that connect with her clients. Some examples of those modalities are cognitive behavioral therapy, dialectical behavioral therapy, mindfulness, motivational interviewing, grounding, empathetic, and c
(440) 276-5629 View (440) 276-5629
Photo of Jamye Cruse, Pre-Licensed Professional in Garrettsville, OH
Jamye Cruse
Pre-Licensed Professional, PhD
Verified Verified
3 Endorsed
Cleveland, OH 44113  (Online Only)
Hello, I'm Dr. Jamye Cruse, a psychologist practicing in Ohio. With a Ph.D. in Psychology, I specialize in providing compassionate care and evidence-based treatment for a range of mental health concerns, including anxiety, depression, personality disorders, post-traumatic stress disorder, and more. In my practice, I prioritize creating a safe and nurturing environment where you can feel truly heard and understood. My approach is collaborative and personalized.
Hello, I'm Dr. Jamye Cruse, a psychologist practicing in Ohio. With a Ph.D. in Psychology, I specialize in providing compassionate care and evidence-based treatment for a range of mental health concerns, including anxiety, depression, personality disorders, post-traumatic stress disorder, and more. In my practice, I prioritize creating a safe and nurturing environment where you can feel truly heard and understood. My approach is collaborative and personalized.
(440) 291-5924 View (440) 291-5924
Photo of Precious Reed, Clinical Social Work/Therapist in Garrettsville, OH
Precious Reed
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Beachwood, OH 44122  (Online Only)
It’s hard being a woman these days. Being a mother, a wife, and working full-time is not easy. You may feel burdened with household chores without receiving little to no recognition from your partner or family. While you work hard and are good at what you do inside, you feel low due to past hurts or failed relationships. I want you to know, that You are Worthy. My role is to help you navigate through your life’s challenges. Whether it is work, school, motherhood, relationships, or resolving the past, it does not matter. I will empower you to speak up without fear of how others may respond and help you to stop suffering in silence.
It’s hard being a woman these days. Being a mother, a wife, and working full-time is not easy. You may feel burdened with household chores without receiving little to no recognition from your partner or family. While you work hard and are good at what you do inside, you feel low due to past hurts or failed relationships. I want you to know, that You are Worthy. My role is to help you navigate through your life’s challenges. Whether it is work, school, motherhood, relationships, or resolving the past, it does not matter. I will empower you to speak up without fear of how others may respond and help you to stop suffering in silence.
(216) 877-8895 View (216) 877-8895
Photo of Lenore Heller, Psychologist in Garrettsville, OH
Lenore Heller
Psychologist, PhD
Not Verified Not Verified
Lakewood, OH 44107
I have been practicing in Lakewood for over 17 years. Prior to that, I was in New York, where I was Assistant Dean of psychology at Adelphi University in addition to my private practice . My style is both supportive and interactive. I will work with you to help you to understand yourself and to identify your life goals.
I have been practicing in Lakewood for over 17 years. Prior to that, I was in New York, where I was Assistant Dean of psychology at Adelphi University in addition to my private practice . My style is both supportive and interactive. I will work with you to help you to understand yourself and to identify your life goals.
(216) 772-1364 View (216) 772-1364

How does your Therapist compare?

Number of Therapists in Garrettsville, OH

< 10

Therapists in Garrettsville, OH who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Addiction
100% Child
100% ADHD
100% Chronic Pain

Average years in practice

14 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Garrettsville, OH see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Garrettsville?

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.