Therapists in Sanborn, NY

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Photo of Patty Mccalister, Counselor in Sanborn, NY
Patty Mccalister
Counselor, LMHC
Verified Verified
2 Endorsed
Amherst, NY 14228
On life's journey there can be bumps, hills and mountains for us to climb. At times, that climb may feel impossible and you may feel unable to do it alone. Reaching out for someone to help you move forward is not easy, it takes courage and strength. I would be honored to help you climb those bumps, hills and mountains. Together we can discover what you need to find inner peace and contentment.
On life's journey there can be bumps, hills and mountains for us to climb. At times, that climb may feel impossible and you may feel unable to do it alone. Reaching out for someone to help you move forward is not easy, it takes courage and strength. I would be honored to help you climb those bumps, hills and mountains. Together we can discover what you need to find inner peace and contentment.
(716) 740-3149 View (716) 740-3149
Photo of Christian Counseling Associates of Western NY, Counselor in Sanborn, NY
Christian Counseling Associates of Western NY
Counselor
Verified Verified
Niagara Falls, NY 14304
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website for a complete description of our faith based counseling services, locations, and counseling staff.
(716) 296-3556 View (716) 296-3556
Photo of Suzanne L Moxham, Clinical Social Work/Therapist in Sanborn, NY
Suzanne L Moxham
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Lockport, NY 14094
We sometimes find ourselves struggling with major life changes, day-to-day stressors, and physical health issues. These can lead to depression, anxiety, panic, and/or other negative feelings that can be overwhelming and cause disruption in day-to-day functioning and in relationships. Sometimes, these situations and feelings can even trigger traumas from the past, which can lead to further dysfunction. It can be a tough decision to take the step to call a therapist, but it can also be the first step towards taking back your life.
We sometimes find ourselves struggling with major life changes, day-to-day stressors, and physical health issues. These can lead to depression, anxiety, panic, and/or other negative feelings that can be overwhelming and cause disruption in day-to-day functioning and in relationships. Sometimes, these situations and feelings can even trigger traumas from the past, which can lead to further dysfunction. It can be a tough decision to take the step to call a therapist, but it can also be the first step towards taking back your life.
(716) 296-4999 View (716) 296-4999
Photo of Anna W McCarthy, Creative Arts Therapist in Sanborn, NY
Anna W McCarthy
Creative Arts Therapist, LCAT
Verified Verified
1 Endorsed
North Tonawanda, NY 14120
Hey there, my name is Anna. Have you been looking for a new approach to therapy? As an art therapist, I can help you slow down, explore and express yourself creatively (no artistic experience necessary), and be witness as you rediscover your brilliant, insightful and authentic self. Whether you choose to use art in our sessions or not, I am here to hold space for your big emotions, encourage you to express them, witness your growth, and celebrate in your wins. I will help you get back in touch with yourself, where all your answers are.
Hey there, my name is Anna. Have you been looking for a new approach to therapy? As an art therapist, I can help you slow down, explore and express yourself creatively (no artistic experience necessary), and be witness as you rediscover your brilliant, insightful and authentic self. Whether you choose to use art in our sessions or not, I am here to hold space for your big emotions, encourage you to express them, witness your growth, and celebrate in your wins. I will help you get back in touch with yourself, where all your answers are.
(716) 271-3657 View (716) 271-3657
Photo of Jessica Whitley, Counselor in Sanborn, NY
Jessica Whitley
Counselor, LMHC
Verified Verified
Lockport, NY 14094
I truly enjoy working with my clients to help them meet their goals. I have a very wide range of experience working with clients who have struggled with many challenges including anxiety, depression, PTSD, relationship stressors, ADHD, autism, relational and attachment trauma, and every day stress.
I truly enjoy working with my clients to help them meet their goals. I have a very wide range of experience working with clients who have struggled with many challenges including anxiety, depression, PTSD, relationship stressors, ADHD, autism, relational and attachment trauma, and every day stress.
(716) 281-5396 View (716) 281-5396
Photo of Justin Walck, Clinical Social Work/Therapist in Sanborn, NY
Justin Walck
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Lockport, NY 14094
Are you feeling anxious, depressed, stressed? Therapy can be a useful tool to help you gain awareness, understand emotions, learn new skills, and grow towards your individualized goals. I believe in utilizing a person-centered approach that emphasizes your inherent abilities and strengths to guide you through the process. I specialize in Cognitive Behavioral Therapy, Motivational Interviewing and Solution focused techniques to help you achieve your desired outcome. Over the last 10 years, I have served clients in a variety of practice settings.
Are you feeling anxious, depressed, stressed? Therapy can be a useful tool to help you gain awareness, understand emotions, learn new skills, and grow towards your individualized goals. I believe in utilizing a person-centered approach that emphasizes your inherent abilities and strengths to guide you through the process. I specialize in Cognitive Behavioral Therapy, Motivational Interviewing and Solution focused techniques to help you achieve your desired outcome. Over the last 10 years, I have served clients in a variety of practice settings.
(716) 333-5608 View (716) 333-5608
Photo of Kristine E Pieczonka, Clinical Social Work/Therapist in Sanborn, NY
Kristine E Pieczonka
Clinical Social Work/Therapist, LCSW
Verified Verified
Amherst, NY 14228
My goal is to provide each of my client's a safe space, a listening ear, honest recommendations and real strategies. Challenges differ, but each matter, my goal is to help each client face and overcome their individual challenges, to the best of their ability. I specialize in teenagers and their families; and the struggles and difficulties that are faced during this age.
My goal is to provide each of my client's a safe space, a listening ear, honest recommendations and real strategies. Challenges differ, but each matter, my goal is to help each client face and overcome their individual challenges, to the best of their ability. I specialize in teenagers and their families; and the struggles and difficulties that are faced during this age.
(716) 356-2147 View (716) 356-2147
Photo of Bryna R. May, Counselor in Sanborn, NY
Bryna R. May
Counselor, LPC, LMHC, CSAC, CSOTP
Verified Verified
2 Endorsed
North Tonawanda, NY 14120
Not accepting new clients
To be seen and known by others is an incredible feeling of connection but it means being authentic and vulnerable. Sadly, we live in a time with the illusion of connection while being more disconnected than ever. You may feel disconnected from others and even from yourself. Though you are a gift to this world, it is often blocked and unexpressed. This may leave you feeling alone and invisible. The truth is, you may be starving for deeper connection and that starvation looks like depression, anxiety, stress, and more. When you are living disconnected, you are abandoning yourself.
To be seen and known by others is an incredible feeling of connection but it means being authentic and vulnerable. Sadly, we live in a time with the illusion of connection while being more disconnected than ever. You may feel disconnected from others and even from yourself. Though you are a gift to this world, it is often blocked and unexpressed. This may leave you feeling alone and invisible. The truth is, you may be starving for deeper connection and that starvation looks like depression, anxiety, stress, and more. When you are living disconnected, you are abandoning yourself.
(716) 869-0074 View (716) 869-0074
Photo of Jillian Sternberg, Clinical Social Work/Therapist in Sanborn, NY
Jillian Sternberg
Clinical Social Work/Therapist, LMSW
Verified Verified
Lockport, NY 14094  (Online Only)
If you find yourself facing the aftermath of trauma, or navigating the intricate landscape of grief and loss, I am here to offer support and understanding. Whether you're seeking affirmation and a safe space to explore your LGBTQ+ identity or dealing with the challenges of depression, anxiety, personality disorders, or substance use, your needs and goals are my priority. From kids to seniors, my practice spans across generations. Each age group receives personalized support designed to address their specific life stages and challenges.
If you find yourself facing the aftermath of trauma, or navigating the intricate landscape of grief and loss, I am here to offer support and understanding. Whether you're seeking affirmation and a safe space to explore your LGBTQ+ identity or dealing with the challenges of depression, anxiety, personality disorders, or substance use, your needs and goals are my priority. From kids to seniors, my practice spans across generations. Each age group receives personalized support designed to address their specific life stages and challenges.
(716) 588-4547 View (716) 588-4547
Photo of WNY Holistic Counseling Center, Counselor in Sanborn, NY
WNY Holistic Counseling Center
Counselor, MA, LMHC
Verified Verified
Niagara Falls, NY 14301
Life can often be challenging. You may feel you've gotten "off track" and need some direction. You may be overwhelmed with things and don't know what to do or how to make it better. It may be starting to affect your relationships, and you don't know how to stop it. You may be wondering what's wrong with you and why this keeps happening, or whether you're depressed. Perhaps you're having panic attacks that come out of nowhere. Or maybe you seem to have developed social anxiety. Perhaps you just don't feel like yourself or aren't content with your life. You want things to be different, you just don't know how to make that happen. You might be wondering whether you're always going to feel this way. You've got a lot going for you, you've accomplished quite a bit, but it still feels like there's something missing. You're not sure what else to do. Most of us feel this way at some point in our lives. Especially when trying to handle the stress of life, relationships and the impact of certain events all at once.
Life can often be challenging. You may feel you've gotten "off track" and need some direction. You may be overwhelmed with things and don't know what to do or how to make it better. It may be starting to affect your relationships, and you don't know how to stop it. You may be wondering what's wrong with you and why this keeps happening, or whether you're depressed. Perhaps you're having panic attacks that come out of nowhere. Or maybe you seem to have developed social anxiety. Perhaps you just don't feel like yourself or aren't content with your life. You want things to be different, you just don't know how to make that happen. You might be wondering whether you're always going to feel this way. You've got a lot going for you, you've accomplished quite a bit, but it still feels like there's something missing. You're not sure what else to do. Most of us feel this way at some point in our lives. Especially when trying to handle the stress of life, relationships and the impact of certain events all at once.
(716) 271-0563 View (716) 271-0563
Photo of Angela J Docenko, Counselor in Sanborn, NY
Angela J Docenko
Counselor, LMHC
Verified Verified
1 Endorsed
Getzville, NY 14068
Hello Beautiful! Yes you! I believe every part of you is important & that you CAN find what you seek & achieve a balance. Sometimes we just need someone to listen. My ears are all yours! I strive to create a safe space for us to work together one step at a time, building a trusting relationship where we can explore your world, what you are experiencing & what you need. Together we will create a plan of treatment to help you achieve your goals! I have a varied & unique background of life experiences that I apply to my practice; & enjoy working with individuals from all walks of life.
Hello Beautiful! Yes you! I believe every part of you is important & that you CAN find what you seek & achieve a balance. Sometimes we just need someone to listen. My ears are all yours! I strive to create a safe space for us to work together one step at a time, building a trusting relationship where we can explore your world, what you are experiencing & what you need. Together we will create a plan of treatment to help you achieve your goals! I have a varied & unique background of life experiences that I apply to my practice; & enjoy working with individuals from all walks of life.
(716) 271-5830 View (716) 271-5830
Photo of Shannon Schmitt, Counselor in Sanborn, NY
Shannon Schmitt
Counselor, MS Ed, LMHC
Verified Verified
1 Endorsed
Lockport, NY 14094
I am a licensed mental health counselor with over 16 years experience working with individuals on a variety of needs. I have worked at an outpatient mental health clinic, in a therapeutic preschool, and, most recently, ran and directed a college counseling center. My past experiences include working with adults, families, students of all ages, and children as young as 3. I am currently working with adults and children as young as 12 but will consider younger children on a case by case basis.
I am a licensed mental health counselor with over 16 years experience working with individuals on a variety of needs. I have worked at an outpatient mental health clinic, in a therapeutic preschool, and, most recently, ran and directed a college counseling center. My past experiences include working with adults, families, students of all ages, and children as young as 3. I am currently working with adults and children as young as 12 but will consider younger children on a case by case basis.
(716) 296-3585 View (716) 296-3585
Photo of Nicole D. Morley, Clinical Social Work/Therapist in Sanborn, NY
Nicole D. Morley
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Lockport, NY 14094
Not accepting new clients
Throughout my career I have worked with DV, at risk youth, mentally ill, substance abuse, forensic mental health, court mandated clients in residential settings, OPMH clinics, treatment courts, NYS prisons & state operated psychiatric centers. I also have supervised the service delivery of several community based programs (SPOA, AOT, Hospital Diversion, Forensic Case Management, Crisis Services Coordination, Youth in Probation, Raise the Age & partnered w/ DSS to provide Behavioral Health/Recovery services to jointly served CPS clients). No matter the client, setting or issue I treat everyone with the the respect they deserve.
Throughout my career I have worked with DV, at risk youth, mentally ill, substance abuse, forensic mental health, court mandated clients in residential settings, OPMH clinics, treatment courts, NYS prisons & state operated psychiatric centers. I also have supervised the service delivery of several community based programs (SPOA, AOT, Hospital Diversion, Forensic Case Management, Crisis Services Coordination, Youth in Probation, Raise the Age & partnered w/ DSS to provide Behavioral Health/Recovery services to jointly served CPS clients). No matter the client, setting or issue I treat everyone with the the respect they deserve.
(716) 222-7527 View (716) 222-7527
Photo of Danielle Figura, Clinical Social Work/Therapist in Sanborn, NY
Danielle Figura
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Lockport, NY 14094
Waitlist for new clients
My therapeutic approach explores ways for individuals and families to navigate the presenting challenges and to pro-actively prepare for their future in a safe and supportive environment. I emphasize the use of a person-centered, trauma informed, and insight-based approach in collaboration with evidence based therapeutic interventions.
My therapeutic approach explores ways for individuals and families to navigate the presenting challenges and to pro-actively prepare for their future in a safe and supportive environment. I emphasize the use of a person-centered, trauma informed, and insight-based approach in collaboration with evidence based therapeutic interventions.
(716) 356-2061 View (716) 356-2061
Photo of Katie Drummond, Counselor in Sanborn, NY
Katie Drummond
Counselor, LMHC
Verified Verified
Lockport, NY 14094  (Online Only)
Finding a therapist we feel safe enough to be vulnerable with can be overwhelming. This alone can make the decision of whether or not to enter into therapy even more stressful than it needs to be. Emotions being complex in themselves can make it even more challenging to figure out where to begin to open up. If you are someone who finds yourself struggling with coping with intense emotions, making decisions you’ve later found yourself regretting, replaying back your past, worried about the future and having difficulties building meaningful relationships, I may be a good fit for you!
Finding a therapist we feel safe enough to be vulnerable with can be overwhelming. This alone can make the decision of whether or not to enter into therapy even more stressful than it needs to be. Emotions being complex in themselves can make it even more challenging to figure out where to begin to open up. If you are someone who finds yourself struggling with coping with intense emotions, making decisions you’ve later found yourself regretting, replaying back your past, worried about the future and having difficulties building meaningful relationships, I may be a good fit for you!
(716) 477-5809 View (716) 477-5809
Photo of Jenna Gallitto, Clinical Social Work/Therapist in Sanborn, NY
Jenna Gallitto
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Lewiston, NY 14092  (Online Only)
Currently accepting new clients for weekday and weeknight telehealth sessions. My goal is to help you become a healthier, happier and more peaceful version of yourself. I work with adults struggling with life transitions, stress management, substance use, relationship issues, anxiety, and PTSD. If you are looking for an extra layer of support during challenging times, I can help you to navigate your feelings, address underlying issues, build healthier habits and change your mindset. Together, we can help you to learn more about yourself so that you can live a life of authenticity.
Currently accepting new clients for weekday and weeknight telehealth sessions. My goal is to help you become a healthier, happier and more peaceful version of yourself. I work with adults struggling with life transitions, stress management, substance use, relationship issues, anxiety, and PTSD. If you are looking for an extra layer of support during challenging times, I can help you to navigate your feelings, address underlying issues, build healthier habits and change your mindset. Together, we can help you to learn more about yourself so that you can live a life of authenticity.
(716) 706-4948 View (716) 706-4948
Photo of Juliana Corsaro, Clinical Social Work/Therapist in Sanborn, NY
Juliana Corsaro
Clinical Social Work/Therapist, LCSWR
Verified Verified
Niagara Falls, NY 14304  (Online Only)
For over 20 years, I've had the privilege of working with individuals, couples, and families in a variety of settings. For the majority of those years, I have been providing mental health therapy to individuals suffering from depression, anxiety and mood disorders, to name a few. I feel that I have a unique way of using everyday language to help people better understand how to cope with life's challenges. I am diverse in my treatment approach, which I feel is necessary in treating the unique challenges in today's world.
For over 20 years, I've had the privilege of working with individuals, couples, and families in a variety of settings. For the majority of those years, I have been providing mental health therapy to individuals suffering from depression, anxiety and mood disorders, to name a few. I feel that I have a unique way of using everyday language to help people better understand how to cope with life's challenges. I am diverse in my treatment approach, which I feel is necessary in treating the unique challenges in today's world.
(716) 265-4301 View (716) 265-4301
Photo of Kimberly A Hilliker, Clinical Social Work/Therapist in Sanborn, NY
Kimberly A Hilliker
Clinical Social Work/Therapist, LCSW, CCM
Verified Verified
1 Endorsed
North Tonawanda, NY 14120
Experiences and circumstances have a way of changing how we perceive and understand the world around us. They alter the way we act or behave, the way we think, and the way we respond to different events or challenges that may occur in life. When we take the time to explore how we act, think, and feel we can access new parts of ourselves and gain understanding of how we interact with others in our life. “Nobody can go back and start a new beginning, but anyone can start today and make a new ending. Let go of who you think you’re supposed to be; and embrace who you are.”
Experiences and circumstances have a way of changing how we perceive and understand the world around us. They alter the way we act or behave, the way we think, and the way we respond to different events or challenges that may occur in life. When we take the time to explore how we act, think, and feel we can access new parts of ourselves and gain understanding of how we interact with others in our life. “Nobody can go back and start a new beginning, but anyone can start today and make a new ending. Let go of who you think you’re supposed to be; and embrace who you are.”
(716) 281-5435 View (716) 281-5435
Photo of Annie Coburn-Kane, Clinical Social Work/Therapist in Sanborn, NY
Annie Coburn-Kane
Clinical Social Work/Therapist, LCSWR
Verified Verified
2 Endorsed
Lewiston, NY 14092
Experiencing emotional pain and setbacks can lead our minds to limit us due to fear of failure, rejection, or abandonment. As your therapist my approach is supportive, compassionate, and practical. Together, we'll explore your past experiences, understand your symptoms, and develop a plan to help you live better. I utilize a holistic approach integrating various techniques, including EMDR, to personalize your treatment. I'll offer support and guidance as you build on your strengths and achieve personal growth.
Experiencing emotional pain and setbacks can lead our minds to limit us due to fear of failure, rejection, or abandonment. As your therapist my approach is supportive, compassionate, and practical. Together, we'll explore your past experiences, understand your symptoms, and develop a plan to help you live better. I utilize a holistic approach integrating various techniques, including EMDR, to personalize your treatment. I'll offer support and guidance as you build on your strengths and achieve personal growth.
(716) 293-0029 View (716) 293-0029
Photo of Erin Matecki`, Mental Health Counselor in Sanborn, NY
Erin Matecki`
Mental Health Counselor, LMHC
Verified Verified
North Tonawanda, NY 14120  (Online Only)
First and foremost, I know that it takes courage to reach out to talk to someone, and I am glad you have found this page. More than anything, I hope to help my clients navigate their paths in life and find the happiness they want and deserve. I especially enjoy working with females as they explore the ups and downs of everyday life. I have a special interest and skill set in working with women with Perinatal Mood Disorders and various life transitions. As mother myself, I know it can be hard to reach out. Life gets busy, but it's always important to make time for yourself.
First and foremost, I know that it takes courage to reach out to talk to someone, and I am glad you have found this page. More than anything, I hope to help my clients navigate their paths in life and find the happiness they want and deserve. I especially enjoy working with females as they explore the ups and downs of everyday life. I have a special interest and skill set in working with women with Perinatal Mood Disorders and various life transitions. As mother myself, I know it can be hard to reach out. Life gets busy, but it's always important to make time for yourself.
(716) 293-2738 View (716) 293-2738

How does your Therapist compare?

Number of Therapists in Sanborn, NY

< 10

Therapists in Sanborn, NY who prioritize treating:

How Therapists in Sanborn, NY see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Sanborn?

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.