Therapists in Syracuse, NY

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Photo of Lee Ann Genussa, Clinical Social Work/Therapist in Syracuse, NY
Lee Ann Genussa
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Syracuse, NY 13210  (Online Only)
Life’s beauty can be overshadowed by societal pressures and everyday responsibilities. We may often find ourselves bogged down by shame, judgment, and expectations. As a clinician, my aim is to create an empathetic, non-judgemental environment for you to explore and navigate your own unique challenges and goals. I have experience working with folks who struggle with depression, anxiety, suicidality, autism and ADHD, complex trauma, gender and sexuality issues, as well as race-related stress and trauma.
Life’s beauty can be overshadowed by societal pressures and everyday responsibilities. We may often find ourselves bogged down by shame, judgment, and expectations. As a clinician, my aim is to create an empathetic, non-judgemental environment for you to explore and navigate your own unique challenges and goals. I have experience working with folks who struggle with depression, anxiety, suicidality, autism and ADHD, complex trauma, gender and sexuality issues, as well as race-related stress and trauma.
(315) 993-6027 View (315) 993-6027
Photo of Tracy Robinson in Syracuse, NY
Tracy Robinson
MA, LPMFT
Verified Verified
2 Endorsed
Syracuse, NY 13224
Life can be a challenging process. You don't have to tackle life's problems alone. Sometimes we need some extra help to be the best version of ourselves. The process begins by identifying barriers that are blocking us from achieving our desired goals. Life is an ongoing journey. Therapy can increase our self-awareness and improve our overall health and well-being. I welcome you - with open arms - to begin the therapeutic process and begin to look at those obstacles in life.
Life can be a challenging process. You don't have to tackle life's problems alone. Sometimes we need some extra help to be the best version of ourselves. The process begins by identifying barriers that are blocking us from achieving our desired goals. Life is an ongoing journey. Therapy can increase our self-awareness and improve our overall health and well-being. I welcome you - with open arms - to begin the therapeutic process and begin to look at those obstacles in life.
(680) 201-4822 View (680) 201-4822
Photo of Lindsay M. Rowe, Clinical Social Work/Therapist in Syracuse, NY
Lindsay M. Rowe
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Syracuse, NY 13204
Reaching out for support for you or your loved one takes courage. With one of the hardest steps behind you, I am pleased you have found my private practice. My goal is to engage with clients of all ages in an interactive and collaborative effort to find sustainable change through growth and learning experiences in the context of an encouraging and nonjudgemental environment. My clients are my passion.
Reaching out for support for you or your loved one takes courage. With one of the hardest steps behind you, I am pleased you have found my private practice. My goal is to engage with clients of all ages in an interactive and collaborative effort to find sustainable change through growth and learning experiences in the context of an encouraging and nonjudgemental environment. My clients are my passion.
(315) 895-1182 View (315) 895-1182
Photo of Paul F Pickett, Counselor in Syracuse, NY
Paul F Pickett
Counselor, PhD, LMHC, NCC, CCMHC
Verified Verified
Syracuse, NY 13203
I have been working with individuals, couples, and families for 36 years. Despite all of your efforts to change your life you may still find yourself unhappy, discouraged, or lost. We often develop ways to distance ourselves from our emotional pain. While these strategies can undoubtedly provide temporary relief, they never address the origin of our underlying pain in any profound way. Meaningful change, in my opinion, comes from honestly addressing and healing the core issues of our lives. As we all know, honestly facing ourselves can be very difficult and takes courage and determination. Often this can be difficult to do alone.
I have been working with individuals, couples, and families for 36 years. Despite all of your efforts to change your life you may still find yourself unhappy, discouraged, or lost. We often develop ways to distance ourselves from our emotional pain. While these strategies can undoubtedly provide temporary relief, they never address the origin of our underlying pain in any profound way. Meaningful change, in my opinion, comes from honestly addressing and healing the core issues of our lives. As we all know, honestly facing ourselves can be very difficult and takes courage and determination. Often this can be difficult to do alone.
(315) 985-4260 View (315) 985-4260
Photo of Molly Lizzio, Marriage & Family Therapist in Syracuse, NY
Molly Lizzio
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Syracuse, NY 13203
Are you seeking personal growth and empowerment? As a therapist with a focus on supporting women, I'll help you increase self-confidence and establish healthy boundaries. Through the therapeutic process we'll uncover the details of your story, both where you've been, and the details of where you're at right now. Telling your story enables you to reconnect with your own desires and needs. Your unique story matters, and I'm here to listen and support you every step of the way. Together we'll unlock your inner strength, enhance your self-worth, and start to write the story of your future.
Are you seeking personal growth and empowerment? As a therapist with a focus on supporting women, I'll help you increase self-confidence and establish healthy boundaries. Through the therapeutic process we'll uncover the details of your story, both where you've been, and the details of where you're at right now. Telling your story enables you to reconnect with your own desires and needs. Your unique story matters, and I'm here to listen and support you every step of the way. Together we'll unlock your inner strength, enhance your self-worth, and start to write the story of your future.
(315) 235-1601 View (315) 235-1601
Photo of Katherine Angelica Shelton, LPC Intern in Syracuse, NY
Katherine Angelica Shelton
LPC Intern
Verified Verified
1 Endorsed
Syracuse, NY 13202  (Online Only)
Are you struggling with feelings of emotional suffering and shame, feeling as though nobody truly understands what you're going through? Seeking help can be a daunting step, but you deserve to find the root of your challenges in an environment that's safe, welcoming, and free of judgment. Life's hurdles shouldn't have to be faced alone, and it's my mission to guide you on a path toward self-awareness and healing. Each individual's journey is unique, which is why I prioritize creating a therapy experience tailored to your personal needs and goals. Trust and connection form the foundation of my practice, ensuring you feel supported
Are you struggling with feelings of emotional suffering and shame, feeling as though nobody truly understands what you're going through? Seeking help can be a daunting step, but you deserve to find the root of your challenges in an environment that's safe, welcoming, and free of judgment. Life's hurdles shouldn't have to be faced alone, and it's my mission to guide you on a path toward self-awareness and healing. Each individual's journey is unique, which is why I prioritize creating a therapy experience tailored to your personal needs and goals. Trust and connection form the foundation of my practice, ensuring you feel supported
(315) 522-8844 View (315) 522-8844
Photo of Renee Kelley, Clinical Social Work/Therapist in Syracuse, NY
Renee Kelley
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13207  (Online Only)
Are you feeling overwhelmed with daily life stressors, life transitions or challenging family dynamics? I'm here to help! Together, we will work to align where you are today with where you want to be. I work with individuals, couples and families to overcome life's challenges and live happier, well-rounded lives. My therapeutic style is warm, curious, non-judgmental with sprinkles of humor that match to you.
Are you feeling overwhelmed with daily life stressors, life transitions or challenging family dynamics? I'm here to help! Together, we will work to align where you are today with where you want to be. I work with individuals, couples and families to overcome life's challenges and live happier, well-rounded lives. My therapeutic style is warm, curious, non-judgmental with sprinkles of humor that match to you.
(315) 979-8645 View (315) 979-8645
Photo of Harriet Marcia Casey, Clinical Social Work/Therapist in Syracuse, NY
Harriet Marcia Casey
Clinical Social Work/Therapist, LCSW, DCC
Verified Verified
Syracuse, NY 13215  (Online Only)
Waitlist for new clients
I offer a caring and compassionate place to do your healing work. I have over thirty years of experience working with adults, adolescents and children. My goal is to help you find the tools you need to bring harmony and balance to your life.
I offer a caring and compassionate place to do your healing work. I have over thirty years of experience working with adults, adolescents and children. My goal is to help you find the tools you need to bring harmony and balance to your life.
(315) 895-1494 View (315) 895-1494
Photo of Nicole DeFurio, Clinical Social Work/Therapist in Syracuse, NY
Nicole DeFurio
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Syracuse, NY 13210  (Online Only)
Accepting new clients for telehealth in November 2023. New to therpay or have you been in therapy before? Either way this can make anyone anxious. Building a theraputic relationship can be scary but it's essential to find a fit that's best for you to be successful in your theraputic journey. Whether your dealing with daily life stressors, relationships, life transitions, or trauma I am here to help you find your way to a happier, more fulfilling life. I specialize in Trauma and as a Certified Clinical Trauma Professional it's a privilege to help people overcome things that seemed too painful to discuss and now I watch them thrive!
Accepting new clients for telehealth in November 2023. New to therpay or have you been in therapy before? Either way this can make anyone anxious. Building a theraputic relationship can be scary but it's essential to find a fit that's best for you to be successful in your theraputic journey. Whether your dealing with daily life stressors, relationships, life transitions, or trauma I am here to help you find your way to a happier, more fulfilling life. I specialize in Trauma and as a Certified Clinical Trauma Professional it's a privilege to help people overcome things that seemed too painful to discuss and now I watch them thrive!
(315) 284-2954 View (315) 284-2954
Photo of Regina Russo, Clinical Social Work/Therapist in Syracuse, NY
Regina Russo
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13210
For 10+ years, I have been serving the Syracuse community in various settings, helping others to learn ways to manage anxiety, depression, and challenging life events. I use a person centered and strength based approach.
For 10+ years, I have been serving the Syracuse community in various settings, helping others to learn ways to manage anxiety, depression, and challenging life events. I use a person centered and strength based approach.
(315) 908-0929 View (315) 908-0929
Photo of Dr. Gina D. Alago Colón, Psychologist in Syracuse, NY
Dr. Gina D. Alago Colón
Psychologist, PsyD
Verified Verified
1 Endorsed
Syracuse, NY 13202
Waitlist for new clients
This is the MOMENT; this is YOUR space to HEAL. I'm a Latinx therapist who strongly believes that we all need/want someone to empower, validate and actively listen to us in an empathic/genuine way. I recognize that opening up about our emotional concerns/pain, and being vulnerable to someone else is not an easy thing to commit to. My main goal is to provide a space, where you feel safe to share your life experiences, thoughts, and emotions. My work is driven by a non-judgmental, compassionate, and integrative approach that will be tailored and focused on your needs and goals as a unique individual for your healing journey.
This is the MOMENT; this is YOUR space to HEAL. I'm a Latinx therapist who strongly believes that we all need/want someone to empower, validate and actively listen to us in an empathic/genuine way. I recognize that opening up about our emotional concerns/pain, and being vulnerable to someone else is not an easy thing to commit to. My main goal is to provide a space, where you feel safe to share your life experiences, thoughts, and emotions. My work is driven by a non-judgmental, compassionate, and integrative approach that will be tailored and focused on your needs and goals as a unique individual for your healing journey.
(315) 325-3907 View (315) 325-3907
Photo of Hannah Pietra, Creative Arts Therapist in Syracuse, NY
Hannah Pietra
Creative Arts Therapist, MS, LCAT, MT-BC, CLC
Verified Verified
Syracuse, NY 13214
“Every story matters…We are all worthy of telling our stories and having them heard.” Using compassion and curiosity, I support individuals in their journey towards personal growth and discovery. Do you find yourself feeling stuck, overwhelmed, or unfulfilled in life? I help people find balance, gain relief, and better connect with their bodies and minds to achieve enhanced wellness.
“Every story matters…We are all worthy of telling our stories and having them heard.” Using compassion and curiosity, I support individuals in their journey towards personal growth and discovery. Do you find yourself feeling stuck, overwhelmed, or unfulfilled in life? I help people find balance, gain relief, and better connect with their bodies and minds to achieve enhanced wellness.
(315) 810-6212 View (315) 810-6212
Photo of Emily Covello, Pre-Licensed Professional in Syracuse, NY
Emily Covello
Pre-Licensed Professional, MA, MHC-LP
Verified Verified
1 Endorsed
Syracuse, NY 13212
I understand that anxiety and OCD often feel overwhelming and isolating; how it is often difficult to explain the relentlessness of intrusive thoughts and worry. I recognize that OCD is a lot more than the compulsions people can see and how the constant worry gets in the way of all you want to do. In working with me you will feel understood and learn the tools necessary to reclaim your life. Everyone's version of healing is different and I am here to be a guide as we create your own path forward. I am dedicated to helping you free yourself from the cycle of worry and doubt.
I understand that anxiety and OCD often feel overwhelming and isolating; how it is often difficult to explain the relentlessness of intrusive thoughts and worry. I recognize that OCD is a lot more than the compulsions people can see and how the constant worry gets in the way of all you want to do. In working with me you will feel understood and learn the tools necessary to reclaim your life. Everyone's version of healing is different and I am here to be a guide as we create your own path forward. I am dedicated to helping you free yourself from the cycle of worry and doubt.
(315) 812-6369 x508 View (315) 812-6369 x508
Photo of Ericka Danielle Rose, Counselor in Syracuse, NY
Ericka Danielle Rose
Counselor, LMHC, BCTMH
Verified Verified
Syracuse, NY 13206  (Online Only)
"Where were you when I needed to hear this some time ago!" Ericka focuses on quality life changing therapeutic experiences. Ericka believes in meeting people where they are at and providing them with the support and tools necessary to expand their strengths while managing their weaknesses. Ericka's warm and inviting personality makes therapy feel like a conversation between two best friends. Clients who express a commitment to the therapeutic process, insight into their current challenges, and are open to change are most ideal for Ericka's therapeutic orientation.
"Where were you when I needed to hear this some time ago!" Ericka focuses on quality life changing therapeutic experiences. Ericka believes in meeting people where they are at and providing them with the support and tools necessary to expand their strengths while managing their weaknesses. Ericka's warm and inviting personality makes therapy feel like a conversation between two best friends. Clients who express a commitment to the therapeutic process, insight into their current challenges, and are open to change are most ideal for Ericka's therapeutic orientation.
(518) 500-3087 View (518) 500-3087
Photo of Susan Hart Presley, Clinical Social Work/Therapist in Syracuse, NY
Susan Hart Presley
Clinical Social Work/Therapist, LCSW
Verified Verified
Syracuse, NY 13206  (Online Only)
I treat anxiety, depression, narcissism, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, and in investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
I treat anxiety, depression, narcissism, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, and in investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
(315) 302-1750 View (315) 302-1750
Photo of Maria T Swedowski, Counselor in Syracuse, NY
Maria T Swedowski
Counselor, LMHC
Verified Verified
Syracuse, NY 13212  (Online Only)
Are you often uneasy in social situations? Nervous about what you want to do with your future? Generally feeling on edge? It's usually not fun feeling anxious. These are some of the many areas we can work on together to build your confidence and resiliency and create a tool box of healthy coping skills. I'm excited to potentially have the opportunity meet with you and explore some of the skills that have been most helpful in my practice. I have experience working with anxiety, depression, ADHD, PTSD, and more. I primarily work with adolescents and young adults but I have experience with people of all ages as well.
Are you often uneasy in social situations? Nervous about what you want to do with your future? Generally feeling on edge? It's usually not fun feeling anxious. These are some of the many areas we can work on together to build your confidence and resiliency and create a tool box of healthy coping skills. I'm excited to potentially have the opportunity meet with you and explore some of the skills that have been most helpful in my practice. I have experience working with anxiety, depression, ADHD, PTSD, and more. I primarily work with adolescents and young adults but I have experience with people of all ages as well.
(680) 206-2264 View (680) 206-2264
Photo of Anna Aiello, Marriage & Family Therapist in Syracuse, NY
Anna Aiello
Marriage & Family Therapist, MA, LMFT, C-NET
Verified Verified
1 Endorsed
Syracuse, NY 13219
Hello, my name is Anna; I'm a Marriage and Family Therapist and a certified Neuro-Emotional Technique Practioner. I work with individuals, couples, and family systems, to better understand their unique dynamics and the influence these pre-existing patterns can have on our individual well-being. I offer collaborative support in discovery and recovery of connection with self and others. I particularly enjoy working with client's who identify as neuro-divergent and/or who are seeking personal growth/transformation.
Hello, my name is Anna; I'm a Marriage and Family Therapist and a certified Neuro-Emotional Technique Practioner. I work with individuals, couples, and family systems, to better understand their unique dynamics and the influence these pre-existing patterns can have on our individual well-being. I offer collaborative support in discovery and recovery of connection with self and others. I particularly enjoy working with client's who identify as neuro-divergent and/or who are seeking personal growth/transformation.
(315) 756-6929 View (315) 756-6929
Photo of Katie Arney-Rattray, Clinical Social Work/Therapist in Syracuse, NY
Katie Arney-Rattray
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
2 Endorsed
Syracuse, NY 13219
Not accepting new clients
Feeling overwhelmed with stress and wanting to experience more joy in your life? Trying to manage difficulties that seem to be holding you back? Wanting to feel happier and see improvements in your relationships with friends and loved ones? Wishing you could make certain changes that seem too difficult to make on your own?
Feeling overwhelmed with stress and wanting to experience more joy in your life? Trying to manage difficulties that seem to be holding you back? Wanting to feel happier and see improvements in your relationships with friends and loved ones? Wishing you could make certain changes that seem too difficult to make on your own?
(315) 537-3792 View (315) 537-3792
Photo of Rebecca King in Syracuse, NY
Rebecca King
MD
Verified Verified
Syracuse, NY 13206
I am set up for telepsych meetings. I am an experienced therapist who works with adults. I have a specialty in family and interpersonal relation problems. Persistent negative experiences can cascade anyone into emotional difficulty that feels overwhelming. My style listens to your personal experiences, helps you find ways create new experiences and communicate effectively where needed. Feeling supported, heard and validated are profoundly empowering and if not present in your current relationships is extremely emotionally painful and destructive. Goals:Courage to define your own integrity, recreate yourself and overcome.
I am set up for telepsych meetings. I am an experienced therapist who works with adults. I have a specialty in family and interpersonal relation problems. Persistent negative experiences can cascade anyone into emotional difficulty that feels overwhelming. My style listens to your personal experiences, helps you find ways create new experiences and communicate effectively where needed. Feeling supported, heard and validated are profoundly empowering and if not present in your current relationships is extremely emotionally painful and destructive. Goals:Courage to define your own integrity, recreate yourself and overcome.
(315) 790-6540 View (315) 790-6540
Photo of Family And Personal Counseling Telehealth, Mental Health Counselor in Syracuse, NY
Family And Personal Counseling Telehealth
Mental Health Counselor, LMHC, LCAT, LCSW
Verified Verified
Syracuse, NY 13206
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, trauma, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start... and we will answer your call TODAY.
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, trauma, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start... and we will answer your call TODAY.
(631) 825-9544 View (631) 825-9544

How does your Therapist compare?

Number of Therapists in Syracuse, NY

400+

Average cost per session

$130

Therapists in Syracuse, NY who prioritize treating:

93% Anxiety
87% Depression
82% Relationship Issues
77% Self Esteem
74% Coping Skills
74% Stress
73% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

73% Aetna
62% UnitedHealthcare UHC | UBH
56% Cigna and Evernorth

How Therapists in Syracuse, NY see their clients

53% In Person and Online
47% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Syracuse?

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.