Therapists in Perrysburg, OH

Photo of Jackie Haskins, Licensed Professional Clinical Counselor in Perrysburg, OH
Jackie Haskins
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Perrysburg, OH 43551
Life is difficult. Those words, originally penned by psychiatrist and author M. Scott Peck in his book The Road Less Traveled, suggest what is perhaps the most compelling reason to seek therapy. Life can indeed be difficult for all of us - therapists included. And yet growth and change are always possible. It is unfortunate that working with a mental health professional can sometimes carry a stigma. In truth, prioritizing your mental health is just as important as attending to your physical health.
Life is difficult. Those words, originally penned by psychiatrist and author M. Scott Peck in his book The Road Less Traveled, suggest what is perhaps the most compelling reason to seek therapy. Life can indeed be difficult for all of us - therapists included. And yet growth and change are always possible. It is unfortunate that working with a mental health professional can sometimes carry a stigma. In truth, prioritizing your mental health is just as important as attending to your physical health.
(419) 874-8257 View (419) 874-8257
Photo of Terrance Tufts, Counselor in Perrysburg, OH
Terrance Tufts
Counselor, LPCC
Verified Verified
Perrysburg, OH 43551
I have served those with Anxiety, Depression, Bipolar, Schizophrenia, Family Issues, etc. My ideal client is motivated to roll up their sleeves and engage in the therapeutic process. They have an open mind and can practice effective coping skills to improve their overall functioning and quality of life. They can challenge themselves to be vulnerable and practice accountability while processing their problematic thinking patterns and behaviors in a safe and non-judgmental environment. They wish to engage in therapy because they realize that they need to make a change and are willing to take a leap of faith to make it happen.
I have served those with Anxiety, Depression, Bipolar, Schizophrenia, Family Issues, etc. My ideal client is motivated to roll up their sleeves and engage in the therapeutic process. They have an open mind and can practice effective coping skills to improve their overall functioning and quality of life. They can challenge themselves to be vulnerable and practice accountability while processing their problematic thinking patterns and behaviors in a safe and non-judgmental environment. They wish to engage in therapy because they realize that they need to make a change and are willing to take a leap of faith to make it happen.
(614) 964-5474 View (614) 964-5474
Photo of Megan Burden, Licensed Professional Counselor in Perrysburg, OH
Megan Burden
Licensed Professional Counselor, LPCC-S, LICDC
Verified Verified
Perrysburg, OH 43551
Are you a young adult experiencing issues of trauma, human trafficking, anxiety, or borderline personality disorders? Do you desire to try new things and be committed to finding what works for you?  Do you want relief from what you are struggling with daily? Your goals start short term, to gain confidence in the changes to your life. You would complete homework-based therapy outside of a session.
Are you a young adult experiencing issues of trauma, human trafficking, anxiety, or borderline personality disorders? Do you desire to try new things and be committed to finding what works for you?  Do you want relief from what you are struggling with daily? Your goals start short term, to gain confidence in the changes to your life. You would complete homework-based therapy outside of a session.
(419) 928-5214 View (419) 928-5214
Photo of Madison Becker, Licensed Professional Counselor in Perrysburg, OH
Madison Becker
Licensed Professional Counselor, , MA, LPC, NCC
Verified Verified
Perrysburg, OH 43551
You're struggling and withdrawing from life more than usual. It all seems like too much for you to handle right now. You can't quite understand why it is you feeling so anxiety, lonely, fatigued, and overwhelmed. You feel exhausted and are losing steam without knowing how to help yourself. There is hope in flourishing and discovering how truly strong you are. I seek to provide you with the skills and the healing necessary to be the best version of yourself. Whether you are seeking out therapy for yourself or your child, there is a path towards healing and wellness.
You're struggling and withdrawing from life more than usual. It all seems like too much for you to handle right now. You can't quite understand why it is you feeling so anxiety, lonely, fatigued, and overwhelmed. You feel exhausted and are losing steam without knowing how to help yourself. There is hope in flourishing and discovering how truly strong you are. I seek to provide you with the skills and the healing necessary to be the best version of yourself. Whether you are seeking out therapy for yourself or your child, there is a path towards healing and wellness.
(419) 664-4216 View (419) 664-4216
Photo of Joy Herrera, Clinical Social Work/Therapist in Perrysburg, OH
Joy Herrera
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
3 Endorsed
Perrysburg, OH 43551
Accepting New Clients! You want your life to be different. You’d love to be able to relax and just be present, but this restlessness inside your mind and body won’t allow you. You’ve attempted to “let it go” or “forgive and forget” the past. You’ve tried LOTS of coping mechanisms: journaling, deep breathing, prayer, meditation, self-help books, talk therapy. You know yourself well, and you know how to cope. But you don’t just want to cope through life or talk about what happened; you want to experience change!
Accepting New Clients! You want your life to be different. You’d love to be able to relax and just be present, but this restlessness inside your mind and body won’t allow you. You’ve attempted to “let it go” or “forgive and forget” the past. You’ve tried LOTS of coping mechanisms: journaling, deep breathing, prayer, meditation, self-help books, talk therapy. You know yourself well, and you know how to cope. But you don’t just want to cope through life or talk about what happened; you want to experience change!
(419) 406-4376 View (419) 406-4376
Photo of Costenah Ward, Licensed Professional Counselor in Perrysburg, OH
Costenah Ward
Licensed Professional Counselor, MA, LPC
Verified Verified
Perrysburg, OH 43551
My ideal client is prepared to initiate changes in their life to promote wellness. They are prepared to process internal and external contributors to their mood, discuss options for improvement, and practice healthier skills that will assist in achieving their personal goals. My ideal client is internally motivated and desires emotional balance from concerns such as anxiety, depression, impaired self-esteem, trauma, and interpersonal conflict. They arrive to treatment with goals in mind, and will actively work to experience relief of distressing symptoms.
My ideal client is prepared to initiate changes in their life to promote wellness. They are prepared to process internal and external contributors to their mood, discuss options for improvement, and practice healthier skills that will assist in achieving their personal goals. My ideal client is internally motivated and desires emotional balance from concerns such as anxiety, depression, impaired self-esteem, trauma, and interpersonal conflict. They arrive to treatment with goals in mind, and will actively work to experience relief of distressing symptoms.
(614) 350-6257 View (614) 350-6257
Photo of Christian counseling and EMDR, Clinical Social Work/Therapist in Perrysburg, OH
Christian counseling and EMDR
Clinical Social Work/Therapist, LISW-S, LICDC
Verified Verified
Perrysburg, OH 43551
Kristen Chambers, LISW-S, LICDC - Christian Clinical Therapist. As a devoted therapist, I, Kristen Chambers, am deeply committed to integrating the principles of Christianity into my therapeutic approach. My mission is to be a vessel of God's love and grace, helping clients navigate life's challenges through faith and understanding. My daily devotion to scripture and prayer guides my practice, ensuring that I can be a source of strength and wisdom for those I counsel.
Kristen Chambers, LISW-S, LICDC - Christian Clinical Therapist. As a devoted therapist, I, Kristen Chambers, am deeply committed to integrating the principles of Christianity into my therapeutic approach. My mission is to be a vessel of God's love and grace, helping clients navigate life's challenges through faith and understanding. My daily devotion to scripture and prayer guides my practice, ensuring that I can be a source of strength and wisdom for those I counsel.
(567) 412-2875 View (567) 412-2875
Photo of Stephene Evans, Clinical Social Work/Therapist in Perrysburg, OH
Stephene Evans
Clinical Social Work/Therapist, MSW, LMSW, LISW-S
Verified Verified
Perrysburg, OH 43551
Hello and welcome! My name is Stephene Evans (she/her) and I am a Licensed Independent Social Worker practicing in OH & MI since 2008. I am also an ADHD Certified Clinical Services Provider through Evergreen Certifications. I serve parents, adults, and teens as well as persons with neuro-developmental disorders. My specialties include the diagnosis and treatment of: late diagnosis (adult) attention deficit hyperactivity disorder, executive dysfunction, anxiety, depression, sensory processing, grief & positive parenting. I am a LGBTQIA+ affirming therapist. My counseling style is supportive, interactive, and culturally inclusive.
Hello and welcome! My name is Stephene Evans (she/her) and I am a Licensed Independent Social Worker practicing in OH & MI since 2008. I am also an ADHD Certified Clinical Services Provider through Evergreen Certifications. I serve parents, adults, and teens as well as persons with neuro-developmental disorders. My specialties include the diagnosis and treatment of: late diagnosis (adult) attention deficit hyperactivity disorder, executive dysfunction, anxiety, depression, sensory processing, grief & positive parenting. I am a LGBTQIA+ affirming therapist. My counseling style is supportive, interactive, and culturally inclusive.
(419) 670-7187 View (419) 670-7187
Photo of Janaye Guess, Clinical Social Work/Therapist in Perrysburg, OH
Janaye Guess
Clinical Social Work/Therapist, MSW , LISW
Verified Verified
Perrysburg, OH 43551
I enjoy working with people who struggle with depression and/or anxiety. Ideally, their goals would be to improve their overall functioning and quality of life. My ideal client would be able to put in the necessary work to accomplish their goals. My therapy style is authentic, empathetic, and validating. I believe in incorporating various treatment modalities that are based on the individual needs of my clients.
I enjoy working with people who struggle with depression and/or anxiety. Ideally, their goals would be to improve their overall functioning and quality of life. My ideal client would be able to put in the necessary work to accomplish their goals. My therapy style is authentic, empathetic, and validating. I believe in incorporating various treatment modalities that are based on the individual needs of my clients.
(614) 972-1164 View (614) 972-1164
Photo of Tom Spangler, Clinical Social Work/Therapist in Perrysburg, OH
Tom Spangler
Clinical Social Work/Therapist, MSW , LSW
Verified Verified
Perrysburg, OH 43551
I have experience working with clients who suffer from a range of mental illnesses, including depression, anxiety, adjustment disorder, and more. I take an approach that involves meeting clients where they are. I learn about their stories and assess what the right path is for their needs and goals. Having a client who is open and receptive to therapy is all a therapist could and should ask for.
I have experience working with clients who suffer from a range of mental illnesses, including depression, anxiety, adjustment disorder, and more. I take an approach that involves meeting clients where they are. I learn about their stories and assess what the right path is for their needs and goals. Having a client who is open and receptive to therapy is all a therapist could and should ask for.
(419) 452-0219 View (419) 452-0219
Photo of The Hearts Haven Center for Counseling, Clinical Social Work/Therapist in Perrysburg, OH
The Hearts Haven Center for Counseling
Clinical Social Work/Therapist, MA, LSW
Verified Verified
1 Endorsed
Perrysburg, OH 43551
With 10 years of experience working as a social worker in a hospital and school setting, I am passionate about the importance of focusing on emotional well being, and feeling heard, understood, supported and connected. I believe providing a safe, non-judgmental, empowering environment for clients will provide opportunity for positive growth and reaching personal goals.
With 10 years of experience working as a social worker in a hospital and school setting, I am passionate about the importance of focusing on emotional well being, and feeling heard, understood, supported and connected. I believe providing a safe, non-judgmental, empowering environment for clients will provide opportunity for positive growth and reaching personal goals.
(567) 707-1670 View (567) 707-1670
Photo of Amanda Dionyssiou, Clinical Social Work/Therapist in Perrysburg, OH
Amanda Dionyssiou
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Perrysburg, OH 43551
Many individuals are in need of a welcoming environment where one can express themselves openly and honestly. I welcome all who are facing anxiety, depression, PTSD, and other mental health struggles. I offer a safe space for individuals to work through their struggles, so they are not doing it alone. Coping skills, mindfulness, and focusing on the client's strengths are some of the items we will work on together.
Many individuals are in need of a welcoming environment where one can express themselves openly and honestly. I welcome all who are facing anxiety, depression, PTSD, and other mental health struggles. I offer a safe space for individuals to work through their struggles, so they are not doing it alone. Coping skills, mindfulness, and focusing on the client's strengths are some of the items we will work on together.
(419) 670-7910 View (419) 670-7910
Photo of Holly Mundon, Clinical Social Work/Therapist in Perrysburg, OH
Holly Mundon
Clinical Social Work/Therapist, MSW , LISWS , CCTP , CDCA
Verified Verified
Perrysburg, OH 43551
Are you having struggles in your job or relationship? Have you been diagnosed with a mental illness and need coping skills as you learn to manage all that it entails? Do you need education, support, and encouragement? I work with grief/loss, trauma, Depression, Anxiety, coping skills & boundaries, relationship and job stressors, life transitions, and general support. I am passionate about helping those who are 'helping professions' and work with health professionals and first responders dealing with secondary trauma. We will work together to set goals for taking the next steps to feel better.
Are you having struggles in your job or relationship? Have you been diagnosed with a mental illness and need coping skills as you learn to manage all that it entails? Do you need education, support, and encouragement? I work with grief/loss, trauma, Depression, Anxiety, coping skills & boundaries, relationship and job stressors, life transitions, and general support. I am passionate about helping those who are 'helping professions' and work with health professionals and first responders dealing with secondary trauma. We will work together to set goals for taking the next steps to feel better.
(419) 871-4334 View (419) 871-4334
Photo of Rachel Jacoby, Counselor in Perrysburg, OH
Rachel Jacoby
Counselor, PhD, LPCC-S, NCC
Verified Verified
1 Endorsed
Perrysburg, OH 43551  (Online Only)
Dr. Jacoby specializes in emotional and mental health for children, adolescents, and families, with a focus on existential-humanistic and evidence-based therapies from a trauma-focused lens. She supports those facing life transitions, neurodiversity, and trauma, aiming to foster growth and healing through collaborative partnerships. Whether facing new life stages or personal challenges, Dr. Jacoby offers guidance and empowerment for your journey towards fulfillment.
Dr. Jacoby specializes in emotional and mental health for children, adolescents, and families, with a focus on existential-humanistic and evidence-based therapies from a trauma-focused lens. She supports those facing life transitions, neurodiversity, and trauma, aiming to foster growth and healing through collaborative partnerships. Whether facing new life stages or personal challenges, Dr. Jacoby offers guidance and empowerment for your journey towards fulfillment.
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Photo of Jessica Hertzfeld, LPC Intern in Perrysburg, OH
Jessica Hertzfeld
LPC Intern
Verified Verified
1 Endorsed
Perrysburg, OH 43551
Trained in cognitive behavioral therapy (CBT), solution-focused brief therapy, and person-centered therapy, my goal is to help clients make meaningful changes in their lives. I am a diligent and motivated counselor dedicated to helping each client succeed. While the therapeutic process can be complicated, I have the empathy, active listening skills, and adaptability required to understand and work with each client's individual needs. I apply a collaborative approach that we can tailor to each individual in order to find the best fit.
Trained in cognitive behavioral therapy (CBT), solution-focused brief therapy, and person-centered therapy, my goal is to help clients make meaningful changes in their lives. I am a diligent and motivated counselor dedicated to helping each client succeed. While the therapeutic process can be complicated, I have the empathy, active listening skills, and adaptability required to understand and work with each client's individual needs. I apply a collaborative approach that we can tailor to each individual in order to find the best fit.
(419) 969-6117 View (419) 969-6117
Photo of Lorianna Kardok -Virtual Sessions Evenings And Weekends, Counselor in Perrysburg, OH
Lorianna Kardok -Virtual Sessions Evenings And Weekends
Counselor, MS, LPCC, LMHC, LPC
Verified Verified
3 Endorsed
Perrysburg, OH 43551  (Online Only)
Online only. Evening hours and weekend availability! Are you a mom who once had dreams and aspirations, but now finds herself feeling lost and disconnected? Do you notice that irritation and anger are becoming more prevalent, leaving you tangled in the web of mom guilt? If these questions resonate with you, know that you're not alone. The journey of motherhood can be overwhelming, and sometimes, amidst the chaos, it's easy to lose sight of your own dreams and well-being. I'm Lorianna, a licensed mental health counselor with over 15 years of experience dedicated to guiding moms through the complexities of their emotional landscape.
Online only. Evening hours and weekend availability! Are you a mom who once had dreams and aspirations, but now finds herself feeling lost and disconnected? Do you notice that irritation and anger are becoming more prevalent, leaving you tangled in the web of mom guilt? If these questions resonate with you, know that you're not alone. The journey of motherhood can be overwhelming, and sometimes, amidst the chaos, it's easy to lose sight of your own dreams and well-being. I'm Lorianna, a licensed mental health counselor with over 15 years of experience dedicated to guiding moms through the complexities of their emotional landscape.
(419) 482-1492 View (419) 482-1492
Photo of Alaina Smith, Licensed Professional Clinical Counselor in Perrysburg, OH
Alaina Smith
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
1 Endorsed
Perrysburg, OH 43551
Not accepting new clients
“Just like the lotus we too have the ability to rise from the mud, bloom out of the darkness and radiate into the world.” – Unknown. Growth can be an uncomfortable, yet rewarding process. I am dedicated to helping others navigate the challenges and transitions of life, achieve personal growth, and improve their overall sense of wellbeing. I find that a non-judgmental and strengths-based approach are critical in helping clients utilize their strengths to overcome barriers to wellness. I incorporate a variety of theoretical approaches with a foundation in Cognitive Behavioral Therapy.
“Just like the lotus we too have the ability to rise from the mud, bloom out of the darkness and radiate into the world.” – Unknown. Growth can be an uncomfortable, yet rewarding process. I am dedicated to helping others navigate the challenges and transitions of life, achieve personal growth, and improve their overall sense of wellbeing. I find that a non-judgmental and strengths-based approach are critical in helping clients utilize their strengths to overcome barriers to wellness. I incorporate a variety of theoretical approaches with a foundation in Cognitive Behavioral Therapy.
(567) 229-6032 View (567) 229-6032
Photo of Sara Trembath, Licensed Professional Clinical Counselor in Perrysburg, OH
Sara Trembath
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Perrysburg, OH 43551
I have experience working with all types of anxiety disorders, mood disorders, and complex trauma. My secondary specialties include severe chronic mental illness, relationship problems, recovery from previous domestic violence, LTGBQ+ concerns, self-harm, and developmental or attachment wounds from childhood. I continue to take continuing education classes to improve my knowledge and skills in these areas. I especially enjoy working with clients motivated to improve their lives and willing to take responsibility for their success rather than expecting others to do their work.
I have experience working with all types of anxiety disorders, mood disorders, and complex trauma. My secondary specialties include severe chronic mental illness, relationship problems, recovery from previous domestic violence, LTGBQ+ concerns, self-harm, and developmental or attachment wounds from childhood. I continue to take continuing education classes to improve my knowledge and skills in these areas. I especially enjoy working with clients motivated to improve their lives and willing to take responsibility for their success rather than expecting others to do their work.
(419) 780-6357 View (419) 780-6357
Photo of Joshua Stanley, Licensed Professional Counselor in Perrysburg, OH
Joshua Stanley
Licensed Professional Counselor, LPC
Verified Verified
Perrysburg, OH 43551
My ideal client is an individual who is open to working as a team and benefiting from a therapeutic relationship in which honesty, accountability, and empathy are paramount. While a client’s concerns are unique and personal, there is nothing they cannot overcome through effective therapeutic interventions and a highly-trained and relatable clinician.
My ideal client is an individual who is open to working as a team and benefiting from a therapeutic relationship in which honesty, accountability, and empathy are paramount. While a client’s concerns are unique and personal, there is nothing they cannot overcome through effective therapeutic interventions and a highly-trained and relatable clinician.
(419) 370-3760 View (419) 370-3760
Photo of Shannon L Dillon, Counselor in Perrysburg, OH
Shannon L Dillon
Counselor, LPCC-S, LICDC
Verified Verified
1 Endorsed
Perrysburg, OH 43551
Going to therapy is a huge investment of time and money and you want to make sure you get the most out of it. In my nearly 20 years of experience, I have been trained in EMDR, DBT, Gottman Level 2, Ego States, and a variety of other modalities. I dress casually, speak plainly, and connect well with people. I hope to hear from you.
Going to therapy is a huge investment of time and money and you want to make sure you get the most out of it. In my nearly 20 years of experience, I have been trained in EMDR, DBT, Gottman Level 2, Ego States, and a variety of other modalities. I dress casually, speak plainly, and connect well with people. I hope to hear from you.
(419) 601-6921 View (419) 601-6921

How does your Therapist compare?

Number of Therapists in Perrysburg, OH

100+

Average cost per session

$150

Therapists in Perrysburg, OH who prioritize treating:

91% Anxiety
88% Depression
75% Self Esteem
74% Trauma and PTSD
73% Relationship Issues
69% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

76% Aetna
76% Medical Mutual
71% Paramount

How Therapists in Perrysburg, OH see their clients

88% In Person and Online
12% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Perrysburg?

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.