Therapists in Wayne, PA

Photo of Sloane C Previdi, Clinical Social Work/Therapist in Wayne, PA
Sloane C Previdi
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Wayne, PA 19087  (Online Only)
I am a licensed psychotherapist and received post graduate training in marriage and family therapy at the Council for Relationships. My work is about supporting my clients in whatever way helps them heal. I understand entering this process is hard and can be scary at times, I work to provide a space that is truly your own. I am trained in and apply a number of evidence-based treatment models but consider myself to be an integrative and holistic practitioner, ensuring treatment plans for each client meet individual needs. I treat diverse problems with a focus on anxiety, depression, relationships, stress and life adjustments.
I am a licensed psychotherapist and received post graduate training in marriage and family therapy at the Council for Relationships. My work is about supporting my clients in whatever way helps them heal. I understand entering this process is hard and can be scary at times, I work to provide a space that is truly your own. I am trained in and apply a number of evidence-based treatment models but consider myself to be an integrative and holistic practitioner, ensuring treatment plans for each client meet individual needs. I treat diverse problems with a focus on anxiety, depression, relationships, stress and life adjustments.
(610) 686-9045 View (610) 686-9045
Photo of Leona Pierce, Clinical Social Work/Therapist in Wayne, PA
Leona Pierce Pierce
Clinical Social Work/Therapist, LCSW
Verified Verified
Wayne, PA 19087
Leona Pierce is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2012. She has a BA in Psychology from Northeastern University and a Social Policy and Practice MSW from University of Pennsylvania. Leona utilizes cognitive behavioral therapy, mindfulness based cognitive therapy, and other evidence-based therapy frameworks to promote healing, develop insight, and find clarity. Leona helps individuals gain confidence, develop insight, and discover sources of strength from within to overcome challenges, and celebrate self-discovery.
Leona Pierce is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2012. She has a BA in Psychology from Northeastern University and a Social Policy and Practice MSW from University of Pennsylvania. Leona utilizes cognitive behavioral therapy, mindfulness based cognitive therapy, and other evidence-based therapy frameworks to promote healing, develop insight, and find clarity. Leona helps individuals gain confidence, develop insight, and discover sources of strength from within to overcome challenges, and celebrate self-discovery.
(267) 710-8549 View (267) 710-8549
Photo of Bonnie Hallett Marshall, Licensed Professional Counselor in Wayne, PA
Bonnie Hallett Marshall
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
Wayne, PA 19087
I specialize in working with children, adolescents, and their families, providing a range of services including individual and group therapy sessions. As an art therapist, I utilize the power of art to facilitate exploration and develop effective coping strategies for a diverse range of challenges. In my practice, I strongly emphasize collaboration and work closely with school counselors, psychiatrists, and family physicians to ensure comprehensive and holistic care for my clients.
I specialize in working with children, adolescents, and their families, providing a range of services including individual and group therapy sessions. As an art therapist, I utilize the power of art to facilitate exploration and develop effective coping strategies for a diverse range of challenges. In my practice, I strongly emphasize collaboration and work closely with school counselors, psychiatrists, and family physicians to ensure comprehensive and holistic care for my clients.
(610) 422-3984 View (610) 422-3984
Photo of Alexandria Milligan, Marriage & Family Therapist in Wayne, PA
Alexandria Milligan
Marriage & Family Therapist, LMFT
Verified Verified
Wayne, PA 19087
I am a couple and family therapist who offers empathetic and compassionate treatment for adolescents, adults, couples, and families. I utilize systems theories to assist clients in exploring how our relationships and environment impact our larger goals and sense of self. I focus on developing a relationship with clients and building a trusting and supportive environment. I believe in the power of resiliency and connection. Regardless of your goals or where you are in life, everyone deserves to be treated with dignity and respect. My goal as a therapist is to support my clients and to work collaboratively during treatment.
I am a couple and family therapist who offers empathetic and compassionate treatment for adolescents, adults, couples, and families. I utilize systems theories to assist clients in exploring how our relationships and environment impact our larger goals and sense of self. I focus on developing a relationship with clients and building a trusting and supportive environment. I believe in the power of resiliency and connection. Regardless of your goals or where you are in life, everyone deserves to be treated with dignity and respect. My goal as a therapist is to support my clients and to work collaboratively during treatment.
(267) 500-8757 View (267) 500-8757
Photo of Lisa Mimmo Banister, Psychologist in Wayne, PA
Lisa Mimmo Banister
Psychologist, PsyD
Verified Verified
1 Endorsed
Wayne, PA 19087
Waitlist for new clients
Preparing to begin therapy often times takes motivation, courage and the desire to change and grow. My approach to therapy is one of mutual respect and collaboration. I want to help my clients face their struggles head on and to develop strategies to make life more manageable and satisfying. Over the years that I have been practicing, I have seen so many people work through challenges to achieve a life that they are proud to be living.
Preparing to begin therapy often times takes motivation, courage and the desire to change and grow. My approach to therapy is one of mutual respect and collaboration. I want to help my clients face their struggles head on and to develop strategies to make life more manageable and satisfying. Over the years that I have been practicing, I have seen so many people work through challenges to achieve a life that they are proud to be living.
(267) 354-8256 View (267) 354-8256
Photo of Nicole Urbanski in Wayne, PA
Nicole Urbanski
MS
Verified Verified
5 Endorsed
Wayne, PA 19087
I truly enjoy working with adolescents and emerging young adults as they transition to adulthood. I also enjoy fostering teen-parent relationships. My specialties include: Teens/Adolescents, Emerging Adults, Anxiety/Depression, Mood Disorders, Teen-Parent Relationships, Executive Functioning, School Issues, LBGTQiA plus, Self-Esteem and Body Positivity.
I truly enjoy working with adolescents and emerging young adults as they transition to adulthood. I also enjoy fostering teen-parent relationships. My specialties include: Teens/Adolescents, Emerging Adults, Anxiety/Depression, Mood Disorders, Teen-Parent Relationships, Executive Functioning, School Issues, LBGTQiA plus, Self-Esteem and Body Positivity.
(267) 361-1756 View (267) 361-1756
Photo of Laura Elizabeth Farrell, Pre-Licensed Professional in Wayne, PA
Laura Elizabeth Farrell
Pre-Licensed Professional, LSW
Verified Verified
Wayne, PA 19087  (Online Only)
I use a relational lens, and therefore each session looks different based upon the client’s needs and experience. I work with clients to create safer spaces that feel real and honor the many experiences an individual may be navigating. To me, the most important thing is to care and love one another. My work is rooted in care and love for humanity and the goal of betterment of our society as a whole, starting with the way we treat ourselves.
I use a relational lens, and therefore each session looks different based upon the client’s needs and experience. I work with clients to create safer spaces that feel real and honor the many experiences an individual may be navigating. To me, the most important thing is to care and love one another. My work is rooted in care and love for humanity and the goal of betterment of our society as a whole, starting with the way we treat ourselves.
(484) 558-2826 View (484) 558-2826
Photo of Vicki Tornetta Counseling, LLC, Licensed Professional Counselor in Wayne, PA
Vicki Tornetta Counseling, LLC
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
3 Endorsed
Wayne, PA 19087
If you are experiencing increased stress, anxiety, depression, or mood changes please contact me. I am an EMDRIA certified EMDR therapist and have extensive experience with eating disorders and body image issues. I am interested in helping the whole person, paying attention to the intersection of spiritual, physical, and emotional health-to encourage overall well-being. I believe that the counseling relationship is critical to the healing process, so I strive to create a warm, genuine, understanding, and safe environment, while using evidence-based treatments.
If you are experiencing increased stress, anxiety, depression, or mood changes please contact me. I am an EMDRIA certified EMDR therapist and have extensive experience with eating disorders and body image issues. I am interested in helping the whole person, paying attention to the intersection of spiritual, physical, and emotional health-to encourage overall well-being. I believe that the counseling relationship is critical to the healing process, so I strive to create a warm, genuine, understanding, and safe environment, while using evidence-based treatments.
(610) 756-0518 View (610) 756-0518
Photo of Jessica Mastrangelo, Licensed Professional Counselor in Wayne, PA
Jessica Mastrangelo
Licensed Professional Counselor, MBA, LPC, NCC
Verified Verified
Wayne, PA 19087
Welcome to Amwell Recovery! We know that the journey to wellness is a group effort. We are dedicated to providing compassinate and comprehensive care for individuals seeking help with substance use and mental health challenges. Our goal is to empower our individuals to achieve lasting success by supporting them through every step of their journey. We provide individual, family, and group therapy including Intensive Outpatient (IOP), Partial Hospitalization Programs (PHP), and medication management.
Welcome to Amwell Recovery! We know that the journey to wellness is a group effort. We are dedicated to providing compassinate and comprehensive care for individuals seeking help with substance use and mental health challenges. Our goal is to empower our individuals to achieve lasting success by supporting them through every step of their journey. We provide individual, family, and group therapy including Intensive Outpatient (IOP), Partial Hospitalization Programs (PHP), and medication management.
(610) 947-0800 View (610) 947-0800
Photo of Melissa Mininno, Licensed Professional Counselor in Wayne, PA
Melissa Mininno
Licensed Professional Counselor, MA, LPC
Verified Verified
Wayne, PA 19087
Thank you for checking out my profile! I am a licensed professional counselor practicing in Wayne, PA. I work primarily with adolescents, young adults, and adults struggling with anxiety, OCD, ADHD, depression, stress, and relationship challenges. I have experience working as a school counselor, as well as a direct ABA therapist for children and adolescents with ASD and other diagnoses. I use a client centered approach in effort to empower individuals to be leaders in their own healing. Additionally, I collaborate with psychiatrists, school, home, and other professionals to ensure the best treatment.
Thank you for checking out my profile! I am a licensed professional counselor practicing in Wayne, PA. I work primarily with adolescents, young adults, and adults struggling with anxiety, OCD, ADHD, depression, stress, and relationship challenges. I have experience working as a school counselor, as well as a direct ABA therapist for children and adolescents with ASD and other diagnoses. I use a client centered approach in effort to empower individuals to be leaders in their own healing. Additionally, I collaborate with psychiatrists, school, home, and other professionals to ensure the best treatment.
(610) 998-3804 View (610) 998-3804
Photo of Laura Chandler, Licensed Professional Counselor in Wayne, PA
Laura Chandler
Licensed Professional Counselor, EdD, MA, LPC
Verified Verified
Wayne, PA 19087
Are you struggling with depression, anxiety, ADHD, bipolar disorder, grief, or trauma? Is your marriage falling apart? Is your child struggling with behavioral problems, depression, or anxiety? Are you looking for a highly qualified therapist? Are you looking for a therapist that will help you to get well quickly?
Are you struggling with depression, anxiety, ADHD, bipolar disorder, grief, or trauma? Is your marriage falling apart? Is your child struggling with behavioral problems, depression, or anxiety? Are you looking for a highly qualified therapist? Are you looking for a therapist that will help you to get well quickly?
(484) 324-4404 View (484) 324-4404
Photo of Cindy Schwartz-DeVol, Psychologist in Wayne, PA
Cindy Schwartz-DeVol
Psychologist, PhD
Verified Verified
Wayne, PA 19087
Not accepting new clients
I've been working with teens and adults for 20+ years, conducting individual and family therapy. I respect your courageous decision to pursue therapy. Together, we will collaborate and explore ways for you to heal and grow. Discussing life's challenges can be daunting at times, and I create a safe and supportive environment for you to explore how to improve your quality of life. I love the idea that we're co-detectives working to better understand what could be contributing to your struggles. I work on creating an individualized plan with you to meet your needs and identify strategies to address your goals.
I've been working with teens and adults for 20+ years, conducting individual and family therapy. I respect your courageous decision to pursue therapy. Together, we will collaborate and explore ways for you to heal and grow. Discussing life's challenges can be daunting at times, and I create a safe and supportive environment for you to explore how to improve your quality of life. I love the idea that we're co-detectives working to better understand what could be contributing to your struggles. I work on creating an individualized plan with you to meet your needs and identify strategies to address your goals.
(484) 427-4199 View (484) 427-4199
Photo of Addie Smith, Psychologist in Wayne, PA
Addie Smith
Psychologist, PsyD
Verified Verified
Wayne, PA 19087
When our children hurt, we hurt. Teaching young children, adolescents and young adults coping skills that they will use for a lifetime is a wonderful gift for the entire family. Adult women experience a tremendous amount of stress. Habitual behaviors or ways of thinking that served us as children are often of no use and even harmful during adulthood. Feeling better requires challenging these old habits and creating new pathways to suit our current goals.
When our children hurt, we hurt. Teaching young children, adolescents and young adults coping skills that they will use for a lifetime is a wonderful gift for the entire family. Adult women experience a tremendous amount of stress. Habitual behaviors or ways of thinking that served us as children are often of no use and even harmful during adulthood. Feeling better requires challenging these old habits and creating new pathways to suit our current goals.
(610) 995-6667 View (610) 995-6667
Photo of Karen K Moon, Clinical Social Work/Therapist in Wayne, PA
Karen K Moon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Wayne, PA 19087
Clients come to me after experiencing a loss whether it be from the death of a loved one, the end of a marriage/significant relationship or a major life transition. These changes in one's life can bring on feelings of sadness, isolation and fear. As a therapist I believe in the power of telling one's story in a safe and supportive space. My goal is to help clients expand the possibilities when feeling stuck, access their strengths, accept their limitations and practice being present in their daily lives.
Clients come to me after experiencing a loss whether it be from the death of a loved one, the end of a marriage/significant relationship or a major life transition. These changes in one's life can bring on feelings of sadness, isolation and fear. As a therapist I believe in the power of telling one's story in a safe and supportive space. My goal is to help clients expand the possibilities when feeling stuck, access their strengths, accept their limitations and practice being present in their daily lives.
(610) 915-8973 View (610) 915-8973
Photo of Katie Ryan, Licensed Professional Counselor in Wayne, PA
Katie Ryan
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Wayne, PA 19087
I believe that everyone deserves the chance to flourish in life. Life throws us curveballs, often causing us to lose sight of who we are and what we need to feel worthy and successful. My main priority with clients is to create a safe space, free from judgment and criticism. I utilize a multitude of counseling theories in my work, but always practice from a client-centered foundation, in which I work to empower my clients to take an active role in their treatment. I believe there is value in collaboration, and I want to work together to navigate through the challenges that come up.
I believe that everyone deserves the chance to flourish in life. Life throws us curveballs, often causing us to lose sight of who we are and what we need to feel worthy and successful. My main priority with clients is to create a safe space, free from judgment and criticism. I utilize a multitude of counseling theories in my work, but always practice from a client-centered foundation, in which I work to empower my clients to take an active role in their treatment. I believe there is value in collaboration, and I want to work together to navigate through the challenges that come up.
(484) 214-2299 View (484) 214-2299
Photo of Ruth Han, Licensed Professional Counselor in Wayne, PA
Ruth Han
Licensed Professional Counselor, LPC, NCC
Verified Verified
Wayne, PA 19087  (Online Only)
I work with men and women who struggle with anger, bitterness, and/or resentment. These issues have caused them to damage many of their relationships. If you want to change and work toward healing yourself and those you hurt, I can help with the process.
I work with men and women who struggle with anger, bitterness, and/or resentment. These issues have caused them to damage many of their relationships. If you want to change and work toward healing yourself and those you hurt, I can help with the process.
(484) 430-3484 View (484) 430-3484
Photo of Anna Morrow, Licensed Professional Counselor in Wayne, PA
Anna Morrow
Licensed Professional Counselor, LPC
Verified Verified
Wayne, PA 19087
Anna is a Licensed Professional Counselor (LP) who has been practicing for over 5 years. Anna graduated with her MS. Ed. and M. Phil from the University of Pennsylvania in 2017 and became licensed in the state of Pennsylvania in 2019. Anna has worked with many clients (adolescents and adults) who have struggled with depression, anxiety, ADHD, work burnout and trauma. Anna enjoys using a holistic and person-centered approach while also incorporating cognitive behavioral therapy (CBT), embodiment and energy psychology, as well as some mindfulness-based practices to help her clients meet their specific goals.
Anna is a Licensed Professional Counselor (LP) who has been practicing for over 5 years. Anna graduated with her MS. Ed. and M. Phil from the University of Pennsylvania in 2017 and became licensed in the state of Pennsylvania in 2019. Anna has worked with many clients (adolescents and adults) who have struggled with depression, anxiety, ADHD, work burnout and trauma. Anna enjoys using a holistic and person-centered approach while also incorporating cognitive behavioral therapy (CBT), embodiment and energy psychology, as well as some mindfulness-based practices to help her clients meet their specific goals.
(267) 651-5424 View (267) 651-5424
Photo of Krystal Carter, Licensed Professional Counselor in Wayne, PA
Krystal Carter
Licensed Professional Counselor, LPC
Verified Verified
Wayne, PA 19087  (Online Only)
Feeling like you’re barely holding it together? Amidst the chaos of everyday life, it’s easy to feel overwhelmed and anxious, especially when managing ADHD symptoms. But just because stress and self-doubt seem like the norm doesn’t mean they have to be. Life may appear fine on the surface, but internally, you’re struggling to keep up with the fast pace and demands. You crave a sense of calm and connection, longing for a more fulfilling life. Let’s work together to better understand your thoughts and emotions. By doing so, we can alleviate feelings of anxiety and disconnection, helping you feel more like yourself.
Feeling like you’re barely holding it together? Amidst the chaos of everyday life, it’s easy to feel overwhelmed and anxious, especially when managing ADHD symptoms. But just because stress and self-doubt seem like the norm doesn’t mean they have to be. Life may appear fine on the surface, but internally, you’re struggling to keep up with the fast pace and demands. You crave a sense of calm and connection, longing for a more fulfilling life. Let’s work together to better understand your thoughts and emotions. By doing so, we can alleviate feelings of anxiety and disconnection, helping you feel more like yourself.
(484) 372-4338 View (484) 372-4338
Photo of Jennifer Granozio, Counselor in Wayne, PA
Jennifer Granozio
Counselor, LPC
Verified Verified
Wayne, PA 19087
I am a licensed therapist with a passion for helping individuals navigate life’s challenges and achieve emotional well-being. Since 2020, I have been dedicated to creating a safe and supportive environment for my clients to explore their thoughts and emotions. My therapeutic approach combines evidence-based techniques such as cognitive behavioral therapy, cognitive processing therapy, dialectical behavior therapy, exposure therapy, strength-based therapy, and person-centered therapy. Whether you are struggling with anxiety, depression, trauma, relationship issues, or life transitions, I am here to support you.
I am a licensed therapist with a passion for helping individuals navigate life’s challenges and achieve emotional well-being. Since 2020, I have been dedicated to creating a safe and supportive environment for my clients to explore their thoughts and emotions. My therapeutic approach combines evidence-based techniques such as cognitive behavioral therapy, cognitive processing therapy, dialectical behavior therapy, exposure therapy, strength-based therapy, and person-centered therapy. Whether you are struggling with anxiety, depression, trauma, relationship issues, or life transitions, I am here to support you.
(484) 218-4922 View (484) 218-4922
Photo of B Gary Davis, Psychologist in Wayne, PA
B Gary Davis
Psychologist, MDiv, PsyD
Verified Verified
Wayne, PA 19087
Have you reached that critical point in your life where you find yourself lost in a dark place, unable to find your way forward? Are you frustrated that nothing in your life seems to be working out the way you hoped? Perhaps you are feeling sad or have lost a sense of meaning or purpose. You may be weighed down by worry, gripped with hopelessness, or wrestling with memories of events you wish you could forget. You have tried to cope with your feelings in ways that only make things worse. You feel harried, worn out, miserable, and confused. You’ve asked yourself if anyone can really help. If any of this sounds familiar, let's talk.
Have you reached that critical point in your life where you find yourself lost in a dark place, unable to find your way forward? Are you frustrated that nothing in your life seems to be working out the way you hoped? Perhaps you are feeling sad or have lost a sense of meaning or purpose. You may be weighed down by worry, gripped with hopelessness, or wrestling with memories of events you wish you could forget. You have tried to cope with your feelings in ways that only make things worse. You feel harried, worn out, miserable, and confused. You’ve asked yourself if anyone can really help. If any of this sounds familiar, let's talk.
(267) 627-3083 View (267) 627-3083

How does your Therapist compare?

Number of Therapists in Wayne, PA

200+

Average cost per session

$150

Therapists in Wayne, PA who prioritize treating:

94% Anxiety
86% Depression
75% Relationship Issues
75% Self Esteem
64% Coping Skills
62% Stress
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

73% Aetna
63% Highmark
53% Other

How Therapists in Wayne, PA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Wayne?

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.