Therapists in Lowell, MA

Photo of Richard Wai-Por Cheng, Clinical Social Work/Therapist in Lowell, MA
Richard Wai-Por Cheng
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Lowell, MA 01852
Waitlist for new clients
Welcome! It takes courage, leaderships and hopes to change. Recovering from ups and downs in a competitive and changing world needs positive understanding of all aspects-information, perseverance, resolve, skills, strategies, resources and balance moving forward. I am committed to meeting where you are, working together to develop new personal life assets for wellness and health, and face challenges or recovering from personal, cultural and institutional challenges. My guest deserves the full ownership, respect and dignity for the success as s/he dreams it. I will be honored to work with you.
Welcome! It takes courage, leaderships and hopes to change. Recovering from ups and downs in a competitive and changing world needs positive understanding of all aspects-information, perseverance, resolve, skills, strategies, resources and balance moving forward. I am committed to meeting where you are, working together to develop new personal life assets for wellness and health, and face challenges or recovering from personal, cultural and institutional challenges. My guest deserves the full ownership, respect and dignity for the success as s/he dreams it. I will be honored to work with you.
(978) 965-8999 View (978) 965-8999
Photo of Cuna Wellness Center , Clinical Social Work/Therapist in Lowell, MA
Cuna Wellness Center
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Lowell, MA 01852  (Online Only)
Dedicated and conscientious multicultural/lingual social worker with over 15 years of professional experience providing culturally sensitive clinical care to the most vulnerable children and families in the Boston and Atlanta metropolitan areas. My values include providing dedicated support and quality psychotherapy and guidance to individuals and families in need regardless of their race, gender/binary, sexual orientation, and religion. I am willing to refer clients to other professionals' support if I cannot meet their needs for continuity of care.
Dedicated and conscientious multicultural/lingual social worker with over 15 years of professional experience providing culturally sensitive clinical care to the most vulnerable children and families in the Boston and Atlanta metropolitan areas. My values include providing dedicated support and quality psychotherapy and guidance to individuals and families in need regardless of their race, gender/binary, sexual orientation, and religion. I am willing to refer clients to other professionals' support if I cannot meet their needs for continuity of care.
(978) 321-3917 View (978) 321-3917
Photo of Susan M Giurleo, Psychologist in Lowell, MA
Susan M Giurleo
Psychologist, PhD
Verified Verified
Lowell, MA 01850  (Online Only)
Are you feeling burned out? Anxious? Unmotivated or uninspired? Are you struggling to manage work and family or confused about your career choices? I work with primarily adults on issues related to anxiety, depression, work/family integration and work/career stressors. In my work, I most often utilize CBT, trauma-informed, solution-focused and strength-based approaches to support people in achieving specific life and mental health goals. Our work is a partnership where you are the expert on YOU and I bring psychological expertse, challenge stuck beliefs and encourage growth and change.
Are you feeling burned out? Anxious? Unmotivated or uninspired? Are you struggling to manage work and family or confused about your career choices? I work with primarily adults on issues related to anxiety, depression, work/family integration and work/career stressors. In my work, I most often utilize CBT, trauma-informed, solution-focused and strength-based approaches to support people in achieving specific life and mental health goals. Our work is a partnership where you are the expert on YOU and I bring psychological expertse, challenge stuck beliefs and encourage growth and change.
(351) 777-2386 View (351) 777-2386
Photo of Insight Center for Behavioral Health, Drug & Alcohol Counselor in Lowell, MA
Insight Center for Behavioral Health
Drug & Alcohol Counselor, MS, LMHC, LADC, CADC
Verified Verified
2 Endorsed
Lowell, MA 01852
I have many years of experience successfully working with vulnerable populations in outpatient, inpatient, and community-based settings. I have worked with diverse populations, individually and in-group settings. My work is grounded in the belief that change is achieved when the therapeutic relationship cultivates an individual’s awareness of self and facilitates there freedom from emotional pain through the application of the psycho-therapeutic process and compassionate listening. I work with teens and adult individuals who come from a variety of cultures, ethnicity, sexuality and gender expressions.
I have many years of experience successfully working with vulnerable populations in outpatient, inpatient, and community-based settings. I have worked with diverse populations, individually and in-group settings. My work is grounded in the belief that change is achieved when the therapeutic relationship cultivates an individual’s awareness of self and facilitates there freedom from emotional pain through the application of the psycho-therapeutic process and compassionate listening. I work with teens and adult individuals who come from a variety of cultures, ethnicity, sexuality and gender expressions.
(978) 598-3802 View (978) 598-3802
Photo of Northeast Health Services - Lowell, Clinical Social Work/Therapist in Lowell, MA
Northeast Health Services - Lowell
Clinical Social Work/Therapist, LCSW
Verified Verified
Lowell, MA 01851
Northeast Health Services is an outpatient mental health care provider dedicated to serving Massachusetts and the local area of Lowell. At our Lowell clinic we provide a broad array of services including psychotherapy, group therapy, child & adolescent therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
Northeast Health Services is an outpatient mental health care provider dedicated to serving Massachusetts and the local area of Lowell. At our Lowell clinic we provide a broad array of services including psychotherapy, group therapy, child & adolescent therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
(978) 645-3970 View (978) 645-3970
Photo of Ylira Pimentel-Diaz, Clinical Social Work/Therapist in Lowell, MA
Ylira Pimentel-Diaz
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Lowell, MA 01852  (Online Only)
Accepting New Clients. I will support you in gaining greater awareness, examining unhealthy habits, acquiring skills, and redefining your life by pursuing goals that align with your values. Through a direct and collaborative approach, compassion, and humor, I offer practical strategies to change patterns in mood, thought, and behaviors that foster your distress. My goals are to guide individuals toward healing through self-empowerment and mindful transformation and to drive positive change in diverse communities by anchoring on relational mindfulness, introspection, social justice, and active engagement. Licensed in Mass and Maine.
Accepting New Clients. I will support you in gaining greater awareness, examining unhealthy habits, acquiring skills, and redefining your life by pursuing goals that align with your values. Through a direct and collaborative approach, compassion, and humor, I offer practical strategies to change patterns in mood, thought, and behaviors that foster your distress. My goals are to guide individuals toward healing through self-empowerment and mindful transformation and to drive positive change in diverse communities by anchoring on relational mindfulness, introspection, social justice, and active engagement. Licensed in Mass and Maine.
(617) 307-4754 View (617) 307-4754
Photo of Courtney M Speropolous, Counselor in Lowell, MA
Courtney M Speropolous
Counselor, LMHC, LSWA, CAMS-11
Verified Verified
Lowell, MA 01852
Often times, life's waves produce times of emotional hardship marked by deep seated feelings of grief, sadness, confusion, depression, worry, and anxiety. Therapy is an opportunity to have the space, support, and safety to address the waves inherent in everyday life without judgment. If you are experiencing a life transition, a break-up, day-to-day parenting and relationship stress, or you are simply being haunted by past events or thoughts that don't seem to budge, therapy can provide an outlet to gain the insight, awareness, and relief you may be seeking.
Often times, life's waves produce times of emotional hardship marked by deep seated feelings of grief, sadness, confusion, depression, worry, and anxiety. Therapy is an opportunity to have the space, support, and safety to address the waves inherent in everyday life without judgment. If you are experiencing a life transition, a break-up, day-to-day parenting and relationship stress, or you are simply being haunted by past events or thoughts that don't seem to budge, therapy can provide an outlet to gain the insight, awareness, and relief you may be seeking.
(781) 493-8064 View (781) 493-8064
Photo of Michaela Robert, Clinical Social Work/Therapist in Lowell, MA
Michaela Robert
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lowell, MA 01854  (Online Only)
You are the author of your life story. By being here you are taking the first step to change and write the next chapter of your life. I am a Licensed Clinical Social Worker that uses a client centered approach. This means, I believe you are the expert in your life. In session, I will provide a non-judgmental space to navigate through your challenges and dead ends.
You are the author of your life story. By being here you are taking the first step to change and write the next chapter of your life. I am a Licensed Clinical Social Worker that uses a client centered approach. This means, I believe you are the expert in your life. In session, I will provide a non-judgmental space to navigate through your challenges and dead ends.
(603) 207-3925 View (603) 207-3925
Photo of Theodora Slone lcsw llc , Clinical Social Work/Therapist in Lowell, MA
Theodora Slone lcsw llc
Clinical Social Work/Therapist, LICSW, LDAC, LCSW
Verified Verified
Lowell, MA 01850  (Online Only)
I believe one of the bravest things you can do is begin to understand your own story. Do you ever feel stuck in your life and unsure of which direction to take? Do you have trouble setting goals and sticking to them? Are there relationships in your life in which you would like to create healthier boundaries? Are you ready to make a change and develop a deeper understanding of your emotions?
I believe one of the bravest things you can do is begin to understand your own story. Do you ever feel stuck in your life and unsure of which direction to take? Do you have trouble setting goals and sticking to them? Are there relationships in your life in which you would like to create healthier boundaries? Are you ready to make a change and develop a deeper understanding of your emotions?
(339) 215-8007 View (339) 215-8007
Photo of Nada Plooster, Clinical Social Work/Therapist in Lowell, MA
Nada Plooster
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Lowell, MA 01852  (Online Only)
Acknowledging diagnoses is only one way to identify the symptoms with which clients are suffering, she does work with a variety of disorders including Post-traumatic Stress Disorder, depression, anxiety, panic, dissociative disorders, adjustment disorders, and eating disorders. She specializes in viewing these disorders and struggles from the lens of how our brain and body process information, store experiences, and often trap the extreme beliefs, emotions and sensations associated with distressing experiences.
Acknowledging diagnoses is only one way to identify the symptoms with which clients are suffering, she does work with a variety of disorders including Post-traumatic Stress Disorder, depression, anxiety, panic, dissociative disorders, adjustment disorders, and eating disorders. She specializes in viewing these disorders and struggles from the lens of how our brain and body process information, store experiences, and often trap the extreme beliefs, emotions and sensations associated with distressing experiences.
(351) 300-4975 View (351) 300-4975
Photo of Mayumi Kimura, Clinical Social Work/Therapist in Lowell, MA
Mayumi Kimura
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Lowell, MA 01852  (Online Only)
Mayumi is a proud US Navy Veteran and therapist who provides individual therapy with adults who are ready to address trauma, relationship challenges, anxiety, and life change. Are you genuinely curious about unhelpful patterns that seem to keep showing up in your life and relationships? Do you ask why you're such a people-pleaser, take things so personally, have trouble opening up, suffer from analysis paralysis, feel bad about setting boundaries or communicating your needs, etc, etc? Let's understand first and then learn new skills and strategies to break out of those cycles or even find ways to use them to your advantage.
Mayumi is a proud US Navy Veteran and therapist who provides individual therapy with adults who are ready to address trauma, relationship challenges, anxiety, and life change. Are you genuinely curious about unhelpful patterns that seem to keep showing up in your life and relationships? Do you ask why you're such a people-pleaser, take things so personally, have trouble opening up, suffer from analysis paralysis, feel bad about setting boundaries or communicating your needs, etc, etc? Let's understand first and then learn new skills and strategies to break out of those cycles or even find ways to use them to your advantage.
(857) 227-9365 View (857) 227-9365
Photo of Ambient Warmth Counseling LLC, Counselor in Lowell, MA
Ambient Warmth Counseling LLC
Counselor, LMHC
Verified Verified
Lowell, MA 01853  (Online Only)
I am a seasoned psychotherapist who provides initial diagnostic assessments, goal and treatment planning, as well as a variety of evidence-based practices based off the individuals’ needs. I am well versed in prescriptive psychotherapy where treatment is not a one-size-fits-all model, since people are more complex and intricate than meets the eye.
I am a seasoned psychotherapist who provides initial diagnostic assessments, goal and treatment planning, as well as a variety of evidence-based practices based off the individuals’ needs. I am well versed in prescriptive psychotherapy where treatment is not a one-size-fits-all model, since people are more complex and intricate than meets the eye.
(978) 432-5954 View (978) 432-5954
Photo of Gerald Jean in Lowell, MA
Gerald Jean
NPI
Verified Verified
Lowell, MA 01852
Gerald, a seasoned and dedicated board-certified psychiatric mental health nurse practitioner (PMHNP-BC), boasts an extensive career spanning over three decades, during which he has passionately served diverse clientele across various settings. His primary focus lies in alleviating the burdens associated with mental health challenges, underscoring his commitment to fostering holistic well-being. With a mission to dismantle the stigmas enveloping mental health, Gerald strives to create a compassionate and understanding environment for his patients and their families.
Gerald, a seasoned and dedicated board-certified psychiatric mental health nurse practitioner (PMHNP-BC), boasts an extensive career spanning over three decades, during which he has passionately served diverse clientele across various settings. His primary focus lies in alleviating the burdens associated with mental health challenges, underscoring his commitment to fostering holistic well-being. With a mission to dismantle the stigmas enveloping mental health, Gerald strives to create a compassionate and understanding environment for his patients and their families.
(781) 650-2522 View (781) 650-2522
Photo of Bruce Proc, Drug & Alcohol Counselor in Lowell, MA
Bruce Proc
Drug & Alcohol Counselor, MS, MLS, MTS
Verified Verified
Lowell, MA 01852
With a master’s degree in Addiction Counseling, Leadership, and Theological Studies, Bruce is equipped to assist individuals in renewing their capacity to become contributing members of society. Bruce currently holds one license and one certification: he is an independent level LADC practitioner with a state certification in problematic gambling (MA PGS).
With a master’s degree in Addiction Counseling, Leadership, and Theological Studies, Bruce is equipped to assist individuals in renewing their capacity to become contributing members of society. Bruce currently holds one license and one certification: he is an independent level LADC practitioner with a state certification in problematic gambling (MA PGS).
(781) 625-9493 View (781) 625-9493
Photo of Kenneth MacIntosh, Clinical Social Work/Therapist in Lowell, MA
Kenneth MacIntosh
Clinical Social Work/Therapist, LICSW, CHT
Verified Verified
1 Endorsed
Lowell, MA 01852  (Online Only)
Kenny is a proud US Navy Veteran (Corpsman/Medic) and therapist specializing in PTSD, anxiety, self-sabotaging behaviors, and performance improvement. Are you genuinely curious about unhelpful patterns that seem to keep showing up in your life and relationships? Do you ask why you can't let things go, have trust issues, or the inability to relax? You keep putting other's needs first, have trouble setting boundaries or communicating your needs? Unable to see your purpose? Real change can only occur when you are genuinely curious about uncovering recurring patterns and are motivated to try out new strategies to break them.
Kenny is a proud US Navy Veteran (Corpsman/Medic) and therapist specializing in PTSD, anxiety, self-sabotaging behaviors, and performance improvement. Are you genuinely curious about unhelpful patterns that seem to keep showing up in your life and relationships? Do you ask why you can't let things go, have trust issues, or the inability to relax? You keep putting other's needs first, have trouble setting boundaries or communicating your needs? Unable to see your purpose? Real change can only occur when you are genuinely curious about uncovering recurring patterns and are motivated to try out new strategies to break them.
(351) 444-9447 View (351) 444-9447
Photo of Madeline Ehrlich, Clinical Social Work/Therapist in Lowell, MA
Madeline Ehrlich
Clinical Social Work/Therapist, LCSW
Verified Verified
Lowell, MA 01852
Madeline graduated from Boston College in an accelerated program, earning her master's degree in clinical social work with a specialization in mental health. Throughout her academic journey, Madeline developed a profound understanding of the intricate dynamics of mental health, and she is dedicated to utilizing her knowledge to support individuals on their unique paths to well-being. With a focus on mental health, Madeline has gained valuable experience working with both children and older adults.
Madeline graduated from Boston College in an accelerated program, earning her master's degree in clinical social work with a specialization in mental health. Throughout her academic journey, Madeline developed a profound understanding of the intricate dynamics of mental health, and she is dedicated to utilizing her knowledge to support individuals on their unique paths to well-being. With a focus on mental health, Madeline has gained valuable experience working with both children and older adults.
(781) 661-5185 View (781) 661-5185
Photo of Paul R Groff, Counselor in Lowell, MA
Paul R Groff
Counselor, MA, LMHC
Verified Verified
Lowell, MA 01854
I am a client-centered, strength-based therapist with an eclectic approach to working with a wide range of emotional and behavioral issues. I support clients seeking individual or family therapy for issues of depression, anxiety, and trauma, to parenting support, and counseling for children and adolescents. My goal is to help you experience the joy of living by growing beyond present difficulties.
I am a client-centered, strength-based therapist with an eclectic approach to working with a wide range of emotional and behavioral issues. I support clients seeking individual or family therapy for issues of depression, anxiety, and trauma, to parenting support, and counseling for children and adolescents. My goal is to help you experience the joy of living by growing beyond present difficulties.
(603) 821-4153 View (603) 821-4153
Photo of Shane MacDonald, LICSW, New Inspiration Counseling, Clinical Social Work/Therapist in Lowell, MA
Shane MacDonald, LICSW, New Inspiration Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Lowell, MA 01852  (Online Only)
When you improve your relationship with yourself and your relationships with others, you are “on the path” to a happier, healthier life. I’d like to help you along that path. Together, we can explore a range of approaches: whatever works. But - so you know where I’m coming from - in the end, it’s always about relationships. I’d like to meet you.
When you improve your relationship with yourself and your relationships with others, you are “on the path” to a happier, healthier life. I’d like to help you along that path. Together, we can explore a range of approaches: whatever works. But - so you know where I’m coming from - in the end, it’s always about relationships. I’d like to meet you.
(617) 675-2000 View (617) 675-2000
Photo of Vennis Nhem, Pre-Licensed Professional in Lowell, MA
Vennis Nhem
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Lowell, MA 01852  (Online Only)
Are you struggling with feeling misunderstood by others around you? Do you find yourself wondering what you're doing? Seeking counseling or therapy can be a vulnerable process. Knowing this, Vennis is committed to providing a safe, non-judgmental space for her clients to explore their thoughts and feelings, and works collaboratively with them to develop treatment plans that are tailored to their unique needs.
Are you struggling with feeling misunderstood by others around you? Do you find yourself wondering what you're doing? Seeking counseling or therapy can be a vulnerable process. Knowing this, Vennis is committed to providing a safe, non-judgmental space for her clients to explore their thoughts and feelings, and works collaboratively with them to develop treatment plans that are tailored to their unique needs.
(351) 666-4591 View (351) 666-4591
Photo of Nicole Frederick, Counselor in Lowell, MA
Nicole Frederick
Counselor, LMHC, MT-BC
Verified Verified
2 Endorsed
Lowell, MA 01852  (Online Only)
Not accepting new clients
Nicole provides individual therapy with teens and young adults who are ready to address trauma, anxiety, and adjustment to life's big change or troubles. Starting therapy can be daunting. Healing and growing is one thing, but sharing your story, secrets, and dreams with a stranger can be downright terrifying. Knowing this, Nicole leads with warmth, humor, and a nonjudgmental approach. The goal will be to explore the past to better understand the present. With that new understanding, you’ll learn and practice new tools and strategies in order to navigate life with purpose, intention, and fulfillment.
Nicole provides individual therapy with teens and young adults who are ready to address trauma, anxiety, and adjustment to life's big change or troubles. Starting therapy can be daunting. Healing and growing is one thing, but sharing your story, secrets, and dreams with a stranger can be downright terrifying. Knowing this, Nicole leads with warmth, humor, and a nonjudgmental approach. The goal will be to explore the past to better understand the present. With that new understanding, you’ll learn and practice new tools and strategies in order to navigate life with purpose, intention, and fulfillment.
(351) 200-5373 View (351) 200-5373

How does your Therapist compare?

Number of Therapists in Lowell, MA

100+

Average cost per session

$142

Therapists in Lowell, MA who prioritize treating:

96% Anxiety
86% Depression
71% Trauma and PTSD
71% Coping Skills
71% Self Esteem
71% Stress
69% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
68% UnitedHealthcare UHC | UBH
68% Optum

How Therapists in Lowell, MA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lowell?

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.