Therapists in Worthington, OH

Photo of Shani Topolosky, Clinical Social Work/Therapist in Worthington, OH
Shani Topolosky
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Worthington, OH 43085
Waitlist for new clients
My therapy practice centers on the belief that resolution is achievable when people come together as equals to work through life's difficult transitions and challenges. For some, this resolution requires assistance with healing from grief and loss. For others, practicing acceptance, learning new skills or mindfully and compassionately looking at prior life decisions to determine what has and has not worked is necessary in order to move forward.
My therapy practice centers on the belief that resolution is achievable when people come together as equals to work through life's difficult transitions and challenges. For some, this resolution requires assistance with healing from grief and loss. For others, practicing acceptance, learning new skills or mindfully and compassionately looking at prior life decisions to determine what has and has not worked is necessary in order to move forward.
(614) 914-4069 View (614) 914-4069
Photo of Merrianna Holdeman, Licensed Professional Clinical Counselor in Worthington, OH
Merrianna Holdeman
Licensed Professional Clinical Counselor, LPCC
Verified Verified
1 Endorsed
Worthington, OH 43085
Not accepting new clients
Is it getting harder and harder to pretend everything is “fine”? The anxiety, worry, and dread keep piling on, and it feels like the pressure of all your responsibilities might just crush you. Despite the things you’ve achieved personally and professionally, you’ve never felt “good” enough, and you worry you’ve somehow managed to fool everyone around you. Maybe something has changed recently at work or at home, or maybe something from your past continues to come up, despite your best efforts to leave it behind. All you know for sure is that you’re exhausted, and you can’t keep living like this.
Is it getting harder and harder to pretend everything is “fine”? The anxiety, worry, and dread keep piling on, and it feels like the pressure of all your responsibilities might just crush you. Despite the things you’ve achieved personally and professionally, you’ve never felt “good” enough, and you worry you’ve somehow managed to fool everyone around you. Maybe something has changed recently at work or at home, or maybe something from your past continues to come up, despite your best efforts to leave it behind. All you know for sure is that you’re exhausted, and you can’t keep living like this.
(614) 412-3699 View (614) 412-3699
Photo of I-Hsien (Mickey) Lin, Licensed Professional Counselor in Worthington, OH
I-Hsien (Mickey) Lin
Licensed Professional Counselor, MEd , LPC
Verified Verified
Worthington, OH 43085
I'm driven by the belief that unfair societal structures often deprive individuals of the resources and well-being they deserve. Rooted in this conviction, my journey as a counselor is driven by a passion for assisting others in navigating life's complexities. I see therapy not just as a service but as a transformative journey accessible to all. I'm excited about the chance to connect with you, collaborate on your path to positive change, and work towards a more inclusive and supportive future.
I'm driven by the belief that unfair societal structures often deprive individuals of the resources and well-being they deserve. Rooted in this conviction, my journey as a counselor is driven by a passion for assisting others in navigating life's complexities. I see therapy not just as a service but as a transformative journey accessible to all. I'm excited about the chance to connect with you, collaborate on your path to positive change, and work towards a more inclusive and supportive future.
(614) 714-5951 View (614) 714-5951
Photo of Dr. Meghna Mahambrey in Worthington, OH
Dr. Meghna Mahambrey
MEd, PhD
Verified Verified
1 Endorsed
Worthington, OH 43085
Welcome to SPARK, where we believe the grass is greener where you water it. Research shows the quality of our relationships dictates the quality of our overall health and well-being. With this in mind, SPARK's mission is to help you build a happy, healthy love life whether you're dating, engaged, newlywed, or long-married. We offer powerful, evidence-based tools and techniques through coaching, workshops, retreats, and date nights along with a blog, podcast, and YouTube channel.
Welcome to SPARK, where we believe the grass is greener where you water it. Research shows the quality of our relationships dictates the quality of our overall health and well-being. With this in mind, SPARK's mission is to help you build a happy, healthy love life whether you're dating, engaged, newlywed, or long-married. We offer powerful, evidence-based tools and techniques through coaching, workshops, retreats, and date nights along with a blog, podcast, and YouTube channel.
(614) 412-3883 View (614) 412-3883
Photo of Lesley Cross, Counselor in Worthington, OH
Lesley Cross
Counselor, MA, LPCC-S
Verified Verified
Worthington, OH 43085
Life can be hard. I work with clients facing stress, adversity, loss of a loved one, confusion within a relationship, anger, communication breakdown or betrayal within a marriage, strains from the reality of parenting, confusion of life as a teen, feeling lost, facing divorce, balancing co-parenting, or "just" figuring out our place in the world. Gracious- we face a lot! Brene Brown has a wonderful quote that says "loving ourselves through the process of owning our stories is the bravest thing we will ever do." I agree but find that often, we aren't quite sure how to love ourselves. How do we own our story?
Life can be hard. I work with clients facing stress, adversity, loss of a loved one, confusion within a relationship, anger, communication breakdown or betrayal within a marriage, strains from the reality of parenting, confusion of life as a teen, feeling lost, facing divorce, balancing co-parenting, or "just" figuring out our place in the world. Gracious- we face a lot! Brene Brown has a wonderful quote that says "loving ourselves through the process of owning our stories is the bravest thing we will ever do." I agree but find that often, we aren't quite sure how to love ourselves. How do we own our story?
(614) 541-2305 View (614) 541-2305
Photo of Emotion Control, Clinical Social Work/Therapist in Worthington, OH
Emotion Control
Clinical Social Work/Therapist, LISW-S, DBTNCAA
Verified Verified
3 Endorsed
Worthington, OH 43085
Welcome to Emotion Control! We see individuals with a variety of mental health concerns and specialize in Personality Disorders, Dialectical Behavior Therapy (DBT) and Mindfulness Training. We also work with people who are having short-term emotional or behavioral difficulties and those who just want to develop skills to improve their quality of life. We welcome you to visit out website and reach out to make an appointment and see how we can help you!
Welcome to Emotion Control! We see individuals with a variety of mental health concerns and specialize in Personality Disorders, Dialectical Behavior Therapy (DBT) and Mindfulness Training. We also work with people who are having short-term emotional or behavioral difficulties and those who just want to develop skills to improve their quality of life. We welcome you to visit out website and reach out to make an appointment and see how we can help you!
(917) 725-6974 View (917) 725-6974
Photo of Lea Ardovino, Counselor in Worthington, OH
Lea Ardovino
Counselor, MA, LPCC
Verified Verified
Worthington, OH 43085
For years, you dreamed of the joy and love you would feel after having your baby. Instead, you find yourself overwhelmed, exhausted, detached, and struggling to bond with your baby. You feel guilt over these unexpected feelings and fearful of what people would think if they knew your thoughts. You deeply desire to have the love and connection with your baby and feel joy in your life again. You are not alone in your feelings. I am committed to helping you work through your experience of postpartum depression and anxiety so that you can get back to loving life and your new baby.
For years, you dreamed of the joy and love you would feel after having your baby. Instead, you find yourself overwhelmed, exhausted, detached, and struggling to bond with your baby. You feel guilt over these unexpected feelings and fearful of what people would think if they knew your thoughts. You deeply desire to have the love and connection with your baby and feel joy in your life again. You are not alone in your feelings. I am committed to helping you work through your experience of postpartum depression and anxiety so that you can get back to loving life and your new baby.
(614) 664-6264 View (614) 664-6264
Photo of Anna Collette, Counselor in Worthington, OH
Anna Collette
Counselor, LPCC-S
Verified Verified
Worthington, OH 43085
Not accepting new clients
I love to see my clients become empowered to reach their goals and find new ways to heal, grow, and move forwards. I am an LPCC-S with experience treating adults, teens, and kids. I have extensive experience with college students having worked in a University counseling center prior to moving to private practice.
I love to see my clients become empowered to reach their goals and find new ways to heal, grow, and move forwards. I am an LPCC-S with experience treating adults, teens, and kids. I have extensive experience with college students having worked in a University counseling center prior to moving to private practice.
(614) 412-4985 View (614) 412-4985
Photo of Jina Varanasi-Lee, Clinical Social Work/Therapist in Worthington, OH
Jina Varanasi-Lee
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
2 Endorsed
Worthington, OH 43085  (Online Only)
Thanks for checking out my profile. I work with folks from all walks of life throughout the state, including teenagers and adults. I have experience with women's issues, life transitions, shame, addiction, perfectionism, personality disorders, economic stress, loneliness, and caregiving. I utilize a variety of treatment modalities, including Cognitive Behavioral, Narrative and Psychodynamic Therapies. Because each client's concerns and goals are different, treatment is tailored to the individual.
Thanks for checking out my profile. I work with folks from all walks of life throughout the state, including teenagers and adults. I have experience with women's issues, life transitions, shame, addiction, perfectionism, personality disorders, economic stress, loneliness, and caregiving. I utilize a variety of treatment modalities, including Cognitive Behavioral, Narrative and Psychodynamic Therapies. Because each client's concerns and goals are different, treatment is tailored to the individual.
(614) 820-1545 View (614) 820-1545
Photo of Elizabeth A Wilmer, Clinical Social Work/Therapist in Worthington, OH
Elizabeth A Wilmer
Clinical Social Work/Therapist, LISW-S
Verified Verified
Worthington, OH 43085
Not accepting new clients
I am a clinical social worker who works with individuals with a variety of concerns, including trauma, post-traumatic stress, depression, anxiety, grief/loss, stress and life transitions. I work with clients from diverse backgrounds and seek to meet each client where they are with an open, non-judgmental and compassionate presence. I strive to create a safe and supportive environment to work toward healing, empowerment and reaching client-centered goals. I use an integrative approach to therapy allowing me to utilize a variety of therapeutic modalities to best meet the needs of each individual.
I am a clinical social worker who works with individuals with a variety of concerns, including trauma, post-traumatic stress, depression, anxiety, grief/loss, stress and life transitions. I work with clients from diverse backgrounds and seek to meet each client where they are with an open, non-judgmental and compassionate presence. I strive to create a safe and supportive environment to work toward healing, empowerment and reaching client-centered goals. I use an integrative approach to therapy allowing me to utilize a variety of therapeutic modalities to best meet the needs of each individual.
(614) 980-0797 View (614) 980-0797
Photo of Theresa Beasley, Clinical Social Work/Therapist in Worthington, OH
Theresa Beasley
Clinical Social Work/Therapist, LISW-S
Verified Verified
3 Endorsed
Worthington, OH 43085  (Online Only)
Hi my name is Theresa Beasley, LISW-S, and I’ve been in the mental health and counseling field for 10 years. I see what I do for a living as one of the greatest privileges of my life, and practice gratitude for it every day. My ideal clients are young adults navigating life adjustments, coping with depression, anxiety, relationship issues and stress. Our modern life is very overwhelming and I'm here to support and help you feel more empowered. I commend your courage for taking additional steps for yourself by engaging in counseling!
Hi my name is Theresa Beasley, LISW-S, and I’ve been in the mental health and counseling field for 10 years. I see what I do for a living as one of the greatest privileges of my life, and practice gratitude for it every day. My ideal clients are young adults navigating life adjustments, coping with depression, anxiety, relationship issues and stress. Our modern life is very overwhelming and I'm here to support and help you feel more empowered. I commend your courage for taking additional steps for yourself by engaging in counseling!
(614) 665-8575 View (614) 665-8575
Photo of Maeve Willis - Sports in Worthington, OH
Maeve Willis - Sports
MSW, LSW
Verified Verified
1 Endorsed
Worthington, OH 43085  (Online Only)
I support driven athletes looking to use their mental performance to elevate sports. I was a collegiate rugby and hockey player, high school soccer player, long-time Irish Dancer, and current Olympic Weightlifter. So I understand sport! I'm ready to support you if you are passionate about your sport, and want to grow. This may come as a result of not knowing how to navigate injury, experiencing a lack of playing time, an overall lack of confidence, or frustration at the repetitiveness of the process. You aren't someone who struggles with motivation, just someone who needs coaching as much on the brain game as the rest of the game.
I support driven athletes looking to use their mental performance to elevate sports. I was a collegiate rugby and hockey player, high school soccer player, long-time Irish Dancer, and current Olympic Weightlifter. So I understand sport! I'm ready to support you if you are passionate about your sport, and want to grow. This may come as a result of not knowing how to navigate injury, experiencing a lack of playing time, an overall lack of confidence, or frustration at the repetitiveness of the process. You aren't someone who struggles with motivation, just someone who needs coaching as much on the brain game as the rest of the game.
(380) 210-4958 View (380) 210-4958
Photo of Kathryn Kraft, Licensed Professional Counselor in Worthington, OH
Kathryn Kraft
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Worthington, OH 43085
One of my favorite things about my work is hearing each of my clients' unique stories and collaborating with them to create a customized treatment plan that addresses their priorities. One-size-fits all cannot apply to therapy, because no two stories are the same. This is why using evidence-based approaches that allow for the depth of each person's situation is so important to emotional healing.
One of my favorite things about my work is hearing each of my clients' unique stories and collaborating with them to create a customized treatment plan that addresses their priorities. One-size-fits all cannot apply to therapy, because no two stories are the same. This is why using evidence-based approaches that allow for the depth of each person's situation is so important to emotional healing.
(614) 683-2502 View (614) 683-2502
Photo of Wellness Coaching & Therapy, LLC, Licensed Professional Counselor in Worthington, OH
Wellness Coaching & Therapy, LLC
Licensed Professional Counselor, MA, LPCC-S
Verified Verified
2 Endorsed
Worthington, OH 43085
It’s fine. I'm fine. Everything is FINE! How many times have we said that to ourselves or others and deep down we know it isn't true? Sometimes it’s just easier to tell ourselves that rather than get to the root of the problem. Are you a highly functioning person who feels more anxious, unsettled, alone, frustrated, or empty than you’d like? Ongoing optimism, a growth-mindset, acceptance, and a nonjudgmental space help my clients move forward. I have previously worked with a diverse range of clients at Ohio Wesleyan University, in various public and private education roles, and in several corporate positions.
It’s fine. I'm fine. Everything is FINE! How many times have we said that to ourselves or others and deep down we know it isn't true? Sometimes it’s just easier to tell ourselves that rather than get to the root of the problem. Are you a highly functioning person who feels more anxious, unsettled, alone, frustrated, or empty than you’d like? Ongoing optimism, a growth-mindset, acceptance, and a nonjudgmental space help my clients move forward. I have previously worked with a diverse range of clients at Ohio Wesleyan University, in various public and private education roles, and in several corporate positions.
(614) 810-8637 View (614) 810-8637
Photo of Amanda Vanlaningham, Counselor in Worthington, OH
Amanda Vanlaningham
Counselor, LPCC, LIMFT
Verified Verified
Worthington, OH 43085
Hello, my name is Amanda Vanlaningham, LPCC, LIMFT and I am a professional counselor and family therapist. I have experience in working with families, adults and individuals in the treatment of depression, anxiety, trauma, abuse, grief, and PTSD since 2014. I strive to meet my clients where they are as well as supporting them on their journey to reaching their personal goals through skill building, insight, and increasing self-awareness.
Hello, my name is Amanda Vanlaningham, LPCC, LIMFT and I am a professional counselor and family therapist. I have experience in working with families, adults and individuals in the treatment of depression, anxiety, trauma, abuse, grief, and PTSD since 2014. I strive to meet my clients where they are as well as supporting them on their journey to reaching their personal goals through skill building, insight, and increasing self-awareness.
(614) 412-1627 View (614) 412-1627
Photo of Patrick Henry, Licensed Professional Clinical Counselor in Worthington, OH
Patrick Henry
Licensed Professional Clinical Counselor, MA, MA, LPCC
Verified Verified
1 Endorsed
Worthington, OH 43085
Despite the suffering that is inherent in life, humans are highly resilient beings! This suffering may include being afflicted with mental illness. Part of this resilience is that we are social beings. Thus, it must come as no surprise that Counseling is a career and that it works! Counseling can work very well, for all communities of people if there is a true connection between clinician and client. In my career I have demonstrated the ability to build this connection with my clients, many of whom have made significant progress in treatment, regardless of their condition.
Despite the suffering that is inherent in life, humans are highly resilient beings! This suffering may include being afflicted with mental illness. Part of this resilience is that we are social beings. Thus, it must come as no surprise that Counseling is a career and that it works! Counseling can work very well, for all communities of people if there is a true connection between clinician and client. In my career I have demonstrated the ability to build this connection with my clients, many of whom have made significant progress in treatment, regardless of their condition.
(380) 207-9795 View (380) 207-9795
Photo of Cynthia M. Clingan, Licensed Professional Counselor in Worthington, OH
Cynthia M. Clingan
Licensed Professional Counselor, MSEd, PCC, SEP
Verified Verified
Worthington, OH 43085
I help clients with many different things: relationship issues, spiritual questions, and finding greater meaning in their lives, as well as trauma of all kinds, and difficulty with managing emotions, anxiety, and depression. I integrate many approaches that can help you build the connection to and confidence in your own inner guidance, including but not limited to: mindfulness, Integral Somatic Psychology (ISP), Somatic Experiencing (SE), Transforming Touch, EMDR, transpersonal psychology, Bodynamics, attachment repair, biodynamic cranio-sacral, and psychoeducation, as well as coaching and direct inquiry.
I help clients with many different things: relationship issues, spiritual questions, and finding greater meaning in their lives, as well as trauma of all kinds, and difficulty with managing emotions, anxiety, and depression. I integrate many approaches that can help you build the connection to and confidence in your own inner guidance, including but not limited to: mindfulness, Integral Somatic Psychology (ISP), Somatic Experiencing (SE), Transforming Touch, EMDR, transpersonal psychology, Bodynamics, attachment repair, biodynamic cranio-sacral, and psychoeducation, as well as coaching and direct inquiry.
(614) 547-2187 View (614) 547-2187
Photo of Bluestone Counseling LLC, Counselor in Worthington, OH
Bluestone Counseling LLC
Counselor, LPCC
Verified Verified
2 Endorsed
Worthington, OH 43085
We are a group practice with more than 30 master level clinicians. We work with a diverse population of people. Whether you are struggling with minor struggles in your life or are in need of help facing a troubling past we can help. We meet people where they are and help them to achieve goals and improve their lives. We honor the unique strengths and challenges of our clients, while working to enhance life skills, coping strategies, and interpersonal relationships.
We are a group practice with more than 30 master level clinicians. We work with a diverse population of people. Whether you are struggling with minor struggles in your life or are in need of help facing a troubling past we can help. We meet people where they are and help them to achieve goals and improve their lives. We honor the unique strengths and challenges of our clients, while working to enhance life skills, coping strategies, and interpersonal relationships.
(614) 432-8364 View (614) 432-8364
Photo of Kami Moore, Counselor in Worthington, OH
Kami Moore
Counselor, LPCC
Verified Verified
Worthington, OH 43085  (Online Only)
Sometimes life feels unmanageable. We try to reach our goals; however, encounter numerous obstacles. I believe we all have the power to progress, change, and grow. Sometimes talking with a professional helps to clarify the next step in that journey. As a Licensed Professional Clinical Counselor, I will work with you to explore your feelings, identify challenges to your ongoing success, clearly define your goals, and develop a plan to move forward. My approach is holistic, open, honest, and direct. Clients will be welcomed with an empathetic and respectful environment where you will receive support and encouragement.
Sometimes life feels unmanageable. We try to reach our goals; however, encounter numerous obstacles. I believe we all have the power to progress, change, and grow. Sometimes talking with a professional helps to clarify the next step in that journey. As a Licensed Professional Clinical Counselor, I will work with you to explore your feelings, identify challenges to your ongoing success, clearly define your goals, and develop a plan to move forward. My approach is holistic, open, honest, and direct. Clients will be welcomed with an empathetic and respectful environment where you will receive support and encouragement.
(614) 347-0815 View (614) 347-0815
Photo of Suzanne Bogren, Counselor in Worthington, OH
Suzanne Bogren
Counselor, MSEd, PCC
Verified Verified
Worthington, OH 43085
Not accepting new clients
I am a Licensed Professional Clinical counselor who has been helping clients since 1998. I am trained to assist those struggling with a variety mental health situations. Whether you are struggling with situational changes, stress, anxiety, depression, or attempting to heal from traumatic events, I can help.
I am a Licensed Professional Clinical counselor who has been helping clients since 1998. I am trained to assist those struggling with a variety mental health situations. Whether you are struggling with situational changes, stress, anxiety, depression, or attempting to heal from traumatic events, I can help.
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How does your Therapist compare?

Number of Therapists in Worthington, OH

200+

Average cost per session

$140

Therapists in Worthington, OH who prioritize treating:

93% Anxiety
87% Depression
75% Relationship Issues
75% Self Esteem
72% Trauma and PTSD
71% Coping Skills
68% Grief

Average years in practice

13 Years

Top 3 insurances accepted

82% Aetna
73% Medical Mutual
63% Cigna and Evernorth

How Therapists in Worthington, OH see their clients

90% In Person and Online
10% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Worthington?

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.