Therapists in Media, PA

Photo of Sandra Thompson, Licensed Professional Counselor in Media, PA
Sandra Thompson
Licensed Professional Counselor, LPCC
Verified Verified
Media, PA 19063
Sandy is a licensed professional counselor and art therapist. Her eclectic approach utilizes interpersonal therapy, mindfulness, and cognitive behavioral therapy (CBT). I strive to build a comfortable relationship to assist with identifying patterns of problematic thinking, insight into maladaptive behaviors and help with creating positive coping strategies. I know how important it is to find the right therapist where trust and confidence is essential for emotional expressiveness and change. She received her Masters degree (MS) from Hahnemann University and her BFA from the University of the Arts.
Sandy is a licensed professional counselor and art therapist. Her eclectic approach utilizes interpersonal therapy, mindfulness, and cognitive behavioral therapy (CBT). I strive to build a comfortable relationship to assist with identifying patterns of problematic thinking, insight into maladaptive behaviors and help with creating positive coping strategies. I know how important it is to find the right therapist where trust and confidence is essential for emotional expressiveness and change. She received her Masters degree (MS) from Hahnemann University and her BFA from the University of the Arts.
(484) 613-3898 View (484) 613-3898
Photo of Douglas Achtert, Clinical Social Work/Therapist in Media, PA
Douglas Achtert
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063
Douglas Achtert is a licensed clinical social worker and received their Master's in Social Work from Bryn Mawr College in 2011. Doug sees adolescents, adults, and couples. They are an empowered meditation teacher in the Theravadan tradition and incorporate this background using a mindfulness based cognitive therapy approach towards clients with depression, grief, substance use issues, anxiety, or bipolar. Doug also utilizes the mind body connection and awareness to help with growth and meeting goals in all aspects of life.
Douglas Achtert is a licensed clinical social worker and received their Master's in Social Work from Bryn Mawr College in 2011. Doug sees adolescents, adults, and couples. They are an empowered meditation teacher in the Theravadan tradition and incorporate this background using a mindfulness based cognitive therapy approach towards clients with depression, grief, substance use issues, anxiety, or bipolar. Doug also utilizes the mind body connection and awareness to help with growth and meeting goals in all aspects of life.
(484) 603-6109 View (484) 603-6109
Photo of Jenn Oglesbee, Clinical Social Work/Therapist in Media, PA
Jenn Oglesbee
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Media, PA 19063
If you’re struggling after a loss or a major life transition, it makes sense that nothing makes sense. If you’re feeling overwhelmed, confused, and like you don’t know where to turn, you are not alone. What if you had a supportive and calming space where you could feel seen and understood, make sense of your experience, and find a way forward that feels right for you? Whether you're struggling with grief, anxiety, relationship issues, stress, or overwhelm, I can provide you with a safe, non-judgmental space where you can feel nurtured and supported.
If you’re struggling after a loss or a major life transition, it makes sense that nothing makes sense. If you’re feeling overwhelmed, confused, and like you don’t know where to turn, you are not alone. What if you had a supportive and calming space where you could feel seen and understood, make sense of your experience, and find a way forward that feels right for you? Whether you're struggling with grief, anxiety, relationship issues, stress, or overwhelm, I can provide you with a safe, non-judgmental space where you can feel nurtured and supported.
(610) 707-8413 View (610) 707-8413
Photo of Stephanie Winfree, Licensed Professional Counselor in Media, PA
Stephanie Winfree
Licensed Professional Counselor, LPC
Verified Verified
Media, PA 19063
Hello! My name is Stephanie Winfree and I have been a Licensed Professional Counselor for 12 years and I have over 20 years of work experience in multiple behavioral health entities with multicultural diverse populations. I have specifically worked in Child Welfare, Crisis Intervention, Community Behavioral Health including Mental Health, Substance Use Disorders and Co-Occurring Treatment. My 12 years of Adjunct Instruction has also helped to enhance my psychoeducational delivery of my primary therapeutic approach which is DBT Skills Training.
Hello! My name is Stephanie Winfree and I have been a Licensed Professional Counselor for 12 years and I have over 20 years of work experience in multiple behavioral health entities with multicultural diverse populations. I have specifically worked in Child Welfare, Crisis Intervention, Community Behavioral Health including Mental Health, Substance Use Disorders and Co-Occurring Treatment. My 12 years of Adjunct Instruction has also helped to enhance my psychoeducational delivery of my primary therapeutic approach which is DBT Skills Training.
(484) 578-3189 View (484) 578-3189
Photo of Xihlovo Mabunda, Licensed Professional Counselor in Media, PA
Xihlovo Mabunda
Licensed Professional Counselor, LPC, NCC
Verified Verified
Media, PA 19063  (Online Only)
Not accepting new clients
If you are reading this, you have already taken the first step! Starting therapy can be overwhelming, especially if you have been sitting with difficult feelings on your own, but here’s the thing, some of the scariest things are the most rewarding; and I am here to move into that with you. My practice is informed by my identity as a black woman, and I view the therapeutic relationship as a space that fosters a collaborative environment. I navigate spaces with openness, humor, and empathy, seeking always to understand others with grace and an appreciation of their autonomy.
If you are reading this, you have already taken the first step! Starting therapy can be overwhelming, especially if you have been sitting with difficult feelings on your own, but here’s the thing, some of the scariest things are the most rewarding; and I am here to move into that with you. My practice is informed by my identity as a black woman, and I view the therapeutic relationship as a space that fosters a collaborative environment. I navigate spaces with openness, humor, and empathy, seeking always to understand others with grace and an appreciation of their autonomy.
(484) 388-5083 View (484) 388-5083
Photo of Cynthia Burke McPherson, Clinical Social Work/Therapist in Media, PA
Cynthia Burke McPherson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Media, PA 19063
Feeling overwhelmed despite your best efforts? Are you questioning your path or purpose or experiencing self- doubt? Clients come to see me for a variety of reasons including navigating a difficult life transition, recovering from a painful heartbreak, loss or trauma, parenting support or simply longing for more self awareness and to improve their relationships or marriages. I enjoy working with motivated clients to identify obstacles and barriers that hinder their personal growth. It's hard to see possibilities when you are overwhelmed. That's where I come in. Call me and let's discuss what success looks like for you.
Feeling overwhelmed despite your best efforts? Are you questioning your path or purpose or experiencing self- doubt? Clients come to see me for a variety of reasons including navigating a difficult life transition, recovering from a painful heartbreak, loss or trauma, parenting support or simply longing for more self awareness and to improve their relationships or marriages. I enjoy working with motivated clients to identify obstacles and barriers that hinder their personal growth. It's hard to see possibilities when you are overwhelmed. That's where I come in. Call me and let's discuss what success looks like for you.
(610) 726-0782 View (610) 726-0782
Photo of Michelle Quigley-Burns, Clinical Social Work/Therapist in Media, PA
Michelle Quigley-Burns
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063
It can be difficult and challenging to experience life stressors. I like to partner with my patients to help them navigate and heal. My specialties include anxiety, depression, PTSD, infertility, and marital concerns. I use a variety of modalities, including Dialectical Behavioral Therapy (DBT), to provide a supportive, non-judgmental, environment. If you would like to get to the root of what is weighing on you and work toward a more fulfilling life, I would love to hear from you.
It can be difficult and challenging to experience life stressors. I like to partner with my patients to help them navigate and heal. My specialties include anxiety, depression, PTSD, infertility, and marital concerns. I use a variety of modalities, including Dialectical Behavioral Therapy (DBT), to provide a supportive, non-judgmental, environment. If you would like to get to the root of what is weighing on you and work toward a more fulfilling life, I would love to hear from you.
(610) 590-8728 View (610) 590-8728
Photo of CRES Wellness PLLC, Psychologist in Media, PA
CRES Wellness PLLC
Psychologist, PsyD
Verified Verified
Media, PA 19063  (Online Only)
My ideal client is seeking therapy as another step towards their own growth, on their terms. They have recognized the benefits of a collaborator that can balance intersecting identities and provide evidence-based and empirically supported interventions in meaningful and digestible ways. They want someone genuine and empathic with practical strategies and opportunities for accountability. Most of all, my ideal client recognizes that they are free to hold space together and that they deserve to live a life that they can feel connected to and proud of and that I am open to committing to helping them get there.
My ideal client is seeking therapy as another step towards their own growth, on their terms. They have recognized the benefits of a collaborator that can balance intersecting identities and provide evidence-based and empirically supported interventions in meaningful and digestible ways. They want someone genuine and empathic with practical strategies and opportunities for accountability. Most of all, my ideal client recognizes that they are free to hold space together and that they deserve to live a life that they can feel connected to and proud of and that I am open to committing to helping them get there.
(484) 207-5080 View (484) 207-5080
Gina Creatura
Pre-Licensed Professional, PhD
Verified Verified
Media, PA 19063
Clients that are the best fit for me are typically looking to take control of their life back from anxiety, insomnia, or life stressors that are getting in the way of their values.
Clients that are the best fit for me are typically looking to take control of their life back from anxiety, insomnia, or life stressors that are getting in the way of their values.
(484) 275-2103 View (484) 275-2103
Photo of Tori Capps, Licensed Professional Counselor in Media, PA
Tori Capps
Licensed Professional Counselor, LPCC
Verified Verified
Media, PA 19063
Tori Capps is a Licensed Professional Counselor. She has a Master of Arts Degree in Counseling with concentrations in Trauma Studies and Child/Family Therapy from Arcadia University. Tori is a Certified Advanced Alcohol and Drug Counselor with a Certification in Dialectical Behavioral Therapy, with over 4 years specializing in substance use disorders/addictive behaviors, PTSD, anxiety, and depression. She has over 7 years of experience as a domestic violence counselor.
Tori Capps is a Licensed Professional Counselor. She has a Master of Arts Degree in Counseling with concentrations in Trauma Studies and Child/Family Therapy from Arcadia University. Tori is a Certified Advanced Alcohol and Drug Counselor with a Certification in Dialectical Behavioral Therapy, with over 4 years specializing in substance use disorders/addictive behaviors, PTSD, anxiety, and depression. She has over 7 years of experience as a domestic violence counselor.
(484) 435-2068 View (484) 435-2068
Photo of Valerie Daniel, Clinical Social Work/Therapist in Media, PA
Valerie Daniel
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
5 Endorsed
Media, PA 19063
I empower women and individuals to navigate through the crossroads and transitions in life in order to help them live their best lives. Because research has shown that transitions in life trigger physical and emotional stress responses in the body, and having coping skills to effectively manage the stress of life's crossroads can provide the emotional stamina needed to thrive, I offer relationship counseling, individual counseling for anxiety, depression, grief and loss associated with life transitions, and relationship issues.
I empower women and individuals to navigate through the crossroads and transitions in life in order to help them live their best lives. Because research has shown that transitions in life trigger physical and emotional stress responses in the body, and having coping skills to effectively manage the stress of life's crossroads can provide the emotional stamina needed to thrive, I offer relationship counseling, individual counseling for anxiety, depression, grief and loss associated with life transitions, and relationship issues.
(267) 416-0825 View (267) 416-0825
Photo of Cynthia R Young, Clinical Social Work/Therapist in Media, PA
Cynthia R Young
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Media, PA 19063
Are you struggling with feelings of uncertainty, worry, loneliness or distress? You are not alone. I am here to help you navigate through relationship conflict, social isolation, parenting stress, and feelings of disconnection. My particular interest and passion lies in helping people develop deep and meaningful relationships, and believe that strong attachments are the bedrock of a healthy life. I treat families, couples and individuals, who struggle with anxiety and depression, isolating and self-injurious behaviors, couple or family conflict, divorce and co-parenting, and life transitions.
Are you struggling with feelings of uncertainty, worry, loneliness or distress? You are not alone. I am here to help you navigate through relationship conflict, social isolation, parenting stress, and feelings of disconnection. My particular interest and passion lies in helping people develop deep and meaningful relationships, and believe that strong attachments are the bedrock of a healthy life. I treat families, couples and individuals, who struggle with anxiety and depression, isolating and self-injurious behaviors, couple or family conflict, divorce and co-parenting, and life transitions.
(267) 478-3079 View (267) 478-3079
Photo of Marcelle Blair, Clinical Social Work/Therapist in Media, PA
Marcelle Blair
Clinical Social Work/Therapist, LCSW
Verified Verified
Media, PA 19063
Waitlist for new clients
Despite challenges one may face in their life or family; a happy, healthy, well-adjusted life can be possible with support. For many years I have valued being a psychotherapist. I provide clinical supervision to social workers and professional counselors seeking a LCSW and/or LPC certification. I have an ever increasing passion to help improve relationships at work, in families and marriages . I support those with stress and mood disorders like anxiety. If you are an essential worker, including mental health professional, or the family member anyone in the helping profession - I get it. We should talk.
Despite challenges one may face in their life or family; a happy, healthy, well-adjusted life can be possible with support. For many years I have valued being a psychotherapist. I provide clinical supervision to social workers and professional counselors seeking a LCSW and/or LPC certification. I have an ever increasing passion to help improve relationships at work, in families and marriages . I support those with stress and mood disorders like anxiety. If you are an essential worker, including mental health professional, or the family member anyone in the helping profession - I get it. We should talk.
(610) 679-9471 View (610) 679-9471
Photo of Caralee Crary, Licensed Professional Counselor in Media, PA
Caralee Crary
Licensed Professional Counselor, MEd, MA, LPC, NCP
Verified Verified
5 Endorsed
Media, PA 19063
Waitlist for new clients
I believe that a person moves in and out of their various life stages with the desire to learn and sometimes re-learn life lessons. I work with clients to enhance self-awareness, insight, and skill sets for managing life. Our therapeutic experience will be a joint effort in reaching your goals! I work with adult couples struggling in their relationships, communication, and living styles over all stages of life. I work with children and teens in their social, emotional, educational, and family systems. I see adults attempting to clarify and reach life goals involving education, work, independence, esteem, and healthy relationships.
I believe that a person moves in and out of their various life stages with the desire to learn and sometimes re-learn life lessons. I work with clients to enhance self-awareness, insight, and skill sets for managing life. Our therapeutic experience will be a joint effort in reaching your goals! I work with adult couples struggling in their relationships, communication, and living styles over all stages of life. I work with children and teens in their social, emotional, educational, and family systems. I see adults attempting to clarify and reach life goals involving education, work, independence, esteem, and healthy relationships.
(215) 866-2109 View (215) 866-2109
Photo of Carol Sherman, Clinical Social Work/Therapist in Media, PA
Carol Sherman
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Media, PA 19063
I provide individual, couple and family psychotherapy. One might be struggling with anxiety, depression, loneliness, relationship and workplace stress, health issues, or other difficulties. A couple might feel stuck, a family might have difficulties communicating. Sometimes people feel unhappy and irritable but are not sure why. Together, we will discuss areas in your life that create challenges and stress. I can help explore issues and difficult feelings. Through our work together, your relationship with yourself and others will improve.
I provide individual, couple and family psychotherapy. One might be struggling with anxiety, depression, loneliness, relationship and workplace stress, health issues, or other difficulties. A couple might feel stuck, a family might have difficulties communicating. Sometimes people feel unhappy and irritable but are not sure why. Together, we will discuss areas in your life that create challenges and stress. I can help explore issues and difficult feelings. Through our work together, your relationship with yourself and others will improve.
(610) 915-8725 View (610) 915-8725
Photo of Sean Cleary, Licensed Professional Counselor in Media, PA
Sean Cleary
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
Media, PA 19063
Whether it’s anxiety, depression, lack of fulfillment, or even just a general feeling of being stuck, therapy is the vehicle that will help you rise above it all and take back control of your life. Working together, you and I will take active steps to build your resilience and find a new sense of purpose in your life. I’m ready when you are.
Whether it’s anxiety, depression, lack of fulfillment, or even just a general feeling of being stuck, therapy is the vehicle that will help you rise above it all and take back control of your life. Working together, you and I will take active steps to build your resilience and find a new sense of purpose in your life. I’m ready when you are.
(610) 580-0060 View (610) 580-0060
Photo of Lincoln Blackwell, Pre-Licensed Professional in Media, PA
Lincoln Blackwell
Pre-Licensed Professional, MA, NCC, CCTP
Verified Verified
1 Endorsed
Media, PA 19063
Dealing with grief and loss? Difficult experiences that need to be discussed to gain insight and freedom? Or maybe you are engaged in a recovery journey and would like to take the next steps of personal growth. As a pre-licensed therapist, I have access to the latest integrative techniques and care for addiction, trauma, and many other presenting concerns.
Dealing with grief and loss? Difficult experiences that need to be discussed to gain insight and freedom? Or maybe you are engaged in a recovery journey and would like to take the next steps of personal growth. As a pre-licensed therapist, I have access to the latest integrative techniques and care for addiction, trauma, and many other presenting concerns.
(484) 759-9439 View (484) 759-9439
Photo of Jordan Lief, Psychologist in Media, PA
Jordan Lief
Psychologist, PsyD, CSAT
Verified Verified
1 Endorsed
Media, PA 19063
I have successfully treated people struggling with a variety of issues including depression, anxiety, addiction, trauma/PTSD, loss of a loved one, sexual difficulties, and relationship distress. I work with individuals, couples, and families, with the goal of helping people become more aware of and more comfortable with themselves and others. Life is complex, and I enjoy the challenges of assisting people through their unpredictable journeys. I create a supportive therapeutic environment where my clients feel safe to explore themselves, their relationships, and the world around them.
I have successfully treated people struggling with a variety of issues including depression, anxiety, addiction, trauma/PTSD, loss of a loved one, sexual difficulties, and relationship distress. I work with individuals, couples, and families, with the goal of helping people become more aware of and more comfortable with themselves and others. Life is complex, and I enjoy the challenges of assisting people through their unpredictable journeys. I create a supportive therapeutic environment where my clients feel safe to explore themselves, their relationships, and the world around them.
(610) 915-8043 View (610) 915-8043
Photo of Brad Wolgast, Psychologist in Media, PA
Brad Wolgast
Psychologist, PhD, CBSM, DBSM
Verified Verified
1 Endorsed
Media, PA 19063
Waitlist for new clients
Though my patients come from a variety of backgrounds, ages and lifestyles, they all have sleep problems. I help people with insomnia, chronic nightmares, perimenopausal sleep changes, restless sleep, and those who want to sleep without medication. I also help athletes who want to maximize their performance. My most successful patients want to sleep better and are willing to work for the changes they need. You can learn more about me and my practice at: https://helpmesleep.org
Though my patients come from a variety of backgrounds, ages and lifestyles, they all have sleep problems. I help people with insomnia, chronic nightmares, perimenopausal sleep changes, restless sleep, and those who want to sleep without medication. I also help athletes who want to maximize their performance. My most successful patients want to sleep better and are willing to work for the changes they need. You can learn more about me and my practice at: https://helpmesleep.org
(610) 379-1421 View (610) 379-1421
Photo of Staci Heindel, Psychologist in Media, PA
Staci Heindel
Psychologist, PhD
Verified Verified
Media, PA 19063
I am a Licensed Psychologist and PA Certified School Psychologist with over fifteen years experience in the identification and remediation of learning, behavioral, and emotional differences in preschool through college aged individuals. My primary areas of practice include psychoeducational assessment, school admissions testing, and consultation with parents and schools. I have taught doctoral level courses in assessment and have administration experience as the former Co-Director of Assessment Services and Coordinator of School Admissions Services at Bryn Mawr College Child Study Institute. I serve on the Board of the PA Branch of the International Dyslexia Association and on the Specialist of Schools Planning Committee.
I am a Licensed Psychologist and PA Certified School Psychologist with over fifteen years experience in the identification and remediation of learning, behavioral, and emotional differences in preschool through college aged individuals. My primary areas of practice include psychoeducational assessment, school admissions testing, and consultation with parents and schools. I have taught doctoral level courses in assessment and have administration experience as the former Co-Director of Assessment Services and Coordinator of School Admissions Services at Bryn Mawr College Child Study Institute. I serve on the Board of the PA Branch of the International Dyslexia Association and on the Specialist of Schools Planning Committee.
(215) 436-9907 View (215) 436-9907

How does your Therapist compare?

Number of Therapists in Media, PA

300+

Average cost per session

$150

Therapists in Media, PA who prioritize treating:

91% Anxiety
86% Depression
70% Relationship Issues
68% Self Esteem
67% Trauma and PTSD
60% Stress
58% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

83% Aetna
66% Highmark
57% UnitedHealthcare UHC | UBH

How Therapists in Media, PA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Media?

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.