Therapists in Manchester, NH

Photo of Yasmin Adam, MSW, MBA, Pre-Licensed Professional
Yasmin Adam
Pre-Licensed Professional, MSW, MBA
Verified Verified
Manchester, NH 03101  (Online Only)
Hi! I'm a pre-licensed therapist in NH trained in EMDR. I specialize in combining evidence based interventions with holistic techniques to support a solution-focused approach in healing the mind, body, and spirit. This includes Eye Movement Desensitization Reprocessing, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, reiki/energy healing, past life regression, somatic healing, meditation and hypnosis techniques. These techniques help me to navigate you through challenging healing work, so that you meet your goals and see symptoms improve.
Hi! I'm a pre-licensed therapist in NH trained in EMDR. I specialize in combining evidence based interventions with holistic techniques to support a solution-focused approach in healing the mind, body, and spirit. This includes Eye Movement Desensitization Reprocessing, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, reiki/energy healing, past life regression, somatic healing, meditation and hypnosis techniques. These techniques help me to navigate you through challenging healing work, so that you meet your goals and see symptoms improve.
(603) 207-2105 x702 View (603) 207-2105 x702
Photo of Matthew Kobs, PsyD
Matthew Kobs
PsyD
Verified Verified
Manchester, NH 03101
Everyone has a story to tell, a thread that consciously or unconsciously guides his or her behavior, wants, and motivations. In my practice, I try to help people who have become unhappy with their current pattern of living and have begun to think about building a clearer understanding of who they are and who they feel they would like to "be." I work to build a mutual appreciation for each other's story. Having received extensive training in Cognitive Behavioral and Analytical Theory, I am able to provide an eclectic approach to working with a wide variety of clients' needs.
Everyone has a story to tell, a thread that consciously or unconsciously guides his or her behavior, wants, and motivations. In my practice, I try to help people who have become unhappy with their current pattern of living and have begun to think about building a clearer understanding of who they are and who they feel they would like to "be." I work to build a mutual appreciation for each other's story. Having received extensive training in Cognitive Behavioral and Analytical Theory, I am able to provide an eclectic approach to working with a wide variety of clients' needs.
(855) 805-4668 View (855) 805-4668
Photo of Kayla Fedorchuk, MA, CMHC, Pre-Licensed Professional
Kayla Fedorchuk
Pre-Licensed Professional, MA, CMHC
Verified Verified
2 Endorsed
Manchester, NH 03101
"Never underestimate the power you have to take your life in a new direction". You are capable of amazing things! Whether this is your first time in counseling or you have been in counseling for years, it is never too late to grow, evolve, and progress towards new beginnings. Our negative thoughts and emotions can be traced back to unpleasant memories. Processing these memories can help you eliminate those negative thoughts, feelings, and emotions; reducing your on-going stress, anxiety, fears, etc. My goal is to help you heal in a space that is free of judgement; where you can feel comfortable, safe, and secure.
"Never underestimate the power you have to take your life in a new direction". You are capable of amazing things! Whether this is your first time in counseling or you have been in counseling for years, it is never too late to grow, evolve, and progress towards new beginnings. Our negative thoughts and emotions can be traced back to unpleasant memories. Processing these memories can help you eliminate those negative thoughts, feelings, and emotions; reducing your on-going stress, anxiety, fears, etc. My goal is to help you heal in a space that is free of judgement; where you can feel comfortable, safe, and secure.
(603) 696-4872 View (603) 696-4872
Photo of Jaden Howard, MS, Pre-Licensed Professional
Jaden Howard
Pre-Licensed Professional, MS
Verified Verified
Manchester, NH 03101
Accepting new clients! Supporting BIPoC, LGTBQIA2s+, adults, children, teens, and couples. I provide a compassionate and affirming environment to explore your path. If you are struggling with anxiety, depression, low self-esteem, traumatic stress, and confidence issues I am here to help. I have experience working with behaviors stemming from social anxiety, gender dysphoria, ADHD, anger/aggression, depression, and substance use.
Accepting new clients! Supporting BIPoC, LGTBQIA2s+, adults, children, teens, and couples. I provide a compassionate and affirming environment to explore your path. If you are struggling with anxiety, depression, low self-esteem, traumatic stress, and confidence issues I am here to help. I have experience working with behaviors stemming from social anxiety, gender dysphoria, ADHD, anger/aggression, depression, and substance use.
(603) 945-1586 View (603) 945-1586
Photo of Heather Crowell, LCMHC, MLADC, LCS, Counselor
Heather Crowell
Counselor, LCMHC, MLADC, LCS
Verified Verified
Manchester, NH 03104  (Online Only)
Throughout my career I have worked with a variety of different populations and clients. I feel that mental health treatment is for everyone and I strive to make my services accessible.
Throughout my career I have worked with a variety of different populations and clients. I feel that mental health treatment is for everyone and I strive to make my services accessible.
(855) 305-2160 View (855) 305-2160
Photo of Amanda M McGuire, MA, Pre-Licensed Professional
Amanda M McGuire
Pre-Licensed Professional, MA
Verified Verified
Manchester, NH 03101  (Online Only)
Accepting new clients! Supporting BIPoC, LGTBQIA2s+, women, children (6+), adolescents, and couples. If you are struggling with anxiety, depression, low self-esteem, traumatic stress, and confidence issues I am here to help. I blend evidence-based modalities with a person-centered approach. Recognizing we are living in uncertain times, I also offer therapeutic support to those who are immunocompromised and navigating a new way of living. We can work together to map a path and get you to the life that you desire to live!
Accepting new clients! Supporting BIPoC, LGTBQIA2s+, women, children (6+), adolescents, and couples. If you are struggling with anxiety, depression, low self-esteem, traumatic stress, and confidence issues I am here to help. I blend evidence-based modalities with a person-centered approach. Recognizing we are living in uncertain times, I also offer therapeutic support to those who are immunocompromised and navigating a new way of living. We can work together to map a path and get you to the life that you desire to live!
(603) 787-3140 View (603) 787-3140
Photo of Carol L Gay, MA, LCMHC, MLADC, Drug & Alcohol Counselor
Carol L Gay
Drug & Alcohol Counselor, MA, LCMHC, MLADC
Verified Verified
Manchester, NH 03101
Not accepting new clients
Hello, I am a dual licensed psychotherapist; Licensed Clinical Mental Health Counselor and Master Licensed Alcohol and Drug Counselor. I am trained in CBT, DBT, TF-CBT, MI, and EFT. My current areas of interest and study include IFS, EMDR, and positive psychology. I encourage my clients toward holistic living as a foundation for mental health. My studied belief is we fundamentally know what is good and healthy for ourselves, yet life experiences silence or alienates us from connecting with this core self-wisdom. Talk therapy is a vehicle to understand our wounds, barriers, to learn to listen for our inner wisdom, and to heal.
Hello, I am a dual licensed psychotherapist; Licensed Clinical Mental Health Counselor and Master Licensed Alcohol and Drug Counselor. I am trained in CBT, DBT, TF-CBT, MI, and EFT. My current areas of interest and study include IFS, EMDR, and positive psychology. I encourage my clients toward holistic living as a foundation for mental health. My studied belief is we fundamentally know what is good and healthy for ourselves, yet life experiences silence or alienates us from connecting with this core self-wisdom. Talk therapy is a vehicle to understand our wounds, barriers, to learn to listen for our inner wisdom, and to heal.
(603) 207-3707 x40 View (603) 207-3707 x40
Photo of Ellen Papanikolaou, MA, LCMHC, Counselor
Ellen Papanikolaou
Counselor, MA, LCMHC
Verified Verified
Manchester, NH 03101
As a licensed therapist I offer counseling and consultation services to individuals, couples and families using Cognitive Behavioral, Family Systems, Psychodynamic and Solution Focused techniques. My treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns.
As a licensed therapist I offer counseling and consultation services to individuals, couples and families using Cognitive Behavioral, Family Systems, Psychodynamic and Solution Focused techniques. My treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns.
(603) 769-4131 View (603) 769-4131
Photo of Thisvi McCormick, MLADC, LCMHC, ADS, Counselor
Thisvi McCormick
Counselor, MLADC, LCMHC, ADS
Verified Verified
Manchester, NH 03101
Life brings many challenges. Possibly, you are feeling out of balance with the pressures of work and/or personal relationships. Maybe, anxiety and stress are causing you to lose sleep, feel depressed or act out with excessive behaviors; such as drinking too much, overeating or experiencing repetitive, self defeating thoughts. You may be struggling to manage or stop behaviors that create shame, guilt or ongoing regret. With 17 years of clinical experience, specializing in trauma/ PTSD, addictions, relationships and other life transitions, I support clients through a Holistic approach towards personal healing.
Life brings many challenges. Possibly, you are feeling out of balance with the pressures of work and/or personal relationships. Maybe, anxiety and stress are causing you to lose sleep, feel depressed or act out with excessive behaviors; such as drinking too much, overeating or experiencing repetitive, self defeating thoughts. You may be struggling to manage or stop behaviors that create shame, guilt or ongoing regret. With 17 years of clinical experience, specializing in trauma/ PTSD, addictions, relationships and other life transitions, I support clients through a Holistic approach towards personal healing.
(855) 805-0644 View (855) 805-0644
Photo of Judy Gallagher, LCMHC, Counselor
Judy Gallagher
Counselor, LCMHC
Verified Verified
Manchester, NH 03103
Hi, my name is Judy Gallagher, I am a Licensed Clinical Mental Health Counselor and a Master Licensed Alcohol and Drug Counselor in the state of New Hampshire. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy and other evidence based practices. For over 20 years I have worked with adults facing a multitude of challenges that have included addiction, anxiety, depression, trauma, difficult life transitions, and involvement within the criminal justice system. I have experience working with people of different socio-economic backgrounds, cultural affiliations, religions, gender and sexual orientations.
Hi, my name is Judy Gallagher, I am a Licensed Clinical Mental Health Counselor and a Master Licensed Alcohol and Drug Counselor in the state of New Hampshire. I am trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy and other evidence based practices. For over 20 years I have worked with adults facing a multitude of challenges that have included addiction, anxiety, depression, trauma, difficult life transitions, and involvement within the criminal justice system. I have experience working with people of different socio-economic backgrounds, cultural affiliations, religions, gender and sexual orientations.
(866) 540-6671 View (866) 540-6671
Photo of Erin J Moskun, Intern , Pre-Licensed Professional
Erin J Moskun
Pre-Licensed Professional, Intern
Verified Verified
Manchester, NH 03101
I believe that all individuals have the capacity to heal from trauma, learn new skills to help them face challenges, build better relationships with themselves and others, and live healthy, fulfilling lives. I take a holistic view of my clients and see emotional wellness as an integral part of overall health. I weave in my background of nutrition and athletics with a way of building self-esteem and resilience. I respect each individual's cultural history and believe that our differences make us more interesting.
I believe that all individuals have the capacity to heal from trauma, learn new skills to help them face challenges, build better relationships with themselves and others, and live healthy, fulfilling lives. I take a holistic view of my clients and see emotional wellness as an integral part of overall health. I weave in my background of nutrition and athletics with a way of building self-esteem and resilience. I respect each individual's cultural history and believe that our differences make us more interesting.
Photo of Darryl A Stewart, MA, CMHC, Pre-Licensed Professional
Darryl A Stewart
Pre-Licensed Professional, MA, CMHC
Verified Verified
2 Endorsed
Manchester, NH 03101  (Online Only)
Waitlist for new clients
I believe the one of the most important parts of a successful and positive experience in therapy is the therapuetic relationship. Starting off my first priority is to make you feel comfortable being yourself, in a judgement free space. It would be my pleasure to walk with you as you pursue your mental health goals, and help you work toward overcoming any obstacles preventing you from living the life you want to live.
I believe the one of the most important parts of a successful and positive experience in therapy is the therapuetic relationship. Starting off my first priority is to make you feel comfortable being yourself, in a judgement free space. It would be my pleasure to walk with you as you pursue your mental health goals, and help you work toward overcoming any obstacles preventing you from living the life you want to live.
(603) 270-9181 View (603) 270-9181
Photo of Emily Lukanik, LICSW, Clinical Social Work/Therapist
Emily Lukanik
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester, NH 03101
Accepting New Clients. The decision to engage in therapy isn’t always easy. It takes strength and courage and is an effort to make a commitment to yourself towards healing. Our past, present, and future can have a significant effect on mood, behaviors, perceptions and relationships. Anxiety, depression and trauma can manifest in negative and uncomfortable physical symptoms along with feelings of loneliness, sadness, irritability, worthlessness and guilt. I provide a safe and caring environment for Clients to collaborate on restoring balance and rediscover strengths.
Accepting New Clients. The decision to engage in therapy isn’t always easy. It takes strength and courage and is an effort to make a commitment to yourself towards healing. Our past, present, and future can have a significant effect on mood, behaviors, perceptions and relationships. Anxiety, depression and trauma can manifest in negative and uncomfortable physical symptoms along with feelings of loneliness, sadness, irritability, worthlessness and guilt. I provide a safe and caring environment for Clients to collaborate on restoring balance and rediscover strengths.
(603) 505-8085 View (603) 505-8085
Photo of Robert Dumond, LMHC, Counselor
Robert Dumond
Counselor, LMHC
Verified Verified
Manchester, NH 03103  (Online Only)
Robert W. Dumond is a board certified Clinical Mental Health Counselor licensed in New Hampshire LCMHC 117 and Massachusetts LMHC 1090 who has provided mental health and counseling services in a variety of settings since 1970. He has served as a counselor, psychologist, mental health clinician, victim advocate, senior executive, researcher, educator, policy maker and national consultant in local, state and federal agencies public/private non-profit. Treatment settings have included residential treatment centers, community-based care, psychiatric hospitals, jails and prisons, counseling centers and hospital emergency rooms.
Robert W. Dumond is a board certified Clinical Mental Health Counselor licensed in New Hampshire LCMHC 117 and Massachusetts LMHC 1090 who has provided mental health and counseling services in a variety of settings since 1970. He has served as a counselor, psychologist, mental health clinician, victim advocate, senior executive, researcher, educator, policy maker and national consultant in local, state and federal agencies public/private non-profit. Treatment settings have included residential treatment centers, community-based care, psychiatric hospitals, jails and prisons, counseling centers and hospital emergency rooms.
(877) 847-7242 View (877) 847-7242
Photo of Jessica Janus, MA, LCMHC, Counselor
Jessica Janus
Counselor, MA, LCMHC
Verified Verified
3 Endorsed
Manchester, NH 03102
We all have a story. I believe our stories and experiences deserve a trusting space to process free from judgment. Within the therapeutic relationship, I aim to empower individuals to honor their stories with empathy through nuances of language and self-exploration. When we are given a validating space to understand ourselves in relation to our experiences, we are capable of making meaningful changes in our lives. Through curiosity and collaboration, I support people’s natural ability to heal in the wake of hardship.
We all have a story. I believe our stories and experiences deserve a trusting space to process free from judgment. Within the therapeutic relationship, I aim to empower individuals to honor their stories with empathy through nuances of language and self-exploration. When we are given a validating space to understand ourselves in relation to our experiences, we are capable of making meaningful changes in our lives. Through curiosity and collaboration, I support people’s natural ability to heal in the wake of hardship.
(603) 713-5916 View (603) 713-5916
Photo of Felicity Bernard, LCMHC, Counselor
Felicity Bernard
Counselor, LCMHC
Verified Verified
Manchester, NH 03103
Ellie Manchester - Feeling overwhelmed? isolated? relationships a mess? My mission in life is to help folks realize new ways of operating by increasing their capacity to express thoughts and feelings, increase opportunities for happiness and find way to cope when things are not going well. At Ellie Mental Health, our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in our community.
Ellie Manchester - Feeling overwhelmed? isolated? relationships a mess? My mission in life is to help folks realize new ways of operating by increasing their capacity to express thoughts and feelings, increase opportunities for happiness and find way to cope when things are not going well. At Ellie Mental Health, our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in our community.
(603) 634-9471 View (603) 634-9471
Photo of Brian Driscoll, MS, CMHC, Pre-Licensed Professional
Brian Driscoll
Pre-Licensed Professional, MS, CMHC
Verified Verified
2 Endorsed
Manchester, NH 03103
I believe in the power of healing and the ability of everyone to be able to overcome trauma and adversity. Having previously served in the military and first responder, and now as a school counselor for children, I am dedicated to the service of others with a humanistic, person-centered, and strengths-based approach. My passion is in helping others heal from the effects of trauma and the many other obstacles that life will present. Often times the hardest step is the first step. With a soft voice, compassion, understanding, and acceptance, I want to take that first step with you and empower you to find strength and resilience.
I believe in the power of healing and the ability of everyone to be able to overcome trauma and adversity. Having previously served in the military and first responder, and now as a school counselor for children, I am dedicated to the service of others with a humanistic, person-centered, and strengths-based approach. My passion is in helping others heal from the effects of trauma and the many other obstacles that life will present. Often times the hardest step is the first step. With a soft voice, compassion, understanding, and acceptance, I want to take that first step with you and empower you to find strength and resilience.
(603) 696-4872 View (603) 696-4872
Luke Gagne Counseling & Life Coach
Counselor, LCMHC, MLADC, BCC
Verified Verified
Manchester, NH 03103
I provide counseling and coaching to those whose vision of their life purpose and direction has been blurred by self medicating painful experiences and emotions with alcohol and drugs, a DUI, overwhelming stress in their relationship or job, an episode of depression or anxiety, or the loss of a loved one. These are common issues and challenges that clients struggle with on their journey to live a meaningful and satisfying lives. I have been privileged to assist clients in this journey as they regain awareness one day at a time of their life's purpose and direction.
I provide counseling and coaching to those whose vision of their life purpose and direction has been blurred by self medicating painful experiences and emotions with alcohol and drugs, a DUI, overwhelming stress in their relationship or job, an episode of depression or anxiety, or the loss of a loved one. These are common issues and challenges that clients struggle with on their journey to live a meaningful and satisfying lives. I have been privileged to assist clients in this journey as they regain awareness one day at a time of their life's purpose and direction.
(603) 505-8211 View (603) 505-8211
Photo of Denise Gaertner, MA, LCMHC, Counselor
Denise Gaertner
Counselor, MA, LCMHC
Verified Verified
Manchester, NH 03104
I offer individual therapy to older adolescents and adults in a small private practice setting which allows me to personalize my service to you. I specialize in working with those who have problems as a result of having suffered trauma at some time in their lives, whether during childhood or more recently. I am able to offer help regulating difficult emotions, such as depression, anxiety and anger. I can also work with you to strengthen your sense of self-worth and relationships with others. I most enjoy helping people gain greater self-knowledge for a more fulfilling life.
I offer individual therapy to older adolescents and adults in a small private practice setting which allows me to personalize my service to you. I specialize in working with those who have problems as a result of having suffered trauma at some time in their lives, whether during childhood or more recently. I am able to offer help regulating difficult emotions, such as depression, anxiety and anger. I can also work with you to strengthen your sense of self-worth and relationships with others. I most enjoy helping people gain greater self-knowledge for a more fulfilling life.
(603) 685-3705 View (603) 685-3705
Photo of Amanda E Cincevich - Mercy Integrated Therapy Solutions , LCMHC, Clinical Social Work/Therapist
Mercy Integrated Therapy Solutions
Clinical Social Work/Therapist, LCMHC
Verified Verified
Manchester, NH 03109
At times, I know that it is hard to make the first step towards a better you. Life and the world are not fair at times, and this can often bring on discouragement, and may even result in you isolating yourself. Whether you are young or old these moments can be draining! Let's work on getting your life back on track. We here at Mercy provide individual therapy, family therapy, and even have options for reunification therapy.
At times, I know that it is hard to make the first step towards a better you. Life and the world are not fair at times, and this can often bring on discouragement, and may even result in you isolating yourself. Whether you are young or old these moments can be draining! Let's work on getting your life back on track. We here at Mercy provide individual therapy, family therapy, and even have options for reunification therapy.
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How does your Therapist compare?

Number of Therapists in Manchester, NH

300+

Average cost per session

$140

Therapists in Manchester, NH who prioritize treating:

91% Anxiety
86% Depression
71% Trauma and PTSD
70% Relationship Issues
70% Self Esteem
67% Coping Skills
64% Stress

Average years in practice

11 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
78% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Manchester, NH see their clients

69% In Person and Online
31% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester?

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.

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