Therapists in Phoenix, AZ

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Photo of James Heiskell, Licensed Professional Counselor in Phoenix, AZ
James Heiskell
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Phoenix, AZ 85012
My clients gain long lasting benefits from solution focus, DBT, and actualization principles, purposed to renew perspective, manage, behavior, and heighten cognition. We have 2,000 thoughts per day, and each one is capable of changing our circumstances for the better. Why wait? Individuals "want to feel better now, not some time in the distant future." Tap into your natural resources for dynamic change. Use this opportunity to forge a new path, establish a new partnership, and change the environment to meet your needs.
My clients gain long lasting benefits from solution focus, DBT, and actualization principles, purposed to renew perspective, manage, behavior, and heighten cognition. We have 2,000 thoughts per day, and each one is capable of changing our circumstances for the better. Why wait? Individuals "want to feel better now, not some time in the distant future." Tap into your natural resources for dynamic change. Use this opportunity to forge a new path, establish a new partnership, and change the environment to meet your needs.
(480) 725-2796 View (480) 725-2796
Photo of Kevin Dalton, Clinical Social Work/Therapist in Phoenix, AZ
Kevin Dalton
Clinical Social Work/Therapist, PhD, LMSW
Verified Verified
1 Endorsed
Phoenix, AZ 85048
Waitlist for new clients
In therapy we learn to address problems we've been avoiding because they cause us pain or discomfort. For many, avoiding problems has become a problem in itself. You may experience issues with personal productivity, mood, traumatic memories, substance use, or social anxiety. These concerns can be distressing, but they are all manageable with the right skills. A great therapist, Carl Rogers, said “The curious paradox is that when I accept myself, just as I am, then I can change.” Therapy can help you learn skills to get this process of self-acceptance and positive change started.
In therapy we learn to address problems we've been avoiding because they cause us pain or discomfort. For many, avoiding problems has become a problem in itself. You may experience issues with personal productivity, mood, traumatic memories, substance use, or social anxiety. These concerns can be distressing, but they are all manageable with the right skills. A great therapist, Carl Rogers, said “The curious paradox is that when I accept myself, just as I am, then I can change.” Therapy can help you learn skills to get this process of self-acceptance and positive change started.
(480) 841-9101 View (480) 841-9101
Photo of Quin Washington, Licensed Associate Counselor in Phoenix, AZ
Quin Washington
Licensed Associate Counselor, MS
Verified Verified
1 Endorsed
Phoenix, AZ 85027
I enjoy working with individuals of all ages including young children and adolescents. I strive to integrate holistic care into my practice by using yoga, meditation, and sound healing to help people connect and heal mind, body, and spirit. I have also cared for those with dementia and find enjoyment in helping them find peace toward the end of their lives. My go-to treatment modalities include CBT, DBT, Mindfulness and I am certified in herbalism. I like to provide psychoeducation on different topics dealing with anxiety, stress, and how to moderate levels of depression and build self-esteem. I really enjoy brainstorming and/or
I enjoy working with individuals of all ages including young children and adolescents. I strive to integrate holistic care into my practice by using yoga, meditation, and sound healing to help people connect and heal mind, body, and spirit. I have also cared for those with dementia and find enjoyment in helping them find peace toward the end of their lives. My go-to treatment modalities include CBT, DBT, Mindfulness and I am certified in herbalism. I like to provide psychoeducation on different topics dealing with anxiety, stress, and how to moderate levels of depression and build self-esteem. I really enjoy brainstorming and/or
(480) 739-3721 View (480) 739-3721
Photo of Joan Gilbert in Phoenix, AZ
Joan Gilbert
MS, MBA
Verified Verified
2 Endorsed
Phoenix, AZ 85028
Do you feel entangled in unsupportive behaviors, thought patterns or relationships? Are you overwhelmed by anger, guilt, shame, or stress and seeking relief? Or are you simply looking for help in creating the life you know you are meant to lead? As a Life Empowerment Guide and Health Psychology Coach, I combine the principles of psychology and health promotion to help individuals improve their overall well-being and achieve their health-related goals. I lead customized one-on-one sessions with compassion and guide you in improving your emotional, physical, social, and spiritual well-being.
Do you feel entangled in unsupportive behaviors, thought patterns or relationships? Are you overwhelmed by anger, guilt, shame, or stress and seeking relief? Or are you simply looking for help in creating the life you know you are meant to lead? As a Life Empowerment Guide and Health Psychology Coach, I combine the principles of psychology and health promotion to help individuals improve their overall well-being and achieve their health-related goals. I lead customized one-on-one sessions with compassion and guide you in improving your emotional, physical, social, and spiritual well-being.
(480) 485-0941 View (480) 485-0941
Photo of Mary A Brasch, Licensed Professional Counselor in Phoenix, AZ
Mary A Brasch
Licensed Professional Counselor, MACL, MA, LPC, Regd-Ht, CAGS
Verified Verified
1 Endorsed
Phoenix, AZ 85032
I believe in creating and maintaining a safe and supportive environment in which my clients have the opportunity to explore their histories and experiences, develop greater self awareness, achieve insight into their issues, and enhance their strengths. My treatment approach is both creative and flexible. I treat adults for issues that may include: Parenting, Marriage and Relationships, Communication, Stress, Anxiety, Depression, Grief and Bereavement, and Gender issues. My experience over years as an educator, school counselor and behavioral specialist makes treating children and teens a special skill area I offer.
I believe in creating and maintaining a safe and supportive environment in which my clients have the opportunity to explore their histories and experiences, develop greater self awareness, achieve insight into their issues, and enhance their strengths. My treatment approach is both creative and flexible. I treat adults for issues that may include: Parenting, Marriage and Relationships, Communication, Stress, Anxiety, Depression, Grief and Bereavement, and Gender issues. My experience over years as an educator, school counselor and behavioral specialist makes treating children and teens a special skill area I offer.
(602) 910-2332 View (602) 910-2332
Photo of Bridge Consulting Services, Clinical Social Work/Therapist in Phoenix, AZ
Bridge Consulting Services
Clinical Social Work/Therapist, LPC, LCSW, LMSW, LAC, LMFT
Verified Verified
Phoenix, AZ 85037
Our focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. The Bridge Clinicians offer Trauma, Depression, Anxiety, ADHD/ADD, Oppositional Defiant, Stress Management, Grief & Loss Therapy to adults, adolescents, children, individuals, couples, Families.
Our focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. The Bridge Clinicians offer Trauma, Depression, Anxiety, ADHD/ADD, Oppositional Defiant, Stress Management, Grief & Loss Therapy to adults, adolescents, children, individuals, couples, Families.
(623) 304-5219 View (623) 304-5219
Photo of Arizona Autism Diagnostic Center in Phoenix, AZ
Arizona Autism Diagnostic Center
EdS, NCSP
Verified Verified
1 Endorsed
Phoenix, AZ 85016
Feeling overwhelmed by uncertainty and seeking clarity for your child's behaviors and needs? At Arizona Autism Diagnostic Center, we understand the challenges you're facing. Our focus is on providing compassionate support and expert guidance to families navigating the complexities of autism spectrum disorder. We're here to help you find the answers you're looking for and chart a clear path forward for your child's development and well-being.
Feeling overwhelmed by uncertainty and seeking clarity for your child's behaviors and needs? At Arizona Autism Diagnostic Center, we understand the challenges you're facing. Our focus is on providing compassionate support and expert guidance to families navigating the complexities of autism spectrum disorder. We're here to help you find the answers you're looking for and chart a clear path forward for your child's development and well-being.
(623) 343-0936 View (623) 343-0936
Photo of Pam Barnes-Palty, Psychologist in Phoenix, AZ
Pam Barnes-Palty
Psychologist, PsyD
Verified Verified
Phoenix, AZ 85048  (Online Only)
Often when we imagine the process of pregnancy and having a baby, we picture moments of happiness and joy. But pregnancy, birth, and parenting are like the rest of life. There is often joy, but there can be tough times too. Sometimes pregnancy and postparttum depression, anxiety and self-doubt become overwhelming. The unexpected happens, things don't go as planned, relationships change, or grief and loss occurs. If you are having concerns about becoming pregnant, pregnancy, birth, postpartum, pregnancy loss, or being a new parent, you are not alone. Please know it's not your fault, you can get help, and you can feel better.
Often when we imagine the process of pregnancy and having a baby, we picture moments of happiness and joy. But pregnancy, birth, and parenting are like the rest of life. There is often joy, but there can be tough times too. Sometimes pregnancy and postparttum depression, anxiety and self-doubt become overwhelming. The unexpected happens, things don't go as planned, relationships change, or grief and loss occurs. If you are having concerns about becoming pregnant, pregnancy, birth, postpartum, pregnancy loss, or being a new parent, you are not alone. Please know it's not your fault, you can get help, and you can feel better.
(480) 418-8458 View (480) 418-8458
Photo of The Mindful Lemon , Clinical Social Work/Therapist in Phoenix, AZ
The Mindful Lemon
Clinical Social Work/Therapist, LCSW
Verified Verified
Phoenix, AZ 85050  (Online Only)
Our mission is to provide quality online mental health and substance abuse services while breaking down the barriers of traditional, office based therapy. Traditional mental health and substance abuse treatment tends to focus on what makes you sick, what you are lacking but at The Mindful Lemon, our clinicians let you sit in the driver’s seat, focusing on your strengths and assets to help you become the best version of you! This can be via traditional talk therapy, medication management, mindfulness techniques, an emphasis on health, wellness and fitness or any combination of the above.v
Our mission is to provide quality online mental health and substance abuse services while breaking down the barriers of traditional, office based therapy. Traditional mental health and substance abuse treatment tends to focus on what makes you sick, what you are lacking but at The Mindful Lemon, our clinicians let you sit in the driver’s seat, focusing on your strengths and assets to help you become the best version of you! This can be via traditional talk therapy, medication management, mindfulness techniques, an emphasis on health, wellness and fitness or any combination of the above.v
(602) 838-7173 View (602) 838-7173
Photo of Nicholette L. Aragon, Marriage & Family Therapist in Phoenix, AZ
Nicholette L. Aragon
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Phoenix, AZ 85014
I'm a Licensed Marriage and Family Therapist and owner of Central Phoenix Counseling and Therapy. I have been working in field of mental and behavioral health for over 15 years, practicing therapy in both community and private practice settings, and worked as a clinical supervisor for other therapists working toward independent licensure in Arizona. I have been in private practice since 2015, during which time my focus has been to provide individuals, couples and families a safe, open environment where they have the space to heal, grow, and thrive across all areas of their lives.
I'm a Licensed Marriage and Family Therapist and owner of Central Phoenix Counseling and Therapy. I have been working in field of mental and behavioral health for over 15 years, practicing therapy in both community and private practice settings, and worked as a clinical supervisor for other therapists working toward independent licensure in Arizona. I have been in private practice since 2015, during which time my focus has been to provide individuals, couples and families a safe, open environment where they have the space to heal, grow, and thrive across all areas of their lives.
(623) 300-1904 View (623) 300-1904
Photo of Heidi Pino, Counselor in Phoenix, AZ
Heidi Pino
Counselor, LAC
Verified Verified
Phoenix, AZ 85085
Hi! I'm a Licensed Associate Counselor with a Master’s degree in Clinical Mental Health Counseling and Psychology. I value the uniqueness of my clients and use various proven techniques to help them heal. My specialty is assisting clients suffering from depression, anxiety, grief, life transitions, and trauma. I'm also fluent in Spanish.
Hi! I'm a Licensed Associate Counselor with a Master’s degree in Clinical Mental Health Counseling and Psychology. I value the uniqueness of my clients and use various proven techniques to help them heal. My specialty is assisting clients suffering from depression, anxiety, grief, life transitions, and trauma. I'm also fluent in Spanish.
(520) 727-4356 View (520) 727-4356
Photo of Gil Gershon Tivon, Counselor in Phoenix, AZ
Gil Gershon Tivon
Counselor, PhD
Verified Verified
Phoenix, AZ 85014
Are you feeling lost, challenged, confused, hurt? I work with people who face an ongoing challenge or struggle in any of the 4 areas of life: career, health, love and relationship, or spirituality. I help you understand your challenge, and work through it, define and achieve your goals, purpose and meaning.
Are you feeling lost, challenged, confused, hurt? I work with people who face an ongoing challenge or struggle in any of the 4 areas of life: career, health, love and relationship, or spirituality. I help you understand your challenge, and work through it, define and achieve your goals, purpose and meaning.
(623) 233-0278 View (623) 233-0278
Photo of Lisa H Davis, Licensed Professional Counselor in Phoenix, AZ
Lisa H Davis
Licensed Professional Counselor, MS, MAPC, LPC
Verified Verified
Phoenix, AZ 85027
Life change left you feeling "stuck", down or isolating? A masters level licensed Christian counselor with immediate openings I realize it takes courage to seek help and offer a safe place for healing. Would you rather walk and talk, or prefer a listening ear in a comfy office? We will collaborate to set goals promoting forward movement. A former teacher and military spouse, I will meet you where you are and help you find clarity and insight to move through emotions motivating proactive growth.
Life change left you feeling "stuck", down or isolating? A masters level licensed Christian counselor with immediate openings I realize it takes courage to seek help and offer a safe place for healing. Would you rather walk and talk, or prefer a listening ear in a comfy office? We will collaborate to set goals promoting forward movement. A former teacher and military spouse, I will meet you where you are and help you find clarity and insight to move through emotions motivating proactive growth.
(602) 737-0822 View (602) 737-0822
Photo of Heartful Solutions for Families, Counselor in Phoenix, AZ
Heartful Solutions for Families
Counselor, MA, LPC
Verified Verified
Phoenix, AZ 85014
Waitlist for new clients
Weekend and afternoon/evening appointments. I offer family and individual therapy for children ages 2 to 12 using child-friendly tools: Play therapy, Sand Tray, Expressive Arts, EMDR, Somatic Therapy. Rhythmic Movement and Mindfulness training. Whether you are seeking help for common childhood concerns, learning, and attention problems, or more traumatic life events, my playful approach will help your child connect emotionally, learn new behaviors, communicate and navigate through times of change.
Weekend and afternoon/evening appointments. I offer family and individual therapy for children ages 2 to 12 using child-friendly tools: Play therapy, Sand Tray, Expressive Arts, EMDR, Somatic Therapy. Rhythmic Movement and Mindfulness training. Whether you are seeking help for common childhood concerns, learning, and attention problems, or more traumatic life events, my playful approach will help your child connect emotionally, learn new behaviors, communicate and navigate through times of change.
(602) 529-3972 View (602) 529-3972
Photo of David Hunter, Licensed Professional Counselor in Phoenix, AZ
David Hunter
Licensed Professional Counselor, LPC
Verified Verified
Phoenix, AZ 85004  (Online Only)
I am a board-certified, licensed professional counselor with 14+ years working with individuals struggling with gambling, gaming, substance abuse, trauma, anxiety, mood disorders, personality disorders, anger management, and more. I pride myself on an evidence-based approach to ensure each client is fully supported throughout their full course of care. I strongly believe in providing every client with utmost respect and dignity, prioritizing their needs and aspirations through a personalized and compassionate approach.
I am a board-certified, licensed professional counselor with 14+ years working with individuals struggling with gambling, gaming, substance abuse, trauma, anxiety, mood disorders, personality disorders, anger management, and more. I pride myself on an evidence-based approach to ensure each client is fully supported throughout their full course of care. I strongly believe in providing every client with utmost respect and dignity, prioritizing their needs and aspirations through a personalized and compassionate approach.
(928) 764-0675 View (928) 764-0675
Photo of Laurie Nelson, Licensed Professional Counselor in Phoenix, AZ
Laurie Nelson
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Phoenix, AZ 85013  (Online Only)
I love working with teens and adults who need help navigating through the messiness and challenges that life brings our way. We can experience difficult feelings and situations that can cause us to feel stuck and unable to get to where we'd like to be. I specialize in helping clients reduce symptoms of depression, anxiety and trauma and increase feelings of safety, stability and well-being that allow them to live life fully, authentically and well.
I love working with teens and adults who need help navigating through the messiness and challenges that life brings our way. We can experience difficult feelings and situations that can cause us to feel stuck and unable to get to where we'd like to be. I specialize in helping clients reduce symptoms of depression, anxiety and trauma and increase feelings of safety, stability and well-being that allow them to live life fully, authentically and well.
(623) 343-2418 View (623) 343-2418
Photo of Teri L Cole, Licensed Professional Counselor in Phoenix, AZ
Teri L Cole
Licensed Professional Counselor, LPC, MSCC, NBCC
Verified Verified
Phoenix, AZ 85041  (Online Only)
I work with individuals, couples, and families who are searching for peace for themselves and their relationships with others. My specialty is working with survivors of trauma, abuse, deprivations, and loss. I work with women's issues and offer a Women's Healing Workshop.
I work with individuals, couples, and families who are searching for peace for themselves and their relationships with others. My specialty is working with survivors of trauma, abuse, deprivations, and loss. I work with women's issues and offer a Women's Healing Workshop.
(602) 714-8982 View (602) 714-8982
Photo of Jane Monachelli, Licensed Professional Counselor in Phoenix, AZ
Jane Monachelli
Licensed Professional Counselor, MA
Verified Verified
Phoenix, AZ 85012
Welcome! If you are struggling with relationship stress, depression, anxiety, confusion or trauma counseling may be right for you at this time. Therapy can increase your options and help you move toward (or set) goals that reflect your needs and challenges. Most on this journey of healing need a combination of encouragement and hope balanced with accountability and collaborative direction.
Welcome! If you are struggling with relationship stress, depression, anxiety, confusion or trauma counseling may be right for you at this time. Therapy can increase your options and help you move toward (or set) goals that reflect your needs and challenges. Most on this journey of healing need a combination of encouragement and hope balanced with accountability and collaborative direction.
(602) 353-7957 View (602) 353-7957
Photo of Bridget Henry, Psychologist in Phoenix, AZ
Bridget Henry
Psychologist, PhD
Verified Verified
2 Endorsed
Phoenix, AZ 85022  (Online Only)
Waitlist for new clients
Anxiety and OCD have a way of misdirecting attention and efforts away from what is most meaningful in life, robbing individuals of the enriching life they desire. In my practice, I am dedicated to helping people unhook from unhelpful cycles of thinking and behaving, reconnect with what matters most to them, and take effective actions toward meaningful change. For some, this means first working together to better understand what your values are and how to get motivated to move towards them. For others, it means diving in to action right away. Whatever stage of your journey you are in, I’d love to help.
Anxiety and OCD have a way of misdirecting attention and efforts away from what is most meaningful in life, robbing individuals of the enriching life they desire. In my practice, I am dedicated to helping people unhook from unhelpful cycles of thinking and behaving, reconnect with what matters most to them, and take effective actions toward meaningful change. For some, this means first working together to better understand what your values are and how to get motivated to move towards them. For others, it means diving in to action right away. Whatever stage of your journey you are in, I’d love to help.
(623) 244-7449 View (623) 244-7449
Photo of Mitchell Krmpotich, Clinical Social Work/Therapist in Phoenix, AZ
Mitchell Krmpotich
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Phoenix, AZ 85028
I have worked with a wide range of clients over the course of my career. Many of my clients want to overcome their anxiety, obsessions, compulsions, and fears. I enjoy finding creative ways to challenge these problems. Together, we can gain further awareness of the problem, explore it, and work toward solutions. Clients that I like to work with tend to be looking for a more value-driven life. They want to overcome their fears by facing the challenge. When the work is done, they can look back at what they have accomplished like looking down from the peak after a long hike.
I have worked with a wide range of clients over the course of my career. Many of my clients want to overcome their anxiety, obsessions, compulsions, and fears. I enjoy finding creative ways to challenge these problems. Together, we can gain further awareness of the problem, explore it, and work toward solutions. Clients that I like to work with tend to be looking for a more value-driven life. They want to overcome their fears by facing the challenge. When the work is done, they can look back at what they have accomplished like looking down from the peak after a long hike.
(520) 505-1440 View (520) 505-1440

How does your Therapist compare?

Number of Therapists in Phoenix, AZ

1,000+

Average cost per session

$150

Therapists in Phoenix, AZ who prioritize treating:

91% Anxiety
84% Depression
76% Trauma and PTSD
76% Self Esteem
75% Relationship Issues
70% Stress
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
67% BlueCross and BlueShield
66% UnitedHealthcare UHC | UBH

How Therapists in Phoenix, AZ see their clients

67% In Person and Online
33% Online Only

Gender breakdown

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

How can I find a therapist in Phoenix?

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.