Therapists in Olympia, WA

View neighborhoods in Olympia
Photo of Eldercare Counseling and Guidance Services, Counselor in Olympia, WA
Eldercare Counseling and Guidance Services
Counselor, MA, LMHC, GMHS
Verified Verified
Olympia, WA 98508
We specialize in serving folks who are caring for aging family members, older adults and those living with chronic medical conditions. Our clients report that they feel lost and alone and have a hard time seeing an end to the stress they are experiencing. We recognize the unique loss and grief that can come with aging and caring for aging loved ones. Sometimes, the right support can be a lifeline when you are navigating complex decisions. You are trying to do your best to provide care and support to your loved one and not lose yourself in the process. We understand that sometimes, even reaching out for help can feel overwhelming.
We specialize in serving folks who are caring for aging family members, older adults and those living with chronic medical conditions. Our clients report that they feel lost and alone and have a hard time seeing an end to the stress they are experiencing. We recognize the unique loss and grief that can come with aging and caring for aging loved ones. Sometimes, the right support can be a lifeline when you are navigating complex decisions. You are trying to do your best to provide care and support to your loved one and not lose yourself in the process. We understand that sometimes, even reaching out for help can feel overwhelming.
(360) 858-8159 View (360) 858-8159
Photo of Living Sound Therapeutic Services, Marriage & Family Therapist in Olympia, WA
Living Sound Therapeutic Services
Marriage & Family Therapist
Verified Verified
1 Endorsed
Olympia, WA 98506
Living Sound Therapeutic Services, PLLC is a group practice made up of professionals who provide a wide variety of services, with specialties in anxiety, depression, trauma, and PTSD. We are an LGBTQ+ friendly business that welcomes everybody to start their journey to wellness. Our goal is to provide a warm, empathetic, and compassionate environment conducive to positive change.
Living Sound Therapeutic Services, PLLC is a group practice made up of professionals who provide a wide variety of services, with specialties in anxiety, depression, trauma, and PTSD. We are an LGBTQ+ friendly business that welcomes everybody to start their journey to wellness. Our goal is to provide a warm, empathetic, and compassionate environment conducive to positive change.
(360) 552-7843 View (360) 552-7843
Photo of Better Together Counseling & Educational Services, Psychologist in Olympia, WA
Better Together Counseling & Educational Services
Psychologist, PhD, ABPP
Verified Verified
Olympia, WA 98502
UPDATE: We are currently accepting new patients who are open to working with graduate level students under the supervision of Dr. Holcombe for significantly reduced private pay fees of $75.00 per individual session, $45.00 for group sessions, or $500.00 to $1,000.00 for learning or neurodevelopmental (e.g., ADHD, learning issues, Autism, etc.,) disability assessments. See our practice website for a list of groups starting within the next three months.
UPDATE: We are currently accepting new patients who are open to working with graduate level students under the supervision of Dr. Holcombe for significantly reduced private pay fees of $75.00 per individual session, $45.00 for group sessions, or $500.00 to $1,000.00 for learning or neurodevelopmental (e.g., ADHD, learning issues, Autism, etc.,) disability assessments. See our practice website for a list of groups starting within the next three months.
(360) 763-0496 View (360) 763-0496
Photo of Lora Lee Weed, Counselor in Olympia, WA
Lora Lee Weed
Counselor, MA, LMHC, MHP, CMHS, SUDP
Verified Verified
4 Endorsed
Olympia, WA 98502
Not accepting new clients
Not Currently Accepting New Clients. Ultimately, I believe that life is a journey and not a race. Our experiences might have shaped our journey, but they do not have to define our future. I am a strength-based counselor that aims to assist my clients in using their own strengths to navigate their life by providing unique and authentic support.
Not Currently Accepting New Clients. Ultimately, I believe that life is a journey and not a race. Our experiences might have shaped our journey, but they do not have to define our future. I am a strength-based counselor that aims to assist my clients in using their own strengths to navigate their life by providing unique and authentic support.
(360) 842-0510 View (360) 842-0510
Photo of Elizabeth Antoon-Walsh, Clinical Social Work/Therapist in Olympia, WA
Elizabeth Antoon-Walsh
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Olympia, WA 98502  (Online Only)
Healing and caring for ourselves is hard work. Sometimes painful, often fulfilling, occasionally tedious, it is a necessary part of being open to the experiences that life has to offer us. Therapy is one way to find support in healing from trauma, managing our health, and discovering and practicing new ways of caring for ourselves. As Audre Lorde wrote, "Caring for myself is not self-indulgence, it is self-preservation, and that is an act of political warfare." This work is important, both individually and collectively, and I am here to help you with it.
Healing and caring for ourselves is hard work. Sometimes painful, often fulfilling, occasionally tedious, it is a necessary part of being open to the experiences that life has to offer us. Therapy is one way to find support in healing from trauma, managing our health, and discovering and practicing new ways of caring for ourselves. As Audre Lorde wrote, "Caring for myself is not self-indulgence, it is self-preservation, and that is an act of political warfare." This work is important, both individually and collectively, and I am here to help you with it.
(774) 541-2743 View (774) 541-2743
Photo of Erica Beth Merrill, Counselor in Olympia, WA
Erica Beth Merrill
Counselor, MA, LMHC, SEP, LMFTA
Verified Verified
1 Endorsed
Olympia, WA 98506
Waitlist for new clients
I’m so glad you are here. Do you feel overwhelmed, confused, stuck, anxious, or dissociated? Find yourself shutting people out and pushing them away, or say yes for fear of being alone? Sometimes it’s just easier to do things ourselves, to hold it all. We often spend so much time protecting ourselves from pain that we feel like we are not really living. Humans are hardwired to focus on the negative aspects of life for survival; even when there is some good, we push the positive away or have a hard time accepting it.
I’m so glad you are here. Do you feel overwhelmed, confused, stuck, anxious, or dissociated? Find yourself shutting people out and pushing them away, or say yes for fear of being alone? Sometimes it’s just easier to do things ourselves, to hold it all. We often spend so much time protecting ourselves from pain that we feel like we are not really living. Humans are hardwired to focus on the negative aspects of life for survival; even when there is some good, we push the positive away or have a hard time accepting it.
(360) 300-4382 View (360) 300-4382
Photo of Kade Rucker, Counselor in Olympia, WA
Kade Rucker
Counselor, LPC, LMHC, NCC, MA
Verified Verified
1 Endorsed
Olympia, WA 98501  (Online Only)
Changes in life can cause feelings of overwhelm, anxiety, insecurity, and lack of direction. They may create a struggle within your personal identity as you move through life and have new experiences. Despite these challenges, you are trying your best to keep your head above water. But there's a feeling in you that wants more from life. You want to connect with others, develop deep and lasting relationships, form a stronger sense of self, and be confident in who you are. You want to feel empowered - to feel strong, self-reliant, and in control of your life!
Changes in life can cause feelings of overwhelm, anxiety, insecurity, and lack of direction. They may create a struggle within your personal identity as you move through life and have new experiences. Despite these challenges, you are trying your best to keep your head above water. But there's a feeling in you that wants more from life. You want to connect with others, develop deep and lasting relationships, form a stronger sense of self, and be confident in who you are. You want to feel empowered - to feel strong, self-reliant, and in control of your life!
(360) 207-2282 View (360) 207-2282
Photo of Janelle Gauthier in Olympia, WA
Janelle Gauthier
MA, LMHC
Verified Verified
Olympia, WA 98506
Waitlist for new clients
Trauma can leave us feeling shattered, broken and disconnected, adding parenting to the mix can make it that much harder. You may be fed up with being triggered, anxious, burned out, and maybe even feeling guilty that you can’t always be the present parent or partner you want to be. You might not even remember a time things didn’t feel this hard. But one thing's for sure, you’re ready for some relief. You’re ready to make sense of your experiences. You’re ready to re-gain control. Most of all, you’re ready to feel capable and empowered to be your best parenting self.
Trauma can leave us feeling shattered, broken and disconnected, adding parenting to the mix can make it that much harder. You may be fed up with being triggered, anxious, burned out, and maybe even feeling guilty that you can’t always be the present parent or partner you want to be. You might not even remember a time things didn’t feel this hard. But one thing's for sure, you’re ready for some relief. You’re ready to make sense of your experiences. You’re ready to re-gain control. Most of all, you’re ready to feel capable and empowered to be your best parenting self.
(360) 318-7820 View (360) 318-7820
Photo of Dawn McCulley-Reijerse, Counselor in Olympia, WA
Dawn McCulley-Reijerse
Counselor, LMHCA
Verified Verified
Olympia, WA 98501  (Online Only)
As a professional dedicated to supporting individuals across the life span, I work with clients ranging from 10 to 65 years of age, each at different stages of life and facing unique challenges. My approach is tailored to meet the specific needs of each age group, acknowledging the distinct developmental, emotional, and psychological transitions that occur throughout the human experience.
As a professional dedicated to supporting individuals across the life span, I work with clients ranging from 10 to 65 years of age, each at different stages of life and facing unique challenges. My approach is tailored to meet the specific needs of each age group, acknowledging the distinct developmental, emotional, and psychological transitions that occur throughout the human experience.
(360) 512-7864 View (360) 512-7864
Photo of Martha Schumacher, Counselor in Olympia, WA
Martha Schumacher
Counselor, MA, LMHC
Verified Verified
Olympia, WA 98506
Waitlist for new clients
I am a passionate therapist with experience working with individuals who have experienced current or past traumatic issues. My goal is to collaborate with you to achieve your goals, by meeting you where you are at and helping you work at your own pace. People experience pain and difficulty in different ways. From a single event to complex histories of trauma, family issues, I can help you move through your suffering. I believe you are the expert on yourself. With additional support from me, through therapy, we can find you the tools you need to overcome your suffering during this difficult time in your life.
I am a passionate therapist with experience working with individuals who have experienced current or past traumatic issues. My goal is to collaborate with you to achieve your goals, by meeting you where you are at and helping you work at your own pace. People experience pain and difficulty in different ways. From a single event to complex histories of trauma, family issues, I can help you move through your suffering. I believe you are the expert on yourself. With additional support from me, through therapy, we can find you the tools you need to overcome your suffering during this difficult time in your life.
(360) 858-6837 View (360) 858-6837
Photo of Dani Patrick, Counselor in Olympia, WA
Dani Patrick
Counselor, LMHCA
Verified Verified
Olympia, WA 98501  (Online Only)
Whether you’re queer, transgender, non-binary, neurodivergent, non-monogamous, or kinky, you deserve a therapist who gets you. Maybe stress or past trauma has impacted how you show up to life or relationships. Maybe creativity plays a big role in your life but self doubt always creeps in when you try to create. Maybe despite external success, you still struggle to feel good about yourself. As a therapist, I work to support you in bringing curiosity and compassion towards yourself. Together we can unpack your experience, develop deeper self-understanding, shift patterns that no longer work for you.
Whether you’re queer, transgender, non-binary, neurodivergent, non-monogamous, or kinky, you deserve a therapist who gets you. Maybe stress or past trauma has impacted how you show up to life or relationships. Maybe creativity plays a big role in your life but self doubt always creeps in when you try to create. Maybe despite external success, you still struggle to feel good about yourself. As a therapist, I work to support you in bringing curiosity and compassion towards yourself. Together we can unpack your experience, develop deeper self-understanding, shift patterns that no longer work for you.
(206) 451-2735 View (206) 451-2735
Photo of Shanna Fletcher, Marriage & Family Therapist in Olympia, WA
Shanna Fletcher
Marriage & Family Therapist, LMFT
Verified Verified
Olympia, WA 98502
I am a very compassionate, positive person and love working as a Marriage and Family Therapist. I am available to work with couples, families, and individuals (children, adolescents, teens, and adults) with a wide variety of needs.
I am a very compassionate, positive person and love working as a Marriage and Family Therapist. I am available to work with couples, families, and individuals (children, adolescents, teens, and adults) with a wide variety of needs.
(360) 382-7267 View (360) 382-7267
Photo of Creative Solutions TMS in Olympia, WA
Creative Solutions TMS
PhD, LMFT
Verified Verified
Olympia, WA 98502
Imagine if you were emotionally in a place happiness. A place where you could reconnect with old friends, enjoy trips with family, feel empowered to reconnect emotionally with your partner. If you or your loved one is suffering from depression and have tried various medications and therapy without the results that you need and deserve, we can help. We at Creative Solutions TMS use an alternative to medicine approach to treat each individual who is experiencing depression, anxiety, and related conditions. We work with healthcare providers to achieve optimum outcomes using TMS therapy, also called Transcranial Magnetic Stimulation.
Imagine if you were emotionally in a place happiness. A place where you could reconnect with old friends, enjoy trips with family, feel empowered to reconnect emotionally with your partner. If you or your loved one is suffering from depression and have tried various medications and therapy without the results that you need and deserve, we can help. We at Creative Solutions TMS use an alternative to medicine approach to treat each individual who is experiencing depression, anxiety, and related conditions. We work with healthcare providers to achieve optimum outcomes using TMS therapy, also called Transcranial Magnetic Stimulation.
(360) 810-5614 View (360) 810-5614
Photo of Joanna Bryan, Counselor in Olympia, WA
Joanna Bryan
Counselor, MS, LMHC
Verified Verified
4 Endorsed
Olympia, WA 98506
Not accepting new clients
Therapy is a space where you can explore the full range of your experience and have compassionate witness for whatever arises. Together we can tend to all the relationships of life, including relationship to yourself and the non-human world. We can explore deep longings, desires, and fears. We can bring care and understanding to old patterns to access choice, connection, pleasure, and new ways of being. I am comfortable exploring sexual health topics with clients, including how to have more fulfilling intimate and sensual experiences and increase awareness and acceptance of one's desire and sexuality.
Therapy is a space where you can explore the full range of your experience and have compassionate witness for whatever arises. Together we can tend to all the relationships of life, including relationship to yourself and the non-human world. We can explore deep longings, desires, and fears. We can bring care and understanding to old patterns to access choice, connection, pleasure, and new ways of being. I am comfortable exploring sexual health topics with clients, including how to have more fulfilling intimate and sensual experiences and increase awareness and acceptance of one's desire and sexuality.
(360) 667-1566 View (360) 667-1566
Photo of Adalyne Fettig in Olympia, WA
Adalyne Fettig
MA, AASP
Verified Verified
Olympia, WA 98503
If you notice yourself struggling with a specific area of your performance, such as confidence, focus, leadership, resilience, consistency, or you’re trying to generally grow and improve areas of your life, or even working through change, our work together will be transformative. I am a Mental Skills Consultant, meaning our focus together will be directed at improving your life through mentality in an Evidence-Based practice. It will not be clinical or focused on disorders, however, I will provide tools and support to manage, prevent, and cope with many disorders if needed.
If you notice yourself struggling with a specific area of your performance, such as confidence, focus, leadership, resilience, consistency, or you’re trying to generally grow and improve areas of your life, or even working through change, our work together will be transformative. I am a Mental Skills Consultant, meaning our focus together will be directed at improving your life through mentality in an Evidence-Based practice. It will not be clinical or focused on disorders, however, I will provide tools and support to manage, prevent, and cope with many disorders if needed.
(360) 492-2887 View (360) 492-2887
Photo of Mahina Johnson, Counselor in Olympia, WA
Mahina Johnson
Counselor, LMHC, DBH
Verified Verified
Olympia, WA 98501
Dr. Mahina Johnson is a Licensed Mental Health Counselor in Washington who has been practicing since 2010. Her educational background includes an B.A. in Psychology from Hawaii Pacific University, an M. A. in Mental Health Counseling from the WA School of Professional Psychology AU, and a Doctor of Behavioral Health from Arizona State University. Dr. Johnson holds specialty training and certification in Trauma Informed Care, LGTBQIA+, Queer affirming-therapy, BIPOC therapeutic approaches, Mood Disorders, and Personality Disorders.
Dr. Mahina Johnson is a Licensed Mental Health Counselor in Washington who has been practicing since 2010. Her educational background includes an B.A. in Psychology from Hawaii Pacific University, an M. A. in Mental Health Counseling from the WA School of Professional Psychology AU, and a Doctor of Behavioral Health from Arizona State University. Dr. Johnson holds specialty training and certification in Trauma Informed Care, LGTBQIA+, Queer affirming-therapy, BIPOC therapeutic approaches, Mood Disorders, and Personality Disorders.
(360) 657-9078 View (360) 657-9078
Photo of Mize Counseling Services PLLC, Counselor in Olympia, WA
Mize Counseling Services PLLC
Counselor, LMHCA, SUDP
Verified Verified
Olympia, WA 98501  (Online Only)
I believe people who remain grateful in their lives have the path of least resistance. Clients who do the work for change are the ones I see with the best possible outcomes. I offer a safe space to learn about yourself, you wants and needs. I also offer safety in confiding in someone who truly cares about you and helping you get to a place you can live your best life.
I believe people who remain grateful in their lives have the path of least resistance. Clients who do the work for change are the ones I see with the best possible outcomes. I offer a safe space to learn about yourself, you wants and needs. I also offer safety in confiding in someone who truly cares about you and helping you get to a place you can live your best life.
(425) 640-7009 x1 View (425) 640-7009 x1
Photo of Abrea Anderson, Counselor in Olympia, WA
Abrea Anderson
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Olympia, WA 98512
Not accepting new clients
Not accepting new clients at this time. My therapeutic approach is strength-based, client-centered, and integrative with the belief that we have the innate ability to heal, grow, and seek greater meaning in life. I see each individual as unique, whole, and inherently good. I believe therapy is an interactive relationship between you and me. My approach prioritizes authenticity, trust, and empathy as the foundation for effective therapy. Our first step is defining what brought you to pursue counseling. Then, we will look at the the difficulties you are facing and collaborate on a plan that is specific and unique for your situation.
Not accepting new clients at this time. My therapeutic approach is strength-based, client-centered, and integrative with the belief that we have the innate ability to heal, grow, and seek greater meaning in life. I see each individual as unique, whole, and inherently good. I believe therapy is an interactive relationship between you and me. My approach prioritizes authenticity, trust, and empathy as the foundation for effective therapy. Our first step is defining what brought you to pursue counseling. Then, we will look at the the difficulties you are facing and collaborate on a plan that is specific and unique for your situation.
(360) 763-0980 View (360) 763-0980
Photo of Daylen Gonzales, Clinical Social Work/Therapist in Olympia, WA
Daylen Gonzales
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
Olympia, WA 98507  (Online Only)
Not accepting new clients
I see therapy as a partnership and a safe, affirming space to collaborate on goals, kick around ideas, ponder weird thoughts, dive deeper into behaviors, habits, stressors, and explore new areas of yourself. I love working with adolescent and young adults who are exploring new freedoms, relationships, personality development, and how to try to get through that stage of life with some kind of grace and less cringe. I really enjoy working with adults across the life span to help them create a life that they thrive in and is aligned with their values.
I see therapy as a partnership and a safe, affirming space to collaborate on goals, kick around ideas, ponder weird thoughts, dive deeper into behaviors, habits, stressors, and explore new areas of yourself. I love working with adolescent and young adults who are exploring new freedoms, relationships, personality development, and how to try to get through that stage of life with some kind of grace and less cringe. I really enjoy working with adults across the life span to help them create a life that they thrive in and is aligned with their values.
(360) 505-4812 View (360) 505-4812
Photo of Bonnie Edwards, Clinical Social Work/Therapist in Olympia, WA
Bonnie Edwards
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Olympia, WA 98502
Waitlist for new clients
Greetings, My name is Bonnie and I am the sole owner/therapist at NW Transformations Child and Family Counseling. I understand and empathetic on how life's challenges or transitions can create or impact a person's life in a negative manner and how overwhelming it can become and reach goals. I offer individual Psychotherapy Services to Adults, Seniors, Adolescents and children (Ages 8+) who are struggling with issues related to Anxiety, Depression, Grief, life transitions, PTSD, Bi-Polar Disorder, and other challenges. I offer in person sessions as well as tele-health.
Greetings, My name is Bonnie and I am the sole owner/therapist at NW Transformations Child and Family Counseling. I understand and empathetic on how life's challenges or transitions can create or impact a person's life in a negative manner and how overwhelming it can become and reach goals. I offer individual Psychotherapy Services to Adults, Seniors, Adolescents and children (Ages 8+) who are struggling with issues related to Anxiety, Depression, Grief, life transitions, PTSD, Bi-Polar Disorder, and other challenges. I offer in person sessions as well as tele-health.
(360) 706-1150 View (360) 706-1150

How does your Therapist compare?

Number of Therapists in Olympia, WA

400+

Average cost per session

$150

Therapists in Olympia, WA who prioritize treating:

93% Anxiety
89% Depression
78% Trauma and PTSD
76% Relationship Issues
74% Self Esteem
72% Stress
67% Grief

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
67% Regence
59% Aetna

How Therapists in Olympia, WA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

74% Female
18% Male
8% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Olympia?

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.