Therapists in Bellevue, WA

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Photo of Sierra Beckers, Counselor in Bellevue, WA
Sierra Beckers
Counselor, LMHC
Verified Verified
Bellevue, WA 98004
My ideal client knows they are suffering but may not know why. They know they need help but may not know what that will look like. They are an active participant in their own recovery and recognize that "active" can look different and feel different week to week. They are open to building trust, hearing feedback and ready to engage and be challenged. It is my priority to help you feel comfortable, supported, and heard. I have 10 years experience of treating a wide range of severe diagnoses, from major depression and anxiety to general stressors and day-to-day problems.
My ideal client knows they are suffering but may not know why. They know they need help but may not know what that will look like. They are an active participant in their own recovery and recognize that "active" can look different and feel different week to week. They are open to building trust, hearing feedback and ready to engage and be challenged. It is my priority to help you feel comfortable, supported, and heard. I have 10 years experience of treating a wide range of severe diagnoses, from major depression and anxiety to general stressors and day-to-day problems.
(206) 203-4211 View (206) 203-4211
Photo of Michelle Diskin, Counselor in Bellevue, WA
Michelle Diskin
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Bellevue, WA 98004
Not accepting new clients
I have over 15 years experience as a counselor across different mental health settings in the US, UK and Australia. My work is guided by the approaches that have been researched and shown to be effective for the problems that I treat, including Cognitive Behavioral Therapy (CBT), Prolonged Exposure Therapy (PE) and Exposure and Response Prevention (ERP). I am a Certified Clinician in Dialectical Behavior Therapy and offer comprehensive DBT. I offer individual therapy for adolescents and adults, parent and family meetings, phone coaching and skills training. I also provide clinical supervision and consultation for therapists.
I have over 15 years experience as a counselor across different mental health settings in the US, UK and Australia. My work is guided by the approaches that have been researched and shown to be effective for the problems that I treat, including Cognitive Behavioral Therapy (CBT), Prolonged Exposure Therapy (PE) and Exposure and Response Prevention (ERP). I am a Certified Clinician in Dialectical Behavior Therapy and offer comprehensive DBT. I offer individual therapy for adolescents and adults, parent and family meetings, phone coaching and skills training. I also provide clinical supervision and consultation for therapists.
(425) 629-8889 View (425) 629-8889
Photo of Grant Thornley, Marriage & Family Therapist in Bellevue, WA
Grant Thornley
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Bellevue, WA 98005
My usual client is an adult seeking positive change and is willing to do introspective work to get there. I do clinical work like treatment of depression, anxiety, and bipolar disorders. I also help clients with communications, relationships, and boundary issues. My "niches" include young adults who are experiencing difficulty launching, LGBTQIA+ folks, creatives like authors and songwriters, and corporate workers (especially high tech, I’m a former Microsoftie) from small to large corporations. I am kink- and polyamory-affirming and work with couples and polycules. I have many nerd clients (I'm one too).
My usual client is an adult seeking positive change and is willing to do introspective work to get there. I do clinical work like treatment of depression, anxiety, and bipolar disorders. I also help clients with communications, relationships, and boundary issues. My "niches" include young adults who are experiencing difficulty launching, LGBTQIA+ folks, creatives like authors and songwriters, and corporate workers (especially high tech, I’m a former Microsoftie) from small to large corporations. I am kink- and polyamory-affirming and work with couples and polycules. I have many nerd clients (I'm one too).
(855) 842-0126 View (855) 842-0126
Photo of Simran K Manhas, Counselor in Bellevue, WA
Simran K Manhas
Counselor, MS, LMHC, LMFTA
Verified Verified
1 Endorsed
Bellevue, WA 98004  (Online Only)
I work with individuals and couples/families that are finding that what they are processing in their lives are no longer serving them. Whether it be for recent life transitions, anxiety, PTSD, or depression; whatever path or experiences you have provides the right tools and solutions for what you want to do next in life. Part of my role is to shed light on what is working, what is not working. Together, what you share and express with me is part of identifying what solution(s) may be best for you and how to align those solutions by integrating them into your lifestyle.
I work with individuals and couples/families that are finding that what they are processing in their lives are no longer serving them. Whether it be for recent life transitions, anxiety, PTSD, or depression; whatever path or experiences you have provides the right tools and solutions for what you want to do next in life. Part of my role is to shed light on what is working, what is not working. Together, what you share and express with me is part of identifying what solution(s) may be best for you and how to align those solutions by integrating them into your lifestyle.
(206) 278-3755 View (206) 278-3755
Photo of Madeline Berry, Marriage & Family Therapist in Bellevue, WA
Madeline Berry
Marriage & Family Therapist, MS, LMFT
Verified Verified
Bellevue, WA 98004
You may feel overwhelmed by anxious thoughts, or wondering if your relationship with food is healthy. You may be feeling disconnected from your partner, or even from yourself. I offer a space to explore and process these experiences, to learn skills to help you cope, and to have a partner alongside you as you figure it out. I believe the relationship I build with my clients is important, because making sure you feel accepted, safe and heard matters.
You may feel overwhelmed by anxious thoughts, or wondering if your relationship with food is healthy. You may be feeling disconnected from your partner, or even from yourself. I offer a space to explore and process these experiences, to learn skills to help you cope, and to have a partner alongside you as you figure it out. I believe the relationship I build with my clients is important, because making sure you feel accepted, safe and heard matters.
(206) 558-9087 View (206) 558-9087
Photo of Dr. Chanin James-Hardwick, Counselor in Bellevue, WA
Dr. Chanin James-Hardwick
Counselor, PhD, MA-MFT, LMHC, LPCC, C-IAYT
Verified Verified
1 Endorsed
Bellevue, WA 98005  (Online Only)
Transition, trauma, and transformation are my specialties. Life transition, career transition, transition in relationships, racial trauma, the trauma of loss, sexual assault trauma, imposter syndrome, and personal transformation. Healing is complex and not linear. Using the mind, body, and soul connection I support you in finding healing, and a new sense of being. Healing is done in connection with others through embodied connection, awareness, and meaning or faith. Together through connection, you can bring healing into your life.
Transition, trauma, and transformation are my specialties. Life transition, career transition, transition in relationships, racial trauma, the trauma of loss, sexual assault trauma, imposter syndrome, and personal transformation. Healing is complex and not linear. Using the mind, body, and soul connection I support you in finding healing, and a new sense of being. Healing is done in connection with others through embodied connection, awareness, and meaning or faith. Together through connection, you can bring healing into your life.
(425) 386-2993 View (425) 386-2993
Photo of Laura McDowell, Counselor in Bellevue, WA
Laura McDowell
Counselor, MA, LMHCA
Verified Verified
Bellevue, WA 98005
Let’s be honest, you are trying incredibly hard and genuinely doing your best. That’s part of the reason it’s so frustrating to be tense, worried or on edge all the time. Maybe you hoped that one day you would outgrow thoughts or emotions that come with feeling anxious on a regular basis. But it hasn’t happened. Maybe it’s a life transition that has pulled the rug out from under you. Or perhaps thoughts or feelings you once kept at bay have intensified or are overwhelming.
Let’s be honest, you are trying incredibly hard and genuinely doing your best. That’s part of the reason it’s so frustrating to be tense, worried or on edge all the time. Maybe you hoped that one day you would outgrow thoughts or emotions that come with feeling anxious on a regular basis. But it hasn’t happened. Maybe it’s a life transition that has pulled the rug out from under you. Or perhaps thoughts or feelings you once kept at bay have intensified or are overwhelming.
(425) 215-0368 View (425) 215-0368
Photo of Sue Neufeld-Ellis., Counselor in Bellevue, WA
Sue Neufeld-Ellis.
Counselor, LMHC, CSAT, RN
Verified Verified
Bellevue, WA 98004
I am excepting new clients in person and on-line. I work with clients on such issues as: Sex Addiction and their Partners; Anxiety; Depression; Codependency; adult and childhood trauma; grief and loss;healing and transition after divorce; family of origin wounds; shame and the aging process. I have a passion to work deeply on healing and changing issues using EMDR; Life Span Integration; and Voice Dialogue (attachment parts work) EFT tapping at accupunture point to decrease anxiety/stress. We use CBT (Cognitive Behavioral Therapy) to identify your goals; limited negative beliefs and distressing emotions.
I am excepting new clients in person and on-line. I work with clients on such issues as: Sex Addiction and their Partners; Anxiety; Depression; Codependency; adult and childhood trauma; grief and loss;healing and transition after divorce; family of origin wounds; shame and the aging process. I have a passion to work deeply on healing and changing issues using EMDR; Life Span Integration; and Voice Dialogue (attachment parts work) EFT tapping at accupunture point to decrease anxiety/stress. We use CBT (Cognitive Behavioral Therapy) to identify your goals; limited negative beliefs and distressing emotions.
(425) 584-3822 View (425) 584-3822
Photo of Lingyan Linda Chen, Marriage & Family Therapist Associate in Bellevue, WA
Lingyan Linda Chen
Marriage & Family Therapist Associate, MFTA, MA
Verified Verified
2 Endorsed
Bellevue, WA 98004
Do you feel stuck in your life and do not know how to move forward? Do you feel inadequate and find it difficult to find good in yourself and your life? Do you often try to please others while ignoring your own needs? Do you struggle to maintain intimate relationships? Do you sometimes feel confused and dissatisfied about yourself and want to know who you are and want to be? If any of these resonates with you, I may be your therapist.
Do you feel stuck in your life and do not know how to move forward? Do you feel inadequate and find it difficult to find good in yourself and your life? Do you often try to please others while ignoring your own needs? Do you struggle to maintain intimate relationships? Do you sometimes feel confused and dissatisfied about yourself and want to know who you are and want to be? If any of these resonates with you, I may be your therapist.
(425) 629-8177 View (425) 629-8177
Shadi Shirazi
Psychologist, PsyD
Verified Verified
Bellevue, WA 98004
My philosophy is that "knowledge is power" and I believe that every predicament can be an opportunity to learn and grow, but most importantly, the first step is to identify the problem accurately. As a Clinical Psychologist, I am passionate about helping my patients gain insight about their mental and emotional strengths and vulnerabilities through an objective and comprehensive evaluation by using standardized measures. Once all the information is gathered, I will offer extensive feedback regarding the results and make recommendations to help you or your child get the treatments or services needed. I work with ages 4 - 59.
My philosophy is that "knowledge is power" and I believe that every predicament can be an opportunity to learn and grow, but most importantly, the first step is to identify the problem accurately. As a Clinical Psychologist, I am passionate about helping my patients gain insight about their mental and emotional strengths and vulnerabilities through an objective and comprehensive evaluation by using standardized measures. Once all the information is gathered, I will offer extensive feedback regarding the results and make recommendations to help you or your child get the treatments or services needed. I work with ages 4 - 59.
(206) 488-0663 View (206) 488-0663
Photo of Michal Goldring Keidar, Clinical Social Work/Therapist in Bellevue, WA
Michal Goldring Keidar
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
5 Endorsed
Bellevue, WA 98007  (Online Only)
The heart of my work as a therapist is helping my clients transform their relationships with others as well as with themselves to a healthy, empowering and meaningful ones. I've been in practice over 15 years, providing therapy to individuals, couples families and groups. I'm informed by research based therapy methods including anti oppressive psychodynamic therapy, CBT, Dialectical Behavioral Therapy (DBT), Functional Analytic Psychotherapy (FAP), narrative therapy, attachment theory and EMDR. I'm a Gottman educator in the 'Bringing Baby Home' (BBH) to expecting and new parents and The 7 Principles Program for couples'.
The heart of my work as a therapist is helping my clients transform their relationships with others as well as with themselves to a healthy, empowering and meaningful ones. I've been in practice over 15 years, providing therapy to individuals, couples families and groups. I'm informed by research based therapy methods including anti oppressive psychodynamic therapy, CBT, Dialectical Behavioral Therapy (DBT), Functional Analytic Psychotherapy (FAP), narrative therapy, attachment theory and EMDR. I'm a Gottman educator in the 'Bringing Baby Home' (BBH) to expecting and new parents and The 7 Principles Program for couples'.
(206) 539-0484 View (206) 539-0484
Photo of Cara Floyd, Marriage & Family Therapist in Bellevue, WA
Cara Floyd
Marriage & Family Therapist, MA, LMFT, MHP
Verified Verified
Bellevue, WA 98004
Life is such a journey. Sometimes the journey takes you in expected and unexpected directions. Trying to navigate your way through all life's challenges alone can be overwhelming. Let me be a part of your journey and help you find direction and the skills needed to move forward. I specialize in working with children, teens, adults, and families struggling with issues related to parenting, communication, family relationships, challenging behaviors, family and life cycle adjustments, anxiety, depression, and trauma. We will work together in order to help you or your family reach the destination you are looking for.
Life is such a journey. Sometimes the journey takes you in expected and unexpected directions. Trying to navigate your way through all life's challenges alone can be overwhelming. Let me be a part of your journey and help you find direction and the skills needed to move forward. I specialize in working with children, teens, adults, and families struggling with issues related to parenting, communication, family relationships, challenging behaviors, family and life cycle adjustments, anxiety, depression, and trauma. We will work together in order to help you or your family reach the destination you are looking for.
(425) 549-9713 View (425) 549-9713
Photo of Marlena Love, Clinical Social Work/Therapist in Bellevue, WA
Marlena Love
Clinical Social Work/Therapist, MSW, LICSW, ACSW
Verified Verified
Bellevue, WA 98006
You're used to handling responsibility. You know life is what you make of it and you normally feel pretty optimistic and accomplished. But lately you find yourself off-balance. You may regret things you've said or done because there was no time to really sort out the best path. BEFORE you cut off important foundation pieces- your marriage, career, activities and people you've loved that feel like they no longer fit, see me and together let's make sure they're not part of your protective alarm system, begging for perspective and healthier personal balance.
You're used to handling responsibility. You know life is what you make of it and you normally feel pretty optimistic and accomplished. But lately you find yourself off-balance. You may regret things you've said or done because there was no time to really sort out the best path. BEFORE you cut off important foundation pieces- your marriage, career, activities and people you've loved that feel like they no longer fit, see me and together let's make sure they're not part of your protective alarm system, begging for perspective and healthier personal balance.
(425) 279-7317 View (425) 279-7317
Photo of Nathan Rice, Counselor in Bellevue, WA
Nathan Rice
Counselor, MACP, LMHC
Verified Verified
Bellevue, WA 98004
The search for a counselor can be an overwhelming process in itself and taking the step schedule that first appointment isn’t easy. I believe that we are made to be in relationship with others and when there are difficulties in those relationships, we suffer. Whether you are struggling with family, friends or coworker issues, I’d like to help you and do my best to honor the courage and vulnerability it takes to seek out help.
The search for a counselor can be an overwhelming process in itself and taking the step schedule that first appointment isn’t easy. I believe that we are made to be in relationship with others and when there are difficulties in those relationships, we suffer. Whether you are struggling with family, friends or coworker issues, I’d like to help you and do my best to honor the courage and vulnerability it takes to seek out help.
(425) 615-7797 View (425) 615-7797
Photo of Alignwell Modern Therapy, Counselor in Bellevue, WA
Alignwell Modern Therapy
Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Bellevue, WA 98004
We are founded on the belief that the genuine relationship we have with our clients is our most important priority. Our relatable therapists are here to deeply listen and work with you to create a customized plan that meets your needs, by applying our training and expertise. We provide a warm and inclusive environment for everyone. People from all communities are welcome here. You're in the right place for authentic and specialized support!
We are founded on the belief that the genuine relationship we have with our clients is our most important priority. Our relatable therapists are here to deeply listen and work with you to create a customized plan that meets your needs, by applying our training and expertise. We provide a warm and inclusive environment for everyone. People from all communities are welcome here. You're in the right place for authentic and specialized support!
View
Photo of Richard Sirota Rational Treatment Services, Clinical Social Work/Therapist in Bellevue, WA
Richard Sirota Rational Treatment Services
Clinical Social Work/Therapist, LICSW, CDP
Verified Verified
Bellevue, WA 98005  (Online Only)
Richard is a mental health and chemical dependency therapist who uses state of the art treatment modalities in a safe, non-judgmental, confidential environment. My highly effective treatment is designed for individuals with a variety of problems. I provide individual counseling and a variety of treatment groups. I use a cognitive behavioral approach (CBT) designed to empower you. I help individuals and couples change patterns that have been repeating for much of their lives. Everyone can change. To do so effectively, you need the right motivation combined with the tools and skills learned in a positive, non-critical environment.
Richard is a mental health and chemical dependency therapist who uses state of the art treatment modalities in a safe, non-judgmental, confidential environment. My highly effective treatment is designed for individuals with a variety of problems. I provide individual counseling and a variety of treatment groups. I use a cognitive behavioral approach (CBT) designed to empower you. I help individuals and couples change patterns that have been repeating for much of their lives. Everyone can change. To do so effectively, you need the right motivation combined with the tools and skills learned in a positive, non-critical environment.
(206) 922-4330 View (206) 922-4330
Photo of Dustin-Leigh Fowler, Psychologist in Bellevue, WA
Dustin-Leigh Fowler
Psychologist, PsyD, MS, MA, LMFT
Verified Verified
1 Endorsed
Bellevue, WA 98004  (Online Only)
I am experienced working with children, adults, couples, and families. Many times, people who call me are in distress, having tried what feels like everything, and they often feel frustrated and overwhelmed by their situation. My goal is to help individuals identify patterns of dysfunction that create problems for them. I work within the framework of an individual’s gifts and challenges to develop a strong relationship that allows for open communication and honesty. My strengths-based approach allows individuals to feel they have a voice and builds upon the good that is already taking place within their life and relationships.
I am experienced working with children, adults, couples, and families. Many times, people who call me are in distress, having tried what feels like everything, and they often feel frustrated and overwhelmed by their situation. My goal is to help individuals identify patterns of dysfunction that create problems for them. I work within the framework of an individual’s gifts and challenges to develop a strong relationship that allows for open communication and honesty. My strengths-based approach allows individuals to feel they have a voice and builds upon the good that is already taking place within their life and relationships.
(253) 400-2711 View (253) 400-2711
Photo of Michelle Wedig, Psychologist in Bellevue, WA
Michelle Wedig
Psychologist, PhD
Verified Verified
Bellevue, WA 98004
I have worked with many clients with all types of eating disorders, as well as the many co-occurring disorders that go along with them. I also have a sub-specialty in working with those who self-injure or who may feel suicidal.
I have worked with many clients with all types of eating disorders, as well as the many co-occurring disorders that go along with them. I also have a sub-specialty in working with those who self-injure or who may feel suicidal.
(425) 336-7089 View (425) 336-7089
Photo of Annabelle Ketchum, Marriage & Family Therapist in Bellevue, WA
Annabelle Ketchum
Marriage & Family Therapist, LMFT
Verified Verified
Bellevue, WA 98007
*I am not currently taking new clients* My goal as a therapist is to help you understand the patterns of behavior and thinking that contribute to your overall mental health. Often, this starts with learning how to show kindness to yourself. With my clients I am warm, understanding, and celebratory of their accomplishments. Together, we will work to help define and achieve your goals.
*I am not currently taking new clients* My goal as a therapist is to help you understand the patterns of behavior and thinking that contribute to your overall mental health. Often, this starts with learning how to show kindness to yourself. With my clients I am warm, understanding, and celebratory of their accomplishments. Together, we will work to help define and achieve your goals.
(425) 376-3320 View (425) 376-3320
Photo of Christina Yranela, Clinical Social Work/Therapist in Bellevue, WA
Christina Yranela
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bellevue, WA 98004  (Online Only)
Waitlist for new clients
You may be trying to face your emotional scars alone. Yet together, we can explore these topics that may be difficult for you. I want to encourage your growth in self-compassion and self-worth as we work to reframe your unfavorable coping mechanisms. Life is a journey with plenty of obstacles to overcome, yet taking this step to live differently, with more hope, and to live more authentically, is worthwhile.
You may be trying to face your emotional scars alone. Yet together, we can explore these topics that may be difficult for you. I want to encourage your growth in self-compassion and self-worth as we work to reframe your unfavorable coping mechanisms. Life is a journey with plenty of obstacles to overcome, yet taking this step to live differently, with more hope, and to live more authentically, is worthwhile.
(425) 382-8735 View (425) 382-8735

How does your Therapist compare?

Number of Therapists in Bellevue, WA

1,000+

Average cost per session

$160

Therapists in Bellevue, WA who prioritize treating:

93% Anxiety
87% Depression
82% Relationship Issues
78% Self Esteem
71% Trauma and PTSD
70% Stress
66% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

79% Premera
55% Regence
53% Aetna

How Therapists in Bellevue, WA see their clients

57% In Person and Online
43% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bellevue?

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.