Therapists in San Diego, CA
Sara E Cole
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Diego, CA 92103 (Online Only)
Accepting new clients 2/5/24. My focus is on supporting women at all stages of life. Maybe you’ve been doing ok and suddenly feel knocked down by life (new mom, trauma, relationships, or a new life stage). I know what it’s like to face hardships & come out stronger than you expected and feel like yourself again. Using my experiences & extensive training, I strive to help & support you. Are you stretched too thin & need some support? Maybe you need help setting healthy boundaries, weathering the storm of change, anxiety/depression, trusting yourself or getting through hard times or trauma. I am here for you.
Accepting new clients 2/5/24. My focus is on supporting women at all stages of life. Maybe you’ve been doing ok and suddenly feel knocked down by life (new mom, trauma, relationships, or a new life stage). I know what it’s like to face hardships & come out stronger than you expected and feel like yourself again. Using my experiences & extensive training, I strive to help & support you. Are you stretched too thin & need some support? Maybe you need help setting healthy boundaries, weathering the storm of change, anxiety/depression, trusting yourself or getting through hard times or trauma. I am here for you.
Ji Eun Ko
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92108 (Online Only)
Welcome! I’m so glad you’re here. Whether you’re here because you are feeling disconnected from who you are, experiencing conflict in your important relationships, generally feel down and lost, or are just plainly curious about therapy, you’ve come to the right place. No matter what intersection of our identities we hold, and our unique history of lived experiences, all of us live through times where life just feels a little bit (or a lot bit) hard. Maybe you’ve lived in that difficult space for so long, it feels like your normal. Or maybe it’s really uncommon for you, that when it does happen, it feels like a shock to your system.
Welcome! I’m so glad you’re here. Whether you’re here because you are feeling disconnected from who you are, experiencing conflict in your important relationships, generally feel down and lost, or are just plainly curious about therapy, you’ve come to the right place. No matter what intersection of our identities we hold, and our unique history of lived experiences, all of us live through times where life just feels a little bit (or a lot bit) hard. Maybe you’ve lived in that difficult space for so long, it feels like your normal. Or maybe it’s really uncommon for you, that when it does happen, it feels like a shock to your system.
Peter Roussos
Marriage & Family Therapist, MA, MFT, CST
Verified Verified
2 Endorsed
San Diego, CA 92130 (Online Only)
Are you stuck feeling disappointed, hurt, lonely, or betrayed? Are you confused about what you want in your life? Are you unhappy and unsure of how to make positive changes in your relationships? Do you want to make your life more satisfying?
I am a Marriage and Family Therapist and AASECT certified Sex Therapist. I help people change behaviors and have more satisfying lives and relationships. I help couples improve intimacy and connection, and heal from hurt, disappointment, betrayal and other violations of trust. I help families improve communication, collaboration, and problem solving, and feel more connected to each other.
Are you stuck feeling disappointed, hurt, lonely, or betrayed? Are you confused about what you want in your life? Are you unhappy and unsure of how to make positive changes in your relationships? Do you want to make your life more satisfying?
I am a Marriage and Family Therapist and AASECT certified Sex Therapist. I help people change behaviors and have more satisfying lives and relationships. I help couples improve intimacy and connection, and heal from hurt, disappointment, betrayal and other violations of trust. I help families improve communication, collaboration, and problem solving, and feel more connected to each other.
Leslie Amos
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92105
My name is Leslie Amos, and I am a Licensed Clinical Social Worker in the state of California. My approach to therapy is non-judgmental, relational, client-centered and holistic. This means that I meet you where you are right now and respect the unique path you have walked. I wholeheartedly believe that you have answers within yourself and through the process of therapy, my goal is to support you in connecting with your own inner wisdom. I have experience working with children, teens, and adults with a variety of issues and concerns.
My name is Leslie Amos, and I am a Licensed Clinical Social Worker in the state of California. My approach to therapy is non-judgmental, relational, client-centered and holistic. This means that I meet you where you are right now and respect the unique path you have walked. I wholeheartedly believe that you have answers within yourself and through the process of therapy, my goal is to support you in connecting with your own inner wisdom. I have experience working with children, teens, and adults with a variety of issues and concerns.
Applied DBT Clinicians
Psychologist, PhD
Verified Verified
San Diego, CA 92120
We specialize in DBT (Dialectical Behavior Therapy) for the treatment of especially difficult to treat issues such as PTSD, Severe depression, Eating Disorders and the like. We are also well versed in issues of self-harm and frequent hospitalizations
We specialize in DBT (Dialectical Behavior Therapy) for the treatment of especially difficult to treat issues such as PTSD, Severe depression, Eating Disorders and the like. We are also well versed in issues of self-harm and frequent hospitalizations
Therapists Of Southern California (Sessions Available This Week!)
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92108 (Online Only)
It’s getting harder to make it through each day. Getting out of bed feels impossible. You used to have hopes and dreams, but they’re so remote now. At some point, this hopelessness and crushing loneliness enveloped you. Now all you can feel is an overwhelming sadness. You try to numb yourself, block out the feelings by binging on social media, TV, ice cream, and wine – it hasn’t worked. You can’t escape this heavy reality. You can’t run from your mind. Your very heart and soul are bone-weary and exhausted. Happiness seems impossible. You want to live differently, but you just don’t know how to get there...
It’s getting harder to make it through each day. Getting out of bed feels impossible. You used to have hopes and dreams, but they’re so remote now. At some point, this hopelessness and crushing loneliness enveloped you. Now all you can feel is an overwhelming sadness. You try to numb yourself, block out the feelings by binging on social media, TV, ice cream, and wine – it hasn’t worked. You can’t escape this heavy reality. You can’t run from your mind. Your very heart and soul are bone-weary and exhausted. Happiness seems impossible. You want to live differently, but you just don’t know how to get there...
Gwendolyn Shelton
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Diego, CA 92103 (Online Only)
You might be in a season of life where you're constantly feeling overwhelmed or stressed out. You might also be realizing that the way you're currently functioning isn't sustainable, but you feel unsure about what and how to change. You might desire to be free of the burdens and pressures that you put on yourself or that others have put on you. You can only function that way for so long before it starts to have a negative impact on you. If you see yourself heading down that path or are already there, I'm here to help get you out of it so that you're free to be a healthier and energized version of yourself.
You might be in a season of life where you're constantly feeling overwhelmed or stressed out. You might also be realizing that the way you're currently functioning isn't sustainable, but you feel unsure about what and how to change. You might desire to be free of the burdens and pressures that you put on yourself or that others have put on you. You can only function that way for so long before it starts to have a negative impact on you. If you see yourself heading down that path or are already there, I'm here to help get you out of it so that you're free to be a healthier and energized version of yourself.
Alexandra Erin
Licensed Professional Clinical Counselor, LPCC, LMFT, MA
Verified Verified
San Diego, CA 92106 (Online Only)
I offer a unique and dynamic approach that can benefit many clients with varying backgrounds. My versatility stems from studying different forms of spirituality, holistic wellness & nutrition, working with clients with significant mental impairment, as well as a prior career in the business world before transitioning to therapy. My approach is compassionate and empowering. I will be able to hone in on your strengths to allow you to explore your potential in a safe and supportive space while providing you with honest and direct feedback.
I offer a unique and dynamic approach that can benefit many clients with varying backgrounds. My versatility stems from studying different forms of spirituality, holistic wellness & nutrition, working with clients with significant mental impairment, as well as a prior career in the business world before transitioning to therapy. My approach is compassionate and empowering. I will be able to hone in on your strengths to allow you to explore your potential in a safe and supportive space while providing you with honest and direct feedback.
Jake Ryan
Marriage & Family Therapist, LMFT, CST
Verified Verified
San Diego, CA 92109 (Online Only)
I'm ideal for people who want to see a therapist short-term (<1 yr) and get a new perspective on a specific issue. I think there's value in being in therapy simply to understand yourself better and in going for a specific challenge but I prefer the latter. I like motivated clients who want someone direct, kind, and knowledgeable so they can make changes to their life and move forward more confidently. Whether you're struggling with anxiety, confidence, or your identity, I can help provide an empowering perspective so you can get what you want from therapy and get on your way! Also trained in Brainspotting for emotional processing.
I'm ideal for people who want to see a therapist short-term (<1 yr) and get a new perspective on a specific issue. I think there's value in being in therapy simply to understand yourself better and in going for a specific challenge but I prefer the latter. I like motivated clients who want someone direct, kind, and knowledgeable so they can make changes to their life and move forward more confidently. Whether you're struggling with anxiety, confidence, or your identity, I can help provide an empowering perspective so you can get what you want from therapy and get on your way! Also trained in Brainspotting for emotional processing.
Melody Hovsepian
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92154
Hi there! My name is Melody Hovsepian. I am a Licensed Marriage and Family Therapist (LMFT) based in Glendale, California and working with clients statewide via telehealth. I work with adult individuals, adolescents and couples and specialize in depression, anxiety, grief, trauma, adjustment and relational issues, using Emotionally Focused Therapy and Cognitive Behavioral Therapy, to help my clients reach their inner strengths, gain control over their struggles and live their lives to the fullest.
Hi there! My name is Melody Hovsepian. I am a Licensed Marriage and Family Therapist (LMFT) based in Glendale, California and working with clients statewide via telehealth. I work with adult individuals, adolescents and couples and specialize in depression, anxiety, grief, trauma, adjustment and relational issues, using Emotionally Focused Therapy and Cognitive Behavioral Therapy, to help my clients reach their inner strengths, gain control over their struggles and live their lives to the fullest.
Stephanie Ann Massey
Psychologist, PsyD
Verified Verified
San Diego, CA 92130
I have a unique ability to connect with people. Sometimes there are people that have a hard time clarifying what their thoughts and feelings are. They get confused. They hear voices in their head. They think people are making fun of them because they are born different. It can be really hard for Their own families to help. I help their families achieve common ground . Teenagers know I am real even if I tell them things they don’t want to hear. I have assisted many young adults make the difficult transition to adulthood. Older adults know that I want to hear about their life and assist them with the challenges of getting old.
I have a unique ability to connect with people. Sometimes there are people that have a hard time clarifying what their thoughts and feelings are. They get confused. They hear voices in their head. They think people are making fun of them because they are born different. It can be really hard for Their own families to help. I help their families achieve common ground . Teenagers know I am real even if I tell them things they don’t want to hear. I have assisted many young adults make the difficult transition to adulthood. Older adults know that I want to hear about their life and assist them with the challenges of getting old.
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RTC, CH, HT
Not Verified Not Verified
San Diego, CA 92101 (Online Only)
I have a private practice working one-to-one, in groups, and online with clients from all over the world, guiding others to un-cover possibilities and paths to life. I am a Registered Therapeutic Counsellor, a Counselling Hypnotherapist, a Compassionate Inquiry Practitioner, a Master Practitioner of NLP, a Humanistic Neuro-Linguistic Programming Practitioner, and a helper with ceremonial medicine. Following both modern therapeutic methods as well as Indigenous modalities, I help others to un-cover what they come to know.
I have a private practice working one-to-one, in groups, and online with clients from all over the world, guiding others to un-cover possibilities and paths to life. I am a Registered Therapeutic Counsellor, a Counselling Hypnotherapist, a Compassionate Inquiry Practitioner, a Master Practitioner of NLP, a Humanistic Neuro-Linguistic Programming Practitioner, and a helper with ceremonial medicine. Following both modern therapeutic methods as well as Indigenous modalities, I help others to un-cover what they come to know.
Heather Fuller- Emdr And Brainspotting Therapist
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92104 (Online Only)
Are you struggling with anxiety and overwhelm? Does this sound familiar? You keep putting everyone else's needs before your own. You're always pushing yourself to your limits and holding yourself to a high standard. You overthink things and are tired. It doesn't have to be like this. I work with intuitive and deeply feeling women to help you reclaim your peace, find the confidence to ask for what you want, and stop feeling guilty for having needs and wants. If you are looking to grow, heal, and experience lasting change, I can help.
Are you struggling with anxiety and overwhelm? Does this sound familiar? You keep putting everyone else's needs before your own. You're always pushing yourself to your limits and holding yourself to a high standard. You overthink things and are tired. It doesn't have to be like this. I work with intuitive and deeply feeling women to help you reclaim your peace, find the confidence to ask for what you want, and stop feeling guilty for having needs and wants. If you are looking to grow, heal, and experience lasting change, I can help.
Jennifer Vigil
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Diego, CA 92117
As someone who can understand the hardships of life, I hope to provide support for those who experience relationships struggles, familial tension, or support anyone’s individual growth to find empowerment, ease, and stability. I work from a trauma informed, attachment lens, and use Accelerated Experiential Dynamic Processing (AEDP), Emotionally Focused Therapy (EFT), and Emotionally Focused Family Therapy (EFFT) as foundations for therapy, yet adapt from person to person and honor you as an individual. Something I am dedicated to providing is affordable and accessible support to those struggling with the current financial climate.
As someone who can understand the hardships of life, I hope to provide support for those who experience relationships struggles, familial tension, or support anyone’s individual growth to find empowerment, ease, and stability. I work from a trauma informed, attachment lens, and use Accelerated Experiential Dynamic Processing (AEDP), Emotionally Focused Therapy (EFT), and Emotionally Focused Family Therapy (EFFT) as foundations for therapy, yet adapt from person to person and honor you as an individual. Something I am dedicated to providing is affordable and accessible support to those struggling with the current financial climate.
Jordanne Stacy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92130 (Online Only)
Experiencing anxiety, depression, and difficulty controlling your thoughts and emotions? Are relationship difficulties interfering with your ability to experience a fulfilling and satisfying life? If you have worked with other therapists in the past, or are considering starting for the first time, I have been where you are and know that solutions can sometimes feel unattainable. You do not want to just pay someone to listen, you want to attain improvements in all facets of your life. You deserve to experience contentment, peace and happiness, and the people closest in your life deserve to have that version of you.
Experiencing anxiety, depression, and difficulty controlling your thoughts and emotions? Are relationship difficulties interfering with your ability to experience a fulfilling and satisfying life? If you have worked with other therapists in the past, or are considering starting for the first time, I have been where you are and know that solutions can sometimes feel unattainable. You do not want to just pay someone to listen, you want to attain improvements in all facets of your life. You deserve to experience contentment, peace and happiness, and the people closest in your life deserve to have that version of you.
Emily Lindley
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92130
Emily Lindley is a licensed Marriage and Family Therapist. She earned her Masters degree in Marital and Family Therapy from the University of San Diego in 2004. She has over twenty years of experience working with adults, adolescents, children, families and couples. She specializes in the treatment of anxiety, depression, parent-child conflict, relationship issues, communication difficulties, behavioral issues and grief work. She draws upon a variety of treatment approaches that include Cognitive Behavioral Therapy, Behavioral Therapy, Dialectical Behavioral Therapy and Systems Therapy to best meet the needs of her patients.
Emily Lindley is a licensed Marriage and Family Therapist. She earned her Masters degree in Marital and Family Therapy from the University of San Diego in 2004. She has over twenty years of experience working with adults, adolescents, children, families and couples. She specializes in the treatment of anxiety, depression, parent-child conflict, relationship issues, communication difficulties, behavioral issues and grief work. She draws upon a variety of treatment approaches that include Cognitive Behavioral Therapy, Behavioral Therapy, Dialectical Behavioral Therapy and Systems Therapy to best meet the needs of her patients.
Healmatic Group Practice
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Diego, CA 92105
Welcome! Healmatic Group Practice, led by Brittani Williams, LCSW, is an inclusive therapy space that fosters healing for individuals from diverse backgrounds. Healmatic’s approach is grounded in the acknowledgment of the profound connection between mind, body, and spirit, guided by a trauma-informed framework and a deep commitment to healing justice principles.
Welcome! Healmatic Group Practice, led by Brittani Williams, LCSW, is an inclusive therapy space that fosters healing for individuals from diverse backgrounds. Healmatic’s approach is grounded in the acknowledgment of the profound connection between mind, body, and spirit, guided by a trauma-informed framework and a deep commitment to healing justice principles.
Leslie Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92101
My name is Leslie Davis. I am a Licensed Clinical Social Worker (LCSW) based in San Francisco, California and work with clients statewide via telehealth. My experience includes 20 years in the clinical psychotherapy and professional counseling arena, working with clients struggling with anxiety, depression, addiction, and complex trauma. I provide individual therapy to adults experiencing a wide range of concerns and mental health challenges, including anxiety, depression, ADHD, chronic pain, complex trauma/PTSD, grief/loss, self-esteem, substance abuse, and relationship issues.
My name is Leslie Davis. I am a Licensed Clinical Social Worker (LCSW) based in San Francisco, California and work with clients statewide via telehealth. My experience includes 20 years in the clinical psychotherapy and professional counseling arena, working with clients struggling with anxiety, depression, addiction, and complex trauma. I provide individual therapy to adults experiencing a wide range of concerns and mental health challenges, including anxiety, depression, ADHD, chronic pain, complex trauma/PTSD, grief/loss, self-esteem, substance abuse, and relationship issues.
Ashley Thomas
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92109
I'm Ashley Thomas. I'm a Licensed Clinical Social Worker with 10+ years of experience as a therapist working with children, families, adolescents, and adults across a variety of settings. As a therapist, I focus on supporting clients in connecting with their inner voice and wisdom and building skills to live their lives worth living. I have spent the last few years working mostly with adolescents and young adults. I often find myself working with individuals and families who have experienced recent life transitions, stressors, or traumatic event(s).
I'm Ashley Thomas. I'm a Licensed Clinical Social Worker with 10+ years of experience as a therapist working with children, families, adolescents, and adults across a variety of settings. As a therapist, I focus on supporting clients in connecting with their inner voice and wisdom and building skills to live their lives worth living. I have spent the last few years working mostly with adolescents and young adults. I often find myself working with individuals and families who have experienced recent life transitions, stressors, or traumatic event(s).
Alexis Forgnone-Judd
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92121 (Online Only)
I approach the therapeutic relationship from an open and honest space. I believe in building a relationship that is supportive, genuine, and collaborative as well as challenging and directive. It is important to me to provide skills, tools, and options for individuals to feel empowered in managing their life challenges on their own. Healing and progress are often made with a wholistic approach that can include additional support from families, communities, groups, and non-traditional healing practices. Thus, striving to collaborate in creating a treatment plan that is both evidence-based and individualized.
I approach the therapeutic relationship from an open and honest space. I believe in building a relationship that is supportive, genuine, and collaborative as well as challenging and directive. It is important to me to provide skills, tools, and options for individuals to feel empowered in managing their life challenges on their own. Healing and progress are often made with a wholistic approach that can include additional support from families, communities, groups, and non-traditional healing practices. Thus, striving to collaborate in creating a treatment plan that is both evidence-based and individualized.
See more therapy options for San Diego
How does your Therapist compare?
Number of Therapists in San Diego, CA
3,000+
Average cost per session
$160
Therapists in San Diego, CA who prioritize treating:
93% | Anxiety |
87% | Depression |
71% | Self Esteem |
66% | Relationship Issues |
66% | Trauma and PTSD |
66% | Coping Skills |
62% | Stress |
Average years in practice
12 Years
Top 3 insurances accepted
77% | Aetna |
74% | Cigna and Evernorth |
69% | UnitedHealthcare UHC | UBH |
How Therapists in San Diego, CA see their clients
55% | In Person and Online | |
45% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in San Diego?
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
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.
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.
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.