Therapists in Portland, ME

View neighborhoods in Portland
Photo of Sara Ann Therrien in Portland, ME
Sara Ann Therrien
MA, QMHP
Verified Verified
Portland, ME 04103
I help people who have anxiety, overwhelm or stressful relationships find clarity and serenity. In 2014, after years of talk therapy and recovery work, I became frustrated by the lack of progress in a few key areas. I decided to go deeper and I combined "parts work" with a mediation facilitation process. The healing I experienced was astounding. I researched other practitioners who were working at these deep levels, began studying evidence based techniques with Sarah Peyton, and I implemented these life changing models into my work. A past client posted: "Sara’s way of providing help creates peace in the battle zone of my brain."
I help people who have anxiety, overwhelm or stressful relationships find clarity and serenity. In 2014, after years of talk therapy and recovery work, I became frustrated by the lack of progress in a few key areas. I decided to go deeper and I combined "parts work" with a mediation facilitation process. The healing I experienced was astounding. I researched other practitioners who were working at these deep levels, began studying evidence based techniques with Sarah Peyton, and I implemented these life changing models into my work. A past client posted: "Sara’s way of providing help creates peace in the battle zone of my brain."
(207) 835-3352 View (207) 835-3352
Photo of Josh Schoenfeld, Psychologist in Portland, ME
Josh Schoenfeld
Psychologist, PhD
Verified Verified
Portland, ME 04103
My clinical approach weaves together the science and art of psychotherapy, and rests on two main principles. First, I am committed to doing what works: I draw on the latest clinical research to provide treatments rooted in a range of conceptual frameworks that are well supported by scientific evidence. Second, I recognize and honor individual differences: I use creativity and skill to design treatments that align with each client's unique needs and experiences.
My clinical approach weaves together the science and art of psychotherapy, and rests on two main principles. First, I am committed to doing what works: I draw on the latest clinical research to provide treatments rooted in a range of conceptual frameworks that are well supported by scientific evidence. Second, I recognize and honor individual differences: I use creativity and skill to design treatments that align with each client's unique needs and experiences.
(207) 517-2810 x116 View (207) 517-2810 x116
Photo of Caroline Cooper Torres, Clinical Social Work/Therapist in Portland, ME
Caroline Cooper Torres
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Portland, ME 04101
Feeling hopeless, dissatisfied or stuck? Change is possible. We all experience life as difficult at times. I provide warm, non-judgemental therapeutic support to people of all walks of life. In therapy I will work with you to examine and develop various aspects of your life-- home, relationships, health, spirituality, creativity-- in order to gain insight, build self-esteem and uncover strengths for navigating life challenges.
Feeling hopeless, dissatisfied or stuck? Change is possible. We all experience life as difficult at times. I provide warm, non-judgemental therapeutic support to people of all walks of life. In therapy I will work with you to examine and develop various aspects of your life-- home, relationships, health, spirituality, creativity-- in order to gain insight, build self-esteem and uncover strengths for navigating life challenges.
(207) 489-4682 View (207) 489-4682
Photo of Bridget Mancini, Clinical Social Work/Therapist in Portland, ME
Bridget Mancini
Clinical Social Work/Therapist, LMSW-CC
Verified Verified
Portland, ME 04102  (Online Only)
Waitlist for new clients
In my clinical work I strive to foster a therapeutic relationship in which one can feel supported, understood, and safe to share, heal, and grow. I approach my work with curiosity, genuineness, and empathy. I am committed to ending harmful intergenerational cycles. I see clients as existing within systems that perpetuate marginalization, social problems, and harm. I believe in the power of connection and human relationships, and have a true passion for helping others. I value humor, honesty, and direct communication. All of my work is grounded in fat-liberation, identify-affirming, anti-oppression, and trauma-informed perspectives.
In my clinical work I strive to foster a therapeutic relationship in which one can feel supported, understood, and safe to share, heal, and grow. I approach my work with curiosity, genuineness, and empathy. I am committed to ending harmful intergenerational cycles. I see clients as existing within systems that perpetuate marginalization, social problems, and harm. I believe in the power of connection and human relationships, and have a true passion for helping others. I value humor, honesty, and direct communication. All of my work is grounded in fat-liberation, identify-affirming, anti-oppression, and trauma-informed perspectives.
(207) 255-7876 View (207) 255-7876
Photo of Andrea Tolbert, Clinical Social Work/Therapist in Portland, ME
Andrea Tolbert
Clinical Social Work/Therapist, LCSW, MBA
Verified Verified
2 Endorsed
Portland, ME 04101  (Online Only)
Not accepting new clients
Evening and Weekend Appointments are Available! Andrea Tolbert, LCSW, MBA, MSW, MHRT/CSP of Absolute Happiness Psychotherapy and Consultation, PLLC offers mental health counseling with individuals and groups in an outpatient setting located in Portland, Maine. Supervision for clinicians seeking licensure and Consultation for agencies, educational institutions, organizations, and businesses are available. My clinical specialties are trauma, substance misuse, women, and military veterans/service members and their families; working with adults, couples, and groups. Sliding scale fee rates of $30-$80 are available at Absolute Happiness by enrolling at http://openpathcollective.org.
Evening and Weekend Appointments are Available! Andrea Tolbert, LCSW, MBA, MSW, MHRT/CSP of Absolute Happiness Psychotherapy and Consultation, PLLC offers mental health counseling with individuals and groups in an outpatient setting located in Portland, Maine. Supervision for clinicians seeking licensure and Consultation for agencies, educational institutions, organizations, and businesses are available. My clinical specialties are trauma, substance misuse, women, and military veterans/service members and their families; working with adults, couples, and groups. Sliding scale fee rates of $30-$80 are available at Absolute Happiness by enrolling at http://openpathcollective.org.
(207) 560-4775 View (207) 560-4775
Photo of Rosemary McCullough, Psychologist in Portland, ME
Rosemary McCullough
Psychologist, PhD
Verified Verified
Portland, ME 04103
Welcome! I am accepting patients on a limited basis. I work well with adults and couples who wish to have greater insight into their psychology in order to reach their optimal goals, and overcome obstacles to living a higher quality life. In therapy, I will help you to experience greater levels of hope and optimism to reach your highest potential. I employ both solution-focused and longer-term approaches, depending upon your need. As a psychologist, I have specialty training in psychological evaluation, which can more quickly help to identify unknowns and underlying issues we can discuss in therapy.
Welcome! I am accepting patients on a limited basis. I work well with adults and couples who wish to have greater insight into their psychology in order to reach their optimal goals, and overcome obstacles to living a higher quality life. In therapy, I will help you to experience greater levels of hope and optimism to reach your highest potential. I employ both solution-focused and longer-term approaches, depending upon your need. As a psychologist, I have specialty training in psychological evaluation, which can more quickly help to identify unknowns and underlying issues we can discuss in therapy.
(207) 367-3540 View (207) 367-3540
Photo of Lewis Psychotherapy, Clinical Social Work/Therapist in Portland, ME
Lewis Psychotherapy
Clinical Social Work/Therapist, LCSW, LADC
Verified Verified
Portland, ME 04101
If you want someone who is knowledgeable and understanding, but willing to meet you where you are at, with your particular situations whether it be relationship issues, substance abuse, depression, anxiety or other mental health related issues, please give me a call. I work with couples, individuals, who are looking for solutions for their unique situations. I have many years experience working in the field and I am confident if you reach out to me, then I will be able to guide and assist you in your personal goals and unique situations.
If you want someone who is knowledgeable and understanding, but willing to meet you where you are at, with your particular situations whether it be relationship issues, substance abuse, depression, anxiety or other mental health related issues, please give me a call. I work with couples, individuals, who are looking for solutions for their unique situations. I have many years experience working in the field and I am confident if you reach out to me, then I will be able to guide and assist you in your personal goals and unique situations.
(207) 747-3117 View (207) 747-3117
Photo of Bailey -Healthy Minds Counseling, Inc, Clinical Social Work/Therapist in Portland, ME
Bailey -Healthy Minds Counseling, Inc
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, ME 04103  (Online Only)
I am a Licensed Independent Clinical Social Worker. I work with an array of clients ranging from medically fragile individuals to adolescents with disordered eating. My client base also includes depression, anxiety, relationship issues, and life changes. My therapy style is supportive and empowering. I trust in using modalities rooted in Evidence-Based Practice. I work in conjunction with you to set goals and tackle them by using a mix of therapeutic approaches such as Cognitive Behavioral Therapy.
I am a Licensed Independent Clinical Social Worker. I work with an array of clients ranging from medically fragile individuals to adolescents with disordered eating. My client base also includes depression, anxiety, relationship issues, and life changes. My therapy style is supportive and empowering. I trust in using modalities rooted in Evidence-Based Practice. I work in conjunction with you to set goals and tackle them by using a mix of therapeutic approaches such as Cognitive Behavioral Therapy.
(207) 865-8642 View (207) 865-8642
Photo of Yemaya St. Clair, Licensed Professional Counselor in Portland, ME
Yemaya St. Clair
Licensed Professional Counselor, MS, LCPC
Verified Verified
Portland, ME 04101
Not accepting new clients
If you feel unsure how to navigate the disorienting wilderness of your relationships, I'm here. My ideal clients are curious and motivated, knowing they can do hard things. They often come seeking help with intimacy, betrayal recovery, communication, sexuality, or loss. While each comes to therapy with unique identities, values, sufferings, and desires - all have the capacity to experience a more joyful life. We set goals together and I help draw on people's strengths to address the issues that concern them most.
If you feel unsure how to navigate the disorienting wilderness of your relationships, I'm here. My ideal clients are curious and motivated, knowing they can do hard things. They often come seeking help with intimacy, betrayal recovery, communication, sexuality, or loss. While each comes to therapy with unique identities, values, sufferings, and desires - all have the capacity to experience a more joyful life. We set goals together and I help draw on people's strengths to address the issues that concern them most.
(207) 975-8827 View (207) 975-8827
Photo of Lindy Graham Wellspace Maine, Clinical Social Work/Therapist in Portland, ME
Lindy Graham Wellspace Maine
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101
Waitlist for new clients
WellSpace Maine serves people in Maine seeking counseling for a variety of challenges. With 40 therapists and a Psychiatric Nurse Practitioner, we are able to meet the needs of many people in the community through in-person and telehealth therapy services. Therapists at WellSpace have a variety of specializations and you can read more about us on our website linked below.
WellSpace Maine serves people in Maine seeking counseling for a variety of challenges. With 40 therapists and a Psychiatric Nurse Practitioner, we are able to meet the needs of many people in the community through in-person and telehealth therapy services. Therapists at WellSpace have a variety of specializations and you can read more about us on our website linked below.
(207) 358-3460 x1 View (207) 358-3460 x1
Photo of Dr. Laura Sproch, Psychologist in Portland, ME
Dr. Laura Sproch
Psychologist, PhD, CEDS
Verified Verified
1 Endorsed
Portland, ME 04101  (Online Only)
If you are experiencing an eating disorder, disordered eating, negative body image, or hardship supporting a loved one with an eating disorder, please contact me. I am a clinical psychologist who specializes in eating disorder treatment. I believe in treatment that works, is based in science, and has an end goal (i.e., evidence-based treatment). I work primarily with eating disorders; however also enjoy supporting individuals through interpersonal difficulties, life transitions, anxiety, and depression. I know how difficult change can be and offer a compassionate approach that values working toward your personal goals.
If you are experiencing an eating disorder, disordered eating, negative body image, or hardship supporting a loved one with an eating disorder, please contact me. I am a clinical psychologist who specializes in eating disorder treatment. I believe in treatment that works, is based in science, and has an end goal (i.e., evidence-based treatment). I work primarily with eating disorders; however also enjoy supporting individuals through interpersonal difficulties, life transitions, anxiety, and depression. I know how difficult change can be and offer a compassionate approach that values working toward your personal goals.
(207) 288-7576 View (207) 288-7576
Photo of Kathleen Albert, Psychologist in Portland, ME
Kathleen Albert
Psychologist, CP
Verified Verified
Portland, ME 04101
Kathleen M. Albert PhD obtained a doctoral degree in counseling psychology from Purdue University. She received pre-doctoral training in clinical psychology; and completed specialized training in neuropsychology from the Fielding Institute. She has experience working with children, adolescents, adults, and families in a variety of settings including group/private practice, schools, in-patient units, residential placement programs, a wilderness program for at risk girls, and a day treatment program. Dr. Albert is certified as a level two EMDR provider and is trained in TR-CBT therapy.
Kathleen M. Albert PhD obtained a doctoral degree in counseling psychology from Purdue University. She received pre-doctoral training in clinical psychology; and completed specialized training in neuropsychology from the Fielding Institute. She has experience working with children, adolescents, adults, and families in a variety of settings including group/private practice, schools, in-patient units, residential placement programs, a wilderness program for at risk girls, and a day treatment program. Dr. Albert is certified as a level two EMDR provider and is trained in TR-CBT therapy.
(207) 255-7349 View (207) 255-7349
Photo of Sarah Evelyn Art Therapy, Counselor in Portland, ME
Sarah Evelyn Art Therapy
Counselor, LCPC, ATR-BC, CADC
Verified Verified
Portland, ME 04101
I believe that it is my role to act as a guide and facilitator to assist you in reaching your own answers that are authentic to you as an individual. Together we will explore your questions and/or concerns, come up with reachable therapeutic goals, and work as a team to achieve these goals. I utilize both verbal and non-verbal techniques in my practice. My approach is eclectic and these techniques are individualized based your needs and preferences.
I believe that it is my role to act as a guide and facilitator to assist you in reaching your own answers that are authentic to you as an individual. Together we will explore your questions and/or concerns, come up with reachable therapeutic goals, and work as a team to achieve these goals. I utilize both verbal and non-verbal techniques in my practice. My approach is eclectic and these techniques are individualized based your needs and preferences.
(207) 517-4325 View (207) 517-4325
Photo of Pine Tree Recovery Center, Drug & Alcohol Counselor in Portland, ME
Pine Tree Recovery Center
Drug & Alcohol Counselor, LDAC
Verified Verified
Portland, ME 04103
Pine Tree Recovery Center utilizes a combination of evidence-based practices and holistic methods to provide an individualized recovery experience that is tailored to each patient’s unique situation. The disease of chemical dependency can strike anyone, regardless of age, gender, education, or socioeconomic status. Pine Tree Recovery Center is here to help people redirect themselves out of that negative trajectory and successfully enter a new life free from addiction.
Pine Tree Recovery Center utilizes a combination of evidence-based practices and holistic methods to provide an individualized recovery experience that is tailored to each patient’s unique situation. The disease of chemical dependency can strike anyone, regardless of age, gender, education, or socioeconomic status. Pine Tree Recovery Center is here to help people redirect themselves out of that negative trajectory and successfully enter a new life free from addiction.
(207) 600-2832 View (207) 600-2832
Photo of GETME, Counselor in Portland, ME
GETME
Counselor, LCPC
Verified Verified
Portland, ME 04101
There's some kind of trouble with yourself or the world. You're afraid, or self-critical, or frozen in resentment or grief. Maybe you're critical of others. Maybe you simmer. Maybe others take advantage of you, but somehow it's hard to say no. Or maybe you come on too strong. You overdo it. Somehow you just can't find the balance. You'd like to make a change, but you honestly don't know what to do. You're afraid if you start that you'll scream, or you'll cry, or nothing at will come out at all. Maybe this has happened. You either keep doing what isn't working, or you've stopped doing anything at all.
There's some kind of trouble with yourself or the world. You're afraid, or self-critical, or frozen in resentment or grief. Maybe you're critical of others. Maybe you simmer. Maybe others take advantage of you, but somehow it's hard to say no. Or maybe you come on too strong. You overdo it. Somehow you just can't find the balance. You'd like to make a change, but you honestly don't know what to do. You're afraid if you start that you'll scream, or you'll cry, or nothing at will come out at all. Maybe this has happened. You either keep doing what isn't working, or you've stopped doing anything at all.
(207) 699-4979 View (207) 699-4979
Photo of Nanci W. Adair, Counselor in Portland, ME
Nanci W. Adair
Counselor, LCPC, CCS, ACC
Verified Verified
3 Endorsed
Portland, ME 04102  (Online Only)
I have never met an addict or alcoholic with a drug or drinking problem. Does this sound strange? The fact is I've met hundreds of individuals with a solution that is no longer working. Drugs and alcohol have been the solution, not the problem. Addicts and Alcoholics have an above average intelligence and a highly sensitive nervous system. This combination is especially challenging in these unprecedented times when it is natural to reach for relief in the form of a substance or behavioral addiction. If your solution is no longer working, I am here to help. I have maintained sobriety for over nearly 40 years. It can be done.
I have never met an addict or alcoholic with a drug or drinking problem. Does this sound strange? The fact is I've met hundreds of individuals with a solution that is no longer working. Drugs and alcohol have been the solution, not the problem. Addicts and Alcoholics have an above average intelligence and a highly sensitive nervous system. This combination is especially challenging in these unprecedented times when it is natural to reach for relief in the form of a substance or behavioral addiction. If your solution is no longer working, I am here to help. I have maintained sobriety for over nearly 40 years. It can be done.
(207) 420-2162 View (207) 420-2162
Photo of Mallory Zwerdling, Counselor in Portland, ME
Mallory Zwerdling
Counselor, MS, LCPC-C, PMH-C
Verified Verified
4 Endorsed
Portland, ME 04102  (Online Only)
I help new moms, aspiring moms and busy women overcome their deepest, darkest struggles by sorting through things that feel overwhelming, increasing insight into personal characteristics, learning how to cope with what's difficult and letting go of afflictions on repeat in their heads. Clients leave with increased self-confidence, a sense of hope and new skills to handle difficulties long term. Mostly, they learn how to enjoy their lives again...Whatever it is you're struggling with, I can help.
I help new moms, aspiring moms and busy women overcome their deepest, darkest struggles by sorting through things that feel overwhelming, increasing insight into personal characteristics, learning how to cope with what's difficult and letting go of afflictions on repeat in their heads. Clients leave with increased self-confidence, a sense of hope and new skills to handle difficulties long term. Mostly, they learn how to enjoy their lives again...Whatever it is you're struggling with, I can help.
(207) 274-7519 View (207) 274-7519
Photo of Eliza Kehew, Clinical Social Work/Therapist in Portland, ME
Eliza Kehew
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, ME 04101  (Online Only)
Waitlist for new clients
Whether brought on by current life transitions, day to day living, or things that happened in the past, therapy is a confidential space for you to organize your thoughts and feelings. Through my work as a therapist, I accompany people on a journey of self-discovery that fosters healing, promotes growth, and enhances overall wellbeing.
Whether brought on by current life transitions, day to day living, or things that happened in the past, therapy is a confidential space for you to organize your thoughts and feelings. Through my work as a therapist, I accompany people on a journey of self-discovery that fosters healing, promotes growth, and enhances overall wellbeing.
(207) 501-2388 View (207) 501-2388
Photo of Dan Zuiches, PhD, Psychologist in Portland, ME
Dan Zuiches, PhD
Psychologist, PhD, MBA, CGP
Verified Verified
Portland, ME 04101
I work with high-functioning professionals whose stressful lives are causing relationship issues, depression, or anxiety. I have a passion for helping organizational leaders better manage their work-life balance. By talking things through with an expert you can get a better handle on your difficulties, and realize your potential.
I work with high-functioning professionals whose stressful lives are causing relationship issues, depression, or anxiety. I have a passion for helping organizational leaders better manage their work-life balance. By talking things through with an expert you can get a better handle on your difficulties, and realize your potential.
(207) 708-8171 View (207) 708-8171
Photo of Jason Rogers, Clinical Social Work/Therapist in Portland, ME
Jason Rogers
Clinical Social Work/Therapist, LMSW-CC, CADC, MHRT/c
Verified Verified
Portland, ME 04101
I am a social worker who has been in the human services field for over 10 years. I have experience working with adults who have a history of trauma, homelessness, criminal justice involvement, and substance use disorder. I believe in creating a non-judgmental environment where people can tell their story and collaborate with me as a clinician to identify the changes they would like to make in their lives.
I am a social worker who has been in the human services field for over 10 years. I have experience working with adults who have a history of trauma, homelessness, criminal justice involvement, and substance use disorder. I believe in creating a non-judgmental environment where people can tell their story and collaborate with me as a clinician to identify the changes they would like to make in their lives.
(207) 690-5348 View (207) 690-5348

How does your Therapist compare?

Number of Therapists in Portland, ME

900+

Average cost per session

$135

Therapists in Portland, ME who prioritize treating:

92% Anxiety
86% Depression
75% Relationship Issues
71% Self Esteem
70% Trauma and PTSD
65% Coping Skills
64% Stress

Average years in practice

13 Years

Top 3 insurances accepted

61% Anthem | Elevance
57% BlueCross and BlueShield
56% Aetna

How Therapists in Portland, ME see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

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.