Therapists in Eugene, OR

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Photo of Kirsten Ryerson, Pre-Licensed Professional in Eugene, OR
Kirsten Ryerson
Pre-Licensed Professional, BA
Verified Verified
Eugene, OR 97401  (Online Only)
Not accepting new clients
I am interested in creating a safe, nurturing place where we can explore your concerns and discover a path forward. My goal is to help you find lasting healing through a holistic approach, taking in all parts of you. I will meet you where you are in your life and work with you in a compassionate and nonjudgmental way to create a trusting relationship that helps facilitate the growth you are seeking. We live in a fragmented, busy world, causing many of us to feel alone, purposeless, stressed, and searching for a better way, let’s work together to create a better future.
I am interested in creating a safe, nurturing place where we can explore your concerns and discover a path forward. My goal is to help you find lasting healing through a holistic approach, taking in all parts of you. I will meet you where you are in your life and work with you in a compassionate and nonjudgmental way to create a trusting relationship that helps facilitate the growth you are seeking. We live in a fragmented, busy world, causing many of us to feel alone, purposeless, stressed, and searching for a better way, let’s work together to create a better future.
(541) 525-4460 View (541) 525-4460
Photo of Jennifer Beltz, Licensed Professional Counselor in Eugene, OR
Jennifer Beltz
Licensed Professional Counselor, LMFT, LPC
Verified Verified
Eugene, OR 97401
Not accepting new clients
I have been honored to work with individuals and couples who have improved their communication, boundary setting, and coping skills through practice, dedication, and the power of a restorative and healing therapeutic relationship. I have often been amazed and inspired by the clients I have seen who uncover their potential, and overcome obstacles that they once thought were insurmountable. We both influence and are influenced by our environments and relationships. The same way we are molded by these experiences, we can also create self change through support, tools, and the power of intention.
I have been honored to work with individuals and couples who have improved their communication, boundary setting, and coping skills through practice, dedication, and the power of a restorative and healing therapeutic relationship. I have often been amazed and inspired by the clients I have seen who uncover their potential, and overcome obstacles that they once thought were insurmountable. We both influence and are influenced by our environments and relationships. The same way we are molded by these experiences, we can also create self change through support, tools, and the power of intention.
(458) 200-3980 View (458) 200-3980
Photo of Stefan Pasymowski, Marriage & Family Therapist in Eugene, OR
Stefan Pasymowski
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Eugene, OR 97401
I believe that all behavior makes sense when we fully appreciate the context in which it occurs. Often we find that our patterns of behavior have their origins in previous life experiences and relationships. As a relationally and systemically trained therapist, my aim is to assist you in better understanding how various factors can affect how you think and feel, and how you respond to challenging situations in your life. My hope is that through our work you feel greater alignment with your values and what is most important to you.
I believe that all behavior makes sense when we fully appreciate the context in which it occurs. Often we find that our patterns of behavior have their origins in previous life experiences and relationships. As a relationally and systemically trained therapist, my aim is to assist you in better understanding how various factors can affect how you think and feel, and how you respond to challenging situations in your life. My hope is that through our work you feel greater alignment with your values and what is most important to you.
(458) 207-5613 View (458) 207-5613
Photo of Jesse Quinn Weight, Licensed Professional Counselor in Eugene, OR
Jesse Quinn Weight
Licensed Professional Counselor, LPC
Verified Verified
Eugene, OR 97405  (Online Only)
Not accepting new clients
Trauma often leaves us feeling stuck in feelings and beliefs that don’t line up with the here and now. Trauma can create feelings of alienation and worthlessness that keep us isolated or detached from the ones we love. Whether we are processing a single traumatic incident or compounded developmental trauma, it is a joy for me to help me clients find a new sense of freedom and personal power. My style is warm and focused on providing concrete and measurable benefits within a short period of time.
Trauma often leaves us feeling stuck in feelings and beliefs that don’t line up with the here and now. Trauma can create feelings of alienation and worthlessness that keep us isolated or detached from the ones we love. Whether we are processing a single traumatic incident or compounded developmental trauma, it is a joy for me to help me clients find a new sense of freedom and personal power. My style is warm and focused on providing concrete and measurable benefits within a short period of time.
(541) 909-8403 View (541) 909-8403
Photo of Emily A Pyle, Licensed Professional Counselor in Eugene, OR
Emily A Pyle
Licensed Professional Counselor, LPC
Verified Verified
Eugene, OR 97401
Waitlist for new clients
However you are feeling at this moment, you have deep, natural sources of resilience inside you. My job as a therapist is to help you tap into the resources of your mind, body, and spirit, so that you can take charge of your own healing and growth. Often, the feelings, thoughts, and behaviors causing us the most difficulty right now have their roots in old coping strategies that once helped us to survive and care for ourselves. If you are struggling or stuck now, it may be because you are ready to let go of these old patterns and find new ways of being.
However you are feeling at this moment, you have deep, natural sources of resilience inside you. My job as a therapist is to help you tap into the resources of your mind, body, and spirit, so that you can take charge of your own healing and growth. Often, the feelings, thoughts, and behaviors causing us the most difficulty right now have their roots in old coping strategies that once helped us to survive and care for ourselves. If you are struggling or stuck now, it may be because you are ready to let go of these old patterns and find new ways of being.
(541) 735-9034 View (541) 735-9034
Photo of Patrick McDaniel, Marriage & Family Therapist in Eugene, OR
Patrick McDaniel
Marriage & Family Therapist, LMFT
Verified Verified
Eugene, OR 97401
Accepting new clients! My personal philosophy is that through human connection, we can foster the motivation needed to take brave steps toward seeing an old pattern through a new perspective to create positive change. Therapy serves as a road map, illuminating the path so the client can make conscious choices. My attitude is one of respect and acceptance of each client's self-image and world-view allowing for the creation of a safe, therapeutic container.
Accepting new clients! My personal philosophy is that through human connection, we can foster the motivation needed to take brave steps toward seeing an old pattern through a new perspective to create positive change. Therapy serves as a road map, illuminating the path so the client can make conscious choices. My attitude is one of respect and acceptance of each client's self-image and world-view allowing for the creation of a safe, therapeutic container.
(541) 275-6038 View (541) 275-6038
Photo of Ryan S. Smith, Marriage & Family Therapist in Eugene, OR
Ryan S. Smith
Marriage & Family Therapist, MEd, LMFT
Verified Verified
6 Endorsed
Eugene, OR 97401
Not accepting new clients
Do you struggle to say "no" to people? Do you feel guilty when you do? Do you feel pressure to make others happy while never getting what you need? Do you stay in bad relationships for too long? Do you feel stuck relationally, emotionally, or in your career path? There are explanations for this behavior and ways to change it. I love helping people learn how to have healthy boundaries with others, their work, or some other habit they are concerned about. If you want to understand yourself better and possibly learn to make healthier choices based on your values, I would love to work with you.
Do you struggle to say "no" to people? Do you feel guilty when you do? Do you feel pressure to make others happy while never getting what you need? Do you stay in bad relationships for too long? Do you feel stuck relationally, emotionally, or in your career path? There are explanations for this behavior and ways to change it. I love helping people learn how to have healthy boundaries with others, their work, or some other habit they are concerned about. If you want to understand yourself better and possibly learn to make healthier choices based on your values, I would love to work with you.
(541) 623-2933 View (541) 623-2933
Photo of Dr. Lindsey Felix, Psychologist in Eugene, OR
Dr. Lindsey Felix
Psychologist, PhD, ABPP-CN
Verified Verified
Eugene, OR 97401
If you are concerned about your child's development, learning, social-emotional functioning, or academic performance a neuropsychological evaluation can help.
If you are concerned about your child's development, learning, social-emotional functioning, or academic performance a neuropsychological evaluation can help.
(541) 204-0319 View (541) 204-0319
Photo of Rose Boyer, Licensed Professional Counselor in Eugene, OR
Rose Boyer
Licensed Professional Counselor, MS, LPC, NCC, CADC II
Verified Verified
3 Endorsed
Eugene, OR 97401
Not accepting new clients
I am currently FULL and not accepting new patients. My waitlist is also currently full. I am EMDR trained and provide therapy for trauma, PTSD, health-care related trauma, anxiety, depression, and addiction/recovery issues. For 12 years I worked in a residential substance abuse facility where I also provided M-CBT and EMDR for addiction, eating disorders and gastric by-pass. I recognize that each of you are unique human beings and that life can be difficult and painful. Together we seek your individualized treatment plan. To discover your strengths and to help you get back on track and gain relief from life's burdens.
I am currently FULL and not accepting new patients. My waitlist is also currently full. I am EMDR trained and provide therapy for trauma, PTSD, health-care related trauma, anxiety, depression, and addiction/recovery issues. For 12 years I worked in a residential substance abuse facility where I also provided M-CBT and EMDR for addiction, eating disorders and gastric by-pass. I recognize that each of you are unique human beings and that life can be difficult and painful. Together we seek your individualized treatment plan. To discover your strengths and to help you get back on track and gain relief from life's burdens.
(458) 215-1564 View (458) 215-1564
Photo of Edify Therapy, LPC Intern in Eugene, OR
Edify Therapy
LPC Intern, MA, NCC, LPC A
Verified Verified
Eugene, OR 97401
Therapy can offer many things: support, coping skills, and (perhaps most importantly) a place to set down your “armor” and rest. Taking this step is a powerful act of self kindness and self advocacy. In therapy we will hold your unique story, needs, and strengths, and together create a path forward. I believe the therapeutic relationship is a place to cultivate trust and to experience acceptance and compassion.
Therapy can offer many things: support, coping skills, and (perhaps most importantly) a place to set down your “armor” and rest. Taking this step is a powerful act of self kindness and self advocacy. In therapy we will hold your unique story, needs, and strengths, and together create a path forward. I believe the therapeutic relationship is a place to cultivate trust and to experience acceptance and compassion.
(541) 255-4270 View (541) 255-4270
Photo of Erin Hughes, Clinical Social Work/Therapist in Eugene, OR
Erin Hughes
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Eugene, OR 97401  (Online Only)
Easily schedule now by visiting erinhugheslcsw.clientsecure.me. I am a licensed Therapist with a background in Clinical Social Work from Columbia University in Oregon and Utah. My counseling style is pretty laid back. I have been described as supportive, caring, and compassionate, with a pretty good sense of humor. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I'm here to help you sort through the things that are difficult right now, and offer you a safe place to be open and honest without fear of judgment.
Easily schedule now by visiting erinhugheslcsw.clientsecure.me. I am a licensed Therapist with a background in Clinical Social Work from Columbia University in Oregon and Utah. My counseling style is pretty laid back. I have been described as supportive, caring, and compassionate, with a pretty good sense of humor. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I'm here to help you sort through the things that are difficult right now, and offer you a safe place to be open and honest without fear of judgment.
(458) 243-4522 View (458) 243-4522
Photo of Jen Porter, Licensed Professional Counselor in Eugene, OR
Jen Porter
Licensed Professional Counselor, MEd, LPC
Verified Verified
5 Endorsed
Eugene, OR 97401
Not accepting new clients
It can feel vulnerable to acknowledge that you’re struggling, but it’s my belief that there is a lot of strength in that willingness to be open and seek change. I strive to honor that by providing an environment of safety, acceptance, and empowerment. My approach is described as easy-going, direct and nonjudgmental. I respect my clients’ needs and welcome the opportunity to work with people of diverse backgrounds, identities, and relationships. My goal is to help you find relief through expanded self-awareness, healing of old wounds, increased connectedness, development of practical tools, and shifting out of old/unhelpful patterns.
It can feel vulnerable to acknowledge that you’re struggling, but it’s my belief that there is a lot of strength in that willingness to be open and seek change. I strive to honor that by providing an environment of safety, acceptance, and empowerment. My approach is described as easy-going, direct and nonjudgmental. I respect my clients’ needs and welcome the opportunity to work with people of diverse backgrounds, identities, and relationships. My goal is to help you find relief through expanded self-awareness, healing of old wounds, increased connectedness, development of practical tools, and shifting out of old/unhelpful patterns.
(541) 735-9081 View (541) 735-9081
Photo of Kara Rawlings, Clinical Social Work Associate in Eugene, OR
Kara Rawlings
Clinical Social Work Associate, CSWA
Verified Verified
1 Endorsed
Eugene, OR 97401  (Online Only)
I approach therapy with compassion and acceptance, meeting clients where they are at and tailoring evidence-based modalities to meet each client’s unique needs. I am adept in cognitive behavioral therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and mindfulness techniques.
I approach therapy with compassion and acceptance, meeting clients where they are at and tailoring evidence-based modalities to meet each client’s unique needs. I am adept in cognitive behavioral therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and mindfulness techniques.
(458) 204-4471 View (458) 204-4471
Photo of Jill S Wolf, Licensed Professional Counselor in Eugene, OR
Jill S Wolf
Licensed Professional Counselor, LPC
Verified Verified
Eugene, OR 97405
Not accepting new clients
I am currently not taking new clients. I bring 30+ years of experience working with a wide array of clients. I provide supportive counseling and solution focused problem solving on basic life issues. I strive to create a safe, supportive space for my clients to explore what they want to work on. I believe being heard and understood are essential to healing. I am flexible in my approach and techniques to suit a client's needs. I see individual adults 18 and older. I cannot take any Medicare or Medicaid insurances.
I am currently not taking new clients. I bring 30+ years of experience working with a wide array of clients. I provide supportive counseling and solution focused problem solving on basic life issues. I strive to create a safe, supportive space for my clients to explore what they want to work on. I believe being heard and understood are essential to healing. I am flexible in my approach and techniques to suit a client's needs. I see individual adults 18 and older. I cannot take any Medicare or Medicaid insurances.
(541) 255-4413 View (541) 255-4413
Photo of Bianca Marino, Clinical Social Work/Therapist in Eugene, OR
Bianca Marino
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Eugene, OR 97401  (Online Only)
Not accepting new clients
I believe that each person has the power to create a life that feels worthwhile to them. My work is to support you in navigating the internal and external obstacles that get in the way of that. Whether you are healing from trauma, challenging relationships, systemic oppression, difficult internal narratives, loss, substance abuse, or other issues that drive disconnection between you and your truest self, I will work to help you develop the coping skills and strategies that work for you. Together, we will establish a therapeutic relationship built on mutual trust and transparency to create a space where your authentic self is welcome
I believe that each person has the power to create a life that feels worthwhile to them. My work is to support you in navigating the internal and external obstacles that get in the way of that. Whether you are healing from trauma, challenging relationships, systemic oppression, difficult internal narratives, loss, substance abuse, or other issues that drive disconnection between you and your truest self, I will work to help you develop the coping skills and strategies that work for you. Together, we will establish a therapeutic relationship built on mutual trust and transparency to create a space where your authentic self is welcome
(541) 325-8314 View (541) 325-8314
Photo of Rene Tricou, Counselor in Eugene, OR
Rene Tricou
Counselor, LPC
Verified Verified
4 Endorsed
Eugene, OR 97405  (Online Only)
Accepting new Telehealth clients in OR, NM & OH. I mostly work with adults with a history of trauma, grief & loss, or anxiety. I can help you learn to increase compassion for yourself, reduce symptoms of anxiety or depression, resolve the effects of trauma, transform past hurts & change patterns that no longer serve you. I admire the courage it takes to take the first step into healing & integrating, & it is an honor to be with someone on their journey. Together we will walk side-by-side as you learn to embrace life circumstances, navigate challenging times, & deepen the relationship you have with yourself & your loved ones.
Accepting new Telehealth clients in OR, NM & OH. I mostly work with adults with a history of trauma, grief & loss, or anxiety. I can help you learn to increase compassion for yourself, reduce symptoms of anxiety or depression, resolve the effects of trauma, transform past hurts & change patterns that no longer serve you. I admire the courage it takes to take the first step into healing & integrating, & it is an honor to be with someone on their journey. Together we will walk side-by-side as you learn to embrace life circumstances, navigate challenging times, & deepen the relationship you have with yourself & your loved ones.
(458) 204-4497 View (458) 204-4497
Photo of Cecilia Escobedo, Marriage & Family Therapist in Eugene, OR
Cecilia Escobedo
Marriage & Family Therapist, LMFT
Verified Verified
Eugene, OR 97401
Not accepting new patients at this time. I believe that each person has inherent worth, wisdom and the capacity to develop in ways that can lead toward wholeness and renewed energy for life. My main job is to co-create a therapeutic container where inner and outer healing can take place. I believe that when we listen to psychological symptoms, instead of ignoring or resisting them, we are more likely to find out what is out of balance and needs further integration in ourselves.
Not accepting new patients at this time. I believe that each person has inherent worth, wisdom and the capacity to develop in ways that can lead toward wholeness and renewed energy for life. My main job is to co-create a therapeutic container where inner and outer healing can take place. I believe that when we listen to psychological symptoms, instead of ignoring or resisting them, we are more likely to find out what is out of balance and needs further integration in ourselves.
(458) 224-5836 View (458) 224-5836
Photo of Kendall Thornton, Psychologist in Eugene, OR
Kendall Thornton
Psychologist, PsyD
Verified Verified
1 Endorsed
Eugene, OR 97401
Not accepting new clients
A client in my practice should be prepared to engage in self-reflection, self-compassion, and demonstrate an openness to interpersonal feedback. While I hope to provide support and foster growth for a wide range of presenting concerns, the willingness for insight and change is universal in therapy. I also strive for a warm therapeutic relationship, using humor, humility, and emotion to connect with all of my clients.
A client in my practice should be prepared to engage in self-reflection, self-compassion, and demonstrate an openness to interpersonal feedback. While I hope to provide support and foster growth for a wide range of presenting concerns, the willingness for insight and change is universal in therapy. I also strive for a warm therapeutic relationship, using humor, humility, and emotion to connect with all of my clients.
(541) 359-2528 View (541) 359-2528
Photo of Alexandra Perez Urbina, Pre-Licensed Professional in Eugene, OR
Alexandra Perez Urbina
Pre-Licensed Professional, MSW, CSWA
Verified Verified
1 Endorsed
Eugene, OR 97401  (Online Only)
Not accepting new clients
Our environment influences how we see ourselves in the world; it shapes our internal narratives and our relationship with ourselves and others. As a BIPoC, immigrant therapist, it is my honor and duty to provide a safe space for BIPoC folx and immigrants and seek to help each person see their own power and heal their wounds. I seek to help individuals who may be working on healing from radicalized trauma and various forms internalized oppression in order to become the person they were meant to be. Understanding our own history and connection to our ancestors helps us to understand who we are today and helps us heal our Soul.
Our environment influences how we see ourselves in the world; it shapes our internal narratives and our relationship with ourselves and others. As a BIPoC, immigrant therapist, it is my honor and duty to provide a safe space for BIPoC folx and immigrants and seek to help each person see their own power and heal their wounds. I seek to help individuals who may be working on healing from radicalized trauma and various forms internalized oppression in order to become the person they were meant to be. Understanding our own history and connection to our ancestors helps us to understand who we are today and helps us heal our Soul.
(458) 217-1202 View (458) 217-1202
Photo of Jasmine Suiter, Clinical Social Work Associate in Eugene, OR
Jasmine Suiter
Clinical Social Work Associate, MSW
Verified Verified
Eugene, OR 97401
Currently Accepting New Clients! My role as your therapist to provide a safe and comfortable environment where your views are heard, respected, and upheld as valuable and important. My approach is to stand by your side and meet you wherever you are on your healing journey. I focus on building a strong therapeutic alliance, as I recognize how difficult it is to be vulnerable with a new person and how important it is to feel connected with your therapist. Together, we will learn coping skills, process past or present trauma, and explore strategies that will assist you in reaching your goals.
Currently Accepting New Clients! My role as your therapist to provide a safe and comfortable environment where your views are heard, respected, and upheld as valuable and important. My approach is to stand by your side and meet you wherever you are on your healing journey. I focus on building a strong therapeutic alliance, as I recognize how difficult it is to be vulnerable with a new person and how important it is to feel connected with your therapist. Together, we will learn coping skills, process past or present trauma, and explore strategies that will assist you in reaching your goals.
(458) 214-2534 View (458) 214-2534

How does your Therapist compare?

Number of Therapists in Eugene, OR

700+

Average cost per session

$165

Therapists in Eugene, OR who prioritize treating:

94% Anxiety
88% Depression
83% Trauma and PTSD
78% Self Esteem
77% Relationship Issues
75% Stress
71% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

78% PacificSource
45% Oregon Health Plan (OHP)
44% BlueCross and BlueShield

How Therapists in Eugene, OR see their clients

58% In Person and Online
42% Online Only

Gender breakdown

74% Female
22% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Eugene?

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.