Therapists in Medford, OR

Photo of Ernie Flores in Medford, OR
Ernie Flores
MA
Verified Verified
Medford, OR 97501
My work is grounded in the knowing that we are all spiritual beings and that we are all equipped with everything we need to heal ourselves. My work with people is about supporting them to reconnect with themselves, to remember who they are, and to take steps towards more wholeness.
My work is grounded in the knowing that we are all spiritual beings and that we are all equipped with everything we need to heal ourselves. My work with people is about supporting them to reconnect with themselves, to remember who they are, and to take steps towards more wholeness.
(541) 840-5542 View (541) 840-5542
Photo of Little Light Counseling, Licensed Professional Counselor in Medford, OR
Little Light Counseling
Licensed Professional Counselor, MS, LPC, NCC, CYMHS
Verified Verified
Medford, OR 97504
Little Light Counseling is dedicated to helping children and their families live better lives. We incorporate parent education with individual and family counseling in a supportive and compassionate environment. We work with ages 7 and up, and people from all backgrounds. Our goal is to make sure anyone who needs or wants counseling can obtain services, regardless of financial circumstances. Your first session is $275 and subsequent sessions are $120. Discounts and financial aid are available. We can give you a receipt so you can get reimbursed by your insurance company. Currently accepting new clients! Call Today!
Little Light Counseling is dedicated to helping children and their families live better lives. We incorporate parent education with individual and family counseling in a supportive and compassionate environment. We work with ages 7 and up, and people from all backgrounds. Our goal is to make sure anyone who needs or wants counseling can obtain services, regardless of financial circumstances. Your first session is $275 and subsequent sessions are $120. Discounts and financial aid are available. We can give you a receipt so you can get reimbursed by your insurance company. Currently accepting new clients! Call Today!
(541) 329-7081 View (541) 329-7081
Photo of Amanda Mae Metcalf, Licensed Professional Counselor in Medford, OR
Amanda Mae Metcalf
Licensed Professional Counselor, LPC, MS
Verified Verified
1 Endorsed
Medford, OR 97504  (Online Only)
Not accepting new clients
Hello there! My name is Amanda and I work as a private practice counselor in lovely Grants Pass Oregon! I work with a wide array of individuals from many different backgrounds, for many different reasons. I have completed training to work with clients in many different areas, such as Crisis and Trauma, Military Veterans, Active Service Members, and their Families, as well as Couples and Marriage Counseling, and treat everything from Depression and Anxiety to Addictions and Suicidal Thoughts. I really have a passion for this work, and equally enjoy working with people in any way I can.
Hello there! My name is Amanda and I work as a private practice counselor in lovely Grants Pass Oregon! I work with a wide array of individuals from many different backgrounds, for many different reasons. I have completed training to work with clients in many different areas, such as Crisis and Trauma, Military Veterans, Active Service Members, and their Families, as well as Couples and Marriage Counseling, and treat everything from Depression and Anxiety to Addictions and Suicidal Thoughts. I really have a passion for this work, and equally enjoy working with people in any way I can.
(541) 378-6882 View (541) 378-6882
Photo of Nicole Hoagland, Clinical Social Work/Therapist in Medford, OR
Nicole Hoagland
Clinical Social Work/Therapist, LCSW, LASW
Verified Verified
Medford, OR 97504  (Online Only)
Not accepting new clients
"You are braver than you believe. Stronger than you seem. Smarter than you think." -A.A. Milne. If this is your first step in wondering if therapy is right for you, I'm glad you made it here. If you, or someone you love, has been diagnosed with a life-limiting or terminal illness, I'm glad you made it here. If you're struggling with feelings of grief, loss, burnout, isolation, depression, or anxiety, I'm glad you made it here. If your once-fulfilling work (paid or unpaid) now feels draining, I'm glad you made it here. Therapy is the process of exploring what restricts us and developing the skills and insights to nurture growth.
"You are braver than you believe. Stronger than you seem. Smarter than you think." -A.A. Milne. If this is your first step in wondering if therapy is right for you, I'm glad you made it here. If you, or someone you love, has been diagnosed with a life-limiting or terminal illness, I'm glad you made it here. If you're struggling with feelings of grief, loss, burnout, isolation, depression, or anxiety, I'm glad you made it here. If your once-fulfilling work (paid or unpaid) now feels draining, I'm glad you made it here. Therapy is the process of exploring what restricts us and developing the skills and insights to nurture growth.
(541) 237-1767 View (541) 237-1767
Photo of Inspired Wellness LLC, Licensed Professional Counselor in Medford, OR
Inspired Wellness LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Medford, OR 97501
I fully believe that clients do well if they can! This being said, sometimes life becomes too difficult to manage and maneuver on our own and we need a little support and guidance. The therapeutic process is based on a clients strength, their drive, what coping skills they have, and what they know already works for them. The therapeutic process takes time, it is hard, but given enough support and strength, the process is worth it. My focus is on helping clients, families, and couples create an environment that is positive and healthy all around.
I fully believe that clients do well if they can! This being said, sometimes life becomes too difficult to manage and maneuver on our own and we need a little support and guidance. The therapeutic process is based on a clients strength, their drive, what coping skills they have, and what they know already works for them. The therapeutic process takes time, it is hard, but given enough support and strength, the process is worth it. My focus is on helping clients, families, and couples create an environment that is positive and healthy all around.
(541) 238-9413 View (541) 238-9413
Photo of Lisa Allred, Clinical Social Work/Therapist in Medford, OR
Lisa Allred
Clinical Social Work/Therapist, LCSW
Verified Verified
Medford, OR 97501  (Online Only)
If the ups and downs are overwhelming, you are in the right place. This is down to earth, modern therapy where you will explore who you are, where you have been, and more importantly, where you want to go. Mood related issues do not have to keep you from living life in a way that is meaningful to you. As we find your patterns and best ways to navigate daily living, you will using the strengths you already have to build a life you want, according to you. When we live in according to what is important to us, the world feels different and there is room for experiences and perspectives that we are looking for.
If the ups and downs are overwhelming, you are in the right place. This is down to earth, modern therapy where you will explore who you are, where you have been, and more importantly, where you want to go. Mood related issues do not have to keep you from living life in a way that is meaningful to you. As we find your patterns and best ways to navigate daily living, you will using the strengths you already have to build a life you want, according to you. When we live in according to what is important to us, the world feels different and there is room for experiences and perspectives that we are looking for.
(541) 588-3842 View (541) 588-3842
Photo of Jennifer Miatke, Licensed Professional Counselor in Medford, OR
Jennifer Miatke
Licensed Professional Counselor, LPC, MA
Verified Verified
Medford, OR 97504
Waitlist for new clients
We are all rich in resources, both inner and outer, and full of potential in connection to all that we truly are—but most of us are asleep to this constant invitation to a more fulfilling life. A teacher once pointed out that healing is more a matter of subtraction than addition. Instead of chasing after something we believe we lack, we can, with help, take steps to face what is really happening inside us and within our relationships. With attention, awareness and willingness to begin, we take steps together on a journey in which barriers can melt away.
We are all rich in resources, both inner and outer, and full of potential in connection to all that we truly are—but most of us are asleep to this constant invitation to a more fulfilling life. A teacher once pointed out that healing is more a matter of subtraction than addition. Instead of chasing after something we believe we lack, we can, with help, take steps to face what is really happening inside us and within our relationships. With attention, awareness and willingness to begin, we take steps together on a journey in which barriers can melt away.
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Photo of John J. Johnson, Marriage & Family Therapist in Medford, OR
John J. Johnson
Marriage & Family Therapist, MS, MFT, ERCEM
Verified Verified
1 Endorsed
Medford, OR 97504
Sexual addiction (SA) is a hidden addiction. It is a global problem, under-reported, and largely untreated. SA harms relationships, creates relational trauma for partners, and damages trust and intimacy in relationships. Addicts often engage in secrecy and feel shame and guilt about their behavior. Partners often feel betrayed and traumatized by the addicts behavior. Intimacy issues are often an underlying concern for both individuals and for couples. Like other addictions, SA can get progressively worse over the years. If untreated, SA can lead to relationship loss, divorce, job loss. financial problems, and legal problems.
Sexual addiction (SA) is a hidden addiction. It is a global problem, under-reported, and largely untreated. SA harms relationships, creates relational trauma for partners, and damages trust and intimacy in relationships. Addicts often engage in secrecy and feel shame and guilt about their behavior. Partners often feel betrayed and traumatized by the addicts behavior. Intimacy issues are often an underlying concern for both individuals and for couples. Like other addictions, SA can get progressively worse over the years. If untreated, SA can lead to relationship loss, divorce, job loss. financial problems, and legal problems.
(541) 500-0406 View (541) 500-0406
Photo of Joel Turgesen, Licensed Professional Counselor in Medford, OR
Joel Turgesen
Licensed Professional Counselor, LPC, MA
Verified Verified
Medford, OR 97501
I believe that as human beings we are constantly being challenged by life to stand up to our fears and learn how to be true to ourselves. Counseling is helpful, often times critical, during times of crisis when a person's inner strength has become overwhelmed, confused or blocked by the stormy issues of life. Resolving these issues is a very complex matter which involves great care and skill, skills such as: processing intense emotions, healing traumatic memories, correcting obsolete negative (fear-based) beliefs about oneself and communicating assertively.
I believe that as human beings we are constantly being challenged by life to stand up to our fears and learn how to be true to ourselves. Counseling is helpful, often times critical, during times of crisis when a person's inner strength has become overwhelmed, confused or blocked by the stormy issues of life. Resolving these issues is a very complex matter which involves great care and skill, skills such as: processing intense emotions, healing traumatic memories, correcting obsolete negative (fear-based) beliefs about oneself and communicating assertively.
(541) 233-0083 View (541) 233-0083
Photo of Quality Counseling Services LLC in Medford, OR
Quality Counseling Services LLC
LPC
Verified Verified
Medford, OR 97504
At Quality Counseling Services we offer individual and family counseling for every sort of issue that you and your loved ones are dealing with. Our goal is to provide a space for you and/or your family to work through difficulties in a manner that brings insight and resolution.
At Quality Counseling Services we offer individual and family counseling for every sort of issue that you and your loved ones are dealing with. Our goal is to provide a space for you and/or your family to work through difficulties in a manner that brings insight and resolution.
(541) 640-5292 View (541) 640-5292
Andrew Stuck
Licensed Professional Counselor, MS, LPC
Verified Verified
Medford, OR 97504
Not accepting new clients
Showing up is the most important and often hardest part of this process. Once you make it to the office, we can usually find a direction for change you feel connected to. If we don't show up, change isn't likely to occur. I don't care if you are sad, angry, rageful, confused, indifferent, suicidal, or in despair, if you show up, I promise to do the same. If we can't make space for the spectrum of our humanity in the therapeutic space then where can we? I believe people are genuinely trying to do the best they can with what they have, and sometimes what we have isn't useful for the immediate situation. So, we get help.
Showing up is the most important and often hardest part of this process. Once you make it to the office, we can usually find a direction for change you feel connected to. If we don't show up, change isn't likely to occur. I don't care if you are sad, angry, rageful, confused, indifferent, suicidal, or in despair, if you show up, I promise to do the same. If we can't make space for the spectrum of our humanity in the therapeutic space then where can we? I believe people are genuinely trying to do the best they can with what they have, and sometimes what we have isn't useful for the immediate situation. So, we get help.
(458) 225-5176 View (458) 225-5176
Photo of Kent Heyward, Marriage & Family Therapist in Medford, OR
Kent Heyward
Marriage & Family Therapist, ACSW, MSW, LMFT, SAP
Verified Verified
Medford, OR 97501
Not accepting new clients
I am a licensed Marriage & Family Therapist, Social Worker and a Oregon Department of Transportation Substance Abuse Professional (SAP). My 25+ years of clinical experience have been focused on serving patients dealing with parenting issues, anxiety, depression, substance abuse, dual diagnoses, grief and loss, marital conflict, adjustment issues, and career/life transitions. My private practice utilizes a brief solution-focused modality, providing therapy to individuals, couples, families, and children. I am also founder and senior counselor with the Upper Rogue Wellness Center in Southern Oregon.
I am a licensed Marriage & Family Therapist, Social Worker and a Oregon Department of Transportation Substance Abuse Professional (SAP). My 25+ years of clinical experience have been focused on serving patients dealing with parenting issues, anxiety, depression, substance abuse, dual diagnoses, grief and loss, marital conflict, adjustment issues, and career/life transitions. My private practice utilizes a brief solution-focused modality, providing therapy to individuals, couples, families, and children. I am also founder and senior counselor with the Upper Rogue Wellness Center in Southern Oregon.
(541) 279-2183 View (541) 279-2183
Photo of Turituri Counseling Services, LLC, Licensed Professional Counselor in Medford, OR
Turituri Counseling Services, LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Medford, OR 97504
Accepting new clients. Every now and then, you need someone to help you process difficulties life throws at you. If you are at that place, I would like to help. My name is Darren Turituri, Licensed Professional Counselor. I have worked in the mental health field for close to 20 years, from school counseling, to crisis therapist, to inpatient treatment, to individuals in a Correctional setting. One thing has remained consistent, building rapport with clients is key to change. I look forward to connecting with you and working together to find solutions for what you seek.
Accepting new clients. Every now and then, you need someone to help you process difficulties life throws at you. If you are at that place, I would like to help. My name is Darren Turituri, Licensed Professional Counselor. I have worked in the mental health field for close to 20 years, from school counseling, to crisis therapist, to inpatient treatment, to individuals in a Correctional setting. One thing has remained consistent, building rapport with clients is key to change. I look forward to connecting with you and working together to find solutions for what you seek.
(541) 262-1627 View (541) 262-1627
Jennifer Hibbs
Clinical Social Work/Therapist, LCSW
Verified Verified
Medford, OR 97501
Not accepting new clients
I provide a compassionate, practical, down-to-earth approach to therapy. My goal is to assist clients in gaining insight and understanding problematic patterns in their lives. Actualizing the insight into healthy cognitive, behavioral, relational and spiritual dimensions is the primary focus of therapy. In a safe, respectful environment, clients can develop the necessary skill for a more satisfying, fulfilling life. I am committed to guiding people honestly, with hope, humor and creativity in this unique process.
I provide a compassionate, practical, down-to-earth approach to therapy. My goal is to assist clients in gaining insight and understanding problematic patterns in their lives. Actualizing the insight into healthy cognitive, behavioral, relational and spiritual dimensions is the primary focus of therapy. In a safe, respectful environment, clients can develop the necessary skill for a more satisfying, fulfilling life. I am committed to guiding people honestly, with hope, humor and creativity in this unique process.
(541) 279-2003 View (541) 279-2003
Photo of Katie Borden, Clinical Social Work/Therapist in Medford, OR
Katie Borden
Clinical Social Work/Therapist, CSWA
Verified Verified
1 Endorsed
Medford, OR 97501  (Online Only)
Not accepting new clients
Life is full of ups and downs, and navigating them can seem endless and exhausting. My hope is to assist people who are struggling with a recent change or having difficulty adjusting to shifts in your life. It may be a loss, a move, or something that has disrupted your normal rhythm. Or, maybe you want to make a change and just need some support.
Life is full of ups and downs, and navigating them can seem endless and exhausting. My hope is to assist people who are struggling with a recent change or having difficulty adjusting to shifts in your life. It may be a loss, a move, or something that has disrupted your normal rhythm. Or, maybe you want to make a change and just need some support.
(541) 835-8519 View (541) 835-8519
Photo of Lauren Diaz, Licensed Professional Counselor in Medford, OR
Lauren Diaz
Licensed Professional Counselor, MS, NCC
Verified Verified
1 Endorsed
Medford, OR 97504  (Online Only)
Not accepting new clients
I believe that we are all trying the best we can to live our most authentic life. My mission as a therapist is to help you feel more confident in all areas of your life. During our work together, I am committed to finding the tools that can help you reach your goals on your journey towards healing. Together, we will overcome blocks that are preventing you from living the life that you want to be living and prioritize your own well-being in the way that feels most authentic for you. I specialize in working with people who are struggling with trauma, PTSD, dissociation, anxiety, and depression.
I believe that we are all trying the best we can to live our most authentic life. My mission as a therapist is to help you feel more confident in all areas of your life. During our work together, I am committed to finding the tools that can help you reach your goals on your journey towards healing. Together, we will overcome blocks that are preventing you from living the life that you want to be living and prioritize your own well-being in the way that feels most authentic for you. I specialize in working with people who are struggling with trauma, PTSD, dissociation, anxiety, and depression.
(541) 293-5377 View (541) 293-5377
Photo of Janelle M Chapman, Licensed Professional Counselor in Medford, OR
Janelle M Chapman
Licensed Professional Counselor, MS, LPC
Verified Verified
Medford, OR 97501
I provide treatment to children, adolescents, and individuals. If you are seeking help for parenting, emotional/behavioral outbursts in children, anxiety, depression, relationship problems, self esteem/self love, grief and loss, or problems created by exposure to various types of distressing experience and trauma, I can help.
I provide treatment to children, adolescents, and individuals. If you are seeking help for parenting, emotional/behavioral outbursts in children, anxiety, depression, relationship problems, self esteem/self love, grief and loss, or problems created by exposure to various types of distressing experience and trauma, I can help.
(458) 217-1704 View (458) 217-1704
Photo of Lara Lisa Anders, Marriage & Family Therapist in Medford, OR
Lara Lisa Anders
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Medford, OR 97504
As a therapist, I understand how overwhelming and challenging life can become at times. Finding a therapist that’s the right fit for you is important. My goal is to seek to understand you and your needs so that I can support you in moving towards your desired goals. I believe that each client has the gifts and strengths they need to be successful. When we hit “stuck spots” it can be challenging to recognize those gifts. I see myself as a life coach, marriage counselor, parenting coach, and personal therapist. I believe that everyone deserves to be treated with compassion so that therapy can be a safe space to heal and move forward.
As a therapist, I understand how overwhelming and challenging life can become at times. Finding a therapist that’s the right fit for you is important. My goal is to seek to understand you and your needs so that I can support you in moving towards your desired goals. I believe that each client has the gifts and strengths they need to be successful. When we hit “stuck spots” it can be challenging to recognize those gifts. I see myself as a life coach, marriage counselor, parenting coach, and personal therapist. I believe that everyone deserves to be treated with compassion so that therapy can be a safe space to heal and move forward.
(458) 218-8836 View (458) 218-8836
Photo of Mizuna Allman, Licensed Professional Counselor in Medford, OR
Mizuna Allman
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Medford, OR 97501
Not accepting new clients
Welcome to psychotherapy, a process of deepening self-awareness and working towards inner growth. I believe that every person strives to become who they truly are to achieve peace and happiness within ourselves. However, life throws us curveballs, and we face many challenges throughout our lives. Psychotherapy can be helpful to be able to manage those challenges as effectively as possible. The process of therapy can also bring deep awareness for ourselves, making it possible to break unhealthy patterns, regulate emotions, or learning appropriate coping strategies.
Welcome to psychotherapy, a process of deepening self-awareness and working towards inner growth. I believe that every person strives to become who they truly are to achieve peace and happiness within ourselves. However, life throws us curveballs, and we face many challenges throughout our lives. Psychotherapy can be helpful to be able to manage those challenges as effectively as possible. The process of therapy can also bring deep awareness for ourselves, making it possible to break unhealthy patterns, regulate emotions, or learning appropriate coping strategies.
(458) 241-5228 View (458) 241-5228
Photo of Marcy Wilcox in Medford, OR
Marcy Wilcox
LPC
Verified Verified
Medford, OR 97504
I entered the counseling field because I believe that everyone has the capacity to grow, heal, and live healthy, meaningful lives. I utilize a person-centered, strengths-based, and integrative style of therapy, drawing heavily from cognitive behavioral therapy, acceptance and commitment therapy, and trauma-informed practices. I also welcome faith as a key element of the therapy process and I draw on principles of Christianity, whenever appropriate.
I entered the counseling field because I believe that everyone has the capacity to grow, heal, and live healthy, meaningful lives. I utilize a person-centered, strengths-based, and integrative style of therapy, drawing heavily from cognitive behavioral therapy, acceptance and commitment therapy, and trauma-informed practices. I also welcome faith as a key element of the therapy process and I draw on principles of Christianity, whenever appropriate.
(541) 204-3523 View (541) 204-3523

How does your Therapist compare?

Number of Therapists in Medford, OR

200+

Average cost per session

$150

Therapists in Medford, OR who prioritize treating:

93% Anxiety
87% Depression
82% Self Esteem
81% Relationship Issues
79% Trauma and PTSD
73% Coping Skills
71% Grief

Average years in practice

11 Years

Top 3 insurances accepted

66% Oregon Health Plan (OHP)
60% Other
51% BlueCross and BlueShield

How Therapists in Medford, OR see their clients

72% In Person and Online
28% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Medford?

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.