Therapists in Saint Augustine, FL

Photo of Christine Ellis, Clinical Social Work/Therapist in Saint Augustine, FL
Christine Ellis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Augustine, FL 32080  (Online Only)
Every individual is unique, whole and complete. Sometimes we have a hard time acknowledging this part and embracing who we are. Perhaps you need extra support or new tools to help navigate where you are at this moment in life. If you are seeking holistic approaches in order to release old energies on your healing journey, you've come to the right place. These approach along with thinking outside the box will empower you to figure out what works best in order to move forward.
Every individual is unique, whole and complete. Sometimes we have a hard time acknowledging this part and embracing who we are. Perhaps you need extra support or new tools to help navigate where you are at this moment in life. If you are seeking holistic approaches in order to release old energies on your healing journey, you've come to the right place. These approach along with thinking outside the box will empower you to figure out what works best in order to move forward.
(904) 650-3703 View (904) 650-3703
Photo of Lori Taylor Reasonover, Clinical Social Work/Therapist in Saint Augustine, FL
Lori Taylor Reasonover
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Augustine, FL 32092
Truth be told, counseling is beneficial to EVERYONE. Relationships. Children. Single Parents. Teenagers. Young Adults. EVERYONE. My greatest reward as a therapist is helping clients make positive changes and gain personal success in their lives. I offer a warm, relaxed environment that allows you to discuss a range of thoughts and feelings as well as to explore possible options or solutions for your life.
Truth be told, counseling is beneficial to EVERYONE. Relationships. Children. Single Parents. Teenagers. Young Adults. EVERYONE. My greatest reward as a therapist is helping clients make positive changes and gain personal success in their lives. I offer a warm, relaxed environment that allows you to discuss a range of thoughts and feelings as well as to explore possible options or solutions for your life.
(904) 993-0019 View (904) 993-0019
Photo of Maria Rowley, Registered Mental Health Counselor Intern in Saint Augustine, FL
Maria Rowley
Registered Mental Health Counselor Intern, MA, MS
Verified Verified
Saint Augustine, FL 32086
Pain, anxiety, depression, a loss of hope, a diminished sense of purpose, teen and parenting challenges are all difficult to manage on our own. Everyone of us needs help along the way. Therapy can help you; understand and manage your emotions, build and maintain healthy boundaries and relationships, heal from past hurts or traumas, deal with feelings of inadequacy, shame or rejection, forgive yourself and others. Therapy can help If you are a teen who feels like you have to struggle on your own or a teen parent who does not understand what is going on with your teen and how to communicate with them.
Pain, anxiety, depression, a loss of hope, a diminished sense of purpose, teen and parenting challenges are all difficult to manage on our own. Everyone of us needs help along the way. Therapy can help you; understand and manage your emotions, build and maintain healthy boundaries and relationships, heal from past hurts or traumas, deal with feelings of inadequacy, shame or rejection, forgive yourself and others. Therapy can help If you are a teen who feels like you have to struggle on your own or a teen parent who does not understand what is going on with your teen and how to communicate with them.
(904) 560-6509 View (904) 560-6509
Photo of January Turner, Counselor in Saint Augustine, FL
January Turner
Counselor, MA, LMHC, RPT
Verified Verified
3 Endorsed
Saint Augustine, FL 32084
Not accepting new clients
Feeling stuck or overwhelmed? Are you frustrated with work or home life? Relationships with family or loved ones strained? Are you in a transitional point in your life and not sure about your next move? If you are worried about how to move forward and need someone who will listen, offer support and help you to reduce stress and create balance in your life then counseling is your next best step. I am here to help.
Feeling stuck or overwhelmed? Are you frustrated with work or home life? Relationships with family or loved ones strained? Are you in a transitional point in your life and not sure about your next move? If you are worried about how to move forward and need someone who will listen, offer support and help you to reduce stress and create balance in your life then counseling is your next best step. I am here to help.
(904) 423-8045 View (904) 423-8045
Photo of Wendy H Davis, Clinical Social Work/Therapist in Saint Augustine, FL
Wendy H Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Augustine, FL 32092
I would like to help you or your family member address issues that may be causing emotional and mental distress. My goal is to provide a safe, comfortable and confidential setting where you can restore a sense of balance and create a more fulfilling life.
I would like to help you or your family member address issues that may be causing emotional and mental distress. My goal is to provide a safe, comfortable and confidential setting where you can restore a sense of balance and create a more fulfilling life.
(904) 569-7513 View (904) 569-7513
Photo of Rebecca Burns, Clinical Social Work/Therapist in Saint Augustine, FL
Rebecca Burns
Clinical Social Work/Therapist, LCSW, QS
Verified Verified
1 Endorsed
Saint Augustine, FL 32092  (Online Only)
Sometimes life's challenges can leave us feeling stuck, tired, and afraid. My hope is to help you untangle the thoughts that drive problematic behaviors and understand the emotions that surface from past or present issues. We all possess courage and strength, and my goal is for you to see this in yourself as we navigate these areas to promote change. By identifying goals and creating actionable steps together, I believe you can exprience the change you desire. I also honor the mind, body and spirit connection and welcome opportunities to explore spirituality at your request if faith is important to you.
Sometimes life's challenges can leave us feeling stuck, tired, and afraid. My hope is to help you untangle the thoughts that drive problematic behaviors and understand the emotions that surface from past or present issues. We all possess courage and strength, and my goal is for you to see this in yourself as we navigate these areas to promote change. By identifying goals and creating actionable steps together, I believe you can exprience the change you desire. I also honor the mind, body and spirit connection and welcome opportunities to explore spirituality at your request if faith is important to you.
(904) 906-2655 View (904) 906-2655
Photo of Karen Dixon Hathcock, Counselor in Saint Augustine, FL
Karen Dixon Hathcock
Counselor, MS, LMHC
Verified Verified
Saint Augustine, FL 32092
I am a Licensed Mental Health Counselor who works with adults individually, in couples counseling, and in family therapy. I specialize in treating women's issues and life adjustments centered around women, mothers, divorce, relationships, and single parents. I also treat anxiety and depressive disorders.
I am a Licensed Mental Health Counselor who works with adults individually, in couples counseling, and in family therapy. I specialize in treating women's issues and life adjustments centered around women, mothers, divorce, relationships, and single parents. I also treat anxiety and depressive disorders.
(904) 432-3585 View (904) 432-3585
Photo of Michael James Brown, Marriage & Family Therapist in Saint Augustine, FL
Michael James Brown
Marriage & Family Therapist, MSc, LMFT
Verified Verified
Saint Augustine, FL 32095
Are you having relationship difficulties? Caught in a negative perspective of your partner and your relationship? Having difficulty managing conflict? Caught in gridlocked, perpetual conflict? Feeling lonely and isolated? In a relationship where one or both of you are in recovery from addiction? Concerned about the effects of addiction on your children or family? Having difficulty with child behavior or parent-child conflict? If yes, I would like to help you and have the knowledge, the training, and the skills to do so.
Are you having relationship difficulties? Caught in a negative perspective of your partner and your relationship? Having difficulty managing conflict? Caught in gridlocked, perpetual conflict? Feeling lonely and isolated? In a relationship where one or both of you are in recovery from addiction? Concerned about the effects of addiction on your children or family? Having difficulty with child behavior or parent-child conflict? If yes, I would like to help you and have the knowledge, the training, and the skills to do so.
(904) 574-4744 View (904) 574-4744
Photo of Sheri A Wallace, Counselor in Saint Augustine, FL
Sheri A Wallace
Counselor, PhD, NBC-HWC
Not Verified Not Verified
Saint Augustine, FL 32086  (Online Only)
If you are looking for a heart-centered guide to help you tap into your own health and happiness, look no further. You may be struggling to make some positive changes in your life, but feel the need for some guidance. Maybe you are being pulled in many directions, feeling stressed, overwhelmed or depressed with the demands of life. You might feel challenged in your attempts to find balance in life as you juggle the responsibilities of work, family, friends, finances, and "me time” . . . or perhaps it’s grief. Have you lost a loved one, a job, a home, a way of life, or no longer feel like yourself? Good grief! What do you do?
If you are looking for a heart-centered guide to help you tap into your own health and happiness, look no further. You may be struggling to make some positive changes in your life, but feel the need for some guidance. Maybe you are being pulled in many directions, feeling stressed, overwhelmed or depressed with the demands of life. You might feel challenged in your attempts to find balance in life as you juggle the responsibilities of work, family, friends, finances, and "me time” . . . or perhaps it’s grief. Have you lost a loved one, a job, a home, a way of life, or no longer feel like yourself? Good grief! What do you do?
(904) 271-5456 View (904) 271-5456
Photo of Amanda Arciero, Clinical Social Work/Therapist in Saint Augustine, FL
Amanda Arciero
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
1 Endorsed
Saint Augustine, FL 32080  (Online Only)
I'm Amanda, and I help deep feeling, introspective, and motivated adults and teens become aware of the root causes of their patterns of behavior. You’re frustrated by doing everything you "should" be doing and realizing that fulfillment you were promised is nowhere to be found. You’ve taken the “right” steps in life, but you're depleted, and wondering how you can feel so bad when you've done it all right. You may see yourself as obsessive, self-critical, and deeply flawed despite your achievements and successes. You want to feel relief, and to be able to appreciate the life you’ve built for yourself.
I'm Amanda, and I help deep feeling, introspective, and motivated adults and teens become aware of the root causes of their patterns of behavior. You’re frustrated by doing everything you "should" be doing and realizing that fulfillment you were promised is nowhere to be found. You’ve taken the “right” steps in life, but you're depleted, and wondering how you can feel so bad when you've done it all right. You may see yourself as obsessive, self-critical, and deeply flawed despite your achievements and successes. You want to feel relief, and to be able to appreciate the life you’ve built for yourself.
(904) 595-9460 View (904) 595-9460
Photo of Alison Byers in Saint Augustine, FL
Alison Byers
MA
Verified Verified
Saint Augustine, FL 32084
Stress and uneasiness (anxiety) can occur at any age. Learn how to rethink your reaction to worry and hopelessness. Break the habit of living in your head, distracted by your own limiting thought patterns. Where the attention goes, the energy flows…it is possible to train your brain to remain in Joy (happiness) rather than wasting time chasing negativity.
Stress and uneasiness (anxiety) can occur at any age. Learn how to rethink your reaction to worry and hopelessness. Break the habit of living in your head, distracted by your own limiting thought patterns. Where the attention goes, the energy flows…it is possible to train your brain to remain in Joy (happiness) rather than wasting time chasing negativity.
(904) 906-2520 View (904) 906-2520
Photo of James Berwick, Clinical Social Work/Therapist in Saint Augustine, FL
James Berwick
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Augustine, FL 32084  (Online Only)
, I am a Licensed Clinical Social Worker who has been practicing therapy now for 40 years both with a physical office and for the last 2 years online. I live in St. Augustine, Fl. At this point in my career I am working exclusively with adults. Over the years I have worked with my clients on such issues as Anxiety and Panic attacks, Depression, PTSD, Self Esteem problems, Borderline Personality, and marital issues. The kinds of therapy I use most frequently include EMDR, EFT, Gestalt therapy, and Hypnosis. I have also incorporated my long time meditation practice along with my love for Buddhism into my use of Mindfulness therapy.
, I am a Licensed Clinical Social Worker who has been practicing therapy now for 40 years both with a physical office and for the last 2 years online. I live in St. Augustine, Fl. At this point in my career I am working exclusively with adults. Over the years I have worked with my clients on such issues as Anxiety and Panic attacks, Depression, PTSD, Self Esteem problems, Borderline Personality, and marital issues. The kinds of therapy I use most frequently include EMDR, EFT, Gestalt therapy, and Hypnosis. I have also incorporated my long time meditation practice along with my love for Buddhism into my use of Mindfulness therapy.
(904) 599-3602 View (904) 599-3602
Photo of Douglass Adrien Lobo, Counselor in Saint Augustine, FL
Douglass Adrien Lobo
Counselor, LMHC, EdD
Verified Verified
Saint Augustine, FL 32080
Dr. Lobo is an educated, experienced, and licensed mental health professional. He has extensive experience working with children, teenagers, and their families. He has successfully worked with some of the most challenging youth in various settings, including the foster care, academic, and juvenile justice sectors in both the public and private sector. He currently consults with Miami-County Public Schools, New York Public Schools, and several Charter School Systems and operates a thriving private practice.
Dr. Lobo is an educated, experienced, and licensed mental health professional. He has extensive experience working with children, teenagers, and their families. He has successfully worked with some of the most challenging youth in various settings, including the foster care, academic, and juvenile justice sectors in both the public and private sector. He currently consults with Miami-County Public Schools, New York Public Schools, and several Charter School Systems and operates a thriving private practice.
(305) 783-3222 View (305) 783-3222
Photo of Elaine S Sadkowski, Clinical Social Work/Therapist in Saint Augustine, FL
Elaine S Sadkowski
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
Saint Augustine, FL 32092  (Online Only)
Thank you for viewing my website. Moving from Brevard County, I am privileged to serve clients throughout the State of FLorida from within Jacksonville and St. John's County. My experience spans over 45 years of combined psychotherapy practice in NJ, CA, and FL. With specialized training and certification in best practice models, I use CBT, EMDR, IFS, ACT, and other mindfulness therapies. My Couple's training includes being knowledgable in the use of the most highly respected EFCT, Gottman, & Imago Therapy models. All sessions are comfortably and securely conducted online with www.Doxyme.com. Best regards to you.
Thank you for viewing my website. Moving from Brevard County, I am privileged to serve clients throughout the State of FLorida from within Jacksonville and St. John's County. My experience spans over 45 years of combined psychotherapy practice in NJ, CA, and FL. With specialized training and certification in best practice models, I use CBT, EMDR, IFS, ACT, and other mindfulness therapies. My Couple's training includes being knowledgable in the use of the most highly respected EFCT, Gottman, & Imago Therapy models. All sessions are comfortably and securely conducted online with www.Doxyme.com. Best regards to you.
(321) 233-0175 View (321) 233-0175
Photo of Danielle Free, Counselor in Saint Augustine, FL
Danielle Free
Counselor, LMHC
Verified Verified
2 Endorsed
Saint Augustine, FL 32084
One of life’s unavoidable experiences is stress which can cause overwhelming neurological, hormonal, physiological and psychological reactions creating symptoms that can make managing even basic daily tasks difficult. I would like to support you in your resiliency journey. Together we will implement strategies that influence the bodies ability to calm reactive stress cycles naturally and create the right mental environment for meaningful reflection, awareness, balance and insight. Using in integrative, strengths-based approach we will identify your unique set of values and goals to create realistic & intentional treatment pathways.
One of life’s unavoidable experiences is stress which can cause overwhelming neurological, hormonal, physiological and psychological reactions creating symptoms that can make managing even basic daily tasks difficult. I would like to support you in your resiliency journey. Together we will implement strategies that influence the bodies ability to calm reactive stress cycles naturally and create the right mental environment for meaningful reflection, awareness, balance and insight. Using in integrative, strengths-based approach we will identify your unique set of values and goals to create realistic & intentional treatment pathways.
(904) 395-5248 View (904) 395-5248
Diagnostic & Psychological Services of ST Johns
MS, CAS, LSP
Verified Verified
Saint Augustine, FL 32092
Welcome to my practice! I offer more than 27-years of experience working with children between the ages of 3 and 21. My private practice services include counseling, diagnostic evaluations as well as IEP and 504 advocacy. I have vast experience in areas of learning disabilities, ADHD, ASD, and intellectual disabilities. I know the ins and outs of MTSS, RtI, CSE, IEP, and 504 processes and always find the best way to support children. I enjoy working watching growth within families as they learn more effective ways of communication.
Welcome to my practice! I offer more than 27-years of experience working with children between the ages of 3 and 21. My private practice services include counseling, diagnostic evaluations as well as IEP and 504 advocacy. I have vast experience in areas of learning disabilities, ADHD, ASD, and intellectual disabilities. I know the ins and outs of MTSS, RtI, CSE, IEP, and 504 processes and always find the best way to support children. I enjoy working watching growth within families as they learn more effective ways of communication.
(904) 409-3753 View (904) 409-3753
Photo of Sarah Luster, Counselor in Saint Augustine, FL
Sarah Luster
Counselor, LMHC
Verified Verified
Saint Augustine, FL 32080  (Online Only)
I help clients overcome obstacles, heal wounds, and find their joy. Life is too short to be unhappy, unsure, or unfulfilled. I am your co-pilot and together we use your strengths, build insight and find the amazing person that has been you this whole time!
I help clients overcome obstacles, heal wounds, and find their joy. Life is too short to be unhappy, unsure, or unfulfilled. I am your co-pilot and together we use your strengths, build insight and find the amazing person that has been you this whole time!
(407) 559-4945 View (407) 559-4945
Photo of Dr. Marlin Wolf, Psychologist in Saint Augustine, FL
Dr. Marlin Wolf
Psychologist, PhD, ABPP
Verified Verified
2 Endorsed
Saint Augustine, FL 32092  (Online Only)
Now and always, I offer convenient, confidential online video therapy. It feels just like meeting in the office but with safe social distancing. You’re feeling overwhelmed, on edge, and depleted. The coping methods that worked before aren’t working now. Multi-tasking has become a struggle. Little things are now overpowering. The stress is taking its toll even though you have always seemed able to handle things well. Whether you are looking to heal Posttraumatic stress, anxiety, confusion about your relationships or life direction or just looking to maximize the amazing life that is yours, It would be my privilege to be your guide
Now and always, I offer convenient, confidential online video therapy. It feels just like meeting in the office but with safe social distancing. You’re feeling overwhelmed, on edge, and depleted. The coping methods that worked before aren’t working now. Multi-tasking has become a struggle. Little things are now overpowering. The stress is taking its toll even though you have always seemed able to handle things well. Whether you are looking to heal Posttraumatic stress, anxiety, confusion about your relationships or life direction or just looking to maximize the amazing life that is yours, It would be my privilege to be your guide
(904) 747-3603 View (904) 747-3603
Photo of Joyce E Heimerle, Licensed Professional Counselor in Saint Augustine, FL
Joyce E Heimerle
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Saint Augustine, FL 32092  (Online Only)
Looking to move past your past? Suffering from Trauma? EMDR can change behaviors, reduce feelings and triggers quickly. I have 20 years in the caring field, and I found it is not uncommon as human beings that when we suffer a traumatic event or life stressors our entire world unravels as well. My passion is to help you get your life back on track, heal, and be emotionally whole. I assist my clients in gaining insight into their unhealthy behaviors and learn new ones. I use the Gottman method of communication for couples and individuals. I understand the happy and the painful side of relationships too.
Looking to move past your past? Suffering from Trauma? EMDR can change behaviors, reduce feelings and triggers quickly. I have 20 years in the caring field, and I found it is not uncommon as human beings that when we suffer a traumatic event or life stressors our entire world unravels as well. My passion is to help you get your life back on track, heal, and be emotionally whole. I assist my clients in gaining insight into their unhealthy behaviors and learn new ones. I use the Gottman method of communication for couples and individuals. I understand the happy and the painful side of relationships too.
(904) 364-1102 View (904) 364-1102
Photo of Emily Naranjo - Gratitude Counseling Group, Clinical Social Work/Therapist in Saint Augustine, FL
Emily Naranjo - Gratitude Counseling Group
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Augustine, FL 32092
I enjoy collaborating with my clients on how they can reach the overall wellness goals. My approach to wellness recovery is direct, supportive and empowering. I help clients develop insight into the changes needed to improve the way they think and feel. My ideal client is someone motivated to make changes but needs direction on how to do so. Many of the people I have worked with have struggled with relationship issues, grief, addiction, depression, anxiety and life transitions.
I enjoy collaborating with my clients on how they can reach the overall wellness goals. My approach to wellness recovery is direct, supportive and empowering. I help clients develop insight into the changes needed to improve the way they think and feel. My ideal client is someone motivated to make changes but needs direction on how to do so. Many of the people I have worked with have struggled with relationship issues, grief, addiction, depression, anxiety and life transitions.
(239) 320-6858 View (239) 320-6858

See more therapy options for Saint Augustine

How does your Therapist compare?

Number of Therapists in Saint Augustine, FL

200+

Average cost per session

$132

Therapists in Saint Augustine, FL who prioritize treating:

90% Anxiety
85% Depression
82% Self Esteem
77% Coping Skills
76% Relationship Issues
74% Stress
73% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
77% UnitedHealthcare UHC | UBH
66% Cigna and Evernorth

How Therapists in Saint Augustine, FL see their clients

73% In Person and Online
27% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Augustine?

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.