Therapists in Portland, OR

View neighborhoods in Portland
Photo of Dominique duBois, Clinical Social Work/Therapist in Portland, OR
Dominique duBois
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97201
Not accepting new clients
Dominique duBois is a licensed clinical social worker who has been in the social services field since 2005. She obtained her undergraduate degree in Social Work from West Chester University in Pennsylvania and her Masters in Social Work from Portland State University. Dominique has worked in numerous settings from integrative health, residential treatment, outpatient and private practice. Dominique’s focus is to help create a balance in people’s lives through acceptance and understanding. She is a relational counselor who seeks out solutions through truly understanding a clients goals and wishes.
Dominique duBois is a licensed clinical social worker who has been in the social services field since 2005. She obtained her undergraduate degree in Social Work from West Chester University in Pennsylvania and her Masters in Social Work from Portland State University. Dominique has worked in numerous settings from integrative health, residential treatment, outpatient and private practice. Dominique’s focus is to help create a balance in people’s lives through acceptance and understanding. She is a relational counselor who seeks out solutions through truly understanding a clients goals and wishes.
(971) 351-0429 View (971) 351-0429
Photo of Elizabeth Ellisan, Licensed Professional Counselor in Portland, OR
Elizabeth Ellisan
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97214  (Online Only)
When we find ourselves in times of increased stress and uncertainty we often find our personal everyday struggles are magnified making it harder than ever to maintain a sense of hope and stability. Anxiety, depression, and grief may be more intense lately – that is where therapy comes in to help.
When we find ourselves in times of increased stress and uncertainty we often find our personal everyday struggles are magnified making it harder than ever to maintain a sense of hope and stability. Anxiety, depression, and grief may be more intense lately – that is where therapy comes in to help.
(971) 717-3758 View (971) 717-3758
Photo of Shelly Sheinbein, Psychologist in Portland, OR
Shelly Sheinbein
Psychologist, PhD
Verified Verified
2 Endorsed
Portland, OR 97215  (Online Only)
Not accepting new clients
Shelly has a passion for helping and learning from others. Her therapeutic style is very collaborative, compassionate, strength-based, social justice-informed, and thought-provoking. She is committed to helping individuals develop a deeper understanding of themselves and relies on her attention to details, transparency, and expression of genuine care to cultivate connection. Shelly draws from a wide range of evidence-based approaches including ACT, CBT, and DBT which emphasize mindfulness, increasing cognitive flexibility, building distress tolerance, and developing growth-fostering connections to promote sustainable change.
Shelly has a passion for helping and learning from others. Her therapeutic style is very collaborative, compassionate, strength-based, social justice-informed, and thought-provoking. She is committed to helping individuals develop a deeper understanding of themselves and relies on her attention to details, transparency, and expression of genuine care to cultivate connection. Shelly draws from a wide range of evidence-based approaches including ACT, CBT, and DBT which emphasize mindfulness, increasing cognitive flexibility, building distress tolerance, and developing growth-fostering connections to promote sustainable change.
(971) 290-5574 View (971) 290-5574
Photo of Mary J Evrard, Licensed Professional Counselor in Portland, OR
Mary J Evrard
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97212  (Online Only)
I am currently accepting new clients : please send me an email telling me a bit about yourself. My background is working with people struggling with substance abuse, trauma survivors, the LGBTQ community, couples and all forms of families and poly people. I have worked with those with traumatic brain injuries, people with autism, grief and loss, crisis pregnancies, adoption issues, children in foster care and people living with HIV and AIDS. I am proud to have worked in a variety of settings and with people who need support, clarity, and space to heal.
I am currently accepting new clients : please send me an email telling me a bit about yourself. My background is working with people struggling with substance abuse, trauma survivors, the LGBTQ community, couples and all forms of families and poly people. I have worked with those with traumatic brain injuries, people with autism, grief and loss, crisis pregnancies, adoption issues, children in foster care and people living with HIV and AIDS. I am proud to have worked in a variety of settings and with people who need support, clarity, and space to heal.
(971) 247-1194 View (971) 247-1194
Photo of Erin L Cook, Psychologist in Portland, OR
Erin L Cook
Psychologist, PsyD
Verified Verified
Portland, OR 97205
Immediate availability (within two weeks) for psychological assessment. I am currently accepting new clients for assessment. My psychological assessments are comprehensive and address the multifaceted aspects of each person I evaluate. Each assessment includes recommendations and individualized feedback. Testing can help to clarify treatment goals, improve therapeutic outcomes, increase self-awareness, and provide recommendations for accommodations at work and/or school.
Immediate availability (within two weeks) for psychological assessment. I am currently accepting new clients for assessment. My psychological assessments are comprehensive and address the multifaceted aspects of each person I evaluate. Each assessment includes recommendations and individualized feedback. Testing can help to clarify treatment goals, improve therapeutic outcomes, increase self-awareness, and provide recommendations for accommodations at work and/or school.
(971) 571-5396 View (971) 571-5396
Photo of Megan Rose Larson, Clinical Social Work/Therapist in Portland, OR
Megan Rose Larson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97217  (Online Only)
OPEN for Clients-Are you struggling w/ an event that left you with nightmares, flashbacks, negative beliefs or expectations about yourself or others (eg "I'm bad"), startle responses, feeling anxious, depressed, or have difficulty concentrating? If your goal is to feel more confident in your own skin and to sleep soundly at night therapy can help. Are you and your partner struggling with parenting, infidelity, or communication? Therapy can help. - Cash Pay Only- Sliding Scale Currently Full-
OPEN for Clients-Are you struggling w/ an event that left you with nightmares, flashbacks, negative beliefs or expectations about yourself or others (eg "I'm bad"), startle responses, feeling anxious, depressed, or have difficulty concentrating? If your goal is to feel more confident in your own skin and to sleep soundly at night therapy can help. Are you and your partner struggling with parenting, infidelity, or communication? Therapy can help. - Cash Pay Only- Sliding Scale Currently Full-
(270) 479-7576 View (270) 479-7576
Photo of Sarah Hoagland, Licensed Professional Counselor in Portland, OR
Sarah Hoagland
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97205
Do you struggle to make lasting changes in your life? Do you suffer from relationship difficulties, job dissatisfaction or low self-esteem? Do you repeat the same negative patterns? If so, I believe I can help. I am trained to help you make the changes you want to see in your life. I will help you get to the root of your problems, not simply treat your symptoms. This happens best in the safety of a trusted therapeutic relationship where we will work collaboratively to help you discover your authentic feelings, make a deeper connection to yourself and others, and reap greater satisfaction from your life.
Do you struggle to make lasting changes in your life? Do you suffer from relationship difficulties, job dissatisfaction or low self-esteem? Do you repeat the same negative patterns? If so, I believe I can help. I am trained to help you make the changes you want to see in your life. I will help you get to the root of your problems, not simply treat your symptoms. This happens best in the safety of a trusted therapeutic relationship where we will work collaboratively to help you discover your authentic feelings, make a deeper connection to yourself and others, and reap greater satisfaction from your life.
(503) 610-5526 View (503) 610-5526
Photo of Rachel Baker, Licensed Professional Counselor in Portland, OR
Rachel Baker
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Portland, OR 97239  (Online Only)
Feeling connected to who you are and those around you. Trusting yourself in the midst of hard decisions. Gaining purpose and prioritizing self-care. Creating and maintaining healthy relationships. All of this can feel impossible to accomplish when life is filled with uncertainty, change and exhaustion. Your confidence may feel lower. Your self-trust may feel inaccessible. You may be feel overwhelmed, confused and exhausted by the job of being a parent. Together we can co-create an environment that is conducive to sifting through these concerns while sustainably enacting change in these areas of your life.
Feeling connected to who you are and those around you. Trusting yourself in the midst of hard decisions. Gaining purpose and prioritizing self-care. Creating and maintaining healthy relationships. All of this can feel impossible to accomplish when life is filled with uncertainty, change and exhaustion. Your confidence may feel lower. Your self-trust may feel inaccessible. You may be feel overwhelmed, confused and exhausted by the job of being a parent. Together we can co-create an environment that is conducive to sifting through these concerns while sustainably enacting change in these areas of your life.
(971) 253-7793 View (971) 253-7793
Photo of Jordan Wolfe, Clinical Social Work/Therapist in Portland, OR
Jordan Wolfe
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Portland, OR 97225
I am a clinical social worker with passion for trauma and mood disorders. I use a collaborative approach with clients and support systems to address challenges with mood, suicidal ideation, self-harm, anxiety and other behaviors that are no longer serving your needs. I enjoy clients who can be vulnerable, who want to do things differently, and who are willing to be challenged. Bonus points if you use humor to cope and want to listen to music and color in session.
I am a clinical social worker with passion for trauma and mood disorders. I use a collaborative approach with clients and support systems to address challenges with mood, suicidal ideation, self-harm, anxiety and other behaviors that are no longer serving your needs. I enjoy clients who can be vulnerable, who want to do things differently, and who are willing to be challenged. Bonus points if you use humor to cope and want to listen to music and color in session.
(971) 278-9885 View (971) 278-9885
Photo of Susan Dawdy, Clinical Social Work/Therapist in Portland, OR
Susan Dawdy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97233  (Online Only)
Not accepting new clients
adults, elders (65+), couples, parent/child relationships, intellectual disabilities, life cycle crisis, a cancer diagnosis. Help families to explore cycles of grief, manage symptoms, learn direct strategies and processes to regain function and peace. I work with all faiths, family configurations, and cultures fostering skills to move with clarity and resilience through the developmental stages, challenges that life provides. I draw upon training and experience with the developmental model for couples therapy, object relations, narrative work, mindfulness, internal family systems centered around a client's presentation and need.
adults, elders (65+), couples, parent/child relationships, intellectual disabilities, life cycle crisis, a cancer diagnosis. Help families to explore cycles of grief, manage symptoms, learn direct strategies and processes to regain function and peace. I work with all faiths, family configurations, and cultures fostering skills to move with clarity and resilience through the developmental stages, challenges that life provides. I draw upon training and experience with the developmental model for couples therapy, object relations, narrative work, mindfulness, internal family systems centered around a client's presentation and need.
(503) 926-6332 View (503) 926-6332
Photo of Brave Acorn, Clinical Social Work/Therapist in Portland, OR
Brave Acorn
Clinical Social Work/Therapist, LCSW
Verified Verified
14 Endorsed
Portland, OR 97225
We here at Brave Acorn help people in the greater Portland area align body, mind, and emotions in their daily lives. We are trauma-trained, take a Health at Every Size approach to food and weight issues, and encourage people to work with their body and emotions as allies (rather than enemies) on their journey towards growth and healing. Please visit the staff bios on our website for further information on each clinician's specialties.
We here at Brave Acorn help people in the greater Portland area align body, mind, and emotions in their daily lives. We are trauma-trained, take a Health at Every Size approach to food and weight issues, and encourage people to work with their body and emotions as allies (rather than enemies) on their journey towards growth and healing. Please visit the staff bios on our website for further information on each clinician's specialties.
(503) 389-5763 View (503) 389-5763
Photo of Allison Hoyman-Browe, Clinical Social Work/Therapist in Portland, OR
Allison Hoyman-Browe
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, OR 97214
Not accepting new clients
I support folks on a path towards developing a better understanding their emotions, more nourishing relationships and living a life aligned with their values. I work with people experiencing a range of challenges including; burnout, anxiety, depression, life transitions.
I support folks on a path towards developing a better understanding their emotions, more nourishing relationships and living a life aligned with their values. I work with people experiencing a range of challenges including; burnout, anxiety, depression, life transitions.
(503) 755-5572 View (503) 755-5572
Photo of Joseph Bonnell, Licensed Professional Counselor in Portland, OR
Joseph Bonnell
Licensed Professional Counselor, MS, LPC, CRC, CADCIII
Verified Verified
Portland, OR 97230
Waitlist for new clients
I am a therapist and clinical supervisor based in Portland, OR. Some areas I have experience in include disability, chronic illness, queer and trans folks, gender affirming care, various forms of neurodiversity, trauma, oppression, navigating social services - both as clients and workers, and substance use. I am grateful to have had a career working where I have worked with a diverse group of people on a wide range of issues and I hope this trend continues. At this time, I work with adults and teens. If you think I could be a good fit for you, or have additional questions, please reach out. I am happy to offer free consultations.
I am a therapist and clinical supervisor based in Portland, OR. Some areas I have experience in include disability, chronic illness, queer and trans folks, gender affirming care, various forms of neurodiversity, trauma, oppression, navigating social services - both as clients and workers, and substance use. I am grateful to have had a career working where I have worked with a diverse group of people on a wide range of issues and I hope this trend continues. At this time, I work with adults and teens. If you think I could be a good fit for you, or have additional questions, please reach out. I am happy to offer free consultations.
(503) 966-2873 View (503) 966-2873
Photo of Marilyn Manzi, Marriage & Family Therapist in Portland, OR
Marilyn Manzi
Marriage & Family Therapist
Verified Verified
Portland, OR 97201  (Online Only)
Are you a woman that lacks confidence in how decisions are made and often outsource for validation? As a woman, are you abandoning your self in relationships that have potential for true intimacy because you fear rejection? Are you a woman that has overcome much in previous psychotherapy and interested in exploring your inner world for a creative project? As a woman, are you seeking a safe space to explore nightmares or inner thoughts that you’ve kept inside because you’re frozen with uncertainty? Start individual sessions with me to empower yourself and gain your confidence back in your relationships.
Are you a woman that lacks confidence in how decisions are made and often outsource for validation? As a woman, are you abandoning your self in relationships that have potential for true intimacy because you fear rejection? Are you a woman that has overcome much in previous psychotherapy and interested in exploring your inner world for a creative project? As a woman, are you seeking a safe space to explore nightmares or inner thoughts that you’ve kept inside because you’re frozen with uncertainty? Start individual sessions with me to empower yourself and gain your confidence back in your relationships.
(341) 444-3329 View (341) 444-3329
Photo of Mia Koenig, Marriage & Family Therapist Associate in Portland, OR
Mia Koenig
Marriage & Family Therapist Associate, MA
Verified Verified
Portland, OR 97227  (Online Only)
I have a passion for working with adolescents and their families to navigate understanding and to promote growth as a system. My experience thus far includes a great emphasis on eating disorders and embodiment.
I have a passion for working with adolescents and their families to navigate understanding and to promote growth as a system. My experience thus far includes a great emphasis on eating disorders and embodiment.
(971) 318-1770 View (971) 318-1770
Photo of Alana Hartman, Clinical Social Work/Therapist in Portland, OR
Alana Hartman
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97212  (Online Only)
Waitlist for new clients
As a therapist I’m drawn to those places of breakdown that so often have the potential to become breakthroughs. Usually these are discovered in the midst of broader life-cycle transitions, moments of grief and loss, seasons of depression or anxiety, or in response to the myriad of social and cultural pressures we face. These experiences can be disorienting, frightening and isolating, but with the support of a trusted companion to help us face the journey they can also reveal our own innate wisdom and strength and serve as the gateway to deeper healing and wholeness.
As a therapist I’m drawn to those places of breakdown that so often have the potential to become breakthroughs. Usually these are discovered in the midst of broader life-cycle transitions, moments of grief and loss, seasons of depression or anxiety, or in response to the myriad of social and cultural pressures we face. These experiences can be disorienting, frightening and isolating, but with the support of a trusted companion to help us face the journey they can also reveal our own innate wisdom and strength and serve as the gateway to deeper healing and wholeness.
(971) 306-4485 View (971) 306-4485
Photo of Lily Suhanovsky, Pre-Licensed Professional in Portland, OR
Lily Suhanovsky
Pre-Licensed Professional, LPC-A
Verified Verified
1 Endorsed
Portland, OR 97214
Currently accepting new clients! My name is Lily, and I am thrilled to support to you on your path toward healing and self-discovery. My intention is to provide a non-judgmental space for you to explore your experiences and help you step into your unique authenticity. Clients who feel drawn to work with me have a desire for a deeper connection to themselves, hope to learn how to regulate and express their emotions, have somatic complaints, or are feeling disconnected or uncertain. I hope to guide you towards a place of greater well-being and harmony, so you can live a more fulfilling life.
Currently accepting new clients! My name is Lily, and I am thrilled to support to you on your path toward healing and self-discovery. My intention is to provide a non-judgmental space for you to explore your experiences and help you step into your unique authenticity. Clients who feel drawn to work with me have a desire for a deeper connection to themselves, hope to learn how to regulate and express their emotions, have somatic complaints, or are feeling disconnected or uncertain. I hope to guide you towards a place of greater well-being and harmony, so you can live a more fulfilling life.
(503) 743-7289 View (503) 743-7289
Photo of Kristen Sartor, Clinical Social Work/Therapist in Portland, OR
Kristen Sartor
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97205
Waitlist for new clients
Hi! I love working with individuals, families and human beings in all types of relationship structures. Many clients have worked with me on anxiety, healing from trauma, navigating relationships, family conflict, parenting challenges, LGBTQ+ issues, depression and improving their relationships with themselves. My counseling is about supporting you in the way that you need to be supported while empowering you to deeply tune into your authentic self. In my practice, I strive to co-create a compassionate, non-judgmental, open space in which we can collaborate to clarify goals, build healing, strengthen skills and cultivate resilience.
Hi! I love working with individuals, families and human beings in all types of relationship structures. Many clients have worked with me on anxiety, healing from trauma, navigating relationships, family conflict, parenting challenges, LGBTQ+ issues, depression and improving their relationships with themselves. My counseling is about supporting you in the way that you need to be supported while empowering you to deeply tune into your authentic self. In my practice, I strive to co-create a compassionate, non-judgmental, open space in which we can collaborate to clarify goals, build healing, strengthen skills and cultivate resilience.
(971) 272-8668 View (971) 272-8668
Photo of Tara L. Cook, Clinical Social Work/Therapist in Portland, OR
Tara L. Cook
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97229  (Online Only)
Hello! I am a Licensed Clinical Social Worker, and I have over 20 years of experience working with individuals dealing with mental illness. I have worked both in private practice and in an acute care psychiatric hospital providing individual, group, and family therapy. I am comfortable treating all mental health issues, including helping those in crisis. I have extensive experience working with individuals dealing with self-injury, anxiety/depression, pre and postpartum depression, and PTSD, and abuse issues. My philosophy in working with clients is to provide the best well-rounded care while focusing and building upon strengths.
Hello! I am a Licensed Clinical Social Worker, and I have over 20 years of experience working with individuals dealing with mental illness. I have worked both in private practice and in an acute care psychiatric hospital providing individual, group, and family therapy. I am comfortable treating all mental health issues, including helping those in crisis. I have extensive experience working with individuals dealing with self-injury, anxiety/depression, pre and postpartum depression, and PTSD, and abuse issues. My philosophy in working with clients is to provide the best well-rounded care while focusing and building upon strengths.
(971) 290-2109 View (971) 290-2109
Photo of Whitney Preece, Licensed Professional Counselor in Portland, OR
Whitney Preece
Licensed Professional Counselor, MS, LPC
Verified Verified
Portland, OR 97215
Waitlist for new clients
You're your best expert; my role is as counselor and coach. Specialties include relationship and family issues, parenting, postpartum adjustment, fertility issues, perimenopause/menopause, depression/anxiety, codependency, grief, childhood trauma/loss, self esteem issues and life transitions. My goal is for you to leave therapy with a sense of relief from your struggles and tools to cope with what's to come.
You're your best expert; my role is as counselor and coach. Specialties include relationship and family issues, parenting, postpartum adjustment, fertility issues, perimenopause/menopause, depression/anxiety, codependency, grief, childhood trauma/loss, self esteem issues and life transitions. My goal is for you to leave therapy with a sense of relief from your struggles and tools to cope with what's to come.
(971) 236-5070 View (971) 236-5070

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
74% Trauma and PTSD
71% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.