Therapists in Portland, OR

View neighborhoods in Portland
Photo of Depression Weight Addiction | Andrew Friede, MD in Portland, OR
Depression Weight Addiction | Andrew Friede, MD
MD, MPH
Verified Verified
Portland, OR 97204
We treat depression, anxiety, mood disorders, insomnia, ADHD, PTSD; addictions to opiates, stimulants, cannabis, alcohol, nicotine, etc. We treat overweight in the context of other mental health issues.
We treat depression, anxiety, mood disorders, insomnia, ADHD, PTSD; addictions to opiates, stimulants, cannabis, alcohol, nicotine, etc. We treat overweight in the context of other mental health issues.
(971) 277-4111 View (971) 277-4111
Photo of Catherine M Saunders, Counselor in Portland, OR
Catherine M Saunders
Counselor, LPC
Verified Verified
Portland, OR 97221
Waitlist for new clients
I am partnering with Mindful Therapy Group for scheduling and billing. Please call 971-352-6971 or email highlands@mindfulsupport services.com. I believe every person has natural healing abilities and wisdom. My role is to help clients determine their way to growth, healing, positive action and improvement of life quality through relationship with self and others. I base my work on theories from Cognitive-Behavioral, Psychodynamic and Family Systems Therapies to carve the therapy that works personally for each client.
I am partnering with Mindful Therapy Group for scheduling and billing. Please call 971-352-6971 or email highlands@mindfulsupport services.com. I believe every person has natural healing abilities and wisdom. My role is to help clients determine their way to growth, healing, positive action and improvement of life quality through relationship with self and others. I base my work on theories from Cognitive-Behavioral, Psychodynamic and Family Systems Therapies to carve the therapy that works personally for each client.
(971) 306-4938 View (971) 306-4938
Photo of Kristin Tand, Licensed Professional Counselor in Portland, OR
Kristin Tand
Licensed Professional Counselor, LPC, LMHC
Verified Verified
4 Endorsed
Portland, OR 97214  (Online Only)
You're a woman who works hard, at work and at home. But you still feel unsatisfied with where your life is at...your relationship, friendships, a lack of time. You're doing great professionally but feel like life isn't clicking into place everywhere else. You might not even remember a time things didn’t feel this way. But one thing's for sure: you’re ready for some relief. You’re ready to feel both accomplished at the end of the day and satisfied with your home life. You’re ready to have time for YOU. And most of all, you’re ready for more connection.
You're a woman who works hard, at work and at home. But you still feel unsatisfied with where your life is at...your relationship, friendships, a lack of time. You're doing great professionally but feel like life isn't clicking into place everywhere else. You might not even remember a time things didn’t feel this way. But one thing's for sure: you’re ready for some relief. You’re ready to feel both accomplished at the end of the day and satisfied with your home life. You’re ready to have time for YOU. And most of all, you’re ready for more connection.
(503) 405-8779 View (503) 405-8779
Photo of Kathryn F Weymouth in Portland, OR
Kathryn F Weymouth
PhD
Verified Verified
Portland, OR 97206
My clients are high functioning individuals who want help getting unstuck in some area of their lives, are seeking direction, and want help in alleviating pain, whether it is physical, emotional, psychological, relational, or spiritual. It's not unusual for them to have tried different therapies before coming to me, and most find that the combination of approaches that I use creates a healing synergy that they have not found elsewhere. In fact, my business card says "Deep Healing for Body, Mind, and Spirit." See my website at kweymouth.com for details.
My clients are high functioning individuals who want help getting unstuck in some area of their lives, are seeking direction, and want help in alleviating pain, whether it is physical, emotional, psychological, relational, or spiritual. It's not unusual for them to have tried different therapies before coming to me, and most find that the combination of approaches that I use creates a healing synergy that they have not found elsewhere. In fact, my business card says "Deep Healing for Body, Mind, and Spirit." See my website at kweymouth.com for details.
(503) 376-8719 View (503) 376-8719
Photo of Adult ADHD & Relationship Success George Goldston, Marriage & Family Therapist in Portland, OR
Adult ADHD & Relationship Success George Goldston
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Portland, OR 97229  (Online Only)
You can never seem to get on track. You’ve tried everything you can think of, from ideas from YouTube to suggestions from other people. The message you’re getting through life is to try harder. And just trying harder never seems to work. Whether you have ADHD or some of the traits attributed to it, trying harder isn’t going to work. What the well-meaning people who try to help don’t know is that you need to try something different. Each time you lose your keys, forget to turn off the stove, or get sidetracked and lose track of time, you roll your eyes at yourself. Not again!
You can never seem to get on track. You’ve tried everything you can think of, from ideas from YouTube to suggestions from other people. The message you’re getting through life is to try harder. And just trying harder never seems to work. Whether you have ADHD or some of the traits attributed to it, trying harder isn’t going to work. What the well-meaning people who try to help don’t know is that you need to try something different. Each time you lose your keys, forget to turn off the stove, or get sidetracked and lose track of time, you roll your eyes at yourself. Not again!
(503) 200-5327 View (503) 200-5327
Photo of Lisa Marie Taylor, Clinical Social Work/Therapist in Portland, OR
Lisa Marie Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97216  (Online Only)
You are not alone. You are not broken. You are not lost. You are more than your feelings and thoughts. You are whole. You are unique. You are your mind, body, and spirit. Healing is a process and a way of being. You have so much to give and receive. No matter what your struggle, whether it's depression, anxiety, trauma, grief and loss, fear, shame, or lack of self-discipline, let me support you in this process to live the life you want to live. Available Wednesday through Friday with more flexibility on Thursday.
You are not alone. You are not broken. You are not lost. You are more than your feelings and thoughts. You are whole. You are unique. You are your mind, body, and spirit. Healing is a process and a way of being. You have so much to give and receive. No matter what your struggle, whether it's depression, anxiety, trauma, grief and loss, fear, shame, or lack of self-discipline, let me support you in this process to live the life you want to live. Available Wednesday through Friday with more flexibility on Thursday.
(503) 836-8275 View (503) 836-8275
Photo of Mary Ann Russell, Counselor in Portland, OR
Mary Ann Russell
Counselor, LPC
Verified Verified
Portland, OR 97216
I believe every one of us is wired for healing and wholeness. My role as a counselor is to support you in removing the barriers to being your true self. I provide trauma-informed solution-focused therapy. We will focus on a specific goal until you feel you have progressed.
I believe every one of us is wired for healing and wholeness. My role as a counselor is to support you in removing the barriers to being your true self. I provide trauma-informed solution-focused therapy. We will focus on a specific goal until you feel you have progressed.
(503) 852-5267 View (503) 852-5267
Photo of Lindsey Ramsey, Clinical Social Work/Therapist in Portland, OR
Lindsey Ramsey
Clinical Social Work/Therapist, LCSW, CADC I
Verified Verified
Portland, OR 97205  (Online Only)
Not accepting new clients
Welcome! I'm glad you're here and seeking support - we all deserve it. I work with adult individuals, and also adult sibling pairs. My way of assisting in your process is to help you have a different and better relationship with yourself by truly getting to know all of you - yes, even the parts of you who scare or embarrass you. Together we can work toward a more integrated whole, where you can exist with yourself in harmony. The results tend to be less shame and self-criticism, less internal and external avoidance, more self-compassion, and more manageable moods and behaviors.
Welcome! I'm glad you're here and seeking support - we all deserve it. I work with adult individuals, and also adult sibling pairs. My way of assisting in your process is to help you have a different and better relationship with yourself by truly getting to know all of you - yes, even the parts of you who scare or embarrass you. Together we can work toward a more integrated whole, where you can exist with yourself in harmony. The results tend to be less shame and self-criticism, less internal and external avoidance, more self-compassion, and more manageable moods and behaviors.
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Photo of Megan Murphy, Marriage & Family Therapist in Portland, OR
Megan Murphy
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Portland, OR 97221
Not accepting new clients
Real life is complicated and often times, it hurts. The struggles that we experience can take on a variety of forms, ranging from depression and anxiety, to trauma. As a Licensed Marriage and Family Therapist, I am dedicated to supporting my clients on their journey towards healing, empowerment and hope. I strive to offer a personalized and collaborative approach in therapy that focuses on developing strong, trusting relationships with my clients. I utilize a trauma-informed, humanistic, strength-based, non-judgmental style to provide a safe space for my clients to explore, heal and grow.
Real life is complicated and often times, it hurts. The struggles that we experience can take on a variety of forms, ranging from depression and anxiety, to trauma. As a Licensed Marriage and Family Therapist, I am dedicated to supporting my clients on their journey towards healing, empowerment and hope. I strive to offer a personalized and collaborative approach in therapy that focuses on developing strong, trusting relationships with my clients. I utilize a trauma-informed, humanistic, strength-based, non-judgmental style to provide a safe space for my clients to explore, heal and grow.
(503) 486-4207 View (503) 486-4207
Photo of Michelle Sarchiapone, Pre-Licensed Professional in Portland, OR
Michelle Sarchiapone
Pre-Licensed Professional, PCA
Verified Verified
Portland, OR 97218
I draw on over 25 years of experience with somatics, mindfulness/meditation, and the creative arts to bring a unique synergy of skills to my counseling approach. In our sessions, you can expect to go beyond conventional therapy, merging somatic practices with a deep exploration into your emotional world and, often, what lies beyond the self. In our time together, we will engage with your body's wisdom and reimagine personal narratives, turning these insights into practical actions for holistic healing and self-growth.
I draw on over 25 years of experience with somatics, mindfulness/meditation, and the creative arts to bring a unique synergy of skills to my counseling approach. In our sessions, you can expect to go beyond conventional therapy, merging somatic practices with a deep exploration into your emotional world and, often, what lies beyond the self. In our time together, we will engage with your body's wisdom and reimagine personal narratives, turning these insights into practical actions for holistic healing and self-growth.
(971) 278-9293 View (971) 278-9293
Photo of Ranann Blatter, Professional Counselor Associate in Portland, OR
Ranann Blatter
Professional Counselor Associate, MS, NCC, HTR
Verified Verified
2 Endorsed
Portland, OR 97296
Does the idea of sitting in an office not feel supportive to you? Do you feel more authentic, inspired, and connected in nature? As beings who are part of nature, aligning with the timing of nature allows our nervous systems to relax and regulate. Our cultural timelines emphasize productivity and constant striving for more, pressures that go against our natural proclivity for essential things like rest, awe, enjoyment, presence, and connection. When we reconnect to the rhythm of our natural surroundings, we easily bring ourselves back to baseline where we can restore wellness, be creative, & truly experience the fullness of life.
Does the idea of sitting in an office not feel supportive to you? Do you feel more authentic, inspired, and connected in nature? As beings who are part of nature, aligning with the timing of nature allows our nervous systems to relax and regulate. Our cultural timelines emphasize productivity and constant striving for more, pressures that go against our natural proclivity for essential things like rest, awe, enjoyment, presence, and connection. When we reconnect to the rhythm of our natural surroundings, we easily bring ourselves back to baseline where we can restore wellness, be creative, & truly experience the fullness of life.
(971) 247-3292 View (971) 247-3292
Photo of Douglas Fogel, Psychologist in Portland, OR
Douglas Fogel
Psychologist, PsyD
Verified Verified
Portland, OR 97232
Most of my clients are wrestling with some combination of anxiety, depression, and relationship problems. In addition, they are often struggling to figure out what in life is most meaningful and important for them. With other clients, their life goals and values may be clear, but they find themselves running into psychological barriers such as fear and avoidance. In an ideal world I would want all my clients to be able to say that they have never felt more understood and, simultaneously, that they have never felt more challenged -- always in a safe and respectful environment.
Most of my clients are wrestling with some combination of anxiety, depression, and relationship problems. In addition, they are often struggling to figure out what in life is most meaningful and important for them. With other clients, their life goals and values may be clear, but they find themselves running into psychological barriers such as fear and avoidance. In an ideal world I would want all my clients to be able to say that they have never felt more understood and, simultaneously, that they have never felt more challenged -- always in a safe and respectful environment.
(971) 290-4812 View (971) 290-4812
Photo of Kerry L Powers, Licensed Professional Counselor in Portland, OR
Kerry L Powers
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Portland, OR 97211  (Online Only)
Waitlist for new clients
I am profoundly blessed to do work that I love. I strive to deeply witness, understand and hold space for you in your moments of pain and uncertainty. In times of hardship we must be compassionate with ourselves and our process. We all have uniquely rich and complex stories that shape our own meaning and understanding of ourselves and our world. I provide a safe, encouraging and non-judgmental therapeutic environment. My style is warm, collaborative and direct. I believe compassion and humor are vital ingredients for happiness and healing. My approach is integrative, I utilize a strength based, humanistic and relational perspective.
I am profoundly blessed to do work that I love. I strive to deeply witness, understand and hold space for you in your moments of pain and uncertainty. In times of hardship we must be compassionate with ourselves and our process. We all have uniquely rich and complex stories that shape our own meaning and understanding of ourselves and our world. I provide a safe, encouraging and non-judgmental therapeutic environment. My style is warm, collaborative and direct. I believe compassion and humor are vital ingredients for happiness and healing. My approach is integrative, I utilize a strength based, humanistic and relational perspective.
(971) 259-0524 View (971) 259-0524
Photo of Evelyn Witt, Pre-Licensed Professional in Portland, OR
Evelyn Witt
Pre-Licensed Professional, MSW, CSWA
Verified Verified
Portland, OR 97232
NOTE: I am not accepting new clients at this time but would love to refer you to my colleagues at Pulse Wellness Coop. Moving through change can feel daunting and overwhelming, especially when we go it alone. Our inner critic tells us that we’re not doing it the right way, or maybe that we can’t do it at all. That desire towards perfection pulls us away from our authentically flawed selves, who both get to make mistakes and learn from them–how beautiful!
NOTE: I am not accepting new clients at this time but would love to refer you to my colleagues at Pulse Wellness Coop. Moving through change can feel daunting and overwhelming, especially when we go it alone. Our inner critic tells us that we’re not doing it the right way, or maybe that we can’t do it at all. That desire towards perfection pulls us away from our authentically flawed selves, who both get to make mistakes and learn from them–how beautiful!
(503) 461-0258 View (503) 461-0258
Photo of Sharice Burnett, Clinical Social Work/Therapist in Portland, OR
Sharice Burnett
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97212  (Online Only)
Not accepting new clients
I practice from a strengths-based, attachment focused, and person-centered approach to support people in their healing journeys. I strive to integrate one’s mind, body, soul, spirit, and experience as a person into a holistic healing journey.
I practice from a strengths-based, attachment focused, and person-centered approach to support people in their healing journeys. I strive to integrate one’s mind, body, soul, spirit, and experience as a person into a holistic healing journey.
(971) 251-1987 View (971) 251-1987
Photo of Candace L. Patterson, Psychologist in Portland, OR
Candace L. Patterson
Psychologist, PhD
Verified Verified
2 Endorsed
Portland, OR 97202  (Online Only)
I specialize in cognitive behavioral therapy (CBT) for adults with concerns that include anxiety (e.g., generalized anxiety, phobias, panic, OCD, social anxiety), managing chronic medical conditions (e.g., diabetes, heart disease, IBS), adjusting to life transitions (e.g., changing jobs, retirement, graduating from school), stress management, and changing health behaviors, such as smoking or overeating. I enjoy working with a variety of clients, including those who are diverse in terms of ethnicity, sexual orientation, economic status, nationality, and cultural background.
I specialize in cognitive behavioral therapy (CBT) for adults with concerns that include anxiety (e.g., generalized anxiety, phobias, panic, OCD, social anxiety), managing chronic medical conditions (e.g., diabetes, heart disease, IBS), adjusting to life transitions (e.g., changing jobs, retirement, graduating from school), stress management, and changing health behaviors, such as smoking or overeating. I enjoy working with a variety of clients, including those who are diverse in terms of ethnicity, sexual orientation, economic status, nationality, and cultural background.
(503) 461-0876 View (503) 461-0876
Photo of Sally Foster Rudolph, Art Therapist in Portland, OR
Sally Foster Rudolph
Art Therapist, LCAT, ART-BC
Verified Verified
Portland, OR 97206
Do you seek emotional healing, spiritual transformation, or support through your grief? Perhaps you feel stuck in sadness, anger or anxiety, and need a way to express yourself and integrate your experiences. Perhaps you have lost a loved one, or your health, or a job, or an important relationship. Maybe the past is not allowing you to move forward. As a therapist, I strive to provide an accepting, genuine, creative, and hands-on way to process confusion, loss and trauma. I offer individual therapy, as well as grief groups.
Do you seek emotional healing, spiritual transformation, or support through your grief? Perhaps you feel stuck in sadness, anger or anxiety, and need a way to express yourself and integrate your experiences. Perhaps you have lost a loved one, or your health, or a job, or an important relationship. Maybe the past is not allowing you to move forward. As a therapist, I strive to provide an accepting, genuine, creative, and hands-on way to process confusion, loss and trauma. I offer individual therapy, as well as grief groups.
(503) 832-5061 View (503) 832-5061
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 Louise Gordon, Licensed Professional Counselor in Portland, OR
Louise Gordon
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97219
If you are experiencing difficulties in your relationships or you feel you are not living the life you were meant to live, I can help you. Perhaps you want to resolve indecision in some area of your life. Or you realize that you need help with anxiety or depression. Some people seek counseling when they have a problem controlling their behavior, such as drinking or arguing. Whatever your reason for wanting to change, please don’t wait to get yourself living the life you envision. Many people have experienced the changes you seek and I am looking forward to being a part of your success.
If you are experiencing difficulties in your relationships or you feel you are not living the life you were meant to live, I can help you. Perhaps you want to resolve indecision in some area of your life. Or you realize that you need help with anxiety or depression. Some people seek counseling when they have a problem controlling their behavior, such as drinking or arguing. Whatever your reason for wanting to change, please don’t wait to get yourself living the life you envision. Many people have experienced the changes you seek and I am looking forward to being a part of your success.
(503) 489-4285 View (503) 489-4285
Photo of Sara Godinez, Pre-Licensed Professional in Portland, OR
Sara Godinez
Pre-Licensed Professional, MSW, CSWA
Verified Verified
Portland, OR 97215
Life can be hard for so many reasons, and feeling alone with those challenges can make it worse. Let's work together to figure out how to make life easier for you. In this space, you're invited to show up just as you are, with whatever you want, and identify what you need. Maybe you just want someone to listen. Or, maybe you have stuff to process and want a space to problem-solve. Let me provide you with a judgment-free space where you will be supported and encouraged through your life journey.
Life can be hard for so many reasons, and feeling alone with those challenges can make it worse. Let's work together to figure out how to make life easier for you. In this space, you're invited to show up just as you are, with whatever you want, and identify what you need. Maybe you just want someone to listen. Or, maybe you have stuff to process and want a space to problem-solve. Let me provide you with a judgment-free space where you will be supported and encouraged through your life journey.
(503) 744-6984 View (503) 744-6984

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
68% 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

56% In Person and Online
44% 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.