Therapists in Portland, ME

View neighborhoods in Portland
Photo of Laura Mazikowski, Counselor in Portland, ME
Laura Mazikowski
Counselor, LCPC
Verified Verified
1 Endorsed
Portland, ME 04101
Not accepting new clients
Are you wanting to feel less anxiety? An increased sense of well being? Or perhaps you find yourself at a transition point, wanting to examine your life more closely, looking for meaning and a sense of vitality.
Are you wanting to feel less anxiety? An increased sense of well being? Or perhaps you find yourself at a transition point, wanting to examine your life more closely, looking for meaning and a sense of vitality.
(207) 358-4479 View (207) 358-4479
Photo of Christine McKenzie - CBT Counseling, Clinical Professional Counselor in Portland, ME
Christine McKenzie - CBT Counseling
Clinical Professional Counselor, MEd, LCPC, CRC
Verified Verified
Portland, ME 04103
My goal in counseling is to help you identify the thoughts, emotions, and behaviors that prevent you from achieving your goals. My approach is grounded in cognitive theory. I teach you strategies and interventions used in Cognitive Behavior Therapy (CBT). Cognitive Behavior Therapy is the most researched of all the psychotherapies and has demonstrated effectiveness. Additionally, I am a Certified Rehabilitation Counselor and can work with you on issues pertaining to employment and career. The sessions are interactive and collaborative. I will help you identify how your thinking impacts your emotional health and behavior.
My goal in counseling is to help you identify the thoughts, emotions, and behaviors that prevent you from achieving your goals. My approach is grounded in cognitive theory. I teach you strategies and interventions used in Cognitive Behavior Therapy (CBT). Cognitive Behavior Therapy is the most researched of all the psychotherapies and has demonstrated effectiveness. Additionally, I am a Certified Rehabilitation Counselor and can work with you on issues pertaining to employment and career. The sessions are interactive and collaborative. I will help you identify how your thinking impacts your emotional health and behavior.
(207) 387-7608 View (207) 387-7608
Photo of Elyse Corbett, Psychologist in Portland, ME
Elyse Corbett
Psychologist, PhD
Verified Verified
Portland, ME 04103
Not accepting new clients
*My practice is currently full** My clients have described me as authentic, compassionate, affirming, and gently challenging. I strive to create a warm, supportive environment where you will feel safe and comfortable to be yourself. I will guide you through your challenges to a position of greater awareness, fulfillment, and hope. The challenges and transitions experienced as we move through our lives are very tender - new, raw, lovely, and painful all at once. Being there with people during these times is certainly a privilege for me.
*My practice is currently full** My clients have described me as authentic, compassionate, affirming, and gently challenging. I strive to create a warm, supportive environment where you will feel safe and comfortable to be yourself. I will guide you through your challenges to a position of greater awareness, fulfillment, and hope. The challenges and transitions experienced as we move through our lives are very tender - new, raw, lovely, and painful all at once. Being there with people during these times is certainly a privilege for me.
(207) 517-2335 View (207) 517-2335
Photo of Maria Thomas, Counselor in Portland, ME
Maria Thomas
Counselor, LCPC-C
Verified Verified
Portland, ME 04101
I work with teen and adult individuals as well as couples on a variety of issues and topics, with a specialization in navigating grief and loss. My goal is to be a genuine and supportive partner in navigating the stressors, questions, or challenges you may be facing. I utilize a dynamic approach based on client and goals, including aspects from mindfulness, dialectical behavior therapy, internal family systems, and emotion-focused therapy. I look forward to hearing from you.
I work with teen and adult individuals as well as couples on a variety of issues and topics, with a specialization in navigating grief and loss. My goal is to be a genuine and supportive partner in navigating the stressors, questions, or challenges you may be facing. I utilize a dynamic approach based on client and goals, including aspects from mindfulness, dialectical behavior therapy, internal family systems, and emotion-focused therapy. I look forward to hearing from you.
(207) 825-2827 View (207) 825-2827
Photo of Douglas Cowan, Counselor in Portland, ME
Douglas Cowan
Counselor, MA, LCPC, LADC
Verified Verified
Portland, ME 04101
Not accepting new clients
I recognize there are times we can get focused on regrets of the past. Or we're consumed with the chaos of anticipating the future. We can be overwhelmed by anxiety, sadness, or experiences of loss and grief...sometimes leading to isolation, being "stuck", or unhealthy relationships with substances, behaviors, or people. What drives me as a therapist is when I see a client taking action that makes their mind an ally, rather than a detractor, in their life.
I recognize there are times we can get focused on regrets of the past. Or we're consumed with the chaos of anticipating the future. We can be overwhelmed by anxiety, sadness, or experiences of loss and grief...sometimes leading to isolation, being "stuck", or unhealthy relationships with substances, behaviors, or people. What drives me as a therapist is when I see a client taking action that makes their mind an ally, rather than a detractor, in their life.
(207) 613-2220 View (207) 613-2220
Photo of Maine Maternal Counseling & Psychotherapy, Counselor in Portland, ME
Maine Maternal Counseling & Psychotherapy
Counselor
Verified Verified
1 Endorsed
Portland, ME 04102
We specialize in all aspects of reproductive and maternal mental health, as well as general women's mental health issues. All of our clinicians have specialty training in pregnancy and postpartum difficulties, miscarriage, traumatic birth experiences, unplanned or teen pregnancy, infertility, abortion, intimacy and other women’s health issues. We also help women struggling with anxiety, depression, stress, toxic family relationships, painful childhood memories, divorce, breakups and all kinds of other general concerns.
We specialize in all aspects of reproductive and maternal mental health, as well as general women's mental health issues. All of our clinicians have specialty training in pregnancy and postpartum difficulties, miscarriage, traumatic birth experiences, unplanned or teen pregnancy, infertility, abortion, intimacy and other women’s health issues. We also help women struggling with anxiety, depression, stress, toxic family relationships, painful childhood memories, divorce, breakups and all kinds of other general concerns.
(207) 222-7160 View (207) 222-7160
Photo of Nancy Shaw, Psychotherapist, LCPC, Counselor in Portland, ME
Nancy Shaw, Psychotherapist, LCPC
Counselor, MA, LCPC, NCC, BC-TMH
Verified Verified
Portland, ME 04103  (Online Only)
Not accepting new clients
When we make the choice to live a healthier existence, to thrive rather than just survive in the world, we may find that we need support, nurturing, guidance, or just a witness to our life process. I can be that for you. Choosing the right therapist is paramount. I am dedicated to the development of human potential and will assist you in increasing self-awareness, self-healing, emotional/spiritual growth, and behavior change. I believe in the co-creation of the therapeutic process. Together, we will identify and explore areas/issues that may be causing you discomfort/distress. I can help.
When we make the choice to live a healthier existence, to thrive rather than just survive in the world, we may find that we need support, nurturing, guidance, or just a witness to our life process. I can be that for you. Choosing the right therapist is paramount. I am dedicated to the development of human potential and will assist you in increasing self-awareness, self-healing, emotional/spiritual growth, and behavior change. I believe in the co-creation of the therapeutic process. Together, we will identify and explore areas/issues that may be causing you discomfort/distress. I can help.
(207) 761-2796 View (207) 761-2796
Photo of Eric Lutz, Clinical Social Work/Therapist in Portland, ME
Eric Lutz
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101  (Online Only)
I specialize in helping individuals experiencing difficult life transitions, stress, anxiety, chronic pain, depression, and grief.
I specialize in helping individuals experiencing difficult life transitions, stress, anxiety, chronic pain, depression, and grief.
(207) 806-5773 View (207) 806-5773
Photo of Songbird Services in Portland, ME
Songbird Services
MMT, MT-BC, RYT-200
Verified Verified
Portland, ME 04103
Thank you for your interest! My ideal client is ready to try new things with an open mind, and be met with compassion, transparency, and curiosity. I specialize in music therapy with adolescents and adults with anxiety, depression, and eating disorders. I also have many years of experience working with children. I approach my clinical work by working with you to explore your life history, identify the presenting concern, and then develop a plan. We will use music throughout as a tool to help manage current and future stressors.
Thank you for your interest! My ideal client is ready to try new things with an open mind, and be met with compassion, transparency, and curiosity. I specialize in music therapy with adolescents and adults with anxiety, depression, and eating disorders. I also have many years of experience working with children. I approach my clinical work by working with you to explore your life history, identify the presenting concern, and then develop a plan. We will use music throughout as a tool to help manage current and future stressors.
(207) 386-4418 View (207) 386-4418
Photo of Sean Mitchell, Counselor in Portland, ME
Sean Mitchell
Counselor, LCPC-C, NCC
Verified Verified
1 Endorsed
Portland, ME 04101
Living your best life starts with finding and using the tools you need to build awareness, healthy habits, and a positive outlook. My name is Sean Mitchell, and I look forward to working with you, and embarking on a journey to wellness together. My approach to counseling is based on a humanistic approach that emphasizes the importance of being one's true self in order to lead the most fulfilling life. We all have our own unique ways of looking at the world and this approach involves a core belief that people are good at heart, capable of making the right choices in life and can work towards developing their full potential.
Living your best life starts with finding and using the tools you need to build awareness, healthy habits, and a positive outlook. My name is Sean Mitchell, and I look forward to working with you, and embarking on a journey to wellness together. My approach to counseling is based on a humanistic approach that emphasizes the importance of being one's true self in order to lead the most fulfilling life. We all have our own unique ways of looking at the world and this approach involves a core belief that people are good at heart, capable of making the right choices in life and can work towards developing their full potential.
(207) 421-9472 View (207) 421-9472
Photo of Pine Tree Recovery Center, Drug & Alcohol Counselor in Portland, ME
Pine Tree Recovery Center
Drug & Alcohol Counselor, LADC, LMSW, CCS
Verified Verified
Portland, ME 04103
Pine Tree Recovery Center utilizes a combination of evidence-based practices and holistic methods to provide an individualized recovery experience that is tailored to each patient’s unique situation. The disease of chemical dependency can strike anyone, regardless of age, gender, education, or socioeconomic status. Pine Tree Recovery Center is here to help people redirect themselves out of that negative trajectory and successfully enter a new life free from addiction.
Pine Tree Recovery Center utilizes a combination of evidence-based practices and holistic methods to provide an individualized recovery experience that is tailored to each patient’s unique situation. The disease of chemical dependency can strike anyone, regardless of age, gender, education, or socioeconomic status. Pine Tree Recovery Center is here to help people redirect themselves out of that negative trajectory and successfully enter a new life free from addiction.
(207) 802-0389 View (207) 802-0389
Photo of Katherine Cusato, Pre-Licensed Professional in Portland, ME
Katherine Cusato
Pre-Licensed Professional, PsyD
Verified Verified
Portland, ME 04101
Katherine (Katie) Cusato is a postdoctoral fellow at LifeStance. She grew up in Rochester, New York, and earned a Bachelor of Science degree (BS) at Cornell University. Katie earned her Master of Arts (MA) in Clinical Psychology and Doctor of Psychology degree (PsyD) at the Institute for Graduate Clinical Psychology at Widener University. Her clinical experience has included working with children, adolescents, and families, as well as adults with serious mental illness. Katie approaches each client’s case with empathy and compassion to understand how they developed into the person they are today.
Katherine (Katie) Cusato is a postdoctoral fellow at LifeStance. She grew up in Rochester, New York, and earned a Bachelor of Science degree (BS) at Cornell University. Katie earned her Master of Arts (MA) in Clinical Psychology and Doctor of Psychology degree (PsyD) at the Institute for Graduate Clinical Psychology at Widener University. Her clinical experience has included working with children, adolescents, and families, as well as adults with serious mental illness. Katie approaches each client’s case with empathy and compassion to understand how they developed into the person they are today.
(207) 515-8213 View (207) 515-8213
Photo of Julia Wyka, Counselor in Portland, ME
Julia Wyka
Counselor, LCPC-c, MS
Verified Verified
3 Endorsed
Portland, ME 04101  (Online Only)
You may be reaching out to me during a challenging time, when familiar life systems are no longer working, or when the weight of anxiety and depression has become overwhelming. Alternatively, you may seek my support even in stable times, desiring a deeper connection with life. Together, we navigate these paths, cultivating stability, balance, and healing relationships. I specialize in helping clients decipher their unique inner dialogues, often resembling harsh critics, and collaboratively work towards minimizing their influence. This transformative process aims to craft a more fulfilling life and foster meaningful connections.
You may be reaching out to me during a challenging time, when familiar life systems are no longer working, or when the weight of anxiety and depression has become overwhelming. Alternatively, you may seek my support even in stable times, desiring a deeper connection with life. Together, we navigate these paths, cultivating stability, balance, and healing relationships. I specialize in helping clients decipher their unique inner dialogues, often resembling harsh critics, and collaboratively work towards minimizing their influence. This transformative process aims to craft a more fulfilling life and foster meaningful connections.
(207) 610-6319 View (207) 610-6319
Photo of Dr. Jennifer Bourgoin, Psychologist in Portland, ME
Dr. Jennifer Bourgoin
Psychologist, PsyD
Verified Verified
6 Endorsed
Portland, ME 04101
Not accepting new clients
Hello, I am currently unable to accept new clients! - Psychotherapy is a collaborative, goal-oriented process of talking and experiencing emotions in a welcoming and affirming space. Thoughtfully chosen to meet your individual needs, I integrate an insight-oriented approach with evidence-based skills and behavior-focused therapies (e.g. CBT or DBT). Our sessions will address your current concerns, symptoms, and personal goals as well as explore vulnerabilities from your past to develop a deeper self-awareness. Mindfulness and/or EMDR may be suggested to clients who might benefit from an emotion-focused, body-based treatment.
Hello, I am currently unable to accept new clients! - Psychotherapy is a collaborative, goal-oriented process of talking and experiencing emotions in a welcoming and affirming space. Thoughtfully chosen to meet your individual needs, I integrate an insight-oriented approach with evidence-based skills and behavior-focused therapies (e.g. CBT or DBT). Our sessions will address your current concerns, symptoms, and personal goals as well as explore vulnerabilities from your past to develop a deeper self-awareness. Mindfulness and/or EMDR may be suggested to clients who might benefit from an emotion-focused, body-based treatment.
(207) 802-0721 View (207) 802-0721
Photo of Emily Rossiter, Counselor in Portland, ME
Emily Rossiter
Counselor, MA, LCPC
Verified Verified
1 Endorsed
Portland, ME 04103
Waitlist for new clients
Being disconnected from our emotions and our life experiences can cause us to feel isolated, struggle with relationships, and have a hard time being motivated to take good care of ourselves. I offer a strengths-based, collaborative approach where the relationship we form becomes the foundation of the work. We will work together to enable you to gain more awareness and understanding of how you experience everyday life, which in turn will help you work towards wellness, balance, and stability. I offer a non-judgmental, compassionate, and safe environment for both adults and adolescents.
Being disconnected from our emotions and our life experiences can cause us to feel isolated, struggle with relationships, and have a hard time being motivated to take good care of ourselves. I offer a strengths-based, collaborative approach where the relationship we form becomes the foundation of the work. We will work together to enable you to gain more awareness and understanding of how you experience everyday life, which in turn will help you work towards wellness, balance, and stability. I offer a non-judgmental, compassionate, and safe environment for both adults and adolescents.
(207) 536-8508 View (207) 536-8508
Photo of Leslee Uhrich, Psychologist in Portland, ME
Leslee Uhrich
Psychologist, PsyD
Verified Verified
Portland, ME 04101
Dr. Leslee Uhrich is a Psychologist licensed in Maine and Massachusetts who has been practicing since 2014. She received her Master’s and Doctorate degree in Clinical Psychology at The Chicago School of Professional Psychology, Los Angeles. Dr. Uhrich spent the last five years of her career specializing in treating co-occurring medical and mental health conditions, with the majority of her work being with those that have eating disorders. Dr. Uhrich has experience working in all levels of eating disorder care as well as with all age groups. She is certified in FBTwhich is a specialized treatment for eating disorder.
Dr. Leslee Uhrich is a Psychologist licensed in Maine and Massachusetts who has been practicing since 2014. She received her Master’s and Doctorate degree in Clinical Psychology at The Chicago School of Professional Psychology, Los Angeles. Dr. Uhrich spent the last five years of her career specializing in treating co-occurring medical and mental health conditions, with the majority of her work being with those that have eating disorders. Dr. Uhrich has experience working in all levels of eating disorder care as well as with all age groups. She is certified in FBTwhich is a specialized treatment for eating disorder.
(207) 548-5729 View (207) 548-5729
Photo of Sara Ann Therrien in Portland, ME
Sara Ann Therrien
MA, QMHP
Verified Verified
Portland, ME 04103
I help people who have anxiety, overwhelm or stressful relationships find clarity and serenity. In 2014, after years of talk therapy and recovery work, I became frustrated by the lack of progress in a few key areas. I decided to go deeper and I combined "parts work" with a mediation facilitation process. The healing I experienced was astounding. I researched other practitioners who were working at these deep levels, began studying evidence based techniques with Sarah Peyton, and I implemented these life changing models into my work. A past client posted: "Sara’s way of providing help creates peace in the battle zone of my brain."
I help people who have anxiety, overwhelm or stressful relationships find clarity and serenity. In 2014, after years of talk therapy and recovery work, I became frustrated by the lack of progress in a few key areas. I decided to go deeper and I combined "parts work" with a mediation facilitation process. The healing I experienced was astounding. I researched other practitioners who were working at these deep levels, began studying evidence based techniques with Sarah Peyton, and I implemented these life changing models into my work. A past client posted: "Sara’s way of providing help creates peace in the battle zone of my brain."
(207) 835-3352 View (207) 835-3352
Photo of Tabitha Ramos, Clinical Social Work/Therapist in Portland, ME
Tabitha Ramos
Clinical Social Work/Therapist, Tabitha Ramos, LCSW
Verified Verified
Portland, ME 04103  (Online Only)
Are you struggling with anxiety, sadness, or relationship problems? Life can present us with challenges that impact our ability to cope. We may need support with processing these events, our thoughts and feelings, or help with making difficult life decisions. I provide counseling and therapy in a warm, caring, safe, non-judgmental space. I am connected both through my education and through my own therapy journey. I view myself as your partner on your therapy journey to help you find wholeness and healing. I offer video, phone, and chat sessions. Weekend and evening hours available.
Are you struggling with anxiety, sadness, or relationship problems? Life can present us with challenges that impact our ability to cope. We may need support with processing these events, our thoughts and feelings, or help with making difficult life decisions. I provide counseling and therapy in a warm, caring, safe, non-judgmental space. I am connected both through my education and through my own therapy journey. I view myself as your partner on your therapy journey to help you find wholeness and healing. I offer video, phone, and chat sessions. Weekend and evening hours available.
(207) 203-6529 View (207) 203-6529
Photo of Jacob Krueger, Pastoral Counselor in Portland, ME
Jacob Krueger
Pastoral Counselor, MDiv
Verified Verified
Portland, ME 04101
In my practice I am hoping to work with primarily LGBTQIA+ and queer individuals seeking emotional and spiritual support navigating major life changes or events. My clients are generally seeking an active, empathetic listener to share and process their feelings with, but more specifically seeking a safe, non-judgmental place and space to process the spiritual and existential aspects of their experiences as well.
In my practice I am hoping to work with primarily LGBTQIA+ and queer individuals seeking emotional and spiritual support navigating major life changes or events. My clients are generally seeking an active, empathetic listener to share and process their feelings with, but more specifically seeking a safe, non-judgmental place and space to process the spiritual and existential aspects of their experiences as well.
(207) 517-4979 View (207) 517-4979
Photo of Chloe LeVine, Psychologist in Portland, ME
Chloe LeVine
Psychologist, PsyD, MEd
Verified Verified
7 Endorsed
Portland, ME 04102
My therapeutic approach is about creating a safe, supportive and empathic space for you. My goal is to provide you with tools to improve self-care, decrease stress, and gain more self awareness. Together we will work towards you gaining insight and making positive change. I use a blend of therapeutic techniques to help you develop greater understanding of yourself, your relationships, and the patterns that are contributing to your dissatisfaction and distress. I believe that a collaborative relationship between client and therapist is essential and we will develop that together.
My therapeutic approach is about creating a safe, supportive and empathic space for you. My goal is to provide you with tools to improve self-care, decrease stress, and gain more self awareness. Together we will work towards you gaining insight and making positive change. I use a blend of therapeutic techniques to help you develop greater understanding of yourself, your relationships, and the patterns that are contributing to your dissatisfaction and distress. I believe that a collaborative relationship between client and therapist is essential and we will develop that together.
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How does your Therapist compare?

Number of Therapists in Portland, ME

900+

Average cost per session

$135

Therapists in Portland, ME who prioritize treating:

92% Anxiety
86% Depression
75% Relationship Issues
71% Self Esteem
70% Trauma and PTSD
65% Coping Skills
64% Stress

Average years in practice

13 Years

Top 3 insurances accepted

61% Anthem | Elevance
57% BlueCross and BlueShield
56% Aetna

How Therapists in Portland, ME see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
21% Male
1% 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.