Therapists in Albuquerque, NM

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Photo of Julie Hine, Counselor in Albuquerque, NM
Julie Hine
Counselor, MEd, LPCC
Verified Verified
Albuquerque, NM 87110  (Online Only)
I have been providing therapy for almost 3 decades. I have developed programs, provided crisis mediation, and investigated abuse against individuals and facilities. I have worked with persons of all ages, including persons with disabilities, and those who have suffered various types of trauma and hardships. I have a broad range of knowledge and therapeutic skills. I will work with you wherever you are on your journey. I provide a safe place to cope with issues and discover insights into yourself. Hopefully along the way, we can lighten the load with laughter! I am the owner of Turquoise Wings Counseling LLC.
I have been providing therapy for almost 3 decades. I have developed programs, provided crisis mediation, and investigated abuse against individuals and facilities. I have worked with persons of all ages, including persons with disabilities, and those who have suffered various types of trauma and hardships. I have a broad range of knowledge and therapeutic skills. I will work with you wherever you are on your journey. I provide a safe place to cope with issues and discover insights into yourself. Hopefully along the way, we can lighten the load with laughter! I am the owner of Turquoise Wings Counseling LLC.
(505) 404-1618 View (505) 404-1618
Photo of Saskia Ison, Marriage & Family Therapist in Albuquerque, NM
Saskia Ison
Marriage & Family Therapist, MA, LMFT
Verified Verified
Albuquerque, NM 87111
Not accepting new clients
I hold the belief that all humans have the innate capacity to grow towards greater health and healing. I believe woundings arise to heal when the psyche is ready to embark on the journey. I use an integrative approach that is rooted in psychodynamic and jungian orientation. Jungian work can often hold space in welcoming the unconscious to integrate more with the conscious. It is a dance of integration for the whole self, welcoming in dreams, shadows, archetypes and the like. Psychodynamic work can often look and examine the root of behaviors and woundings, connecting the past with the present.
I hold the belief that all humans have the innate capacity to grow towards greater health and healing. I believe woundings arise to heal when the psyche is ready to embark on the journey. I use an integrative approach that is rooted in psychodynamic and jungian orientation. Jungian work can often hold space in welcoming the unconscious to integrate more with the conscious. It is a dance of integration for the whole self, welcoming in dreams, shadows, archetypes and the like. Psychodynamic work can often look and examine the root of behaviors and woundings, connecting the past with the present.
(505) 399-3786 View (505) 399-3786
Photo of Shara E. Rivera, Counselor in Albuquerque, NM
Shara E. Rivera
Counselor, MA, LMHC, NCC, CTP, ASDI
Verified Verified
Albuquerque, NM 87109  (Online Only)
Not accepting new clients
Hi there! My name is Shara and I am a licensed Clinical Psychotherapist with experience working with children, adolescents, adults, and fellow Veterans in overcoming trauma-related difficulties utilizing an integrated psychotherapeutic approach. I received a bachelors degree in Psychology from Columbia College and completed a masters degree from Northwestern University in Clinical Mental Health Counseling. I specialize in Trauma-Focused Psychotherapy, Psychodynamic Psychotherapy, Cognitive Behavioral Therapy, Neurodiversity, Dialectical Behavioral Therapy, Play Therapy, and EMDR (EMDRIA-Trained) with a Person-Centered application.
Hi there! My name is Shara and I am a licensed Clinical Psychotherapist with experience working with children, adolescents, adults, and fellow Veterans in overcoming trauma-related difficulties utilizing an integrated psychotherapeutic approach. I received a bachelors degree in Psychology from Columbia College and completed a masters degree from Northwestern University in Clinical Mental Health Counseling. I specialize in Trauma-Focused Psychotherapy, Psychodynamic Psychotherapy, Cognitive Behavioral Therapy, Neurodiversity, Dialectical Behavioral Therapy, Play Therapy, and EMDR (EMDRIA-Trained) with a Person-Centered application.
(505) 871-3777 View (505) 871-3777
Photo of Alyssa Kramer, Clinical Social Work/Therapist in Albuquerque, NM
Alyssa Kramer
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Albuquerque, NM 87113
I use a person centered approach and various methods including Cognitive Behavioral Therapy, Motivational interviewing, and Solution-Focused.
I use a person centered approach and various methods including Cognitive Behavioral Therapy, Motivational interviewing, and Solution-Focused.
(505) 557-1791 View (505) 557-1791
Photo of Marley P Cote, Counselor in Albuquerque, NM
Marley P Cote
Counselor, MA, NCC, LPCC
Verified Verified
1 Endorsed
Albuquerque, NM 87110
Life can be complicated and is rarely straightforward. There are thousands of self help books out there on how to make your life meaningful. They can be helpful. However in my experience it is not always the actual knowledge of what makes life meaningful, it is the timely application of this knowledge and experiencing the feeling of accepting oneself. We often know why we want to make changes to better our life, we just don't always know how.
Life can be complicated and is rarely straightforward. There are thousands of self help books out there on how to make your life meaningful. They can be helpful. However in my experience it is not always the actual knowledge of what makes life meaningful, it is the timely application of this knowledge and experiencing the feeling of accepting oneself. We often know why we want to make changes to better our life, we just don't always know how.
(505) 657-4714 View (505) 657-4714
Photo of Kasey Best, Marriage & Family Therapist in Albuquerque, NM
Kasey Best
Marriage & Family Therapist, MC, LMFT
Verified Verified
Albuquerque, NM 87112
Do you sometimes or often find yourself feeling sad or overwhelmed by life's demands? You're certainly not alone. Life is unpredictable and occasionally difficult to handle. I can help you discover why you might be experiencing difficulty in finding joy and meaning in your life. I've helped many clients gain insight and make positive and lasting changes.My goal is to help clients find contentment and fulfilment through positive coping skills.
Do you sometimes or often find yourself feeling sad or overwhelmed by life's demands? You're certainly not alone. Life is unpredictable and occasionally difficult to handle. I can help you discover why you might be experiencing difficulty in finding joy and meaning in your life. I've helped many clients gain insight and make positive and lasting changes.My goal is to help clients find contentment and fulfilment through positive coping skills.
(505) 933-6245 View (505) 933-6245
Photo of Ani Bisono, Counselor in Albuquerque, NM
Ani Bisono
Counselor, MS, LPCC
Verified Verified
Albuquerque, NM 87102
Waitlist for new clients
Are you stuck repeating the same behavioral patterns that cause distress and you want to change? Are you ready to stop feeling sad, irritable, anxious, or overwhelmed? Are you struggling with identity issues or existential questions? Every individual experiences serious and/or elevated negative emotions brought on by circumstances, family, friends, or others, at some point in their lives. Feelings of anxiety, depression, anger, worry, loneliness, etc., can hinder your ability to experience a successful life full of joy and tranquility. As your therapist, I can provide support in your journey towards personal growth and healing.
Are you stuck repeating the same behavioral patterns that cause distress and you want to change? Are you ready to stop feeling sad, irritable, anxious, or overwhelmed? Are you struggling with identity issues or existential questions? Every individual experiences serious and/or elevated negative emotions brought on by circumstances, family, friends, or others, at some point in their lives. Feelings of anxiety, depression, anger, worry, loneliness, etc., can hinder your ability to experience a successful life full of joy and tranquility. As your therapist, I can provide support in your journey towards personal growth and healing.
(505) 295-0492 View (505) 295-0492
Photo of J&S Therapy Studio , Clinical Social Work/Therapist in Albuquerque, NM
J&S Therapy Studio
Clinical Social Work/Therapist, LMSW
Verified Verified
Albuquerque, NM 87123
Are you at a turning point, feeling burnt out, overwhelmed, ready for change but don't know how? Are you feeling like you're being held back by the weight of the past, having difficulties maintaining healthy relationships, setting boundaries, and trying to break generational cycles, while trying to build a life that fulfills you? Finding balance and juggling various roles/responsibilities is difficult; twice as much while trying to recover and heal. I am here to tell you that you can do it. I am proud of you for taking the first steps on your journey. I am privileged and grateful to help you navigate this new path and find your way
Are you at a turning point, feeling burnt out, overwhelmed, ready for change but don't know how? Are you feeling like you're being held back by the weight of the past, having difficulties maintaining healthy relationships, setting boundaries, and trying to break generational cycles, while trying to build a life that fulfills you? Finding balance and juggling various roles/responsibilities is difficult; twice as much while trying to recover and heal. I am here to tell you that you can do it. I am proud of you for taking the first steps on your journey. I am privileged and grateful to help you navigate this new path and find your way
(505) 551-3262 View (505) 551-3262
Photo of New Growth Counseling & Therapeutic Services LLC, Counselor in Albuquerque, NM
New Growth Counseling & Therapeutic Services LLC
Counselor, MA, LPCC
Verified Verified
Albuquerque, NM 87112
As a Licensed therapist, Ms. Barner is a creative and passionate mental health professional who believes that all individuals have the ability to learn and thrive successfully. Her therapeutic approach is confidential, supportive, and provides a safe place to talk about difficult things. She works on the belief that the person you are today is a combination of several factors. Some of these factors are early childhood and adult relationship experiences, genetic predisposition, and environmental factors. Her belief is that therapy is not a process that labels you, but an avenue that can help overcome life’s challenges.
As a Licensed therapist, Ms. Barner is a creative and passionate mental health professional who believes that all individuals have the ability to learn and thrive successfully. Her therapeutic approach is confidential, supportive, and provides a safe place to talk about difficult things. She works on the belief that the person you are today is a combination of several factors. Some of these factors are early childhood and adult relationship experiences, genetic predisposition, and environmental factors. Her belief is that therapy is not a process that labels you, but an avenue that can help overcome life’s challenges.
(505) 587-8738 View (505) 587-8738
Photo of Briahna F Maxwell, Counselor in Albuquerque, NM
Briahna F Maxwell
Counselor, LPCC
Verified Verified
1 Endorsed
Albuquerque, NM 87110  (Online Only)
I’m an Independently licensed Mental Health Counselor, LPCC and graduated from New Mexico State with my MA in Clinical Mental Health Counseling. My goal is to assist clients to heal, find joy, and grow in life. I strive to work alongside individuals to establish goals that are strength-based and within the needs of what the client needs/wants. As a clinician I like to work with many different populations. I’ll often use modalities of CBT, DBT, & ACT.
I’m an Independently licensed Mental Health Counselor, LPCC and graduated from New Mexico State with my MA in Clinical Mental Health Counseling. My goal is to assist clients to heal, find joy, and grow in life. I strive to work alongside individuals to establish goals that are strength-based and within the needs of what the client needs/wants. As a clinician I like to work with many different populations. I’ll often use modalities of CBT, DBT, & ACT.
(505) 605-7062 View (505) 605-7062
Photo of Leslie Lucero, Counselor in Albuquerque, NM
Leslie Lucero
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Albuquerque, NM 87109
I am an empathetic Licensed Mental Health Counselor (LMHC) who practices in New Mexico. With a Bachelor's degree in Psychology and a minor in Communication from the University of New Mexico, earned in 2020, I have a solid foundation in understanding human behavior and effective interpersonal communication. I furthered my education by securing a Master's Degree in Clinical Mental Health Counseling from Texas Tech University Health Sciences Center in 2023, equipping me with advanced therapeutic skills to serve clients effectively. My clinical practice is especially attuned to the needs of public safety personnel and their families.
I am an empathetic Licensed Mental Health Counselor (LMHC) who practices in New Mexico. With a Bachelor's degree in Psychology and a minor in Communication from the University of New Mexico, earned in 2020, I have a solid foundation in understanding human behavior and effective interpersonal communication. I furthered my education by securing a Master's Degree in Clinical Mental Health Counseling from Texas Tech University Health Sciences Center in 2023, equipping me with advanced therapeutic skills to serve clients effectively. My clinical practice is especially attuned to the needs of public safety personnel and their families.
(505) 594-3564 View (505) 594-3564
Photo of Russell Resnik, Counselor in Albuquerque, NM
Russell Resnik
Counselor, MA, LPCC
Verified Verified
Albuquerque, NM 87110
Not accepting new clients
Thanks for checking out my profile. My years of experience include work with addictions of all sorts, marriage and family dynamics, trauma and grief, and spiritual issues. I also work a lot with depression and anxiety, which are often a factor in all of these conditions. I provide premarital and marital counseling for couples, and my individual practice is limited to men.
Thanks for checking out my profile. My years of experience include work with addictions of all sorts, marriage and family dynamics, trauma and grief, and spiritual issues. I also work a lot with depression and anxiety, which are often a factor in all of these conditions. I provide premarital and marital counseling for couples, and my individual practice is limited to men.
(505) 349-5699 View (505) 349-5699
Charles Patrick McGreevy
Psychologist, PhD
Verified Verified
Albuquerque, NM 87109
I believe everyone is on a path directed toward the person achieving their full potential in life. There are many diversions which limit or prevent a person from realizing their potential. I believe supportive psychotherapy or counseling should help a person "focus" upon reaching their goals.
I believe everyone is on a path directed toward the person achieving their full potential in life. There are many diversions which limit or prevent a person from realizing their potential. I believe supportive psychotherapy or counseling should help a person "focus" upon reaching their goals.
(505) 605-5834 View (505) 605-5834
Photo of K Karuna Fluhart-Negrete, Marriage & Family Therapist in Albuquerque, NM
K Karuna Fluhart-Negrete
Marriage & Family Therapist, MA, LMFT, CHT, NCC, LPCC
Verified Verified
Albuquerque, NM 87112
Maybe it's time to get the support and compassionate care you want, need and deserve! Feeling anxious, depressed or dealing with loss, grief, trauma or transition? Perhaps you've just been feeling a little down or disconnected from yourself or a primary relationship. Are you wanting to heal on deeper levels?
Maybe it's time to get the support and compassionate care you want, need and deserve! Feeling anxious, depressed or dealing with loss, grief, trauma or transition? Perhaps you've just been feeling a little down or disconnected from yourself or a primary relationship. Are you wanting to heal on deeper levels?
(505) 405-2400 View (505) 405-2400
Photo of Jessie M Lane, Counselor in Albuquerque, NM
Jessie M Lane
Counselor, MS, LPCC
Verified Verified
Albuquerque, NM 87107  (Online Only)
Waitlist for new clients
Are you experiencing fear, loneliness, anger, grief, chronic illness, or pain? Maybe you're transitioning or feeling un-rooted, on an edge, lost, anxious, and/or addicted? Our identities and perspectives are informed by how we relate to and make sense of these, and our other human, experiences. Knowledge of that we call 'self' is a continual and creative process, and includes integration of the unconscious - the parts of the psyche yet unknown to us. I help clients find focus and relax preconceived notions of how growth and healing occurs. This allows one to learn from their symptoms in order to ease suffering - to hold paradox.
Are you experiencing fear, loneliness, anger, grief, chronic illness, or pain? Maybe you're transitioning or feeling un-rooted, on an edge, lost, anxious, and/or addicted? Our identities and perspectives are informed by how we relate to and make sense of these, and our other human, experiences. Knowledge of that we call 'self' is a continual and creative process, and includes integration of the unconscious - the parts of the psyche yet unknown to us. I help clients find focus and relax preconceived notions of how growth and healing occurs. This allows one to learn from their symptoms in order to ease suffering - to hold paradox.
(505) 633-7170 View (505) 633-7170
Photo of Armando De La Garza, Counselor in Albuquerque, NM
Armando De La Garza
Counselor, MA, LPCC, NCC
Verified Verified
Albuquerque, NM 87120  (Online Only)
Not accepting new clients
Thank you for stopping by. If you are struggling with obsessive doubts that have you feeling anxious maybe even disturbed, please continue reading. Having worked as a professional counselor for 20 years, I have learned the key component of effective therapy is the alliance between the client and therapist. This partnership is based on trust, empathy, and compassion, which is needed to do the deeper work of addressing mental wellness concerns.
Thank you for stopping by. If you are struggling with obsessive doubts that have you feeling anxious maybe even disturbed, please continue reading. Having worked as a professional counselor for 20 years, I have learned the key component of effective therapy is the alliance between the client and therapist. This partnership is based on trust, empathy, and compassion, which is needed to do the deeper work of addressing mental wellness concerns.
(505) 421-5415 View (505) 421-5415
Photo of Warren M Steinman, PhD, Psychologist in Albuquerque, NM
Warren M Steinman, PhD
Psychologist, PhD
Verified Verified
Albuquerque, NM 87107  (Online Only)
AVAILABLE BY TELETHERAPY. Good therapy empowers. Whether for improving relationships, controlling emotions, reducing fears and anxieties, enhancing self-esteem, ending avoidance, or accomplishing important personal goals, successful therapy empowers, teaches, and eliminates barriers. With focus, commitment, and the right strategies, effective change can be generated and maintained. Unwanted habits can be replaced; stress, anxiety, and avoidance can be eliminated; self-control and emotional control can be strengthened; important skills can be acquired and sharpened; motivation can be increased; desired goals can be achieved.
AVAILABLE BY TELETHERAPY. Good therapy empowers. Whether for improving relationships, controlling emotions, reducing fears and anxieties, enhancing self-esteem, ending avoidance, or accomplishing important personal goals, successful therapy empowers, teaches, and eliminates barriers. With focus, commitment, and the right strategies, effective change can be generated and maintained. Unwanted habits can be replaced; stress, anxiety, and avoidance can be eliminated; self-control and emotional control can be strengthened; important skills can be acquired and sharpened; motivation can be increased; desired goals can be achieved.
(505) 370-7151 View (505) 370-7151
Photo of Waves Behavioral Health, Clinical Social Work/Therapist in Albuquerque, NM
Waves Behavioral Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87122
Waves Behavioral Health is committed to assisting you on your journey towards wellness. Waves Behavioral Health is inclusive of all individuals and provides a supportive environment for those of all ages, disabilities, financial status, cultural and LGBTQ+ populations. Waves Behavioral Health has two convenient locations to serve your needs. Feel free to call now to become established. Waves Behavioral Health now offers Occupational Therapy services as well as Community Support services.
Waves Behavioral Health is committed to assisting you on your journey towards wellness. Waves Behavioral Health is inclusive of all individuals and provides a supportive environment for those of all ages, disabilities, financial status, cultural and LGBTQ+ populations. Waves Behavioral Health has two convenient locations to serve your needs. Feel free to call now to become established. Waves Behavioral Health now offers Occupational Therapy services as well as Community Support services.
(505) 305-0554 View (505) 305-0554
Photo of Inner Path Wellness, LLC, Clinical Social Work/Therapist in Albuquerque, NM
Inner Path Wellness, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Albuquerque, NM 87102
Waitlist for new clients
Are you ready to make some changes in your life, but you're not sure where to start? Do you feel alone in your journey to make sense of who you are, who you have been, and who you want to become? Many of us awaken to an awareness that our lives aren't fulfilling us the way that we had always hoped or dreamed of, but we're not sure how to make the changes that we seek or feel overwhelmed at the thought. Together, we will take immediate steps to get you on the path to feeling better.
Are you ready to make some changes in your life, but you're not sure where to start? Do you feel alone in your journey to make sense of who you are, who you have been, and who you want to become? Many of us awaken to an awareness that our lives aren't fulfilling us the way that we had always hoped or dreamed of, but we're not sure how to make the changes that we seek or feel overwhelmed at the thought. Together, we will take immediate steps to get you on the path to feeling better.
(505) 207-3648 View (505) 207-3648
Photo of Kirstina Ward, Clinical Social Work/Therapist in Albuquerque, NM
Kirstina Ward
Clinical Social Work/Therapist, LMSW
Verified Verified
Albuquerque, NM 87110  (Online Only)
Recognizing the need for change and seeking support are excellent first steps on your individual path to wellness! As a multiply neurodivergent clinician, I am passionate about the ways in which neurodivergence presents unique challenges and requires adaptability and creativity in approach. I proudly affirm LGBTQIA+ identified clients and strive to foster a sex-positive environment for all, including non-monogamous relationship structures.
Recognizing the need for change and seeking support are excellent first steps on your individual path to wellness! As a multiply neurodivergent clinician, I am passionate about the ways in which neurodivergence presents unique challenges and requires adaptability and creativity in approach. I proudly affirm LGBTQIA+ identified clients and strive to foster a sex-positive environment for all, including non-monogamous relationship structures.
(505) 663-6016 View (505) 663-6016

How does your Therapist compare?

Number of Therapists in Albuquerque, NM

900+

Average cost per session

$128

Therapists in Albuquerque, NM who prioritize treating:

89% Anxiety
86% Depression
78% Trauma and PTSD
74% Self Esteem
73% Relationship Issues
68% Coping Skills
67% Stress

Average years in practice

12 Years

Top 3 insurances accepted

81% Presbyterian
79% BlueCross and BlueShield
73% Medicaid

How Therapists in Albuquerque, NM see their clients

65% In Person and Online
35% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Albuquerque?

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.