Therapists in Denver, CO

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Photo of Lauren Christine Kolsum, Licensed Professional Counselor in Denver, CO
Lauren Christine Kolsum
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Denver, CO 80211
I believe that admirable qualities exist in all of us and in the courageous human condition to gravitate towards personal betterment even in the midst of hardship. While we strive towards progress, our thoughts and behaviors can fall into rigid patterns. I enable individuals to break through unhealthy habits, extend out of comfort zones, overcome challenges, rediscover internal awareness, and ultimately reach authentic rewards. Each person is their own expert and I will empower you to get there.
I believe that admirable qualities exist in all of us and in the courageous human condition to gravitate towards personal betterment even in the midst of hardship. While we strive towards progress, our thoughts and behaviors can fall into rigid patterns. I enable individuals to break through unhealthy habits, extend out of comfort zones, overcome challenges, rediscover internal awareness, and ultimately reach authentic rewards. Each person is their own expert and I will empower you to get there.
(720) 741-7082 View (720) 741-7082
Photo of Erica Stephens Phd, Psychologist in Denver, CO
Erica Stephens Phd
Psychologist, PhD
Verified Verified
Denver, CO 80238
Dr. Erica Stephens is a licensed clinical psychologist with a Ph.D. in clinical psychology, specializing in attachment theory, cognitive behavioral therapy, and interpersonal and family dynamics. With over 10 years of experience, Dr. Erica has helped numerous clients achieve personal growth and overcome a range of mental health challenges. Dr. Erica's approach to therapy is grounded in a warm, empathetic, and collaborative style, empowering clients to make meaningful changes in their lives. Dr. Erica also specializes in working with adopted clients and clients with challenging familial relationships.
Dr. Erica Stephens is a licensed clinical psychologist with a Ph.D. in clinical psychology, specializing in attachment theory, cognitive behavioral therapy, and interpersonal and family dynamics. With over 10 years of experience, Dr. Erica has helped numerous clients achieve personal growth and overcome a range of mental health challenges. Dr. Erica's approach to therapy is grounded in a warm, empathetic, and collaborative style, empowering clients to make meaningful changes in their lives. Dr. Erica also specializes in working with adopted clients and clients with challenging familial relationships.
(720) 902-9382 View (720) 902-9382
Photo of Mary Ann McCain, Licensed Professional Counselor in Denver, CO
Mary Ann McCain
Licensed Professional Counselor, LPC, CAS, Reiki
Verified Verified
Denver, CO 80211
Are you feeling overwhelmed, depressed, anxious, and in emotional turmoil? Are you finding the coping skills you once had to increase joy in your life and live independently with purpose has faded? Are you struggling with substance abuse, depression, anxiety, and/or utilizing coping skills that you know are harmful, however, you are stuck and wondering who you are in this stage of your life? Are you grieving and not even sure what you are feeling? You are not alone. Imagine having a safe, non-judgmental, compassionate space to talk and explore your emotions and re-create your life as you desire.
Are you feeling overwhelmed, depressed, anxious, and in emotional turmoil? Are you finding the coping skills you once had to increase joy in your life and live independently with purpose has faded? Are you struggling with substance abuse, depression, anxiety, and/or utilizing coping skills that you know are harmful, however, you are stuck and wondering who you are in this stage of your life? Are you grieving and not even sure what you are feeling? You are not alone. Imagine having a safe, non-judgmental, compassionate space to talk and explore your emotions and re-create your life as you desire.
(720) 796-9813 View (720) 796-9813
Photo of Silver Lake Psychology, Psychologist in Denver, CO
Silver Lake Psychology
Psychologist
Verified Verified
Denver, CO 80216
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(720) 702-1930 View (720) 702-1930
Photo of Stevenson Therapy Services @ The Carriage House, Pre-Licensed Professional in Denver, CO
Stevenson Therapy Services @ The Carriage House
Pre-Licensed Professional, MS
Verified Verified
Denver, CO 80203  (Online Only)
Hello and welcome! My name is Emily Izzo and I appreciate you taking the time to look at my professional page. I am currently seeing clients via Telehealth only. I am very passionate in guiding my clients on their journey towards living a mentally, emotionally, spiritually, and physically fulfilling life! I am a firm believer that all people have the skills and power within them to achieve the life they desire. I look at each client's strengths and individual circumstances and characteristics and walk aside them in their journey.
Hello and welcome! My name is Emily Izzo and I appreciate you taking the time to look at my professional page. I am currently seeing clients via Telehealth only. I am very passionate in guiding my clients on their journey towards living a mentally, emotionally, spiritually, and physically fulfilling life! I am a firm believer that all people have the skills and power within them to achieve the life they desire. I look at each client's strengths and individual circumstances and characteristics and walk aside them in their journey.
(720) 794-9834 View (720) 794-9834
Photo of Alexandria Hampton, Pre-Licensed Professional in Denver, CO
Alexandria Hampton
Pre-Licensed Professional, LPCC
Verified Verified
2 Endorsed
Denver, CO 80204  (Online Only)
My ideal client is someone who recognizes the potential for positive change within themselves and is seeking guidance through self-discovery. Whether facing challenges in relationship dynamics, managing stress and anxiety, or undergoing significant life transitions, this individual is motivated to unlock their inner potential for transformation and is eager to engage in a collaborative therapeutic process. This naturally extends to a couple client, reflecting the same desire and commitment. They desire to cultivate fulfilling partnership in a collaborative journey tailored to both individual and relational growth.
My ideal client is someone who recognizes the potential for positive change within themselves and is seeking guidance through self-discovery. Whether facing challenges in relationship dynamics, managing stress and anxiety, or undergoing significant life transitions, this individual is motivated to unlock their inner potential for transformation and is eager to engage in a collaborative therapeutic process. This naturally extends to a couple client, reflecting the same desire and commitment. They desire to cultivate fulfilling partnership in a collaborative journey tailored to both individual and relational growth.
(720) 912-5272 View (720) 912-5272
Photo of Insights, Colorado Assessment & Therapy, Psychologist in Denver, CO
Insights, Colorado Assessment & Therapy
Psychologist
Verified Verified
Denver, CO 80206
We have immediate therapy openings for clients who have Health First Medicaid, Colorado Access, or CCHA, thanks to the addition of two new therapists to our team: Makyyah Dawkins MSW, and Samantha Gutherless, MA, LPCC. Makyyah Dawkins is passionate about working with youth, the LGBTQ+ community, neurodivergent clients, and expanding mental health services to diverse populations. Sam Gutherless is a has worked with young and middle aged adults and is passionate about social justice advocacy and identity work.
We have immediate therapy openings for clients who have Health First Medicaid, Colorado Access, or CCHA, thanks to the addition of two new therapists to our team: Makyyah Dawkins MSW, and Samantha Gutherless, MA, LPCC. Makyyah Dawkins is passionate about working with youth, the LGBTQ+ community, neurodivergent clients, and expanding mental health services to diverse populations. Sam Gutherless is a has worked with young and middle aged adults and is passionate about social justice advocacy and identity work.
(720) 706-4114 View (720) 706-4114
Photo of Sarah Long, Psychologist in Denver, CO
Sarah Long
Psychologist, LCP, CEDS
Verified Verified
Denver, CO 80209
Whether you’re suffering from an eating disorder or body dissatisfaction, struggling with the effects of trauma, or need support during a difficult time, you are probably here with the hope for healing and a more balanced and fulfilling life. Perhaps you are ready for change, but the prospect of addressing painful experiences, trauma, or what underlies an eating disorder sounds overwhelming and scary. You are not alone, and there is hope. I appreciate collaboration, honesty and some humor! My style is warm, supportive, and authentic. It would be my honor to support you on your journey.
Whether you’re suffering from an eating disorder or body dissatisfaction, struggling with the effects of trauma, or need support during a difficult time, you are probably here with the hope for healing and a more balanced and fulfilling life. Perhaps you are ready for change, but the prospect of addressing painful experiences, trauma, or what underlies an eating disorder sounds overwhelming and scary. You are not alone, and there is hope. I appreciate collaboration, honesty and some humor! My style is warm, supportive, and authentic. It would be my honor to support you on your journey.
(720) 675-7123 View (720) 675-7123
Photo of Andrea Harbeck, Clinical Social Work/Therapist in Denver, CO
Andrea Harbeck
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Denver, CO 80220
Are you feeling anxious and stressed? Would you like to feel more peace and calm? Would you like to move forward with intentionality, confidence and clarity? Are you a young adult looking for meaning, purpose and belonging? I specialize in helping adults overcome anxiety, trauma and stress. I help people explore and find solutions to complex life decisions. I am also skilled in helping young adults struggling to find meaning and purpose.
Are you feeling anxious and stressed? Would you like to feel more peace and calm? Would you like to move forward with intentionality, confidence and clarity? Are you a young adult looking for meaning, purpose and belonging? I specialize in helping adults overcome anxiety, trauma and stress. I help people explore and find solutions to complex life decisions. I am also skilled in helping young adults struggling to find meaning and purpose.
(720) 778-2167 View (720) 778-2167
Photo of Joan Godbolt, Licensed Professional Counselor in Denver, CO
Joan Godbolt
Licensed Professional Counselor, LPC, MA
Verified Verified
Denver, CO 80218
Do you experience distressing emotions that appear to you, and perhaps to others, to be excessive given the current situation? Do you tend to be highly reactive to certain triggers? Is there one or more dysfunctional belief that you believe about yourself that on an intellectual level you know is not true? Contact me today for a free phone consultation to see if EMDR might help you release what no longer serves you.
Do you experience distressing emotions that appear to you, and perhaps to others, to be excessive given the current situation? Do you tend to be highly reactive to certain triggers? Is there one or more dysfunctional belief that you believe about yourself that on an intellectual level you know is not true? Contact me today for a free phone consultation to see if EMDR might help you release what no longer serves you.
(720) 605-3396 View (720) 605-3396
Photo of Jennifer G Koch, Clinical Social Work/Therapist in Denver, CO
Jennifer G Koch
Clinical Social Work/Therapist, LCSW, LMT, SEP
Verified Verified
2 Endorsed
Denver, CO 80220
I have 30 years experience as a somatic mind-body oriented therapist who provides support for kids, adolescents, and adults moving through issues related to depression, anxiety, PTSD, sexual abuse survivors, medical trauma, falls/injuries, car accidents, substance use, grief/loss, LGBTQIA+ and other life transitions. Clients reach out for many reasons. Some are noticing distressing memories, fears, worry, or sadness impacting their relationships, employment, and sleep. Sometimes parents reach out concerned about their child, teen, or college student seeming more withdrawn or overwhelmed at school/college or home.
I have 30 years experience as a somatic mind-body oriented therapist who provides support for kids, adolescents, and adults moving through issues related to depression, anxiety, PTSD, sexual abuse survivors, medical trauma, falls/injuries, car accidents, substance use, grief/loss, LGBTQIA+ and other life transitions. Clients reach out for many reasons. Some are noticing distressing memories, fears, worry, or sadness impacting their relationships, employment, and sleep. Sometimes parents reach out concerned about their child, teen, or college student seeming more withdrawn or overwhelmed at school/college or home.
(720) 664-9208 View (720) 664-9208
Photo of Jenna Willis, Clinical Social Work/Therapist in Denver, CO
Jenna Willis
Clinical Social Work/Therapist, LCSW, LCSW-C
Verified Verified
Denver, CO 80246  (Online Only)
I am a Colorado Native. I have been a social worker for over 10 years and I love helping people. I would say my behavioral health approach is solution-focused and goal oriented. I specialize in depression, anxiety, trauma and family relationships. I am here to help process and talk through the past and whatever obstacles might be in the way of getting you to where you want to be. I am a support and help guide you to obtaining your goals.
I am a Colorado Native. I have been a social worker for over 10 years and I love helping people. I would say my behavioral health approach is solution-focused and goal oriented. I specialize in depression, anxiety, trauma and family relationships. I am here to help process and talk through the past and whatever obstacles might be in the way of getting you to where you want to be. I am a support and help guide you to obtaining your goals.
(720) 896-7172 View (720) 896-7172
Photo of Sophia Koh, Clinical Social Work/Therapist in Denver, CO
Sophia Koh
Clinical Social Work/Therapist, LCSW
Verified Verified
Denver, CO 80211  (Online Only)
Not accepting new clients
The healing journey often feels isolating or overwhelming; my goal is to compassionately accompany you through your process, meeting you where you are. Together we will co-create an affirming space for you to delicately dive inwards, to identify and unravel the beliefs that no longer serve you, and embrace your whole self. We will explore emotions, thoughts, and experiences from a place of care and curiosity. Through this process, we will help you connect with the roots of your true self, and identify what supports can be put in place for you to grow and thrive.
The healing journey often feels isolating or overwhelming; my goal is to compassionately accompany you through your process, meeting you where you are. Together we will co-create an affirming space for you to delicately dive inwards, to identify and unravel the beliefs that no longer serve you, and embrace your whole self. We will explore emotions, thoughts, and experiences from a place of care and curiosity. Through this process, we will help you connect with the roots of your true self, and identify what supports can be put in place for you to grow and thrive.
(720) 796-4467 View (720) 796-4467
Photo of Kathryn Patrick, Clinical Social Work/Therapist in Denver, CO
Kathryn Patrick
Clinical Social Work/Therapist, LCSW
Verified Verified
Denver, CO 80210  (Online Only)
Not accepting new clients
My practice is rooted in the belief that we are all doing our best in this life; at the same time, we have experiences wherein our best efforts to reduce pain and misery--or to live the life we want--simply do not work. My approach to treating life's most difficult problems involves balancing the strong desire for change, with the acceptance that change is hard and often slow going. In my clinical work I utilize both sophisticated change strategies (cognitive behavior- and behavior therapy), along with a compassionate acceptance of reality as it is (mindfulness).
My practice is rooted in the belief that we are all doing our best in this life; at the same time, we have experiences wherein our best efforts to reduce pain and misery--or to live the life we want--simply do not work. My approach to treating life's most difficult problems involves balancing the strong desire for change, with the acceptance that change is hard and often slow going. In my clinical work I utilize both sophisticated change strategies (cognitive behavior- and behavior therapy), along with a compassionate acceptance of reality as it is (mindfulness).
(720) 619-3098 View (720) 619-3098
Photo of Male Therapist @Adelante Familias/Forward Families, Clinical Social Work/Therapist in Denver, CO
Male Therapist @Adelante Familias/Forward Families
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Denver, CO 80204
Having an impactful counseling experience is important to you. You're looking for someone who is understanding, knowledgeable, and experienced. For over 32 years, I have dedicated myself to honing my ability to provide you a counseling experience that is empowering and successful. I aim at collaboration and transparency in working with families, couples and individuals. To accomplish this, I ask clients for feedback at the end of each session, and I actively talk with those whom I serve about any changes they feel need to be made to improve their client experience.
Having an impactful counseling experience is important to you. You're looking for someone who is understanding, knowledgeable, and experienced. For over 32 years, I have dedicated myself to honing my ability to provide you a counseling experience that is empowering and successful. I aim at collaboration and transparency in working with families, couples and individuals. To accomplish this, I ask clients for feedback at the end of each session, and I actively talk with those whom I serve about any changes they feel need to be made to improve their client experience.
(303) 569-6298 View (303) 569-6298
Photo of Emmy Crouter, Clinical Social Work/Therapist in Denver, CO
Emmy Crouter
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Denver, CO 80204
Hi there! It is normal to feel overwhelmed once you’ve decided to enlist the help of a therapist. I specialize in helping individuals who face anxiety, depression, the challenge of transition, and pain from the past. Once we look at what's going on and how the past shapes the present, we have more agency in how the future unfolds. If you feel sad, worried, and insecure, let's talk.
Hi there! It is normal to feel overwhelmed once you’ve decided to enlist the help of a therapist. I specialize in helping individuals who face anxiety, depression, the challenge of transition, and pain from the past. Once we look at what's going on and how the past shapes the present, we have more agency in how the future unfolds. If you feel sad, worried, and insecure, let's talk.
(720) 500-6143 View (720) 500-6143
Photo of Laurie Albright, Clinical Social Work/Therapist in Denver, CO
Laurie Albright
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Denver, CO 80210  (Online Only)
Over three decades as a clinical leader and practitioner. As a seasoned clinical leader I specialize in delivering exceptional patient care. combining medical knowledge with behavioral health expertise to provide comprehensive care. This means understanding how physical health impacts mental well-being and vice versa. addressing how chronic illness affects mental health or how anxiety can manifest physically. Drawing from decades of experience, we will work to customize treatment plans to suit individual needs. This could involve integrating mindfulness practices, technology-based interventions, or alternative therapies.
Over three decades as a clinical leader and practitioner. As a seasoned clinical leader I specialize in delivering exceptional patient care. combining medical knowledge with behavioral health expertise to provide comprehensive care. This means understanding how physical health impacts mental well-being and vice versa. addressing how chronic illness affects mental health or how anxiety can manifest physically. Drawing from decades of experience, we will work to customize treatment plans to suit individual needs. This could involve integrating mindfulness practices, technology-based interventions, or alternative therapies.
(720) 487-1027 View (720) 487-1027
Photo of Rebecca H Lubin, Psychologist in Denver, CO
Rebecca H Lubin
Psychologist, PsyD
Verified Verified
Denver, CO 80203
I am a Licensed Clinical Psychologist with more than 25 years of experience treating Children, Adolescents and Adults. I am passionate in the belief that therapy works. My experience allows me to guide you through the process of therapy.
I am a Licensed Clinical Psychologist with more than 25 years of experience treating Children, Adolescents and Adults. I am passionate in the belief that therapy works. My experience allows me to guide you through the process of therapy.
(720) 650-6762 View (720) 650-6762
Photo of Peg McCormick, Mindfulness-based Psychotherapy, Licensed Professional Counselor in Denver, CO
Peg McCormick, Mindfulness-based Psychotherapy
Licensed Professional Counselor, RN, BSN, LPC, MBA
Verified Verified
1 Endorsed
Denver, CO 80203
I work with men and women facing both the 'big' and the seemingly common issues of life. 'Big' life changes like a cancer diagnosis or a partner experiencing dementia; 'Life' issues like relationships, grief/loss, anxiety, anger, depression, persistent feelings of sadness, job difficulties, retirement challenges and more. Those who work with me soon come to appreciate the value of being heard; of being seen and accepted-despite the sharp edges that may appear as we try to protect ourselves from the pain the world sometimes presents us.
I work with men and women facing both the 'big' and the seemingly common issues of life. 'Big' life changes like a cancer diagnosis or a partner experiencing dementia; 'Life' issues like relationships, grief/loss, anxiety, anger, depression, persistent feelings of sadness, job difficulties, retirement challenges and more. Those who work with me soon come to appreciate the value of being heard; of being seen and accepted-despite the sharp edges that may appear as we try to protect ourselves from the pain the world sometimes presents us.
(507) 873-4041 View (507) 873-4041
Photo of Mariana Sedillo, Licensed Professional Counselor in Denver, CO
Mariana Sedillo
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Denver, CO 80231
I enjoy and have experience working with kids, teens, parents, and adults. My clients are welcome to be themselves in order to grow in therapy. I am queer, bilingual, and have experience with recent immigrants and trauma
I enjoy and have experience working with kids, teens, parents, and adults. My clients are welcome to be themselves in order to grow in therapy. I am queer, bilingual, and have experience with recent immigrants and trauma
(720) 734-8162 View (720) 734-8162

How does your Therapist compare?

Number of Therapists in Denver, CO

3,000+

Average cost per session

$150

Therapists in Denver, CO who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
75% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

75% Aetna
67% UnitedHealthcare UHC | UBH
63% Cigna and Evernorth

How Therapists in Denver, CO see their clients

64% In Person and Online
36% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Denver?

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.