Photo of Lindsay K Gomez, Counselor in 33919, FL
Lindsay K Gomez
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Fort Myers, FL 33919
Hello, if you are reading this, chances are someone you know needs help; either yourself, a loved one, or both. Ir can be overwhelming to start a Google search and sift through the numerous bios and still not know where to turn. Like what you’re going through isn’t hard enough, right?
Hello, if you are reading this, chances are someone you know needs help; either yourself, a loved one, or both. Ir can be overwhelming to start a Google search and sift through the numerous bios and still not know where to turn. Like what you’re going through isn’t hard enough, right?
(239) 360-6196 View (239) 360-6196
Photo of Rosy Ramirez, Registered Mental Health Counselor Intern in 33919, FL
Rosy Ramirez
Registered Mental Health Counselor Intern, MS, RMHCI, RYT-200
Verified Verified
Fort Myers, FL 33919
You deserve to live a life that leaves you excited to wake up every morning. Life itself sometimes can be a roller coaster. While for many people might bring joy and excitement, for many others can be great challenge to go through periods of grief, distress, or stress. If you are not sure that what you are going through is normal, reach out... I can help you navigate through this journey in a mindful way and help you heal anything that burdens you and is causing any distress.
You deserve to live a life that leaves you excited to wake up every morning. Life itself sometimes can be a roller coaster. While for many people might bring joy and excitement, for many others can be great challenge to go through periods of grief, distress, or stress. If you are not sure that what you are going through is normal, reach out... I can help you navigate through this journey in a mindful way and help you heal anything that burdens you and is causing any distress.
(239) 326-0585 View (239) 326-0585
Photo of Christopher Santini, Clinical Social Work/Therapist in 33919, FL
Christopher Santini
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fort Myers, FL 33919  (Online Only)
As a clinical social worker with over 20 years of experience, I have had the privilege of working with culturally, economically and ethnically diverse individuals, families, couples and groups from all walks of life. I have practiced domestically and internationally including, NYC, California and most recently in Dublin, Ireland. (Please note that I am only taking tele-therapy clients and use a HIPPA approved site. I have found using tele-therapy to be very convenient for clients with challenging schedules).
As a clinical social worker with over 20 years of experience, I have had the privilege of working with culturally, economically and ethnically diverse individuals, families, couples and groups from all walks of life. I have practiced domestically and internationally including, NYC, California and most recently in Dublin, Ireland. (Please note that I am only taking tele-therapy clients and use a HIPPA approved site. I have found using tele-therapy to be very convenient for clients with challenging schedules).
(239) 758-0352 View (239) 758-0352
Photo of Stacey Heidler, LLC in 33919, FL
Stacey Heidler, LLC
MS, LMHC, QS
Verified Verified
1 Endorsed
Fort Myers, FL 33919
Are you experiencing stress or would like to make changes in your life? Have you been experiencing symptoms of depression or anxiety? Maybe you are searching for help but do not know where to look. It is easy to become overwhelmed by life stressors and find it difficult to navigate through them. I enjoy helping my clients work through their challenges and feelings. I create a judgment free space which allows my clients to be themselves and explore who they are. I meet my clients where they are at to help them gain insight to achieve balance as well as create a fulfilling life.
Are you experiencing stress or would like to make changes in your life? Have you been experiencing symptoms of depression or anxiety? Maybe you are searching for help but do not know where to look. It is easy to become overwhelmed by life stressors and find it difficult to navigate through them. I enjoy helping my clients work through their challenges and feelings. I create a judgment free space which allows my clients to be themselves and explore who they are. I meet my clients where they are at to help them gain insight to achieve balance as well as create a fulfilling life.
(239) 449-0862 View (239) 449-0862
Photo of Sophia A Hassan, Counselor in 33919, FL
Sophia A Hassan
Counselor, LMHC, PhD
Verified Verified
Fort Myers, FL 33919
When overwhelmed by life, you may experience feeling drained, disconnected, dissatisfied with your relationships, and at times physically unwell. Whether you're seeking relief from prolonged sadness, overwhelming stress, excessive worry, relationship difficulties, sexuality issues, or wanting to move forward, I believe I can help. We can work together towards helping you become more self-aware, present, and better able to cope with life's unending demands.
When overwhelmed by life, you may experience feeling drained, disconnected, dissatisfied with your relationships, and at times physically unwell. Whether you're seeking relief from prolonged sadness, overwhelming stress, excessive worry, relationship difficulties, sexuality issues, or wanting to move forward, I believe I can help. We can work together towards helping you become more self-aware, present, and better able to cope with life's unending demands.
(239) 465-4827 View (239) 465-4827
Photo of Nelson L Hadler, Clinical Social Work/Therapist in 33919, FL
Nelson L Hadler
Clinical Social Work/Therapist, LCSW, LCADC, CCS
Verified Verified
3 Endorsed
Fort Myers, FL 33919
Thirty years experience in the mental health and substance abuse field. My clients report that I create a trusting, relaxed and nurturing environment in their sessions. Live and telehealth visits in FL, tele in NJ and Colorado Specializing in co-occurring disorders and general mental health issues, providing individual and family treatment for adults and adolescents who are experiencing emotional, family and or substance use problems and other life difficulties. I especially enjoy working with difficult adolescents and their families. I also am a qualified supervisor in FL and NJ.
Thirty years experience in the mental health and substance abuse field. My clients report that I create a trusting, relaxed and nurturing environment in their sessions. Live and telehealth visits in FL, tele in NJ and Colorado Specializing in co-occurring disorders and general mental health issues, providing individual and family treatment for adults and adolescents who are experiencing emotional, family and or substance use problems and other life difficulties. I especially enjoy working with difficult adolescents and their families. I also am a qualified supervisor in FL and NJ.
(239) 243-9229 View (239) 243-9229
Photo of William A Moulton, Counselor in 33919, FL
William A Moulton
Counselor, MA, MAEd
Verified Verified
1 Endorsed
Fort Myers, FL 33919
Life often gets in the way of being our best selves. Being a Licensed Clinical Mental Health Counselor, Florida Supreme Court Family Law Mediator, a former university/college administrator, and former public school teacher, I have a well rounded understanding of life's struggles with change. LGBTQ, 'empty nest,' and chronic pain are three of the many areas where I am well versed working with clients. Call me to set up an appointment so we can work together toward a better you!
Life often gets in the way of being our best selves. Being a Licensed Clinical Mental Health Counselor, Florida Supreme Court Family Law Mediator, a former university/college administrator, and former public school teacher, I have a well rounded understanding of life's struggles with change. LGBTQ, 'empty nest,' and chronic pain are three of the many areas where I am well versed working with clients. Call me to set up an appointment so we can work together toward a better you!
(239) 208-5156 View (239) 208-5156
Photo of Lyndsey Elsass, Licensed Mental Health Counselor in 33919, FL
Lyndsey Elsass
Licensed Mental Health Counselor, MA, LMHC
Verified Verified
1 Endorsed
Fort Myers, FL 33919  (Online Only)
Are you the “strong” one? Are you the one everyone goes to when they need someone to talk to? Are you the one selflessly passing out advice while you silently deal with your own worries? It can be so exhausting helping everyone else with their problems while pushing your own to the side. This is all too common! It’s nice to feel needed, but how would it feel if you finally got to talk to someone? What if you had a person who was there JUST to listen to YOU. How amazing would that feel? Imagine being able to talk to someone about your own life and work things out without the disruptions of work, friends, kids, or partners.
Are you the “strong” one? Are you the one everyone goes to when they need someone to talk to? Are you the one selflessly passing out advice while you silently deal with your own worries? It can be so exhausting helping everyone else with their problems while pushing your own to the side. This is all too common! It’s nice to feel needed, but how would it feel if you finally got to talk to someone? What if you had a person who was there JUST to listen to YOU. How amazing would that feel? Imagine being able to talk to someone about your own life and work things out without the disruptions of work, friends, kids, or partners.
(239) 356-8816 View (239) 356-8816
Photo of Stacey Chadwick Brown, Counselor in 33919, FL
Stacey Chadwick Brown
Counselor, MA, LMHC, NCC, CCBT, BCETS
Verified Verified
Fort Myers, FL 33919  (Online Only)
With over 30 years of counseling experience, I help individuals bring resolution to a wide range of life challenges with sensitivity and compassion. As a practical, interactive, solution-focused therapist, my treatment approach is to provide support with insight and feedback to help clients address current challenges and long-standing issues. Using an integration of complimentary methods from ancient wisdom, modern psychology, neuroscience and holistic education, we work together to focus on strengths, steadiness and building joy with the goal of feeling better, coping with ease and achieving life goals.
With over 30 years of counseling experience, I help individuals bring resolution to a wide range of life challenges with sensitivity and compassion. As a practical, interactive, solution-focused therapist, my treatment approach is to provide support with insight and feedback to help clients address current challenges and long-standing issues. Using an integration of complimentary methods from ancient wisdom, modern psychology, neuroscience and holistic education, we work together to focus on strengths, steadiness and building joy with the goal of feeling better, coping with ease and achieving life goals.
(239) 294-8787 View (239) 294-8787
Photo of Alexis Fischer, Registered Clinical Social Worker Intern in 33919, FL
Alexis Fischer
Registered Clinical Social Worker Intern, MSW, CTP, CAIP
Verified Verified
Fort Myers, FL 33919
Accepting new clients. Do your needs and desires take a backseat to those of others? Do you find yourself constantly striving to please everyone around you at the expense of your own well-being? Do you find yourself flooded by overwhelming and confusing emotions, making it hard to maintain control? If you had a challenging childhood that you’ve tried to put behind you, or you’ve had painful experiences in life that still haunt you, remember that you can get support at any time to understand how your past is showing up in your present and gain skills to have a more peaceful life.
Accepting new clients. Do your needs and desires take a backseat to those of others? Do you find yourself constantly striving to please everyone around you at the expense of your own well-being? Do you find yourself flooded by overwhelming and confusing emotions, making it hard to maintain control? If you had a challenging childhood that you’ve tried to put behind you, or you’ve had painful experiences in life that still haunt you, remember that you can get support at any time to understand how your past is showing up in your present and gain skills to have a more peaceful life.
(239) 688-3629 View (239) 688-3629
Mouracade Recovery Medicine
MD
Verified Verified
Fort Myers, FL 33919
Mouracade Recovery Medicine is the vision of Dr Peggy Mouracade and her husband, Thomas, who himself is in long term recovery. It is their mission to restore harmony to those who are on the journey of recovery with the understanding that each individual deserves and requires a personalized approach. Mouracade Recovery Medicine is just not a medical practice that treats symptoms: it is a haven where patients are embraced and celebrated as unique individuals, each on his or her own path to healing and to restoration
Mouracade Recovery Medicine is the vision of Dr Peggy Mouracade and her husband, Thomas, who himself is in long term recovery. It is their mission to restore harmony to those who are on the journey of recovery with the understanding that each individual deserves and requires a personalized approach. Mouracade Recovery Medicine is just not a medical practice that treats symptoms: it is a haven where patients are embraced and celebrated as unique individuals, each on his or her own path to healing and to restoration
(239) 747-6194 View (239) 747-6194
Photo of Jama Thurman, Counselor in 33919, FL
Jama Thurman
Counselor, LMHC
Verified Verified
5 Endorsed
Fort Myers, FL 33919
Convenient video therapy sessions for people who are anxious, sad, or stressed. I can help you find inner strength and coping skills to work through your problems and gain confidence. I also offer career counseling and guidance for people feeling stuck or unhappy in their job or career. Are you feeling overwhelmed? Maybe you are struggling with anxiety or low self esteem. Do you feel lost, alone, or depressed? Do you need help working through problems? Do you feel stuck in your job or career? Are you stressed about work unhappy in your current job but don’t know what career is right for you.
Convenient video therapy sessions for people who are anxious, sad, or stressed. I can help you find inner strength and coping skills to work through your problems and gain confidence. I also offer career counseling and guidance for people feeling stuck or unhappy in their job or career. Are you feeling overwhelmed? Maybe you are struggling with anxiety or low self esteem. Do you feel lost, alone, or depressed? Do you need help working through problems? Do you feel stuck in your job or career? Are you stressed about work unhappy in your current job but don’t know what career is right for you.
(239) 449-0142 View (239) 449-0142
Photo of Amanda Nicole Roller, Pre-Licensed Professional in 33919, FL
Amanda Nicole Roller
Pre-Licensed Professional, MA, RMHCI
Verified Verified
1 Endorsed
Fort Myers, FL 33919
($75 sessions available NOW!) Do you feel lost? Have you been struggling to find yourself, or to figure out who you are? Are you looking for someone to talk to about all of those fears, insecurities, and worries that plague you? Maybe this pain stems from a past relationship, or from an inability to balance all the complex aspects of your life. Maybe you’ve experienced loss, heartbreak, or change. Imagine being able to take back control of your life, and feeling comfortable in your own skin again. What if you could do that? Here’s the good news – you CAN!
($75 sessions available NOW!) Do you feel lost? Have you been struggling to find yourself, or to figure out who you are? Are you looking for someone to talk to about all of those fears, insecurities, and worries that plague you? Maybe this pain stems from a past relationship, or from an inability to balance all the complex aspects of your life. Maybe you’ve experienced loss, heartbreak, or change. Imagine being able to take back control of your life, and feeling comfortable in your own skin again. What if you could do that? Here’s the good news – you CAN!
(239) 323-9505 View (239) 323-9505
Photo of Carmen M Rodriguez, Counselor in 33919, FL
Carmen M Rodriguez
Counselor, LMHC
Verified Verified
Fort Myers, FL 33919
The road to good mental health is often a hard and lonely one, but together we can take this journey into a better life for ourselves and the ones we love. Trust that with the right guidance we can change the things that must be changed and accept those that we cannot.
The road to good mental health is often a hard and lonely one, but together we can take this journey into a better life for ourselves and the ones we love. Trust that with the right guidance we can change the things that must be changed and accept those that we cannot.
(754) 219-7853 View (754) 219-7853
Photo of Dena Marie Paniccia, Clinical Social Work/Therapist in 33919, FL
Dena Marie Paniccia
Clinical Social Work/Therapist, LCSW-QS, CFRC, C-CATP, C-TMH
Verified Verified
Fort Myers, FL 33919
Accepting new clients. Have you been looking for a way to make a change in your life, but not sure how to do it? Maybe you're worried that making this change will impact your life in a way you're not entirely comfortable? But internally you know the sadness, anxiety, depression, worry and fears have become overwhelming. Maybe you've tried on your own but feel you need some extra help to be successful. You are capable of change, even when it is difficult. Through working to determine what it is you really want for your future, you can learn to change your thoughts, emotions and behaviors to empower yourself to get there!
Accepting new clients. Have you been looking for a way to make a change in your life, but not sure how to do it? Maybe you're worried that making this change will impact your life in a way you're not entirely comfortable? But internally you know the sadness, anxiety, depression, worry and fears have become overwhelming. Maybe you've tried on your own but feel you need some extra help to be successful. You are capable of change, even when it is difficult. Through working to determine what it is you really want for your future, you can learn to change your thoughts, emotions and behaviors to empower yourself to get there!
(239) 450-7155 View (239) 450-7155
Photo of Allison Cobian in 33919, FL
Allison Cobian
MA, LMHC, CCTP1&2, CCATP
Verified Verified
Fort Myers, FL 33919  (Online Only)
Your life has started to spiral out of control since experiencing trauma. It’s been difficult to cope with uneasy thoughts & emotions. You’ve been overwhelmed trying to deal with these things on your own because you still haven’t fully processed what happened to you. You haven’t been able to openly communicate with your friends and loved ones. Functioning in your daily life has been challenging, to say the least. You wish you could just go back to your life as it was before the events of your trauma, but you don’t know how. You’ve only managed to find unhealthy coping habits. What you went through has turned your world upside down.
Your life has started to spiral out of control since experiencing trauma. It’s been difficult to cope with uneasy thoughts & emotions. You’ve been overwhelmed trying to deal with these things on your own because you still haven’t fully processed what happened to you. You haven’t been able to openly communicate with your friends and loved ones. Functioning in your daily life has been challenging, to say the least. You wish you could just go back to your life as it was before the events of your trauma, but you don’t know how. You’ve only managed to find unhealthy coping habits. What you went through has turned your world upside down.
(239) 309-1812 View (239) 309-1812
Photo of Chelsea Pigeon, Licensed Mental Health Counselor in 33919, FL
Chelsea Pigeon
Licensed Mental Health Counselor, MA, LMHC
Verified Verified
Fort Myers, FL 33919
Ask about FREE sessions today! Are you emotionally drained or struggling to keep going? Do you have worrying or negative thoughts? Does the past haunt you? Maybe it stems from an unhealthy relationship or past trauma. Maybe your emotions feel too intense to manage. Or maybe you're experiencing a recent loss/change in life. You might even be consumed by a fast-paced lifestyle. What if I told you now was the perfect time to take a step back and focus on YOU?
Ask about FREE sessions today! Are you emotionally drained or struggling to keep going? Do you have worrying or negative thoughts? Does the past haunt you? Maybe it stems from an unhealthy relationship or past trauma. Maybe your emotions feel too intense to manage. Or maybe you're experiencing a recent loss/change in life. You might even be consumed by a fast-paced lifestyle. What if I told you now was the perfect time to take a step back and focus on YOU?
(239) 309-7278 View (239) 309-7278
Photo of Nathalie Ramirez, Registered Mental Health Counselor Intern in 33919, FL
Nathalie Ramirez
Registered Mental Health Counselor Intern, RMHC
Verified Verified
2 Endorsed
Fort Myers, FL 33919
I want to invite you to step into a world of deep change and self discovery. As we start this journey, I’ll help you explore yourself, find hidden strengths, and discover the personal wisdom inside you. We’ll cultivate a mindset that can handle tough situations and see the beauty in being imperfect. Beyond discussing your past, I’ll give you practical tools and strategies to help you handle life’s ups and downs with strength and determination. Together, we can uncover what’s really happening and find out what might be stopping you from becoming the best version of yourself.
I want to invite you to step into a world of deep change and self discovery. As we start this journey, I’ll help you explore yourself, find hidden strengths, and discover the personal wisdom inside you. We’ll cultivate a mindset that can handle tough situations and see the beauty in being imperfect. Beyond discussing your past, I’ll give you practical tools and strategies to help you handle life’s ups and downs with strength and determination. Together, we can uncover what’s really happening and find out what might be stopping you from becoming the best version of yourself.
(239) 299-7402 View (239) 299-7402
Photo of Mandala Counseling Services, Counselor in 33919, FL
Mandala Counseling Services
Counselor, MA, LMHC, QS
Verified Verified
Fort Myers, FL 33919
I have always wanted to help people. I’ve been able to do that in a variety of ways over the years. Working in domestic violence shelters, agencies that assist child sexual abuse survivors, in-home intensive substance abuse counseling...I’m privileged to have been able to help so many. It truly makes me happy. Now, I have my own practice after all of these years and I couldn’t be more excited to continue helping people; just in a much more enjoyable and comfortable setting. The therapists that work at Mandala are personally hired by me, and they are all wonderful and caring! You’re in great hands!
I have always wanted to help people. I’ve been able to do that in a variety of ways over the years. Working in domestic violence shelters, agencies that assist child sexual abuse survivors, in-home intensive substance abuse counseling...I’m privileged to have been able to help so many. It truly makes me happy. Now, I have my own practice after all of these years and I couldn’t be more excited to continue helping people; just in a much more enjoyable and comfortable setting. The therapists that work at Mandala are personally hired by me, and they are all wonderful and caring! You’re in great hands!
(239) 360-1983 View (239) 360-1983
Photo of Val Gill, Counselor in 33919, FL
Val Gill
Counselor, MA, LMHC
Verified Verified
Fort Myers, FL 33919
Life is unpredictable, often throwing us off course when we least expect it. Bouncing back from disappointment and difficulty can sometimes feel overwhelming. We are not always able to change our outer circumstances, however, we do have the power to change our response to difficulties. Being flexible in our response allows us to shift out of our automatic, habitual and quick reactivity into a more skillful response. Engaging in therapy can help with facing those challenges with a positive, healthy mind set. The healthier our mind, the healthier our relationships will be.
Life is unpredictable, often throwing us off course when we least expect it. Bouncing back from disappointment and difficulty can sometimes feel overwhelming. We are not always able to change our outer circumstances, however, we do have the power to change our response to difficulties. Being flexible in our response allows us to shift out of our automatic, habitual and quick reactivity into a more skillful response. Engaging in therapy can help with facing those challenges with a positive, healthy mind set. The healthier our mind, the healthier our relationships will be.
(239) 932-4701 View (239) 932-4701

How does your Therapist compare?

Number of Therapists in 33919

40+

Average cost per session

$125

Therapists in 33919 who prioritize treating:

91% Anxiety
87% Depression
85% Self Esteem
81% Relationship Issues
74% Stress
72% Grief
70% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

65% Cigna and Evernorth
65% UnitedHealthcare UHC | UBH
59% Aetna

How Therapists in 33919 see their clients

86% In Person and Online
14% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 33919?

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.