Therapists in 34201

Photo of Abi Taylor, Pre-Licensed Professional, MFT
Abi Taylor
Pre-Licensed Professional, MFT
1 Endorsed
Serves Area
Life can feel overwhelming, especially when anxiety, relationship struggles, or major life changes begin to weigh heavily. You may be feeling stuck, disconnected, or unsure of how to move forward. Therapy can be a place to slow down, feel truly understood, and begin making sense of what you’re experiencing. I work with individuals, couples, families, women, and teens to help build insight, resilience, and meaningful connections. My approach is collaborative and relational, focused not on quick fixes, but on supporting you as you move toward the life and relationships you want.
Life can feel overwhelming, especially when anxiety, relationship struggles, or major life changes begin to weigh heavily. You may be feeling stuck, disconnected, or unsure of how to move forward. Therapy can be a place to slow down, feel truly understood, and begin making sense of what you’re experiencing. I work with individuals, couples, families, women, and teens to help build insight, resilience, and meaningful connections. My approach is collaborative and relational, focused not on quick fixes, but on supporting you as you move toward the life and relationships you want.
(941) 206-6310 View (941) 206-6310
Photo of Karen L Hildreth, Counselor, MA, LMHC, Supervi
Karen L Hildreth
Counselor, MA, LMHC, Supervi
3 Endorsed
Serves Area
Tired of feeling shackled to events that happened in your past, or of finding yourself in the same relationship rut? Do you want to manage the stress in your life and feel more at peace with yourself? Sometimes talking to someone who is not in your circle of friends and loved ones can help you to see the problem differently or more clearly. Talking to a licensed professional can help you to gain perspective of the issue and decide and act upon new solutions to old problems. I want to help you. Call today for a free consultation.
Tired of feeling shackled to events that happened in your past, or of finding yourself in the same relationship rut? Do you want to manage the stress in your life and feel more at peace with yourself? Sometimes talking to someone who is not in your circle of friends and loved ones can help you to see the problem differently or more clearly. Talking to a licensed professional can help you to gain perspective of the issue and decide and act upon new solutions to old problems. I want to help you. Call today for a free consultation.
(941) 404-4435 View (941) 404-4435
Photo of Jake Robertson, LMHC
Jake Robertson
Verified Verified
6 Endorsed
Serves Area
I work with individuals who are trying to find a path to emotional well-being. Many of the people I work with struggle with self-criticism, anxiety, depression, or feeling fully alive and at ease with being themselves in the world. I am committed to fostering the therapeutic relationship in order to help reduce or alleviate symptoms with efficiency and care. I am certified in Psychedelic Support (Internal Family Systems) and Ketamine Therapeutic Applications and SAF-T (Sensation Awareness Focus Technique).
I work with individuals who are trying to find a path to emotional well-being. Many of the people I work with struggle with self-criticism, anxiety, depression, or feeling fully alive and at ease with being themselves in the world. I am committed to fostering the therapeutic relationship in order to help reduce or alleviate symptoms with efficiency and care. I am certified in Psychedelic Support (Internal Family Systems) and Ketamine Therapeutic Applications and SAF-T (Sensation Awareness Focus Technique).
(941) 205-7999 View (941) 205-7999
Photo of John Mann, Clinical Social Work/Therapist, LCSW
John Mann
Clinical Social Work/Therapist, LCSW
Serves Area
Hello, my name is John Mann and I am a Licensed Clinical Social Worker since 1980. I have experience working with mental health, adjustment disorders, relationship dynamics, self esteem, anxiety, depression, life change, trauma, relationship issues, family dynamics, and substance abuse issues with young adults, adults and older adults. I do not believe that people are “broken”, needing to be fixed by a professional. I believe that there are many approaches towards achieving a goal and that working together is the key to establishing an effective and sustainable treatment approach.
Hello, my name is John Mann and I am a Licensed Clinical Social Worker since 1980. I have experience working with mental health, adjustment disorders, relationship dynamics, self esteem, anxiety, depression, life change, trauma, relationship issues, family dynamics, and substance abuse issues with young adults, adults and older adults. I do not believe that people are “broken”, needing to be fixed by a professional. I believe that there are many approaches towards achieving a goal and that working together is the key to establishing an effective and sustainable treatment approach.
(941) 241-2261 View (941) 241-2261
Photo of Ann Hawthorne, Counselor, RN, LMHC, CHT
Ann Hawthorne
Counselor, RN, LMHC, CHT
Serves Area
Life is to short to settle for bad relationships, suffer from low self esteem, anxiety, addictions or depression. But often, finding the "right" therapist" to help you resolve these issues, can leave you feeling like you are looking for a needle in a haystack. I have been told that I have a gift of helping others. It is my sincere desire to help you get the results you desire. By helping you clarify your goals, and then by keeping each session focused on steps toward that goal, you can achieve the change you are looking for. My style and approach to therapy is never a "one size fits all" but will be customized to fit your needs.
Life is to short to settle for bad relationships, suffer from low self esteem, anxiety, addictions or depression. But often, finding the "right" therapist" to help you resolve these issues, can leave you feeling like you are looking for a needle in a haystack. I have been told that I have a gift of helping others. It is my sincere desire to help you get the results you desire. By helping you clarify your goals, and then by keeping each session focused on steps toward that goal, you can achieve the change you are looking for. My style and approach to therapy is never a "one size fits all" but will be customized to fit your needs.
(941) 740-5408 View (941) 740-5408
Photo of Roxanne Permesly, Licensed Mental Health Counselor, LMHC
Roxanne Permesly
Licensed Mental Health Counselor, LMHC
Serves Area
As a therapist, it is my task to join with you to tackle your issues of concern. Sometimes these are situational. Other times you have become aware of a pattern or trend that continually gets in your way. The therapist must create an empathetic environment in which you can truly share and be heard. Then, the therapist can offer the insights and suggestions, so you may begin to unravel and solve the problems. It is a process. My work in Boston, Princeton, and Sarasota has focused on creating this environment and giving you the space to find your way.
As a therapist, it is my task to join with you to tackle your issues of concern. Sometimes these are situational. Other times you have become aware of a pattern or trend that continually gets in your way. The therapist must create an empathetic environment in which you can truly share and be heard. Then, the therapist can offer the insights and suggestions, so you may begin to unravel and solve the problems. It is a process. My work in Boston, Princeton, and Sarasota has focused on creating this environment and giving you the space to find your way.
(941) 623-4756 View (941) 623-4756
Photo of Justine Bumpers, Pre-Licensed Professional
Justine Bumpers
Pre-Licensed Professional
1 Endorsed
Serves Area
Do you struggle with communication problems, repeated conflict, or feeling disconnected in your relationship or family that affects your day-to-day life, emotional wellbeing, or sense of support? Do you feel overwhelmed or frustrated by ongoing arguments, parenting stress, or the pressure of balancing everyone else’s needs while losing sight of your own? Do you wonder if your relationships could feel calmer, more supportive, and more connected? Now more than ever, individuals, couples, and families are feeling overwhelmed and uncertain about how to navigate conflict, parenting demands, life transitions, and changing relationships.
Do you struggle with communication problems, repeated conflict, or feeling disconnected in your relationship or family that affects your day-to-day life, emotional wellbeing, or sense of support? Do you feel overwhelmed or frustrated by ongoing arguments, parenting stress, or the pressure of balancing everyone else’s needs while losing sight of your own? Do you wonder if your relationships could feel calmer, more supportive, and more connected? Now more than ever, individuals, couples, and families are feeling overwhelmed and uncertain about how to navigate conflict, parenting demands, life transitions, and changing relationships.
(941) 231-7169 View (941) 231-7169
Photo of Mari Davenport, Counselor, LMHC, MA, CCTP
Mari Davenport
Counselor, LMHC, MA, CCTP
1 Endorsed
Serves Area
I enjoy working with adults in an individual setting. I believe that you have the ability to solve your own conflicts. However, sometimes it is helpful to be able to have a safe place to process options and solutions to life's everyday challenges.
I enjoy working with adults in an individual setting. I believe that you have the ability to solve your own conflicts. However, sometimes it is helpful to be able to have a safe place to process options and solutions to life's everyday challenges.
(941) 877-5395 View (941) 877-5395
Photo of Sisi Zhao, Counselor, LMHC , NCC, CRC, MA
Sisi Zhao
Counselor, LMHC , NCC, CRC, MA
1 Endorsed
Serves Area
Hi! I’m Sisi Zhao, a Licensed Mental Health Counselor and a nationally certified rehabilitation counselor currently working out of Sarasota, Florida. My top priority is to always ensure your well-being and providing you with the necessary tools and resources to help achieve your goals. My approach to therapy is very person-centered, meaning that your needs always come first and that you are an equal partner in the planning of your care. I have experience in working with children, adolescents and adults that are struggling with anxiety, trauma, depression, chronic health issues, substance abuse and ADHD.
Hi! I’m Sisi Zhao, a Licensed Mental Health Counselor and a nationally certified rehabilitation counselor currently working out of Sarasota, Florida. My top priority is to always ensure your well-being and providing you with the necessary tools and resources to help achieve your goals. My approach to therapy is very person-centered, meaning that your needs always come first and that you are an equal partner in the planning of your care. I have experience in working with children, adolescents and adults that are struggling with anxiety, trauma, depression, chronic health issues, substance abuse and ADHD.
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Photo of Jeffrey C Anglin, Drug & Alcohol Counselor, MSW, CAP
Jeffrey C Anglin
Drug & Alcohol Counselor, MSW, CAP
Serves Area
With the selfless help of others, I’ve journeyed from despair and defeat to genuine hope—and reclaimed a life I didn’t know was possible. Today, walking beside others on their journey is not just my work—it’s who I am. If you’re reading this, chances are you’ve tried to manage your addiction in secret for a while. You may feel conflicted, angry, or unsure if this will even work. I understand. I never forget how painful and isolating it felt – working so hard to look good on the outside, while quietly unraveling within. You may use alcohol or drugs to self-medicate anxiety, treat the lasting effects of trauma, or just to feel normal.
With the selfless help of others, I’ve journeyed from despair and defeat to genuine hope—and reclaimed a life I didn’t know was possible. Today, walking beside others on their journey is not just my work—it’s who I am. If you’re reading this, chances are you’ve tried to manage your addiction in secret for a while. You may feel conflicted, angry, or unsure if this will even work. I understand. I never forget how painful and isolating it felt – working so hard to look good on the outside, while quietly unraveling within. You may use alcohol or drugs to self-medicate anxiety, treat the lasting effects of trauma, or just to feel normal.
(941) 586-0929 View (941) 586-0929
Photo of Amy Parks-Urrutia, Psychologist, PsyD
Amy Parks-Urrutia
Psychologist, PsyD
1 Endorsed
Serves Area
The way I practice is shaped by both my professional background as a clinical psychologist and my lived experience parenting a neurodivergent child with complex medical, environmental, and sensory needs. While I rely on research to offer meaningful guidance, I also know that every nervous system, every family dynamic, and every story is unique. My work honors that individuality with compassion, curiosity, and deep respect. With intention, I offer a sense of haven—a safe, steady, compassionate space where you can exhale, untangle what you’ve been carrying, and feel supported as you navigate a path forward.
The way I practice is shaped by both my professional background as a clinical psychologist and my lived experience parenting a neurodivergent child with complex medical, environmental, and sensory needs. While I rely on research to offer meaningful guidance, I also know that every nervous system, every family dynamic, and every story is unique. My work honors that individuality with compassion, curiosity, and deep respect. With intention, I offer a sense of haven—a safe, steady, compassionate space where you can exhale, untangle what you’ve been carrying, and feel supported as you navigate a path forward.
(727) 231-5759 View (727) 231-5759
Photo of M. Shawn Kellerman, Counselor, LMHC, MCAP, CCJAP, ICADC
M. Shawn Kellerman
Counselor, LMHC, MCAP, CCJAP, ICADC
1 Endorsed
Serves Area
How do you do?! I'm Shawn. Although in no way limited to the succeeding, I currently specialize in the treatments of: Addiction; Anxiety; Coaching; Co-Occurring Disorders; Depression; Dual Diagnosis Disorders; EAP's; 1:1; Conjoint Familial; Conjoint Marital; Conjoint Partner; LGBTQIA; and Specialized Group Therapies. Other than the exception of Group, which can run for up to an hour and a half, sessions usually run for an hour in duration. I've been working with the services, aforementioned for over 21 years.
How do you do?! I'm Shawn. Although in no way limited to the succeeding, I currently specialize in the treatments of: Addiction; Anxiety; Coaching; Co-Occurring Disorders; Depression; Dual Diagnosis Disorders; EAP's; 1:1; Conjoint Familial; Conjoint Marital; Conjoint Partner; LGBTQIA; and Specialized Group Therapies. Other than the exception of Group, which can run for up to an hour and a half, sessions usually run for an hour in duration. I've been working with the services, aforementioned for over 21 years.
(727) 233-5524 View (727) 233-5524
Photo of Dr. Michael W. Hamilton, Counselor, PsyD, LMHC, CCDVC
Dr. Michael W. Hamilton
Counselor, PsyD, LMHC, CCDVC
Serves Area
If your serious about making healthy changes in your life and if what you have been doing is not working, try something new. I am passionate about opening your mind to a healthier view by instructing you on how to rid yourself of stubborn thinking. Awaken your mind and transform your uncertainty into clear and meaningful direction. Most clients will immediately recognize a change in their thinking and find emotional relief after their first visit. Allow me to lead you to the healthy change you desire.
If your serious about making healthy changes in your life and if what you have been doing is not working, try something new. I am passionate about opening your mind to a healthier view by instructing you on how to rid yourself of stubborn thinking. Awaken your mind and transform your uncertainty into clear and meaningful direction. Most clients will immediately recognize a change in their thinking and find emotional relief after their first visit. Allow me to lead you to the healthy change you desire.
(941) 812-0976 View (941) 812-0976
Photo of Desiree Mahiquez, EdS, NCSP, BCBA
Desiree Mahiquez
Verified Verified
1 Endorsed
Serves Area
Is your child having difficulty at school? Are you at your wits' end with your child’s behavior, anxiety, or inattention at home? Do you need help navigating the educational system and all the acronyms? Is your child or teen experiencing Let me help your family. As a Nationally Certified School Psychologist and a Board Certified Behavior Analyst (BCBA), I work with families and their school-aged children (preschool to high school) to promote academic, behavioral , and social-emotional success.
Is your child having difficulty at school? Are you at your wits' end with your child’s behavior, anxiety, or inattention at home? Do you need help navigating the educational system and all the acronyms? Is your child or teen experiencing Let me help your family. As a Nationally Certified School Psychologist and a Board Certified Behavior Analyst (BCBA), I work with families and their school-aged children (preschool to high school) to promote academic, behavioral , and social-emotional success.
(954) 998-0632 View (954) 998-0632
Photo of Dr. Dallas Carey, Psychologist, PsyD
Dr. Dallas Carey
Psychologist, PsyD
Serves Area
Hello! My name is Dallas Carey. I am a licensed clinical psychologist with a focus on helping others design their own consciousness. I work holistically. This means when someone comes to me, I help them target important life domains (e.g., nutrition, sleep, relationships, stress, thinking style, & daily structure.) For example, I am interested in how you think and feel about yourself (and your future self) & others, as well as how daily lifestyle choices facilitate your well-being. You’ll often catch me saying “Let’s discover the thought between the thoughts" or "that situation didn't make you depressed; your perception did."
Hello! My name is Dallas Carey. I am a licensed clinical psychologist with a focus on helping others design their own consciousness. I work holistically. This means when someone comes to me, I help them target important life domains (e.g., nutrition, sleep, relationships, stress, thinking style, & daily structure.) For example, I am interested in how you think and feel about yourself (and your future self) & others, as well as how daily lifestyle choices facilitate your well-being. You’ll often catch me saying “Let’s discover the thought between the thoughts" or "that situation didn't make you depressed; your perception did."
(352) 612-0044 View (352) 612-0044
Photo of Bethany Van Waardhuizen, Counselor, LMHC, QS, MCAP
Bethany Van Waardhuizen
Counselor, LMHC, QS, MCAP
1 Endorsed
Serves Area
Do you want to make changes in your life? Do you ever feel anxious, depressed, disconnected or alone? Do you sometimes drink or use substances more than you intended or had trouble stopping use once you started? Would you like help on how to make a change? With more than 14 years of experience in the substance use disorder and mental health field, I can help. Together we can identify the problems you'd like to solve, find solutions and create goals to guide the way. I can offer listening, coping skills, education, humor, validation and most of all - hope! Let's do this together. I'm excited to meet you.
Do you want to make changes in your life? Do you ever feel anxious, depressed, disconnected or alone? Do you sometimes drink or use substances more than you intended or had trouble stopping use once you started? Would you like help on how to make a change? With more than 14 years of experience in the substance use disorder and mental health field, I can help. Together we can identify the problems you'd like to solve, find solutions and create goals to guide the way. I can offer listening, coping skills, education, humor, validation and most of all - hope! Let's do this together. I'm excited to meet you.
(941) 271-7781 View (941) 271-7781
Photo of Michele Messina, MA, CAGS, LSP
Michele Messina
Verified Verified
Serves Area
Welcome to my practice, where I am dedicated to providing compassionate support for individuals, couples, and children navigating emotional, social, or adjustment challenges. Whether rooted in depression, anxiety, OCD, or complex trauma, I offer a diverse range of therapeutic interventions tailored to the unique needs of each client. Collaboratively, we develop and monitor treatment plans to ensure they align with your specific goals and preferences. Treatment modalities include CBT, DBT, EMDR, ACT, and play therapy.
Welcome to my practice, where I am dedicated to providing compassionate support for individuals, couples, and children navigating emotional, social, or adjustment challenges. Whether rooted in depression, anxiety, OCD, or complex trauma, I offer a diverse range of therapeutic interventions tailored to the unique needs of each client. Collaboratively, we develop and monitor treatment plans to ensure they align with your specific goals and preferences. Treatment modalities include CBT, DBT, EMDR, ACT, and play therapy.
(941) 676-9547 View (941) 676-9547
Photo of Aimee Yasin, Counselor, LPCMHSP, LMHC
Aimee Yasin
Counselor, LPCMHSP, LMHC
4 Endorsed
Serves Area
Too often life is full of turning points- times when you have to start over or make a big decision, whether by choice or circumstance. Change is hard, whether it's expected or not. Support and empowerment are both keys to not only surviving, but also using these experiences to make you stronger. With these keys, the turning points in life can be maneuvered successfully.
Too often life is full of turning points- times when you have to start over or make a big decision, whether by choice or circumstance. Change is hard, whether it's expected or not. Support and empowerment are both keys to not only surviving, but also using these experiences to make you stronger. With these keys, the turning points in life can be maneuvered successfully.
(941) 213-7382 View (941) 213-7382
Photo of Dr. Kim Davis - Evolet Counseling and Wellness, Counselor, PhD, LPC
Evolet Counseling and Wellness
Counselor, PhD, LPC
1 Endorsed
Serves Area
You are the one who holds everything together - for your family, your job, your relationships - but inside you feel anxious, exhausted, disconnected, or quietly overwhelmed. You may struggle with chronic worry, people-pleasing, relationship stress, burnout, or feeling like you’ve lost yourself. You want peace in your body, clarity in your mind, and to finally feel emotionally safe. You’re not looking to be “fixed.” You want to feel understood, grounded, and whole again.
You are the one who holds everything together - for your family, your job, your relationships - but inside you feel anxious, exhausted, disconnected, or quietly overwhelmed. You may struggle with chronic worry, people-pleasing, relationship stress, burnout, or feeling like you’ve lost yourself. You want peace in your body, clarity in your mind, and to finally feel emotionally safe. You’re not looking to be “fixed.” You want to feel understood, grounded, and whole again.
(314) 208-3286 View (314) 208-3286
Photo of Brynn Rangel - Arden Associates, MBA, BCBA, LBA
Arden Associates
Verified Verified
Serves Area
Welcome to Arden Associates, where compassion meets cutting-edge care. At Arden, we believe in the power of human connection and the transformative potential of advanced practices in mental health. With a commitment to genuine care and the latest innovations in our field, we strive to provide unparalleled support and healing to every individual we serve. Join us on a journey where empathy meets expertise, and together, we can navigate towards brighter horizons.
Welcome to Arden Associates, where compassion meets cutting-edge care. At Arden, we believe in the power of human connection and the transformative potential of advanced practices in mental health. With a commitment to genuine care and the latest innovations in our field, we strive to provide unparalleled support and healing to every individual we serve. Join us on a journey where empathy meets expertise, and together, we can navigate towards brighter horizons.
(941) 229-1272 View (941) 229-1272

See more therapy options for 34201

How does your Therapist compare?

Number of Therapists in 34201

50+

Average cost per session

$150

Therapists in 34201 who prioritize treating:

95% Anxiety
75% Depression
75% Self Esteem
68% Relationship Issues
65% Trauma and PTSD
54% Marriage Counseling
51% Grief

Average years in practice

15 Years

Top 3 insurances accepted

92% Aetna
73% Cigna and Evernorth
68% Optum

How Therapists in 34201 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 34201?

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.