Therapists in 45241

Photo of Maria Charlene Morton, Licensed Professional Counselor, MA, LPCC, NCC, EMDR
Maria Charlene Morton
Licensed Professional Counselor, MA, LPCC, NCC, EMDR
Cincinnati, OH 45241
Another relationship down the tubes. You know what went wrong; it’s what always goes wrong. You don’t know why you keep getting involved with the same type of person. Sure, they have new names and faces, but for intents and purposes, they’re identical to everyone else you’ve ever dated. You keep telling yourself this time will be different, but it never is. And with each successive failure, you become more confident that you’ll never find love. Your heart has been battered and bruised so many times before, and you’re not sure you can take another disappointment. You’re ready to give up and resign yourself to a life of solitude.
Another relationship down the tubes. You know what went wrong; it’s what always goes wrong. You don’t know why you keep getting involved with the same type of person. Sure, they have new names and faces, but for intents and purposes, they’re identical to everyone else you’ve ever dated. You keep telling yourself this time will be different, but it never is. And with each successive failure, you become more confident that you’ll never find love. Your heart has been battered and bruised so many times before, and you’re not sure you can take another disappointment. You’re ready to give up and resign yourself to a life of solitude.
(513) 845-2960 View (513) 845-2960
Photo of Dr. Maria Espinola, Psychologist, PsyD
Dr. Maria Espinola
Psychologist, PsyD
Cincinnati, OH 45241
Dr. Maria Espinola is a Harvard-trained psychologist and a leading expert in trauma. Dr. Espinola conducts comprehensive forensic psychological evaluations, provides attorney consultations, and serves as an expert witness in civil, family, criminal, and federal immigration cases. Throughout her career, Dr. Espinola has evaluated thousands of trauma victims from all over the world. Dr. Espinola's work has been featured by a wide range of media outlets, including the U.S. News and World Report, The Washington Post, Teen Vogue, The New York Times, CNN, Reuters Health, and Forbes.
Dr. Maria Espinola is a Harvard-trained psychologist and a leading expert in trauma. Dr. Espinola conducts comprehensive forensic psychological evaluations, provides attorney consultations, and serves as an expert witness in civil, family, criminal, and federal immigration cases. Throughout her career, Dr. Espinola has evaluated thousands of trauma victims from all over the world. Dr. Espinola's work has been featured by a wide range of media outlets, including the U.S. News and World Report, The Washington Post, Teen Vogue, The New York Times, CNN, Reuters Health, and Forbes.
(513) 717-5591 View (513) 717-5591
Photo of Colleen Brown, Licensed Professional Counselor, MSEd, LPC
Colleen Brown
Licensed Professional Counselor, MSEd, LPC
1 Endorsed
Cincinnati, OH 45241
On the outside, it looks like you’ve got it all together, but inside you’re feeling lost. It’s time to make some changes…but how? You manage so much already - a career, relationships, family, caregiving, finances - the list is endless. Maybe it’s time to focus on what YOU need, too. Counseling can help you feel more present and less anxious in your daily life, teach you to trust yourself, change your mindset, and heal past wounds. I believe deeply in your innate ability to transform your life. Change can be hard, but it’s also VERY possible. I will meet you with empathy and support - not judgment - in a calming therapeutic space.
On the outside, it looks like you’ve got it all together, but inside you’re feeling lost. It’s time to make some changes…but how? You manage so much already - a career, relationships, family, caregiving, finances - the list is endless. Maybe it’s time to focus on what YOU need, too. Counseling can help you feel more present and less anxious in your daily life, teach you to trust yourself, change your mindset, and heal past wounds. I believe deeply in your innate ability to transform your life. Change can be hard, but it’s also VERY possible. I will meet you with empathy and support - not judgment - in a calming therapeutic space.
(513) 654-5370 View (513) 654-5370
Photo of Traci Shuttlesworth Sippel - New Leaf Counseling Group, Licensed Professional Clinical Counselor, LPCC-S, CDCA
New Leaf Counseling Group
Licensed Professional Clinical Counselor, LPCC-S, CDCA
Blue Ash, OH 45241
I am licensed Professional Counselor who has worked with adults, adolescents, couples and families to navigate through life’s challenges.
I am licensed Professional Counselor who has worked with adults, adolescents, couples and families to navigate through life’s challenges.
(513) 993-1504 View (513) 993-1504
Photo of Chad S Ricks - Counseling Center of Southwest Ohio, Licensed Professional Clinical Counselor, MA, LPCC
Counseling Center of Southwest Ohio
Licensed Professional Clinical Counselor, MA, LPCC
Sharonville, OH 45241
The Counseling Center of Southwest Ohio is proud to serve a wide range of areas across our great state, including the Greater Cincinnati Area. We specialize in providing timely and effective help for depression, anxiety, relationship issues, and trauma. We are dedicated to helping you reach your goals, whatever they may be. We believe the key to personal transformation resides in understanding your personal journey so far and identifying the experiences that have shaped you. Our empathetic professionals will offer a listening ear, compassionate support, and targeted strategies to help you craft a new path forward.
The Counseling Center of Southwest Ohio is proud to serve a wide range of areas across our great state, including the Greater Cincinnati Area. We specialize in providing timely and effective help for depression, anxiety, relationship issues, and trauma. We are dedicated to helping you reach your goals, whatever they may be. We believe the key to personal transformation resides in understanding your personal journey so far and identifying the experiences that have shaped you. Our empathetic professionals will offer a listening ear, compassionate support, and targeted strategies to help you craft a new path forward.
(513) 996-0157 View (513) 996-0157
Photo of Karen Jones, Counselor, LPCC-S, LICDC
Karen Jones
Counselor, LPCC-S, LICDC
2 Endorsed
Sharonville, OH 45241
Life can be hard and overwhelming sometimes and can leave us unsure of where to turn for peace of mind. It's so easy to fall into a trap of feeling inadequate to face life's challenges when it seems that everyone else has it all together. If you are experiencing anxiety, depression, trauma, PTSD, substance abuse issues, codependency, mood disorders, grief, or self-esteem concerns, there is hope for you.
Life can be hard and overwhelming sometimes and can leave us unsure of where to turn for peace of mind. It's so easy to fall into a trap of feeling inadequate to face life's challenges when it seems that everyone else has it all together. If you are experiencing anxiety, depression, trauma, PTSD, substance abuse issues, codependency, mood disorders, grief, or self-esteem concerns, there is hope for you.
(513) 982-5482 View (513) 982-5482
Photo of Kristine Huiet, Psychologist, PhD, LLC
Kristine Huiet
Psychologist, PhD, LLC
1 Endorsed
Cincinnati, OH 45241
Does your child or adolescent struggle with psychological issues? Do you need assistance finding ways to support your child/adolescent? If so, I may be able to help you. I have over 20 years of experience working with children, adolescents, and their families in the greater Cincinnati area. I work not only with your child, but also very closely with the parents throughout the therapeutic process in order to assist you with helping your child. Although my specialty lies with young people, I welcome adult clients into my practice as well. Feel free to reach out to see if we are a good fit for each other.
Does your child or adolescent struggle with psychological issues? Do you need assistance finding ways to support your child/adolescent? If so, I may be able to help you. I have over 20 years of experience working with children, adolescents, and their families in the greater Cincinnati area. I work not only with your child, but also very closely with the parents throughout the therapeutic process in order to assist you with helping your child. Although my specialty lies with young people, I welcome adult clients into my practice as well. Feel free to reach out to see if we are a good fit for each other.
(513) 854-2065 x12 View (513) 854-2065 x12
Photo of Edward Owsley-Longino, Licensed Professional Counselor, MA, LPC
Edward Owsley-Longino
Licensed Professional Counselor, MA, LPC
Cincinnati, OH 45241
There’s a story behind every smile, however, this story is not as simple as reading Dr. Seuss. These stories can be warped by the secrets tucked away and can make it challenging to remember our sense of self. This is why I believe therapy is an opportunity to untangle and review the story, your story! Through the act of revealing how the hero overcomes their adversities, we can discover how they became the best version of themselves.
There’s a story behind every smile, however, this story is not as simple as reading Dr. Seuss. These stories can be warped by the secrets tucked away and can make it challenging to remember our sense of self. This is why I believe therapy is an opportunity to untangle and review the story, your story! Through the act of revealing how the hero overcomes their adversities, we can discover how they became the best version of themselves.
(513) 998-6224 View (513) 998-6224
Photo of Amanda C Freis - Cincinnati Therapy Center, Clinical Social Work/Therapist, MSW, LISW-S
Cincinnati Therapy Center
Clinical Social Work/Therapist, MSW, LISW-S
Cincinnati, OH 45241
Cincinnati Therapy Center has immediate openings for couples counseling, family therapy, and individual therapy with ages 8+. We offer both in-person and tele-therapy options. You must be located in Ohio for tele-therapy services! The following therapists have immediate openings: Bismat Nasir, Hannah Kaminsky, Lisa Rhoads, and Natalie Martinez.
Cincinnati Therapy Center has immediate openings for couples counseling, family therapy, and individual therapy with ages 8+. We offer both in-person and tele-therapy options. You must be located in Ohio for tele-therapy services! The following therapists have immediate openings: Bismat Nasir, Hannah Kaminsky, Lisa Rhoads, and Natalie Martinez.
(513) 434-6842 View (513) 434-6842
Photo of Candice N. Crowley, Licensed Professional Clinical Counselor, LPCC
Candice N. Crowley
Licensed Professional Clinical Counselor, LPCC
Cincinnati, OH 45241
I offer a therapy space for those ready to hear hard truths about themselves, engage in uncomfortable conversations, and come to terms with difficult realities. I help individuals break out of the boxes that limit their ability to reach their full potential and live a fulfilled life. I focus on the present, understanding the past, but rejecting the notion that the past has to control or define the future. I offer individual counseling, life coaching, support services for blended families and co-parenting, couples counseling, support for life transitions, student services, & Christian counseling.
I offer a therapy space for those ready to hear hard truths about themselves, engage in uncomfortable conversations, and come to terms with difficult realities. I help individuals break out of the boxes that limit their ability to reach their full potential and live a fulfilled life. I focus on the present, understanding the past, but rejecting the notion that the past has to control or define the future. I offer individual counseling, life coaching, support services for blended families and co-parenting, couples counseling, support for life transitions, student services, & Christian counseling.
(513) 438-3920 x11 View (513) 438-3920 x11
Photo of Ruth Ellerbusch, Licensed Professional Counselor, MA, LPC, EMDRII
Ruth Ellerbusch
Licensed Professional Counselor, MA, LPC, EMDRII
1 Endorsed
Cincinnati, OH 45241
I have specialized in the healing of trauma for the last 31 years through individual, group, couples work. My expertise is EMDR. After 18 years of using this tool I am still amazed at how profoundly and quickly clients heal from tremendous pain and struggles. EMDR is often considered to be used only and primarily for a discreet trauma like a car accident. In fact, however, EMDR is a tool that incorporates how the brain processes information every night during REM sleep. Since our brains have REM daily, EMDR is a magnificient way to address most of life's problems.
I have specialized in the healing of trauma for the last 31 years through individual, group, couples work. My expertise is EMDR. After 18 years of using this tool I am still amazed at how profoundly and quickly clients heal from tremendous pain and struggles. EMDR is often considered to be used only and primarily for a discreet trauma like a car accident. In fact, however, EMDR is a tool that incorporates how the brain processes information every night during REM sleep. Since our brains have REM daily, EMDR is a magnificient way to address most of life's problems.
(513) 280-8856 View (513) 280-8856
Photo of Patricia 'patti' Wilhoit, Counselor, MS, LPCC-S
Patricia 'patti' Wilhoit
Counselor, MS, LPCC-S
1 Endorsed
Sharonville, OH 45241
With more than 25 years of experience as a mental health counselor, I specialize in supporting individuals healing from developmental trauma and complex PTSD. My work is grounded in a deep understanding of how early experiences shape our nervous systems, relationships, and sense of self, and I am committed to helping clients reconnect with their strengths, resilience, and inner wisdom.
With more than 25 years of experience as a mental health counselor, I specialize in supporting individuals healing from developmental trauma and complex PTSD. My work is grounded in a deep understanding of how early experiences shape our nervous systems, relationships, and sense of self, and I am committed to helping clients reconnect with their strengths, resilience, and inner wisdom.
(513) 436-3187 View (513) 436-3187
Photo of Natalie Martinez Fuentes, Clinical Social Work/Therapist, MSW, LSW
Natalie Martinez Fuentes
Clinical Social Work/Therapist, MSW, LSW
Sharonville, OH 45241
Hello! Thank you for being here! You have made the first step to begin your healing journey.As a therapist, I not only have the privilege of guiding you through your experiences, but I also recognize what it's like to be in your shoes. Taking that initial step into therapy can be intimidating, and I want you to know that you are not alone. I welcome you to begin your healing journey, and as your therapist, I will create a safe and comfortable space for you to ensure that you feel validated and seen. I’m a person centered therapist which means I base the structure of therapy off of what YOU need. Whether it be laidback or structured.
Hello! Thank you for being here! You have made the first step to begin your healing journey.As a therapist, I not only have the privilege of guiding you through your experiences, but I also recognize what it's like to be in your shoes. Taking that initial step into therapy can be intimidating, and I want you to know that you are not alone. I welcome you to begin your healing journey, and as your therapist, I will create a safe and comfortable space for you to ensure that you feel validated and seen. I’m a person centered therapist which means I base the structure of therapy off of what YOU need. Whether it be laidback or structured.
(513) 450-3910 View (513) 450-3910
Photo of Ritch Hall II - PsychWorks Clinic, Psychologist, PhD
PsychWorks Clinic
Psychologist, PhD
6 Endorsed
Cincinnati, OH 45241
We all have a story. It is a story we have been telling our whole lives. We add to this story with each new encounter and context. Sometimes our stories get warped by any number of life factors, and we can lose our sense of self. I see therapy as an opportunity to unravel and examine the story of you, to get to the “why” of you.
We all have a story. It is a story we have been telling our whole lives. We add to this story with each new encounter and context. Sometimes our stories get warped by any number of life factors, and we can lose our sense of self. I see therapy as an opportunity to unravel and examine the story of you, to get to the “why” of you.
(513) 440-3701 View (513) 440-3701
Photo of Wendy Allen Long, Pre-Licensed Professional, MA, LSC, LPC
Wendy Allen Long
Pre-Licensed Professional, MA, LSC, LPC
Sharonville, OH 45241
My ideal client is dealing with trauma, anxiety, stress, or depression and seeking a supportive listening ear and help breaking free from distressing patterns. You might be a caregiver, a busy parent, or navigating transitions, grief or relationships. Your needs include finding emotional balance, understanding triggers, and learning tools for resilience. Together, we’ll work to reduce symptoms, build self-compassion, and develop healthier coping skills. Ultimately, you’re looking for guidance that empowers you to make sustainable, positive change in your life, and I’m here to help you achieve that.
My ideal client is dealing with trauma, anxiety, stress, or depression and seeking a supportive listening ear and help breaking free from distressing patterns. You might be a caregiver, a busy parent, or navigating transitions, grief or relationships. Your needs include finding emotional balance, understanding triggers, and learning tools for resilience. Together, we’ll work to reduce symptoms, build self-compassion, and develop healthier coping skills. Ultimately, you’re looking for guidance that empowers you to make sustainable, positive change in your life, and I’m here to help you achieve that.
(513) 995-7774 View (513) 995-7774
Photo of Bismat Nasir, Licensed Professional Counselor, MA, LPC
Bismat Nasir
Licensed Professional Counselor, MA, LPC
2 Endorsed
Sharonville, OH 45241
Do you feel stuck in old patterns, disconnected from your relationships, or weighed down by stress or past pain? Are you looking for clarity, balance, and a deeper sense of connection with yourself and others? Or maybe you want to feel seen, supported, and understood as you learn new ways to heal, communicate, and grow? If you answered yes to any of these, I am here to walk alongside you in your journey toward a better you and a brighter future. Together, we will work toward creating meaningful change and a more grounded, fulfilling life.
Do you feel stuck in old patterns, disconnected from your relationships, or weighed down by stress or past pain? Are you looking for clarity, balance, and a deeper sense of connection with yourself and others? Or maybe you want to feel seen, supported, and understood as you learn new ways to heal, communicate, and grow? If you answered yes to any of these, I am here to walk alongside you in your journey toward a better you and a brighter future. Together, we will work toward creating meaningful change and a more grounded, fulfilling life.
(513) 586-6785 View (513) 586-6785
Photo of Rachele Elizabeth Smith, Drug & Alcohol Counselor, CDCA
Rachele Elizabeth Smith
Drug & Alcohol Counselor, CDCA
1 Endorsed
West Chester, OH 45241
Healing from a traumatic experience can be a long, difficult journey. I started working in addiction medicine in 2011 and am dedicated to helping patients in their journey. I am driven to help patients learn coping skills and strategies to help them improve their chances of long term sobriety. Every day is a new beginning and a chance at a better life, let us help you make that change!
Healing from a traumatic experience can be a long, difficult journey. I started working in addiction medicine in 2011 and am dedicated to helping patients in their journey. I am driven to help patients learn coping skills and strategies to help them improve their chances of long term sobriety. Every day is a new beginning and a chance at a better life, let us help you make that change!
(513) 434-6856 View (513) 434-6856
Photo of Chad Ricks, Licensed Professional Counselor, LPCC-S
Chad Ricks
Licensed Professional Counselor, LPCC-S
Sharonville, OH 45241
As a counselor, I often encounter hurting people who need help healing their emotional and relational challenges. People often get stuck in life whether it be their thinking or behaviors that keep them trapped and unable to move forward in living the life they want. We all face challenges in life that we need help in navigating that next step. Relationships can be difficult to navigate sometimes and we just want to know how to break free from the cycle we are in so that we can enjoy each other and life again without the stress of the past and concerns of the future.
As a counselor, I often encounter hurting people who need help healing their emotional and relational challenges. People often get stuck in life whether it be their thinking or behaviors that keep them trapped and unable to move forward in living the life they want. We all face challenges in life that we need help in navigating that next step. Relationships can be difficult to navigate sometimes and we just want to know how to break free from the cycle we are in so that we can enjoy each other and life again without the stress of the past and concerns of the future.
(513) 960-7125 View (513) 960-7125
Photo of Olivia Marie Pesina, Licensed Professional Counselor, MA, LPC
Olivia Marie Pesina
Licensed Professional Counselor, MA, LPC
Cincinnati, OH 45241
I will work with you in recognizing & restructuring the thought process and emotional challenges in your life that have become overwhelming. We will identify your strengths and build upon them. We will get acquainted with tools that will help you manage any anxiety, depression, anger, and stress caused by the challenge. We will look at how the impact of life's challenges have played a part in your life and identify positive solutions and opportunities for change. I will provide you with insight, skills, encouragement, strength, support and strategy to aid you in navigating the barriers that prevent you from living a successful life.
I will work with you in recognizing & restructuring the thought process and emotional challenges in your life that have become overwhelming. We will identify your strengths and build upon them. We will get acquainted with tools that will help you manage any anxiety, depression, anger, and stress caused by the challenge. We will look at how the impact of life's challenges have played a part in your life and identify positive solutions and opportunities for change. I will provide you with insight, skills, encouragement, strength, support and strategy to aid you in navigating the barriers that prevent you from living a successful life.
(513) 790-6489 View (513) 790-6489
Photo of Mj Shooner, Marriage & Family Therapist, MFT, CCATP, CFTP
Mj Shooner
Marriage & Family Therapist, MFT, CCATP, CFTP
Cincinnati, OH 45241
I have a heart for todays couples, families and children who are hurting. My passion is for that child or couple who have lost hope & unsure of where to turn. In a twisted, confusing relationship? Is untreated family of origin pain beginning to impact loved ones? As a Marriage, Family and Child Therapist (MFT), I've provided relief for many families. Evidence based, resiliency-focused, trauma-informed and FUN! It's how we learn. Bring me your ‘out of control,’ ‘unfixable’ & ‘unbearable.’ We will walk out from the darkness together. High Conflict Couple, ASD, Anxiety, ADHD, Anger, Oppositional or just lost, don't sit in it alone!
I have a heart for todays couples, families and children who are hurting. My passion is for that child or couple who have lost hope & unsure of where to turn. In a twisted, confusing relationship? Is untreated family of origin pain beginning to impact loved ones? As a Marriage, Family and Child Therapist (MFT), I've provided relief for many families. Evidence based, resiliency-focused, trauma-informed and FUN! It's how we learn. Bring me your ‘out of control,’ ‘unfixable’ & ‘unbearable.’ We will walk out from the darkness together. High Conflict Couple, ASD, Anxiety, ADHD, Anger, Oppositional or just lost, don't sit in it alone!
(513) 912-3588 View (513) 912-3588

See more therapy options for 45241

How does your Therapist compare?

Number of Therapists in 45241

100+

Average cost per session

$130

Therapists in 45241 who prioritize treating:

94% Anxiety
91% Depression
72% Trauma and PTSD
64% Life Transitions
61% Grief
57% Self Esteem
50% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

87% Aetna
76% Cigna and Evernorth
70% Other

How Therapists in 45241 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 45241?

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.