Photo of Paramount Concepts and Wellness, LLC -Counseling, Licensed Professional Counselor in 70005, LA
Paramount Concepts and Wellness, LLC -Counseling
Licensed Professional Counselor, M Ed2, LPC-S
Verified Verified
Metairie, LA 70005
Not accepting new clients
Paramount Concepts and Wellness is concerned with the Whole Wellness of you. The belief is that everyone can experience Whole Health, even when Mental and Physical illness is present. Services of Mental and Physical health are provided to improve, create, restore, maintain or support your well being. ….The PARAMOUNT EXPERIENCES!
Paramount Concepts and Wellness is concerned with the Whole Wellness of you. The belief is that everyone can experience Whole Health, even when Mental and Physical illness is present. Services of Mental and Physical health are provided to improve, create, restore, maintain or support your well being. ….The PARAMOUNT EXPERIENCES!
(504) 608-6202 View (504) 608-6202
Photo of Carly Nolan, Licensed Professional Counselor in 70005, LA
Carly Nolan
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Metairie, LA 70005
Are you looking for help dealing with a difficult situation? No matter what's happening in your life, I want you to know you don't need to feel alone or go through this without support. I work with adults struggling with a variety of issues. Most people seek my services because they are suffering from feelings of hopelessness, worry, anger, grief, relationship issues, and much more as they navigate their lives. Some people are acutely aware of the areas in their lives that are difficult, while others report feeling something is wrong but don't know what or why. Each reason for seeking counseling is deeply personal.
Are you looking for help dealing with a difficult situation? No matter what's happening in your life, I want you to know you don't need to feel alone or go through this without support. I work with adults struggling with a variety of issues. Most people seek my services because they are suffering from feelings of hopelessness, worry, anger, grief, relationship issues, and much more as they navigate their lives. Some people are acutely aware of the areas in their lives that are difficult, while others report feeling something is wrong but don't know what or why. Each reason for seeking counseling is deeply personal.
(504) 327-2579 View (504) 327-2579
Photo of Shanon Briner, Licensed Professional Counselor in 70005, LA
Shanon Briner
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Metairie, LA 70005
Welcome, I have the highest regard for the struggles you or your family have been facing. I see counseling as a process that you and I as the counselor come to understand and trust one another to explore and develop goals for an improved life. I offer a confidential atmosphere in which therapy is a cornerstone. When you experience issues and feel you are at a stand still in life, I am here to offer hope and tools to help you discover the strength within yourself. I work with commitment and diligence just as you do in the counseling process.
Welcome, I have the highest regard for the struggles you or your family have been facing. I see counseling as a process that you and I as the counselor come to understand and trust one another to explore and develop goals for an improved life. I offer a confidential atmosphere in which therapy is a cornerstone. When you experience issues and feel you are at a stand still in life, I am here to offer hope and tools to help you discover the strength within yourself. I work with commitment and diligence just as you do in the counseling process.
(504) 226-8268 View (504) 226-8268
Photo of NOLA Art Therapy and Counseling, LLC, Art Therapist in 70005, LA
NOLA Art Therapy and Counseling, LLC
Art Therapist, MS, ATR-BC, LPC
Verified Verified
1 Endorsed
Metairie, LA 70005
Sometimes extra help and support are needed to successfully navigate through the challenging and difficult situations that arise in life. By seeking therapy, you will receive our support while we work as a team to better understand your challenging life situations. If you make a commitment to change and work on improving yourself and your situation, therapy can give you the tools you need to face future life challenges. In a comfortable and supportive environment, we offer a highly personalized approach made to meet the needs of each individual client and/or family to help them achieve personal growth.
Sometimes extra help and support are needed to successfully navigate through the challenging and difficult situations that arise in life. By seeking therapy, you will receive our support while we work as a team to better understand your challenging life situations. If you make a commitment to change and work on improving yourself and your situation, therapy can give you the tools you need to face future life challenges. In a comfortable and supportive environment, we offer a highly personalized approach made to meet the needs of each individual client and/or family to help them achieve personal growth.
(504) 273-7851 View (504) 273-7851
Photo of Carley Whitney, LPC Intern in 70005, LA
Carley Whitney
LPC Intern, PLPC
Verified Verified
1 Endorsed
Metairie, LA 70005
We all hit roadblocks in our lives at some point. We experience issues we no longer feel able to manage alone, have problems we can't find our own solution to, or feel consumed by thoughts or emotions we can't seem to turn off. Sometimes we need an unbiased sounding board to bounce solutions and ideas off of. Sometimes we could use a little help incorporating new coping skills or problem-solving strategies into our lives. Sometimes we simply need someone to go on the journey with us. I'm here to do exactly that.
We all hit roadblocks in our lives at some point. We experience issues we no longer feel able to manage alone, have problems we can't find our own solution to, or feel consumed by thoughts or emotions we can't seem to turn off. Sometimes we need an unbiased sounding board to bounce solutions and ideas off of. Sometimes we could use a little help incorporating new coping skills or problem-solving strategies into our lives. Sometimes we simply need someone to go on the journey with us. I'm here to do exactly that.
(504) 608-1139 View (504) 608-1139
Photo of Christopher Harris, Clinical Social Work/Therapist in 70005, LA
Christopher Harris
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
10 Endorsed
Metairie, LA 70005
Waitlist for new clients
I provide psychotherapy for individual adults (18+). Using a combination of psychodynamic psychotherapy, cognitive-behavioral therapy (CBT), and Rogerian (person-centered) therapy, I will tailor our work to best fit your needs and help you achieve your goals. Through thoughtful self-reflection, we will unearth long-standing behavioral patterns and/or negative perceptions of yourself and others that may be holding you back from experiencing a more fulfilling and meaningful life.
I provide psychotherapy for individual adults (18+). Using a combination of psychodynamic psychotherapy, cognitive-behavioral therapy (CBT), and Rogerian (person-centered) therapy, I will tailor our work to best fit your needs and help you achieve your goals. Through thoughtful self-reflection, we will unearth long-standing behavioral patterns and/or negative perceptions of yourself and others that may be holding you back from experiencing a more fulfilling and meaningful life.
(504) 229-3959 View (504) 229-3959
Photo of Amy Alvarez, Clinical Social Work/Therapist in 70005, LA
Amy Alvarez
Clinical Social Work/Therapist, LCSW, BACS, MPH
Verified Verified
1 Endorsed
Metairie, LA 70005
Waitlist for new clients
Welcome! I specialize providing psychotherapy for adults coping with depression, anxiety and stress. LGBTQ clients are always welcome. I have a special interest in providing mental health support for conception, pregnancy, postpartum, adoption, and infertility. Whether you're currently pregnant, coping with the stress of a new baby, dealing with infertility or considering adoption, I would be honored to help you navigate the seasons of new parenthood. I also enjoy working with birthparents, adoptive families and adoptees coping with identity, reunion, and grief issues.
Welcome! I specialize providing psychotherapy for adults coping with depression, anxiety and stress. LGBTQ clients are always welcome. I have a special interest in providing mental health support for conception, pregnancy, postpartum, adoption, and infertility. Whether you're currently pregnant, coping with the stress of a new baby, dealing with infertility or considering adoption, I would be honored to help you navigate the seasons of new parenthood. I also enjoy working with birthparents, adoptive families and adoptees coping with identity, reunion, and grief issues.
(504) 370-9972 View (504) 370-9972
Photo of Gabrielle Nata, Provisional Licensed Professional Counselor in 70005, LA
Gabrielle Nata
Provisional Licensed Professional Counselor, MA, PLPC
Verified Verified
1 Endorsed
Metairie, LA 70005
I specialize in couples and families navigating life transitions, pre-marital or pre-commitment preparation, parenting challenges, high conflict, intimacy and sexual dissatisfaction, and managing relationships with ADHD, anxiety, and depression. Throughout our lives we learn behaviors and patterns that offer a sense of safety, but later become ineffective and difficult to change. This often isn't realized until it impacts our relationships and feels like our world is unraveling. Together we can calm the chaos of the present to feel safe enough to change the patterns from the past impacting your life today.
I specialize in couples and families navigating life transitions, pre-marital or pre-commitment preparation, parenting challenges, high conflict, intimacy and sexual dissatisfaction, and managing relationships with ADHD, anxiety, and depression. Throughout our lives we learn behaviors and patterns that offer a sense of safety, but later become ineffective and difficult to change. This often isn't realized until it impacts our relationships and feels like our world is unraveling. Together we can calm the chaos of the present to feel safe enough to change the patterns from the past impacting your life today.
(504) 294-5346 View (504) 294-5346
Photo of Randy L. Hess, MSW, LCSW, Clinical Social Work/Therapist in 70005, LA
Randy L. Hess, MSW, LCSW
Clinical Social Work/Therapist, MSW, LCSW, ACSW, BCD
Verified Verified
Metairie, LA 70005  (Online Only)
I treat a variety of issues but the issues I am best suited to treating are anger management and anxiety and depression.
I treat a variety of issues but the issues I am best suited to treating are anger management and anxiety and depression.
(504) 208-2732 View (504) 208-2732
Photo of Beth Cooney, Clinical Social Work/Therapist in 70005, LA
Beth Cooney
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
1 Endorsed
Metairie, LA 70005
Everyone has times in their life when they could really benefit from therapy. Taking the first step can be hard but it will help you feel so much better. I am passionate about helping my clients live a happy life and becoming their best self. Many people come to therapy because they feel stuck. I offer a warm and supportive environment to help my clients through their toughest times. I work with children, adolescents and adults struggling with self-esteem, anxiety, depression, post-traumatic stress, grief and loss. I help clients with adjustment problems, relationship difficulties and life transitions.
Everyone has times in their life when they could really benefit from therapy. Taking the first step can be hard but it will help you feel so much better. I am passionate about helping my clients live a happy life and becoming their best self. Many people come to therapy because they feel stuck. I offer a warm and supportive environment to help my clients through their toughest times. I work with children, adolescents and adults struggling with self-esteem, anxiety, depression, post-traumatic stress, grief and loss. I help clients with adjustment problems, relationship difficulties and life transitions.
View
Photo of Susan E Carazo, Licensed Professional Counselor in 70005, LA
Susan E Carazo
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Metairie, LA 70005
As a Licensed Professional Counselor, I work with adolescents and adults on a variety of issues. I have a special interest in working with individuals experiencing depression, anxiety, relationship issues, and women's issues. By understanding how debilitating these issues can be, I provide an empathic and safe place to begin the counseling process. I enjoy working collaboratively with clients to overcome the symptoms of their issues.
As a Licensed Professional Counselor, I work with adolescents and adults on a variety of issues. I have a special interest in working with individuals experiencing depression, anxiety, relationship issues, and women's issues. By understanding how debilitating these issues can be, I provide an empathic and safe place to begin the counseling process. I enjoy working collaboratively with clients to overcome the symptoms of their issues.
(504) 315-1122 View (504) 315-1122
Photo of Brandi Plaisance, Clinical Social Work/Therapist in 70005, LA
Brandi Plaisance
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Metairie, LA 70005
Say yes to yourself this time. It is hard to envision carrying it all. You've learned to appear like you have it all figured out, but internally, you feel disconnected & empty. You wonder how you can return to normal, when you don't quite know what normal is anymore. Your energy level is depleted. You feel like you are surviving on autopilot, but not truly living. Perhaps you are in a relationship that no longer feels sustainable. You don't have to navigate this alone. Thriving is possible. You've come to the right place and I'm here to help. To learn more, I welcome you to visit my website: www.RenewedHopePsychotherapy.com
Say yes to yourself this time. It is hard to envision carrying it all. You've learned to appear like you have it all figured out, but internally, you feel disconnected & empty. You wonder how you can return to normal, when you don't quite know what normal is anymore. Your energy level is depleted. You feel like you are surviving on autopilot, but not truly living. Perhaps you are in a relationship that no longer feels sustainable. You don't have to navigate this alone. Thriving is possible. You've come to the right place and I'm here to help. To learn more, I welcome you to visit my website: www.RenewedHopePsychotherapy.com
(504) 414-6271 View (504) 414-6271
Photo of Re:birth Counseling, Licensed Professional Counselor in 70005, LA
Re:birth Counseling
Licensed Professional Counselor, LPC, PMH-C
Verified Verified
Metairie, LA 70005
If you're looking for a counselor who is laid back, open minded, and brings a sense of humor into sessions then look no further! My objective is to remove all the stigma and misleading ideas about therapy being stuffy and scary so that your therapeutic journey feels comfortable and completely safe. My focus is working with the perinatal population to cope with anxiety, depression, associated mood disorders, and other postpartum concerns. This includes working with and supporting partners of pregnant people as well! I also focus on general anxiety/depression, identity issues, relationship concerns, and major life changes.
If you're looking for a counselor who is laid back, open minded, and brings a sense of humor into sessions then look no further! My objective is to remove all the stigma and misleading ideas about therapy being stuffy and scary so that your therapeutic journey feels comfortable and completely safe. My focus is working with the perinatal population to cope with anxiety, depression, associated mood disorders, and other postpartum concerns. This includes working with and supporting partners of pregnant people as well! I also focus on general anxiety/depression, identity issues, relationship concerns, and major life changes.
(504) 414-4428 View (504) 414-4428
Photo of Noelle Raymond, Clinical Social Work/Therapist in 70005, LA
Noelle Raymond
Clinical Social Work/Therapist, LCSW
Verified Verified
Metairie, LA 70005
Hi there. My name is Noelle Raymond and I am a licensed and skilled psychotherapist with several years of clinical experience. In my practice, I utilize various approaches to meet the individual needs of each client which most often include those rooted in psychodynamic, interpersonal, and existential therapy. I also incorporate CBT and DBT skills into my practice to help my clients develop coping tools to take with them outside of the therapy room.
Hi there. My name is Noelle Raymond and I am a licensed and skilled psychotherapist with several years of clinical experience. In my practice, I utilize various approaches to meet the individual needs of each client which most often include those rooted in psychodynamic, interpersonal, and existential therapy. I also incorporate CBT and DBT skills into my practice to help my clients develop coping tools to take with them outside of the therapy room.
(504) 788-1577 View (504) 788-1577
Photo of Betsey Backe, Clinical Social Work/Therapist in 70005, LA
Betsey Backe
Clinical Social Work/Therapist, LCSW
Verified Verified
Metairie, LA 70005
My primary work is helping families navigate the challenges of separation, divorce and remarriage. My goal is to keep children out of the middle of their parent's divorce. Extra help and support are often needed for families to be able to successfully navigate the challenges separation, divorce and remarriage can bring.
My primary work is helping families navigate the challenges of separation, divorce and remarriage. My goal is to keep children out of the middle of their parent's divorce. Extra help and support are often needed for families to be able to successfully navigate the challenges separation, divorce and remarriage can bring.
(504) 613-4257 View (504) 613-4257
Photo of Misty Vix, Licensed Professional Counselor in 70005, LA
Misty Vix
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Metairie, LA 70005
Welcome and thank you for your consideration! I am a Licensed Professional Counselor (LPC) in the state of Louisiana and also board certified by The National Board for Certified Counselors (NBCC). I love the work that I do and am passionate about joining with individuals to address their concerns.I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD. I also helped many people who have experienced physical trauma or emotional abuse.
Welcome and thank you for your consideration! I am a Licensed Professional Counselor (LPC) in the state of Louisiana and also board certified by The National Board for Certified Counselors (NBCC). I love the work that I do and am passionate about joining with individuals to address their concerns.I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, OCD and ADHD. I also helped many people who have experienced physical trauma or emotional abuse.
(504) 226-7437 View (504) 226-7437
Photo of Devin Farrell, Pre-Licensed Professional in 70005, LA
Devin Farrell
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
1 Endorsed
Metairie, LA 70005
I specialize in preteens and teens who are seeking to make sense of themselves and their interactions with the world. At such a critical time in life, one is continuously discovering and forming an identity, values, and coming to terms with how personal choices impact self-esteem, peer and familial dynamics, and the school experience. Together, your child and I work to foster personal growth, emotional awareness and regulation, and to empower them in their development towards a sense of self and purpose. Though most of my experience involves working within the school system, I welcome individuals of all ages.
I specialize in preteens and teens who are seeking to make sense of themselves and their interactions with the world. At such a critical time in life, one is continuously discovering and forming an identity, values, and coming to terms with how personal choices impact self-esteem, peer and familial dynamics, and the school experience. Together, your child and I work to foster personal growth, emotional awareness and regulation, and to empower them in their development towards a sense of self and purpose. Though most of my experience involves working within the school system, I welcome individuals of all ages.
(504) 608-3052 View (504) 608-3052
Photo of Kendra Williams, Licensed Professional Counselor in 70005, LA
Kendra Williams
Licensed Professional Counselor, LPC, NCC
Verified Verified
Metairie, LA 70005
Waitlist for new clients
I admire your courage to become intentional about improving the course of your life and/or relationships by exploring therapy. If you feel stagnant after exhausting your efforts to find resolution, I am here to join the context of your reality to facilitate progress through collaboration and uncovering your strengths. My expertise is in healing relationships, setting boundaries, and addressing transgenerational trauma that perpetuates emotional wounds and negative cycles. I am willing to carry hope for you until you gain the confidence to do so for yourself. I will work as diligently as your commitment is to the process.
I admire your courage to become intentional about improving the course of your life and/or relationships by exploring therapy. If you feel stagnant after exhausting your efforts to find resolution, I am here to join the context of your reality to facilitate progress through collaboration and uncovering your strengths. My expertise is in healing relationships, setting boundaries, and addressing transgenerational trauma that perpetuates emotional wounds and negative cycles. I am willing to carry hope for you until you gain the confidence to do so for yourself. I will work as diligently as your commitment is to the process.
(504) 434-7807 View (504) 434-7807
Photo of Laura Fisette, Licensed Professional Counselor in 70005, LA
Laura Fisette
Licensed Professional Counselor, MHS, LPC, CRC
Verified Verified
Metairie, LA 70005
Are you a caregiver trying to balance the stresses of life while providing for someone you love? Maybe you are a parent to a child going through difficult behaviors, feelings, or health concerns. Or maybe you are recently caring for your own parents or spouse and you are trying to figure out how to navigate this. Life is full of challenges, changes, and transitions and It can be hard to find our way through it. Sometimes we can feel alone in our struggle and it can be overwhelming to know where to start in this process. I believe one of the most important factors in overcoming our struggles is connection and support.
Are you a caregiver trying to balance the stresses of life while providing for someone you love? Maybe you are a parent to a child going through difficult behaviors, feelings, or health concerns. Or maybe you are recently caring for your own parents or spouse and you are trying to figure out how to navigate this. Life is full of challenges, changes, and transitions and It can be hard to find our way through it. Sometimes we can feel alone in our struggle and it can be overwhelming to know where to start in this process. I believe one of the most important factors in overcoming our struggles is connection and support.
(504) 420-3702 View (504) 420-3702
Photo of NOLA Counseling Center, Licensed Professional Counselor in 70005, LA
NOLA Counseling Center
Licensed Professional Counselor, PhD, LPC-S, NCC
Verified Verified
1 Endorsed
Metairie, LA 70005
Welcome, I am a licensed professional counselor offering a confidential atmosphere of respect and compassion where you can express your concerns and feelings through supportive listening and expert guidance. I work with you to strengthen your self-awareness and personal empowerment helping to improve your tools to make conscious, positive changes which can improve your life experiences. I work with individuals and families experiencing the range of issues that bring people into therapy: depression, divorce, substance abuse, child behavior problems, relationship issues, adolescent issues, etc.
Welcome, I am a licensed professional counselor offering a confidential atmosphere of respect and compassion where you can express your concerns and feelings through supportive listening and expert guidance. I work with you to strengthen your self-awareness and personal empowerment helping to improve your tools to make conscious, positive changes which can improve your life experiences. I work with individuals and families experiencing the range of issues that bring people into therapy: depression, divorce, substance abuse, child behavior problems, relationship issues, adolescent issues, etc.
(504) 315-1617 View (504) 315-1617

How does your Therapist compare?

Number of Therapists in 70005

100+

Average cost per session

$125

Therapists in 70005 who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
79% Self Esteem
75% Coping Skills
71% Stress
67% Grief

Average years in practice

10 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
59% UnitedHealthcare UHC | UBH
46% Aetna

How Therapists in 70005 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

88% Female
11% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 70005?

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.