Therapists in 88021

Photo of Angela Lopez, Licensed Professional Clinical Mental Health Counselor, LPCC
Angela Lopez
Licensed Professional Clinical Mental Health Counselor, LPCC
1 Endorsed
Anthony, NM 88021
Hello and welcome. My approach and philosophy are to treat each person as an individual, build on individual strengths, and to promote resiliency and autonomy in my clients. I am open-minded, honest, and willing to adapt to changes. I love helping others and promoting them to help themselves. I am a graduate of New Mexico State University and The University of Texas at El Paso. My areas of expertise are working with children, teens and adults. I have also worked with couples and families. I support the LGTBQ+ community. 12/11/25
Hello and welcome. My approach and philosophy are to treat each person as an individual, build on individual strengths, and to promote resiliency and autonomy in my clients. I am open-minded, honest, and willing to adapt to changes. I love helping others and promoting them to help themselves. I am a graduate of New Mexico State University and The University of Texas at El Paso. My areas of expertise are working with children, teens and adults. I have also worked with couples and families. I support the LGTBQ+ community. 12/11/25
(575) 256-2266 View (575) 256-2266
Photo of Haley Athanaze, Licensed Professional Counselor, LPCC, NCC
Haley Athanaze
Licensed Professional Counselor, LPCC, NCC
Anthony, NM 88021
My name is Haley and I'm a Licensed Professional Clinical Counselor. I graduated from the University of Kentucky in 2019 with my Bachelor's in Psychology. I went on to further my education in counseling and obtained my Master's degree in Clinical Mental Health Counseling from Syracuse University in 2021. I have worked with clients ranging in age from 3 years old to 82 years old and have worked with client's of different backgrounds. Due to being a military spouse, I have experience working with military children, military families, and Veterans. Due to my health background, I can relate to those with chronic health conditions as wel
My name is Haley and I'm a Licensed Professional Clinical Counselor. I graduated from the University of Kentucky in 2019 with my Bachelor's in Psychology. I went on to further my education in counseling and obtained my Master's degree in Clinical Mental Health Counseling from Syracuse University in 2021. I have worked with clients ranging in age from 3 years old to 82 years old and have worked with client's of different backgrounds. Due to being a military spouse, I have experience working with military children, military families, and Veterans. Due to my health background, I can relate to those with chronic health conditions as wel
(575) 500-6109 View (575) 500-6109
Photo of Guillermo A Castaneda Sr, CHT
Guillermo A Castaneda Sr
Not Verified Not Verified
2 Endorsed
Serves Area
Are you feeling overwhelmed by anxiety, weighed down by depression, or struggling to manage anger? Do you lack confidence or feel stuck in habits that are holding you back? Clinical hypnosis can help you regain control, transform limiting patterns, and reconnect with your emotional well-being. I’m Guillermo Castañeda Sr., a specialist clinical hypnotherapist with more than four decades of experience supporting individuals on their journey toward healing and personal growth. My approach is warm, respectful, and results-driven, combining therapeutic insight with effective, evidence-based hypnosis techniques.
Are you feeling overwhelmed by anxiety, weighed down by depression, or struggling to manage anger? Do you lack confidence or feel stuck in habits that are holding you back? Clinical hypnosis can help you regain control, transform limiting patterns, and reconnect with your emotional well-being. I’m Guillermo Castañeda Sr., a specialist clinical hypnotherapist with more than four decades of experience supporting individuals on their journey toward healing and personal growth. My approach is warm, respectful, and results-driven, combining therapeutic insight with effective, evidence-based hypnosis techniques.
(915) 800-7838 View (915) 800-7838
Photo of Cynthia Ordonez-Branco - Evolvement Behavioral Health, Marriage & Family Therapist, MS, LMFT, LADAC
Evolvement Behavioral Health
Marriage & Family Therapist, MS, LMFT, LADAC
3 Endorsed
Serves Area
I enjoy working with clients that want to work on things. I am very honest yet compassionate and caring. I like to help clients look at their puzzle pieces and figure them out. I am not the expert in your life, you are. I am here to help you figure things out. I have worked with trauma, sexual abuse, substance abuse, and family issues. I enjoy working with teens, individuals, couples and families. I work from a family systems perspective so I believe working on the family is important. I use the modality that best suits the client which may include inner child work, mindfulness, processing trauma, and relapse prevention.
I enjoy working with clients that want to work on things. I am very honest yet compassionate and caring. I like to help clients look at their puzzle pieces and figure them out. I am not the expert in your life, you are. I am here to help you figure things out. I have worked with trauma, sexual abuse, substance abuse, and family issues. I enjoy working with teens, individuals, couples and families. I work from a family systems perspective so I believe working on the family is important. I use the modality that best suits the client which may include inner child work, mindfulness, processing trauma, and relapse prevention.
(575) 209-4269 View (575) 209-4269
Photo of Violeta Leon - Alameda Marriage and Family Therapy and Intensive, Marriage & Family Therapist, MS, LAMFT, LSAA
Alameda Marriage and Family Therapy and Intensive
Marriage & Family Therapist, MS, LAMFT, LSAA
1 Endorsed
Serves Area
Hello, my name is Violet. I work with individuals, couples and families who may be struggling with something that they need to change, or who just need to engage in thinking differently about a problem. I am not here to judge anyone, I practice from the perspective that we all deal with things the best that we can, and when we learn better strategies, we do better. Let me help you to learn better strategies.
Hello, my name is Violet. I work with individuals, couples and families who may be struggling with something that they need to change, or who just need to engage in thinking differently about a problem. I am not here to judge anyone, I practice from the perspective that we all deal with things the best that we can, and when we learn better strategies, we do better. Let me help you to learn better strategies.
(575) 222-7944 View (575) 222-7944
Photo of Sandra Gutierrez, Clinical Social Work/Therapist, PhD EdD, LCSW, EMDR, CST, TCTSY-F
Sandra Gutierrez
Clinical Social Work/Therapist, PhD EdD, LCSW, EMDR, CST, TCTSY-F
1 Endorsed
Serves Area
I am an EMDR Consultant and I approach treatment from a holistic perspective. I believe in treating the root of the presenting problem versus solely treating the symptoms. I enjoy supporting patients through their journey of breaking patterns that no longer serve them. My goal is to move patients from a life of survival to one of thriving; giving patients a chance to live a more fulfilling life. Feel free to browse through my practice's website: strengthandhopetherapycenter.com & fill out a new patient form. Anyone can self refer. You may also call or email through here or through the website. Turn around time is usually 24 hrs.
I am an EMDR Consultant and I approach treatment from a holistic perspective. I believe in treating the root of the presenting problem versus solely treating the symptoms. I enjoy supporting patients through their journey of breaking patterns that no longer serve them. My goal is to move patients from a life of survival to one of thriving; giving patients a chance to live a more fulfilling life. Feel free to browse through my practice's website: strengthandhopetherapycenter.com & fill out a new patient form. Anyone can self refer. You may also call or email through here or through the website. Turn around time is usually 24 hrs.
(575) 222-2922 View (575) 222-2922
Photo of Marcel Montanez - Telshor Behavioral Health, Marriage & Family Therapist, PhD, LMFT
Telshor Behavioral Health
Marriage & Family Therapist, PhD, LMFT
4 Endorsed
Serves Area
Therapists at our Telshor Behavioral Health Center provide individual and family therapy for children and adults.   We specialize in family and couple issues and child play therapy.  For those who would rather participate from home, Hippa-compliant teletherapy is provided via live video from experienced therapists.   Whatever type of therapy you are looking for, our seasoned therapists are here to help.
Therapists at our Telshor Behavioral Health Center provide individual and family therapy for children and adults.   We specialize in family and couple issues and child play therapy.  For those who would rather participate from home, Hippa-compliant teletherapy is provided via live video from experienced therapists.   Whatever type of therapy you are looking for, our seasoned therapists are here to help.
(575) 322-7310 View (575) 322-7310
Photo of Camille Cisneroz, Counselor, PhD, LPCC
Camille Cisneroz
Counselor, PhD, LPCC
Serves Area
I believe that everyone has the desire to find happiness on their terms. If you choose counseling to assist in meeting your needs, we can work together. You set the goals; my role is to provide support and feedback in reaching your goals without judgement. I may challenge you along the way but you will make your own choices and decide what is successful for you. I have a PhD in Psychology, a Masters degree in Counseling and Educational Psychology and a Bachelor's in Social Work.
I believe that everyone has the desire to find happiness on their terms. If you choose counseling to assist in meeting your needs, we can work together. You set the goals; my role is to provide support and feedback in reaching your goals without judgement. I may challenge you along the way but you will make your own choices and decide what is successful for you. I have a PhD in Psychology, a Masters degree in Counseling and Educational Psychology and a Bachelor's in Social Work.
(575) 567-4091 View (575) 567-4091
Photo of Dora Caro, Counselor, MA, LPC, LPCC
Dora Caro
Counselor, MA, LPC, LPCC
1 Endorsed
Serves Area
Waitlist for new clients
Did you experience a stressful event in your life? Have you experienced flashbacks, panic attacks, or anxiety? Have you withdrawn from friends, family, or loved ones? Do you need help rebuilding the trust and communication in your relationship? Have you been avoiding fights with your partner? Do you feel like you’re both walking on eggshells, trying not to blow up? Contact me for a consultation and we’ll get started on your journey together! I am a bilingual licensed professional clinical counselor practicing in NM and TX. I provide services to older teens, adults, and couples of different backgrounds, orientations, and dynamics.
Did you experience a stressful event in your life? Have you experienced flashbacks, panic attacks, or anxiety? Have you withdrawn from friends, family, or loved ones? Do you need help rebuilding the trust and communication in your relationship? Have you been avoiding fights with your partner? Do you feel like you’re both walking on eggshells, trying not to blow up? Contact me for a consultation and we’ll get started on your journey together! I am a bilingual licensed professional clinical counselor practicing in NM and TX. I provide services to older teens, adults, and couples of different backgrounds, orientations, and dynamics.
(575) 741-4227 View (575) 741-4227
Photo of Shalan Costa, Marriage & Family Therapist, LMFT
Shalan Costa
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
Now accepting new clients! Hi and Welcome. I am an LMFT in New Mexico at Alameda Behavioral Health and IOP, and I work with families, couples, and individuals. Experience has taught me that no two relationships or challenges are the same, and I love using evidence-based methods to help my clients work through obstacles and life changes in ways that fit their lives and their unique strengths. My goal is to provide a safe space of trust where healing and reparation can occur, and where clients can learn to become their most healthy selves.
Now accepting new clients! Hi and Welcome. I am an LMFT in New Mexico at Alameda Behavioral Health and IOP, and I work with families, couples, and individuals. Experience has taught me that no two relationships or challenges are the same, and I love using evidence-based methods to help my clients work through obstacles and life changes in ways that fit their lives and their unique strengths. My goal is to provide a safe space of trust where healing and reparation can occur, and where clients can learn to become their most healthy selves.
(575) 500-0925 View (575) 500-0925
Photo of Dr. Liza M Fant, Licensed Professional Counselor, PhD, MA, LPC, LPCC
Dr. Liza M Fant
Licensed Professional Counselor, PhD, MA, LPC, LPCC
2 Endorsed
Serves Area
Not accepting new clients
Feeling overwhelmed, stuck, or disconnected? You deserve a safe, compassionate space to explore your thoughts and emotions. I’m here to support you through challenges, whether you're dealing with anxiety, relationship issues, work place conflict, or seeking to improve your overall well-being. Together, we can work towards meaningful change and healing. As a certified Prepare and Enrich facilitator with a passion for strengthening marriages and relationships, I offer a personalized approach to therapy.
Feeling overwhelmed, stuck, or disconnected? You deserve a safe, compassionate space to explore your thoughts and emotions. I’m here to support you through challenges, whether you're dealing with anxiety, relationship issues, work place conflict, or seeking to improve your overall well-being. Together, we can work towards meaningful change and healing. As a certified Prepare and Enrich facilitator with a passion for strengthening marriages and relationships, I offer a personalized approach to therapy.
(915) 800-3152 View (915) 800-3152
Photo of Jennifer Bonalumi - Jennifer Bonalumi, LCSW, LADAC, Clinical Social Work/Therapist, LCSW, LADC
Jennifer Bonalumi, LCSW, LADAC
Clinical Social Work/Therapist, LCSW, LADC
Serves Area
Not accepting new clients
I specialize in working with 13-year-old clients and older. I work with individuals, couples, and families. I have extensive experience working with substance abuse and addiction, mood disorders, and anxiety disorders. I have worked with other clients to a lesser degree that have various other disorders, such as eating disorders, sexual disorders, gender identity issues, those on the autism spectrum, delusional disorders, and psychotic disorders. I believe anyone can change and accomplish reaching their best possible levels of personal and social wellbeing with work and determination.
I specialize in working with 13-year-old clients and older. I work with individuals, couples, and families. I have extensive experience working with substance abuse and addiction, mood disorders, and anxiety disorders. I have worked with other clients to a lesser degree that have various other disorders, such as eating disorders, sexual disorders, gender identity issues, those on the autism spectrum, delusional disorders, and psychotic disorders. I believe anyone can change and accomplish reaching their best possible levels of personal and social wellbeing with work and determination.
(575) 537-1436 View (575) 537-1436
Photo of Cristina Robledo, Clinical Social Work/Therapist, LCSW
Cristina Robledo
Clinical Social Work/Therapist, LCSW
Online Only
Hi! First off, congratulations in taking this first step, it takes a lot to seek help and I am here to help. I am a Licensed Clinical Social Worker based on the border of Texas and New Mexico, with the ability to work in both states.
Hi! First off, congratulations in taking this first step, it takes a lot to seek help and I am here to help. I am a Licensed Clinical Social Worker based on the border of Texas and New Mexico, with the ability to work in both states.
(915) 900-7183 View (915) 900-7183
Photo of Solanja Perez-Rede, Licensed Professional Counselor, LPC
Solanja Perez-Rede
Licensed Professional Counselor, LPC
Online Only
Welcome to therapy! I am so glad that you have decided to take this important step to care for your mental health. I would like to take this opportunity to introduce myself. I have a Master's Degree in Clinical Psychology and I am a Licensed Professional Counselor with over sixteen years in the field of therapy. Throughout my career I have acquired extensive experience working with clients from ages two to one hundred.
Welcome to therapy! I am so glad that you have decided to take this important step to care for your mental health. I would like to take this opportunity to introduce myself. I have a Master's Degree in Clinical Psychology and I am a Licensed Professional Counselor with over sixteen years in the field of therapy. Throughout my career I have acquired extensive experience working with clients from ages two to one hundred.
(915) 272-5832 View (915) 272-5832

More Therapists Nearby

Photo of Velia Estrada, Pre-Licensed Professional, LAMFT
Velia Estrada
Pre-Licensed Professional, LAMFT
Las Cruces, NM 88011
I’m passionate about helping individuals, couples, and families find clarity, connection, and healing. Whether you’re facing anxiety, depression, or life’s daily challenges, I provide a safe, compassionate space to explore what’s holding you back and discover tools for lasting change.
I’m passionate about helping individuals, couples, and families find clarity, connection, and healing. Whether you’re facing anxiety, depression, or life’s daily challenges, I provide a safe, compassionate space to explore what’s holding you back and discover tools for lasting change.
(575) 570-8166 View (575) 570-8166
Photo of Marissa Love - Magnolia Counseling LLC, Counselor, MA, LPCC
Magnolia Counseling LLC
Counselor, MA, LPCC
1 Endorsed
Las Cruces, NM 88011
I believe that relationships are the foundation of an Individual’s life. To cultivate healthy relationships with others we need to have a healthy relationship with ourselves and often times this means getting closer in our Christian faith along with learning relationship skills and changing our mindset about ourselves and others. I currently work with individuals struggling with relationship issues, and I enjoy helping individuals learn how to form healthy attachment styles to have healthy relationships. I enjoy helping individuals increase self acceptance while working on other mental health issues such as anxiety and depression.
I believe that relationships are the foundation of an Individual’s life. To cultivate healthy relationships with others we need to have a healthy relationship with ourselves and often times this means getting closer in our Christian faith along with learning relationship skills and changing our mindset about ourselves and others. I currently work with individuals struggling with relationship issues, and I enjoy helping individuals learn how to form healthy attachment styles to have healthy relationships. I enjoy helping individuals increase self acceptance while working on other mental health issues such as anxiety and depression.
(575) 214-3658 View (575) 214-3658
Photo of Jason Wyatt, Counselor, MA, LPCC
Jason Wyatt
Counselor, MA, LPCC
Las Cruces, NM 88007
As a therapist my driving passions are to help people overcome trauma, de-stigmatize mental health, and advocate for counseling, not just as a means of addressing mental illness but as a tool for self-exploration, healing, and growth. I know that therapy, or any commitment to change for that matter, can be scary and uncomfortable at times but I provide a calming space and an empathetic and unconditionally caring partner in your journey of self-discovery, healing, and growth. I truly believe that counseling can be a means to a better, more satisfying and comfortable life for everyone.
As a therapist my driving passions are to help people overcome trauma, de-stigmatize mental health, and advocate for counseling, not just as a means of addressing mental illness but as a tool for self-exploration, healing, and growth. I know that therapy, or any commitment to change for that matter, can be scary and uncomfortable at times but I provide a calming space and an empathetic and unconditionally caring partner in your journey of self-discovery, healing, and growth. I truly believe that counseling can be a means to a better, more satisfying and comfortable life for everyone.
(575) 205-4678 View (575) 205-4678
Photo of Brittany Devine, Counselor, LMHC, LPCC
Brittany Devine
Counselor, LMHC, LPCC
Serves Area
You feel everything deeply- overwhelmed by life’s demands, drained by social interactions, and caught in cycles of overthinking. Anxiety, depression, and burnout may leave you exhausted, questioning if you’re "too sensitive." Your emotions, intuition, and empathy are valuable. I offer a safe, compassionate space where you can feel understood, not judged. Together, we’ll honor your depth while finding tools to navigate life with more ease and confidence. Instead of trying to be ‘less sensitive,’ let’s find ways to support and honor your unique way of experiencing life—relief and balance are possible!
You feel everything deeply- overwhelmed by life’s demands, drained by social interactions, and caught in cycles of overthinking. Anxiety, depression, and burnout may leave you exhausted, questioning if you’re "too sensitive." Your emotions, intuition, and empathy are valuable. I offer a safe, compassionate space where you can feel understood, not judged. Together, we’ll honor your depth while finding tools to navigate life with more ease and confidence. Instead of trying to be ‘less sensitive,’ let’s find ways to support and honor your unique way of experiencing life—relief and balance are possible!
(812) 487-4244 View (812) 487-4244
Photo of Don W Hume, Psychologist, PhD
Don W Hume
Psychologist, PhD
Las Cruces, NM 88001
Therapy can help people find solutions and reduce their anxiety, depression and daily turmoil, as they learn new ways to deal with life's problems. People experience "problems in living" in their every day lives. Free from judgment or unrealistic expectations, a therapeutic relationship can help deal with life issues. People attempt in inadequate ways to deal with them, and develop symptoms that are unique to them and are sometimes not helpful in dealing with their issues. A therapy relationship is a totally private, non-judgmental and personal relationship to help you deal with the problems in your life.
Therapy can help people find solutions and reduce their anxiety, depression and daily turmoil, as they learn new ways to deal with life's problems. People experience "problems in living" in their every day lives. Free from judgment or unrealistic expectations, a therapeutic relationship can help deal with life issues. People attempt in inadequate ways to deal with them, and develop symptoms that are unique to them and are sometimes not helpful in dealing with their issues. A therapy relationship is a totally private, non-judgmental and personal relationship to help you deal with the problems in your life.
(575) 448-8853 View (575) 448-8853
Photo of Stephany Carlson, Marriage & Family Therapist, MS, LMFT
Stephany Carlson
Marriage & Family Therapist, MS, LMFT
Las Cruces, NM 88005
Life can be a lot. Especially when you're trying to figure out who you are, what matters to you, or how to handle everything that’s going on. Whether you're feeling overwhelmed, anxious, or stuck, you don’t have to go through it alone. I work with teens, adults, and families who are navigating mental health challenges, tough relationships, school stress, identity questions, and everything in between. My goal is to create a space where you feel truly seen, heard, and supported without judgment.
Life can be a lot. Especially when you're trying to figure out who you are, what matters to you, or how to handle everything that’s going on. Whether you're feeling overwhelmed, anxious, or stuck, you don’t have to go through it alone. I work with teens, adults, and families who are navigating mental health challenges, tough relationships, school stress, identity questions, and everything in between. My goal is to create a space where you feel truly seen, heard, and supported without judgment.
(575) 586-3436 View (575) 586-3436

See more therapy options for 88021

How does your Therapist compare?

Number of Therapists in 88021

10+

Average cost per session

$130

Therapists in 88021 who prioritize treating:

100% Anxiety
93% Depression
93% Trauma and PTSD
86% Self Esteem
79% Family Conflict
79% Coping Skills
71% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
67% Medicaid
58% Presbyterian

How Therapists in 88021 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 88021?

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.