Therapists in 89434

Photo of Danielle Becker, Pre-Licensed Professional, CSW-I
Danielle Becker
Pre-Licensed Professional, CSW-I
Sparks, NV 89434
Now accepting new clients! Maybe you are feeling burned out, stuck in survival mode, or constantly overwhelmed. You might feel like you’re repeating the same patterns in relationships, with family, or with yourself. Maybe you feel disconnected from your body or overwhelmed by your thoughts. Therapy can be a great place to slow down, reconnect and heal. My clients want a safe and supportive space to be heard, seen and understood. I especially love empowering girls and women to understand themselves and their bodies.
Now accepting new clients! Maybe you are feeling burned out, stuck in survival mode, or constantly overwhelmed. You might feel like you’re repeating the same patterns in relationships, with family, or with yourself. Maybe you feel disconnected from your body or overwhelmed by your thoughts. Therapy can be a great place to slow down, reconnect and heal. My clients want a safe and supportive space to be heard, seen and understood. I especially love empowering girls and women to understand themselves and their bodies.
(775) 305-4310 View (775) 305-4310
Photo of LaQunana Cistrunk, Clinical Social Work/Therapist, LCSW
LaQunana Cistrunk
Clinical Social Work/Therapist, LCSW
Sparks, NV 89434
I help individuals navigate life transitions, trauma, relationship stress, anxiety, and the parts of themselves they’ve been carrying alone for too long. My approach is warm, honest, and empowering—focused on helping you heal, grow, and regain control of your life. My approach is collaborative, honest, and grounded in real-life tools clients can use immediately. I help you identify patterns, understand your emotions, and build healthier ways of coping, all while providing a space where you feel seen and supported. I believe in meeting clients exactly where they are and helping them move toward where they want to go.
I help individuals navigate life transitions, trauma, relationship stress, anxiety, and the parts of themselves they’ve been carrying alone for too long. My approach is warm, honest, and empowering—focused on helping you heal, grow, and regain control of your life. My approach is collaborative, honest, and grounded in real-life tools clients can use immediately. I help you identify patterns, understand your emotions, and build healthier ways of coping, all while providing a space where you feel seen and supported. I believe in meeting clients exactly where they are and helping them move toward where they want to go.
(775) 640-8846 View (775) 640-8846
Photo of Stephanie Seiler, Clinical Social Work/Therapist, LCSW
Stephanie Seiler
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
When you’re constantly tending to everyone else’s needs, it’s easy to feel stretched thin, overlooked, or quietly overwhelmed. If you’ve spent years being the dependable one - the person who shows up, steps in, and keeps everything moving - therapy provides a structured environment to examine the patterns that keep you overwhelmed, understand the impact of chronic stress, and develop skills that support healthier boundaries and emotional balance. You deserve a space where your feelings matter, your exhaustion is understood, and your story is met with real care.
When you’re constantly tending to everyone else’s needs, it’s easy to feel stretched thin, overlooked, or quietly overwhelmed. If you’ve spent years being the dependable one - the person who shows up, steps in, and keeps everything moving - therapy provides a structured environment to examine the patterns that keep you overwhelmed, understand the impact of chronic stress, and develop skills that support healthier boundaries and emotional balance. You deserve a space where your feelings matter, your exhaustion is understood, and your story is met with real care.
(725) 307-4324 View (725) 307-4324
Photo of Kathryn Hill, Marriage & Family Therapist, LMFT
Kathryn Hill
Marriage & Family Therapist, LMFT
Serves Area
Time and Again ...we give our best efforts to rediscovering the marvelous qualities common to the early stages of falling in love and to evoking the richer dimensions of family life, and yet... We end up ...confused and disappointed, broken-hearted, enraged and ready to quit. Why? Because ...few of us were taught how to cultivate the emotional resources and practical skills for negotiating the daily complexities of living and loving. But the art of living --like all art--requires skill, discipline and persistence. Individuals and families who take this path do so because their love for whom they love demands it.
Time and Again ...we give our best efforts to rediscovering the marvelous qualities common to the early stages of falling in love and to evoking the richer dimensions of family life, and yet... We end up ...confused and disappointed, broken-hearted, enraged and ready to quit. Why? Because ...few of us were taught how to cultivate the emotional resources and practical skills for negotiating the daily complexities of living and loving. But the art of living --like all art--requires skill, discipline and persistence. Individuals and families who take this path do so because their love for whom they love demands it.
(775) 232-4554 View (775) 232-4554
Photo of Jodi Jones, Clinical Social Work/Therapist, LCSW
Jodi Jones
Clinical Social Work/Therapist, LCSW
Serves Area
I am a clinical social worker with experience in behavioral models of treatment that support change processes to help you reach your personally defined life goals. Starting from the therapeutic view that all we do encompasses behavior, that all behaviors are learned, and that behaviors make sense in response to our life experiences, we can collaborate on what treatment models will be your best fit.
I am a clinical social worker with experience in behavioral models of treatment that support change processes to help you reach your personally defined life goals. Starting from the therapeutic view that all we do encompasses behavior, that all behaviors are learned, and that behaviors make sense in response to our life experiences, we can collaborate on what treatment models will be your best fit.
(775) 571-7371 View (775) 571-7371
Photo of Amy Reha - Full Circle Counseling, Licensed Professional Counselor, LCPC, NCC, EMDR, DBT-A, MDFT
Full Circle Counseling
Licensed Professional Counselor, LCPC, NCC, EMDR, DBT-A, MDFT
Serves Area
Amy Reha, Trauma Therapist— 360 Los Altos Parkway Sparks, Nevada- Feel like your anxiety, OCD, ADHD, or PTSD is too overwhelming to share? Like your struggles are too big, too heavy, or too much? They’re not. For over a decade, I’ve walked alongside people in the heart of their storms—trauma, crisis, or spiraling thoughts—and I’m here to meet you in yours with calm, empathy, and a touch of humor. You don’t have to face this alone. Whether it’s recent or past trauma, relationship struggles, or feeling disconnected from your authentic self, I can help you rewrite your story. Ready to break free from the patterns holding you back?
Amy Reha, Trauma Therapist— 360 Los Altos Parkway Sparks, Nevada- Feel like your anxiety, OCD, ADHD, or PTSD is too overwhelming to share? Like your struggles are too big, too heavy, or too much? They’re not. For over a decade, I’ve walked alongside people in the heart of their storms—trauma, crisis, or spiraling thoughts—and I’m here to meet you in yours with calm, empathy, and a touch of humor. You don’t have to face this alone. Whether it’s recent or past trauma, relationship struggles, or feeling disconnected from your authentic self, I can help you rewrite your story. Ready to break free from the patterns holding you back?
(775) 235-2870 View (775) 235-2870
Photo of Stacey Harlan, Marriage & Family Therapist, MFT
Stacey Harlan
Marriage & Family Therapist, MFT
1 Endorsed
Serves Area
I work with ages 16 and up navigating anxiety, depression, trauma, addiction, and life transitions. Many feel stuck, overwhelmed, or disconnected in relationships. Together, we identify patterns, build insight, and develop practical tools to create meaningful, lasting change.
I work with ages 16 and up navigating anxiety, depression, trauma, addiction, and life transitions. Many feel stuck, overwhelmed, or disconnected in relationships. Together, we identify patterns, build insight, and develop practical tools to create meaningful, lasting change.
(775) 393-9212 View (775) 393-9212
Photo of Lisa Millar, Marriage & Family Therapist, EdS, LMFT
Lisa Millar
Marriage & Family Therapist, EdS, LMFT
Serves Area
Lisa enjoys working with families, couples and individuals and uses an eclectic blend of theories to help people with anxiety, depression, grief and loss, relationship problems, trauma, communication and family difficulties. Further, Lisa has been intensively trained in CBT and DBT and has significant experience working with at risk adolescents in outpatient settings, as well as juvenile detention system and residential treatment. Lisa completed additional studies and is certified as a grief therapist through PESI.
Lisa enjoys working with families, couples and individuals and uses an eclectic blend of theories to help people with anxiety, depression, grief and loss, relationship problems, trauma, communication and family difficulties. Further, Lisa has been intensively trained in CBT and DBT and has significant experience working with at risk adolescents in outpatient settings, as well as juvenile detention system and residential treatment. Lisa completed additional studies and is certified as a grief therapist through PESI.
(775) 319-5139 View (775) 319-5139
Photo of Kristen Susan Langford, Marriage & Family Therapist Intern, LMFTi, MAED
Kristen Susan Langford
Marriage & Family Therapist Intern, LMFTi, MAED
Serves Area
Anxiety. Depression. Life transitions. Grief. Parenting. Trauma. In-Person and Online/Telehealth appointments for individuals, couples and families in Northern Nevada. I meet you where you are and walk with you in your journey, helping you navigate challenges, reframe negative patterns, and become more present. I specialize in working with families, children, and adolescents, and welcome neurodiverse clients. My experience supports meaningful healing through grief and loss.
Anxiety. Depression. Life transitions. Grief. Parenting. Trauma. In-Person and Online/Telehealth appointments for individuals, couples and families in Northern Nevada. I meet you where you are and walk with you in your journey, helping you navigate challenges, reframe negative patterns, and become more present. I specialize in working with families, children, and adolescents, and welcome neurodiverse clients. My experience supports meaningful healing through grief and loss.
(775) 259-0341 View (775) 259-0341
Photo of Julia Victoria Riggleman, LMSW, CSWI
Julia Victoria Riggleman
Verified Verified
2 Endorsed
Serves Area
Living with OCD or anxiety in the Reno/Sparks area can feel isolating. I hear the exhaustion in your stress, and I’m ready to help you reclaim the life that fear has taken from you. I specialize in compassionate exposure therapies for those ready to face the discomfort of uncertainty to find lasting freedom. My ideal patient is ready to prioritize long-term relief over short-term comfort; you want to stop surviving and start living. We’ll lean into the fear together, dismantling shame, intrusive thoughts, panic, avoidance, and more one step at a time. You deserve a life defined by your values, not your anxiety.
Living with OCD or anxiety in the Reno/Sparks area can feel isolating. I hear the exhaustion in your stress, and I’m ready to help you reclaim the life that fear has taken from you. I specialize in compassionate exposure therapies for those ready to face the discomfort of uncertainty to find lasting freedom. My ideal patient is ready to prioritize long-term relief over short-term comfort; you want to stop surviving and start living. We’ll lean into the fear together, dismantling shame, intrusive thoughts, panic, avoidance, and more one step at a time. You deserve a life defined by your values, not your anxiety.
(775) 238-3373 View (775) 238-3373
Photo of Stephen Mayville, Psychologist, PhD
Stephen Mayville
Psychologist, PhD
1 Endorsed
Serves Area
I offer Cognitive-Behavioral Therapy (CBT) to individuals, couples, and families. I have over 28 years of combined training and clinical experience. My work as a clinical psychologist spans across a wide range of clients and includes both adults and children.
I offer Cognitive-Behavioral Therapy (CBT) to individuals, couples, and families. I have over 28 years of combined training and clinical experience. My work as a clinical psychologist spans across a wide range of clients and includes both adults and children.
(775) 583-5273 View (775) 583-5273
Photo of Rachel Goforth - Nurtured Nested, Licensed Professional Counselor, CPC
Nurtured Nested
Licensed Professional Counselor, CPC
Serves Area
The owner of Nurtured Nested is Rachel Goforth, LPC, PMH-C. She has a Master's of Science in Mental Health Counseling, focusing in Clinical Professional Counseling and a licensed CPC in Nevada and a certified Perinatal Mental Health Counselor. Practice provides other therapist that have various backgrounds and trainings that can fit other needs.
The owner of Nurtured Nested is Rachel Goforth, LPC, PMH-C. She has a Master's of Science in Mental Health Counseling, focusing in Clinical Professional Counseling and a licensed CPC in Nevada and a certified Perinatal Mental Health Counselor. Practice provides other therapist that have various backgrounds and trainings that can fit other needs.
(775) 204-3576 View (775) 204-3576
Photo of Dr. Beverly J. Paschal, Marriage & Family Therapist, PhD, MA, MFT, IO
Dr. Beverly J. Paschal
Marriage & Family Therapist, PhD, MA, MFT, IO
Serves Area
I am in my 31st year of practice as a Licensed Marriage and Family Therapist. I graduated in 1995 with my Master's in Marriage and Family Therapy, and in March 2016, with dual PhD degrees. One PhD is in Clinical Psychology and the other PhD in Industrial and Organizational Psychology. I find great success working with "high conflict" divorce and custody issues to make life easier for all involved. I do custody evaluations and reunifications. I work with First Responders, especially regarding Critical Incidents and PTSD. I also specialize in Trichotillomania (hair pulling) and work with people of all ages with OCD.
I am in my 31st year of practice as a Licensed Marriage and Family Therapist. I graduated in 1995 with my Master's in Marriage and Family Therapy, and in March 2016, with dual PhD degrees. One PhD is in Clinical Psychology and the other PhD in Industrial and Organizational Psychology. I find great success working with "high conflict" divorce and custody issues to make life easier for all involved. I do custody evaluations and reunifications. I work with First Responders, especially regarding Critical Incidents and PTSD. I also specialize in Trichotillomania (hair pulling) and work with people of all ages with OCD.
(775) 257-8761 View (775) 257-8761
Photo of James Ferguson-Lambert, Clinical Social Work/Therapist, LCSW, PRSS-S
James Ferguson-Lambert
Clinical Social Work/Therapist, LCSW, PRSS-S
Online Only
My ideal client is someone who feels stuck—perhaps weighed down by anxiety, depression, trauma, or the stress of major life changes and is ready to find a way forward. They may be navigating difficult relationships, adjusting to new roles, managing the effects of past experiences, or trying to break free from unhealthy patterns. What they want most is to feel balanced, confident, and connected again to rediscover their strengths and live a life that feels meaningful and authentic.
My ideal client is someone who feels stuck—perhaps weighed down by anxiety, depression, trauma, or the stress of major life changes and is ready to find a way forward. They may be navigating difficult relationships, adjusting to new roles, managing the effects of past experiences, or trying to break free from unhealthy patterns. What they want most is to feel balanced, confident, and connected again to rediscover their strengths and live a life that feels meaningful and authentic.
(775) 256-8523 View (775) 256-8523
Photo of Lisa Marie Caswell, Clinical Social Work/Therapist, LCSW
Lisa Marie Caswell
Clinical Social Work/Therapist, LCSW
Online Only
Struggling with anxiety, trauma, or feeling stuck in painful relationship patterns? I help adults and couples break those cycles and regain a sense of control, clarity, and connection. Together, we can work on breaking down the barriers that are holding you back. By shifting your mindset today, you can significantly influence your future and move towards a place of freedom and fulfillment. I believe that through collaboration, we can develop a tailored plan that not only inspires change but also leads to tangible results. You are not alone in this journey, and together, we can navigate the path to a brighter tomorrow.
Struggling with anxiety, trauma, or feeling stuck in painful relationship patterns? I help adults and couples break those cycles and regain a sense of control, clarity, and connection. Together, we can work on breaking down the barriers that are holding you back. By shifting your mindset today, you can significantly influence your future and move towards a place of freedom and fulfillment. I believe that through collaboration, we can develop a tailored plan that not only inspires change but also leads to tangible results. You are not alone in this journey, and together, we can navigate the path to a brighter tomorrow.
(775) 485-5007 View (775) 485-5007
Photo of Chris Chandler, Counselor, CPC, LPC, CSAT-S
Chris Chandler
Counselor, CPC, LPC, CSAT-S
Online Only
I am a Christian counselor/coach and I am passionate about helping men experience freedom from compulsive behaviors and, as a result, a deeper connection with God, themselves, and others. I specialize in helping men struggling with addictive and compulsive behaviors like pornography, sex, drugs, alcohol, food, work, video games, relationships, etc. After more than 20 years of experience, I have found that true lasting healing does not happen in isolation. Weekly recovery groups provide the accountability, honesty, and brotherhood required for lasting transformation. That is why I now fully focus on the power of group work.
I am a Christian counselor/coach and I am passionate about helping men experience freedom from compulsive behaviors and, as a result, a deeper connection with God, themselves, and others. I specialize in helping men struggling with addictive and compulsive behaviors like pornography, sex, drugs, alcohol, food, work, video games, relationships, etc. After more than 20 years of experience, I have found that true lasting healing does not happen in isolation. Weekly recovery groups provide the accountability, honesty, and brotherhood required for lasting transformation. That is why I now fully focus on the power of group work.
(725) 525-4425 View (725) 525-4425
Photo of Arianna Sabloff, Clinical Social Work/Therapist, LCSW
Arianna Sabloff
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
Feeling stuck in your head, unsure of yourself, or overwhelmed by life? Many of my clients come in feeling this way, often alongside anxiety, depression, or the effects of difficult life experiences. I specialize in helping clients strengthen self-trust, build healthier boundaries, and understand the patterns that keep them feeling stuck. In our work together, we slow things down, make sense of what’s happening underneath, and focus on helping you feel more grounded, clear, and like yourself again.
Feeling stuck in your head, unsure of yourself, or overwhelmed by life? Many of my clients come in feeling this way, often alongside anxiety, depression, or the effects of difficult life experiences. I specialize in helping clients strengthen self-trust, build healthier boundaries, and understand the patterns that keep them feeling stuck. In our work together, we slow things down, make sense of what’s happening underneath, and focus on helping you feel more grounded, clear, and like yourself again.
(775) 599-8207 View (775) 599-8207
Photo of April Savage, Clinical Social Work/Therapist, LCSW
April Savage
Clinical Social Work/Therapist, LCSW
Online Only
My name is April Nicole Savage and as a licensed clinical social worker, my therapeutic approach is client-centered, grounded in empathy, collaboration, and evidence-based practices. I focus on fostering a safe and supportive environment where clients can explore their thoughts and feelings, promote self-awareness, and develop coping strategies. My practice areas include trauma-informed care, anxiety and depression management, relationship dynamics, and life transitions, with an emphasis on empowering clients to achieve their personal goals and enhance their overall well-being.
My name is April Nicole Savage and as a licensed clinical social worker, my therapeutic approach is client-centered, grounded in empathy, collaboration, and evidence-based practices. I focus on fostering a safe and supportive environment where clients can explore their thoughts and feelings, promote self-awareness, and develop coping strategies. My practice areas include trauma-informed care, anxiety and depression management, relationship dynamics, and life transitions, with an emphasis on empowering clients to achieve their personal goals and enhance their overall well-being.
(907) 318-1548 View (907) 318-1548
Photo of Lisa Lyn Hargrove, Counselor, LCMHC
Lisa Lyn Hargrove
Counselor, LCMHC
1 Endorsed
Online Only
Starting therapy can feel like a big step. I congratulate you on starting your journey, and I’m here to make sure that it is meaningful to you. I specialize in working with individuals navigating life transitions, anxiety, depression, substance use issues, and trauma. I take a client-centered, collaborative approach to therapy, tailoring each session to your unique needs and goals. I welcome you to reach out whenever you feel ready to begin. I’m here to provide a safe and supportive environment where you can be yourself. I look forward to meeting with you!
Starting therapy can feel like a big step. I congratulate you on starting your journey, and I’m here to make sure that it is meaningful to you. I specialize in working with individuals navigating life transitions, anxiety, depression, substance use issues, and trauma. I take a client-centered, collaborative approach to therapy, tailoring each session to your unique needs and goals. I welcome you to reach out whenever you feel ready to begin. I’m here to provide a safe and supportive environment where you can be yourself. I look forward to meeting with you!
(984) 367-6186 View (984) 367-6186
Photo of Shannon Williams, Licensed Professional Counselor, LCPC
Shannon Williams
Licensed Professional Counselor, LCPC
Online Only
Dr. Shannon is a certified EMDR therapist specializing in trauma and somatic-based interventions. She is a licensed counselor in Nevada and Wisconsin. Her philosophy in care believes that self-knowledge, empowerment, and healing of our unresolved traumas are key to a more functional and fulfilled life. Through her professional journey, Dr. Shannon has worked with a diverse client base from all walks of life. Dr. Shannon is dedicated to working with her clients to reach the goals they set for themselves and to find strength and healing.
Dr. Shannon is a certified EMDR therapist specializing in trauma and somatic-based interventions. She is a licensed counselor in Nevada and Wisconsin. Her philosophy in care believes that self-knowledge, empowerment, and healing of our unresolved traumas are key to a more functional and fulfilled life. Through her professional journey, Dr. Shannon has worked with a diverse client base from all walks of life. Dr. Shannon is dedicated to working with her clients to reach the goals they set for themselves and to find strength and healing.
(478) 400-9302 View (478) 400-9302

See more therapy options for 89434

How does your Therapist compare?

Number of Therapists in 89434

20+

Average cost per session

$145

Therapists in 89434 who prioritize treating:

100% Anxiety
91% Depression
86% Trauma and PTSD
73% Grief
68% Relationship Issues
68% Family Conflict
64% Marriage Counseling

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
78% BlueCross and BlueShield
78% Cigna and Evernorth

How Therapists in 89434 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 89434?

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.