Photo of Irene Vecchio, Marriage & Family Therapist in 92023, CA
Irene Vecchio
Marriage & Family Therapist, MA, MFT
Verified Verified
Encinitas, CA 92023  (Online Only)
I believe that effective therapy does not necessarily have to be difficult, painful or long-term. I specialize in Collaborative, Narrative and Solution-Focused approaches to help clients overcome challenges and create solutions and change. I see individuals as truly heroic, struggling against problems rather than "having" or "being" the problem. This can allow your inherent knowledge, strengths and resources to emerge, opening new possibilities for change and growth.
I believe that effective therapy does not necessarily have to be difficult, painful or long-term. I specialize in Collaborative, Narrative and Solution-Focused approaches to help clients overcome challenges and create solutions and change. I see individuals as truly heroic, struggling against problems rather than "having" or "being" the problem. This can allow your inherent knowledge, strengths and resources to emerge, opening new possibilities for change and growth.
(760) 237-8872 View (760) 237-8872
Photo of Sarah Rewers, Marriage & Family Therapist in 92023, CA
Sarah Rewers
Marriage & Family Therapist, MA , LMFT
Verified Verified
2 Endorsed
Encinitas, CA 92023
Many of my clients approach me feeling overwhelmed, anxious, depressed, or burnt out. I’m an experienced therapist who works well with individuals navigating relationship challenges, life transitions, and boundary setting. My approach to psychotherapy is to provide you with a free and protected space to express difficult thoughts and feelings and to facilitate the emergence of your authentic self.
Many of my clients approach me feeling overwhelmed, anxious, depressed, or burnt out. I’m an experienced therapist who works well with individuals navigating relationship challenges, life transitions, and boundary setting. My approach to psychotherapy is to provide you with a free and protected space to express difficult thoughts and feelings and to facilitate the emergence of your authentic self.
(415) 594-4965 View (415) 594-4965
Photo of Jenessa Goodman, Marriage & Family Therapist in 92023, CA
Jenessa Goodman
Marriage & Family Therapist, MA, LMFT, MFTA
Verified Verified
3 Endorsed
Encinitas, CA 92023  (Online Only)
Do you feel like a misunderstood weirdo, even though you might look normal? I’ve got your back. Feel cramped by societal expectations and want to find the freedom and empowerment to be fully yourself? Step into my (virtual) office. I want to work with you if you are on the precipice of change, or in the throes of shedding the skin of your former self. I want to work with you if, somewhere in there, you suspect that these times are the ones that hone our edges, define who we are and are not, and allow us to emerge from the ashes more empowered, brighter, stronger, and more fully in ownership of our truth.
Do you feel like a misunderstood weirdo, even though you might look normal? I’ve got your back. Feel cramped by societal expectations and want to find the freedom and empowerment to be fully yourself? Step into my (virtual) office. I want to work with you if you are on the precipice of change, or in the throes of shedding the skin of your former self. I want to work with you if, somewhere in there, you suspect that these times are the ones that hone our edges, define who we are and are not, and allow us to emerge from the ashes more empowered, brighter, stronger, and more fully in ownership of our truth.
(858) 295-1963 View (858) 295-1963
Photo of Jenifer Finkelstein, Counselor in 92023, CA
Jenifer Finkelstein
Counselor, MEd, LPCC 44, NCC
Verified Verified
5 Endorsed
Encinitas, CA 92023  (Online Only)
New Moms - I’m happy to talk with you about transitioning to parenthood, growing your family, and how these early days, weeks, months, and even years can bring so many challenges and even emotional pain. Being responsible for a new little human can feel overwhelming. It’s not your fault, you can do this, and you don’t need to go at it alone. There may be other relationships to manage with a partner or other children, a lack of sleep, and lots of self-doubt fed by the opinions of others and contradictory information to untangle. Let’s figure things out in a way that puts you on a path to parenting success that is just right for you.
New Moms - I’m happy to talk with you about transitioning to parenthood, growing your family, and how these early days, weeks, months, and even years can bring so many challenges and even emotional pain. Being responsible for a new little human can feel overwhelming. It’s not your fault, you can do this, and you don’t need to go at it alone. There may be other relationships to manage with a partner or other children, a lack of sleep, and lots of self-doubt fed by the opinions of others and contradictory information to untangle. Let’s figure things out in a way that puts you on a path to parenting success that is just right for you.
(760) 417-7285 View (760) 417-7285
Photo of Keri Green, Marriage & Family Therapist in 92023, CA
Keri Green
Marriage & Family Therapist, LMFT
Verified Verified
Encinitas, CA 92023  (Online Only)
We all have a story to tell. Our lives are full of hopes and dreams, fears and struggles. No matter if the client in front of me is a twenty year old struggling with their gender or sexual identity, a couple in their 40's experiencing mismatched desire, or a sixty year old with sexual dysfunction concerns, we all need someone to listen and support us. I consider myself to be an empathetic therapist. I want to support my client as best. I also know that it isn't easy to go to therapy and I want to be someone who starts with where the client is at, but also know that I can be direct at times if needed, and softer at other times.
We all have a story to tell. Our lives are full of hopes and dreams, fears and struggles. No matter if the client in front of me is a twenty year old struggling with their gender or sexual identity, a couple in their 40's experiencing mismatched desire, or a sixty year old with sexual dysfunction concerns, we all need someone to listen and support us. I consider myself to be an empathetic therapist. I want to support my client as best. I also know that it isn't easy to go to therapy and I want to be someone who starts with where the client is at, but also know that I can be direct at times if needed, and softer at other times.
(442) 264-1036 View (442) 264-1036
Photo of Julia Winters, Clinical Social Work/Therapist in 92023, CA
Julia Winters
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Encinitas, CA 92023
I'm so glad you are on your journey to finding the right therapist. Seeking out therapy can take both vulnerability and courage, and I commend you for taking this first step. Life is intense and I imagine you are feeling overwhelmed or stressed, but you shouldn't have to manage it alone. My compassionate, empathetic, and humorous nature allows me to build a trusting relationship with my clients, and I strive to create a warm and welcoming environment. My approach to therapy is collaborative, where we work together as a team to identify and address the challenges you're facing.
I'm so glad you are on your journey to finding the right therapist. Seeking out therapy can take both vulnerability and courage, and I commend you for taking this first step. Life is intense and I imagine you are feeling overwhelmed or stressed, but you shouldn't have to manage it alone. My compassionate, empathetic, and humorous nature allows me to build a trusting relationship with my clients, and I strive to create a warm and welcoming environment. My approach to therapy is collaborative, where we work together as a team to identify and address the challenges you're facing.
(760) 840-2465 View (760) 840-2465
Photo of Connie Glenn, Marriage & Family Therapist in 92023, CA
Connie Glenn
Marriage & Family Therapist, MS, LMFT
Verified Verified
Encinitas, CA 92023
Using an intuitive, strengths-based approach, I guide my clients on their journey of healing and thriving as they manage stress, anxiety, trauma, and/or addictions. I work with adults and children to help calm their nervous systems, turn down distress and anxiety, release the pain and trauma from past experiences, and let go of behaviors they no longer wish to engage in. As a certified EMDR therapist I can help individuals recover from traumatic experiences or relationships, whether recent or from the past, and find the tools to live their best lives today.
Using an intuitive, strengths-based approach, I guide my clients on their journey of healing and thriving as they manage stress, anxiety, trauma, and/or addictions. I work with adults and children to help calm their nervous systems, turn down distress and anxiety, release the pain and trauma from past experiences, and let go of behaviors they no longer wish to engage in. As a certified EMDR therapist I can help individuals recover from traumatic experiences or relationships, whether recent or from the past, and find the tools to live their best lives today.
(760) 205-5824 View (760) 205-5824
Photo of Carissa Anne Pappas Smith, Marriage & Family Therapist in 92023, CA
Carissa Anne Pappas Smith
Marriage & Family Therapist, MA, LMFT
Verified Verified
Encinitas, CA 92023  (Online Only)
Not accepting new clients
Please email me first! Your journey is the most important aspect of therapy and I would be honored to assist you with that journey in any way I can. People are complex, diverse and interesting, and based on my experience, are just trying to do the best they can. Whether you've been in therapy before and are just looking to get "back on track" or you are taking that courageous first step, I would be privileged to help you on your journey.
Please email me first! Your journey is the most important aspect of therapy and I would be honored to assist you with that journey in any way I can. People are complex, diverse and interesting, and based on my experience, are just trying to do the best they can. Whether you've been in therapy before and are just looking to get "back on track" or you are taking that courageous first step, I would be privileged to help you on your journey.
(760) 209-1182 View (760) 209-1182
Photo of Jan O Wagman, Marriage & Family Therapist in 92023, CA
Jan O Wagman
Marriage & Family Therapist, PhD, LMFT, CCTP
Verified Verified
Encinitas, CA 92023
When your life isn’t what you want it to be – Is less fulfilling and satisfying then it should be –– Might be burdened with sadness or depression -- I offer guidance, support and comfort in a safe healing environment that can help turn your life around. Help you discover how wondrous it is to find the emotional strength and freedom you need to recognize then pursue -- and finally realize your full potential
When your life isn’t what you want it to be – Is less fulfilling and satisfying then it should be –– Might be burdened with sadness or depression -- I offer guidance, support and comfort in a safe healing environment that can help turn your life around. Help you discover how wondrous it is to find the emotional strength and freedom you need to recognize then pursue -- and finally realize your full potential
(760) 652-3445 View (760) 652-3445
Photo of Katie Militello, Marriage & Family Therapist in 92023, CA
Katie Militello
Marriage & Family Therapist, MA, LMFT, LPCC
Verified Verified
Encinitas, CA 92023  (Online Only)
I am a strengths based, trauma focused therapist specializing in grief & loss, PTSD, and feeling stuck and overwhelmed by past negative experiences and beliefs. I work with clients ranging in age from adolescents to seniors utilizing EMDR and family systems therapy.
I am a strengths based, trauma focused therapist specializing in grief & loss, PTSD, and feeling stuck and overwhelmed by past negative experiences and beliefs. I work with clients ranging in age from adolescents to seniors utilizing EMDR and family systems therapy.
(760) 840-2737 View (760) 840-2737
Photo of LaunchPad Career Counselors in 92023, CA
LaunchPad Career Counselors
MEd
Verified Verified
Encinitas, CA 92023
I have my Masters Degree in Educational Counseling with an emphasis in Career Development. My career interventions are outcome driven meaning I counsel to get results for you! I provide high quality career counseling services including career assessments to determine your vocational and/or educational path. I also provide resume and cover letter writing strategies, job searching strategies and interview preparation. I am not a career coach, anyone can be a career coach, rather I am a master degreed counselor specifically trained in career development.
I have my Masters Degree in Educational Counseling with an emphasis in Career Development. My career interventions are outcome driven meaning I counsel to get results for you! I provide high quality career counseling services including career assessments to determine your vocational and/or educational path. I also provide resume and cover letter writing strategies, job searching strategies and interview preparation. I am not a career coach, anyone can be a career coach, rather I am a master degreed counselor specifically trained in career development.
(760) 232-4294 View (760) 232-4294
Photo of Elana Remas Zagorsky, Clinical Social Work/Therapist in 92023, CA
Elana Remas Zagorsky
Clinical Social Work/Therapist, LCSW
Verified Verified
Encinitas, CA 92023
In life, challenges arise — relationship conflict, life transitions, fertility struggles and complicated pregnancies, postpartum anxiety, depression, anger. What do you do? Even the most supportive and loving relationships face difficulties. Many couples and individuals ignore the issues, assuming “things will work themselves out on their own,” and continue to suffer in silence. But you deserve to feel heard and understood. The ability to turn adversity into strength is an empowering skill available to everyone, with the right tools. I offer teletherapy as well as in-person therapy, for your convenience.
In life, challenges arise — relationship conflict, life transitions, fertility struggles and complicated pregnancies, postpartum anxiety, depression, anger. What do you do? Even the most supportive and loving relationships face difficulties. Many couples and individuals ignore the issues, assuming “things will work themselves out on their own,” and continue to suffer in silence. But you deserve to feel heard and understood. The ability to turn adversity into strength is an empowering skill available to everyone, with the right tools. I offer teletherapy as well as in-person therapy, for your convenience.
(619) 319-9924 View (619) 319-9924
Photo of Jennifer Pudlo, Marriage & Family Therapist in 92023, CA
Jennifer Pudlo
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Encinitas, CA 92023  (Online Only)
I love what I do and my greatest passion is helping couples, families, and individuals learn to communicate in a way that promotes healthy connection and healing in their relationships. When individuals, couples or families are hurting, it is sometimes difficult to navigate on their own and so that is where I can help; to guide you through those challenging and painful times. I also enjoy helping those who suffer from anxiety, depression, body image and eating disorders, and any other obstacle that may be keeping one from growing and flourishing in their lives.
I love what I do and my greatest passion is helping couples, families, and individuals learn to communicate in a way that promotes healthy connection and healing in their relationships. When individuals, couples or families are hurting, it is sometimes difficult to navigate on their own and so that is where I can help; to guide you through those challenging and painful times. I also enjoy helping those who suffer from anxiety, depression, body image and eating disorders, and any other obstacle that may be keeping one from growing and flourishing in their lives.
(760) 919-4305 View (760) 919-4305
Photo of Lisa McLain, Marriage & Family Therapist in 92023, CA
Lisa McLain
Marriage & Family Therapist, MA, LMFT
Verified Verified
Encinitas, CA 92023
Hello! I am a passionate therapist interested in walking with you down the road of self discovery. We will work collaboratively in achieving an overall sense of holistic health best suited for your needs. I provide individual, couple, and family therapy in a safe, therapeutic environment. I will support and guide you in learning and practicing new, effective, and healthy ways of living. I integrate various psychological and Eastern methodologies. We will confront present issues as well as empower you to live life to your fullest potential. I believe in creating a harmonious balance between mind, body and spirit.
Hello! I am a passionate therapist interested in walking with you down the road of self discovery. We will work collaboratively in achieving an overall sense of holistic health best suited for your needs. I provide individual, couple, and family therapy in a safe, therapeutic environment. I will support and guide you in learning and practicing new, effective, and healthy ways of living. I integrate various psychological and Eastern methodologies. We will confront present issues as well as empower you to live life to your fullest potential. I believe in creating a harmonious balance between mind, body and spirit.
(619) 333-2526 View (619) 333-2526
Photo of Kari Pearman, Marriage & Family Therapist in 92023, CA
Kari Pearman
Marriage & Family Therapist, MFT
Verified Verified
Encinitas, CA 92023
TELEPHONE THERAPY/COUNSELING. $120. Telephone Therapy is easy and convenient, without the hassle of driving to an office. "Many clients find it it easier to talk more openly about deeply personal issues, emotions and experiences over the phone than in person.
TELEPHONE THERAPY/COUNSELING. $120. Telephone Therapy is easy and convenient, without the hassle of driving to an office. "Many clients find it it easier to talk more openly about deeply personal issues, emotions and experiences over the phone than in person.
(858) 746-8149 View (858) 746-8149
Photo of Kendra Pinamonti, Marriage & Family Therapist in 92023, CA
Kendra Pinamonti
Marriage & Family Therapist, LMFT, MA
Verified Verified
Encinitas, CA 92023
Welcome to my practice! I am so glad you are here. Please see my website www.sunshineinsidetherapy.com to learn more about my practice. My passion is working with individuals to reduce and stop both anxiety and depression. I see many people who struggle with PTSD, Obsessive Compulsive Disorder and with a history of childhood abuse (emotional/physical/sexual) and trauma. I offer evidence based help using Eye Movement Desensitization Reprocessing(EMDR), Cognitive Behavioral Therapy & Neurofeedback. You will gain concrete tools, find solutions and feel connected, supported and reach goals you have set for your life!
Welcome to my practice! I am so glad you are here. Please see my website www.sunshineinsidetherapy.com to learn more about my practice. My passion is working with individuals to reduce and stop both anxiety and depression. I see many people who struggle with PTSD, Obsessive Compulsive Disorder and with a history of childhood abuse (emotional/physical/sexual) and trauma. I offer evidence based help using Eye Movement Desensitization Reprocessing(EMDR), Cognitive Behavioral Therapy & Neurofeedback. You will gain concrete tools, find solutions and feel connected, supported and reach goals you have set for your life!
(760) 313-3650 View (760) 313-3650
Photo of Lonny D Miller, Marriage & Family Therapist in 92023, CA
Lonny D Miller
Marriage & Family Therapist, MA, SEP, LMFT
Verified Verified
1 Endorsed
Encinitas, CA 92023
My practice is focused on relationship issues, improving communication, addiction counseling, men's issues, LGBTQ+ parenting, depression and anxiety. In therapy you will find a strength-based client centered approach, where your unique skills and values are used to help overcome the areas in which you are stuck. A genuine respect for each person leads to a safe therapeutic alliance through which growth, healing and connection occurs as we work towards accomplishing your goals.
My practice is focused on relationship issues, improving communication, addiction counseling, men's issues, LGBTQ+ parenting, depression and anxiety. In therapy you will find a strength-based client centered approach, where your unique skills and values are used to help overcome the areas in which you are stuck. A genuine respect for each person leads to a safe therapeutic alliance through which growth, healing and connection occurs as we work towards accomplishing your goals.
(858) 879-6389 View (858) 879-6389
Photo of Rosalind D Solo, Marriage & Family Therapist in 92023, CA
Rosalind D Solo
Marriage & Family Therapist, MA, LPCC, LMFT
Verified Verified
Encinitas, CA 92023
My mission is to help empower people to grow, to change and to live a more peaceful and authentic life. The changing process can be quite intimidating and we can become "comfortably" numb in a hectic, drama filled life. Therapy is not one-size-fits-all. Each one of us has our own unique story and circumstance. My approach to therapy is tailored to your unique needs. I meet you where you are. My work is geared around collaboration. Together, we look at what is showing up and take it on in a clear and honest way.
My mission is to help empower people to grow, to change and to live a more peaceful and authentic life. The changing process can be quite intimidating and we can become "comfortably" numb in a hectic, drama filled life. Therapy is not one-size-fits-all. Each one of us has our own unique story and circumstance. My approach to therapy is tailored to your unique needs. I meet you where you are. My work is geared around collaboration. Together, we look at what is showing up and take it on in a clear and honest way.
(760) 748-1022 View (760) 748-1022
Photo of Cynthia Chapman, Psychologist in 92023, CA
Cynthia Chapman
Psychologist, PsyD, MA
Verified Verified
2 Endorsed
Encinitas, CA 92023
I throughly enjoy working collaboratively with my clients. As a team, we work on changing negative patterns of: thinking, relating to others and/or themselves, and difficult emotions. I find that the clients who are open to putting into practice new tools and skills are the ones that see the most dramatic changes and see the most improvement. In a safe and supportive environment, my clients are able to make the changes that allow them to accomplish their goals and feel good again. I am thrilled to be part of the process with you!
I throughly enjoy working collaboratively with my clients. As a team, we work on changing negative patterns of: thinking, relating to others and/or themselves, and difficult emotions. I find that the clients who are open to putting into practice new tools and skills are the ones that see the most dramatic changes and see the most improvement. In a safe and supportive environment, my clients are able to make the changes that allow them to accomplish their goals and feel good again. I am thrilled to be part of the process with you!
(858) 352-7455 View (858) 352-7455
Photo of Kelly M Hee, Clinical Social Work/Therapist in 92023, CA
Kelly M Hee
Clinical Social Work/Therapist, LCSW, CEDS
Verified Verified
Encinitas, CA 92023
Not accepting new clients
Welcome! I am an IAEDP Certified Eating Disorder Specialist that is licensed in both CA and HI. My approach to therapy comes from a humanistic standpoint, helping clients to better understand patterns that cause chaos or dysfunction in their lives. I work with those who come in to assist them in developing understanding, compassion, and knowledge around this chaos; as well as skills to overcome these difficulties. Each person's treatment, session, and therapy is individually personalized to meet your specific needs. I come from a person-centered approach, and practice mostly CBT, ACT and emphasize the therapeutic relationship.
Welcome! I am an IAEDP Certified Eating Disorder Specialist that is licensed in both CA and HI. My approach to therapy comes from a humanistic standpoint, helping clients to better understand patterns that cause chaos or dysfunction in their lives. I work with those who come in to assist them in developing understanding, compassion, and knowledge around this chaos; as well as skills to overcome these difficulties. Each person's treatment, session, and therapy is individually personalized to meet your specific needs. I come from a person-centered approach, and practice mostly CBT, ACT and emphasize the therapeutic relationship.
(808) 515-2932 View (808) 515-2932

See more therapy options for 92023

How does your Therapist compare?

Number of Therapists in 92023

80+

Average cost per session

$175

Therapists in 92023 who prioritize treating:

94% Anxiety
91% Depression
87% Relationship Issues
79% Life Transitions
75% Self Esteem
73% Trauma and PTSD
72% Stress

Average years in practice

13 Years

Top 3 insurances accepted

61% Aetna
52% UnitedHealthcare UHC | UBH
48% Cigna and Evernorth

How Therapists in 92023 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

88% Female
12% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 92023?

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.