Therapists in 92037

Photo of Brittany Beck, Licensed Professional Clinical Counselor, LPCC
Brittany Beck
Licensed Professional Clinical Counselor, LPCC
2 Endorsed
La Jolla, CA 92037
A cancer diagnosis changes everything. The fear, the uncertainty, the way it reshapes your relationships and your sense of self. There is nothing quite like it. And yet so many people going through it feel alone, even when surrounded by people who love them. That's exactly the space I work in. I'm Brittany, an LPCC who specializes in anxiety, chronic illness, and supporting people affected by cancer. Whether you're in active treatment, finding your footing as a survivor, or caring for someone you love through their own diagnosis, I understand this world in a way that goes beyond clinical training.
A cancer diagnosis changes everything. The fear, the uncertainty, the way it reshapes your relationships and your sense of self. There is nothing quite like it. And yet so many people going through it feel alone, even when surrounded by people who love them. That's exactly the space I work in. I'm Brittany, an LPCC who specializes in anxiety, chronic illness, and supporting people affected by cancer. Whether you're in active treatment, finding your footing as a survivor, or caring for someone you love through their own diagnosis, I understand this world in a way that goes beyond clinical training.
(858) 346-7564 View (858) 346-7564
Photo of Yvonne Venger, Clinical Social Work/Therapist, LCSW
Yvonne Venger
Clinical Social Work/Therapist, LCSW
La Jolla, CA 92037
My goal as a psychotherapist is to work with my clients to help them heal from their pain, make positive changes in their lives, and improve their sense of well-being. My background includes working with people of all ages and backgrounds, and extensive experience treating anxiety, depression, adjustment difficulties, stress management, life transitions, school stress, relationship issues, pre and post-partum concerns, and caregiver stress. I provide individual, couples, family and group therapy.
My goal as a psychotherapist is to work with my clients to help them heal from their pain, make positive changes in their lives, and improve their sense of well-being. My background includes working with people of all ages and backgrounds, and extensive experience treating anxiety, depression, adjustment difficulties, stress management, life transitions, school stress, relationship issues, pre and post-partum concerns, and caregiver stress. I provide individual, couples, family and group therapy.
(858) 450-9112 View (858) 450-9112
Photo of Marlane Y Agriesti, Marriage & Family Therapist, LMFT, MA
Marlane Y Agriesti
Marriage & Family Therapist, LMFT, MA
1 Endorsed
La Jolla, CA 92037
You are at a crossroads. Your life looks successful on the outside but something essential is missing on the inside. You may have arrived in mid-life with the weight of duty pressing in, feel exhausted and need time for yourself. You want to claim your agency and authority, to take your place in the world. As life goes on, your roles keep shifting. Your body changes and your old life no longer fits. You are ready to live a more meaningful life, to follow a more spiritual path, to do something you once thought impossible. You can. It’s time to listen beneath the noise and hear your authentic voice. Go deep and live fully.
You are at a crossroads. Your life looks successful on the outside but something essential is missing on the inside. You may have arrived in mid-life with the weight of duty pressing in, feel exhausted and need time for yourself. You want to claim your agency and authority, to take your place in the world. As life goes on, your roles keep shifting. Your body changes and your old life no longer fits. You are ready to live a more meaningful life, to follow a more spiritual path, to do something you once thought impossible. You can. It’s time to listen beneath the noise and hear your authentic voice. Go deep and live fully.
(858) 358-7790 View (858) 358-7790
Photo of Denise T Silbert - Psychotherapy of San Diego, Dr Silbert RN,CNS,PHD, Psychologist, RN, CNS, PhD, FAACS
Psychotherapy of San Diego, Dr Silbert RN,CNS,PHD
Psychologist, RN, CNS, PhD, FAACS
1 Endorsed
La Jolla, CA 92037
Dr Silbert promotes healing and strengthening of the capable inner self. The individual is enhanced positively by a belief in the ability to cope with the human condition and the emotional upheaval exacerbated by the winding road of life's journey. From the initial consultation with Dr. Silbert she remains an active verbal participant in your treatment. She most emphatically "listens" and "sees" you in a genuine attempt to validate the importance and significance of what you say and how you are feeling. Evaluation of the problems and strategies for effective intervention are discussed with the individual from the first consult until completion of treatment.
Dr Silbert promotes healing and strengthening of the capable inner self. The individual is enhanced positively by a belief in the ability to cope with the human condition and the emotional upheaval exacerbated by the winding road of life's journey. From the initial consultation with Dr. Silbert she remains an active verbal participant in your treatment. She most emphatically "listens" and "sees" you in a genuine attempt to validate the importance and significance of what you say and how you are feeling. Evaluation of the problems and strategies for effective intervention are discussed with the individual from the first consult until completion of treatment.
(858) 771-0252 View (858) 771-0252
Dr. Mary Schuler DeWitt
Verified Verified
La Jolla, CA 92037
Currently, I am also offering tele-mental health services. Please contact me for more information or for my current CV.
Currently, I am also offering tele-mental health services. Please contact me for more information or for my current CV.
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Photo of Leslie Ellen Ray, Marriage & Family Therapist, MS, LMFT
Leslie Ellen Ray
Marriage & Family Therapist, MS, LMFT
La Jolla, CA 92037
It is my mission to create a safe and confidential environment in which people can develop greater trust, compassion, clarity, and choice so that they may live with greater meaning, awareness and peace of mind. You can expect to feel safe and not judged, listened to, validated, respected, and challenged to grow with honest feedback, information, and homework. You can also expect to have your successes and deepening sense of personal power celebrated. In addition to in-office meetings, I offer remote Tele-Wellness sessions within California and internationally.
It is my mission to create a safe and confidential environment in which people can develop greater trust, compassion, clarity, and choice so that they may live with greater meaning, awareness and peace of mind. You can expect to feel safe and not judged, listened to, validated, respected, and challenged to grow with honest feedback, information, and homework. You can also expect to have your successes and deepening sense of personal power celebrated. In addition to in-office meetings, I offer remote Tele-Wellness sessions within California and internationally.
(858) 358-6062 View (858) 358-6062
Photo of Mariah Murray, Marriage & Family Therapist, LMFT
Mariah Murray
Marriage & Family Therapist, LMFT
La Jolla, CA 92037
Mariah’s approach is focused on being patient-centered, placing emphasis on patient autonomy while creating a safe environment to collaboratively explore individual challenges. She believes in empowering patients with tools, knowledge, and strategies to gain confidence and understanding to achieve healthy well-being. Mariah supports patients' journeys of growth and healing through various modalities such as CBT, DBT, attachment-based family therapy, solution-focused and trauma-informed care with the use of EMDR.
Mariah’s approach is focused on being patient-centered, placing emphasis on patient autonomy while creating a safe environment to collaboratively explore individual challenges. She believes in empowering patients with tools, knowledge, and strategies to gain confidence and understanding to achieve healthy well-being. Mariah supports patients' journeys of growth and healing through various modalities such as CBT, DBT, attachment-based family therapy, solution-focused and trauma-informed care with the use of EMDR.
(858) 365-8047 View (858) 365-8047
Photo of Roslene Curtis, Marriage & Family Therapist Associate
Roslene Curtis
Marriage & Family Therapist Associate
1 Endorsed
La Jolla, CA 92037
I work with women navigating a wide range of concerns, including anxiety, depression, relationship challenges, life transitions, identity exploration, boundary setting, grief, stress, self esteem, and more. Sometimes you know exactly what is wrong. Other times you simply know something feels off and you want clarity. I offer a safe and supportive space where you can process your experiences, gain clarity, and move toward meaningful change.
I work with women navigating a wide range of concerns, including anxiety, depression, relationship challenges, life transitions, identity exploration, boundary setting, grief, stress, self esteem, and more. Sometimes you know exactly what is wrong. Other times you simply know something feels off and you want clarity. I offer a safe and supportive space where you can process your experiences, gain clarity, and move toward meaningful change.
(858) 758-4493 View (858) 758-4493
Photo of Dr. Michelle Carcel, Psychologist, PsyD
Dr. Michelle Carcel
Psychologist, PsyD
1 Endorsed
La Jolla, CA 92037
First and foremost, congratulations on taking a step towards accomplishing your goals! Making the decision to work with a therapist to help manage any life stressor takes strength and commitment. When working with a new client, one of my primary objectives is to foster a welcoming and encouraging environment. I believe the best outcomes stem from an engaging, collaborative working relationship. Therapy is a very personal experience and I encourage my clients to be active participants in their therapeutic success.
First and foremost, congratulations on taking a step towards accomplishing your goals! Making the decision to work with a therapist to help manage any life stressor takes strength and commitment. When working with a new client, one of my primary objectives is to foster a welcoming and encouraging environment. I believe the best outcomes stem from an engaging, collaborative working relationship. Therapy is a very personal experience and I encourage my clients to be active participants in their therapeutic success.
(858) 337-5258 View (858) 337-5258
Photo of Noemi Balinth, Psychologist, PhD
Noemi Balinth
Psychologist, PhD
La Jolla, CA 92037
A past president of the New York State Psychological Association clinical psychologist Dr. Noemi Balinth is committed to both practice and to public education and advocacy for mental health through the use of media and public speaking. Practicing in La Jolla California she employs an integrative clinical approach to help clients find creative solutions to life's problems, incorporating psychodynamic and cognitive-behavioral models as well as tools such as EMDR. Specializations include the treatment of posttraumatic stress, couples' therapy and counseling for gifted children and adults.
A past president of the New York State Psychological Association clinical psychologist Dr. Noemi Balinth is committed to both practice and to public education and advocacy for mental health through the use of media and public speaking. Practicing in La Jolla California she employs an integrative clinical approach to help clients find creative solutions to life's problems, incorporating psychodynamic and cognitive-behavioral models as well as tools such as EMDR. Specializations include the treatment of posttraumatic stress, couples' therapy and counseling for gifted children and adults.
(858) 456-2668 View (858) 456-2668
Photo of Blair Warrick, Marriage & Family Therapist, LMFT
Blair Warrick
Marriage & Family Therapist, LMFT
1 Endorsed
La Jolla, CA 92037
Blair values compassion, curiosity, and connection. She has an eclectic approach integrating acceptance and commitment therapy techniques with values-driven work to help patients break unhelpful patterns and move toward the life they envision. She uses solution-focused therapy and dialectical behavioral therapy to empower patients to make meaningful progress toward their goals. Blair creates a safe, supportive space where individuals feel understood, validated, and challenged when needed. She believes in resilience and helps patients strengthen their confidence in themselves.
Blair values compassion, curiosity, and connection. She has an eclectic approach integrating acceptance and commitment therapy techniques with values-driven work to help patients break unhelpful patterns and move toward the life they envision. She uses solution-focused therapy and dialectical behavioral therapy to empower patients to make meaningful progress toward their goals. Blair creates a safe, supportive space where individuals feel understood, validated, and challenged when needed. She believes in resilience and helps patients strengthen their confidence in themselves.
(858) 365-8047 View (858) 365-8047
Photo of Maira Horta, Marriage & Family Therapist, MFT
Maira Horta
Marriage & Family Therapist, MFT
La Jolla, CA 92037
Welcome, Bem Vindo, Bienvenido! I'm a native Brazilian offering sessions in English, Portuguese, or Spanglish. I fell in love with San Diego in 1996 where I eventually established my practice. I have conducted over 20 thousand therapy sessions, and over 1 thousand Psych Assessments. I am thrilled to share a culturally sensitive and unique therapeutic approach and will be an active participant in our sessions. And yes, that means, together, we will likely laugh, cry, discuss relationships, worries, fears, and/or self sabotaging but all in an effort to help you move forward into the person you know that you know you can be.
Welcome, Bem Vindo, Bienvenido! I'm a native Brazilian offering sessions in English, Portuguese, or Spanglish. I fell in love with San Diego in 1996 where I eventually established my practice. I have conducted over 20 thousand therapy sessions, and over 1 thousand Psych Assessments. I am thrilled to share a culturally sensitive and unique therapeutic approach and will be an active participant in our sessions. And yes, that means, together, we will likely laugh, cry, discuss relationships, worries, fears, and/or self sabotaging but all in an effort to help you move forward into the person you know that you know you can be.
(858) 465-4202 View (858) 465-4202
Photo of Wendy Mendoza, Clinical Social Work/Therapist, LCSW
Wendy Mendoza
Clinical Social Work/Therapist, LCSW
La Jolla, CA 92037
Hi, I’m Wendy, a Licensed Clinical Social Worker dedicated to helping you navigate life’s challenges with clarity, confidence, and compassion. I bring a breadth of experience across diverse clinical settings and levels of care, which allows me to meet you exactly where you are. I enjoy working with first-generation individuals navigating “first” experiences, imposter syndrome, & cultural challenges. I understand the pressure to succeed while balancing family, societal, and self-expectations, which therapy can be a space to slow down, gain clarity, and cultivate resilience as well as connection with yourself and values.
Hi, I’m Wendy, a Licensed Clinical Social Worker dedicated to helping you navigate life’s challenges with clarity, confidence, and compassion. I bring a breadth of experience across diverse clinical settings and levels of care, which allows me to meet you exactly where you are. I enjoy working with first-generation individuals navigating “first” experiences, imposter syndrome, & cultural challenges. I understand the pressure to succeed while balancing family, societal, and self-expectations, which therapy can be a space to slow down, gain clarity, and cultivate resilience as well as connection with yourself and values.
(858) 371-5317 View (858) 371-5317
Photo of Shannon M Williams, Marriage & Family Therapist, MS, LMFT
Shannon M Williams
Marriage & Family Therapist, MS, LMFT
La Jolla, CA 92037
I work with folks who have a hard time finding balance in their lives and feel the stress of burning out. Maybe it’s ADHD/ neuro-spicy related, or just a mix of surviving in the post pandemic world during late stage capitalism, but if you’re sick of telling yourself it's fine and the boot straps that supposedly helped your parents aren’t quite pulling you up anymore, therapy can help. This is a space to understand yourself better, find skills to battle burnout, and make strategic plans to build your actual best life so you can end your weekends having fun instead of spiraling into a sunday scaries social media dopamine hole.
I work with folks who have a hard time finding balance in their lives and feel the stress of burning out. Maybe it’s ADHD/ neuro-spicy related, or just a mix of surviving in the post pandemic world during late stage capitalism, but if you’re sick of telling yourself it's fine and the boot straps that supposedly helped your parents aren’t quite pulling you up anymore, therapy can help. This is a space to understand yourself better, find skills to battle burnout, and make strategic plans to build your actual best life so you can end your weekends having fun instead of spiraling into a sunday scaries social media dopamine hole.
(858) 365-8715 View (858) 365-8715
Photo of Mary Beth Dinerman, Psychologist, PsyD
Mary Beth Dinerman
Psychologist, PsyD
La Jolla, CA 92037
Most people go through life with a steady routine. Sometimes negative outcomes occur from their daily choices or unforeseen events. Depression, anxiety, irritation, and hopelessness can then set in. My goal is to focus on client needs and empower them by teaching skills and strategies that will allow them to move forward and have a meaningful life.
Most people go through life with a steady routine. Sometimes negative outcomes occur from their daily choices or unforeseen events. Depression, anxiety, irritation, and hopelessness can then set in. My goal is to focus on client needs and empower them by teaching skills and strategies that will allow them to move forward and have a meaningful life.
(833) 703-0404 View (833) 703-0404
Photo of Valerie Rock, Psychologist, PsyD
Valerie Rock
Psychologist, PsyD
1 Endorsed
La Jolla, CA 92037
I believe in providing a collaborative and supportive environment to maximize the therapeutic experience. I help clients cope with negative thoughts and behaviors that may hinder relationships and overall quality of life. Therapy is focused on building and nurturing interpersonal relationships and decreasing daily stress, by assisting clients in capitalizing on strengths and defining goals.
I believe in providing a collaborative and supportive environment to maximize the therapeutic experience. I help clients cope with negative thoughts and behaviors that may hinder relationships and overall quality of life. Therapy is focused on building and nurturing interpersonal relationships and decreasing daily stress, by assisting clients in capitalizing on strengths and defining goals.
(858) 221-6768 View (858) 221-6768
Photo of Jodi Greenblatt - New Reflection Therapy, Marriage & Family Therapist
New Reflection Therapy
Marriage & Family Therapist
La Jolla, CA 92037
Therapy can help you understand what’s happening beneath the surface and develop practical tools to create real change. Our therapists provide thoughtful, supportive, and structured care that helps clients gain clarity, strengthen relationships, and feel more confident navigating life’s challenges. Many of our clients are recovering from emotionally manipulative or narcissistic relationships, struggling with trauma, or navigating the challenges of ADHD. We specialize in relationship and attachment issue, anxiety, depression, trauma and adult ADHD.
Therapy can help you understand what’s happening beneath the surface and develop practical tools to create real change. Our therapists provide thoughtful, supportive, and structured care that helps clients gain clarity, strengthen relationships, and feel more confident navigating life’s challenges. Many of our clients are recovering from emotionally manipulative or narcissistic relationships, struggling with trauma, or navigating the challenges of ADHD. We specialize in relationship and attachment issue, anxiety, depression, trauma and adult ADHD.
(858) 533-2122 View (858) 533-2122
Photo of Mariya Kholodova - Canvas of Possibilities Psychological Services Inc, Psychologist, PhD
Canvas of Possibilities Psychological Services Inc
Psychologist, PhD
1 Endorsed
La Jolla, CA 92037
We believe that there is tremendous resilience and strength within each human being, and that all clients deserve more than just a reduction in symptoms - they deserve to find healing. Our clinicians work together with our clients to help them reconnect with hope, learn new tools to manage their struggles, gain a deeper understanding of themselves and their story, process traumatic experiences, and find authentic connection, meaning, and fulfillment in their lives.
We believe that there is tremendous resilience and strength within each human being, and that all clients deserve more than just a reduction in symptoms - they deserve to find healing. Our clinicians work together with our clients to help them reconnect with hope, learn new tools to manage their struggles, gain a deeper understanding of themselves and their story, process traumatic experiences, and find authentic connection, meaning, and fulfillment in their lives.
(760) 374-4295 View (760) 374-4295
Photo of Deborah Bryk, Licensed Professional Counselor, MA, LPCC
Deborah Bryk
Licensed Professional Counselor, MA, LPCC
La Jolla, CA 92037
Debbie Bryk is a Licensed Professional Clinical Counselor in California who has been practicing since 2015. She has a Masters in Clinical Counseling. Debbie provides therapy to help clients with addiction and trauma, co-occurring disorders, depression, anxiety, social anxiety, schizophrenia, TTM, ADHD, and obsessive-compulsive disorders. Debbie also has experience working with active-duty military and spouses. She offers adult individual sessions, marriage and family sessions, and group therapy. In her spare time, Debbie enjoys running, hiking, walking dogs, reading, science and psychology research, and sailing.
Debbie Bryk is a Licensed Professional Clinical Counselor in California who has been practicing since 2015. She has a Masters in Clinical Counseling. Debbie provides therapy to help clients with addiction and trauma, co-occurring disorders, depression, anxiety, social anxiety, schizophrenia, TTM, ADHD, and obsessive-compulsive disorders. Debbie also has experience working with active-duty military and spouses. She offers adult individual sessions, marriage and family sessions, and group therapy. In her spare time, Debbie enjoys running, hiking, walking dogs, reading, science and psychology research, and sailing.
(858) 923-5635 View (858) 923-5635
Photo of Dr. George Pratt, Psychologist, PhD, MA
Dr. George Pratt
Psychologist, PhD, MA
La Jolla, CA 92037
Dr. Pratt works with people in a practical, encouraging, strategic, and respectful manner that utilizes their strengths to achieve their goals as quickly as possible. He provides a comfortable environment in which he actively assists clients to clear away blocks to achieving their goals. Dr. Pratt works with clients to achieve a wide spectrum of goals such as improving the ability to cope, heal, improve and maintain wellness and achieve optimal functioning. He has advanced training in EMDR, Clinical Hypnosis, Energy Psychology, and Cognitive and Behavioral approaches for treating and unblocking trauma, anxiety and emotional blocks.
Dr. Pratt works with people in a practical, encouraging, strategic, and respectful manner that utilizes their strengths to achieve their goals as quickly as possible. He provides a comfortable environment in which he actively assists clients to clear away blocks to achieving their goals. Dr. Pratt works with clients to achieve a wide spectrum of goals such as improving the ability to cope, heal, improve and maintain wellness and achieve optimal functioning. He has advanced training in EMDR, Clinical Hypnosis, Energy Psychology, and Cognitive and Behavioral approaches for treating and unblocking trauma, anxiety and emotional blocks.
(858) 533-2633 View (858) 533-2633

See more therapy options for 92037

How does your Therapist compare?

Number of Therapists in 92037

700+

Average cost per session

$200

Therapists in 92037 who prioritize treating:

95% Anxiety
90% Depression
79% Relationship Issues
74% Self Esteem
74% Stress
68% Trauma and PTSD
64% Grief

Average years in practice

13 Years

Top 3 insurances accepted

84% Aetna
64% Cigna and Evernorth
49% UnitedHealthcare UHC | UBH

How Therapists in 92037 see their clients

57% In Person and Online
43% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92037?

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.