Therapists in 92131

Photo of Alexander Gilburd, Marriage & Family Therapist in 92131, CA
Alexander Gilburd
Marriage & Family Therapist, LMFT
Verified
San Diego, CA 92131  (Online Only)
I believe in people’s innate ability to persevere and evolve through their struggles. Everyone has an innate potential to achieve their goals if given the proper nourishment and environment. As a therapist, I strive to provide that environment. I help patients find their path towards their own peace of mind. I foster a trusting and caring relationship with my patients, focusing on the unique and fascinating experiences that every individual brings to the table.
I believe in people’s innate ability to persevere and evolve through their struggles. Everyone has an innate potential to achieve their goals if given the proper nourishment and environment. As a therapist, I strive to provide that environment. I help patients find their path towards their own peace of mind. I foster a trusting and caring relationship with my patients, focusing on the unique and fascinating experiences that every individual brings to the table.
(858) 935-4859 View (858) 935-4859
Photo of Jacie Wilcock, Marriage & Family Therapist in 92131, CA
Jacie Wilcock
Marriage & Family Therapist, MS, LMFT
Verified
1 Endorsed
San Diego, CA 92131
Not accepting new clients
I became a therapist because I want to help. Personally, I have been helped tremendously by participating in therapy and I know the benefits therapy offers to anyone who is struggling with…life. Whether you’re an adult struggling with anxiety, depression, trauma or relationship issues or you’re a parent struggling to help your child, therapy can help. If you are looking for someone who will accept you as you are and help you get to where you want to be, I might be the right therapist for you.
I became a therapist because I want to help. Personally, I have been helped tremendously by participating in therapy and I know the benefits therapy offers to anyone who is struggling with…life. Whether you’re an adult struggling with anxiety, depression, trauma or relationship issues or you’re a parent struggling to help your child, therapy can help. If you are looking for someone who will accept you as you are and help you get to where you want to be, I might be the right therapist for you.
(858) 771-2602 View (858) 771-2602
Photo of Nicole M Charara, Marriage & Family Therapist in 92131, CA
Nicole M Charara
Marriage & Family Therapist, MA, MFT
Verified
San Diego, CA 92131  (Online Only)
I am a licensed marriage and family therapist. I am currently licensed in California and Florida. I have over 15 years of experience in providing services to children, adults, and families. I specialize in working with children and adolescents, as well as, adult anxiety, depression, infertility/pre and post partum issues, PTSD, trauma, and family relationship issues. I am also bilingual and able to conduct sessions in Spanish. I am trained in Trauma-Focused CBT and EMDR and am currently available for online therapy services only. Please see my website at www.nicolecharara.com for more information regarding my services.
I am a licensed marriage and family therapist. I am currently licensed in California and Florida. I have over 15 years of experience in providing services to children, adults, and families. I specialize in working with children and adolescents, as well as, adult anxiety, depression, infertility/pre and post partum issues, PTSD, trauma, and family relationship issues. I am also bilingual and able to conduct sessions in Spanish. I am trained in Trauma-Focused CBT and EMDR and am currently available for online therapy services only. Please see my website at www.nicolecharara.com for more information regarding my services.
(858) 707-7512 View (858) 707-7512
Photo of Marisol Camarena-Geiger, LPC Intern in 92131, CA
Marisol Camarena-Geiger
LPC Intern, MA, MS, APCC
Verified
2 Endorsed
San Diego, CA 92131
Hello and Welcome! I know people reach out when they are in pain and need extra support. I believe clients should be treated with compassion and dignity and uses a culturally humble lens to consider all parts of identity and needs. I have worked in: early childhood settings, schools, and have provided home visiting and clinic-based services. My experience helps guide strategies that are practical, strength-based and centered around chosen goals. Treatment is individualized. With extensive training in attachment, child development, and trauma, I know the importance of building healthy relationships.
Hello and Welcome! I know people reach out when they are in pain and need extra support. I believe clients should be treated with compassion and dignity and uses a culturally humble lens to consider all parts of identity and needs. I have worked in: early childhood settings, schools, and have provided home visiting and clinic-based services. My experience helps guide strategies that are practical, strength-based and centered around chosen goals. Treatment is individualized. With extensive training in attachment, child development, and trauma, I know the importance of building healthy relationships.
(858) 330-0738 View (858) 330-0738
Photo of Naomi Wahler, Psychologist in 92131, CA
Naomi Wahler
Psychologist, PhD
Verified
2 Endorsed
San Diego, CA 92131
Not accepting new clients
Sometimes life experiences leave us feeling overwhelmed or hopeless and we find that the ways we usually cope are not helping. Sometimes our personal journey involves difficult, seemingly impossible crises or losses. Sometimes we try to manage emotions with activities that help us feel better for a short time but then the cost starts to outweigh the benefits. I believe we all go through times like this when we are tired of struggling. The path towards recovering from these experiences seems more doable when we are able to find a renewed motivation and clear goals towards change.
Sometimes life experiences leave us feeling overwhelmed or hopeless and we find that the ways we usually cope are not helping. Sometimes our personal journey involves difficult, seemingly impossible crises or losses. Sometimes we try to manage emotions with activities that help us feel better for a short time but then the cost starts to outweigh the benefits. I believe we all go through times like this when we are tired of struggling. The path towards recovering from these experiences seems more doable when we are able to find a renewed motivation and clear goals towards change.
(858) 943-2658 View (858) 943-2658
Photo of Debra Cha, Psychologist in 92131, CA
Debra Cha
Psychologist, PhD
Verified
San Diego, CA 92131
I am a Korean-English bilingual clinical psychologist that focuses on meeting each individual's unique needs in a culturally sensitive manner. I support children, adolescents, and adults by offering a therapeutic and compassionate environment. My experiences including supervised and coordinated the delivery of Applied Behavior Analysis (ABA) and conducting evaluations at UCSD to assess for Neurodevelopmental Disorders, including Autism Spectrum Disorders. I have experience working in a school environment to address school challenges, including adjustment, learning disabilities, and ADHD.
I am a Korean-English bilingual clinical psychologist that focuses on meeting each individual's unique needs in a culturally sensitive manner. I support children, adolescents, and adults by offering a therapeutic and compassionate environment. My experiences including supervised and coordinated the delivery of Applied Behavior Analysis (ABA) and conducting evaluations at UCSD to assess for Neurodevelopmental Disorders, including Autism Spectrum Disorders. I have experience working in a school environment to address school challenges, including adjustment, learning disabilities, and ADHD.
(858) 260-3666 View (858) 260-3666
Photo of Sonja L Banks, Psychologist in 92131, CA
Sonja L Banks
Psychologist, PhD
Verified
San Diego, CA 92131
I am a Licensed Clinical Psychologist and certified cognitive behavioral therapist who has been in private practice since 1999. Until 2014, I was the Senior Reproductive Psychologist in the Maternal Mental Health Division, Department of Psychiatry at UCSD. Educationally, I first earned Dual Bachelor Degrees in Psychology and Music from St. Olaf College. After earning a Ph.D. and M.A. in Clinical Psychology with a Health Psychology Emphasis from CSPP, I completed an internship at Scripps Clinic and a Fellowship at the Medical University of South Carolina.
I am a Licensed Clinical Psychologist and certified cognitive behavioral therapist who has been in private practice since 1999. Until 2014, I was the Senior Reproductive Psychologist in the Maternal Mental Health Division, Department of Psychiatry at UCSD. Educationally, I first earned Dual Bachelor Degrees in Psychology and Music from St. Olaf College. After earning a Ph.D. and M.A. in Clinical Psychology with a Health Psychology Emphasis from CSPP, I completed an internship at Scripps Clinic and a Fellowship at the Medical University of South Carolina.
(858) 914-2768 View (858) 914-2768
Photo of Erin E Brody, Psychologist in 92131, CA
Erin E Brody
Psychologist, PsyD
Verified
San Diego, CA 92131
Beginning therapy may be one of the bravest steps you take towards a better life. Whether you are an adult, adolescent or couple I can help you understand your individual response to life's challenges, and through a collaborative working relationship, I can assist you in making crucial changes that will enhance your life.
Beginning therapy may be one of the bravest steps you take towards a better life. Whether you are an adult, adolescent or couple I can help you understand your individual response to life's challenges, and through a collaborative working relationship, I can assist you in making crucial changes that will enhance your life.
(619) 816-1671 View (619) 816-1671
Photo of Shannon Moore, Psychologist in 92131, CA
Shannon Moore
Psychologist, PsyD
Verified
San Diego, CA 92131  (Online Only)
Hello. Are you a high functioning adult who lives in California where the weather is beautiful almost all the time, the scenery is typically beautiful? Outwardly you may appear to have "the beautiful life" but you don't feel like that on the inside? Are covid life changes overbearing? You may have anxiety or depression, or just want to talk with a caring, licensed professional psychologist like me. Make a brave, important step and ask for help. Let's see how well we will work together. For more than 20 years I've effectively helped adults in Minnesota, Texas and California. And, I look forward to meeting with & helping you.
Hello. Are you a high functioning adult who lives in California where the weather is beautiful almost all the time, the scenery is typically beautiful? Outwardly you may appear to have "the beautiful life" but you don't feel like that on the inside? Are covid life changes overbearing? You may have anxiety or depression, or just want to talk with a caring, licensed professional psychologist like me. Make a brave, important step and ask for help. Let's see how well we will work together. For more than 20 years I've effectively helped adults in Minnesota, Texas and California. And, I look forward to meeting with & helping you.
(858) 766-4509 View (858) 766-4509
Photo of Kirstie Arvizu, Licensed Professional Counselor in 92131, CA
Kirstie Arvizu
Licensed Professional Counselor, MA, LPCC
Verified
1 Endorsed
San Diego, CA 92131
Not accepting new clients
When I was a junior in high school, I began to struggle with severe anxiety and panic attacks. Even with a great support system, trying to “take a deep breathe” when panicking was just not cutting it. I needed to go deeper than that. It wasn’t until I found a counselor that allowed me to feel comfortable sharing my insecurities and fears, that I learned to take control of my worries. I instantly felt more at ease when I knew I was going to see my counselor. That is when I realized: I want to be that sense of warmth and guidance for others.
When I was a junior in high school, I began to struggle with severe anxiety and panic attacks. Even with a great support system, trying to “take a deep breathe” when panicking was just not cutting it. I needed to go deeper than that. It wasn’t until I found a counselor that allowed me to feel comfortable sharing my insecurities and fears, that I learned to take control of my worries. I instantly felt more at ease when I knew I was going to see my counselor. That is when I realized: I want to be that sense of warmth and guidance for others.
(760) 840-2206 View (760) 840-2206
Photo of Joseph H. Segal, Marriage & Family Therapist in 92131, CA
Joseph H. Segal
Marriage & Family Therapist, MA
Verified
3 Endorsed
San Diego, CA 92131
My name is Joseph Segal and I have a Master of Arts in couple and family therapy and am currently working on a doctorate in psychology from Alliant International University. I work with individuals, couples and families on various mental health and relational issues.I specialize in working with couples who have been in distress and who have been caught in a negative pattern of interaction. I specialize in high conflict relational counseling and have significant experience with military and veteran couples in addition to men's issues regarding sex, addiction, and anger.
My name is Joseph Segal and I have a Master of Arts in couple and family therapy and am currently working on a doctorate in psychology from Alliant International University. I work with individuals, couples and families on various mental health and relational issues.I specialize in working with couples who have been in distress and who have been caught in a negative pattern of interaction. I specialize in high conflict relational counseling and have significant experience with military and veteran couples in addition to men's issues regarding sex, addiction, and anger.
(760) 813-3588 View (760) 813-3588
Photo of Anne Goshen, Clinical Social Work/Therapist in 92131, CA
Anne Goshen
Clinical Social Work/Therapist, PhD, LCSW
Verified
San Diego, CA 92131
Helping couples reconnect, resolve conflicts, and rebuild trust. As a Certified Gottman Method Therapist, Emotionally Focused Couples Therapist, & Imago Relationship Therapist, I am able to provide my clients with treatment that is personalized for their specific needs, goals, and circumstances. Clients learn practical tools to break through conflicts, improve communication, increase understanding, and build a strong foundation for the future of their relationship. Call today to get started on creating greater respect, affection, and closeness in your relationship.
Helping couples reconnect, resolve conflicts, and rebuild trust. As a Certified Gottman Method Therapist, Emotionally Focused Couples Therapist, & Imago Relationship Therapist, I am able to provide my clients with treatment that is personalized for their specific needs, goals, and circumstances. Clients learn practical tools to break through conflicts, improve communication, increase understanding, and build a strong foundation for the future of their relationship. Call today to get started on creating greater respect, affection, and closeness in your relationship.
(858) 758-4404 View (858) 758-4404
Photo of Reut Landau, Marriage & Family Therapist in 92131, CA
Reut Landau
Marriage & Family Therapist, MS, LMFT
Verified
1 Endorsed
San Diego, CA 92131
Hello and welcome! My name is Reut Landau and I am a licensed therapist with 10 years of experience helping individuals, couples, and families overcome life’s challenges. As a therapist I believe that everyone has the capacity for growth and change, and that therapy can provide the tools and support needed to achieve personal and interpersonal goals. I am committed to creating a safe, non-judgmental space where you can explore your thoughts and feelings, gain insight into patterns and behaviors, and develop strategies for moving forward.
Hello and welcome! My name is Reut Landau and I am a licensed therapist with 10 years of experience helping individuals, couples, and families overcome life’s challenges. As a therapist I believe that everyone has the capacity for growth and change, and that therapy can provide the tools and support needed to achieve personal and interpersonal goals. I am committed to creating a safe, non-judgmental space where you can explore your thoughts and feelings, gain insight into patterns and behaviors, and develop strategies for moving forward.
(858) 358-7377 View (858) 358-7377
Photo of Wellness Therapy of San Diego, Psychologist in 92131, CA
Wellness Therapy of San Diego
Psychologist, PhD
Verified
San Diego, CA 92131
Feeling overwhelmed and struggling to find balance in your life is a common experience many can relate to. These concerns can have a significant impact on your overall well-being and hinder your personal growth. Our dedicated interdisciplinary team is here to support you on your journey toward transformative changes. We provide personalized strategies that align with your unique values, fostering growth and facilitating recovery. Through one or more services, based on your needs, we empower you to achieve a life that is whole, healthy, and aligned with your goals.
Feeling overwhelmed and struggling to find balance in your life is a common experience many can relate to. These concerns can have a significant impact on your overall well-being and hinder your personal growth. Our dedicated interdisciplinary team is here to support you on your journey toward transformative changes. We provide personalized strategies that align with your unique values, fostering growth and facilitating recovery. Through one or more services, based on your needs, we empower you to achieve a life that is whole, healthy, and aligned with your goals.
(619) 202-1239 View (619) 202-1239
Photo of Dr. Jim Coil, Marriage & Family Therapist in 92131, CA
Dr. Jim Coil
Marriage & Family Therapist, EdD, LMFT
Verified
San Diego, CA 92131
Do you hear your inner critic telling you “I am not good enough; I am not worth it?” Does it feel overwhelming to experience uncertainty in everyday life and relationships? Does it feel as though you “have not been yourself lately”, feeling sad or anxious longer or deeper than you expected? Do you desire to have healthier relationships? I hear you. My hope is to help you have greater quality of life, and achieve healing. Whether you wish to become a happier person, to feel less anxious, more confident, have better relationships, stop an unhealthy habit, or to simply understand yourself better, I can help you achieve this.
Do you hear your inner critic telling you “I am not good enough; I am not worth it?” Does it feel overwhelming to experience uncertainty in everyday life and relationships? Does it feel as though you “have not been yourself lately”, feeling sad or anxious longer or deeper than you expected? Do you desire to have healthier relationships? I hear you. My hope is to help you have greater quality of life, and achieve healing. Whether you wish to become a happier person, to feel less anxious, more confident, have better relationships, stop an unhealthy habit, or to simply understand yourself better, I can help you achieve this.
(619) 452-1168 View (619) 452-1168
Photo of Danijela Mudri-Nicin, Marriage & Family Therapist in 92131, CA
Danijela Mudri-Nicin
Marriage & Family Therapist, MA, LMFT, EMDR
Verified
5 Endorsed
San Diego, CA 92131  (Online Only)
Invisible wounds need healing and you deserve to feel better. It takes tremendous courage to confront childhood trauma. Can you imagine being able to shush that Inner Critic, meet your Inner Child and her old needs, and come into a deeper understanding of your authentic Self? Depression, anxiety, and other symptoms don't have to last forever. Modern psychotherapy includes evidence-based protocols where traumatic memories become less vivid and emotions less intense and unpleasant. Step by step, you can unlearn the patterns that are no longer serving you and reveal your innate worth. This time, you get to choose the direction!
Invisible wounds need healing and you deserve to feel better. It takes tremendous courage to confront childhood trauma. Can you imagine being able to shush that Inner Critic, meet your Inner Child and her old needs, and come into a deeper understanding of your authentic Self? Depression, anxiety, and other symptoms don't have to last forever. Modern psychotherapy includes evidence-based protocols where traumatic memories become less vivid and emotions less intense and unpleasant. Step by step, you can unlearn the patterns that are no longer serving you and reveal your innate worth. This time, you get to choose the direction!
(858) 842-9664 View (858) 842-9664
Photo of Janet Rodriguez, LMFT, Marriage & Family Therapist in 92131, CA
Janet Rodriguez, LMFT
Marriage & Family Therapist, LMFT
Verified
1 Endorsed
San Diego, CA 92131
Welcome to viewing my profile! I have been in the mental health field for over 15 years. As a Marriage and Family Therapist, I received training and focused on the following modes of treatment: attachment theory, play therapy, strength-based, and trauma-informed, among other evidence-based models. Additionally, I have experience working in multidisciplinary settings providing collaborative quality care and psychotherapeutic treatment.
Welcome to viewing my profile! I have been in the mental health field for over 15 years. As a Marriage and Family Therapist, I received training and focused on the following modes of treatment: attachment theory, play therapy, strength-based, and trauma-informed, among other evidence-based models. Additionally, I have experience working in multidisciplinary settings providing collaborative quality care and psychotherapeutic treatment.
(858) 240-8176 View (858) 240-8176
Photo of Jessica Salzmann, Pre-Licensed Professional in 92131, CA
Jessica Salzmann
Pre-Licensed Professional, AMFT
Verified
1 Endorsed
San Diego, CA 92131
I'm here to provide a safe and understanding space for your healing journey. With a focus on cultural sensitivity and a trauma-informed approach, I aim to honor your unique experiences and background. Together, we'll explore the complexities of your challenges and work collaboratively to navigate them in a way that respects your cultural values and personal authenticity.
I'm here to provide a safe and understanding space for your healing journey. With a focus on cultural sensitivity and a trauma-informed approach, I aim to honor your unique experiences and background. Together, we'll explore the complexities of your challenges and work collaboratively to navigate them in a way that respects your cultural values and personal authenticity.
(858) 251-7103 View (858) 251-7103
Photo of Lanelle Teran @ Grow Through Life Counseling , Clinical Social Work/Therapist in 92131, CA
Lanelle Teran @ Grow Through Life Counseling
Clinical Social Work/Therapist, ASW
Verified
1 Endorsed
San Diego, CA 92131
Welcome! I have experience with a wide range of concerns including: stress, anxiety, depression, trauma, self-harming behaviors and other mood disorders. My approach is grounded in a social justice and trauma-informed lens, strength-based, person-centered, and fosters a non-judgmental, affirming environment. My experience includes more than 6 years within community based and outpatient settings working with youth, adults and families.
Welcome! I have experience with a wide range of concerns including: stress, anxiety, depression, trauma, self-harming behaviors and other mood disorders. My approach is grounded in a social justice and trauma-informed lens, strength-based, person-centered, and fosters a non-judgmental, affirming environment. My experience includes more than 6 years within community based and outpatient settings working with youth, adults and families.
(858) 295-7639 View (858) 295-7639
Photo of Jennifer Patterson, Marriage & Family Therapist Associate in 92131, CA
Jennifer Patterson
Marriage & Family Therapist Associate, MA, AMFT
Verified
3 Endorsed
San Diego, CA 92131  (Online Only)
My work as a therapist centers on my values of compassion, equity, and empowerment. I practice through an intersectional feminist lens and I provide trauma-informed, affirming, integrative care using AEDP, EFT, EMDR, IFS interventions, and more. I have extensive training working with members of the LGBTQIA+ communities.
My work as a therapist centers on my values of compassion, equity, and empowerment. I practice through an intersectional feminist lens and I provide trauma-informed, affirming, integrative care using AEDP, EFT, EMDR, IFS interventions, and more. I have extensive training working with members of the LGBTQIA+ communities.
(858) 727-5698 View (858) 727-5698

See more therapy options for 92131

How does your Therapist compare?

Number of Therapists in 92131

100+

Average cost per session

$160

Therapists in 92131 who prioritize treating:

94% Anxiety
89% Depression
70% Relationship Issues
70% Trauma and PTSD
65% Self Esteem
62% Grief
61% Life Transitions

Average years in practice

14 Years

Top 3 insurances accepted

71% Aetna
62% Cigna and Evernorth
48% UnitedHealthcare UHC | UBH

How Therapists in 92131 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

83% Female
17% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 92131?

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.