Therapists in 97239

Photo of Natalie Mitchell, Psychologist, PsyD
Natalie Mitchell
Psychologist, PsyD
Online Only
I am a Licensed Psychologist with over 17 years experience in university and private practice settings. My work focuses on adults with a range of concerns, including depression and anxiety, difficult life transitions, relationship problems or losses, trauma, and identity. I have specific expertise working with young adults and the common challenges experienced at that time. I also enjoy working with individuals of diverse identities and backgrounds, which has been a focus in both my career and my ongoing education.
I am a Licensed Psychologist with over 17 years experience in university and private practice settings. My work focuses on adults with a range of concerns, including depression and anxiety, difficult life transitions, relationship problems or losses, trauma, and identity. I have specific expertise working with young adults and the common challenges experienced at that time. I also enjoy working with individuals of diverse identities and backgrounds, which has been a focus in both my career and my ongoing education.
(503) 461-7307 View (503) 461-7307
Photo of Emily L Trum, Art Therapist, LPC, ATR-BC
Emily L Trum
Art Therapist, LPC, ATR-BC
2 Endorsed
Portland, OR 97239
I love working with kids and teens. Whether its a play therapy session with a seven year old who is learning to build skills around emotional regulation or a teenager exploring their identity as an individual, it is wonderful. I also enjoy supporting kids and teens process life challenges that are impacting their quality of existence so that they can move through them and begin to heal. There is nothing like supporting an individual to see themselves through the light of their strengths and how they can take those strengths out into the world.
I love working with kids and teens. Whether its a play therapy session with a seven year old who is learning to build skills around emotional regulation or a teenager exploring their identity as an individual, it is wonderful. I also enjoy supporting kids and teens process life challenges that are impacting their quality of existence so that they can move through them and begin to heal. There is nothing like supporting an individual to see themselves through the light of their strengths and how they can take those strengths out into the world.
(971) 363-5383 View (971) 363-5383
Photo of Dr. Molly Young, Psychologist, PsyD
Dr. Molly Young
Psychologist, PsyD
2 Endorsed
Online Only
I provide affirming sex and relationship therapy for clients who are 21+. I work with clients from all backgrounds and identities on the following areas of clinical focus: Building communication skills; relational and sexual trauma; consent; differences in sexual desire; painful sex (e.g., Genito-Pelvic Pain/Penetration Disorder); and enhancing sexual desire, arousal, and pleasure. I specialize in working with queer, gender expansive, kinky, and non-monogamous clients. Areas of clinical specialty include identity development (gender, sexuality, and relationships); exploration of kink and BDSM; and navigation of non-monogamy.
I provide affirming sex and relationship therapy for clients who are 21+. I work with clients from all backgrounds and identities on the following areas of clinical focus: Building communication skills; relational and sexual trauma; consent; differences in sexual desire; painful sex (e.g., Genito-Pelvic Pain/Penetration Disorder); and enhancing sexual desire, arousal, and pleasure. I specialize in working with queer, gender expansive, kinky, and non-monogamous clients. Areas of clinical specialty include identity development (gender, sexuality, and relationships); exploration of kink and BDSM; and navigation of non-monogamy.
(971) 308-9288 View (971) 308-9288
Photo of Melissa Gutierrez - Lunar Tides Therapy LLC, Pre-Licensed Professional, MA, QMHP, LPCA
Lunar Tides Therapy LLC
Pre-Licensed Professional, MA, QMHP, LPCA
Online Only
I offer therapy services for individuals and families, and see clients between the ages of 12 and 45 years old. I approach counseling through the understanding that individuals are a product of their environmental contexts and may equally influence those contexts. I also believe that we do not exist in a stagnant and unchanging world, and are continuously evolving as individuals, which shapes my scope of practice. I focus on working with clients towards empowerment and identifying behavioral, cognitive, and emotional patterns that may no longer serve their best interests.
I offer therapy services for individuals and families, and see clients between the ages of 12 and 45 years old. I approach counseling through the understanding that individuals are a product of their environmental contexts and may equally influence those contexts. I also believe that we do not exist in a stagnant and unchanging world, and are continuously evolving as individuals, which shapes my scope of practice. I focus on working with clients towards empowerment and identifying behavioral, cognitive, and emotional patterns that may no longer serve their best interests.
(503) 974-4959 View (503) 974-4959
Photo of Ruth Q. Leibowitz, Psychologist, PhD, SEP
Ruth Q. Leibowitz
Psychologist, PhD, SEP
Portland, OR 97239
Not accepting new clients
My practice is currently full. I will edit this profile when that changes. I especially enjoy working with individuals who have experienced "outsider status" and are on a journey to create a sense of belonging in their own way and style. Many of my patients are creatives who experience hindrances in connecting with their creative energies and seek ways to more fully nourish and honor these aspects of Self.
My practice is currently full. I will edit this profile when that changes. I especially enjoy working with individuals who have experienced "outsider status" and are on a journey to create a sense of belonging in their own way and style. Many of my patients are creatives who experience hindrances in connecting with their creative energies and seek ways to more fully nourish and honor these aspects of Self.
(503) 567-4327 View (503) 567-4327
Photo of Jackie Moore, Clinical Social Work/Therapist, LCSW
Jackie Moore
Clinical Social Work/Therapist, LCSW
1 Endorsed
Portland, OR 97239
Relationships can be a source of deep connection or stress, especially when challenges around intimacy, communication, anxiety, or past trauma arise. You may feel overwhelmed, stuck in negative cycles, or disconnected from your partner and even yourself. I work with couples and individuals navigating relationship difficulties, anxiety, and trauma, helping you build healthier communication, stronger emotional connections, and a renewed sense of intimacy. Together, we’ll explore these struggles and develop tools to create more fulfilling, balanced relationships.
Relationships can be a source of deep connection or stress, especially when challenges around intimacy, communication, anxiety, or past trauma arise. You may feel overwhelmed, stuck in negative cycles, or disconnected from your partner and even yourself. I work with couples and individuals navigating relationship difficulties, anxiety, and trauma, helping you build healthier communication, stronger emotional connections, and a renewed sense of intimacy. Together, we’ll explore these struggles and develop tools to create more fulfilling, balanced relationships.
(971) 458-4108 View (971) 458-4108
Photo of Patricia Martinez, Clinical Social Work/Therapist, LCSW
Patricia Martinez
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Thank you for taking time to invest in your wellbeing. I am a bilingual/bicultural Mexican woman of indigenous roots raised by immigrant parents. Spanish was my first language, and I am comfortable facilitating sessions in Spanish or English or both. I have always believed in the strength and power individuals hold within themselves to heal and I see myself as a small vessel or guide in their journey. I was born and raised in Oregon and love to travel. Aside for the love I have for traveling, one of my favorite roles is being a “tia” (auntie) to my 13 nieces and nephews. Some hobbies I enjoy are dancing, boxing, hiking, and singing.
Thank you for taking time to invest in your wellbeing. I am a bilingual/bicultural Mexican woman of indigenous roots raised by immigrant parents. Spanish was my first language, and I am comfortable facilitating sessions in Spanish or English or both. I have always believed in the strength and power individuals hold within themselves to heal and I see myself as a small vessel or guide in their journey. I was born and raised in Oregon and love to travel. Aside for the love I have for traveling, one of my favorite roles is being a “tia” (auntie) to my 13 nieces and nephews. Some hobbies I enjoy are dancing, boxing, hiking, and singing.
(503) 922-3360 View (503) 922-3360
Photo of Miriam Louise Robinson, Clinical Social Work/Therapist, LCSW, DCC
Miriam Louise Robinson
Clinical Social Work/Therapist, LCSW, DCC
Portland, OR 97239
Not accepting new clients
I AM NOT TAKING NEW CLIENTS AT THIS TIME. THANK YOU FOR YOUR PATIENCE. I have provided clinical service in; residential, outpatient, partial hospitalization for adolescents and children, in-home services and private practice. I have served on several social service agency boards and have consulted with schools, hospitals, outpatient service agencies and individual clinicians. I have also presented workshops on cultural diversity and the clinical implications, and the clinical presence in the recovery community. I am currently on a variety of insurance, state and Employee Assistance Program panels.
I AM NOT TAKING NEW CLIENTS AT THIS TIME. THANK YOU FOR YOUR PATIENCE. I have provided clinical service in; residential, outpatient, partial hospitalization for adolescents and children, in-home services and private practice. I have served on several social service agency boards and have consulted with schools, hospitals, outpatient service agencies and individual clinicians. I have also presented workshops on cultural diversity and the clinical implications, and the clinical presence in the recovery community. I am currently on a variety of insurance, state and Employee Assistance Program panels.
(503) 433-8159 View (503) 433-8159
Photo of Rachel Shapiro, Pre-Licensed Professional, LPC, CPCC
Rachel Shapiro
Pre-Licensed Professional, LPC, CPCC
Portland, OR 97239
Therapy is a place to deepen one’s connection and relationship with the self, and to gain embodied insight about one’s personal process, dynamics, and patterning. It is also a place to explore one’s relationships to others to build more fulfilling connections and intimacy in one’s life. I offer various tools to support you in your journey, such as Internal Family Systems, mindful self compassion, guided visualization, and a somatic (body based) orientation to trauma. I hold deep respect and curiosity for differences such as race, class, gender, sexual orientation and gender identity. I am an ally to the LGBTQIA+ community.
Therapy is a place to deepen one’s connection and relationship with the self, and to gain embodied insight about one’s personal process, dynamics, and patterning. It is also a place to explore one’s relationships to others to build more fulfilling connections and intimacy in one’s life. I offer various tools to support you in your journey, such as Internal Family Systems, mindful self compassion, guided visualization, and a somatic (body based) orientation to trauma. I hold deep respect and curiosity for differences such as race, class, gender, sexual orientation and gender identity. I am an ally to the LGBTQIA+ community.
(971) 314-5828 View (971) 314-5828
Photo of Sabrina LaGood-Robinson, Professional Counselor Associate
Sabrina LaGood-Robinson
Professional Counselor Associate
1 Endorsed
Portland, OR 97239
The world is a beautiful and complex place, and sometimes we need help navigating through the nuance. My goal as a counselor is to provide a safe and supportive space to my clients where they can explore their experiences while I offer warmth, compassion, empathy, and perhaps a touch of humor.
The world is a beautiful and complex place, and sometimes we need help navigating through the nuance. My goal as a counselor is to provide a safe and supportive space to my clients where they can explore their experiences while I offer warmth, compassion, empathy, and perhaps a touch of humor.
(971) 351-0370 View (971) 351-0370
Photo of Sheryl Dunn Watson, Licensed Professional Counselor, MA, LPC, LMHC, CCMHC
Sheryl Dunn Watson
Licensed Professional Counselor, MA, LPC, LMHC, CCMHC
2 Endorsed
Portland, OR 97239
Not accepting new clients
I believe all people have within themselves the ability to move towards positive change. By creating a safe and trusting relationship and environment, I begin to facilitate my clients' abilities to accept personal responsibility for their behavior, develop autonomy, and make positive and constructive choices in their lives. I hope to empower my clients to successfully overcome traumatic and/or stressful life events and to find positive solutions to problems they may face currently or in the future.
I believe all people have within themselves the ability to move towards positive change. By creating a safe and trusting relationship and environment, I begin to facilitate my clients' abilities to accept personal responsibility for their behavior, develop autonomy, and make positive and constructive choices in their lives. I hope to empower my clients to successfully overcome traumatic and/or stressful life events and to find positive solutions to problems they may face currently or in the future.
(503) 388-5552 x1 View (503) 388-5552 x1
Photo of Nicole Louise Hart, Pre-Licensed Professional, MS, LPCA
Nicole Louise Hart
Pre-Licensed Professional, MS, LPCA
Online Only
Hello there! I believe everyone has the capacity for change, and is interested in learning new things! I will validate and never judge you, but instead I will empower you and help you meet your goals through individualized steps. I am currently accepting clients from anywhere in the state of Oregon! I have partnered with Mindful Therapy Group for scheduling and intake needs, so if you would like to schedule an appointment, please call them at: (971)652-6971. I also have online scheduling, available through Mindful Therapy Group's official website.
Hello there! I believe everyone has the capacity for change, and is interested in learning new things! I will validate and never judge you, but instead I will empower you and help you meet your goals through individualized steps. I am currently accepting clients from anywhere in the state of Oregon! I have partnered with Mindful Therapy Group for scheduling and intake needs, so if you would like to schedule an appointment, please call them at: (971)652-6971. I also have online scheduling, available through Mindful Therapy Group's official website.
(971) 287-3567 View (971) 287-3567
Photo of Shannon Broussard-Bueno, Professional Counselor Associate, MA, LPC-A, PCA
Shannon Broussard-Bueno
Professional Counselor Associate, MA, LPC-A, PCA
Online Only
You might be carrying more than anyone realizes. Maybe you’re exhausted from trying to hold it all together—grieving, burnt out, anxious, or stuck in patterns that no longer serve you. You may be questioning your identity, wrestling with invisible expectations, or feeling pressure to move on before you’re ready. You want space to slow down, be honest, and feel like yourself again. You might not know exactly what you need—just that something needs to shift.
You might be carrying more than anyone realizes. Maybe you’re exhausted from trying to hold it all together—grieving, burnt out, anxious, or stuck in patterns that no longer serve you. You may be questioning your identity, wrestling with invisible expectations, or feeling pressure to move on before you’re ready. You want space to slow down, be honest, and feel like yourself again. You might not know exactly what you need—just that something needs to shift.
(971) 252-7428 View (971) 252-7428
Photo of Amy Hughes, Clinical Social Work/Therapist, LCSW
Amy Hughes
Clinical Social Work/Therapist, LCSW
1 Endorsed
Portland, OR 97239
I specialize in working with teens and Generation Z adults using a range of therapeutic interventions. My work with clients has involved treating mood disorders and addressing identity concerns. My clients have been new to counseling or have returned to therapy, and are motivated to move forward. Over the years, I have worked with clients to address anxiety, binge eating, depression, gender dysphoria, sexuality, self-harm, shame and stress.
I specialize in working with teens and Generation Z adults using a range of therapeutic interventions. My work with clients has involved treating mood disorders and addressing identity concerns. My clients have been new to counseling or have returned to therapy, and are motivated to move forward. Over the years, I have worked with clients to address anxiety, binge eating, depression, gender dysphoria, sexuality, self-harm, shame and stress.
(503) 305-4072 View (503) 305-4072
Photo of Mary Bergeron, Pre-Licensed Professional, MA
Mary Bergeron
Pre-Licensed Professional, MA
Online Only
Hi, I’m Mary & I offer evening/night counseling sessions! I love my job as a counselor, and I’m passionate about helping people learn more about themselves and make meaning out of their experiences. I specialize in supporting people who are facing transitions—whether it's navigating grief, adjusting to new roles, navigating relationship changes, or another challenge. Many of my clients come to me feeling overwhelmed and disconnected from themselves. Together, we work to explore meaning in their experiences, helping them reconnect with their core values, build necessary skills, and move forward with confidence.
Hi, I’m Mary & I offer evening/night counseling sessions! I love my job as a counselor, and I’m passionate about helping people learn more about themselves and make meaning out of their experiences. I specialize in supporting people who are facing transitions—whether it's navigating grief, adjusting to new roles, navigating relationship changes, or another challenge. Many of my clients come to me feeling overwhelmed and disconnected from themselves. Together, we work to explore meaning in their experiences, helping them reconnect with their core values, build necessary skills, and move forward with confidence.
(971) 278-9267 View (971) 278-9267
Photo of Dan Chapman, Pre-Licensed Professional, MA
Dan Chapman
Pre-Licensed Professional, MA
Online Only
I always want to foster a counseling environment of honesty, kindness, and empathy. What we discuss is always dependent on your level of comfortability. We celebrate the little victories and aim for making lasting changes. I always look for ways to help empower you to be in the drivers seat and reach your therapeutic goals.
I always want to foster a counseling environment of honesty, kindness, and empathy. What we discuss is always dependent on your level of comfortability. We celebrate the little victories and aim for making lasting changes. I always look for ways to help empower you to be in the drivers seat and reach your therapeutic goals.
(971) 290-1554 View (971) 290-1554
Photo of Nahomie Guillaume - Guillaume Counseling Services, PC, Marriage & Family Therapist
Guillaume Counseling Services, PC
Marriage & Family Therapist
1 Endorsed
Online Only
Are you in need of premarital or marital counseling? Are you struggling with anxiety, depression, or past trauma? Are you currently pregnant, just gave birth, or just lost a child and in need of some support to deal with the various emotions you are experiencing? Are you a parent of a child with mental illness and need some support or therapy for yourself? Do you have a long history of mental health struggles and would like to break the cycle? If so, we can help! We work with moms, dads, wives, husbands and partners. We are culturally and spiritually minded in our work. We integrate your faith and culture in our work together.
Are you in need of premarital or marital counseling? Are you struggling with anxiety, depression, or past trauma? Are you currently pregnant, just gave birth, or just lost a child and in need of some support to deal with the various emotions you are experiencing? Are you a parent of a child with mental illness and need some support or therapy for yourself? Do you have a long history of mental health struggles and would like to break the cycle? If so, we can help! We work with moms, dads, wives, husbands and partners. We are culturally and spiritually minded in our work. We integrate your faith and culture in our work together.
(503) 922-3360 View (503) 922-3360
Photo of Rachel Patten, Clinical Social Work/Therapist, LCSW, LICSW
Rachel Patten
Clinical Social Work/Therapist, LCSW, LICSW
1 Endorsed
Online Only
Not accepting new clients
Hi, I'm Rachel, a licensed clinical social worker offering telehealth therapy in Oregon and Washington. If you're here, you're on a journey. Maybe it is to address something specific, maybe it is just to feel better, feel more comfortable in your skin. I view therapy as an opportunity for me to support you in navigating the many obstacles and barriers that life throws at us. I believe in your unbounded potential to heal and would be honored to support you in this. I specialize in working with individuals living with chronic illness, depression, anxiety, addiction, psychosis and dealing with impacts from trauma.
Hi, I'm Rachel, a licensed clinical social worker offering telehealth therapy in Oregon and Washington. If you're here, you're on a journey. Maybe it is to address something specific, maybe it is just to feel better, feel more comfortable in your skin. I view therapy as an opportunity for me to support you in navigating the many obstacles and barriers that life throws at us. I believe in your unbounded potential to heal and would be honored to support you in this. I specialize in working with individuals living with chronic illness, depression, anxiety, addiction, psychosis and dealing with impacts from trauma.
(971) 459-8187 View (971) 459-8187
Photo of Martha Early, Clinical Social Work/Therapist, LCSW
Martha Early
Clinical Social Work/Therapist, LCSW
Portland, OR 97239
Waitlist for new clients
Are you struggling with anxiety, stress, and self-doubt in your relationships, work, or life more broadly? Do you care deeply about the people in your life, but your relationships could be better? Maybe it's hard to express yourself or trust others. Maybe the thought of conflict or upsetting someone makes you feel ill. Do you have big goals and dreams, but struggle to handle setbacks and disappointments along the way? Perhaps you wonder if you're being too hard on yourself...or not hard enough. Right now, you crave some some external perspective on how you're really doing and how to get where you want to go.
Are you struggling with anxiety, stress, and self-doubt in your relationships, work, or life more broadly? Do you care deeply about the people in your life, but your relationships could be better? Maybe it's hard to express yourself or trust others. Maybe the thought of conflict or upsetting someone makes you feel ill. Do you have big goals and dreams, but struggle to handle setbacks and disappointments along the way? Perhaps you wonder if you're being too hard on yourself...or not hard enough. Right now, you crave some some external perspective on how you're really doing and how to get where you want to go.
(971) 203-0703 View (971) 203-0703
Photo of Linda K Berlingen - Linda Berlingen, LPC - Rose City Therapists, LLC, Licensed Professional Counselor, LPC
Linda Berlingen, LPC - Rose City Therapists, LLC
Licensed Professional Counselor, LPC
Portland, OR 97239
Sometimes we need a caring person, skilled at listening, who will act as a mirror, reflecting back our deepest knowing and personal truth. The act of entrusting another in this manner helps us to realign with our wisest self. We begin feeling more at ease and clearer about our intentions. Choices begin to reflect who we really want to be in the world. Suddenly, we are noticing and appreciating what is right and joyful in life more of the time.
Sometimes we need a caring person, skilled at listening, who will act as a mirror, reflecting back our deepest knowing and personal truth. The act of entrusting another in this manner helps us to realign with our wisest self. We begin feeling more at ease and clearer about our intentions. Choices begin to reflect who we really want to be in the world. Suddenly, we are noticing and appreciating what is right and joyful in life more of the time.
(503) 342-7921 View (503) 342-7921

See more therapy options for 97239

How does your Therapist compare?

Number of Therapists in 97239

300+

Average cost per session

$165

Therapists in 97239 who prioritize treating:

91% Anxiety
83% Depression
76% Trauma and PTSD
73% Relationship Issues
69% Self Esteem
69% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

65% Aetna
62% PacificSource
51% Regence

How Therapists in 97239 see their clients

52% Online Only
48% In Person and Online

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 97239?

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.