Photo of Julie Brockman, LCSW, Clinical Social Work/Therapist
Julie Brockman
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
*My practice is currently full and I am not accepting new clients. ....My work as a therapist is well suited for those that are spiritual/intuitive, as well as drawn to holistic and alternative approaches. I use energy psychology protocals to effectively clear long standing beliefs patterns and behaviors that most traditional talk therapy modalities aren't able to. Using whole brain techniques, clairvoyance and powerful questions we can access your wisdom and create the life you truly desire. My work is especially helpful for those who want to stop judging themselves & their bodies. You can learn to love you.
*My practice is currently full and I am not accepting new clients. ....My work as a therapist is well suited for those that are spiritual/intuitive, as well as drawn to holistic and alternative approaches. I use energy psychology protocals to effectively clear long standing beliefs patterns and behaviors that most traditional talk therapy modalities aren't able to. Using whole brain techniques, clairvoyance and powerful questions we can access your wisdom and create the life you truly desire. My work is especially helpful for those who want to stop judging themselves & their bodies. You can learn to love you.
(503) 967-8166 View (503) 967-8166
Photo of Julia G Chapman, MA, LMFT, Marriage & Family Therapist
Julia G Chapman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
I believe therapy has the power to transform people's lives and improve their relationships. My approach is collaborative and relational. In therapy, I work with clients to develop concrete goals and tools to increase confidence in themselves and in their relationships. I also assist clients in processing how past experiences may contribute to insecurities, unhelpful patterns in relationships, and professional dissatisfaction. Throughout the therapy process I help empower clients to change their life narratives by expressing and pursuing what they want in their lives.
I believe therapy has the power to transform people's lives and improve their relationships. My approach is collaborative and relational. In therapy, I work with clients to develop concrete goals and tools to increase confidence in themselves and in their relationships. I also assist clients in processing how past experiences may contribute to insecurities, unhelpful patterns in relationships, and professional dissatisfaction. Throughout the therapy process I help empower clients to change their life narratives by expressing and pursuing what they want in their lives.
(503) 751-8460 View (503) 751-8460
Photo of C.J. Sanders, MA, LMFT, Marriage & Family Therapist
C.J. Sanders
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
Premarital & Early Relationship Counseling + Come have the conversations that will help you build a life together! + Finding your person is only the beginning—learning how to love your person is a lifelong endeavor. If you are considering learning how to love better through couples counseling, I applaud your wisdom! We cover topics identified for relationship satisfaction like conflict & communication, finances & household matters, sex & intimacy, lifestyle, and love languages. We also go deeper into how to navigate differences, form a secure attachment, and address concerns that you may have.
Premarital & Early Relationship Counseling + Come have the conversations that will help you build a life together! + Finding your person is only the beginning—learning how to love your person is a lifelong endeavor. If you are considering learning how to love better through couples counseling, I applaud your wisdom! We cover topics identified for relationship satisfaction like conflict & communication, finances & household matters, sex & intimacy, lifestyle, and love languages. We also go deeper into how to navigate differences, form a secure attachment, and address concerns that you may have.
(971) 252-7556 View (971) 252-7556
Photo of Julia Hays, LCSW, MSW, Clinical Social Work/Therapist
Julia Hays
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Online Only
I help adults of all ages who are tired of chasing perfection. Despite being ambitious, hard-working, and devoted to their relationships, my clients do not feel calm inside. When they first come in, they feel compelled to present an outside image that is more attractive, more accomplished, and happier than the next person. Underneath, they carry the secret that they don’t actually feel that great. They struggle with staying present in the moment and often feel exhausted. They avoid reaching out to people, because it doesn't feel safe to show their weaknesses. Their fears get in the way of the life they want in so many ways.
I help adults of all ages who are tired of chasing perfection. Despite being ambitious, hard-working, and devoted to their relationships, my clients do not feel calm inside. When they first come in, they feel compelled to present an outside image that is more attractive, more accomplished, and happier than the next person. Underneath, they carry the secret that they don’t actually feel that great. They struggle with staying present in the moment and often feel exhausted. They avoid reaching out to people, because it doesn't feel safe to show their weaknesses. Their fears get in the way of the life they want in so many ways.
(971) 232-3106 View (971) 232-3106
Photo of Arah Erickson, MS, NCC
Arah Erickson
Professional Counselor Associate, MS, NCC
Verified Verified
Portland, OR 97280
Welcome! I'm so glad you are here. I offer therapy to individual adults in Oregon facing concerns including anxiety, depression, relationship and family issues and self-esteem. I often focus on supporting clients through life transitions including those working through mid-life concerns, career and family changes, transition to college, cancer diagnosis and survivorship and grief and loss. My style is warm, compassionate, and accepting. I want you to know you are safe, seen and heard. I will partner with you in moving toward change through gaining fresh insight, feeling self-compassion, and seeing your strengths.
Welcome! I'm so glad you are here. I offer therapy to individual adults in Oregon facing concerns including anxiety, depression, relationship and family issues and self-esteem. I often focus on supporting clients through life transitions including those working through mid-life concerns, career and family changes, transition to college, cancer diagnosis and survivorship and grief and loss. My style is warm, compassionate, and accepting. I want you to know you are safe, seen and heard. I will partner with you in moving toward change through gaining fresh insight, feeling self-compassion, and seeing your strengths.
(971) 293-2603 View (971) 293-2603
Photo of Larry Bates, LPC, MA, Licensed Professional Counselor
Larry Bates
Licensed Professional Counselor, LPC, MA
Verified Verified
Online Only
Having difficulty coming to terms with loss? Overwhelmed with feelings of depression and worthlessness? Difficulty managing stress and or anxiety?
Having difficulty coming to terms with loss? Overwhelmed with feelings of depression and worthlessness? Difficulty managing stress and or anxiety?
(503) 822-7580 View (503) 822-7580
Photo of Elizabeth Leah Downs, LCSW, CHT, ACSW, Clinical Social Work/Therapist
Elizabeth Leah Downs
Clinical Social Work/Therapist, LCSW, CHT, ACSW
Verified Verified
Portland, OR 97280
Seeking therapy is an act of courage when your life is not working, when you are feeling overwhelming emotions, or are ready to grow. With over 35 years of experience, I work skillfully with adults, children, families & couples. I am here to compassionately facilitate your learning to live your life with emotional freedom, purpose, creativity, passion & joy! Get in touch with the strength & beauty of your Inner Self & develop more satisfying relationships. Examine your thinking & beliefs & develop mindfulness, transforming your moods & your life. I use a gentle therapeutic style which is an eclectic, psychodynamic, humanistic, transpersonal & holistic wellness approach.
Seeking therapy is an act of courage when your life is not working, when you are feeling overwhelming emotions, or are ready to grow. With over 35 years of experience, I work skillfully with adults, children, families & couples. I am here to compassionately facilitate your learning to live your life with emotional freedom, purpose, creativity, passion & joy! Get in touch with the strength & beauty of your Inner Self & develop more satisfying relationships. Examine your thinking & beliefs & develop mindfulness, transforming your moods & your life. I use a gentle therapeutic style which is an eclectic, psychodynamic, humanistic, transpersonal & holistic wellness approach.
(503) 444-9712 View (503) 444-9712
Photo of Stuart Malkin, MS, LPC, Licensed Professional Counselor
Stuart Malkin
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Portland, OR 97280
Not accepting new clients
Depression, anxiety, and relational stress can keep you from living your life to its full potential. While difficult and stressful experiences are unavoidable in life, there is a way for you to find joy, purpose, and passion again with the right support. With the help of mindfulness-based counseling, I can help you heal and thrive again! Some of the issues I can help you with include depression, anxiety, grief and loss, couple's work, co-dependency, historical trauma, Men's Issues, cultural oppression, life purpose/career, parenting issues, creative blocks, and Climate anxiety and grief.
Depression, anxiety, and relational stress can keep you from living your life to its full potential. While difficult and stressful experiences are unavoidable in life, there is a way for you to find joy, purpose, and passion again with the right support. With the help of mindfulness-based counseling, I can help you heal and thrive again! Some of the issues I can help you with include depression, anxiety, grief and loss, couple's work, co-dependency, historical trauma, Men's Issues, cultural oppression, life purpose/career, parenting issues, creative blocks, and Climate anxiety and grief.
(971) 203-0686 View (971) 203-0686
Photo of Caroline Gearing, MA, LMFT, Marriage & Family Therapist
Caroline Gearing
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97280
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
(360) 450-4373 View (360) 450-4373

More Therapists Nearby

Photo of Jodi J Palensky, PhD, Psychologist
Jodi J Palensky
Psychologist, PhD
Verified Verified
Online Only
Not accepting new clients
Licensed in multiple states including Oregon, Nebraska, Alaska, Idaho, Illinois, Iowa, Maryland, Minnesota, New Mexico, North Dakota, Colorado, Michigan, Washington, Arizona, and Montana. I offer online psychology and counseling teletherapy services designed to connect your recovery plan to your home environment and help you heal, grow and re-engage with your life following a catastrophic injury. I am happy to work with you individually, but also work with a team of allied health professionals to help with complex neurological, limb loss, and orthopedic injuries with a full suite of outpatient telerehabilitation services.
Licensed in multiple states including Oregon, Nebraska, Alaska, Idaho, Illinois, Iowa, Maryland, Minnesota, New Mexico, North Dakota, Colorado, Michigan, Washington, Arizona, and Montana. I offer online psychology and counseling teletherapy services designed to connect your recovery plan to your home environment and help you heal, grow and re-engage with your life following a catastrophic injury. I am happy to work with you individually, but also work with a team of allied health professionals to help with complex neurological, limb loss, and orthopedic injuries with a full suite of outpatient telerehabilitation services.
(531) 201-5298 View (531) 201-5298
Photo of Kristen Tryniszewski, MS, LPC, Licensed Professional Counselor
Kristen Tryniszewski
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Online Only
Everyone needs a little help sometimes. Moods fluctuate; every-day stressors pile up; we argue with loved ones, experience trauma and loss; and constant changes demand us to adapt. Basically, life is known to throw us curveballs and some of those can be quite daunting. The good news, though, is you don't have to go through it alone. If you're looking for support and encouragement, new skills to cope, a fresh perspective, solutions, or simply just someone to talk to, I'm here for you.
Everyone needs a little help sometimes. Moods fluctuate; every-day stressors pile up; we argue with loved ones, experience trauma and loss; and constant changes demand us to adapt. Basically, life is known to throw us curveballs and some of those can be quite daunting. The good news, though, is you don't have to go through it alone. If you're looking for support and encouragement, new skills to cope, a fresh perspective, solutions, or simply just someone to talk to, I'm here for you.
(971) 232-3688 View (971) 232-3688
Photo of Natalia Uribe Menendez - Uribe Music Therapy, LLC, MT-BC
Uribe Music Therapy, LLC
Music Therapist, MT-BC
Verified Verified
Portland, OR 97202
My name is Natalia Uribe (They/Them), I am a Latine Music Therapist, born and raised in Colombia. My ethical duty as a mental health professional is to reach out to underserved communities and break the barriers of access down, by offering high quality mental health services at an affordable price. It is also my duty as a professional to educate myself on systemic issues that affect my current and future clients, in order to truly be of service to them. My practice is based on a combination of humanistic and feminist approaches, through an anti-racist lens.
My name is Natalia Uribe (They/Them), I am a Latine Music Therapist, born and raised in Colombia. My ethical duty as a mental health professional is to reach out to underserved communities and break the barriers of access down, by offering high quality mental health services at an affordable price. It is also my duty as a professional to educate myself on systemic issues that affect my current and future clients, in order to truly be of service to them. My practice is based on a combination of humanistic and feminist approaches, through an anti-racist lens.
(503) 832-6386 View (503) 832-6386
Photo of Claire Waterman, MS, Pre-Licensed Professional
Claire Waterman
Pre-Licensed Professional, MS
Verified Verified
Portland, OR 97205
Welcome! I'm Claire Waterman, a Registered Associate Counselor dedicated to helping individuals gain personal insight and navigate life's complexities. My path to therapy was shaped by my own experiences with trauma, which deepened my understanding of its impact on mental health. This personal insight informs my approach, allowing me to use evidence-based techniques tailored to each client’s unique needs. I specialize in working with individuals from diverse backgrounds, with a focus on supporting LGBTQ+ and BIPOC communities.
Welcome! I'm Claire Waterman, a Registered Associate Counselor dedicated to helping individuals gain personal insight and navigate life's complexities. My path to therapy was shaped by my own experiences with trauma, which deepened my understanding of its impact on mental health. This personal insight informs my approach, allowing me to use evidence-based techniques tailored to each client’s unique needs. I specialize in working with individuals from diverse backgrounds, with a focus on supporting LGBTQ+ and BIPOC communities.
(971) 459-0644 View (971) 459-0644
Photo of Sarah Barrett, LPC, LMHC, Licensed Professional Counselor
Sarah Barrett
Licensed Professional Counselor, LPC, LMHC
Verified Verified
Online Only
Not accepting new clients
You work hard to please people around you, but you are burned out. You're a high achiever and great at helping others. But caring for yourself is overwhelming, because you don't know what you need or want. You may experience high anxiety and feel guilty almost reflexively. You know you shouldn't be so hard on yourself, but find it difficult to practice self-acceptance. You also know that you are tired of sacrificing yourself for everyone else and of being your own worst critic. It's time for a change. You want to pay gentle attention to yourself. You're ready to feel contentment and reconnect with yourself.
You work hard to please people around you, but you are burned out. You're a high achiever and great at helping others. But caring for yourself is overwhelming, because you don't know what you need or want. You may experience high anxiety and feel guilty almost reflexively. You know you shouldn't be so hard on yourself, but find it difficult to practice self-acceptance. You also know that you are tired of sacrificing yourself for everyone else and of being your own worst critic. It's time for a change. You want to pay gentle attention to yourself. You're ready to feel contentment and reconnect with yourself.
(971) 340-4134 View (971) 340-4134
Photo of Maygen Blessman, LCSW, Clinical Social Work/Therapist
Maygen Blessman
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97213
I believe anyone can change, can find their own personal happiness in life. Every one has the capacity to create the life they want for themselves and the path of healing is open to anyone ready to make the first step. However, many of us need a helping hand to walk that path. I help by building upon people's unique strengths to meet their specific goals and this is the foundation of my practice. Mindfulness, acceptance, self compassion and brain science are used to help people understand their own thoughts, actions and behaviors in order to identify effective interventions. By building resilience and understanding, we heal.
I believe anyone can change, can find their own personal happiness in life. Every one has the capacity to create the life they want for themselves and the path of healing is open to anyone ready to make the first step. However, many of us need a helping hand to walk that path. I help by building upon people's unique strengths to meet their specific goals and this is the foundation of my practice. Mindfulness, acceptance, self compassion and brain science are used to help people understand their own thoughts, actions and behaviors in order to identify effective interventions. By building resilience and understanding, we heal.
(458) 218-7620 View (458) 218-7620
Photo of Dr. Scott Kopoian, PhD, Psychologist
Dr. Scott Kopoian
Psychologist, PhD
Verified Verified
Portland, OR 97204
Dr. Scott Kopoian is a graduate of the California School of Professional Psychology-Fresno Campus. He is a licensed Psychologist in Oregon and Arizona. With a focus on mood, anxiety, and trauma-related conditions, Dr. Kopoian collaborates with his clients by jointly developing goals, measurable objectives, and homework assignments to achieve the desired outcome.
Dr. Scott Kopoian is a graduate of the California School of Professional Psychology-Fresno Campus. He is a licensed Psychologist in Oregon and Arizona. With a focus on mood, anxiety, and trauma-related conditions, Dr. Kopoian collaborates with his clients by jointly developing goals, measurable objectives, and homework assignments to achieve the desired outcome.
(971) 290-2186 View (971) 290-2186
Photo of Naomi Schwendemann, LICSW, LCSW, Clinical Social Work/Therapist
Naomi Schwendemann
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Portland, OR 97217
I have extensive practice with clients experiencing anxiety, depression, PTSD, attachment trauma, and stress related to major life changes.
I have extensive practice with clients experiencing anxiety, depression, PTSD, attachment trauma, and stress related to major life changes.
(360) 680-1302 View (360) 680-1302
Photo of Katie Roeda, MSW, LCSW, Clinical Social Work/Therapist
Katie Roeda
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97215
Video/phone sessions only. Get step-by-step support, creative solutions, and tools to heal and grow. I help you find ways to feel more confident, connected, and consistent in meeting your needs. I work well with those needing support to manage anxiety, depression, and ADHD. Experience the power of professional collaboration to move forward on your goals!
Video/phone sessions only. Get step-by-step support, creative solutions, and tools to heal and grow. I help you find ways to feel more confident, connected, and consistent in meeting your needs. I work well with those needing support to manage anxiety, depression, and ADHD. Experience the power of professional collaboration to move forward on your goals!
(503) 822-7641 View (503) 822-7641
Photo of Margaret M. Kelleher, PsyD, Psychologist
Margaret M. Kelleher
Psychologist, PsyD
Verified Verified
Online Only
Waitlist for new clients
My professional belief is that beginning psychotherapy is like embarking on a "Hero's Journey". Clients brave facing their fears in a safe, secure environment in order to create the lives they want to live. Many times, I meet clients who think that therapy is about fixing what is "wrong" with them. I believe, however, that therapy is really more about fostering clients' ability to connect with what is "right" with them. I support people in fully embracing who and what they really are - without fears. It would be my privilege to be your guide on this journey.
My professional belief is that beginning psychotherapy is like embarking on a "Hero's Journey". Clients brave facing their fears in a safe, secure environment in order to create the lives they want to live. Many times, I meet clients who think that therapy is about fixing what is "wrong" with them. I believe, however, that therapy is really more about fostering clients' ability to connect with what is "right" with them. I support people in fully embracing who and what they really are - without fears. It would be my privilege to be your guide on this journey.
(503) 444-9808 View (503) 444-9808
Photo of Peggy Rost, LCSW, MPA, Clinical Social Work/Therapist
Peggy Rost
Clinical Social Work/Therapist, LCSW, MPA
Verified Verified
Online Only
Hello and welcome! My name is Peggy (she/her) and I'm a Clinical Social Worker licensed in the states of Maine and Oregon. I strive to help adults who are going through a difficult time, which might include a life transition, time of loss, impact of a chronic physical condition, or struggles in a relationship. I have passion for working with older adults and have a lot of experience working with individuals living with progressive diseases and family caregivers. That said, I welcome adults from all backgrounds and stages of life.
Hello and welcome! My name is Peggy (she/her) and I'm a Clinical Social Worker licensed in the states of Maine and Oregon. I strive to help adults who are going through a difficult time, which might include a life transition, time of loss, impact of a chronic physical condition, or struggles in a relationship. I have passion for working with older adults and have a lot of experience working with individuals living with progressive diseases and family caregivers. That said, I welcome adults from all backgrounds and stages of life.
(207) 495-7276 View (207) 495-7276

See more therapy options for 97280

How does your Therapist compare?

Number of Therapists in 97280

< 10

Therapists in 97280 who prioritize treating:

100% Relationship Issues
100% Grief
100% Self Esteem
88% Depression
88% Anxiety
88% Family Conflict
88% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

67% Oregon Health Plan (OHP)
33% Aetna
33% BlueCross and BlueShield

How Therapists in 97280 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 97280?

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.