Photo of Adam S. Waldron, LMFT, Marriage & Family Therapist
Adam S. Waldron
Marriage & Family Therapist, LMFT
Verified Verified
Mill Creek, WA 98012
If you're feeling overwhelmed by worry, anxiety, or panic, know that you're not alone. Perhaps you're facing a loss of interest in things once loved, or a sadness that lingers, leaving you unmotivated and self-critical. If conflicts with loved ones have left you feeling stuck, there is a path forward. Together, in our initial sessions, we'll explore the underlying issues and craft a personalized plan that draws on your unique strengths and values. The goal is to equip you with the tools to improve your well-being and develop coping strategies that will enable you to reclaim control over your life.
If you're feeling overwhelmed by worry, anxiety, or panic, know that you're not alone. Perhaps you're facing a loss of interest in things once loved, or a sadness that lingers, leaving you unmotivated and self-critical. If conflicts with loved ones have left you feeling stuck, there is a path forward. Together, in our initial sessions, we'll explore the underlying issues and craft a personalized plan that draws on your unique strengths and values. The goal is to equip you with the tools to improve your well-being and develop coping strategies that will enable you to reclaim control over your life.
(425) 215-1923 View (425) 215-1923
Photo of Suvratha Victor John, MSc, MEd, BCBA, LBA
Suvratha Victor John
MSc, MEd, BCBA, LBA
Verified Verified
2 Endorsed
Bothell, WA 98012
As a board-certified behavior analyst I have extensively worked with children and adults with autism, developmental/ intellectual disabilities, attention deficit disorders and maladaptive behaviors. I focus on helping them learn social communication skills, cognitive and executive skills, and adaptive living skills. I provide parent and caregiver coaching to help the families understand how to support and advocate for their children. Through parent/caregiver coaching, I help parents gain confidence in learning new tools and model how solve behavioral/ emotional/ mental challenges.
As a board-certified behavior analyst I have extensively worked with children and adults with autism, developmental/ intellectual disabilities, attention deficit disorders and maladaptive behaviors. I focus on helping them learn social communication skills, cognitive and executive skills, and adaptive living skills. I provide parent and caregiver coaching to help the families understand how to support and advocate for their children. Through parent/caregiver coaching, I help parents gain confidence in learning new tools and model how solve behavioral/ emotional/ mental challenges.
(425) 537-6028 View (425) 537-6028
Photo of Ken Urie - Mill Creek Family Services - Counseling Group, MA, LMHC, Counselor
Mill Creek Family Services - Counseling Group
Counselor, MA, LMHC
Verified Verified
Mill Creek, WA 98012
Our services are designed to help you and the ones you love overcome personal, relationship and family difficulties. Whether you are experiencing challenges in your personal relationships, or struggling with depression, anxiety, stress or addictions, we are here for you. We help you develop skills and insights that can immediately make a positive difference in your life. We know that everybody needs help through tough times. Our Mill Creek Family Services counselors are here for you, helping you get your life back on track.
Our services are designed to help you and the ones you love overcome personal, relationship and family difficulties. Whether you are experiencing challenges in your personal relationships, or struggling with depression, anxiety, stress or addictions, we are here for you. We help you develop skills and insights that can immediately make a positive difference in your life. We know that everybody needs help through tough times. Our Mill Creek Family Services counselors are here for you, helping you get your life back on track.
(425) 357-9111 x1 View (425) 357-9111 x1
Photo of Megan Johnson, MA, LMHC, SUDP, Counselor
Megan Johnson
Counselor, MA, LMHC, SUDP
Verified Verified
1 Endorsed
Mill Creek, WA 98012  (Online Only)
I believe therapy is a collaborative process where you can take steps towards healing, growth, and wellness. My hope is to create a safe space to work through difficult times, overcome challenges, and gain the insight and tools needed to achieve your counseling goals. I am dually licensed in both mental health and substance use disorder counseling.
I believe therapy is a collaborative process where you can take steps towards healing, growth, and wellness. My hope is to create a safe space to work through difficult times, overcome challenges, and gain the insight and tools needed to achieve your counseling goals. I am dually licensed in both mental health and substance use disorder counseling.
(425) 475-3547 View (425) 475-3547
Photo of Ann Hopkins, MS, LMFT, Marriage & Family Therapist
Ann Hopkins
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Mill Creek, WA 98012
Now accepting new clients. We are made to belong and connect with those we love and can experience grief and frustration when those relationships result in pain and challenges. My desire is to bring hope to my clients and offer a safe place to be heard and affirmed. I look forward to walking alongside you as we navigate through difficult times. I believe we are created for a purpose and that walking through these challenges cause us to grow, strengthen our relationships and help us to see for what purpose we were made.
Now accepting new clients. We are made to belong and connect with those we love and can experience grief and frustration when those relationships result in pain and challenges. My desire is to bring hope to my clients and offer a safe place to be heard and affirmed. I look forward to walking alongside you as we navigate through difficult times. I believe we are created for a purpose and that walking through these challenges cause us to grow, strengthen our relationships and help us to see for what purpose we were made.
(425) 230-4342 View (425) 230-4342
Photo of James Keyes, PhD, ABPP, Psychologist
James Keyes
Psychologist, PhD, ABPP
Verified Verified
Mill Creek, WA 98012
AUGUST 2021 - PRACTICE PRIMARILY FULL. (I have a few AM appointment openings - NO AFTER SCHOOL TIMES right now; I AM available for COGNITIVE (dementia or ADHD; learning) & Autism EVALUATIONS; no therapy). I am one of a dozen Board Certified Clinical Child & Adolescent Psychologists in Washington. I specialize in working on the types of thoughts, feelings and actions that can help us ... or alternatively are creating problems in our lives. I would utilize evidence based approaches proven to work, & tailor those to the unique & individual situation going on in your life, working toward solutions that make things run more smoothly.
AUGUST 2021 - PRACTICE PRIMARILY FULL. (I have a few AM appointment openings - NO AFTER SCHOOL TIMES right now; I AM available for COGNITIVE (dementia or ADHD; learning) & Autism EVALUATIONS; no therapy). I am one of a dozen Board Certified Clinical Child & Adolescent Psychologists in Washington. I specialize in working on the types of thoughts, feelings and actions that can help us ... or alternatively are creating problems in our lives. I would utilize evidence based approaches proven to work, & tailor those to the unique & individual situation going on in your life, working toward solutions that make things run more smoothly.
(425) 276-6752 x9 View (425) 276-6752 x9
Photo of Haily Haight, MS, LMHCA, Counselor
Haily Haight
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Mill Creek, WA 98012
I am a Licensed Mental Health Counselor Associate who works with adolescents, adults, couples and families. I believe that people are unique individuals who hold expertise about themselves and their lives. I partner with my clients to build a strong therapeutic relationship, knowing we all need help at times to overcome obstacles. I bring compassion and authenticity to the therapeutic process and tailor therapy to each individual I see.
I am a Licensed Mental Health Counselor Associate who works with adolescents, adults, couples and families. I believe that people are unique individuals who hold expertise about themselves and their lives. I partner with my clients to build a strong therapeutic relationship, knowing we all need help at times to overcome obstacles. I bring compassion and authenticity to the therapeutic process and tailor therapy to each individual I see.
(425) 629-8529 x1 View (425) 629-8529 x1
Photo of Lynn V Jones, MA, LMHC, Counselor
Lynn V Jones
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Mill Creek, WA 98012  (Online Only)
Most of my clients come to me feeling stuck, having tried "regular" talk therapy and looking for something, a modality or a therapist to help them move past old patterns of relating and triggers. These old patterns and triggers left unaddressed can easily feel like they are taking over your life! Together, with your permission, we will dive deeply into your story and uncover patterns of relating that have been preventing you from the life you want to live.
Most of my clients come to me feeling stuck, having tried "regular" talk therapy and looking for something, a modality or a therapist to help them move past old patterns of relating and triggers. These old patterns and triggers left unaddressed can easily feel like they are taking over your life! Together, with your permission, we will dive deeply into your story and uncover patterns of relating that have been preventing you from the life you want to live.
(206) 489-3839 View (206) 489-3839
Photo of Zecharias Adebo, MA, LMHCA, Counselor
Zecharias Adebo
Counselor, MA, LMHCA
Verified Verified
Mill Creek, WA 98012  (Online Only)
Waitlist for new clients
Are you feeling overwhelmed by anxiety, depression, or mood swings? Perhaps you're managing bipolar disorder, experiencing psychotic symptoms (with support from a medication prescriber), or facing challenges in your relationships. You may feel disconnected, lost, or uncertain about the future. Your goal is to find stability, build emotional resilience, and cultivate healthier relationships, but you're not sure where to start.
Are you feeling overwhelmed by anxiety, depression, or mood swings? Perhaps you're managing bipolar disorder, experiencing psychotic symptoms (with support from a medication prescriber), or facing challenges in your relationships. You may feel disconnected, lost, or uncertain about the future. Your goal is to find stability, build emotional resilience, and cultivate healthier relationships, but you're not sure where to start.
(425) 382-7571 View (425) 382-7571
Photo of Pallavi (Polly) Shrestha, Marriage & Family Therapist Associate
Pallavi (Polly) Shrestha
Marriage & Family Therapist Associate
Verified Verified
Bothell, WA 98012  (Online Only)
Welcome! Namaste! Are you feeling stuck, overwhelmed, or struggling with your day-to-day life? If so, I encourage you to reach out today by phone or email. Let us embark on this therapeutic journey together. I understand that seeking therapy can feel strange and uncomfortable, and it is okay to experience those feelings. Acknowledging them is an important step, and gently moving forward is the beginning of healing. As a therapist, my goal is to serve as a compass, guiding you toward the direction you desire. I offer tele-health therapy within the state of Washington.
Welcome! Namaste! Are you feeling stuck, overwhelmed, or struggling with your day-to-day life? If so, I encourage you to reach out today by phone or email. Let us embark on this therapeutic journey together. I understand that seeking therapy can feel strange and uncomfortable, and it is okay to experience those feelings. Acknowledging them is an important step, and gently moving forward is the beginning of healing. As a therapist, my goal is to serve as a compass, guiding you toward the direction you desire. I offer tele-health therapy within the state of Washington.
(425) 475-2892 View (425) 475-2892
Photo of April VanderVeen, MA, LMHCA, Counselor
April VanderVeen
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Mill Creek, WA 98012
Counseling is a deeply personal process, and it is a courageous step to engage those areas in your life that are asking for your presence. I am a Christian counselor who believes that every individual was created to be known, pursued, and cared for. I seek to support each individual by creating a safe space for the authentic self to thrive. Throughout the process, you can expect a warm, empathetic, and supportive approach as we navigate a path toward wholeness.
Counseling is a deeply personal process, and it is a courageous step to engage those areas in your life that are asking for your presence. I am a Christian counselor who believes that every individual was created to be known, pursued, and cared for. I seek to support each individual by creating a safe space for the authentic self to thrive. Throughout the process, you can expect a warm, empathetic, and supportive approach as we navigate a path toward wholeness.
(425) 563-7538 View (425) 563-7538
Photo of Linda Smith, MA, LMHC, Counselor
Linda Smith
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Mill Creek, WA 98012  (Online Only)
Are you an adult suspecting neurodivergence? Did you slip through the cracks as a child, never receiving a diagnosis for Autism or ADHD? Have you been masking your Autism or ADHD symptoms since childhood? You're not alone. I specialize in Autism and ADHD assessments for adults who were not diagnosed as children. I provide a safe environment for you to explore your neurodivergent identity. I have a deep commitment to neurodivergent-affirming care and increasing access to Autism evaluations for adults.
Are you an adult suspecting neurodivergence? Did you slip through the cracks as a child, never receiving a diagnosis for Autism or ADHD? Have you been masking your Autism or ADHD symptoms since childhood? You're not alone. I specialize in Autism and ADHD assessments for adults who were not diagnosed as children. I provide a safe environment for you to explore your neurodivergent identity. I have a deep commitment to neurodivergent-affirming care and increasing access to Autism evaluations for adults.
(425) 362-2914 View (425) 362-2914
Photo of Shelena Yarukhina, MA, LMHC, NCC, Counselor
Shelena Yarukhina
Counselor, MA, LMHC, NCC
Verified Verified
Bothell, WA 98012  (Online Only)
As a bilingual therapist with a deep understanding of the complexities of human emotions, I am dedicated to supporting individuals and families as they navigate the challenges of anxiety, depression, immigration, parenting, and neurodiversity. My approach is rooted in empathy, cultural sensitivity, and a genuine commitment to helping my clients uncover and embrace their true selves. My practice focuses on helping clients understand who they are and what they want to do with their lives. I believe that every individual is unique, and my goal is to provide a safe, non-judgmental space where clients can explore their thoughts, emotions
As a bilingual therapist with a deep understanding of the complexities of human emotions, I am dedicated to supporting individuals and families as they navigate the challenges of anxiety, depression, immigration, parenting, and neurodiversity. My approach is rooted in empathy, cultural sensitivity, and a genuine commitment to helping my clients uncover and embrace their true selves. My practice focuses on helping clients understand who they are and what they want to do with their lives. I believe that every individual is unique, and my goal is to provide a safe, non-judgmental space where clients can explore their thoughts, emotions
(425) 517-1694 View (425) 517-1694
Photo of Kevin St Jacques, PsyD, LMHC, Counselor
Kevin St Jacques
Counselor, PsyD, LMHC
Verified Verified
Mill Creek, WA 98012
I work with adults and adolescents who are dealing with trauma, anxiety, OCD, and depression. I work in partnership with you to empower you to find solutions that work for your particular situation. My primary therapeutic modality is EMDR Therapy.
I work with adults and adolescents who are dealing with trauma, anxiety, OCD, and depression. I work in partnership with you to empower you to find solutions that work for your particular situation. My primary therapeutic modality is EMDR Therapy.
(425) 385-0402 View (425) 385-0402
Photo of Megan Hall, LICSW, Clinical Social Work/Therapist
Megan Hall
Clinical Social Work/Therapist, LICSW
Verified Verified
Mill Creek, WA 98012
I grew up in Maryland in a large family with 5 siblings, and later moved to Washington. Through my experiences of being a foster family and living with a family member with a mental illness, I knew from a young age that I wanted to be a social worker. My experience includes working with clients struggling with anxiety, depression, postpartum concerns, PTSD, and grief. My therapeutic style is authentic, compassionate and grounding. We are our own harshest critic, and by focusing on your strengths, we can work together to improve any areas that need it. My role is to listen, help you see new ways of thinking about things.
I grew up in Maryland in a large family with 5 siblings, and later moved to Washington. Through my experiences of being a foster family and living with a family member with a mental illness, I knew from a young age that I wanted to be a social worker. My experience includes working with clients struggling with anxiety, depression, postpartum concerns, PTSD, and grief. My therapeutic style is authentic, compassionate and grounding. We are our own harshest critic, and by focusing on your strengths, we can work together to improve any areas that need it. My role is to listen, help you see new ways of thinking about things.
(425) 510-0168 View (425) 510-0168
Photo of Jessica Gonzalez, LMHC, Counselor
Jessica Gonzalez
Counselor, LMHC
Verified Verified
1 Endorsed
Mill Creek, WA 98012  (Online Only)
My name is Jessica Gonzalez. WA Licensed Mental Health Counselor. I am licensed in Washington with 4 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, bipolar disorder, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. I have a person-centered therapeutic approach. Some common theoretical approaches I use in my work include Dialectical Behavioral Therapy.
My name is Jessica Gonzalez. WA Licensed Mental Health Counselor. I am licensed in Washington with 4 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, bipolar disorder, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. I have a person-centered therapeutic approach. Some common theoretical approaches I use in my work include Dialectical Behavioral Therapy.
(509) 303-4447 View (509) 303-4447
Photo of Catherine E Stafford, MSW, LICSW, Clinical Social Work/Therapist
Catherine E Stafford
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Mill Creek, WA 98012
As a Licensed Clinical Social Worker, I support families experiencing challenging emotions and behaviors. With over 30 years across clinical settings, I have extensive experience with neurodivergent and anxious children. My goal is to empower children and parents, by supporting the creation of lasting, positive change, through a combination of 1:1 counseling and parent coaching. My therapeutic model is solution focused, Cognitive-Behavioral and short term, where possible, with parent coaching based in a foundation of the Nurtured Heart Approach philosophy and Collaborative Problem Solving.
As a Licensed Clinical Social Worker, I support families experiencing challenging emotions and behaviors. With over 30 years across clinical settings, I have extensive experience with neurodivergent and anxious children. My goal is to empower children and parents, by supporting the creation of lasting, positive change, through a combination of 1:1 counseling and parent coaching. My therapeutic model is solution focused, Cognitive-Behavioral and short term, where possible, with parent coaching based in a foundation of the Nurtured Heart Approach philosophy and Collaborative Problem Solving.
(425) 409-6063 View (425) 409-6063
Photo of Genajuade S Stevenson, MSW, LICSW, SUDP, Clinical Social Work/Therapist
Genajuade S Stevenson
Clinical Social Work/Therapist, MSW, LICSW, SUDP
Verified Verified
3 Endorsed
Bothell, WA 98012  (Online Only)
As a psychotherapist and substance use disorder professional working toward credentialing as a sex therapist, I take a holistic approach to mental health. Whether you are struggling with overwhelming emotions, having difficulty with sex and intimacy or relying on unhealthy vices to cope; a partnership in counseling can be the answer to lasting change. I make it a priority to cultivate a safe and non-judgemental space where all individuals and partnerships are welcomed and celebrated.
As a psychotherapist and substance use disorder professional working toward credentialing as a sex therapist, I take a holistic approach to mental health. Whether you are struggling with overwhelming emotions, having difficulty with sex and intimacy or relying on unhealthy vices to cope; a partnership in counseling can be the answer to lasting change. I make it a priority to cultivate a safe and non-judgemental space where all individuals and partnerships are welcomed and celebrated.
(425) 584-3561 View (425) 584-3561
Photo of Samantha Clapp, MA, LMHCA
Samantha Clapp
Licensed Mental Health Counselor Associate, MA, LMHCA
Verified Verified
1 Endorsed
Mill Creek, WA 98012
I am a Licensed Mental Health Counselor Associate with experience working with teens and adults. I understand that life is full of stress and challenges and that sometimes we find ourselves stuck and in need of extra support to navigate our lives. I believe therapy is a space in which people can learn about themselves, their emotions, and their processes to heal and grow.
I am a Licensed Mental Health Counselor Associate with experience working with teens and adults. I understand that life is full of stress and challenges and that sometimes we find ourselves stuck and in need of extra support to navigate our lives. I believe therapy is a space in which people can learn about themselves, their emotions, and their processes to heal and grow.
(425) 587-8654 x1 View (425) 587-8654 x1
Photo of Lindsay Marie Emerson, LMFT, Pre-Licensed Professional
Lindsay Marie Emerson
Pre-Licensed Professional, LMFT
Verified Verified
Mill Creek, WA 98012
People were created for meaningful relationships with one another. Everyone has a unique story they want to share, and therapy provides space and openness to explore this journey. Due to our environment, culture, family background and life circumstances, we look at life through a lens that shapes our present thoughts and behaviors. The psychotherapeutic modalities I use in treatment are Solution Focused Therapy, Emotion Focused Therapy, Narrative Therapy, Experiential Therapy, Object Relations Therapy, and Structural and Strategic Family Therapy. Marriage and Family therapists look at the entire family system.
People were created for meaningful relationships with one another. Everyone has a unique story they want to share, and therapy provides space and openness to explore this journey. Due to our environment, culture, family background and life circumstances, we look at life through a lens that shapes our present thoughts and behaviors. The psychotherapeutic modalities I use in treatment are Solution Focused Therapy, Emotion Focused Therapy, Narrative Therapy, Experiential Therapy, Object Relations Therapy, and Structural and Strategic Family Therapy. Marriage and Family therapists look at the entire family system.
(425) 598-0571 View (425) 598-0571
1
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How does your Therapist compare?

Number of Therapists in 98012

100+

Average cost per session

$150

Therapists in 98012 who prioritize treating:

95% Anxiety
90% Depression
79% Relationship Issues
73% Trauma and PTSD
73% Self Esteem
70% Stress
63% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

80% Premera Blue Cross
74% Regence
70% Aetna

How Therapists in 98012 see their clients

62% In Person and Online
38% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98012?

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.