Photo of Antone Pryor - Front Street Clinic, Inc
Front Street Clinic, Inc
Verified Verified
Poulsbo, WA 98370
Front Street Clinic Inc is a locally owned business offering comprehensive mental health services. We have convenient locations in Poulsbo, Silverdale, Port Orchard, Bainbridge Island, and Seattle, Washington. Our office works with a wide range of emotional and behavioral issues and provides services that include medication management, transcranial magnetic stimulation (TMS), psychological testing and counseling. In a comfortable and supportive atmosphere, our treatment providers offer a highly personalized approach tailored to each of our clients individual needs to help attain the personal growth they need.
Front Street Clinic Inc is a locally owned business offering comprehensive mental health services. We have convenient locations in Poulsbo, Silverdale, Port Orchard, Bainbridge Island, and Seattle, Washington. Our office works with a wide range of emotional and behavioral issues and provides services that include medication management, transcranial magnetic stimulation (TMS), psychological testing and counseling. In a comfortable and supportive atmosphere, our treatment providers offer a highly personalized approach tailored to each of our clients individual needs to help attain the personal growth they need.
(360) 200-6167 View (360) 200-6167
Photo of Jacqueline May, LMHC , MA, NCC, CIMHP, Counselor
Jacqueline May
Counselor, LMHC , MA, NCC, CIMHP
Verified Verified
Online Only
Not accepting new clients
Practice and Waitlist Currently Full / I am an attachment focused therapist, who holds space for individuals and couples. I work with folks (20+) experiencing a variety of challenges (anxiety, depression, CPTSD, attachment issues and relationship distress). I'm also honored to help individuals throughout their fertility journey (pregnant / postpartum people, birthing people experiencing mood challenges, and couples going through the transition to parenthood). My practice is an informed, safe place for highly sensitive people, military veterans/spouses/couples.
Practice and Waitlist Currently Full / I am an attachment focused therapist, who holds space for individuals and couples. I work with folks (20+) experiencing a variety of challenges (anxiety, depression, CPTSD, attachment issues and relationship distress). I'm also honored to help individuals throughout their fertility journey (pregnant / postpartum people, birthing people experiencing mood challenges, and couples going through the transition to parenthood). My practice is an informed, safe place for highly sensitive people, military veterans/spouses/couples.
(360) 583-6897 View (360) 583-6897
Photo of Janis Medow, Janis , Medow, MSW, LICSW, Clinical Social Work/Therapist
Janis Medow
Clinical Social Work/Therapist, Janis , Medow, MSW, LICSW
Verified Verified
1 Endorsed
Poulsbo, WA 98370
Not accepting new clients
I provide holistic counseling and psychotherapy for couples, adults, and families. My areas of focus include relationship issues, life transitions, gender and sexuality, conscious (positive) aging, living with mental and physical illness, trauma, grief and loss. Drawing on over 40 years in mental health and medical social work, I offer clients support and guidance dealing with the challenges and opportunities of life.
I provide holistic counseling and psychotherapy for couples, adults, and families. My areas of focus include relationship issues, life transitions, gender and sexuality, conscious (positive) aging, living with mental and physical illness, trauma, grief and loss. Drawing on over 40 years in mental health and medical social work, I offer clients support and guidance dealing with the challenges and opportunities of life.
(360) 633-4366 View (360) 633-4366
Photo of Lisa Smith, MSSW, LICSW, Clinical Social Work/Therapist
Lisa Smith
Clinical Social Work/Therapist, MSSW, LICSW
Verified Verified
Poulsbo, WA 98370
Currently offering ketamine treatment through Journey Clinical. I'm trained in multiple therapeutic platforms for alternative medicines. Each person is unique in their own way. We come together to share and at times there are narratives that create a loss of authenticity. Each of use are accustomed to putting on our armor, attempting to present our self and carrying this self into our relationships. If we are not practicing a coordination of somatic, mindful acceptance, there is an innate loud, blaming inner voice that confuses and minimizes wholeness. Each person is an independent vessel with ability to heal.
Currently offering ketamine treatment through Journey Clinical. I'm trained in multiple therapeutic platforms for alternative medicines. Each person is unique in their own way. We come together to share and at times there are narratives that create a loss of authenticity. Each of use are accustomed to putting on our armor, attempting to present our self and carrying this self into our relationships. If we are not practicing a coordination of somatic, mindful acceptance, there is an innate loud, blaming inner voice that confuses and minimizes wholeness. Each person is an independent vessel with ability to heal.
(360) 345-3533 View (360) 345-3533
Photo of Antone Pryor, PhD, Psychologist
Antone Pryor
Psychologist, PhD
Verified Verified
Poulsbo, WA 98370
Change, though necessary and unavoidable, is never easy. Though our resistance to change is a normal reaction I believe that these moments of our life can be an opportunity to see ourselves and our world in a new and more inclusive way. It continues to be my great privilege to support my clients through these transitions.
Change, though necessary and unavoidable, is never easy. Though our resistance to change is a normal reaction I believe that these moments of our life can be an opportunity to see ourselves and our world in a new and more inclusive way. It continues to be my great privilege to support my clients through these transitions.
(360) 529-3574 View (360) 529-3574
Photo of Brittney Morgensen, MA, LMFT, Marriage & Family Therapist
Brittney Morgensen
Marriage & Family Therapist, MA, LMFT
Verified Verified
Poulsbo, WA 98370
As a therapist, I help clients navigate the process of change in a caring and supportive environment. I believe counseling is an opportunity for healing and growth, for ourselves and our relationships. Throughout our lives we all have experiences that shape who we are and how we view the world. These experiences impact us in both positive and negative ways. Understanding how the past informs our present can empower us to make changes towards a more authentic future.
As a therapist, I help clients navigate the process of change in a caring and supportive environment. I believe counseling is an opportunity for healing and growth, for ourselves and our relationships. Throughout our lives we all have experiences that shape who we are and how we view the world. These experiences impact us in both positive and negative ways. Understanding how the past informs our present can empower us to make changes towards a more authentic future.
(360) 489-6772 View (360) 489-6772
Photo of Brittany Murphy - Brittany Murphy Therapy Services, LMHC-A, SUDPT, Counselor
Brittany Murphy Therapy Services
Counselor, LMHC-A, SUDPT
Verified Verified
Online Only
I would like to help guide you to the best version of yourself. Feeling overwhelmed can be debilitating. Getting "stuck" or "bored" can be depressing and make us feel anxious. You want to feel purposeful and believe in yourself. We all do! You can start right now. Anyone can do this! You only need to make the conscious decision to start, which you have begun in your search process. "Negative emotions" are not bad, they are information you can use to change pieces of your life you feel are out of balance or limiting your potential. Let's explore some options for you.
I would like to help guide you to the best version of yourself. Feeling overwhelmed can be debilitating. Getting "stuck" or "bored" can be depressing and make us feel anxious. You want to feel purposeful and believe in yourself. We all do! You can start right now. Anyone can do this! You only need to make the conscious decision to start, which you have begun in your search process. "Negative emotions" are not bad, they are information you can use to change pieces of your life you feel are out of balance or limiting your potential. Let's explore some options for you.
(360) 499-0603 View (360) 499-0603
Photo of Shelley B White, MA, LMHC, Counselor
Shelley B White
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Online Only
Asking for help and finding the support you need is a courageous act and I applaud you for beginning, or returning to, a healing path. Having been in the mental health field for over 30 years, I am certain there is a path of healing for those who want to change their lives. I'd be honored to walk that path with you. ​
Asking for help and finding the support you need is a courageous act and I applaud you for beginning, or returning to, a healing path. Having been in the mental health field for over 30 years, I am certain there is a path of healing for those who want to change their lives. I'd be honored to walk that path with you. ​
(360) 529-4168 View (360) 529-4168
Photo of Dr. Renee Miller, PsyD, LMFT, EMDR, Equine, IFS, Marriage & Family Therapist
Dr. Renee Miller
Marriage & Family Therapist, PsyD, LMFT, EMDR, Equine, IFS
Verified Verified
4 Endorsed
Poulsbo, WA 98370
Are you experiencing distressing symptoms from unresolved childhood trauma? You may be experiencing PTSD, flashbacks, nightmares, depression, anxiety, panic attacks, behavioral addictions, or substance use. Perhaps you are going through a major life change or crisis & experiencing trauma triggers that are now wreaking havoc in your life & in significant relationships. I work with those who have experienced trauma at some time in their life. Together, we'll explore how & where the trauma became dysfunctionally stored & we will also explore those Parts that are desperately trying to protect the Self from further distress or pain.
Are you experiencing distressing symptoms from unresolved childhood trauma? You may be experiencing PTSD, flashbacks, nightmares, depression, anxiety, panic attacks, behavioral addictions, or substance use. Perhaps you are going through a major life change or crisis & experiencing trauma triggers that are now wreaking havoc in your life & in significant relationships. I work with those who have experienced trauma at some time in their life. Together, we'll explore how & where the trauma became dysfunctionally stored & we will also explore those Parts that are desperately trying to protect the Self from further distress or pain.
(206) 278-1345 View (206) 278-1345
Photo of Dan Pippinger, LMFT, MS, Marriage & Family Therapist
Dan Pippinger
Marriage & Family Therapist, LMFT, MS
Verified Verified
3 Endorsed
Poulsbo, WA 98370
Not accepting new clients
You can find healing and change. Your life and your relationships can be restored. Call or send an e-mail for your free consult so we can get you started working toward the changes that you want. I am dedicated to providing a professional and caring relationship that offers you and/or your relationships the opportunity for restoration and growth. Through this commitment, you can find relief for your suffering and access your potential that allows you to experience life in more satisfying and fulfilling ways.
You can find healing and change. Your life and your relationships can be restored. Call or send an e-mail for your free consult so we can get you started working toward the changes that you want. I am dedicated to providing a professional and caring relationship that offers you and/or your relationships the opportunity for restoration and growth. Through this commitment, you can find relief for your suffering and access your potential that allows you to experience life in more satisfying and fulfilling ways.
(360) 329-2909 View (360) 329-2909
Photo of Ashley M Kennedy, LSWAA, Clinical Social Work/Therapist
Ashley M Kennedy
Clinical Social Work/Therapist, LSWAA
Verified Verified
1 Endorsed
Poulsbo, WA 98370
My current focus is teens and adults suffering from Anxiety, Trauma-PTSD, and Relationship Issues. My experience includes, working in the substance use disorder field and extensive training in Human Trafficking and Sexual Exploitation. I have worked with local Indigenous communities and understand the magnitude and impacts of generational trauma. Recently, I worked with high- risk teens in an educational setting.
My current focus is teens and adults suffering from Anxiety, Trauma-PTSD, and Relationship Issues. My experience includes, working in the substance use disorder field and extensive training in Human Trafficking and Sexual Exploitation. I have worked with local Indigenous communities and understand the magnitude and impacts of generational trauma. Recently, I worked with high- risk teens in an educational setting.
(360) 276-9327 View (360) 276-9327
Photo of Marcia A. Harms - Bayview Counseling and Consulting, LMHC, CMHS, GMHS, DDS, BDCert, Counselor
Bayview Counseling and Consulting
Counselor, LMHC, CMHS, GMHS, DDS, BDCert
Verified Verified
Poulsbo, WA 98370
Need for clarity and improve insight? Counseling is a great avenue to enhance your perspective, improve outlook and renew your spirit. 30 plus years expertise in development, trauma, family systems, parenting, ADHD, couples therapy, depression, anxiety, grief, stress, sexual abuse, trauma, Autism/Aspergers, life transitions and neuroscience, Marcia uses a variety of modalities, depending on need of client(s), CBT, TFCBT, Adult Attachment, Safe Sound Protocol, Family Systems, EMDR, Hypnotherapy, Guided Imagery, Anger Management,
Need for clarity and improve insight? Counseling is a great avenue to enhance your perspective, improve outlook and renew your spirit. 30 plus years expertise in development, trauma, family systems, parenting, ADHD, couples therapy, depression, anxiety, grief, stress, sexual abuse, trauma, Autism/Aspergers, life transitions and neuroscience, Marcia uses a variety of modalities, depending on need of client(s), CBT, TFCBT, Adult Attachment, Safe Sound Protocol, Family Systems, EMDR, Hypnotherapy, Guided Imagery, Anger Management,
(206) 388-2834 View (206) 388-2834
Photo of Rebekah Verdugo, LICSW, LCSW, SUDP, Clinical Social Work/Therapist
Rebekah Verdugo
Clinical Social Work/Therapist, LICSW, LCSW, SUDP
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
I've guided and supported people of all ages and backgrounds through various struggles, including addiction, anxiety, depression, anger, grief, and trauma. I've helped them gain knowledge, different perspectives, and practical skills, which have boosted their self-confidence and allowed many of them to heal, feel comfortable in their own skin, live according to their values, and create a meaningful life.
I've guided and supported people of all ages and backgrounds through various struggles, including addiction, anxiety, depression, anger, grief, and trauma. I've helped them gain knowledge, different perspectives, and practical skills, which have boosted their self-confidence and allowed many of them to heal, feel comfortable in their own skin, live according to their values, and create a meaningful life.
(360) 318-7431 View (360) 318-7431
Photo of Kurt David Nielsen, PsyD, MA, Psychologist
Kurt David Nielsen
Psychologist, PsyD, MA
Verified Verified
Poulsbo, WA 98370
I am a licensed clinical psychologist trained to provide psychological assessment and therapy for individuals struggling with chemical dependency, co-occurring disorders, mood disorders, neurocognitive impairment, learning disabilities, eating disorders, trauma, and adjustment disorders. I utilize empirically-supported testing and clinical interviewing techniques to provide thorough psychological assessments and differential diagnoses. My treatment approach is grounded in Mindfulness-Based Cognitive Therapy. I use evidence-based mindfulness exercises, cognitive-behavior therapy, and biofeedback training to help clients gain increasing awareness of their vulnerabilities and strengths. Clients change by learning to monitor and redirect dysfunctional thoughts before they manifest into undesirable behavior.
I am a licensed clinical psychologist trained to provide psychological assessment and therapy for individuals struggling with chemical dependency, co-occurring disorders, mood disorders, neurocognitive impairment, learning disabilities, eating disorders, trauma, and adjustment disorders. I utilize empirically-supported testing and clinical interviewing techniques to provide thorough psychological assessments and differential diagnoses. My treatment approach is grounded in Mindfulness-Based Cognitive Therapy. I use evidence-based mindfulness exercises, cognitive-behavior therapy, and biofeedback training to help clients gain increasing awareness of their vulnerabilities and strengths. Clients change by learning to monitor and redirect dysfunctional thoughts before they manifest into undesirable behavior.
(360) 209-7608 View (360) 209-7608
Photo of Gina Thorstenson, LMHCA, Counselor
Gina Thorstenson
Counselor, LMHCA
Verified Verified
Poulsbo, WA 98370
I enjoy working with clients of all ages who are experiencing social, emotional, and/or relational difficulties and who are seeking change. I count it a privilege to come alongside you as you move into a place of greater hope, health, and flourishing.
I enjoy working with clients of all ages who are experiencing social, emotional, and/or relational difficulties and who are seeking change. I count it a privilege to come alongside you as you move into a place of greater hope, health, and flourishing.
(360) 873-5785 View (360) 873-5785
Photo of Marianne Dodge, LMHC, Counselor
Marianne Dodge
Counselor, LMHC
Verified Verified
1 Endorsed
Online Only
Feeling stuck? Do you want some help through transitions of life? Being seen and heard through life's challenges can make all the difference. Many things can trip us up: PTSD, difficult relationships, anxiety, stress, lack of confidence or low self-esteem. You may have been holding it together for a long time and need a break from the chaos that comes from living in our society.
Feeling stuck? Do you want some help through transitions of life? Being seen and heard through life's challenges can make all the difference. Many things can trip us up: PTSD, difficult relationships, anxiety, stress, lack of confidence or low self-esteem. You may have been holding it together for a long time and need a break from the chaos that comes from living in our society.
(360) 226-8852 View (360) 226-8852
Photo of Dr. Brittany Canfield, PsyD, LMHC, Counselor
Dr. Brittany Canfield
Counselor, PsyD, LMHC
Verified Verified
Online Only
I provide trauma-informed integrative care to individuals with a history of trauma, childhood trauma, neglect, and/or abuse, PTSD, C-PTSD, traumatic grief, and intergenerational trauma. As a whole, I work with individuals who come into therapy with a specific goal to address anxiety, mood, or ADHD symptoms to improve daily functioning. During our work, we often find that there is an undiagnosed, misdiagnosed, or unattended history of trauma that compounds mental health symptoms and overall functioning. We work to address symptoms and stabilize functioning through evidence-based interventions, along with process-based therapy.
I provide trauma-informed integrative care to individuals with a history of trauma, childhood trauma, neglect, and/or abuse, PTSD, C-PTSD, traumatic grief, and intergenerational trauma. As a whole, I work with individuals who come into therapy with a specific goal to address anxiety, mood, or ADHD symptoms to improve daily functioning. During our work, we often find that there is an undiagnosed, misdiagnosed, or unattended history of trauma that compounds mental health symptoms and overall functioning. We work to address symptoms and stabilize functioning through evidence-based interventions, along with process-based therapy.
(360) 516-4828 View (360) 516-4828
Photo of Tina R Gillespie, MA, LMHC
Tina R Gillespie
Mental Health Counselor, MA, LMHC
Verified Verified
Poulsbo, WA 98370
Navigating the complexities of life requires three fundamental qualities: compassion, humor, and realism. My approach to therapy is built on the belief that everyone deserves to be heard, valued, and supported. I’m dedicated to creating a safe, non-judgmental space where you can explore your thoughts and emotions without fear. I understand that life can feel overwhelming, and sometimes we all need a guiding hand. I also believe in the healing power of laughter, which, when used thoughtfully, helps us cope with adversity, see situations from new perspectives, and tap into our inner strength.
Navigating the complexities of life requires three fundamental qualities: compassion, humor, and realism. My approach to therapy is built on the belief that everyone deserves to be heard, valued, and supported. I’m dedicated to creating a safe, non-judgmental space where you can explore your thoughts and emotions without fear. I understand that life can feel overwhelming, and sometimes we all need a guiding hand. I also believe in the healing power of laughter, which, when used thoughtfully, helps us cope with adversity, see situations from new perspectives, and tap into our inner strength.
(360) 585-0117 View (360) 585-0117
Photo of Dr. Maria D Reyes, PsyD, LMHC, NCC, BCPCC, CCTP, Counselor
Dr. Maria D Reyes
Counselor, PsyD, LMHC, NCC, BCPCC, CCTP
Verified Verified
Online Only
Whether you’re dealing with anxiety, depression, relationship issues, trauma including PTSD or sexual abuse, abandonment, or other difficult circumstances, it would be my honor to help you learn practical tools to move toward complete healing and wholeness. I have extensive clinical experience working with patients with a variety of backgrounds and mental health conditions. If you feel stuck in a rut and you’ve been tempted to give up, I will come alongside you to lift you out of the darkness and into the light. I understand the courage it takes to step out of your abyss and ask for help. You are not alone; help is available.
Whether you’re dealing with anxiety, depression, relationship issues, trauma including PTSD or sexual abuse, abandonment, or other difficult circumstances, it would be my honor to help you learn practical tools to move toward complete healing and wholeness. I have extensive clinical experience working with patients with a variety of backgrounds and mental health conditions. If you feel stuck in a rut and you’ve been tempted to give up, I will come alongside you to lift you out of the darkness and into the light. I understand the courage it takes to step out of your abyss and ask for help. You are not alone; help is available.
(206) 825-6515 View (206) 825-6515
Photo of Marlaina Anderson, MA, LMHC, Counselor
Marlaina Anderson
Counselor, MA, LMHC
Verified Verified
Poulsbo, WA 98370
Not accepting new clients
When we struggle with depression, anxiety, pain from the past, or traumatic stress, our relationships struggle too. Often the pain experienced in relationships with our loved ones is what drives us to find relief and solutions from the disconnect and disruption we are in the midst of. We don't just want to feel better, we want to be better: Better to ourselves, better to those we love. Engaging in therapy and neurofeedback is about looking for the solutions that will enable us to move beyond the obstacles and into the connections we really desire.
When we struggle with depression, anxiety, pain from the past, or traumatic stress, our relationships struggle too. Often the pain experienced in relationships with our loved ones is what drives us to find relief and solutions from the disconnect and disruption we are in the midst of. We don't just want to feel better, we want to be better: Better to ourselves, better to those we love. Engaging in therapy and neurofeedback is about looking for the solutions that will enable us to move beyond the obstacles and into the connections we really desire.
(206) 429-8096 View (206) 429-8096

How does your Therapist compare?

Number of Therapists in 98370

100+

Average cost per session

$150

Therapists in 98370 who prioritize treating:

92% Anxiety
90% Depression
81% Relationship Issues
77% Self Esteem
74% Trauma and PTSD
72% Stress
71% Grief

Average years in practice

12 Years

Top 3 insurances accepted

74% Premera Blue Cross
59% Regence
51% Aetna

How Therapists in 98370 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

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

How can I find a therapist in 98370?

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.