Therapists in 98374

Photo of Shirley K Shen, Psychologist, PhD
Shirley K Shen
Psychologist, PhD
Puyallup, WA 98374
My name is Shirley Shen. My theoretical orientation is primarily based on the attachment model, believing that the most innate and important need as a human is that of secure attachment. Disruptions in attachments impact patterns of behaviors through the lifespan and play out either consciously or unconsciously in everyday relationships.
My name is Shirley Shen. My theoretical orientation is primarily based on the attachment model, believing that the most innate and important need as a human is that of secure attachment. Disruptions in attachments impact patterns of behaviors through the lifespan and play out either consciously or unconsciously in everyday relationships.
(360) 295-2718 View (360) 295-2718
Photo of Stephanie N. D'Cruz, Counselor, MA, LMHC, NCC
Stephanie N. D'Cruz
Counselor, MA, LMHC, NCC
1 Endorsed
Puyallup, WA 98374
Emotions and significant life stressors can leave a person feeling stuck or helpless. Finding a safe place to process emotions and address questions of shame, normalcy, and acceptance can be challenging. Without being able to process emotions and trauma, we can get stuck while the emotions stay in our bodies. Processing emotions not only provides mental relief, but can also transform a person’s connectedness to their bodies and relieve some physical manifestations of stressors. I hope to help people find hope which allows space for life to be messy and things to still be okay.
Emotions and significant life stressors can leave a person feeling stuck or helpless. Finding a safe place to process emotions and address questions of shame, normalcy, and acceptance can be challenging. Without being able to process emotions and trauma, we can get stuck while the emotions stay in our bodies. Processing emotions not only provides mental relief, but can also transform a person’s connectedness to their bodies and relieve some physical manifestations of stressors. I hope to help people find hope which allows space for life to be messy and things to still be okay.
(253) 446-7176 View (253) 446-7176
Photo of Freda Carda, Counselor, MEd, LMHC
Freda Carda
Counselor, MEd, LMHC
Puyallup, WA 98374
I believe everyone has a right to live a calm, happy and fulfilled life. For some, that is easier said than done. For those who are having a more challenging time finding the life they want, counseling may be the right choice to help guide those who are ready for change. I work with adults and couples who are struggling with life's challenges. As a Level II Trauma Specialist, I offer researched based systems, therapies and support for the individual, as well as resources for the entire family, to help bring function and joy to their lives.
I believe everyone has a right to live a calm, happy and fulfilled life. For some, that is easier said than done. For those who are having a more challenging time finding the life they want, counseling may be the right choice to help guide those who are ready for change. I work with adults and couples who are struggling with life's challenges. As a Level II Trauma Specialist, I offer researched based systems, therapies and support for the individual, as well as resources for the entire family, to help bring function and joy to their lives.
(253) 299-8062 View (253) 299-8062
Photo of Amber Moreland - Evaluation & Financing (Imm. Openings), Psychologist, PhD
I am a psychologist licensed in CO, WA, and TX and has authority to practice telehealth in 41 states. I have current openings for comprehensive psychological, neuropsychological, and court ordered assessments. Whether you're seeking clarification on ADHD, Autism, personality/emotional functioning, or require forensic evaluations, I am here to guide you through the process. My approach is both comprehensive and individualized, ensuring that each assessment provides valuable insights to inform treatment and life decisions.
I am a psychologist licensed in CO, WA, and TX and has authority to practice telehealth in 41 states. I have current openings for comprehensive psychological, neuropsychological, and court ordered assessments. Whether you're seeking clarification on ADHD, Autism, personality/emotional functioning, or require forensic evaluations, I am here to guide you through the process. My approach is both comprehensive and individualized, ensuring that each assessment provides valuable insights to inform treatment and life decisions.
(253) 400-1650 View (253) 400-1650
Photo of Travis E Gottschalk, Counselor, LMHC, MHP
Travis E Gottschalk
Counselor, LMHC, MHP
1 Endorsed
Puyallup, WA 98374
I truly care for all of my clients and work diligently to help find them the answers they seek. I have worked with a variety of patients dealing with circumstances that are unique to their lives. I've been in the mental health field for 11 years. Since then, I have gained a wealth of experience serving clients in outpatient settings, Family Preservation Services for CPS, Hospital social work, crisis centers, and inpatient psychiatric units. I have been practicing private practice therapy for over 3 years.
I truly care for all of my clients and work diligently to help find them the answers they seek. I have worked with a variety of patients dealing with circumstances that are unique to their lives. I've been in the mental health field for 11 years. Since then, I have gained a wealth of experience serving clients in outpatient settings, Family Preservation Services for CPS, Hospital social work, crisis centers, and inpatient psychiatric units. I have been practicing private practice therapy for over 3 years.
(360) 392-5381 View (360) 392-5381
Photo of Joshua Lennox, Counselor, MA, LMHC
Joshua Lennox
Counselor, MA, LMHC
5 Endorsed
Serves Area
Hello. My name is Joshua Lennox, of Northwest Pastoral Counseling. I am a Licensed Mental Health Counselor serving South Tacoma, and surrounding areas. I realize that if you are reading this there is most likely something painful, or difficult in your life. Maybe it is: depression, infidelity, anxiety, relationship problems, the loss of someone or something, a struggling child, spiritual issues, infertility, or any of the other many issues we as humans sometimes experience. I'm here to tell you that there is hope. I look forward to meeting with you to assist you with the situations you are currently facing.
Hello. My name is Joshua Lennox, of Northwest Pastoral Counseling. I am a Licensed Mental Health Counselor serving South Tacoma, and surrounding areas. I realize that if you are reading this there is most likely something painful, or difficult in your life. Maybe it is: depression, infidelity, anxiety, relationship problems, the loss of someone or something, a struggling child, spiritual issues, infertility, or any of the other many issues we as humans sometimes experience. I'm here to tell you that there is hope. I look forward to meeting with you to assist you with the situations you are currently facing.
(253) 218-4469 View (253) 218-4469
Photo of Jessica Stearns, Counselor, LMHC
Jessica Stearns
Counselor, LMHC
5 Endorsed
Serves Area
I am currently accepting new clients! When we accept ourselves we can more fully connect with others and enjoy being present in our daily lives. Would you like to treat yourself with loving kindness? To respond thoughtfully to others instead of reacting based on past experiences? I enjoy working with adult abuse survivors to develop self-compassion and explore issues related to childhood and relational trauma. If you would like to learn to nurture and care for yourself, to find acceptance and peace I can help!
I am currently accepting new clients! When we accept ourselves we can more fully connect with others and enjoy being present in our daily lives. Would you like to treat yourself with loving kindness? To respond thoughtfully to others instead of reacting based on past experiences? I enjoy working with adult abuse survivors to develop self-compassion and explore issues related to childhood and relational trauma. If you would like to learn to nurture and care for yourself, to find acceptance and peace I can help!
(253) 487-0374 View (253) 487-0374
Photo of Necashaw Montgomery, Counselor, LMHCA
Necashaw Montgomery
Counselor, LMHCA
1 Endorsed
Serves Area
In your work with me, we will center your story, your concerns, your ambitions and use ongoing learning and experience in this world to understand your journey. Together we will create a container for open exploration and discovery that includes in-person and take-home practices to work with as you move towards your goals and towards understanding the internal and external conflicts that might keep you up at night. I support individuals, friend groups, couples, and families from diverse backgrounds and experiences.
In your work with me, we will center your story, your concerns, your ambitions and use ongoing learning and experience in this world to understand your journey. Together we will create a container for open exploration and discovery that includes in-person and take-home practices to work with as you move towards your goals and towards understanding the internal and external conflicts that might keep you up at night. I support individuals, friend groups, couples, and families from diverse backgrounds and experiences.
(360) 767-9262 View (360) 767-9262
Photo of Alison Bekker - Alison Bekker Therapy Services, PLLC, Marriage & Family Therapist Associate, BS, MA, LMFTA
Alison Bekker Therapy Services, PLLC
Marriage & Family Therapist Associate, BS, MA, LMFTA
3 Endorsed
Serves Area
Are you facing difficulties in life that are leaving you feeling stuck and alone? Are you struggling in your relationship with your partner or loved one and can't figure out how to make it better? Are you facing a new stage in life bringing uncertainty, hardships and strains on your mental health? You've come to a helpful space. I am deeply passionate about working with individuals, couples, and families as they navigate life's challenges. I am here to offer clients a safe, supportive, compassionate environment as we develop more effective ways to overcome obstacles, build healthier relationships and bring about healing and growth.
Are you facing difficulties in life that are leaving you feeling stuck and alone? Are you struggling in your relationship with your partner or loved one and can't figure out how to make it better? Are you facing a new stage in life bringing uncertainty, hardships and strains on your mental health? You've come to a helpful space. I am deeply passionate about working with individuals, couples, and families as they navigate life's challenges. I am here to offer clients a safe, supportive, compassionate environment as we develop more effective ways to overcome obstacles, build healthier relationships and bring about healing and growth.
(253) 796-8983 View (253) 796-8983
Photo of Dr. Rachel Hughes, Marriage & Family Therapist, PhD, LMFT, CMHS
Dr. Rachel Hughes
Marriage & Family Therapist, PhD, LMFT, CMHS
2 Endorsed
Serves Area
Are you or a loved one navigating the complexities of neurodiversity, trauma, or gender nonconformity and needing support? Do you feel that your unique journey is often misunderstood? Are you ready to explore a path towards a more fulfilling and meaningful life? As a dedicated and engaging therapist of neurodiversity and gender nonconformity, I am passionate about helping preteens, teens, and adults of all gender identities with ADHD and autism thrive in a world that often misunderstands them.
Are you or a loved one navigating the complexities of neurodiversity, trauma, or gender nonconformity and needing support? Do you feel that your unique journey is often misunderstood? Are you ready to explore a path towards a more fulfilling and meaningful life? As a dedicated and engaging therapist of neurodiversity and gender nonconformity, I am passionate about helping preteens, teens, and adults of all gender identities with ADHD and autism thrive in a world that often misunderstands them.
(425) 230-6172 View (425) 230-6172
Photo of Maddie Davis, Pre-Licensed Professional, MaEd
Maddie Davis
Pre-Licensed Professional, MaEd
1 Endorsed
Serves Area
I'm exceptionally open to working with a wide variety of people and the issues, needs, and goals they may come in with (anxiety, depression, trauma, neurodivergence, life transitions, etc.). Two populations I'm particularly passionate about working with are adolescents and equestrians. I believe that adolescence is an extremely pivotal time in life and if you can help kids then, you can change the trajectory of their life. As a former professional equestrian, I understand how mental the sport can be, no matter the capacity or way in which you participate, and how difficult it can be when you're struggling to do something you love.
I'm exceptionally open to working with a wide variety of people and the issues, needs, and goals they may come in with (anxiety, depression, trauma, neurodivergence, life transitions, etc.). Two populations I'm particularly passionate about working with are adolescents and equestrians. I believe that adolescence is an extremely pivotal time in life and if you can help kids then, you can change the trajectory of their life. As a former professional equestrian, I understand how mental the sport can be, no matter the capacity or way in which you participate, and how difficult it can be when you're struggling to do something you love.
(206) 312-4925 View (206) 312-4925
Photo of Joshua Chambers, Licensed Mental Health Counselor, MA, LMHC, NCC
Joshua Chambers
Licensed Mental Health Counselor, MA, LMHC, NCC
4 Endorsed
Serves Area
As a former college basketball player and coach, I understand the pressure to perform, push through pain, and keep your emotions in check. But true performance comes from balance — knowing when to grind and when to reset. I work with athletes who want to strengthen their mental game, recover from injury, manage stress, or rediscover their love for the sport. Using Brainspotting and sports psychology, I help you release the mental and physical blocks that impact focus, confidence, and consistency.
As a former college basketball player and coach, I understand the pressure to perform, push through pain, and keep your emotions in check. But true performance comes from balance — knowing when to grind and when to reset. I work with athletes who want to strengthen their mental game, recover from injury, manage stress, or rediscover their love for the sport. Using Brainspotting and sports psychology, I help you release the mental and physical blocks that impact focus, confidence, and consistency.
(253) 527-5982 View (253) 527-5982
Photo of Laura Wright, Clinical Social Work/Therapist, LICSW
Laura Wright
Clinical Social Work/Therapist, LICSW
Serves Area
Pain cannot be avoided. It is only magnified when we try to shield ourselves from it. But we don't have to be in this process alone. When life isn't unfolding the way you've imagined, the step to pursue therapy can be invigorating and daunting at the same time. It would be an honor to join you on your journey. I have worked with individuals for over a decade, partnering to manage life transitions, trauma, grief, shame, relationships, substance use, depression and mental illness.
Pain cannot be avoided. It is only magnified when we try to shield ourselves from it. But we don't have to be in this process alone. When life isn't unfolding the way you've imagined, the step to pursue therapy can be invigorating and daunting at the same time. It would be an honor to join you on your journey. I have worked with individuals for over a decade, partnering to manage life transitions, trauma, grief, shame, relationships, substance use, depression and mental illness.
(253) 993-1604 View (253) 993-1604
Photo of Brittney Craig, Marriage & Family Therapist, MA, LMFT
Brittney Craig
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Serves Area
As a solution-focused therapist, my goal is to help you uncover your true potential and lead the life you want. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
As a solution-focused therapist, my goal is to help you uncover your true potential and lead the life you want. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(206) 743-9987 View (206) 743-9987
Photo of Robert Wayne Long - Freedom Recovery, Drug & Alcohol Counselor, SUDP
Freedom Recovery
Drug & Alcohol Counselor, SUDP
Serves Area
We base our evaluations on the individual. A specific diagnosis along with treatment recommendations is offered. Encountering issues with alcohol or other drugs does not necessarily warrant a diagnosis for chemical dependency. While in the process of recovery we help you determine your life goals and ambitions. It is easy to get "clean and sober" and it is difficult to stay "clean and sober". That's why you can count on us to walk with you on the journey of maintaining a life of sobriety and freedom.
We base our evaluations on the individual. A specific diagnosis along with treatment recommendations is offered. Encountering issues with alcohol or other drugs does not necessarily warrant a diagnosis for chemical dependency. While in the process of recovery we help you determine your life goals and ambitions. It is easy to get "clean and sober" and it is difficult to stay "clean and sober". That's why you can count on us to walk with you on the journey of maintaining a life of sobriety and freedom.
(253) 862-7374 View (253) 862-7374
Photo of David Simonsen - Creative Wellness TMS, DO
Creative Wellness TMS
Verified Verified
1 Endorsed
Serves Area
Perhaps you have been struggling for years with symptoms related to depression. Numerous appointments with doctors and a variety of medications have not helped. Maybe you want to get off meds completely, but have never been able to find an alternative solution. Transcranial Magnetic Stimulation (TMS) may be the intervention that can change your life. I have been helping people get through difficult things for the last 25 years. I and my staff are excited to offer this intervention to help you change your life.
Perhaps you have been struggling for years with symptoms related to depression. Numerous appointments with doctors and a variety of medications have not helped. Maybe you want to get off meds completely, but have never been able to find an alternative solution. Transcranial Magnetic Stimulation (TMS) may be the intervention that can change your life. I have been helping people get through difficult things for the last 25 years. I and my staff are excited to offer this intervention to help you change your life.
(360) 526-0762 View (360) 526-0762
Photo of Sarah E Hoaglin - Cornerstone Counseling, Marriage & Family Therapist, LMFT, MHP, MA, CMHS
Cornerstone Counseling
Marriage & Family Therapist, LMFT, MHP, MA, CMHS
5 Endorsed
Serves Area
We repeat what we don't repair." Christine Langley-Obaugh. At Cornerstone Counseling, we believe in the power of healing and growth. We understand that individuals often find themselves trapped in repetitive patterns that prevent them from living their best lives. Inspired by the quote above, we are dedicated to helping clients break free from these patterns by providing compassionate therapy and facilitating deep personal transformation. Our holistic approach combines evidence-based techniques with empathy, providing a safe space for clients to explore, heal, and grow. Let us support you on your journey to a more fulfilling life
We repeat what we don't repair." Christine Langley-Obaugh. At Cornerstone Counseling, we believe in the power of healing and growth. We understand that individuals often find themselves trapped in repetitive patterns that prevent them from living their best lives. Inspired by the quote above, we are dedicated to helping clients break free from these patterns by providing compassionate therapy and facilitating deep personal transformation. Our holistic approach combines evidence-based techniques with empathy, providing a safe space for clients to explore, heal, and grow. Let us support you on your journey to a more fulfilling life
(253) 799-0582 View (253) 799-0582
Photo of Jessica Wright, Clinical Social Work/Therapist, LCSW
Jessica Wright
Clinical Social Work/Therapist, LCSW
2 Endorsed
Serves Area
You’re exhausted. Anxious. Maybe even numb. You’re trying to be everything for everyone, but inside you feel like you’re falling apart. You pray, you serve, you show up—but no one sees how much you're carrying. You wonder if peace, connection, and clarity are even possible anymore. As a Christian and a counselor, I want you to know this: you were never meant to carry it all alone. Whether you’re struggling with racing thoughts, emotional burnout, a marriage that feels distant, or trauma that keeps showing up—you’re safe here. You don’t have to pretend. You don’t have to perform. You can just be you. No judgment. Just healing.
You’re exhausted. Anxious. Maybe even numb. You’re trying to be everything for everyone, but inside you feel like you’re falling apart. You pray, you serve, you show up—but no one sees how much you're carrying. You wonder if peace, connection, and clarity are even possible anymore. As a Christian and a counselor, I want you to know this: you were never meant to carry it all alone. Whether you’re struggling with racing thoughts, emotional burnout, a marriage that feels distant, or trauma that keeps showing up—you’re safe here. You don’t have to pretend. You don’t have to perform. You can just be you. No judgment. Just healing.
(206) 202-6490 View (206) 202-6490
Photo of Shamyka SD Sutton, Psychologist, PhD, MSCP, CSOTP, SUDPT
Shamyka SD Sutton
Psychologist, PhD, MSCP, CSOTP, SUDPT
1 Endorsed
Serves Area
I work through a holistic, integrative lens. Whether I’m completing an evaluation or providing therapy, it's not one size fits all. Clients most often express appreciation for my ability to validate and push for change at the same time. Sometimes I work with interns, primarily providing evaluation/assessment services, such as violence and sexual risk, forensic mitigation, personality, cognitive, adaptive functioning, etc. I do offer individual therapy and sometimes group, though it may be with a Master’s or Doctorate level intern under my supervision. I specialize in working with older teenage to older adult persons.
I work through a holistic, integrative lens. Whether I’m completing an evaluation or providing therapy, it's not one size fits all. Clients most often express appreciation for my ability to validate and push for change at the same time. Sometimes I work with interns, primarily providing evaluation/assessment services, such as violence and sexual risk, forensic mitigation, personality, cognitive, adaptive functioning, etc. I do offer individual therapy and sometimes group, though it may be with a Master’s or Doctorate level intern under my supervision. I specialize in working with older teenage to older adult persons.
(253) 265-9356 View (253) 265-9356
Photo of Robert Olsen, Counselor, MS, LMHC, CTT+
Robert Olsen
Counselor, MS, LMHC, CTT+
Serves Area
Rob & Dori are both accepting new clients! Dori specializes in Couples, Marriage, and Pre-Marital Coaching! Dori helps couples Repair Trust, Build Healthier Communication, Resolve Relational Conflicts, and Grow Emotionally Connected. Her coaching approach utilizes skill-based activities, skill-practice during sessions, and learning your own and your loved one's deepest needs. How to set healthy boundaries and stop passive-aggressiveness through emotional and relational growth will be a primary focus as well. Dori(at)Success4Couples.com or 253.355.6620.
Rob & Dori are both accepting new clients! Dori specializes in Couples, Marriage, and Pre-Marital Coaching! Dori helps couples Repair Trust, Build Healthier Communication, Resolve Relational Conflicts, and Grow Emotionally Connected. Her coaching approach utilizes skill-based activities, skill-practice during sessions, and learning your own and your loved one's deepest needs. How to set healthy boundaries and stop passive-aggressiveness through emotional and relational growth will be a primary focus as well. Dori(at)Success4Couples.com or 253.355.6620.
(253) 345-4467 View (253) 345-4467

See more therapy options for 98374

How does your Therapist compare?

Number of Therapists in 98374

80+

Average cost per session

$150

Therapists in 98374 who prioritize treating:

92% Anxiety
88% Depression
77% Self Esteem
76% Relationship Issues
76% Trauma and PTSD
65% Grief
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

81% Regence
76% Aetna
69% Premera Blue Cross

How Therapists in 98374 see their clients

61% Online Only
39% In Person and Online

Gender breakdown

70% Female
29% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98374?

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.