Photo of Jaclynn Loibl, LMHC, Counselor
Jaclynn Loibl
Counselor, LMHC
Verified Verified
Online Only
I love working with curious, motivated, and those willing to push themselves outside their comfort zone. I prefer to go deep and enjoy working with those eager to do the same. Together we will walk the line between uncomfortable and comfortable to find innovative ways of seeing ourselves. Doing so will ultimately increase your ability to manage stressors proactively and open space to allow the success and results you seek.
I love working with curious, motivated, and those willing to push themselves outside their comfort zone. I prefer to go deep and enjoy working with those eager to do the same. Together we will walk the line between uncomfortable and comfortable to find innovative ways of seeing ourselves. Doing so will ultimately increase your ability to manage stressors proactively and open space to allow the success and results you seek.
(253) 262-0652 View (253) 262-0652
Photo of Rebecca R Muirhead, PsyD, Psychologist
Rebecca R Muirhead
Psychologist, PsyD
Verified Verified
Sumner, WA 98390
Waitlist for new clients
Not Accepting New Clients At This Time. I primarily work with Adolescents & Adults in both individual & family therapy and provide parenting consultations. My approach is rooted in Attachment theory and our therapeutic relationship will be the foundation for effective therapy. We will work as a team to clarify personal goals and purpose, identify unhealthy patterns and nurture your unique strengths. I have over 15 yrs. of clinical experience in a wide variety of settings including schools, community centers, and group practices. Using a mixture of cognitive & reflective approaches, I help clients with a wide range of issues.
Not Accepting New Clients At This Time. I primarily work with Adolescents & Adults in both individual & family therapy and provide parenting consultations. My approach is rooted in Attachment theory and our therapeutic relationship will be the foundation for effective therapy. We will work as a team to clarify personal goals and purpose, identify unhealthy patterns and nurture your unique strengths. I have over 15 yrs. of clinical experience in a wide variety of settings including schools, community centers, and group practices. Using a mixture of cognitive & reflective approaches, I help clients with a wide range of issues.
(253) 352-4119 View (253) 352-4119
Photo of Luanne R Rivera - LuAnne Rivera, Lighthouse Counseling LLC, MA, LMHC, Counselor
LuAnne Rivera, Lighthouse Counseling LLC
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Sumner, WA 98390
Are you tired of going around that same mountain over and over? Let me help you find the way out. While therapy can feel like a scary place, I strive to make your therapy encounter a safe, collaborative, encouraging, and even a thriving experience. I am certified in trauma focused cognitive/behavioral therapy, and trained in grief assessment, EMDR therapy, as a SYMBIS facilitator and a chemical dependency specialist, Currently I am accepting adolescents and older. I enjoy the interaction and growth that occurs through empowering you, the client, to make your own choices and become your most authentic self.
Are you tired of going around that same mountain over and over? Let me help you find the way out. While therapy can feel like a scary place, I strive to make your therapy encounter a safe, collaborative, encouraging, and even a thriving experience. I am certified in trauma focused cognitive/behavioral therapy, and trained in grief assessment, EMDR therapy, as a SYMBIS facilitator and a chemical dependency specialist, Currently I am accepting adolescents and older. I enjoy the interaction and growth that occurs through empowering you, the client, to make your own choices and become your most authentic self.
(253) 499-7632 View (253) 499-7632
Photo of Michele Lee Cunningham - Michele Cunningham, MS, LMHC, SUDP, CLC
Michele Cunningham
Mental Health Counselor, MS, LMHC, SUDP, CLC
Verified Verified
2 Endorsed
Sumner, WA 98390
I have experience working with teens, adults and couples counseling. I specialize in helping clients with anxiety, past trauma, grief and loss, depression, healing from emotional abusive, toxic and also narcissistic relationships. My other area I specialize in is working with substance abuse issues and trained in EMDR. I can support you with the tools you need to establish healthy relationships, and create life transitions. I will provide a safe and secure environment where you can grow, develop a sense of self, establish worth, and learn how to love yourself.
I have experience working with teens, adults and couples counseling. I specialize in helping clients with anxiety, past trauma, grief and loss, depression, healing from emotional abusive, toxic and also narcissistic relationships. My other area I specialize in is working with substance abuse issues and trained in EMDR. I can support you with the tools you need to establish healthy relationships, and create life transitions. I will provide a safe and secure environment where you can grow, develop a sense of self, establish worth, and learn how to love yourself.
(253) 893-6275 View (253) 893-6275
Photo of Amy A. Rinker, MA, LMFT-S, Marriage & Family Therapist
Amy A. Rinker
Marriage & Family Therapist, MA, LMFT-S
Verified Verified
5 Endorsed
Sumner, WA 98390
We are wired for connection. Are you feeling disconnected from important people in your life, let down, or not feeling fully accepted or valued? Are you experiencing anger, sadness, loneliness, or don't feel understood? I or my team of therapists may be the therapist for you if you are interested in addressing relational struggles, difficulty with interpersonal communication, sexual struggles, repairing connection, improving intimacy, improving your sexual health, healing from trauma, addressing sexual shame, life transitions, identity, and many others. Our goal is to get to the roots to help people thrive not merely survive.
We are wired for connection. Are you feeling disconnected from important people in your life, let down, or not feeling fully accepted or valued? Are you experiencing anger, sadness, loneliness, or don't feel understood? I or my team of therapists may be the therapist for you if you are interested in addressing relational struggles, difficulty with interpersonal communication, sexual struggles, repairing connection, improving intimacy, improving your sexual health, healing from trauma, addressing sexual shame, life transitions, identity, and many others. Our goal is to get to the roots to help people thrive not merely survive.
(253) 785-9564 View (253) 785-9564
Photo of Alicia Culp, MHP, LMFT, Marriage & Family Therapist
Alicia Culp
Marriage & Family Therapist, MHP, LMFT
Verified Verified
3 Endorsed
Online Only
Personal history, relationships, and present day events all have a significant impact on your well being. Feeling safe and understood on an individual level, is imperative when embarking on the therapeutic journey. Creating an environment that fosters these feelings is my primary goal, as well dive in to the crux of what brings you in. Through collaboration, we will explore your unique experiences to build the life you desire.
Personal history, relationships, and present day events all have a significant impact on your well being. Feeling safe and understood on an individual level, is imperative when embarking on the therapeutic journey. Creating an environment that fosters these feelings is my primary goal, as well dive in to the crux of what brings you in. Through collaboration, we will explore your unique experiences to build the life you desire.
(253) 785-9424 View (253) 785-9424
Photo of Joshua Gates - Joshua Gates, MA, LMFT, MA, LMFT, Marriage & Family Therapist
Joshua Gates, MA, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Sumner, WA 98390
Not accepting new clients
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
(253) 215-4139 View (253) 215-4139
Photo of Surinder Antal, MA, LMHC, Counselor
Surinder Antal
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
The stressors of day to day tasks can drown out the voice that may have deeper connection to your intuitive and wiser self. Being in therapy can potentially allow you to listen to yourself in a unique and meaningful way. My hope is to provide an empathic environment to explore and challenge some of the barriers, often self-created, keeping you from your goals. I have over 15 years of experience working with adults, couples and families.
The stressors of day to day tasks can drown out the voice that may have deeper connection to your intuitive and wiser self. Being in therapy can potentially allow you to listen to yourself in a unique and meaningful way. My hope is to provide an empathic environment to explore and challenge some of the barriers, often self-created, keeping you from your goals. I have over 15 years of experience working with adults, couples and families.
(425) 247-3947 View (425) 247-3947
Photo of Wendy L Tate - Wendy Tate dba Excel Counseling, MS, LMHC, Counselor
Wendy Tate dba Excel Counseling
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Sumner, WA 98390
Waitlist for new clients
Hi, I'm Wendy and I provide counseling to children, adolescents, adults, and Seniors. I use a strength based integrative approach that sees each person as unique. I pull from a variety of models including but not limited to Cognitive Behavioral Therapy, Solution Focused Brief Therapy, Mindfulness, Humanistic, Sports, and Positive Psychology. I work with many challenges individuals face addressing emotional, behavioral, and social needs; such as anxiety, depression, domestic violence, attachment disorders, ADHD, and more. I want to help you become empowered by further discovering your inner strength, beauty, purpose, and passion.
Hi, I'm Wendy and I provide counseling to children, adolescents, adults, and Seniors. I use a strength based integrative approach that sees each person as unique. I pull from a variety of models including but not limited to Cognitive Behavioral Therapy, Solution Focused Brief Therapy, Mindfulness, Humanistic, Sports, and Positive Psychology. I work with many challenges individuals face addressing emotional, behavioral, and social needs; such as anxiety, depression, domestic violence, attachment disorders, ADHD, and more. I want to help you become empowered by further discovering your inner strength, beauty, purpose, and passion.
(253) 237-7861 View (253) 237-7861
Photo of Shannon King, MA, LHMC, Counselor
Shannon King
Counselor, MA, LHMC
Verified Verified
Sumner, WA 98390
New Clients: Current openings between 9-12 only. Everyone struggles at some point in their life. Sometimes we are able to handle life's difficulties on our own and sometimes we could use the help of a professional to conquer our dilemmas. I am honored to help people through those rough patches, and at all times guide them in a nonjudgmental, confidential, caring way. I do not take a 'one size fits all' approach to counseling. I will work with my clients to establish goals and how we will work towards that growth.
New Clients: Current openings between 9-12 only. Everyone struggles at some point in their life. Sometimes we are able to handle life's difficulties on our own and sometimes we could use the help of a professional to conquer our dilemmas. I am honored to help people through those rough patches, and at all times guide them in a nonjudgmental, confidential, caring way. I do not take a 'one size fits all' approach to counseling. I will work with my clients to establish goals and how we will work towards that growth.
(253) 447-8293 View (253) 447-8293
Photo of David Helton, LMFT, Marriage & Family Therapist
David Helton
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sumner, WA 98390
Not accepting new clients
Depression, anxiety, conflict, betrayal and relationship issues impact all areas of our lives and can be addressed in a respectful and straight forward manner. I believe that counseling needs to meet you where you are so I am comfortable with using individual, couple or family therapy depending on what is most likely to be effective. I pledge to do my very best to help you and your family reach a new level of health.
Depression, anxiety, conflict, betrayal and relationship issues impact all areas of our lives and can be addressed in a respectful and straight forward manner. I believe that counseling needs to meet you where you are so I am comfortable with using individual, couple or family therapy depending on what is most likely to be effective. I pledge to do my very best to help you and your family reach a new level of health.
(253) 271-4655 View (253) 271-4655
Photo of Amanda Sommerfeld, LMHC, Counselor
Amanda Sommerfeld
Counselor, LMHC
Verified Verified
Online Only
I approach counseling with the mindset that the therapeutic relationship is essential. In forming this therapeutic relationship, I work together with the client to process the problems that are presented. I believe the process is a collaboration between the counselor and the client and that all people have purpose and deserve understanding, love, and respect. My hope is that through the counseling, the client will become more aware of their patterns, life story, and importance, resulting in an increase in confidence and positive life changes. Overall, I hope that counseling will lead to a more fulfilled life, healing, and wholeness.
I approach counseling with the mindset that the therapeutic relationship is essential. In forming this therapeutic relationship, I work together with the client to process the problems that are presented. I believe the process is a collaboration between the counselor and the client and that all people have purpose and deserve understanding, love, and respect. My hope is that through the counseling, the client will become more aware of their patterns, life story, and importance, resulting in an increase in confidence and positive life changes. Overall, I hope that counseling will lead to a more fulfilled life, healing, and wholeness.
(253) 263-1362 View (253) 263-1362
Photo of Nichole Bedore, MA, LCPC, LMHC, Counselor
Nichole Bedore
Counselor, MA, LCPC, LMHC
Verified Verified
Sumner, WA 98390
I'm a depth psychotherapist who facilitates healing and transformation through gentle but honest mutual work with emotions, behaviors, imagery, grounding, memory, story, presence, and hope. It's an honor and a privilege to be a partner in my client's journey toward deep inner healing. In my practice, I help individuals and couples dive beneath the surface issues, discover the underlying sources of distress, and re-emerge into a more fulfilling life. I'd like to join you on your journey where you already are, and help you find opportunities for symptom relief, growth, and healing.
I'm a depth psychotherapist who facilitates healing and transformation through gentle but honest mutual work with emotions, behaviors, imagery, grounding, memory, story, presence, and hope. It's an honor and a privilege to be a partner in my client's journey toward deep inner healing. In my practice, I help individuals and couples dive beneath the surface issues, discover the underlying sources of distress, and re-emerge into a more fulfilling life. I'd like to join you on your journey where you already are, and help you find opportunities for symptom relief, growth, and healing.
(773) 825-3094 View (773) 825-3094
Photo of Danielle Christianson, LMHC, Counselor
Danielle Christianson
Counselor, LMHC
Verified Verified
7 Endorsed
Online Only
I serve adults and some adolescents (ages 13-17), who may fall into one of the following categories: a brain experiencing depressed mood, anxiety, trauma, the bereaved/grieving, first- responders & their families, and marriage-in-crisis. The primary modality of therapy I utilize is Cognitive Behavioral Therapy (CBT) and have found this to be highly useful in treating depression, anxiety, certain types of traumas, and other significant life stressors. Additionally, I work with clients of faith and also provide psycho-education regarding boundaries. I'd be honored to help support you in optimal brain health! There is HOPE.
I serve adults and some adolescents (ages 13-17), who may fall into one of the following categories: a brain experiencing depressed mood, anxiety, trauma, the bereaved/grieving, first- responders & their families, and marriage-in-crisis. The primary modality of therapy I utilize is Cognitive Behavioral Therapy (CBT) and have found this to be highly useful in treating depression, anxiety, certain types of traumas, and other significant life stressors. Additionally, I work with clients of faith and also provide psycho-education regarding boundaries. I'd be honored to help support you in optimal brain health! There is HOPE.
(855) 845-9545 View (855) 845-9545
Photo of Diana Quinn, MA, LMHC, CMHS, Counselor
Diana Quinn
Counselor, MA, LMHC, CMHS
Verified Verified
1 Endorsed
Online Only
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
(253) 242-6619 View (253) 242-6619
Photo of Jason A. Soto - Sound Foundations Professional Counseling, MA, LMFT, Marriage & Family Therapist
Sound Foundations Professional Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sumner, WA 98390
At Sound Foundations we specialize in COUPLES ISSUES, With over 90% percent of our clients being couples, we put the focus where it counts, on the issues that are important to you. Our education, training and experience is on what matters to you most, Couples Issues. Whether you have lost that loving feeling, are having trouble communicating, resolving conflict, or are struggling to survive an infidelity; we can help.
At Sound Foundations we specialize in COUPLES ISSUES, With over 90% percent of our clients being couples, we put the focus where it counts, on the issues that are important to you. Our education, training and experience is on what matters to you most, Couples Issues. Whether you have lost that loving feeling, are having trouble communicating, resolving conflict, or are struggling to survive an infidelity; we can help.
(253) 236-0298 View (253) 236-0298
Photo of Yvonne M Bryght - Bryght Coaching & Counseling Services, MA, LMHC, Counselor
Bryght Coaching & Counseling Services
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Sumner, WA 98390
I work with individuals, couples & groups as a psychotherapist, business coach, and energy intuitive since 1995. My work tends to the deep needs of the soul and addresses the most basic ego scripts so that you can shift cellular memories, rediscover your true voice, reconnect with your healthiest sense of self and remember your deepest callings--and then find the freedom to seek and find your best and highest self. I facilitate both Family Constellations and Organizational (business) Constellations on-line and in workshops that open you to engage with your deepest creativity and free you from repeating negative patterns.
I work with individuals, couples & groups as a psychotherapist, business coach, and energy intuitive since 1995. My work tends to the deep needs of the soul and addresses the most basic ego scripts so that you can shift cellular memories, rediscover your true voice, reconnect with your healthiest sense of self and remember your deepest callings--and then find the freedom to seek and find your best and highest self. I facilitate both Family Constellations and Organizational (business) Constellations on-line and in workshops that open you to engage with your deepest creativity and free you from repeating negative patterns.
(253) 200-6709 View (253) 200-6709
Photo of Ryan Ferguson, MA, LMHC, Counselor
Ryan Ferguson
Counselor, MA, LMHC
Verified Verified
Sumner, WA 98390
Life is hard sometimes. Sometimes things happen to us that are beyond our control. Sometimes we just have thoughts and feelings that won't go away. Sometimes we end up hurting those around us because we don't know what else to do or how not to react to our thoughts and feelings. Whether your goals are to reduce anxiety, depression, process trauma, strengthen your relationships all to live your best life.
Life is hard sometimes. Sometimes things happen to us that are beyond our control. Sometimes we just have thoughts and feelings that won't go away. Sometimes we end up hurting those around us because we don't know what else to do or how not to react to our thoughts and feelings. Whether your goals are to reduce anxiety, depression, process trauma, strengthen your relationships all to live your best life.
(253) 455-7489 View (253) 455-7489
Photo of Danelle Wilson, MA, LMHC, MHP, CMHS, Counselor
Danelle Wilson
Counselor, MA, LMHC, MHP, CMHS
Verified Verified
3 Endorsed
Sumner, WA 98390
At some point we face problems in our lives. My approach in therapy is personalized to help you meet your specific needs and goals. I offer individual counseling services to adults. Together we can collaborate to make steps towards meaningful changes in your life.
At some point we face problems in our lives. My approach in therapy is personalized to help you meet your specific needs and goals. I offer individual counseling services to adults. Together we can collaborate to make steps towards meaningful changes in your life.
(253) 600-3242 View (253) 600-3242
Photo of Angella C Courtney - Angella Courtney, MS, LMHC, CMHS, NCC, MS, LMHC, CMHS, NCC, Counselor
Angella Courtney, MS, LMHC, CMHS, NCC
Counselor, MS, LMHC, CMHS, NCC
Verified Verified
Sumner, WA 98390
Not accepting new clients
I am the owner/sole-provider at Orenda Counseling. I am a nationally-certified counselor, child mental health specialist, EMDRIA approved EMDR provider, and currently working towards certification in couples and sex therapy. I offer individual, couple, family, and group counseling. I specialize in individual/family trauma, attachment, intimacy/relationships, and issues facing teens/adults with Autism. I work from from a client-focused and integrative perspective, joining with you in a safe and non-judgmental space to help you to find the healing and hope you're looking for.
I am the owner/sole-provider at Orenda Counseling. I am a nationally-certified counselor, child mental health specialist, EMDRIA approved EMDR provider, and currently working towards certification in couples and sex therapy. I offer individual, couple, family, and group counseling. I specialize in individual/family trauma, attachment, intimacy/relationships, and issues facing teens/adults with Autism. I work from from a client-focused and integrative perspective, joining with you in a safe and non-judgmental space to help you to find the healing and hope you're looking for.
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See more therapy options for 98390

How does your Therapist compare?

Number of Therapists in 98390

30+

Average cost per session

$150

Therapists in 98390 who prioritize treating:

100% Anxiety
94% Depression
88% Coping Skills
82% Trauma and PTSD
76% Grief
76% Self Esteem
74% Relationship Issues

Average years in practice

15 Years

Top 3 insurances accepted

100% Premera Blue Cross
85% First Choice Health | FCH
80% BlueCross and BlueShield

How Therapists in 98390 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

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

How can I find a therapist in 98390?

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.