Therapists in 99001

Photo of Andrea Durst, Clinical Social Work/Therapist, MSW, LICSW
Andrea Durst
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Airway Heights, WA 99001
Your mind races and you feel overwhelmed. It feels like life has become all stress and struggle, and you can’t remember the last time you felt at peace. You aren’t sure if it will get better, and you are tired of feeling this way. You are ready for things to change. There is hope. In a supportive, compassionate, therapeutic environment you can begin to reclaim your joy and develop new tools to meet your challenges. Whether dealing with anxiety, depression, grief, loss, trauma, or relationship issues- you can heal and find the change you need.
Your mind races and you feel overwhelmed. It feels like life has become all stress and struggle, and you can’t remember the last time you felt at peace. You aren’t sure if it will get better, and you are tired of feeling this way. You are ready for things to change. There is hope. In a supportive, compassionate, therapeutic environment you can begin to reclaim your joy and develop new tools to meet your challenges. Whether dealing with anxiety, depression, grief, loss, trauma, or relationship issues- you can heal and find the change you need.
(208) 427-3413 View (208) 427-3413
Frontline Counseling PLLC
Licensed Social Worker Associate, MSW, LSWAIC
Airway Heights, WA 99001
I am a combat veteran who truly understands what you’re going through. I specialize in working with veterans, active-duty service members, law enforcement officers, firefighters, and other frontline professionals struggling with the hidden wounds of the job — PTSD, hypervigilance, nightmares, anger, and exhaustion. At Frontline Counseling, we create a safe, non-judgmental space where you can finally feel understood. Many clients arrive feeling overwhelmed and alone. Using evidence-based approaches, my team and I help you process trauma, reduce symptoms, regain control, and rebuild a life with greater resilience and purpose.
I am a combat veteran who truly understands what you’re going through. I specialize in working with veterans, active-duty service members, law enforcement officers, firefighters, and other frontline professionals struggling with the hidden wounds of the job — PTSD, hypervigilance, nightmares, anger, and exhaustion. At Frontline Counseling, we create a safe, non-judgmental space where you can finally feel understood. Many clients arrive feeling overwhelmed and alone. Using evidence-based approaches, my team and I help you process trauma, reduce symptoms, regain control, and rebuild a life with greater resilience and purpose.
(509) 463-7749 View (509) 463-7749
Photo of Maleia Matt - Daily Life Counseling, Clinical Social Work/Therapist, LICSW
Daily Life Counseling
Clinical Social Work/Therapist, LICSW
1 Endorsed
Serves Area
Healing and lasting change often occur within the context of meaningful relationships. I aim to provide a warm, respectful, and non-judgmental space where you feel understood, valued, and supported as you work toward the goals you have chosen. Reaching out for help takes courage, and finding a therapist you can trust is an important step toward improved mental and emotional well-being.
Healing and lasting change often occur within the context of meaningful relationships. I aim to provide a warm, respectful, and non-judgmental space where you feel understood, valued, and supported as you work toward the goals you have chosen. Reaching out for help takes courage, and finding a therapist you can trust is an important step toward improved mental and emotional well-being.
(509) 253-1743 View (509) 253-1743
Photo of Leslie Brockman, Clinical Social Work/Therapist, MSW, LICSW
Leslie Brockman
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
New openings available! I am a Licensed Independent Clinical Social Worker (LICSW) in Spokane, WA. I use the strengths based, person-centered approach to therapy, believing in a person’s right to self-determination. I have a passion for helping individuals dealing with stressors from challenging or dysfunctional work environments, whether it is your high stress job or dealing with bullying at work. I provide counseling to individuals with post-traumatic stress from single incident abuse or trauma, or those with chronic exposure to traumas such as abusive childhoods or trauma-involved careers.
New openings available! I am a Licensed Independent Clinical Social Worker (LICSW) in Spokane, WA. I use the strengths based, person-centered approach to therapy, believing in a person’s right to self-determination. I have a passion for helping individuals dealing with stressors from challenging or dysfunctional work environments, whether it is your high stress job or dealing with bullying at work. I provide counseling to individuals with post-traumatic stress from single incident abuse or trauma, or those with chronic exposure to traumas such as abusive childhoods or trauma-involved careers.
(509) 347-0387 View (509) 347-0387
Photo of Arlene Cook, Clinical Social Work/Therapist, MSW , LICSW, SUDP
Arlene Cook
Clinical Social Work/Therapist, MSW , LICSW, SUDP
2 Endorsed
Serves Area
As a therapist, I bring a unique combination of empathy insight and dedication to my practice. My journey into therapy began with a profound fascination with the human mind and a deep-seated desire to help others navigate their emotional landscapes. I believe that the therapeutic relationship is a cornerstone of effective therapy. My ability to build genuine, empathetic connections with my clients allow them to feel seen, heard and understood in a safe, non-judgmental space.
As a therapist, I bring a unique combination of empathy insight and dedication to my practice. My journey into therapy began with a profound fascination with the human mind and a deep-seated desire to help others navigate their emotional landscapes. I believe that the therapeutic relationship is a cornerstone of effective therapy. My ability to build genuine, empathetic connections with my clients allow them to feel seen, heard and understood in a safe, non-judgmental space.
(509) 207-1705 View (509) 207-1705
Photo of Santiago Luna, Counselor, MS, LMHCA
Santiago Luna
Counselor, MS, LMHCA
Serves Area
Feeling emotionally drained by the world, stuck in unhelpful patterns, or unsure about your next chapter? You're not alone, and you don’t have to navigate it alone! In our work, we’ll create a space to safely explore what’s holding you back and what truly matters. I support clients in taking honest accountability, recognizing the systems they navigate, and learning to advocate for themselves. Growth isn’t always comfortable, but leaning into challenge with intention can lead to greater authenticity, resilience, and lasting change.
Feeling emotionally drained by the world, stuck in unhelpful patterns, or unsure about your next chapter? You're not alone, and you don’t have to navigate it alone! In our work, we’ll create a space to safely explore what’s holding you back and what truly matters. I support clients in taking honest accountability, recognizing the systems they navigate, and learning to advocate for themselves. Growth isn’t always comfortable, but leaning into challenge with intention can lead to greater authenticity, resilience, and lasting change.
(509) 581-6517 View (509) 581-6517
Photo of Edward Deatherage, Psychologist, LCP
Edward Deatherage
Psychologist, LCP
Serves Area
Edward Deatherage, Ph.D. Received his Doctorate in Clinical Psychology from the United States International University in San Diego, CA. A Masters Degree in Psychology at Pepperdine University, Los Angeles, CA. A bachelor's Degree in psychology at Loma Linda University, Loma Linda, CA. Clinical Psychology Internship at USAF Medical Center, Wright-Patterson AFB, Ohio
Edward Deatherage, Ph.D. Received his Doctorate in Clinical Psychology from the United States International University in San Diego, CA. A Masters Degree in Psychology at Pepperdine University, Los Angeles, CA. A bachelor's Degree in psychology at Loma Linda University, Loma Linda, CA. Clinical Psychology Internship at USAF Medical Center, Wright-Patterson AFB, Ohio
(509) 471-4523 View (509) 471-4523
Photo of Kathy Goligoski, Clinical Social Work/Therapist, MA, MEd, LMHC
Kathy Goligoski
Clinical Social Work/Therapist, MA, MEd, LMHC
1 Endorsed
Serves Area
Taking the first step towards healing takes courage. I believe therapy is a journey of self-discovery and growth, and I'm here to guide and support you every step of the way. Are you navigating a life transition, struggling to make lasting changes, or ready to address past experiences? You don't have to face these challenges alone. I offer a safe and supportive space to explore these experiences and find relief from suffering. You may feel overwhelmed, disconnected from your thoughts and feelings, or struggling to understand your behaviors. Together, we can work towards creating positive change and fostering healing.
Taking the first step towards healing takes courage. I believe therapy is a journey of self-discovery and growth, and I'm here to guide and support you every step of the way. Are you navigating a life transition, struggling to make lasting changes, or ready to address past experiences? You don't have to face these challenges alone. I offer a safe and supportive space to explore these experiences and find relief from suffering. You may feel overwhelmed, disconnected from your thoughts and feelings, or struggling to understand your behaviors. Together, we can work towards creating positive change and fostering healing.
(509) 567-2670 View (509) 567-2670
Photo of Deanette Christopherson, Counselor, MA, LMHC, NCC
Deanette Christopherson
Counselor, MA, LMHC, NCC
3 Endorsed
Serves Area
Life can become so overwhelming at times.During these times sometimes we need assistance in navigating. I work with children, adolescents, families, individuals and couples. When we are facing life struggles I believe in having a safe environment for you to share your concerns. We can create a plan together to assist you with feeling more in control of your life. Using a person centered approach that is focused on your individual needs.
Life can become so overwhelming at times.During these times sometimes we need assistance in navigating. I work with children, adolescents, families, individuals and couples. When we are facing life struggles I believe in having a safe environment for you to share your concerns. We can create a plan together to assist you with feeling more in control of your life. Using a person centered approach that is focused on your individual needs.
(509) 309-0540 View (509) 309-0540
Photo of Danielle Allen, Marriage & Family Therapist, LMHC, LMFT, CMHS
Danielle Allen
Marriage & Family Therapist, LMHC, LMFT, CMHS
Serves Area
Parenting is hard. Like, really REALLY hard. I know we've all been there....feeling isolated, alone, and like we are failing ourselves and our children. But if you are here now, reading this, you are actively looking for new ways to parent and interact with your children. And that's huge! We know through decades of research that caregiver/parent self-reflection is the single greatest catalyst for positive change, in addition to feeling connected to and supported by others. That is where Circle of Security Parenting comes in! Learning how to identify and meet the emotional needs of our children, while staying balanced ourselves.
Parenting is hard. Like, really REALLY hard. I know we've all been there....feeling isolated, alone, and like we are failing ourselves and our children. But if you are here now, reading this, you are actively looking for new ways to parent and interact with your children. And that's huge! We know through decades of research that caregiver/parent self-reflection is the single greatest catalyst for positive change, in addition to feeling connected to and supported by others. That is where Circle of Security Parenting comes in! Learning how to identify and meet the emotional needs of our children, while staying balanced ourselves.
(509) 637-7235 View (509) 637-7235
Photo of Brad Kubat, Counselor, LMHC, SUDP
Brad Kubat
Counselor, LMHC, SUDP
2 Endorsed
Serves Area
I am accepting new patients. My name is Bradley Kubat and I specialize in helping heal from trauma, whether that be from childhood, adolescent, or adult trauma. I am an army combat veteran which has given me a deep understanding of the active military and veteran experience. I have vast experience in multiple areas of life that can be utilized to help others. The ideal client would come to therapy to heal, move forward and grow to their full potential. I am primarily working with first responders, police/fire/paramedic/EMTs/veterans.
I am accepting new patients. My name is Bradley Kubat and I specialize in helping heal from trauma, whether that be from childhood, adolescent, or adult trauma. I am an army combat veteran which has given me a deep understanding of the active military and veteran experience. I have vast experience in multiple areas of life that can be utilized to help others. The ideal client would come to therapy to heal, move forward and grow to their full potential. I am primarily working with first responders, police/fire/paramedic/EMTs/veterans.
(509) 213-0183 View (509) 213-0183
Photo of Kelsey Johnson, Counselor, LMHCA, NCC
Kelsey Johnson
Counselor, LMHCA, NCC
4 Endorsed
Serves Area
I enjoy working with individual adults and teens through a systemic and relational lens. I work with adults to build and strengthen a deeper sense of self by exploring who we are in our relationship with self and others. I work with couples to build more closeness and safety through an emotionally focused approach to help strengthen the bond and consequently felt security and intimacy in that relationship.
I enjoy working with individual adults and teens through a systemic and relational lens. I work with adults to build and strengthen a deeper sense of self by exploring who we are in our relationship with self and others. I work with couples to build more closeness and safety through an emotionally focused approach to help strengthen the bond and consequently felt security and intimacy in that relationship.
(509) 800-2236 View (509) 800-2236
Photo of Jonathan Sibuor Kawira, Licensed Mental Health Counselor, LMHC
Jonathan Sibuor Kawira
Licensed Mental Health Counselor, LMHC
1 Endorsed
Serves Area
My overarching goal is to facilitate my clients' progression towards a heightened level of functioning while empowering them to rebuild their self-confidence and navigate the intricacies of daily life. The path to healing through therapy may at times appear formidable, yet through our shared focus and determination, you can once again embrace a life of purpose. I approach my work from a person-centered perspective, offering a calm, empathetic, and understanding presence to create a supportive environment for you to pursue your therapeutic objectives.
My overarching goal is to facilitate my clients' progression towards a heightened level of functioning while empowering them to rebuild their self-confidence and navigate the intricacies of daily life. The path to healing through therapy may at times appear formidable, yet through our shared focus and determination, you can once again embrace a life of purpose. I approach my work from a person-centered perspective, offering a calm, empathetic, and understanding presence to create a supportive environment for you to pursue your therapeutic objectives.
(509) 414-7897 View (509) 414-7897
Heidi C. Neddo
Counselor, LMHC, MHP, CMHS
2 Endorsed
Serves Area
Are you concerned with a personal issue, overwhelmed by stress or worries, burdened by depression or anxiety? Are you trying to deal with a traumatic event in your life, past abuse? Are you struggling with family or relationship conflicts? Everyone encounters situations when one feels lost, unable to cope, or needs support and guidance. If you're looking for relief from pain; compassionate, nonjudgmental support and guidance; hope for improvement; and lasting change, counseling can help! Research shows that therapy can lead to increased happiness, productive coping mechanisms, fulfilling relationships and improved physical health.
Are you concerned with a personal issue, overwhelmed by stress or worries, burdened by depression or anxiety? Are you trying to deal with a traumatic event in your life, past abuse? Are you struggling with family or relationship conflicts? Everyone encounters situations when one feels lost, unable to cope, or needs support and guidance. If you're looking for relief from pain; compassionate, nonjudgmental support and guidance; hope for improvement; and lasting change, counseling can help! Research shows that therapy can lead to increased happiness, productive coping mechanisms, fulfilling relationships and improved physical health.
(509) 424-5180 View (509) 424-5180
Photo of Megan Sexton, Clinical Social Work/Therapist, LICSW
Megan Sexton
Clinical Social Work/Therapist, LICSW
3 Endorsed
Serves Area
Waitlist for new clients
Anxiety, depression, and stress can make us feel like we are battling a chronic pain. It can weigh us down and make us wonder if things will ever get better. As a trauma informed attachment-based therapist, I am dedicated to improving the lives of those struggling with self-acceptance, anxiety, depression, and trauma. Through my time working with a diverse set of populations, experiencing a wide range of difficulties, I believe I am a partner in your journey. My approach to therapy is focused on coming alongside clients to understand who they are without judgment and working with them to achieve the results they would like to see.
Anxiety, depression, and stress can make us feel like we are battling a chronic pain. It can weigh us down and make us wonder if things will ever get better. As a trauma informed attachment-based therapist, I am dedicated to improving the lives of those struggling with self-acceptance, anxiety, depression, and trauma. Through my time working with a diverse set of populations, experiencing a wide range of difficulties, I believe I am a partner in your journey. My approach to therapy is focused on coming alongside clients to understand who they are without judgment and working with them to achieve the results they would like to see.
(509) 775-6912 View (509) 775-6912
Photo of Melania Rogers, Clinical Social Work/Therapist, MSW, LICSW
Melania Rogers
Clinical Social Work/Therapist, MSW, LICSW
2 Endorsed
Online Only
I help first responders, military families, parents, and step-parents who are navigating trauma, anxiety, depression, and family conflict. As the wife of a veteran and retired law enforcement officer, a mom and stepmom, and a former law enforcement professional myself, I understand how much people in these roles carry—and how stigma can make reaching out for support feel nearly impossible. I created Spokane River Therapy, PLLC to offer a steady, welcoming place where you can slow down, regroup, and begin to feel grounded again. If you’re ready to take steps toward meaningful change, I’d be honored to walk alongside you.
I help first responders, military families, parents, and step-parents who are navigating trauma, anxiety, depression, and family conflict. As the wife of a veteran and retired law enforcement officer, a mom and stepmom, and a former law enforcement professional myself, I understand how much people in these roles carry—and how stigma can make reaching out for support feel nearly impossible. I created Spokane River Therapy, PLLC to offer a steady, welcoming place where you can slow down, regroup, and begin to feel grounded again. If you’re ready to take steps toward meaningful change, I’d be honored to walk alongside you.
(509) 285-0230 View (509) 285-0230
Photo of Denise Huey, Clinical Social Work/Therapist, LICSW, RN
Denise Huey
Clinical Social Work/Therapist, LICSW, RN
Serves Area
Not accepting new clients
You’re in your 50s, 60s, 70s+ and life has shifted—retirement, a new daily rhythm, changing health, a relationship changing or ending, or the loss of someone you love. You may feel unsteady, lonely, more irritable than usual, or unsure who you are without the job/role you carried for years. Old memories can show up when life slows down. You want steadier footing, clarity about what matters now, and a way to live these years with intention.
You’re in your 50s, 60s, 70s+ and life has shifted—retirement, a new daily rhythm, changing health, a relationship changing or ending, or the loss of someone you love. You may feel unsteady, lonely, more irritable than usual, or unsure who you are without the job/role you carried for years. Old memories can show up when life slows down. You want steadier footing, clarity about what matters now, and a way to live these years with intention.
(509) 779-6626 View (509) 779-6626
Photo of Dr. Christopher Robin Carver, Clinical Social Work/Therapist, DBA, LICSW
Dr. Christopher Robin Carver
Clinical Social Work/Therapist, DBA, LICSW
10 Endorsed
Online Only
Hello, my name is Christopher Carver, and welcome to your Next Mission. I am located in the Eastern Washington Spokane area and conduct telehealth sessions throughout the state of Washington. I'm passionate about helping individuals overcome trauma and achieve a better future. I can assist all those stuck in their lives due to a relationship, job situation, life challenges, or past trauma. I am accepting some insurance providers or private pay. Don't hesitate to contact me, and let's schedule an appointment. 509-290-0992
Hello, my name is Christopher Carver, and welcome to your Next Mission. I am located in the Eastern Washington Spokane area and conduct telehealth sessions throughout the state of Washington. I'm passionate about helping individuals overcome trauma and achieve a better future. I can assist all those stuck in their lives due to a relationship, job situation, life challenges, or past trauma. I am accepting some insurance providers or private pay. Don't hesitate to contact me, and let's schedule an appointment. 509-290-0992
(509) 245-1684 View (509) 245-1684
Photo of Lauren Kohler, Clinical Social Work/Therapist, LSWAIC
Lauren Kohler
Clinical Social Work/Therapist, LSWAIC
1 Endorsed
Online Only
Welcome! Reaching out for help takes courage, and you are taking a courageous step towards healing. Perhaps you are here because each day is a struggle, like trudging through deep waters, each step feeling like it is too much. Maybe the thought of going through your day makes your heart race and your head spin. Or do you live with painful memories and intrusive thoughts from your past? It is possible to feel light and joy in your life again. Therapy can help you rediscover yourself - work towards a happier, healthier, more functional you - in a safe space free of judgment or fear.
Welcome! Reaching out for help takes courage, and you are taking a courageous step towards healing. Perhaps you are here because each day is a struggle, like trudging through deep waters, each step feeling like it is too much. Maybe the thought of going through your day makes your heart race and your head spin. Or do you live with painful memories and intrusive thoughts from your past? It is possible to feel light and joy in your life again. Therapy can help you rediscover yourself - work towards a happier, healthier, more functional you - in a safe space free of judgment or fear.
(509) 519-3828 View (509) 519-3828
Photo of Kristen Monteleone, Pre-Licensed Professional
Kristen Monteleone
Pre-Licensed Professional
Online Only
I am passionate about supporting individuals through trauma, grief, PTSD, and burnout. My approach is grounded in empathy, understanding, and creating a safe, nonjudgmental space for healing and growth. I aim to help clients process their experiences, build resilience, and rediscover their sense of purpose. I have a strong passion for pet loss counseling, recognizing the deep bond between people and their animal companions. I provide support for those navigating the unique and complex grief that comes with losing a beloved pet.
I am passionate about supporting individuals through trauma, grief, PTSD, and burnout. My approach is grounded in empathy, understanding, and creating a safe, nonjudgmental space for healing and growth. I aim to help clients process their experiences, build resilience, and rediscover their sense of purpose. I have a strong passion for pet loss counseling, recognizing the deep bond between people and their animal companions. I provide support for those navigating the unique and complex grief that comes with losing a beloved pet.
(425) 642-5250 View (425) 642-5250

See more therapy options for 99001

How does your Therapist compare?

Number of Therapists in 99001

20+

Average cost per session

$150

Therapists in 99001 who prioritize treating:

96% Anxiety
96% Social Anxiety
96% Health Anxiety
96% Driving Anxiety
92% Depression
77% Trauma and PTSD
77% Complex PTSD

Average years in practice

11 Years

Top 3 insurances accepted

87% Premera Blue Cross
74% Aetna
74% Regence

How Therapists in 99001 see their clients

69% In Person and Online
31% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 99001?

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.