Therapists in Jacksonville, FL

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Photo of Ana Trujillo, Counselor in Jacksonville, FL
Ana Trujillo
Counselor, LMHC
Verified Verified
2 Endorsed
Jacksonville, FL 32226  (Online Only)
Ana is an OCD therapist that provides ERP. Ana is also experienced with working with clients through their anxiety (social anxiety and phobias) and BFRBs (Trichotillomania and Excoriation Disorder - skin picking). The subtypes of OCD that she has the most experience providing ERP for are Harm OCD, "Just Right" OCD, Contamination OCD, Scrupulosity (religious/spiritual) Obsessions, Somatic Obsessions, Magical Thinking, and Sexual Orientation OCD. Ana has experience at the PHP level of care for OCD treating severe symptoms of OCD and outpatient level of care.
Ana is an OCD therapist that provides ERP. Ana is also experienced with working with clients through their anxiety (social anxiety and phobias) and BFRBs (Trichotillomania and Excoriation Disorder - skin picking). The subtypes of OCD that she has the most experience providing ERP for are Harm OCD, "Just Right" OCD, Contamination OCD, Scrupulosity (religious/spiritual) Obsessions, Somatic Obsessions, Magical Thinking, and Sexual Orientation OCD. Ana has experience at the PHP level of care for OCD treating severe symptoms of OCD and outpatient level of care.
(904) 467-4668 View (904) 467-4668
Photo of Ashley Coto, Clinical Social Work/Therapist in Jacksonville, FL
Ashley Coto
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32225
Hi, I’m Ashley Coto. I’ve been a Licensed Clinical Social Worker for close to a decade. I’ve spent my career working with children & adolescents as well as older adults. I am skilled in multiple modalities and able to help a variety of clients working through traumas, anxiety, depression, or emotional barriers. I am skilled in multiple modalities and able to help a variety of clients working through traumas, anxiety, depression, or emotional barriers. Cognitive Behavioral Therapy (CBT), Person-Centered, Solution-Focused & Narrative Therapies.
Hi, I’m Ashley Coto. I’ve been a Licensed Clinical Social Worker for close to a decade. I’ve spent my career working with children & adolescents as well as older adults. I am skilled in multiple modalities and able to help a variety of clients working through traumas, anxiety, depression, or emotional barriers. I am skilled in multiple modalities and able to help a variety of clients working through traumas, anxiety, depression, or emotional barriers. Cognitive Behavioral Therapy (CBT), Person-Centered, Solution-Focused & Narrative Therapies.
(904) 746-9410 View (904) 746-9410
Photo of Carmella Gardner, Counselor in Jacksonville, FL
Carmella Gardner
Counselor, LMHC
Verified Verified
Jacksonville, FL 32257
I offer 25 years of experience in providing client-centered, interactive and supportive counseling to individuals, couples and families.I believe in utilizing guided observations and questions to empower my clients, giving them more choices in their therapeutic care and providing practical education and goals. I am a Licensed Mental Health Counselor (LMHC) and cognitive behavioral specialist. I also have counseling experience in mental health treatment facilities and government agencies, serving a wide variety of clients.
I offer 25 years of experience in providing client-centered, interactive and supportive counseling to individuals, couples and families.I believe in utilizing guided observations and questions to empower my clients, giving them more choices in their therapeutic care and providing practical education and goals. I am a Licensed Mental Health Counselor (LMHC) and cognitive behavioral specialist. I also have counseling experience in mental health treatment facilities and government agencies, serving a wide variety of clients.
(904) 875-2079 View (904) 875-2079
Photo of Jennifer Sagle, Counselor in Jacksonville, FL
Jennifer Sagle
Counselor, LMHC
Verified Verified
Jacksonville, FL 32244  (Online Only)
Hi! I’m Jennifer. Do you feel overwhelmed and exhausted at times from the demands in your life? Are you finding it hard to have a healthy work/life balance? Do you struggle to enforce boundaries? If you just asked yourself what are boundaries, please come see me! I have helped thousands of individuals just like yourself reduce and manage their anxiety to find a better way of living. Together, we will identify what wasn’t working for you and develop goals which will get you to a better you!
Hi! I’m Jennifer. Do you feel overwhelmed and exhausted at times from the demands in your life? Are you finding it hard to have a healthy work/life balance? Do you struggle to enforce boundaries? If you just asked yourself what are boundaries, please come see me! I have helped thousands of individuals just like yourself reduce and manage their anxiety to find a better way of living. Together, we will identify what wasn’t working for you and develop goals which will get you to a better you!
(904) 853-3417 View (904) 853-3417
Photo of Heidi Graber, Counselor in Jacksonville, FL
Heidi Graber
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Jacksonville, FL 32216  (Online Only)
I have been working in the mental health field since 2001. I have worked in many populations so I am comfortable working with many different issues. I adapt to people's needs and goals. Therapy is your time to get what you want from it, I just assist in getting to those goals.
I have been working in the mental health field since 2001. I have worked in many populations so I am comfortable working with many different issues. I adapt to people's needs and goals. Therapy is your time to get what you want from it, I just assist in getting to those goals.
(904) 590-2785 View (904) 590-2785
Photo of Polly A Charette, Clinical Social Work/Therapist in Jacksonville, FL
Polly A Charette
Clinical Social Work/Therapist, LCSW, BCD, ACSW, EMDR
Verified Verified
5 Endorsed
Jacksonville, FL 32216
Every person goes through a period in their life where they desire to make changes, face difficulties, find the courage to challenge themselves, or simply find that their old ways are no longer serving them in their life. I take the time to understand each client in order to tailor their treatment to their uniques circumstances. In my practice I thoroughly believe that a connection between therapist and client is the foundation for healing and change. It is an honor to provide the services that I do. My goal is to provide a nonjudgmental safe place for healing.
Every person goes through a period in their life where they desire to make changes, face difficulties, find the courage to challenge themselves, or simply find that their old ways are no longer serving them in their life. I take the time to understand each client in order to tailor their treatment to their uniques circumstances. In my practice I thoroughly believe that a connection between therapist and client is the foundation for healing and change. It is an honor to provide the services that I do. My goal is to provide a nonjudgmental safe place for healing.
(904) 674-3747 View (904) 674-3747
Photo of Dorimar Arroyo, Licensed Mental Health Counselor in Jacksonville, FL
Dorimar Arroyo
Licensed Mental Health Counselor, LMHC
Verified Verified
Jacksonville, FL 32246
My ideal client struggles with insecurities, fears, has low self- esteem, and difficulties to identify his or her strengths. He or she has fears, and anxieties, and create the worst possible case scenarios in his or her inner dialogue for situations that he or she finds threatening or challenging. Also my ideal client needs to identify strategies to better manage their time. My ideal client struggles with anxieties in his or her relationship, which could lead to codependency and anxious attachment patterns.
My ideal client struggles with insecurities, fears, has low self- esteem, and difficulties to identify his or her strengths. He or she has fears, and anxieties, and create the worst possible case scenarios in his or her inner dialogue for situations that he or she finds threatening or challenging. Also my ideal client needs to identify strategies to better manage their time. My ideal client struggles with anxieties in his or her relationship, which could lead to codependency and anxious attachment patterns.
(561) 556-3759 View (561) 556-3759
Photo of Patricia Borgess, Counselor in Jacksonville, FL
Patricia Borgess
Counselor, MS
Verified Verified
1 Endorsed
Jacksonville, FL 32211
Complex PTSD symptoms include emotional flashbacks (constant fight/flight/freeze triggers), a tyrannical inner critic, toxic shame, self abandonment, social anxiety, and relationship issues. This distressing experience can feel isolating and confusing, and like there is something wrong with you. The good news is there isn't - the human nervous system is intelligent and doing its best to protect us. We can learn to soften, self-soothe and communicate more deeply with our innermost self with somatic therapy. I also support with psychedelic integration, sexual awakening and am certified in yoga, breathwork, and nondual somatic inquiry.
Complex PTSD symptoms include emotional flashbacks (constant fight/flight/freeze triggers), a tyrannical inner critic, toxic shame, self abandonment, social anxiety, and relationship issues. This distressing experience can feel isolating and confusing, and like there is something wrong with you. The good news is there isn't - the human nervous system is intelligent and doing its best to protect us. We can learn to soften, self-soothe and communicate more deeply with our innermost self with somatic therapy. I also support with psychedelic integration, sexual awakening and am certified in yoga, breathwork, and nondual somatic inquiry.
(904) 587-4649 View (904) 587-4649
Photo of Jessyca Hayward, Clinical Social Work/Therapist in Jacksonville, FL
Jessyca Hayward
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32256  (Online Only)
Before we turn up the heat in the kitchen, I would like to introduce myself. My name is Jessyca Hayward, I am a LCSW. I have worked with children, teens, young adults and families for over 5 years. Over those 5 years I have learned it is hard to open up to strangers and express serious traumatic or even simple issues that we face daily, but what happens when we keep our minds busy, our hearts open., and stomachs are full? Having the ability to express your thoughts and emotions in a more relaxed, creative, fun, and inspiring environment, gives a person more freedom to be able to become more vulnerable, comfortable, and at peace.
Before we turn up the heat in the kitchen, I would like to introduce myself. My name is Jessyca Hayward, I am a LCSW. I have worked with children, teens, young adults and families for over 5 years. Over those 5 years I have learned it is hard to open up to strangers and express serious traumatic or even simple issues that we face daily, but what happens when we keep our minds busy, our hearts open., and stomachs are full? Having the ability to express your thoughts and emotions in a more relaxed, creative, fun, and inspiring environment, gives a person more freedom to be able to become more vulnerable, comfortable, and at peace.
(904) 290-7031 View (904) 290-7031
Photo of Haley Morris, Counselor in Jacksonville, FL
Haley Morris
Counselor, LMFT, LPCC, LMHC
Verified Verified
Jacksonville, FL 32216
Seeking therapy can be an intimidating process, it takes a lot of courage to begin this journey! My passion is to help individuals and couples live their most beneficial and rewarding lives. I have worked extensively with grief, relationship difficulties, anxiety, depression, addiction, trauma, and much more. I am of Christian faith but am open to working with any religious orientations. I have had the pleasure of working with individuals from all different ages, cultures, backgrounds, and religions. I look forward to getting to know you on a individual basis and helping you navigate your world and experiences.
Seeking therapy can be an intimidating process, it takes a lot of courage to begin this journey! My passion is to help individuals and couples live their most beneficial and rewarding lives. I have worked extensively with grief, relationship difficulties, anxiety, depression, addiction, trauma, and much more. I am of Christian faith but am open to working with any religious orientations. I have had the pleasure of working with individuals from all different ages, cultures, backgrounds, and religions. I look forward to getting to know you on a individual basis and helping you navigate your world and experiences.
(904) 587-4725 View (904) 587-4725
Photo of Lauren West - Family Therapist, Marriage & Family Therapist in Jacksonville, FL
Lauren West - Family Therapist
Marriage & Family Therapist, LMFT, EdS, MEd
Verified Verified
Jacksonville, FL 32258
In my practice, I work with a broad range of clients who are simply struggling with life's demands - coping with change and transitions, discovering identities and passions, grieving losses big and small, and understanding the complexities of relationships. I enjoy working from a systems perspective; that is, understanding how relationships impact an individual and bringing those relationships into the therapy process if necessary.
In my practice, I work with a broad range of clients who are simply struggling with life's demands - coping with change and transitions, discovering identities and passions, grieving losses big and small, and understanding the complexities of relationships. I enjoy working from a systems perspective; that is, understanding how relationships impact an individual and bringing those relationships into the therapy process if necessary.
(352) 290-2037 View (352) 290-2037
Photo of Kathie Green, Counselor in Jacksonville, FL
Kathie Green
Counselor, MEd, LMHC
Verified Verified
2 Endorsed
Jacksonville, FL 32217
It is exhausting when your appearance to the outside world doesn't match how you feel on the inside. You're sad, anxious or even angry around others. You have trouble connecting with people, or even avoid others altogether. They will never understand how you feel. They don't listen to what you are telling them. They don't know what it's like to have to hide. You are tired, spent, have no energy. They will never understand how stressful it is to walk around pretending to be something you're not.
It is exhausting when your appearance to the outside world doesn't match how you feel on the inside. You're sad, anxious or even angry around others. You have trouble connecting with people, or even avoid others altogether. They will never understand how you feel. They don't listen to what you are telling them. They don't know what it's like to have to hide. You are tired, spent, have no energy. They will never understand how stressful it is to walk around pretending to be something you're not.
(904) 650-7247 View (904) 650-7247
Photo of Beyond The Matter Counseling , Counselor in Jacksonville, FL
Beyond The Matter Counseling
Counselor, LMHC, Veteran
Verified Verified
Jacksonville, FL 32205  (Online Only)
You're on a quest for self-discovery, aiming to grow and tap into your innate well-being. You desire self-discovery, resilience, and inner peace. Overcoming anxiety, stress, self-doubt, and low mood disrupts daily life. You want a non-judgmental environment to explore emotions, thoughts, and behaviors with compassionate guidance and evidence-based tools. Your goals include self-acceptance, positive relationships, and overall balance. You seek to regain control, boost self-esteem, and find lasting happiness. You long for connections, harmony, purpose, and joy. You aim to embrace challenges, unlock potential, and cultivate joy.
You're on a quest for self-discovery, aiming to grow and tap into your innate well-being. You desire self-discovery, resilience, and inner peace. Overcoming anxiety, stress, self-doubt, and low mood disrupts daily life. You want a non-judgmental environment to explore emotions, thoughts, and behaviors with compassionate guidance and evidence-based tools. Your goals include self-acceptance, positive relationships, and overall balance. You seek to regain control, boost self-esteem, and find lasting happiness. You long for connections, harmony, purpose, and joy. You aim to embrace challenges, unlock potential, and cultivate joy.
(319) 254-5609 View (319) 254-5609
Photo of Leela Gershenson, Counselor in Jacksonville, FL
Leela Gershenson
Counselor, LMHC, BC-TMH
Verified Verified
Jacksonville, FL 32205  (Online Only)
Hello! Beginning therapy can be intimidating, but asking for help is such a great skill! I have been a therapist for over 10 years and currently specialize in Obsessive Compulsive Disorder. I also treat Tics and Tourettes, Body Focused Repetitive Behaviors, Social Anxiety Disorder, Panic Disorder, Agoraphobia and Post Traumatic Stress Disorder.
Hello! Beginning therapy can be intimidating, but asking for help is such a great skill! I have been a therapist for over 10 years and currently specialize in Obsessive Compulsive Disorder. I also treat Tics and Tourettes, Body Focused Repetitive Behaviors, Social Anxiety Disorder, Panic Disorder, Agoraphobia and Post Traumatic Stress Disorder.
(904) 337-4820 View (904) 337-4820
Photo of Nigeria K McHellon, Clinical Social Work/Therapist in Jacksonville, FL
Nigeria K McHellon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Jacksonville, FL 32244
Choosing a therapist for yourself or a member of your family can be a difficult decision. The decision to engage in therapy takes true consideration for your wellness and emotional stability. My approach is from a place of compassion. I hope to create safe spaces for clients to engage in a trusting therapeutic relationship and focus on open communication while promoting self-growth and positive change. I believe that everything in life is full of purpose and that each experience we go through can be used as a catalyst to grow. I am passionate about individual growth and diversity.
Choosing a therapist for yourself or a member of your family can be a difficult decision. The decision to engage in therapy takes true consideration for your wellness and emotional stability. My approach is from a place of compassion. I hope to create safe spaces for clients to engage in a trusting therapeutic relationship and focus on open communication while promoting self-growth and positive change. I believe that everything in life is full of purpose and that each experience we go through can be used as a catalyst to grow. I am passionate about individual growth and diversity.
(904) 320-0184 View (904) 320-0184
Photo of Alissa Myatt, Clinical Social Work/Therapist in Jacksonville, FL
Alissa Myatt
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32210  (Online Only)
Alissa Myatt is a Licensed Clinical Social Worker (LCSW) who has years of experience working with children, youth, young adults, individuals, couples, and families. She specializes in treating grief, bereavement, substance use, anxiety, depression, and much more.
Alissa Myatt is a Licensed Clinical Social Worker (LCSW) who has years of experience working with children, youth, young adults, individuals, couples, and families. She specializes in treating grief, bereavement, substance use, anxiety, depression, and much more.
(904) 830-9406 View (904) 830-9406
Photo of Jacob Hatch, Counselor in Jacksonville, FL
Jacob Hatch
Counselor, MS, MDiv, LMHC
Verified Verified
2 Endorsed
Jacksonville, FL 32258
I believe everyone has the capacity to be the best version of themselves. Sometimes, though we can get stuck in a rut or find that what used to work, isn't working so great anymore. It's my joy to help find areas where you can improve and take those steps towards transformation. When it comes to couples, my expertise can help with improving communication, resolving conflict, and growing closer through empathy and understanding in order to get that love we are looking for in our most meaningful relationships.
I believe everyone has the capacity to be the best version of themselves. Sometimes, though we can get stuck in a rut or find that what used to work, isn't working so great anymore. It's my joy to help find areas where you can improve and take those steps towards transformation. When it comes to couples, my expertise can help with improving communication, resolving conflict, and growing closer through empathy and understanding in order to get that love we are looking for in our most meaningful relationships.
(904) 602-8934 View (904) 602-8934
Photo of Deb Peckham, Clinical Social Work/Therapist in Jacksonville, FL
Deb Peckham
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32211
I have been a therapist for over 25 years. I have a Master's in Social Work and a Master's in Education. I am also a certified Pet Bereavement Specialist. I utilize a narrative therapy style. I prioritize building a strong foundation of trust in my client relationships and creating a safe environment for them. I believe that long-term healing and sustainable growth blossom from genuine conversation. This style of therapy highlights an opportunity for me to bear witness to your story, validate your experience, and support you in moving forward. I Incorporate various treatment approaches to suit the individual client's needs.
I have been a therapist for over 25 years. I have a Master's in Social Work and a Master's in Education. I am also a certified Pet Bereavement Specialist. I utilize a narrative therapy style. I prioritize building a strong foundation of trust in my client relationships and creating a safe environment for them. I believe that long-term healing and sustainable growth blossom from genuine conversation. This style of therapy highlights an opportunity for me to bear witness to your story, validate your experience, and support you in moving forward. I Incorporate various treatment approaches to suit the individual client's needs.
(904) 560-8189 View (904) 560-8189
Photo of Amity Olson - Emdr Intensives, Clinical Social Work/Therapist in Jacksonville, FL
Amity Olson - Emdr Intensives
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32258  (Online Only)
I work closely with individuals who have lived through trauma and/or painful life experiences. I help them process their experiences to find their way toward healing; whatever that may look like for them, based on their individual goals.
I work closely with individuals who have lived through trauma and/or painful life experiences. I help them process their experiences to find their way toward healing; whatever that may look like for them, based on their individual goals.
(904) 875-8797 View (904) 875-8797
Photo of Sheryl Johnson, Counselor in Jacksonville, FL
Sheryl Johnson
Counselor, LMHC, MCAP, SAP, MAC
Verified Verified
1 Endorsed
Jacksonville, FL 32210
I've made some questionable decisions in my life, some with devastating results. Each poor decision led to a habit becoming a lifestyle of misery. By improving my life in small daily steps I was able to overcome depression, anxiety and substance abuse. Changing a lifestyle takes daily practice and it's always being tweaked with new goals. Today, I help others make changes, develop action plans, resolve feelings of inadequacy, depression and fear. Together we work on accountability, moving forward on goals and into a lifestyle that serves them.
I've made some questionable decisions in my life, some with devastating results. Each poor decision led to a habit becoming a lifestyle of misery. By improving my life in small daily steps I was able to overcome depression, anxiety and substance abuse. Changing a lifestyle takes daily practice and it's always being tweaked with new goals. Today, I help others make changes, develop action plans, resolve feelings of inadequacy, depression and fear. Together we work on accountability, moving forward on goals and into a lifestyle that serves them.
(904) 712-5964 View (904) 712-5964

See more therapy options for Jacksonville

How does your Therapist compare?

Number of Therapists in Jacksonville, FL

1,000+

Average cost per session

$125

Therapists in Jacksonville, FL who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
75% Coping Skills
68% Trauma and PTSD
67% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

87% Aetna
83% UnitedHealthcare UHC | UBH
79% Cigna and Evernorth

How Therapists in Jacksonville, FL see their clients

58% In Person and Online
42% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Jacksonville?

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.