Therapists in Big Bear Lake, CA

Photo of Tory Nicole Berry, BA
Tory Nicole Berry
Verified Verified
Online Only
All clients are welcome and will be guided with grace whether that be into coaching with me or towards another appropriate form of care. I am a professional and will ensure those who contact me are given the time and space to be heard.
All clients are welcome and will be guided with grace whether that be into coaching with me or towards another appropriate form of care. I am a professional and will ensure those who contact me are given the time and space to be heard.
(805) 749-7141 View (805) 749-7141
Photo of Rebecca Flores, Clinical Social Work/Therapist, LCSW
Rebecca Flores
Clinical Social Work/Therapist, LCSW
Online Only
My work as a therapist is to walk alongside others on their journey as they navigate relationships, stress, anxiety, and depression. Connection and relationships are cornerstone components on the path toward emotional wellness. In treatment, I utilize CBT, family systems, and psychodynamic approaches while always maintaining and recognizing the individual needs of my clients. My background is diverse, from experience treating young children to working with and treating adults suffering from trauma, dual diagnosis, and PTSD.
My work as a therapist is to walk alongside others on their journey as they navigate relationships, stress, anxiety, and depression. Connection and relationships are cornerstone components on the path toward emotional wellness. In treatment, I utilize CBT, family systems, and psychodynamic approaches while always maintaining and recognizing the individual needs of my clients. My background is diverse, from experience treating young children to working with and treating adults suffering from trauma, dual diagnosis, and PTSD.
(661) 463-9647 View (661) 463-9647
Photo of Josh Marshall, Clinical Social Work/Therapist, MSW, LCSW, LICSW
Josh Marshall
Clinical Social Work/Therapist, MSW, LCSW, LICSW
1 Endorsed
Big Bear Lake, CA 92315
Waitlist for new clients
You don’t have to go through this alone. Whether you're facing the weight of trauma, struggling with addiction, navigating anxiety or depression, or trying to repair a relationship that feels fractured, I offer a safe, compassionate space to help you move forward. I specialize in addiction recovery and trauma work—areas that often go hand in hand—but my practice also welcomes individuals and couples seeking clarity, healing, and sustainable change in many areas of life.
You don’t have to go through this alone. Whether you're facing the weight of trauma, struggling with addiction, navigating anxiety or depression, or trying to repair a relationship that feels fractured, I offer a safe, compassionate space to help you move forward. I specialize in addiction recovery and trauma work—areas that often go hand in hand—but my practice also welcomes individuals and couples seeking clarity, healing, and sustainable change in many areas of life.
(909) 330-3425 View (909) 330-3425
Photo of Tonya Schour, Marriage & Family Therapist, LMFT
Tonya Schour
Marriage & Family Therapist, LMFT
Online Only
I am Tonya Schour, LMFT (Licensed Marriage and Family Therapist). I have primarily worked with people who struggle with trauma (PTSD), anxiety, depression, relationship issues and domestic violence. By using Cognitive Behavioral Therapy techniques and direct communication, I have helped many clients overcome difficulties and incorporate positive changes in their lives. I believe our mental health is every bit as important as our physical health. Many, if not all, people would benefit greatly from therapy. Even if it’s just to have a neutral person to discuss everyday issues with.
I am Tonya Schour, LMFT (Licensed Marriage and Family Therapist). I have primarily worked with people who struggle with trauma (PTSD), anxiety, depression, relationship issues and domestic violence. By using Cognitive Behavioral Therapy techniques and direct communication, I have helped many clients overcome difficulties and incorporate positive changes in their lives. I believe our mental health is every bit as important as our physical health. Many, if not all, people would benefit greatly from therapy. Even if it’s just to have a neutral person to discuss everyday issues with.
(909) 671-7350 View (909) 671-7350
Photo of Sakinah Rasheed, Psychologist, LP
Sakinah Rasheed
Psychologist, LP
Big Bear Lake, CA 92315
Feeling sad and tearful, or overly anxious and overwhelmed? With compassion, I'm here to help you process those emotions and arrive at a life balance. I use cognitive behavioral therapy (CBT) to help you identify and reshape unwanted thoughts and behaviors. I incorporate mindfulness and other positive psychology methods as well. Together, following a thorough assessment, we develop and implement a plan to help you reach your goals.
Feeling sad and tearful, or overly anxious and overwhelmed? With compassion, I'm here to help you process those emotions and arrive at a life balance. I use cognitive behavioral therapy (CBT) to help you identify and reshape unwanted thoughts and behaviors. I incorporate mindfulness and other positive psychology methods as well. Together, following a thorough assessment, we develop and implement a plan to help you reach your goals.
(442) 217-4702 View (442) 217-4702
Photo of Hasasha Hasulube, Associate Professional Clinical Counselor, APCC
Hasasha Hasulube
Associate Professional Clinical Counselor, APCC
Big Bear Lake, CA 92315
Hello! As a neurodivergent, queer, and BIPOC clinician, I desire to come alongside folks moving through all diverse walks of life. I work with individuals and couples who are exploring how their values and beliefs align with the life they are currently living, using an integrative approach. Whether my clients are looking to simply improve their communication and self-talk, or engage in more non-traditional relationships and practices, I am here as a guide for that exploration.
Hello! As a neurodivergent, queer, and BIPOC clinician, I desire to come alongside folks moving through all diverse walks of life. I work with individuals and couples who are exploring how their values and beliefs align with the life they are currently living, using an integrative approach. Whether my clients are looking to simply improve their communication and self-talk, or engage in more non-traditional relationships and practices, I am here as a guide for that exploration.
(818) 805-0685 View (818) 805-0685
Photo of Kathryn M Tate, Drug & Alcohol Counselor, CADC, CHT
Kathryn M Tate
Drug & Alcohol Counselor, CADC, CHT
Big Bear Lake, CA 92315
Are you feeling stuck, drained from years of anxiety, toxic relationships, or work burnout? I'm Kathryn Tate, a certified hypnotherapist and chemical dependency counselor based out of Big Bear, CA. I specialize in helping clients reclaim their power after narcissistic abuse, break free from self-doubt, support addiction recovery (both process and chemical) and create lasting change through hypnosis. Many clients come to me struggling with anxiety, addiction, people pleasing, or emotional exhaustion. Often rooted in untrue thoughts or feelings about themselves. Together we identify and release unconscious blocks.
Are you feeling stuck, drained from years of anxiety, toxic relationships, or work burnout? I'm Kathryn Tate, a certified hypnotherapist and chemical dependency counselor based out of Big Bear, CA. I specialize in helping clients reclaim their power after narcissistic abuse, break free from self-doubt, support addiction recovery (both process and chemical) and create lasting change through hypnosis. Many clients come to me struggling with anxiety, addiction, people pleasing, or emotional exhaustion. Often rooted in untrue thoughts or feelings about themselves. Together we identify and release unconscious blocks.
(805) 691-0908 View (805) 691-0908
Photo of Ariel Wilcoxen, Licensed Professional Counselor, LPCC
Ariel Wilcoxen
Licensed Professional Counselor, LPCC
Online Only
My name is Ariel Wilcoxen. I am a Licensed Professional Clinical Counselor (LPCC) based in Southern California and I work with clients statewide via telehealth. I work with adults, couples, families, and adolescents. I specialize in anxiety, depression, stress, and trauma. My theoretical orientation is comprised of rational emotive behavior therapy (REBT), Adlerian, and Transactional analysis. I also have experience with Cognitive behavioral therapy (CBT), Dialectical behavior therapy (DBT), and reality therapy to assist with guiding clients toward healing and/or achieving their personal goals.
My name is Ariel Wilcoxen. I am a Licensed Professional Clinical Counselor (LPCC) based in Southern California and I work with clients statewide via telehealth. I work with adults, couples, families, and adolescents. I specialize in anxiety, depression, stress, and trauma. My theoretical orientation is comprised of rational emotive behavior therapy (REBT), Adlerian, and Transactional analysis. I also have experience with Cognitive behavioral therapy (CBT), Dialectical behavior therapy (DBT), and reality therapy to assist with guiding clients toward healing and/or achieving their personal goals.
(916) 398-2346 View (916) 398-2346
Photo of Jennifer Patricia Jeter, Marriage & Family Therapist, MFT
Jennifer Patricia Jeter
Marriage & Family Therapist, MFT
Serves Area
I believe that the goal of "happiness" we are all striving for, is not that of elation, but inner peace. Without an understanding of this subtle difference, many of us can find ourselves on a slightly different path than we have intended. Much of my work focuses on helping my clients find acceptance in themselves in order to listen to their own voices and create a life that is fulfilling. I believe that each of my clients are the experts in their own lives. In that way, our sessions become a joint process--rather than an "expert/patient" experience.
I believe that the goal of "happiness" we are all striving for, is not that of elation, but inner peace. Without an understanding of this subtle difference, many of us can find ourselves on a slightly different path than we have intended. Much of my work focuses on helping my clients find acceptance in themselves in order to listen to their own voices and create a life that is fulfilling. I believe that each of my clients are the experts in their own lives. In that way, our sessions become a joint process--rather than an "expert/patient" experience.
(619) 866-6656 View (619) 866-6656
Photo of Jessica Moran, Marriage & Family Therapist, LMFT
Jessica Moran
Marriage & Family Therapist, LMFT
Online Only
Jessica A. Moran, LMFT for California. She has up to 10 yrs experience working with children, families, couples, and individuals. Her approach to treatment is individualized for each client's needs and areas of strength. Bilingual in Spanish and honored to be an LGBTQ+ ally. She looks forward to assisting her clients reach their goals in treatment. "Asking for help is being courageous." The types of clients I typically work with are children, teens, couples, females, and most individuals seeking to grow in their areas of concern.
Jessica A. Moran, LMFT for California. She has up to 10 yrs experience working with children, families, couples, and individuals. Her approach to treatment is individualized for each client's needs and areas of strength. Bilingual in Spanish and honored to be an LGBTQ+ ally. She looks forward to assisting her clients reach their goals in treatment. "Asking for help is being courageous." The types of clients I typically work with are children, teens, couples, females, and most individuals seeking to grow in their areas of concern.
(805) 360-3716 View (805) 360-3716
Photo of Marshall Buckley Fryman, Licensed Professional Clinical Counselor, LPCC
Marshall Buckley Fryman
Licensed Professional Clinical Counselor, LPCC
2 Endorsed
Serves Area
I work well with clients who feel given up on, trapped in cycles, and unsure how to break out. You might feel traditional therapy hasn't worked, or you're ready to disentangle your identity from problem behaviors and have those behaviors challenged directly. People who feel like they haven't benefitted from more conventional therapist interactions, have felt unchallenged, received support in session but didn't feel like they were receiving concrete skills that they can use to address the problem. People who want a therapist that's more authentic and rough around the edges rather than someone who performs the role of therapist.
I work well with clients who feel given up on, trapped in cycles, and unsure how to break out. You might feel traditional therapy hasn't worked, or you're ready to disentangle your identity from problem behaviors and have those behaviors challenged directly. People who feel like they haven't benefitted from more conventional therapist interactions, have felt unchallenged, received support in session but didn't feel like they were receiving concrete skills that they can use to address the problem. People who want a therapist that's more authentic and rough around the edges rather than someone who performs the role of therapist.
(909) 487-2614 View (909) 487-2614
Photo of Gina Weiss, Marriage & Family Therapist, MS, LMFT
Gina Weiss
Marriage & Family Therapist, MS, LMFT
Serves Area
I most enjoy working with clients who are willing to look within and accept responsibility (not blame) for their thoughts, feelings and behavior. I feel especially honored to work with clients who have had traumatic childhood experiences, including sexual abuse. Although these events can have devastating consequences, I have found that survivors of childhood trauma can also be catapulted to higher than usual levels of consciousness and well-being when the traumas are healed. In other words, therapy is a very gratifying journey to walk with a client. I work well with anxiety, depression, chronic pain, eating disorders and dissociative disorders.
I most enjoy working with clients who are willing to look within and accept responsibility (not blame) for their thoughts, feelings and behavior. I feel especially honored to work with clients who have had traumatic childhood experiences, including sexual abuse. Although these events can have devastating consequences, I have found that survivors of childhood trauma can also be catapulted to higher than usual levels of consciousness and well-being when the traumas are healed. In other words, therapy is a very gratifying journey to walk with a client. I work well with anxiety, depression, chronic pain, eating disorders and dissociative disorders.
(909) 474-7893 View (909) 474-7893
Photo of Kevin Stansbury, Clinical Social Work/Therapist, LCSW
Kevin Stansbury
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
I’m here for the people who want to experience deep and lasting healing and transformation. I don’t do surface level, excessive focus on “symptom management” and coping skills. I do “let’s examine how you make meaning of reality and improve the quality of relationship with yourself, others, and the world. And let’s repattern your body and mind into an experience of safety and ease." I love diving deep with you into the identity structures that keep destructive and painful patterns in place and supporting you with discovering the innate wisdom that will guide you into a relationship of profound trust with, and love for, yourself.
I’m here for the people who want to experience deep and lasting healing and transformation. I don’t do surface level, excessive focus on “symptom management” and coping skills. I do “let’s examine how you make meaning of reality and improve the quality of relationship with yourself, others, and the world. And let’s repattern your body and mind into an experience of safety and ease." I love diving deep with you into the identity structures that keep destructive and painful patterns in place and supporting you with discovering the innate wisdom that will guide you into a relationship of profound trust with, and love for, yourself.
(818) 208-4906 View (818) 208-4906
Photo of Claudia Guillaume, Marriage & Family Therapist, LMFT
Claudia Guillaume
Marriage & Family Therapist, LMFT
Online Only
Your life is a Sacred Journey. It is about change, growth, discovery, movement, transformation." Caroline Adams, that opening line resonates with me and shapes the therapy work I do. As a clinician I help clients navigate life's transitions and pivotal moments and clarify their vision for their life. I work to empower and equip clients with strategies to manage the fear and anxiety that sometimes come with change. As a Solution-Focused Brief therapist, I focus on identifying client strengths. I would love to partner with you as you practice courage in your life. It would be my honor to accompany you on your journey of discovery.
Your life is a Sacred Journey. It is about change, growth, discovery, movement, transformation." Caroline Adams, that opening line resonates with me and shapes the therapy work I do. As a clinician I help clients navigate life's transitions and pivotal moments and clarify their vision for their life. I work to empower and equip clients with strategies to manage the fear and anxiety that sometimes come with change. As a Solution-Focused Brief therapist, I focus on identifying client strengths. I would love to partner with you as you practice courage in your life. It would be my honor to accompany you on your journey of discovery.
(510) 257-9232 View (510) 257-9232

More Therapists Nearby

Photo of Jacqueline De Santiago, Psychologist, LEP, MS, PPS
Jacqueline De Santiago
Psychologist, LEP, MS, PPS
Online Only
I have an excellent reputation for resolving problems and improving student/parent-school relationships. Proficient in employing constant communication and positive reinforcement in team efforts to deliver exceptional educational tools, fostering academic achievement and success for children with individualized education programs (IEPs) and or obtaining educational support.
I have an excellent reputation for resolving problems and improving student/parent-school relationships. Proficient in employing constant communication and positive reinforcement in team efforts to deliver exceptional educational tools, fostering academic achievement and success for children with individualized education programs (IEPs) and or obtaining educational support.
(909) 359-9634 View (909) 359-9634
Photo of Dr. Ahliah Sharp, Pre-Licensed Professional, PhD, MS
Dr. Ahliah Sharp
Pre-Licensed Professional, PhD, MS
Serves Area
Life can be challenging, but you are not alone. You already made the first step, and I am here to guide you through the rest. One way is to separate myself from the societal restrictions, starting with my availability. The average person works M-F 8-5; but all of the resources one needs are also only available during those hours. Not everyone has the freedom to work around such restrictions. I decided I would not make it more difficult to get help. I offer early mornings, later evenings and some weekends too. Together, we can align ourselves and schedules around those traditional restrictions.
Life can be challenging, but you are not alone. You already made the first step, and I am here to guide you through the rest. One way is to separate myself from the societal restrictions, starting with my availability. The average person works M-F 8-5; but all of the resources one needs are also only available during those hours. Not everyone has the freedom to work around such restrictions. I decided I would not make it more difficult to get help. I offer early mornings, later evenings and some weekends too. Together, we can align ourselves and schedules around those traditional restrictions.
(909) 768-6533 View (909) 768-6533
Photo of Denise Delgado, Associate Clinical Social Worker, MSW, ASW
Denise Delgado
Associate Clinical Social Worker, MSW, ASW
Redlands, CA 92373
I'm a compassionate and dedicated clinical therapist who is passionate about supporting individuals from all backgrounds, including the LGBTQ+ community. I have experience working with clients navigating anxiety, depression, grief, and other life challenges. My approach is rooted in empathy, respect, and collaboration, and I strive to create a safe, welcoming, and nonjudgmental space where everyone feels heard, valued, and comfortable. My goal is to support each person in building on their strengths, developing effective coping skills, and working toward meaningful, lasting well-being."
I'm a compassionate and dedicated clinical therapist who is passionate about supporting individuals from all backgrounds, including the LGBTQ+ community. I have experience working with clients navigating anxiety, depression, grief, and other life challenges. My approach is rooted in empathy, respect, and collaboration, and I strive to create a safe, welcoming, and nonjudgmental space where everyone feels heard, valued, and comfortable. My goal is to support each person in building on their strengths, developing effective coping skills, and working toward meaningful, lasting well-being."
(909) 442-1269 View (909) 442-1269
Photo of Monique Dozier - Journey To Genesis Mental Health Services, Clinical Social Work/Therapist, LCSW
Journey To Genesis Mental Health Services
Clinical Social Work/Therapist, LCSW
Online Only
My goal is to introduce therapy to participants in a relaxed manner. If you are looking for a therapist to build a relationship without intimidation with, be able to speak freely without code switching, and log into session in your pajamas after putting the kids to bed; you are in the right space. I meet you where you are in order to guide you to where you need to be.
My goal is to introduce therapy to participants in a relaxed manner. If you are looking for a therapist to build a relationship without intimidation with, be able to speak freely without code switching, and log into session in your pajamas after putting the kids to bed; you are in the right space. I meet you where you are in order to guide you to where you need to be.
(909) 248-2991 View (909) 248-2991
Photo of Madeline Douglas, Clinical Social Work/Therapist, LCSW
Madeline Douglas
Clinical Social Work/Therapist, LCSW
Online Only
Hi there, I'm Madeline! I am a Licensed Clinical Social Worker (LCSW). As a Therapist, I strive to create a supportive, compassionate, and nonjudgmental space where individuals can feel safe, heard, and valued. In therapy, I use cognitive-behavioral therapy (CBT) to help clients process difficult emotions, explore patterns, and work toward meaningful personal goals. This approach is hands-on and gives you the tools to feel more in control of your behaviors and emotions. Together, we will identify challenges and work on strategies to help you move forward.
Hi there, I'm Madeline! I am a Licensed Clinical Social Worker (LCSW). As a Therapist, I strive to create a supportive, compassionate, and nonjudgmental space where individuals can feel safe, heard, and valued. In therapy, I use cognitive-behavioral therapy (CBT) to help clients process difficult emotions, explore patterns, and work toward meaningful personal goals. This approach is hands-on and gives you the tools to feel more in control of your behaviors and emotions. Together, we will identify challenges and work on strategies to help you move forward.
(949) 762-8368 View (949) 762-8368
Photo of Amy Childers, Marriage & Family Therapist, LMFT
Amy Childers
Marriage & Family Therapist, LMFT
Online Only
Hi and Welcome! My name is Amy Childers; I am a Licensed Marriage and Family Therapist with 14 years of counseling experience. I have experience working with many populations over the years. I am also specialized in the treatment of trauma and offer EMDR treatment. My approach is client centered eclectic, so I collaborate with my client to determine the best treatment approach and goals for success. I utilize Cognitive behavioral Therapy, Dialectical Behavior Therapy, Solution Focused Therapy, and EMDR in my therapy practice. I currently provide therapy to ages 18 and up at this time. I look forward to meeting you.
Hi and Welcome! My name is Amy Childers; I am a Licensed Marriage and Family Therapist with 14 years of counseling experience. I have experience working with many populations over the years. I am also specialized in the treatment of trauma and offer EMDR treatment. My approach is client centered eclectic, so I collaborate with my client to determine the best treatment approach and goals for success. I utilize Cognitive behavioral Therapy, Dialectical Behavior Therapy, Solution Focused Therapy, and EMDR in my therapy practice. I currently provide therapy to ages 18 and up at this time. I look forward to meeting you.
(951) 498-3692 View (951) 498-3692

See more therapy options for Big Bear Lake

How does your Therapist compare?

Number of Therapists in Big Bear Lake, CA

10+

Average cost per session

$150

Therapists in Big Bear Lake, CA who prioritize treating:

86% Anxiety
86% Social Anxiety
86% Health Anxiety
86% Driving Anxiety
71% Depression
71% Trauma and PTSD
71% Complex PTSD

Average years in practice

13 Years

Top 3 insurances accepted

90% Aetna
80% Anthem
80% Optum

How Therapists in Big Bear Lake, CA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Big Bear Lake?

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.