Therapists in Calaveras County, CA

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Photo of Denise Connich, MS, LMFT, Marriage & Family Therapist
Denise Connich
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Murphys, CA 95247
Life, parenting and relationships don't come with manuals. We often need some help to navigate these waters effectively and to achieve the best quality of life. I provide a non-judgmental, compassionate environment where you can feel safe to explore the challenges currently facing you. Therapy can and does help you change your life. The sooner you make the decision to begin therapy, the sooner you can expect to see progress towards a happier, more fulfilled life. My therapeutic focus encompasses counseling for couples, families, and individual counseling for adults and teens.
Life, parenting and relationships don't come with manuals. We often need some help to navigate these waters effectively and to achieve the best quality of life. I provide a non-judgmental, compassionate environment where you can feel safe to explore the challenges currently facing you. Therapy can and does help you change your life. The sooner you make the decision to begin therapy, the sooner you can expect to see progress towards a happier, more fulfilled life. My therapeutic focus encompasses counseling for couples, families, and individual counseling for adults and teens.
(510) 403-8490 View (510) 403-8490
Photo of Dana Locke, MA, LMFT, Marriage & Family Therapist
Dana Locke
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Murphys, CA 95247  (Online Only)
Using methods that quickly get to the heart of your struggles with relationships, depression, low self esteem, or loss, I can help you find relief when we work together in therapy. Very often, knowing the deeper truth and inherent logic of our problems leads to uprooting and transforming them. You can feel more creative and joyful.
Using methods that quickly get to the heart of your struggles with relationships, depression, low self esteem, or loss, I can help you find relief when we work together in therapy. Very often, knowing the deeper truth and inherent logic of our problems leads to uprooting and transforming them. You can feel more creative and joyful.
(510) 655-2823 View (510) 655-2823
Photo of Allison Guyton, BA, MA, LMFT, Marriage & Family Therapist
Allison Guyton
Marriage & Family Therapist, BA, MA, LMFT
Verified Verified
Angels Camp, CA 95222
Waitlist for new clients
Therapy can be a truly transformative experience. If you are suffering from the impacts of trauma, feel like you've lost your sense of self, are burdened by stress, worry, depression or low self-esteem and are ready for healing, I can help. If you and your partner are struggling and would benefit from an unbiased third party to help navigate the intricacies of your relationship, I can help. Therapy is a journey, and together we will identify and create meaningful goals for treatment to bring greater fulfillment to your life.
Therapy can be a truly transformative experience. If you are suffering from the impacts of trauma, feel like you've lost your sense of self, are burdened by stress, worry, depression or low self-esteem and are ready for healing, I can help. If you and your partner are struggling and would benefit from an unbiased third party to help navigate the intricacies of your relationship, I can help. Therapy is a journey, and together we will identify and create meaningful goals for treatment to bring greater fulfillment to your life.
(209) 600-7310 View (209) 600-7310
Photo of Shaune Brady, LMFT, Marriage & Family Therapist
Shaune Brady
Marriage & Family Therapist, LMFT
Verified Verified
Murphys, CA 95247
I enjoy working with children from preschool through 5th grade who are dealing with challenging behaviors, big emotions, social difficulties, and learning struggles. My desire is to help children to regulate (calm) their nervous systems so they can express their needs in a more productive way. When they understand what is going on within themselves and the world around them, they can make better choices. When children CAN do better, they WILL do better. I also like coming alongside parents/caregivers to support them in the significant work of raising their child and understanding how to best meet their needs.
I enjoy working with children from preschool through 5th grade who are dealing with challenging behaviors, big emotions, social difficulties, and learning struggles. My desire is to help children to regulate (calm) their nervous systems so they can express their needs in a more productive way. When they understand what is going on within themselves and the world around them, they can make better choices. When children CAN do better, they WILL do better. I also like coming alongside parents/caregivers to support them in the significant work of raising their child and understanding how to best meet their needs.
(209) 340-8697 View (209) 340-8697
Photo of Pam Mikolajczyk, MFT, RN, Marriage & Family Therapist
Pam Mikolajczyk
Marriage & Family Therapist, MFT, RN
Verified Verified
2 Endorsed
Valley Springs, CA 95252  (Online Only)
The demands of work, taking care of your children and the increasing needs of an aging parent have drained you. These and other demands of your time now feel overwhelming and you may think about giving up.
The demands of work, taking care of your children and the increasing needs of an aging parent have drained you. These and other demands of your time now feel overwhelming and you may think about giving up.
(925) 308-5991 View (925) 308-5991
Photo of Susan M Deax-Keirns, MFT, Marriage & Family Therapist
Susan M Deax-Keirns
Marriage & Family Therapist, MFT
Verified Verified
Murphys, CA 95247
Not accepting new clients
Finding the willingness to reach out for help is the first step in creating well-being in our lives. Congratulations for taking the first step. THIS IS IT! This life situation and experience is our best opportunity to wake up and feel better. An essential part of feeling better is finding the willingness to look closely and to go beyond old ideas, to see clearly with great kindness. I can help you to see clearly!
Finding the willingness to reach out for help is the first step in creating well-being in our lives. Congratulations for taking the first step. THIS IS IT! This life situation and experience is our best opportunity to wake up and feel better. An essential part of feeling better is finding the willingness to look closely and to go beyond old ideas, to see clearly with great kindness. I can help you to see clearly!
(209) 559-5634 View (209) 559-5634
Photo of Judith M Goglia, MA, MFT, Marriage & Family Therapist
Judith M Goglia
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
Murphys, CA 95247
You may feel that in the midst of your life's demands (career, parenthood, relationship, money) you have arrived at a crossroads and feel stuck. Many people have been there before you, and NOW IT'S YOUR TURN. The choice is yours. Some have given up and others continue to "just get by". Another group has said, "I want to make this an opportunity to understand myself, my choices, patterns and change them for the better." I believe that committing the time and energy to work on life difficulties and understand yourself better is a good choice for most people.
You may feel that in the midst of your life's demands (career, parenthood, relationship, money) you have arrived at a crossroads and feel stuck. Many people have been there before you, and NOW IT'S YOUR TURN. The choice is yours. Some have given up and others continue to "just get by". Another group has said, "I want to make this an opportunity to understand myself, my choices, patterns and change them for the better." I believe that committing the time and energy to work on life difficulties and understand yourself better is a good choice for most people.
(209) 267-2523 View (209) 267-2523
Photo of Samantha J Cooper, MA, LMFT, Marriage & Family Therapist
Samantha J Cooper
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Andreas, CA 95249
My ideal client is a child, 3 to 18 years old that is a survivor of trauma. Play therapy offers our beloved children a needed safe and familiar place to tell their stories. It is this arena of play that children are empowered to lead the way in their therapy. Deciding when and how to share the details of their story on the journey of healing.
My ideal client is a child, 3 to 18 years old that is a survivor of trauma. Play therapy offers our beloved children a needed safe and familiar place to tell their stories. It is this arena of play that children are empowered to lead the way in their therapy. Deciding when and how to share the details of their story on the journey of healing.
(209) 395-0955 View (209) 395-0955
Photo of Christa J Thompson, LCSW, Clinical Social Work/Therapist
Christa J Thompson
Clinical Social Work/Therapist, LCSW
Verified Verified
San Andreas, CA 95249  (Online Only)
Waitlist for new clients
Many of us struggle with worry, sadness, or overwhelming circumstances and want to improve our well being so we can pursue what’s important to us. If you are having difficulty seeking support because of work, transportation, childcare, or other barriers, I provide therapy sessions via a secure video chat program, which can be accessed in the privacy of your own home. If you are motivated for change, I look forward to working with you.
Many of us struggle with worry, sadness, or overwhelming circumstances and want to improve our well being so we can pursue what’s important to us. If you are having difficulty seeking support because of work, transportation, childcare, or other barriers, I provide therapy sessions via a secure video chat program, which can be accessed in the privacy of your own home. If you are motivated for change, I look forward to working with you.
(209) 390-8585 View (209) 390-8585
Photo of Sabrina Speroni, MA, LMFT, Marriage & Family Therapist
Sabrina Speroni
Marriage & Family Therapist, MA, LMFT
Verified Verified
Wilseyville, CA 95257  (Online Only)
Not accepting new clients
Not currently accepting new patients - - - Depression, Anxiety and history of trauma can suck our souls away. We get mired down with a low mood, hopelessness, persistent anxiety, brain fog, panic attacks, overwhelm, unhappiness, worry, fear, and insecurity, and we just know, this is no way to live. Listen, I know you've been doing your best to get through this on your own, but at this point, you don't need to do it alone. We can work together to help you find understanding and perspective, and then work on learning the skills you need to make the changes in your life that will make the difference.
Not currently accepting new patients - - - Depression, Anxiety and history of trauma can suck our souls away. We get mired down with a low mood, hopelessness, persistent anxiety, brain fog, panic attacks, overwhelm, unhappiness, worry, fear, and insecurity, and we just know, this is no way to live. Listen, I know you've been doing your best to get through this on your own, but at this point, you don't need to do it alone. We can work together to help you find understanding and perspective, and then work on learning the skills you need to make the changes in your life that will make the difference.
(530) 495-4706 View (530) 495-4706
Photo of Pilar Majors - Foothills Mental Health Services, LCSW, Clinical Social Work/Therapist
Foothills Mental Health Services
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Andreas, CA 95249
I am honored to offer you my experience with the fluid use of evidence-based practices and a sense of humor to help you find the skills, resources, and support systems you need to thrive. I work with unique family dynamics, trauma, social challenges, foster care & adoption issues, mood swings, dissociation, isolation, LGBTQ exploration, anxiety, depression, homelessness, stress, transitional adulthood and phase of life challenges, and more. I am a clinical social worker, fully licensed with the state of California and Nevada, with in person services in San Andreas, and virtual services available in both states.
I am honored to offer you my experience with the fluid use of evidence-based practices and a sense of humor to help you find the skills, resources, and support systems you need to thrive. I work with unique family dynamics, trauma, social challenges, foster care & adoption issues, mood swings, dissociation, isolation, LGBTQ exploration, anxiety, depression, homelessness, stress, transitional adulthood and phase of life challenges, and more. I am a clinical social worker, fully licensed with the state of California and Nevada, with in person services in San Andreas, and virtual services available in both states.
(209) 886-2870 View (209) 886-2870
Photo of Anne Berner Calderwood, LCSW, Clinical Social Work/Therapist
Anne Berner Calderwood
Clinical Social Work/Therapist, LCSW
Verified Verified
Murphys, CA 95247
Not accepting new clients
My approach to therapy is a collaborative one, informed by my clinical social work education, 37 years of postgraduate experience, and ongoing continuing education. I work most successfully with individuals who come to therapy with a desire for greater understanding of themselves and others, and an identified symptom/situation/problem/conflict to explore/resolve. Therapy can be short or long term as needed. Significant others may be included as part of treatment. Together we will explore your concerns, and develop strategies for meeting your goals. I am a provider for many insurance plans to make therapy affordable and accessible.
My approach to therapy is a collaborative one, informed by my clinical social work education, 37 years of postgraduate experience, and ongoing continuing education. I work most successfully with individuals who come to therapy with a desire for greater understanding of themselves and others, and an identified symptom/situation/problem/conflict to explore/resolve. Therapy can be short or long term as needed. Significant others may be included as part of treatment. Together we will explore your concerns, and develop strategies for meeting your goals. I am a provider for many insurance plans to make therapy affordable and accessible.
(209) 728-1250 View (209) 728-1250
Photo of Stephanie M Dorsey, LCSW, Clinical Social Work/Therapist
Stephanie M Dorsey
Clinical Social Work/Therapist, LCSW
Verified Verified
San Andreas, CA 95249  (Online Only)
It’s hard right now, that’s why you are here reading through profiles looking for someone who might be able to help. I know it can be overwhelming, I’ve been there too. I want to partner with you to help you through whatever you are facing. I believe that every person is unique and as such deserves a unique approach in treatment. I will listen with compassion and empathy to help guide you towards your desired outcomes. I don't have all the answers but together we can find solutions.
It’s hard right now, that’s why you are here reading through profiles looking for someone who might be able to help. I know it can be overwhelming, I’ve been there too. I want to partner with you to help you through whatever you are facing. I believe that every person is unique and as such deserves a unique approach in treatment. I will listen with compassion and empathy to help guide you towards your desired outcomes. I don't have all the answers but together we can find solutions.
(209) 219-3818 View (209) 219-3818
Photo of Marybeth Wiefels - HorseSpeak Animal Assisted Counseling (Marybeth)  , MA, LPCC, Counselor
HorseSpeak Animal Assisted Counseling (Marybeth)
Counselor, MA, LPCC
Verified Verified
Burson, CA 95225
Are you an animal lover? If a four-legged co-therapist sounds good, then you will love our center. The office is located on a beautiful ranch where animals abound. You can choose to talk in the office with a dog at your feet, a cat in your lap, or just enjoy the view of the horse pasture from the window. If walking and talking is easier, we can stroll the grounds, sit by the duck pond, or pet goats in the petting zoo. Or try Equine Assisted Counseling, an effective, experiential approach to therapy. You will interact with horses who act as a mirror, allowing you to gain valuable insights and solutions. The choice is yours.
Are you an animal lover? If a four-legged co-therapist sounds good, then you will love our center. The office is located on a beautiful ranch where animals abound. You can choose to talk in the office with a dog at your feet, a cat in your lap, or just enjoy the view of the horse pasture from the window. If walking and talking is easier, we can stroll the grounds, sit by the duck pond, or pet goats in the petting zoo. Or try Equine Assisted Counseling, an effective, experiential approach to therapy. You will interact with horses who act as a mirror, allowing you to gain valuable insights and solutions. The choice is yours.
(209) 563-8735 View (209) 563-8735
Photo of Anabel Cramton, LCSW, Clinical Social Work/Therapist
Anabel Cramton
Clinical Social Work/Therapist, LCSW
Verified Verified
West Point, CA 95255  (Online Only)
Waitlist for new clients
You are not happy with yourself. Work is overwhelming and you are no longer finding any joy in it. You are struggling to get through the day. You are doing your best but nothing you do seems to be working for you. Your relationships with your spouse and children are suffering. I help productive adults who are tired from living life with anxiety and have trust problems. I help them discover themselves in a new way, having compassion on themselves which impacts their daily interactions with others. My clients learn how to manage their pain in a new way, being authentic with themselves and others.
You are not happy with yourself. Work is overwhelming and you are no longer finding any joy in it. You are struggling to get through the day. You are doing your best but nothing you do seems to be working for you. Your relationships with your spouse and children are suffering. I help productive adults who are tired from living life with anxiety and have trust problems. I help them discover themselves in a new way, having compassion on themselves which impacts their daily interactions with others. My clients learn how to manage their pain in a new way, being authentic with themselves and others.
(707) 361-9449 View (707) 361-9449
Photo of Lucia Thomas Olson, LMFT, Marriage & Family Therapist
Lucia Thomas Olson
Marriage & Family Therapist, LMFT
Verified Verified
Murphys, CA 95247
I enjoy working with clients who are experiencing transitions: divorce, separation, a new diagnosis of a mental illness or chronic physical illness, coming out as an LGBTQ individual, and discovering you have a child with a learning disability, ADD/ADHD, or a child on the autism spectrum. I also enjoy working from the perspective of narrative therapy, because we always have the opportunity to "rewrite" our life story at any time. Part of therapy is rewriting our life story and narrative, and I greatly enjoy being part of this rewriting process with clients.
I enjoy working with clients who are experiencing transitions: divorce, separation, a new diagnosis of a mental illness or chronic physical illness, coming out as an LGBTQ individual, and discovering you have a child with a learning disability, ADD/ADHD, or a child on the autism spectrum. I also enjoy working from the perspective of narrative therapy, because we always have the opportunity to "rewrite" our life story at any time. Part of therapy is rewriting our life story and narrative, and I greatly enjoy being part of this rewriting process with clients.
(209) 353-8903 View (209) 353-8903
Photo of Sara Ray, MSW, LCSW, Clinical Social Work/Therapist
Sara Ray
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Copperopolis, CA 95228  (Online Only)
Do you struggle with self-doubt and low self-esteem? Do you love your spouse, but cannot figure out how to get along? Do you feel hurt, alone, or unheard often? Are you struggling with overthinking and feeling sad, overwhelmed, irritable and/or exhausted? If you are looking for a non-judgmental, safe and skilled therapist, I invite you to contact me to see if I might be the right therapist for you.
Do you struggle with self-doubt and low self-esteem? Do you love your spouse, but cannot figure out how to get along? Do you feel hurt, alone, or unheard often? Are you struggling with overthinking and feeling sad, overwhelmed, irritable and/or exhausted? If you are looking for a non-judgmental, safe and skilled therapist, I invite you to contact me to see if I might be the right therapist for you.
(559) 780-8435 View (559) 780-8435
Photo of Matthew J Johnson, MC, LMFT, Marriage & Family Therapist
Matthew J Johnson
Marriage & Family Therapist, MC, LMFT
Verified Verified
Angels Camp, CA 95222  (Online Only)
This is REAL LIFE! Life is hard and sometimes it stays that way. If you want a change, CALL ME. I offer cutting edge EMDR therapy that helps most people experience positive change. Anxieties that keep you from enjoying activities are lessened and manageable. Baggage that you bring to relationships can be processed, so you can enjoy authentic relationships in the present. Crappy childhoods DO NOT have to dictate your future. I can help you get permanent relief.
This is REAL LIFE! Life is hard and sometimes it stays that way. If you want a change, CALL ME. I offer cutting edge EMDR therapy that helps most people experience positive change. Anxieties that keep you from enjoying activities are lessened and manageable. Baggage that you bring to relationships can be processed, so you can enjoy authentic relationships in the present. Crappy childhoods DO NOT have to dictate your future. I can help you get permanent relief.
(209) 352-1828 View (209) 352-1828
Photo of Esther Diaz, MA, LCSW, Clinical Social Work/Therapist
Esther Diaz
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Hi and Welcome! So glad you are taking the step to seek support.. whether you are stressed, anxious, grieving, feeling lost..the therapy can be such a amazing journey in which you are able to process, refocus, reflect and gain a deeper understanding of yourself and your needs. I work with clients of all ages, and use a compassionate and strengths based approach to help clients feel that they are moving forward in their journey. My goal is to make you feel comfortable and heard while working towards whatever goals you have for yourself to live a healthier and more fulfilling life. I look forward to working with you!
Hi and Welcome! So glad you are taking the step to seek support.. whether you are stressed, anxious, grieving, feeling lost..the therapy can be such a amazing journey in which you are able to process, refocus, reflect and gain a deeper understanding of yourself and your needs. I work with clients of all ages, and use a compassionate and strengths based approach to help clients feel that they are moving forward in their journey. My goal is to make you feel comfortable and heard while working towards whatever goals you have for yourself to live a healthier and more fulfilling life. I look forward to working with you!
(209) 299-8119 View (209) 299-8119
Photo of Wendy Marie Alt - WEvolve, LMFT, MA, Marriage & Family Therapist
WEvolve
Marriage & Family Therapist, LMFT, MA
Verified Verified
When I say, “Have you considered seeing a therapist?” I’m not saying, “You’re so messed up only a professional can help you.” What I’m saying is: Have you considered that you’re worthy of an unbiased, safe, and productive opportunity to process your experiences? Megane Shook - As a therapist, I work with you to help you identify your needs and empower you to make positive changes in your life to meet them. I understand that making the decision to seek help can be difficult, so I use an approach that is compassionate, direct, and non-judgmental to help create an environment where you feel supported in your journey.
When I say, “Have you considered seeing a therapist?” I’m not saying, “You’re so messed up only a professional can help you.” What I’m saying is: Have you considered that you’re worthy of an unbiased, safe, and productive opportunity to process your experiences? Megane Shook - As a therapist, I work with you to help you identify your needs and empower you to make positive changes in your life to meet them. I understand that making the decision to seek help can be difficult, so I use an approach that is compassionate, direct, and non-judgmental to help create an environment where you feel supported in your journey.
(209) 231-4770 View (209) 231-4770
1

See more therapy options for Calaveras County

How does your Therapist compare?

Number of Therapists in Calaveras County, CA

30+

Average cost per session

$125

Therapists in Calaveras County, CA who prioritize treating:

94% Depression
90% Anxiety
87% Trauma and PTSD
77% Grief
74% Relationship Issues
71% Self Esteem
65% Parenting

Average years in practice

12 Years

Top 3 insurances accepted

58% Aetna
53% MHN | Health Net
53% Anthem | Elevance

How Therapists in Calaveras County, CA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

94% Female
6% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Calaveras County?

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.