Therapists in La Costa, CA

Photo of Danielle Christine Hering, MS, LMFT, Marriage & Family Therapist
Danielle Christine Hering
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
La Costa, CA 92009
I believe a lot of us are carrying some degree of self-judgment, shame, or unresolved pain. Until those wounds are neutralized, nothing you do to try and change will work.The combination of therapies that I use are designed to release negative belief systems and painful emotions. To heal them at the core so that you are free from them completely. My years of experience have taught me how to identify the root of the problem and to know what will be most effective in healing what is keeping you stuck.
I believe a lot of us are carrying some degree of self-judgment, shame, or unresolved pain. Until those wounds are neutralized, nothing you do to try and change will work.The combination of therapies that I use are designed to release negative belief systems and painful emotions. To heal them at the core so that you are free from them completely. My years of experience have taught me how to identify the root of the problem and to know what will be most effective in healing what is keeping you stuck.
(760) 513-6126 View (760) 513-6126
Photo of Dr. Hilary Stokes Brainspotting Therapist, PhD, LCSW, Clinical Social Work/Therapist
Dr. Hilary Stokes Brainspotting Therapist
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Online Only
Whether you are dealing with an unexpected change, trauma, anxiety, health challenge, relationship stress, depression or other mental health issue, having a trusted guide on the path can make all the difference. Over the past 25 years I have found mind body therapies get to the root of where we get stuck and allow for positive change.
Whether you are dealing with an unexpected change, trauma, anxiety, health challenge, relationship stress, depression or other mental health issue, having a trusted guide on the path can make all the difference. Over the past 25 years I have found mind body therapies get to the root of where we get stuck and allow for positive change.
(619) 819-6841 View (619) 819-6841
Photo of Jamie Clear, MA
Jamie Clear
MA
Verified Verified
La Costa, CA 92009
Not accepting new clients
Whether you are struggling in relationships, going through a season of transition or seeking a greater sense of purpose and meaning in your life, I would be honored to work with you. My intention as a counselor is to be a healing presence in the life of my clients by offering unconditional acceptance and holding the space for you to be your truest self. I believe that every challenge is an invitation to transformation, and together we will seek wisdom and reflect on the growth that longs to occur in your life.
Whether you are struggling in relationships, going through a season of transition or seeking a greater sense of purpose and meaning in your life, I would be honored to work with you. My intention as a counselor is to be a healing presence in the life of my clients by offering unconditional acceptance and holding the space for you to be your truest self. I believe that every challenge is an invitation to transformation, and together we will seek wisdom and reflect on the growth that longs to occur in your life.
(760) 957-0618 View (760) 957-0618
Photo of Kim Lottes, MA, LMFT, Marriage & Family Therapist
Kim Lottes
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
I take people on a journey of initiation and reclamation to remember their true essence. My own path has involved listening within and following my heart's guidance. This allows me to offer a unique perspective aimed at healing and stepping into your wholeness. I received my master's degree in Counseling Psychology from University of San Francisco and have over ten years of experience working with anxiety, depression, trauma, substance abuse issues, and life transitions.
I take people on a journey of initiation and reclamation to remember their true essence. My own path has involved listening within and following my heart's guidance. This allows me to offer a unique perspective aimed at healing and stepping into your wholeness. I received my master's degree in Counseling Psychology from University of San Francisco and have over ten years of experience working with anxiety, depression, trauma, substance abuse issues, and life transitions.
(760) 993-3678 View (760) 993-3678
Photo of Amanda V. Nemeth, MS, LMFT, Marriage & Family Therapist
Amanda V. Nemeth
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
La Costa, CA 92011
Waitlist for new clients
My approach to working with clients is holistic, creative, and grounded in the specific story of each client. Through empathy, authenticity, and curiosity I help create a new vision for hope as I journey with my clients on their path toward healing. I have experience working with individual adults of all ages, couples, and families.
My approach to working with clients is holistic, creative, and grounded in the specific story of each client. Through empathy, authenticity, and curiosity I help create a new vision for hope as I journey with my clients on their path toward healing. I have experience working with individual adults of all ages, couples, and families.
(208) 647-4328 View (208) 647-4328
Photo of Jacqueline Rasmussen, LCSW, Clinical Social Work/Therapist
Jacqueline Rasmussen
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
La Costa, CA 92009
Suddenly, it seems like you are not able to talk to your partner anymore. You experience long stretches of time passing where you are avoiding each other, or trying to communicate but keep ending up on separate pages. Are you frustrated with your relationship, but uninterested in talking about what is NOT working? Couples therapy is not just about discussing the problems, but about making things better. It is time to get past the blame, guilt and helplessness that has sucked all of the love out of your relationship. Instead, let us work together to build the partnership skills that will return you to love and intimacy.
Suddenly, it seems like you are not able to talk to your partner anymore. You experience long stretches of time passing where you are avoiding each other, or trying to communicate but keep ending up on separate pages. Are you frustrated with your relationship, but uninterested in talking about what is NOT working? Couples therapy is not just about discussing the problems, but about making things better. It is time to get past the blame, guilt and helplessness that has sucked all of the love out of your relationship. Instead, let us work together to build the partnership skills that will return you to love and intimacy.
(619) 648-5483 View (619) 648-5483
Photo of Dr. Nastassia Riser, MS, PhD, Psychologist
Dr. Nastassia Riser
Psychologist, MS, PhD
Verified Verified
1 Endorsed
La Costa, CA 92009
Dr. Riser has over 10 years of experience providing Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and various other evidence-based approaches for the treatment of mood, anxiety, and personality disorders with special interest in emotion regulation, self-harm, and suicidality. Dr. Riser is an integrative psychologist, utilizing science-based interventions while also taking a holistic, mind + body, indivualized approach to treatment. Dr. Riser earned her PhD in Clinical Psychology from The Chicago Medical School/RFUMS with a concentration in psychopathology.
Dr. Riser has over 10 years of experience providing Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and various other evidence-based approaches for the treatment of mood, anxiety, and personality disorders with special interest in emotion regulation, self-harm, and suicidality. Dr. Riser is an integrative psychologist, utilizing science-based interventions while also taking a holistic, mind + body, indivualized approach to treatment. Dr. Riser earned her PhD in Clinical Psychology from The Chicago Medical School/RFUMS with a concentration in psychopathology.
(760) 280-7340 View (760) 280-7340
Photo of Cassandra Cannon, PhD, Psychologist
Cassandra Cannon
Psychologist, PhD
Verified Verified
1 Endorsed
Online Only
***I only offer online therapy.*** You've experienced sexual trauma in the past and you're ready to face it. . . But you don't really know how - or who - can help you. Your past does not need to define you - let me help you get there! Call me for a free phone consultation. ***I only offer online therapy.***
***I only offer online therapy.*** You've experienced sexual trauma in the past and you're ready to face it. . . But you don't really know how - or who - can help you. Your past does not need to define you - let me help you get there! Call me for a free phone consultation. ***I only offer online therapy.***
(760) 423-4737 View (760) 423-4737
Photo of Amy J Cubbison - EMDR Encinitad, LMFT, Marriage & Family Therapist Associate
EMDR Encinitad
Marriage & Family Therapist Associate, LMFT
Verified Verified
1 Endorsed
La Costa, CA 92009
Has the pandemic negatively affected your mental health, relationships or addiction? If so, you are not alone and I’m here to help. I am a true believer that we shouldn't wait until things get really bad in order to seek help and tending to our emotional needs is just as important as taking care of our physical health. My work experience includes working in hospice and palliative care, addiction recovery centers as well as private practice, so I have had the opportunity to work with people from all walks of life at different stages in their lives. My approach is client-centered, I utilize various modalities, adapting to each person.
Has the pandemic negatively affected your mental health, relationships or addiction? If so, you are not alone and I’m here to help. I am a true believer that we shouldn't wait until things get really bad in order to seek help and tending to our emotional needs is just as important as taking care of our physical health. My work experience includes working in hospice and palliative care, addiction recovery centers as well as private practice, so I have had the opportunity to work with people from all walks of life at different stages in their lives. My approach is client-centered, I utilize various modalities, adapting to each person.
(760) 350-3427 View (760) 350-3427
Photo of Sarah Vita, MA, Pre-Licensed Professional
Sarah Vita
Pre-Licensed Professional, MA
Verified Verified
3 Endorsed
La Costa, CA 92011
Taking the first step towards therapy can feel daunting, but know that you're not alone in this journey. As a holistic, EMDR-trained therapist who prioritizes the mind-body connection, I understand the complexities of your experiences and the profound impact they can have on your well-being. I want you to feel seen, heard and understood in our sessions. Together, we'll explore your thoughts, emotions, physical sensations, recognizing the interconnectedness between your mind and body. Together we will get to the roots of your experience to create sustainable change.
Taking the first step towards therapy can feel daunting, but know that you're not alone in this journey. As a holistic, EMDR-trained therapist who prioritizes the mind-body connection, I understand the complexities of your experiences and the profound impact they can have on your well-being. I want you to feel seen, heard and understood in our sessions. Together, we'll explore your thoughts, emotions, physical sensations, recognizing the interconnectedness between your mind and body. Together we will get to the roots of your experience to create sustainable change.
(760) 615-3376 View (760) 615-3376
Photo of Chris Peterson, LMFT, Marriage & Family Therapist
Chris Peterson
Marriage & Family Therapist, LMFT
Verified Verified
La Costa, CA 92009
My clients are individuals who often carry with them unresolved feelings from either their past or present challenges. Viewing those issues from an objective and trusted practitioner is vital to the change process. Always viewing my clients with unconditional positive regard is essential to us being successful. Therapy can often be the first time someone gets to step out of the day to day of their lives. My hope is during this introspection, I can coach you in the direction you need to go, not where my training thinks you should go. While I may illuminate potential paths, you're taking the steps with me right behind you!
My clients are individuals who often carry with them unresolved feelings from either their past or present challenges. Viewing those issues from an objective and trusted practitioner is vital to the change process. Always viewing my clients with unconditional positive regard is essential to us being successful. Therapy can often be the first time someone gets to step out of the day to day of their lives. My hope is during this introspection, I can coach you in the direction you need to go, not where my training thinks you should go. While I may illuminate potential paths, you're taking the steps with me right behind you!
(760) 642-5557 View (760) 642-5557
Photo of Tami Earnhart - Art Therapist, MA, LMFT, ATR, Marriage & Family Therapist
Tami Earnhart - Art Therapist
Marriage & Family Therapist, MA, LMFT, ATR
Verified Verified
2 Endorsed
La Costa, CA 92011
You’re worried about your child. You wonder if they need therapy and it’s weighing on you. You’ve tried talking to them, reasoning why their fear doesn’t make sense, but it never seems to make a difference. I help anxious kids & worried parents feel safe and at ease. I get that you just want your child to feel more carefree and express themselves more confidently. Today, you’re searching for a child therapist because you know if you don’t get help, nothing is going to change for your child. And something has got to change. I understand.
You’re worried about your child. You wonder if they need therapy and it’s weighing on you. You’ve tried talking to them, reasoning why their fear doesn’t make sense, but it never seems to make a difference. I help anxious kids & worried parents feel safe and at ease. I get that you just want your child to feel more carefree and express themselves more confidently. Today, you’re searching for a child therapist because you know if you don’t get help, nothing is going to change for your child. And something has got to change. I understand.
(760) 840-5477 View (760) 840-5477
Photo of Maha M Kabban-Moses, PhD, Psychologist
Maha M Kabban-Moses
Psychologist, PhD
Verified Verified
La Costa, CA 92011
We often lead busy lives and give low priority to self-care and stress management. As such, we allow depression, anxiety, traumas, dysfunctional relationships, and/or addictions to impact on us. Many issues can be avoided by checking in with how you think and feel, by resolving past traumas, and by developing new skills in dealing with life. Together, we will work to reconcile with memories, resolve traumas, and set meaningful goals for the future. We will work on improving relationships, addressing hurdles, and exploring new possibilities. You will discover your strength, uncover your courage and values, and find your voice.
We often lead busy lives and give low priority to self-care and stress management. As such, we allow depression, anxiety, traumas, dysfunctional relationships, and/or addictions to impact on us. Many issues can be avoided by checking in with how you think and feel, by resolving past traumas, and by developing new skills in dealing with life. Together, we will work to reconcile with memories, resolve traumas, and set meaningful goals for the future. We will work on improving relationships, addressing hurdles, and exploring new possibilities. You will discover your strength, uncover your courage and values, and find your voice.
(619) 489-2589 View (619) 489-2589
Photo of Christina Payton, MA, Marriage & Family Therapist
Christina Payton
Marriage & Family Therapist, MA
Verified Verified
La Costa, CA 92009
I am now accepting NEW clients! I offer counseling to individuals and couples, providing assistance in navigating difficult life events, relationship challenges, mood-related disorders, and postpartum depression or anxiety. My background includes working with a diverse client population who present with wide-ranging diagnosis and clinical complexities. In addition to providing therapy to both adults and children, I have extensive experience working with co-occurring disorders in both outpatient and inpatient settings. I am dedicated to working with my clients on identifying and achieving their goals, whatever those may be!
I am now accepting NEW clients! I offer counseling to individuals and couples, providing assistance in navigating difficult life events, relationship challenges, mood-related disorders, and postpartum depression or anxiety. My background includes working with a diverse client population who present with wide-ranging diagnosis and clinical complexities. In addition to providing therapy to both adults and children, I have extensive experience working with co-occurring disorders in both outpatient and inpatient settings. I am dedicated to working with my clients on identifying and achieving their goals, whatever those may be!
(760) 642-1343 View (760) 642-1343
Photo of Jessica Cooper, MA, AMFT, Marriage & Family Therapist Associate
Jessica Cooper
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
La Costa, CA 92009
Taking the steps to explore therapy can be vulnerable and intimidating. Finding a therapist you connect with is key. I am an Associate Marriage and Family Therapist in the Carlsbad area. My goal is to foster an open, trusting, non-judgmental, and collaborative environment in which clients can feel comfortable to express themselves. My passion is rooted in assisting clients through their journey to achieve goals, find fulfillment, and explore themselves in a safe and caring space. I have a client-centered and integrative approach to therapy, utilizing therapeutic modalities which best fit a client and their needs.
Taking the steps to explore therapy can be vulnerable and intimidating. Finding a therapist you connect with is key. I am an Associate Marriage and Family Therapist in the Carlsbad area. My goal is to foster an open, trusting, non-judgmental, and collaborative environment in which clients can feel comfortable to express themselves. My passion is rooted in assisting clients through their journey to achieve goals, find fulfillment, and explore themselves in a safe and caring space. I have a client-centered and integrative approach to therapy, utilizing therapeutic modalities which best fit a client and their needs.
(442) 239-6702 View (442) 239-6702
Photo of Michelle Bourgerie, MA, AMFT, APCC, Marriage & Family Therapist Associate
Michelle Bourgerie
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
1 Endorsed
La Costa, CA 92009
I provide grief counseling to men and women that have a lot in common. Some of these common experiences are that others can't see how badly my clients are hurting on the inside. Does that sound familiar? You might walk through your days with a smile on your face, and achieve success at work or at home. People often even comment on how well you're doing. But no one understands what it's like to cry in private and grieve a loved one so desperately. Sometimes there are not tears to cry when you want to, because the grief stays hidden most days, not feeling free to grieve unless alone.
I provide grief counseling to men and women that have a lot in common. Some of these common experiences are that others can't see how badly my clients are hurting on the inside. Does that sound familiar? You might walk through your days with a smile on your face, and achieve success at work or at home. People often even comment on how well you're doing. But no one understands what it's like to cry in private and grieve a loved one so desperately. Sometimes there are not tears to cry when you want to, because the grief stays hidden most days, not feeling free to grieve unless alone.
(760) 417-6817 View (760) 417-6817
Photo of Emily Corner, MFT, PhD, Marriage & Family Therapist
Emily Corner
Marriage & Family Therapist, MFT, PhD
Verified Verified
Online Only
Hello and welcome! I appreciate you clicking on my page to learn more about my practice. I focus on helping adult individuals heal from all forms of trauma, including emotional, physical, sexual, and attachment injuries. I specialize in using EMDR and inner child work to help clients heal from their past traumatic experiences.
Hello and welcome! I appreciate you clicking on my page to learn more about my practice. I focus on helping adult individuals heal from all forms of trauma, including emotional, physical, sexual, and attachment injuries. I specialize in using EMDR and inner child work to help clients heal from their past traumatic experiences.
(760) 239-5387 View (760) 239-5387
Photo of Rhonda E. Allen, LCSW, Clinical Social Work/Therapist
Rhonda E. Allen
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
La Costa, CA 92011
Not accepting new clients
Are you feeling sad, anxious, or just not yourself? Do you overthink the past? Worry too much about the future? Reach for quick fixes that don’t work, or do you ignore the problem and tell yourself that, eventually, things will change? Your sad thoughts and anxious feelings zap your energy, and the quick fixes only cause more painful struggles; distancing yourself from the problem only worsens things. There is a reason for your sadness, worry, dependency, and detachment. Reaching out for help is the courageous first step toward finding relief and a solution.
Are you feeling sad, anxious, or just not yourself? Do you overthink the past? Worry too much about the future? Reach for quick fixes that don’t work, or do you ignore the problem and tell yourself that, eventually, things will change? Your sad thoughts and anxious feelings zap your energy, and the quick fixes only cause more painful struggles; distancing yourself from the problem only worsens things. There is a reason for your sadness, worry, dependency, and detachment. Reaching out for help is the courageous first step toward finding relief and a solution.
(760) 465-0237 View (760) 465-0237
Photo of Alicia Baird Fassardi, PhD, Psychologist
Alicia Baird Fassardi
Psychologist, PhD
Verified Verified
5 Endorsed
La Costa, CA 92009
I am a clinical psychologist originally from Argentina. I work with adults of all backgrounds who look for support and strategies to create lasting changes in their lives and in their relationships. Many of my patients report symptoms of depression and anxiety related to relationship issues, life transitions, traumatic events, personal crisis or medical trauma. People who enjoy collaborative work grounded in dialogue, moments of insight and encouragement to experiment with new intentions and behaviors, typically tell me they find our sessions helpful and report lower stress and increased connection in relationships.
I am a clinical psychologist originally from Argentina. I work with adults of all backgrounds who look for support and strategies to create lasting changes in their lives and in their relationships. Many of my patients report symptoms of depression and anxiety related to relationship issues, life transitions, traumatic events, personal crisis or medical trauma. People who enjoy collaborative work grounded in dialogue, moments of insight and encouragement to experiment with new intentions and behaviors, typically tell me they find our sessions helpful and report lower stress and increased connection in relationships.
(760) 840-2085 View (760) 840-2085
Photo of Grayson Wallen, MA, LPCC, CGT, NCC, BC-TMH
Grayson Wallen
Licensed Professional Clinical Counselor, MA, LPCC, CGT, NCC, BC-TMH
Verified Verified
8 Endorsed
La Costa, CA 92009
I help those in dull, difficult, and conflicted relationships. It’s grueling for anyone considering ending a relationship because they have lost their passion for their partner, are eternally conflicted, or feeling weighed down in their relationship. You might be worried about how your kids will take the news, if you can financially recover, or even second-guessing if divorce is the right move. I am a Certified Gottman Therapist and I use the Gottman’s relationship research to help couples develop friendship, manage conflict, and create a meaningful relationship that lasts a lifetime.
I help those in dull, difficult, and conflicted relationships. It’s grueling for anyone considering ending a relationship because they have lost their passion for their partner, are eternally conflicted, or feeling weighed down in their relationship. You might be worried about how your kids will take the news, if you can financially recover, or even second-guessing if divorce is the right move. I am a Certified Gottman Therapist and I use the Gottman’s relationship research to help couples develop friendship, manage conflict, and create a meaningful relationship that lasts a lifetime.
(619) 330-0442 View (619) 330-0442

See more therapy options for La Costa

How does your Therapist compare?

Number of Therapists in La Costa, CA

20+

Average cost per session

$177

Therapists in La Costa, CA who prioritize treating:

90% Relationship Issues
90% Anxiety
90% Trauma and PTSD
80% Grief
75% Depression
75% Coping Skills
75% Self Esteem

Average years in practice

6 Years

Top 3 insurances accepted

80% Aetna
70% Cigna and Evernorth
40% UnitedHealthcare UHC | UBH

How Therapists in La Costa, CA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in La Costa?

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.