Therapists in Mid City West, Los Angeles, CA

Photo of Lisa Kimsey, Marriage & Family Therapist in Mid City West, Los Angeles, CA
Lisa Kimsey
Marriage & Family Therapist, LMFT, MA
Verified
1 Endorsed
Mid City West, Los Angeles, CA 90048  (Online Only)
If you are trans, non-binary, and/or queer-identified, you have probably faced a very unique set of challenges in your life. Whether you're considering possible next steps or you've been living authentically for years, you'll find a safe, compassionate, and empathetic space to navigate and process your life. You may be facing relationship issues, work challenges, or trying to understand the "why" behind the things you do. Let's explore how you got to where you are, where you might go from here, and what the future may hold for you.
If you are trans, non-binary, and/or queer-identified, you have probably faced a very unique set of challenges in your life. Whether you're considering possible next steps or you've been living authentically for years, you'll find a safe, compassionate, and empathetic space to navigate and process your life. You may be facing relationship issues, work challenges, or trying to understand the "why" behind the things you do. Let's explore how you got to where you are, where you might go from here, and what the future may hold for you.
(323) 689-5655 View (323) 689-5655
Photo of Katy Behrens, Marriage & Family Therapist in Mid City West, Los Angeles, CA
Katy Behrens
Marriage & Family Therapist, LMFT
Verified
Mid City West, Los Angeles, CA 90048  (Online Only)
Have anxiety and past trauma been holding you back from living a fulfilling life? Do you struggle with worries, memories of the past, or just the changes that come with aging that impact your day to day life? Do you often feel exhausted, frustrated, or overwhelmed by the thought that nothing will ever be different? Life transitions and grief are natural processes, but they can be overwhelming, especially when you’re trying to cope all by yourself. Together, we can work to navigate these transitions, increasing your resilience and facilitating your personal growth.
Have anxiety and past trauma been holding you back from living a fulfilling life? Do you struggle with worries, memories of the past, or just the changes that come with aging that impact your day to day life? Do you often feel exhausted, frustrated, or overwhelmed by the thought that nothing will ever be different? Life transitions and grief are natural processes, but they can be overwhelming, especially when you’re trying to cope all by yourself. Together, we can work to navigate these transitions, increasing your resilience and facilitating your personal growth.
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Photo of Dr. Maria del Carmen Gutierrez, Psychological Associate in Mid City West, Los Angeles, CA
Dr. Maria del Carmen Gutierrez
Psychological Associate, PhD
Verified
1 Endorsed
Mid City West, Los Angeles, CA 90048
Would you like to have a better relationship with yourself and with your body? I take a depth-oriented approach to helping you resolve early trauma, release shame, and develop a more secure way of relating to yourself and to others. The more deeply you understand yourself, the more you will be empowered to make healthier choices and live more present in the moment. I believe it is possible to connect to the joy in your life. As we work together in therapy, I will help you connect with your emotions, so they stop affecting your body, behavior, and relationships.
Would you like to have a better relationship with yourself and with your body? I take a depth-oriented approach to helping you resolve early trauma, release shame, and develop a more secure way of relating to yourself and to others. The more deeply you understand yourself, the more you will be empowered to make healthier choices and live more present in the moment. I believe it is possible to connect to the joy in your life. As we work together in therapy, I will help you connect with your emotions, so they stop affecting your body, behavior, and relationships.
(323) 616-1717 View (323) 616-1717
Photo of Courtney Allison Dietler, Marriage & Family Therapist in Mid City West, Los Angeles, CA
Courtney Allison Dietler
Marriage & Family Therapist, MA, LMFT
Verified
2 Endorsed
Mid City West, Los Angeles, CA 90046
I am a Licensed Marriage and Family Therapist specializing in anxiety, depression, trauma, personal difficulties and life transitions. As your therapist I emphasize an eclectic form of psychotherapy that utilizes Attachment and Psychodynamic concepts to help you better understand your experience and develop important and necessary coping skills with the goal of a life free of anxiety, depression and trauma.
I am a Licensed Marriage and Family Therapist specializing in anxiety, depression, trauma, personal difficulties and life transitions. As your therapist I emphasize an eclectic form of psychotherapy that utilizes Attachment and Psychodynamic concepts to help you better understand your experience and develop important and necessary coping skills with the goal of a life free of anxiety, depression and trauma.
(213) 212-7991 View (213) 212-7991
Photo of Gila Brown, Marriage & Family Therapist in Mid City West, Los Angeles, CA
Gila Brown
Marriage & Family Therapist, MA, LMFT
Verified
7 Endorsed
Mid City West, Los Angeles, CA 90048  (Online Only)
Not accepting new clients
You hide it well. You dress the part. You focus on other people so they won't focus on you. You do well professionally and it distracts you from how deeply alone you feel. Often if seems easier to pretend that you're OK, but deep down... you hope for something more. I specialize in psychoanalytic psychotherapy with adults who struggle with shame, depression, suicidality, divorce, anger, anxiety, isolation, or estrangment from family members. I also specialize in working with friends and family members of narcissistic personalities.
You hide it well. You dress the part. You focus on other people so they won't focus on you. You do well professionally and it distracts you from how deeply alone you feel. Often if seems easier to pretend that you're OK, but deep down... you hope for something more. I specialize in psychoanalytic psychotherapy with adults who struggle with shame, depression, suicidality, divorce, anger, anxiety, isolation, or estrangment from family members. I also specialize in working with friends and family members of narcissistic personalities.
(310) 626-4427 View (310) 626-4427
Photo of Angela K Wallace, Marriage & Family Therapist in Mid City West, Los Angeles, CA
Angela K Wallace
Marriage & Family Therapist, MA, MFT
Verified
7 Endorsed
Mid City West, Los Angeles, CA 90048
Waitlist for new clients
Do you feel pulled in too many directions? Are there times when you feel invisible, unheard, under appreciated or overwhelmed? You deserve some restorative stillness - a moment (or an hour) to tune in, to connect and be compassionate with yourself. Often, the experience of psychotherapy - reflecting on your life's events; establishing and nurturing your true self; discovering your hidden patterns - is a radical gesture of self care that can change the course of your life.
Do you feel pulled in too many directions? Are there times when you feel invisible, unheard, under appreciated or overwhelmed? You deserve some restorative stillness - a moment (or an hour) to tune in, to connect and be compassionate with yourself. Often, the experience of psychotherapy - reflecting on your life's events; establishing and nurturing your true self; discovering your hidden patterns - is a radical gesture of self care that can change the course of your life.
(424) 336-9970 View (424) 336-9970
Photo of Rachel Benjamin, Marriage & Family Therapist Associate in Mid City West, Los Angeles, CA
Rachel Benjamin
Marriage & Family Therapist Associate, MA,
Verified
Mid City West, Los Angeles, CA 90036  (Online Only)
Are you wanting to start therapy for the first time or wanting to jump back in and feeling unsure? Starting for the first time or getting back in to therapy can bring up a lot of feelings and thoughts. If you’re wondering if now is the right time, it probably is. You may be feeling lost in your life and wondering what the next step is. Maybe you feel disconnected or unfulfilled in relationships or at work or school. You may find that you tend to be more concerned with how others feel than how you feel. Maybe you’re wishing that your life had more purpose or meaning. You may be wondering if couples therapy would work for you.
Are you wanting to start therapy for the first time or wanting to jump back in and feeling unsure? Starting for the first time or getting back in to therapy can bring up a lot of feelings and thoughts. If you’re wondering if now is the right time, it probably is. You may be feeling lost in your life and wondering what the next step is. Maybe you feel disconnected or unfulfilled in relationships or at work or school. You may find that you tend to be more concerned with how others feel than how you feel. Maybe you’re wishing that your life had more purpose or meaning. You may be wondering if couples therapy would work for you.
(323) 784-1200 View (323) 784-1200
Photo of David Royal Brown, Marriage & Family Therapist Intern in Mid City West, Los Angeles, CA
David Royal Brown
Marriage & Family Therapist Intern, MA, MFT
1 Endorsed
Mid City West, Los Angeles, CA 90048
I help individuals, couples, families, and teens develop a balanced mindset that allows faster progress through challenges, to a deeper understanding of self and others. I work collaboratively with my clients to nurture curiosity and process thoughts and feelings at the client's self-determined pace. For me, therapy is exceptionally helpful for uncovering our identity, healing past our wounds and fortifying our capacity to live more fully.
I help individuals, couples, families, and teens develop a balanced mindset that allows faster progress through challenges, to a deeper understanding of self and others. I work collaboratively with my clients to nurture curiosity and process thoughts and feelings at the client's self-determined pace. For me, therapy is exceptionally helpful for uncovering our identity, healing past our wounds and fortifying our capacity to live more fully.
(323) 648-3403 View (323) 648-3403
Photo of Michael Vitale, Marriage & Family Therapist Associate in Mid City West, Los Angeles, CA
Michael Vitale
Marriage & Family Therapist Associate, AMFT
Verified
2 Endorsed
Mid City West, Los Angeles, CA 90048
I know what it’s like to struggle, to be unsure of yourself and your relationships, to feel stuck. I believe therapy is an act of courage and hope, and I applaud anyone willing to consider this form of self-support. My mission is to help you learn how to better help yourself, and I’ve been humbled by the strength I’ve seen in my clients. In our work, I'll position myself as a relational therapist, meaning we'll use our relationship to better understand how you view yourself and others, and we’ll collaborate to modify any beliefs, patterns of behavior, or ways of relating that get in the way of your living more of the life you want.
I know what it’s like to struggle, to be unsure of yourself and your relationships, to feel stuck. I believe therapy is an act of courage and hope, and I applaud anyone willing to consider this form of self-support. My mission is to help you learn how to better help yourself, and I’ve been humbled by the strength I’ve seen in my clients. In our work, I'll position myself as a relational therapist, meaning we'll use our relationship to better understand how you view yourself and others, and we’ll collaborate to modify any beliefs, patterns of behavior, or ways of relating that get in the way of your living more of the life you want.
(818) 918-4267 View (818) 918-4267
Photo of Lauren E. Katz, Marriage & Family Therapist Associate in Mid City West, Los Angeles, CA
Lauren E. Katz
Marriage & Family Therapist Associate, MA
Verified
Mid City West, Los Angeles, CA 90048
The therapeutic process is a collaborative one which has potential for transformation, heightened self-awareness and a sense of integrated wholeness. I believe the relationship between client and therapist is at the heart of the healing process which is why finding a therapist who is the right fit is essential. In my work I integrate elements of Gestalt therapy, IFS, EMDR and somatic approaches to explore patterns, uncover their origins and address accompanying emotions. I engage my clients through warmth, open-mindedness, direct communication and when fitting, humor.
The therapeutic process is a collaborative one which has potential for transformation, heightened self-awareness and a sense of integrated wholeness. I believe the relationship between client and therapist is at the heart of the healing process which is why finding a therapist who is the right fit is essential. In my work I integrate elements of Gestalt therapy, IFS, EMDR and somatic approaches to explore patterns, uncover their origins and address accompanying emotions. I engage my clients through warmth, open-mindedness, direct communication and when fitting, humor.
(424) 244-1252 View (424) 244-1252
Photo of Kate Beauchene, Licensed Professional Clinical Counselor in Mid City West, Los Angeles, CA
Kate Beauchene
Licensed Professional Clinical Counselor, MA, LPC, LPCC
Verified
Mid City West, Los Angeles, CA 90048
I believe that early life experiences have a lingering impact and I help patients understand current patterns in the context of their past, thus allowing for greater fluidity, flexibility, and satisfaction. My approach is primarily relational, somatic and psychoanalytic, though I pull from other frameworks as well. I offer dreamwork for those interested.
I believe that early life experiences have a lingering impact and I help patients understand current patterns in the context of their past, thus allowing for greater fluidity, flexibility, and satisfaction. My approach is primarily relational, somatic and psychoanalytic, though I pull from other frameworks as well. I offer dreamwork for those interested.
(310) 879-5280 View (310) 879-5280
Photo of Jamie Krause, Marriage & Family Therapist in Mid City West, Los Angeles, CA
Jamie Krause
Marriage & Family Therapist, MA, LMFT
Verified
7 Endorsed
Mid City West, Los Angeles, CA 90048  (Online Only)
Waitlist for new clients
I believe in meeting my clients where they are. My priority is creating a safe space where authentic and vulnerable collaboration can nurture positive change. I believe that while all individuals possess the ability to be healthy and happy, sometimes life events, obstacles or unhealthy patterns cause us to lose confidence in our ability to achieve our goals. The right support can elevate hope and get us back on track.
I believe in meeting my clients where they are. My priority is creating a safe space where authentic and vulnerable collaboration can nurture positive change. I believe that while all individuals possess the ability to be healthy and happy, sometimes life events, obstacles or unhealthy patterns cause us to lose confidence in our ability to achieve our goals. The right support can elevate hope and get us back on track.
(424) 295-8651 View (424) 295-8651
Photo of Yvette Campbell, Psychologist in Mid City West, Los Angeles, CA
Yvette Campbell
Psychologist, PsyD
Verified
Mid City West, Los Angeles, CA 90048
Are you feeling stuck and unable to move forward in your work or your relationships with others? Do you feel all alone, helpless or hopeless, rather than thriving and achieving the most out of your life? How you answer these questions may indicate how much you could benefit from therapy or coaching. Everyone experiences difficulties that are sometimes overwhelming, and a caring and experienced therapist can come alongside you to provide the insights and strategies necessary to navigate through your struggles so you can cope, heal, and truly be successful in life.
Are you feeling stuck and unable to move forward in your work or your relationships with others? Do you feel all alone, helpless or hopeless, rather than thriving and achieving the most out of your life? How you answer these questions may indicate how much you could benefit from therapy or coaching. Everyone experiences difficulties that are sometimes overwhelming, and a caring and experienced therapist can come alongside you to provide the insights and strategies necessary to navigate through your struggles so you can cope, heal, and truly be successful in life.
(310) 361-4712 View (310) 361-4712
Photo of Deborah Baker, Psychologist in Mid City West, Los Angeles, CA
Deborah Baker
Psychologist, PhD
Verified
Mid City West, Los Angeles, CA 90046
On the road to your best and brightest self, it is expected you will take some new turns. I am here to assist you on your journey. Maybe you need help listening to your internal compass and clarifying your direction...or maybe I can help you clear obstacles from your path. Whatever it is, a new adventure awaits. Let's go! I especially enjoy working with clients who are self-reflective, who want to deepen their understanding of themselves, and who are actively seeking more satisfying lives.
On the road to your best and brightest self, it is expected you will take some new turns. I am here to assist you on your journey. Maybe you need help listening to your internal compass and clarifying your direction...or maybe I can help you clear obstacles from your path. Whatever it is, a new adventure awaits. Let's go! I especially enjoy working with clients who are self-reflective, who want to deepen their understanding of themselves, and who are actively seeking more satisfying lives.
(424) 347-6068 View (424) 347-6068
Photo of Jaimesha Ferrell, Pre-Licensed Professional in Mid City West, Los Angeles, CA
Jaimesha Ferrell
Pre-Licensed Professional
Verified
1 Endorsed
Mid City West, Los Angeles, CA 90048  (Online Only)
Because life can be complicated and overwhelming sometimes, It’s important to know you don’t have to face these challenges alone. I help clients find their footing when everything feels out of control. Together, we will work to develop practical strategies that help you navigate life’s turbulence with confidence and resilience.
Because life can be complicated and overwhelming sometimes, It’s important to know you don’t have to face these challenges alone. I help clients find their footing when everything feels out of control. Together, we will work to develop practical strategies that help you navigate life’s turbulence with confidence and resilience.
(310) 905-8351 View (310) 905-8351
Photo of Schuyler Ha, Marriage & Family Therapist in Mid City West, Los Angeles, CA
Schuyler Ha
Marriage & Family Therapist, LMFT, MPA, CSAT(C)
Verified
Mid City West, Los Angeles, CA 90048
Evenings and Sunday appointments available
Evenings and Sunday appointments available
(310) 660-7215 View (310) 660-7215
Photo of Charles V Rosasco, Marriage & Family Therapist in Mid City West, Los Angeles, CA
Charles V Rosasco
Marriage & Family Therapist, MA, MFT, CIRT, SILC
Verified
Mid City West, Los Angeles, CA 90048  (Online Only)
Taking the step into therapy is an act of courage to face what is holding you back. Are you suffering from depression or anxiety? Having trouble forming intimate relationships? Having a challenge in your relationship? Can't find a meaningful career? Faced with an addiction problem? Using Cognitive Behavioral Therapy, IMAGO Couples Therapy, Emotional Freedom Technique, Self Compassion, Psychodynamic Therapy, and, if needed, group therapy, we will dismantle the unconscious problems resulting in these problems so that you you can finally ACHIEVE YOUR GOALS and experience the joy you deserve in life.
Taking the step into therapy is an act of courage to face what is holding you back. Are you suffering from depression or anxiety? Having trouble forming intimate relationships? Having a challenge in your relationship? Can't find a meaningful career? Faced with an addiction problem? Using Cognitive Behavioral Therapy, IMAGO Couples Therapy, Emotional Freedom Technique, Self Compassion, Psychodynamic Therapy, and, if needed, group therapy, we will dismantle the unconscious problems resulting in these problems so that you you can finally ACHIEVE YOUR GOALS and experience the joy you deserve in life.
(424) 352-8153 View (424) 352-8153
Photo of Michael Douglas, Psychologist in Mid City West, Los Angeles, CA
Michael Douglas
Psychologist, PhD
Verified
Mid City West, Los Angeles, CA 90048
I am a licensed psychologist practicing virtually (video and telephone). I provide psychotherapy to individuals and couples with a variety of issues including anxiety, panic, relationship concerns, self-esteem, sexuality, managing emotions and trauma. In therapy, I will help you to develop a deeper understanding of yourself and the source of your difficulties, and assist you in dealing with your day-to-day challenges more effectively.
I am a licensed psychologist practicing virtually (video and telephone). I provide psychotherapy to individuals and couples with a variety of issues including anxiety, panic, relationship concerns, self-esteem, sexuality, managing emotions and trauma. In therapy, I will help you to develop a deeper understanding of yourself and the source of your difficulties, and assist you in dealing with your day-to-day challenges more effectively.
(424) 570-1142 View (424) 570-1142
Photo of Dr. Barbra Payne, Psychologist in Mid City West, Los Angeles, CA
Dr. Barbra Payne
Psychologist, PsyD
Verified
5 Endorsed
Mid City West, Los Angeles, CA 90036  (Online Only)
As a psychologist, it is my belief that the therapy hour, the therapy relationship, is expressly unique. One that is devoted exclusively to you - where memories of the past stream into thoughts of the future and all is said in a protected, confidential space. Whether you are dealing with relationship or trauma issues, or seeking treatment for symptoms of depression, anxiety or substance use, the process of therapy can serve to clarify underlying feelings, reveal patterns - make the unconscious conscious. In doing so, therapy can enhance a person's sense of empowerment, enrich relationship experiences, illuminate the Self.
As a psychologist, it is my belief that the therapy hour, the therapy relationship, is expressly unique. One that is devoted exclusively to you - where memories of the past stream into thoughts of the future and all is said in a protected, confidential space. Whether you are dealing with relationship or trauma issues, or seeking treatment for symptoms of depression, anxiety or substance use, the process of therapy can serve to clarify underlying feelings, reveal patterns - make the unconscious conscious. In doing so, therapy can enhance a person's sense of empowerment, enrich relationship experiences, illuminate the Self.
(323) 405-7885 View (323) 405-7885
Photo of Yaakov Bekhor, Marriage & Family Therapist Associate in Mid City West, Los Angeles, CA
Yaakov Bekhor
Marriage & Family Therapist Associate, MA, AMFT
Verified
3 Endorsed
Mid City West, Los Angeles, CA 90048
Before going to therapy, I found myself caught between worry about the future and fogginess about the past. I felt confused because growing up I had everything I thought I “needed.” As I worked in relational therapy, I realised how repressed trauma and emotional neglect was effecting my personality, emotional experience, and behavior. I began to understand how little emotional nurturing I had actually received, impacting my ability to be resilient to adversity.
Before going to therapy, I found myself caught between worry about the future and fogginess about the past. I felt confused because growing up I had everything I thought I “needed.” As I worked in relational therapy, I realised how repressed trauma and emotional neglect was effecting my personality, emotional experience, and behavior. I began to understand how little emotional nurturing I had actually received, impacting my ability to be resilient to adversity.
(424) 622-4343 View (424) 622-4343

See more therapy options for Mid City West, Los Angeles

How does your Therapist compare?

Number of Therapists in Mid City West, Los Angeles, CA

600+

Average cost per session

$200

Therapists in Mid City West, Los Angeles, CA who prioritize treating:

95% Anxiety
91% Depression
82% Relationship Issues
74% Self Esteem
73% Trauma and PTSD
65% Grief
62% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

59% Aetna
57% UnitedHealthcare UHC | UBH
56% Cigna and Evernorth

How Therapists in Mid City West, Los Angeles, CA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

70% Female
29% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Mid City West, Los Angeles?

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.