Therapists in Petaluma, CA

Photo of Jennifer Chance, Marriage & Family Therapist, MA, MFT
Jennifer Chance
Marriage & Family Therapist, MA, MFT
7 Endorsed
Online Only
The path to parenthood is rarely the one you imagined. Maybe you're in the middle of fertility treatments, grieving a loss, or trying to find your footing after birth. Maybe you're struggling in ways you didn't expect and can't quite explain to the people around you. I work with individuals and couples facing the hardest parts of the perinatal experience- loss, trauma, infertility, postpartum- and the quiet grief that everyone else has it easier.
The path to parenthood is rarely the one you imagined. Maybe you're in the middle of fertility treatments, grieving a loss, or trying to find your footing after birth. Maybe you're struggling in ways you didn't expect and can't quite explain to the people around you. I work with individuals and couples facing the hardest parts of the perinatal experience- loss, trauma, infertility, postpartum- and the quiet grief that everyone else has it easier.
(415) 687-3567 View (415) 687-3567
Photo of Erin R Hagler, Marriage & Family Therapist, LMFT
Erin R Hagler
Marriage & Family Therapist, LMFT
Petaluma, CA 94952
Hi, my name is Erin, I am an LMFT and I have a passion for working with teens (one of my biggest joys), adults (young adults, women and parents) and couples (of all sorts! Looking to reconnect and improve communication). Whether you are seeking support with managing your mood, healing from trauma, searching for meaning, navigating a diagnosis or facing life transitions and stress, I am here to help. I meet my clients where they're at, helping process and dig deeper, notice negative patterns, gain insight, learn different ways to cope and provide a space where you can feel safe, seen and supported in meaningful growth.
Hi, my name is Erin, I am an LMFT and I have a passion for working with teens (one of my biggest joys), adults (young adults, women and parents) and couples (of all sorts! Looking to reconnect and improve communication). Whether you are seeking support with managing your mood, healing from trauma, searching for meaning, navigating a diagnosis or facing life transitions and stress, I am here to help. I meet my clients where they're at, helping process and dig deeper, notice negative patterns, gain insight, learn different ways to cope and provide a space where you can feel safe, seen and supported in meaningful growth.
(707) 598-8913 View (707) 598-8913
Photo of Ma Cher Danielle Restieaux-Louis - Danielle Restieaux, LCSW, Clinical Social Work/Therapist, JD, MS, LCSW
Danielle Restieaux, LCSW
Clinical Social Work/Therapist, JD, MS, LCSW
1 Endorsed
Online Only
I work with couples, families, and adults navigating anxiety, depression, trauma, ADHD, grief, relationship conflict, life transitions, fertility challenges, PTSD, bipolar disorder, and identity shifts. Many of my clients are high-achieving individuals who appear successful on the outside but feel overwhelmed, disconnected, or exhausted internally. My style is warm, relational, and trauma-informed. I am direct in a gentle way — offering both validation and thoughtful challenge. I tailor therapy to the individual rather than expecting clients to fit into one model.
I work with couples, families, and adults navigating anxiety, depression, trauma, ADHD, grief, relationship conflict, life transitions, fertility challenges, PTSD, bipolar disorder, and identity shifts. Many of my clients are high-achieving individuals who appear successful on the outside but feel overwhelmed, disconnected, or exhausted internally. My style is warm, relational, and trauma-informed. I am direct in a gentle way — offering both validation and thoughtful challenge. I tailor therapy to the individual rather than expecting clients to fit into one model.
(707) 505-9371 View (707) 505-9371
Photo of BJ Brown, Marriage & Family Therapist, MA
BJ Brown
Marriage & Family Therapist, MA
Petaluma, CA 94954
During my more than 25 years of being a therapist, I have learned the importance of deep listening and the power of compassion. My goal is to create an emotionally safe and respectful relationship. This relationship gives us the container to hold any/all of the issues you are struggling with - anxiety, depression, grief, trauma, loss. Working through and healing these wounds does take time. The result is a fully integrated sense of self, which brings you more mastery of emotions and conflict, increased self confidence, and more compassion for self and others.
During my more than 25 years of being a therapist, I have learned the importance of deep listening and the power of compassion. My goal is to create an emotionally safe and respectful relationship. This relationship gives us the container to hold any/all of the issues you are struggling with - anxiety, depression, grief, trauma, loss. Working through and healing these wounds does take time. The result is a fully integrated sense of self, which brings you more mastery of emotions and conflict, increased self confidence, and more compassion for self and others.
(707) 317-6877 View (707) 317-6877
Photo of Brett Newton, Licensed Professional Counselor, LPC
Brett Newton
Licensed Professional Counselor, LPC
Petaluma, CA 94952
Hi there, I'm Brett! If you're here, you're looking for help, and I want to support you. Life's tough, we all make mistakes, and it's my honor to be in a position to help. If you'd like, let's talk further. My professional focus includes ADHD, anxiety, depression, and trauma, with a passion for teens and young adults. Utilizing evidence-based approaches like Cognitive Behavioral Therapy and Motivational Interviewing, I help clients overcome negative patterns.
Hi there, I'm Brett! If you're here, you're looking for help, and I want to support you. Life's tough, we all make mistakes, and it's my honor to be in a position to help. If you'd like, let's talk further. My professional focus includes ADHD, anxiety, depression, and trauma, with a passion for teens and young adults. Utilizing evidence-based approaches like Cognitive Behavioral Therapy and Motivational Interviewing, I help clients overcome negative patterns.
(707) 926-4865 View (707) 926-4865
Photo of Alejandro Maya, Marriage & Family Therapist, LMFT
Alejandro Maya
Marriage & Family Therapist, LMFT
Online Only
I am a licensed Marriage and Family Therapist and EMDR-certified therapist. In my practice history, I have worked with a diverse range of clients facing various challenges, including a lack of coping resources, complex trauma, physical health issues, self-esteem struggles, life transitions, racism, and grief.
I am a licensed Marriage and Family Therapist and EMDR-certified therapist. In my practice history, I have worked with a diverse range of clients facing various challenges, including a lack of coping resources, complex trauma, physical health issues, self-esteem struggles, life transitions, racism, and grief.
(949) 990-3714 View (949) 990-3714
Photo of Patricia Yardley, Clinical Social Work/Therapist, MSW, LCSW
Patricia Yardley
Clinical Social Work/Therapist, MSW, LCSW
Online Only
I work from a depth perspective and emphasize respect and compassion in my work with people of all ages, engaging with my clients interactively to support healing and growth.
I work from a depth perspective and emphasize respect and compassion in my work with people of all ages, engaging with my clients interactively to support healing and growth.
(707) 600-6281 View (707) 600-6281
Photo of Wendy A Calomiris, Marriage & Family Therapist, MA, LMFT
Wendy A Calomiris
Marriage & Family Therapist, MA, LMFT
Petaluma, CA 94952
Any scary event or even a medical diagnosis can wreak havoc & any daily routine is quickly found unmanageable. If the physical body fails you, it affects your mood. If emotions are out of wack, it affects your health. Either way, you deserve to feel in control and you can reclaim control. The goal is to highlight your strengths and minimize or eliminate any obstacles to healthy wellness. A direct benefit of engaging in effective help elevates your protective factors against emotional decay now a known correlate with disease. Together we can restore a sense of control, balance, and develop your future goals. You deserve to be happy.
Any scary event or even a medical diagnosis can wreak havoc & any daily routine is quickly found unmanageable. If the physical body fails you, it affects your mood. If emotions are out of wack, it affects your health. Either way, you deserve to feel in control and you can reclaim control. The goal is to highlight your strengths and minimize or eliminate any obstacles to healthy wellness. A direct benefit of engaging in effective help elevates your protective factors against emotional decay now a known correlate with disease. Together we can restore a sense of control, balance, and develop your future goals. You deserve to be happy.
(707) 743-4082 View (707) 743-4082
Photo of Aaron Fisher, Psychologist, PhD
Aaron Fisher
Psychologist, PhD
Petaluma, CA 94952
I am a Professor of Psychology at UC Berkeley, where I lead an internationally recognized team investigating anxiety, depression, and trauma-related disorders. I ascribe to a clinical science model, in which my research informs my practice and my practice informs my research. Additionally, I train and supervise Berkeley PhD students as they learn to provide therapy. As a therapist, I have two decades of expertise treating patients with depression, anxiety, post-traumatic stress, and emotion regulation problems. I also have extensive experience working with daily stress, social and interpersonal relationships, and couples.
I am a Professor of Psychology at UC Berkeley, where I lead an internationally recognized team investigating anxiety, depression, and trauma-related disorders. I ascribe to a clinical science model, in which my research informs my practice and my practice informs my research. Additionally, I train and supervise Berkeley PhD students as they learn to provide therapy. As a therapist, I have two decades of expertise treating patients with depression, anxiety, post-traumatic stress, and emotion regulation problems. I also have extensive experience working with daily stress, social and interpersonal relationships, and couples.
(707) 475-3364 View (707) 475-3364
Photo of Catherine Tahmin, Psychologist, PsyD
Catherine Tahmin
Psychologist, PsyD
Petaluma, CA 94952
I welcome and work well with challenge. My style is warm, direct, and engaging while maintaining a stance of curiosity and compassion. I help clients suffering from depression and anxiety, post-traumatic stress disorder, addiction, and childhood abuse. I will do everything in my power to support you. You’ve every reason to expect relief from emotional pain and stress. My deep listening skills and therapeutic feedback are aimed at unburdening you from whatever issues prevent you from experiencing a more empowered sense of yourself. My clinical approach is psychodynamic.
I welcome and work well with challenge. My style is warm, direct, and engaging while maintaining a stance of curiosity and compassion. I help clients suffering from depression and anxiety, post-traumatic stress disorder, addiction, and childhood abuse. I will do everything in my power to support you. You’ve every reason to expect relief from emotional pain and stress. My deep listening skills and therapeutic feedback are aimed at unburdening you from whatever issues prevent you from experiencing a more empowered sense of yourself. My clinical approach is psychodynamic.
(707) 346-5688 View (707) 346-5688
Photo of Steven Joel Laska, Marriage & Family Therapist, LMFT
Steven Joel Laska
Marriage & Family Therapist, LMFT
Online Only
Everyone in a span of a lifetime faces challenges of varying degrees. Everyone. The ideal therapy client recognizes there are certain times when they may need help in identifying how these challenges are affecting one's life. That therein lies the first step toward creating balance in one's life. First, identify the problem and the root causes of the problem, and then work at a better understanding of how to address the problem. The success of a therapeutic relationship depends on the motivation of the client to take a look at oneself and develop introspection.
Everyone in a span of a lifetime faces challenges of varying degrees. Everyone. The ideal therapy client recognizes there are certain times when they may need help in identifying how these challenges are affecting one's life. That therein lies the first step toward creating balance in one's life. First, identify the problem and the root causes of the problem, and then work at a better understanding of how to address the problem. The success of a therapeutic relationship depends on the motivation of the client to take a look at oneself and develop introspection.
(707) 801-0913 View (707) 801-0913
Photo of Nancy Adams Langley, Clinical Social Work/Therapist, LCSW
Nancy Adams Langley
Clinical Social Work/Therapist, LCSW
Petaluma, CA 94954
If you have made it to this website, you are already on your way to resolving your conflict. My primary work is with adults and couples struggling with relationship and career issues. I also specialize in mood disorders (anxiety and depression), loss and grief and in decision making. I focus on helping individuals and couples to bring awareness (mindfulness) to their feelings, bodies, moods and dreams to access their insight. From this insight, behavioral change can be explored and implemented. I provide both short and long term treatment. My style is interactive and I sometimes suggest behavioral homework.
If you have made it to this website, you are already on your way to resolving your conflict. My primary work is with adults and couples struggling with relationship and career issues. I also specialize in mood disorders (anxiety and depression), loss and grief and in decision making. I focus on helping individuals and couples to bring awareness (mindfulness) to their feelings, bodies, moods and dreams to access their insight. From this insight, behavioral change can be explored and implemented. I provide both short and long term treatment. My style is interactive and I sometimes suggest behavioral homework.
(650) 209-7975 View (650) 209-7975
Photo of Lindsay Focht, Marriage & Family Therapist, LMFT
Lindsay Focht
Marriage & Family Therapist, LMFT
Petaluma, CA 94952
Many people come to therapy feeling weighed down by anxiety, trauma, stress, or disconnection. While talk therapy can help, some experiences call for a deeper, more embodied approach. That’s why I offer Equine-Assisted Therapy, where clients work alongside horses to build awareness, resilience, and authentic connection. As a licensed mental health professional trained in equine-assisted methods, I combine clinical expertise with the healing presence of horses. My approach prioritizes your individual needs, ethical practice, and the wellbeing of both clients and horses, creating a safe space for growth and transformation.
Many people come to therapy feeling weighed down by anxiety, trauma, stress, or disconnection. While talk therapy can help, some experiences call for a deeper, more embodied approach. That’s why I offer Equine-Assisted Therapy, where clients work alongside horses to build awareness, resilience, and authentic connection. As a licensed mental health professional trained in equine-assisted methods, I combine clinical expertise with the healing presence of horses. My approach prioritizes your individual needs, ethical practice, and the wellbeing of both clients and horses, creating a safe space for growth and transformation.
(341) 222-3552 View (341) 222-3552
Photo of Dr. Melissa Pumper, Psychologist, PsyD, PMH-C
Dr. Melissa Pumper
Psychologist, PsyD, PMH-C
1 Endorsed
Online Only
Are you feeling overwhelmed by anxiety, trauma, or the challenges of pregnancy and postpartum life? I am a licensed clinical psychologist providing trauma, anxiety, and perinatal therapy for adults across California. I help people find relief from anxiety, trauma, abuse, major life transitions, loss, and pregnancy or postpartum challenges. My goal is to create a safe, nonjudgmental space where you can process your experiences, develop new ways of coping, and begin to feel like yourself again.
Are you feeling overwhelmed by anxiety, trauma, or the challenges of pregnancy and postpartum life? I am a licensed clinical psychologist providing trauma, anxiety, and perinatal therapy for adults across California. I help people find relief from anxiety, trauma, abuse, major life transitions, loss, and pregnancy or postpartum challenges. My goal is to create a safe, nonjudgmental space where you can process your experiences, develop new ways of coping, and begin to feel like yourself again.
(707) 744-3893 View (707) 744-3893
Photo of Robert Carriger, Marriage & Family Therapist, MS, LMFT
Robert Carriger
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Petaluma, CA 94952
It can be so easy to drift off of course in life. Anxiety, depression, relationship problems, addictions - or just feeling lost - can be signs that a person has become disconnected from their deeper self. Therapy offers a supportive environment with an experienced guide to help navigate through distressing feelings and life difficulties to reconnect with oneself and important others, as well as to experience more meaning in one's daily life.
It can be so easy to drift off of course in life. Anxiety, depression, relationship problems, addictions - or just feeling lost - can be signs that a person has become disconnected from their deeper self. Therapy offers a supportive environment with an experienced guide to help navigate through distressing feelings and life difficulties to reconnect with oneself and important others, as well as to experience more meaning in one's daily life.
(628) 244-9159 View (628) 244-9159
Photo of Rhonda Robertson, Marriage & Family Therapist, LMFT
Rhonda Robertson
Marriage & Family Therapist, LMFT
Online Only
Hello, I am Rhonda Robertson, a licensed Marriage and Family Therapist (MFT) based in Petaluma, California, and providing Telehealth services to clients throughout the state. My area of expertise is working with Individuals and adolescents addressing their concerns related to trauma, anxiety, stress, and depression. In my practice, I utilize Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to assist my client in making progress and achieving a better state of mental well-being.
Hello, I am Rhonda Robertson, a licensed Marriage and Family Therapist (MFT) based in Petaluma, California, and providing Telehealth services to clients throughout the state. My area of expertise is working with Individuals and adolescents addressing their concerns related to trauma, anxiety, stress, and depression. In my practice, I utilize Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to assist my client in making progress and achieving a better state of mental well-being.
(669) 322-7809 View (669) 322-7809
Photo of Daniela Dominguez, Psychologist, PsyD
Daniela Dominguez
Psychologist, PsyD
Petaluma, CA 94952
Not accepting new clients
Daniela Domínguez is an Associate Professor in the Counseling Psychology Department at the University of San Francisco and the Founder and President of On the Margins, Inc. A liberation psychologist, she employs critical and political methodologies to challenge traditional research, clinical work, assessment, and evaluation paradigms. Dr. Domínguez advocates for a shift from Eurocentric epistemologies to a critical race epistemology, recognizing knowledge as shaped by intersecting systems of oppression.
Daniela Domínguez is an Associate Professor in the Counseling Psychology Department at the University of San Francisco and the Founder and President of On the Margins, Inc. A liberation psychologist, she employs critical and political methodologies to challenge traditional research, clinical work, assessment, and evaluation paradigms. Dr. Domínguez advocates for a shift from Eurocentric epistemologies to a critical race epistemology, recognizing knowledge as shaped by intersecting systems of oppression.
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Photo of Joan Menke Butler, Marriage & Family Therapist, MA, LMFT, Life, Coach
Joan Menke Butler
Marriage & Family Therapist, MA, LMFT, Life, Coach
1 Endorsed
Online Only
Life is a Story. Let’s Write Your Next Chapter Together. Transitions can feel overwhelming, but they’re also opportunities for growth and renewal. I specialize in helping individuals through life’s key transitions, including: Separation and Divorce, Loss of a Spouse, Career Changes, Returning to the Workforce, Empty Nesting, Retirement, Relocating, Transitioning from Corporate Work to Self-Employment. I’ll help you uncover your strengths, redefine your goals, and create a life that feels meaningful and aligned with who you are becoming. Let’s start building the next chapter of your life!
Life is a Story. Let’s Write Your Next Chapter Together. Transitions can feel overwhelming, but they’re also opportunities for growth and renewal. I specialize in helping individuals through life’s key transitions, including: Separation and Divorce, Loss of a Spouse, Career Changes, Returning to the Workforce, Empty Nesting, Retirement, Relocating, Transitioning from Corporate Work to Self-Employment. I’ll help you uncover your strengths, redefine your goals, and create a life that feels meaningful and aligned with who you are becoming. Let’s start building the next chapter of your life!
(707) 809-5937 View (707) 809-5937
Photo of Alen Schwab, Marriage & Family Therapist, LMFT
Alen Schwab
Marriage & Family Therapist, LMFT
3 Endorsed
Petaluma, CA 94954
Waitlist for new clients
2/11/26: Hello! I have openings now and am currently holding consultations. - A Most ADHDers will also struggle with anxiety or depression at some point in life. Many with ADHD are struggling quietly, and I believe there are many others who are not yet diagnosed but learning about ADHD for the first time. There IS good information and effective treatment. The right kind of relationship can help a lot to untangle and transform your life as you go through this process.
2/11/26: Hello! I have openings now and am currently holding consultations. - A Most ADHDers will also struggle with anxiety or depression at some point in life. Many with ADHD are struggling quietly, and I believe there are many others who are not yet diagnosed but learning about ADHD for the first time. There IS good information and effective treatment. The right kind of relationship can help a lot to untangle and transform your life as you go through this process.
(707) 881-9016 View (707) 881-9016
Photo of Lori L. Crowley, Marriage & Family Therapist, MA, LMFT, LPCC
Lori L. Crowley
Marriage & Family Therapist, MA, LMFT, LPCC
6 Endorsed
Petaluma, CA 94952
My clients are NeuroDivergent individuals or their families and supports whose experience of the world is overwhelming. They are in need of hope, encouragement and direction in order to feel whole and valued. Their overwhelm has led to frustration and uncertainty over possibilities, and what to do next. They arrive, feeling unsafe in their environments, unable to communicate so they are understood, and unappreciated for who they truly are. By establishing a safe relationship and working environment we create the tools necessary to be heard, seen and appreciated. These are the missing cornerstones of their growth and expansion.
My clients are NeuroDivergent individuals or their families and supports whose experience of the world is overwhelming. They are in need of hope, encouragement and direction in order to feel whole and valued. Their overwhelm has led to frustration and uncertainty over possibilities, and what to do next. They arrive, feeling unsafe in their environments, unable to communicate so they are understood, and unappreciated for who they truly are. By establishing a safe relationship and working environment we create the tools necessary to be heard, seen and appreciated. These are the missing cornerstones of their growth and expansion.
(707) 506-8559 View (707) 506-8559

See more therapy options for Petaluma

How does your Therapist compare?

Number of Therapists in Petaluma, CA

400+

Average cost per session

$180

Therapists in Petaluma, CA who prioritize treating:

93% Anxiety
85% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
67% Grief
67% Stress

Average years in practice

17 Years

Top 3 insurances accepted

63% Aetna
51% Cigna and Evernorth
51% Optum

How Therapists in Petaluma, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Petaluma?

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.