Therapists in San Pablo, CA

Photo of Maya Deshe Drori, Marriage & Family Therapist, MA, MFT
Maya Deshe Drori
Marriage & Family Therapist, MA, MFT
1 Endorsed
San Pablo, CA 94806
I'm passionate, dedicated, funny and curious. I have a huge, caring heart that is accompanied by a sharp and innovative mind. You will feel listened to and understood in ways that will surprise you, as I pick up on the gist of things, and then add thoughts, questions and layers. I will marvel at your uniqueness as I witness your beauty and despair. That will allow you to be the best version of yourself at any time, and will give you new breath so that you may deal with your life better.
I'm passionate, dedicated, funny and curious. I have a huge, caring heart that is accompanied by a sharp and innovative mind. You will feel listened to and understood in ways that will surprise you, as I pick up on the gist of things, and then add thoughts, questions and layers. I will marvel at your uniqueness as I witness your beauty and despair. That will allow you to be the best version of yourself at any time, and will give you new breath so that you may deal with your life better.
(510) 466-1069 View (510) 466-1069
Photo of Leslie Watson, Clinical Social Work/Therapist, LCSW
Leslie Watson
Clinical Social Work/Therapist, LCSW
Online Only
As a licensed clinical social worker with seven years of dedicated experience in the field, I bring a wealth of expertise to my practice. Over the course of my career, I have had the privilege of serving a diverse spectrum of clients, spanning from school-aged youth to individuals in elder care settings. My therapeutic approach is characterized by a delicate balance of directness and empathy, fostering a safe and supportive space for exploration and growth. I am deeply committed to empowering my clients on their journey towards healing and self-discovery.
As a licensed clinical social worker with seven years of dedicated experience in the field, I bring a wealth of expertise to my practice. Over the course of my career, I have had the privilege of serving a diverse spectrum of clients, spanning from school-aged youth to individuals in elder care settings. My therapeutic approach is characterized by a delicate balance of directness and empathy, fostering a safe and supportive space for exploration and growth. I am deeply committed to empowering my clients on their journey towards healing and self-discovery.
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Photo of Melissa Cavenecia, Clinical Social Work/Therapist, LCSW
Melissa Cavenecia
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social worker (LCSW) in the San Francisco Bay Area. I work with young and older/elderly adults and specialize in anxiety, depression, PTSD, and life transitions. My style is warm and collaborative. I use practical tools to help you better understand your thoughts and emotions, manage stress, and make positive changes in your life using Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help clients feel more at ease.
I am a Licensed Clinical Social worker (LCSW) in the San Francisco Bay Area. I work with young and older/elderly adults and specialize in anxiety, depression, PTSD, and life transitions. My style is warm and collaborative. I use practical tools to help you better understand your thoughts and emotions, manage stress, and make positive changes in your life using Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help clients feel more at ease.
(818) 696-4317 View (818) 696-4317
Photo of Chuck Fisher, Clinical Social Work/Therapist, LCSW
Chuck Fisher
Clinical Social Work/Therapist, LCSW
San Pablo, CA 94806
Someone once said we are simply "empty boxes", boxes into which we put ideas. We can put ideas in our boxes that make us feel good or bad. What ideas are you putting in your "box", and why? Also, there are many different roads we can take in life. If I take one, I may not be able to take another. How can we choose the "right" one? Choosing the best "path" depends on who you really are inside and discovering what makes you the unique person you are. It's important to find this out as it will affect your happiness.
Someone once said we are simply "empty boxes", boxes into which we put ideas. We can put ideas in our boxes that make us feel good or bad. What ideas are you putting in your "box", and why? Also, there are many different roads we can take in life. If I take one, I may not be able to take another. How can we choose the "right" one? Choosing the best "path" depends on who you really are inside and discovering what makes you the unique person you are. It's important to find this out as it will affect your happiness.
(510) 462-3806 View (510) 462-3806
Photo of Kathryn Buys, Marriage & Family Therapist, LMFT
Kathryn Buys
Marriage & Family Therapist, LMFT
San Pablo, CA 94806
I have moved through spirals of grief & big challenges. I've gotten to a place of inner joy & strength that carries me through the really difficult times. I integrate expressive arts & Spiritual practices from all over the world, i.e. guided meditations, sand play, dreamwork, & grounded shadow work. I bring skills from my 25 years as a licensed therapist. I work with women who are ready to reclaim sovereignty and a joyful life! That means a life where internal & external challenges are met with skill, intention, and awareness. In the first 1-3 sessions, we find where your yeses are.
I have moved through spirals of grief & big challenges. I've gotten to a place of inner joy & strength that carries me through the really difficult times. I integrate expressive arts & Spiritual practices from all over the world, i.e. guided meditations, sand play, dreamwork, & grounded shadow work. I bring skills from my 25 years as a licensed therapist. I work with women who are ready to reclaim sovereignty and a joyful life! That means a life where internal & external challenges are met with skill, intention, and awareness. In the first 1-3 sessions, we find where your yeses are.
(559) 345-9622 View (559) 345-9622
Photo of Angela Luna, Marriage & Family Therapist, LMFT, JD, MA
Angela Luna
Marriage & Family Therapist, LMFT, JD, MA
4 Endorsed
San Pablo, CA 94806
You're smart, self-aware, and you've done the work. Perhaps you've tried talk therapy. And yet you still feel stuck. My approach is different. As a Latina Expressive Arts therapist with 15 years of experience, I use a holistic, creative process to reach places that talk alone can't. I work with sensitive, creative women, deep thinkers, and big feelers who are ready to get out of their heads and heal at the root. Expressive Arts is especially powerful for this kind of healing because it reaches younger, hidden parts that carry old wounds. These parts often fuel self-doubt, overthinking, burnout, perfectionism, and people-pleasing.
You're smart, self-aware, and you've done the work. Perhaps you've tried talk therapy. And yet you still feel stuck. My approach is different. As a Latina Expressive Arts therapist with 15 years of experience, I use a holistic, creative process to reach places that talk alone can't. I work with sensitive, creative women, deep thinkers, and big feelers who are ready to get out of their heads and heal at the root. Expressive Arts is especially powerful for this kind of healing because it reaches younger, hidden parts that carry old wounds. These parts often fuel self-doubt, overthinking, burnout, perfectionism, and people-pleasing.
(341) 232-1175 View (341) 232-1175
Photo of Kaleas Johnson, Marriage & Family Therapist, MA, LMFT
Kaleas Johnson
Marriage & Family Therapist, MA, LMFT
Online Only
Hello! My name is Kaleas Johnson and I am a Licensed Marriage and Family Therapist. I've been in practice for 17 years and believe that prioritizing mental health with the same urgency as physical health is essential in supporting the mind-body connection. Using this as a framework, I work with youth, adults and families struggling with anxiety, trauma, challenges in school, adjustment/life transitions, relational challenges and substance use.
Hello! My name is Kaleas Johnson and I am a Licensed Marriage and Family Therapist. I've been in practice for 17 years and believe that prioritizing mental health with the same urgency as physical health is essential in supporting the mind-body connection. Using this as a framework, I work with youth, adults and families struggling with anxiety, trauma, challenges in school, adjustment/life transitions, relational challenges and substance use.
(341) 888-6133 View (341) 888-6133
Photo of Sara Singhakul, Clinical Social Work/Therapist, LCSW
Sara Singhakul
Clinical Social Work/Therapist, LCSW
Online Only
I’m a Licensed Clinical Social Worker with a doctoral degree in social work and clinical research. I strive to create a compassionate, safe space where you can explore challenges and build on your strengths. My work is grounded in understanding your unique story and walking alongside you through life’s transitions with empathy and care. I work with clients navigating a range of life challenges, including those from diverse cultural and family backgrounds, BIPOC, and first-generation Americans.
I’m a Licensed Clinical Social Worker with a doctoral degree in social work and clinical research. I strive to create a compassionate, safe space where you can explore challenges and build on your strengths. My work is grounded in understanding your unique story and walking alongside you through life’s transitions with empathy and care. I work with clients navigating a range of life challenges, including those from diverse cultural and family backgrounds, BIPOC, and first-generation Americans.
(341) 208-7841 View (341) 208-7841
Photo of Diamond McMillian, Clinical Social Work/Therapist, LCSW
Diamond McMillian
Clinical Social Work/Therapist, LCSW
Online Only
Hello, my name is Diamond McMillian. I am a Licensed Clinical Social Worker (LCSW) based in San Francisco, California, and working with clients statewide via telehealth. I work with adults and specialize in anxiety, depression, relationship issues, stress, and Trauma, using a holistic, integrated, evidence-based approach to current life challenges. I have found that my style and approach are a good fit for teens, young adults, and aging adults who may be dealing with the challenges of trauma, social pressures, and life transitions. This often takes the form of anxiety, depression, stress, and relationship issues.
Hello, my name is Diamond McMillian. I am a Licensed Clinical Social Worker (LCSW) based in San Francisco, California, and working with clients statewide via telehealth. I work with adults and specialize in anxiety, depression, relationship issues, stress, and Trauma, using a holistic, integrated, evidence-based approach to current life challenges. I have found that my style and approach are a good fit for teens, young adults, and aging adults who may be dealing with the challenges of trauma, social pressures, and life transitions. This often takes the form of anxiety, depression, stress, and relationship issues.
(510) 592-6279 View (510) 592-6279
Photo of Diamond McMillian, Clinical Social Work/Therapist, LCSW
Diamond McMillian
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Hi and welcome :) I am Diamond McMillian, a Licensed Clinical Social Worker practicing in California with over 15 years of experience in the social services sector. I offer therapeutic services that are non-bias, compassionate, and accepting of who you are. I have professional working experience is in helping clients with depression, anxiety, relationship issues, family conflict, grief and trauma. I am passionate about accompanying individuals, families and couples manage and overcome trauma and on their journeys to self-development
Hi and welcome :) I am Diamond McMillian, a Licensed Clinical Social Worker practicing in California with over 15 years of experience in the social services sector. I offer therapeutic services that are non-bias, compassionate, and accepting of who you are. I have professional working experience is in helping clients with depression, anxiety, relationship issues, family conflict, grief and trauma. I am passionate about accompanying individuals, families and couples manage and overcome trauma and on their journeys to self-development
(341) 895-7568 View (341) 895-7568
Photo of James Edwards, Clinical Social Work/Therapist, LCSW
James Edwards
Clinical Social Work/Therapist, LCSW
Online Only
Waitlist for new clients
Sometimes we get to places in life where we get stuck. Maybe it’s an issue at the job or at home. Perhaps you’ve been dealing with feelings of depression, anxiety, or overwhelming anger. It is my goal to help you sort out how to deal with your challenges and support you develop into a better you. I also know that I am an African American cisgender male, and I want to use my presence in the therapy field to help increase the comfort level for males and minorities to receive clinical services.
Sometimes we get to places in life where we get stuck. Maybe it’s an issue at the job or at home. Perhaps you’ve been dealing with feelings of depression, anxiety, or overwhelming anger. It is my goal to help you sort out how to deal with your challenges and support you develop into a better you. I also know that I am an African American cisgender male, and I want to use my presence in the therapy field to help increase the comfort level for males and minorities to receive clinical services.
(510) 621-6234 View (510) 621-6234
Photo of Kristin Long, Marriage & Family Therapist, LMFT
Kristin Long
Marriage & Family Therapist, LMFT
1 Endorsed
Serves Area
Not accepting new clients
Therapy is a collaboration. I am present and relational in my work. I believe each person is innately their own expert and I am here to help that person tap into their own truths. I get to know you from a place of non-judgement. I listen to what symptoms are troubling you and will teach you skills to help relieve the suffering. Together we develop short term goals that build upon the strengths that you may have temporarily not been able to see. The long term goal is not to be in therapy forever, but for you to have the tools to thrive in your life!
Therapy is a collaboration. I am present and relational in my work. I believe each person is innately their own expert and I am here to help that person tap into their own truths. I get to know you from a place of non-judgement. I listen to what symptoms are troubling you and will teach you skills to help relieve the suffering. Together we develop short term goals that build upon the strengths that you may have temporarily not been able to see. The long term goal is not to be in therapy forever, but for you to have the tools to thrive in your life!
(510) 480-3359 View (510) 480-3359
Photo of Rocio Elisa Hernandez, Marriage & Family Therapist, PhD, LMFT, LPCC
Rocio Elisa Hernandez
Marriage & Family Therapist, PhD, LMFT, LPCC
1 Endorsed
Serves Area
Reach Your Goal Now with Dr. Cio! Whether it is learning to love yourself, love your life, preparing for a marathon, improving your relationships, making a new relationship with a challenging diagnosis, traumatic experience, changing body, or you want to pass that big test that is holding you back from your future, I have helped thousands of people reach their goals. I would be honored to help you reach your your goal now. I also specialize in immigration evaluations and teach a course for others wanting to add to their practice.
Reach Your Goal Now with Dr. Cio! Whether it is learning to love yourself, love your life, preparing for a marathon, improving your relationships, making a new relationship with a challenging diagnosis, traumatic experience, changing body, or you want to pass that big test that is holding you back from your future, I have helped thousands of people reach their goals. I would be honored to help you reach your your goal now. I also specialize in immigration evaluations and teach a course for others wanting to add to their practice.
(510) 291-4603 View (510) 291-4603
Photo of Jennifer Scharding, Psychologist, PsyD
Jennifer Scharding
Psychologist, PsyD
1 Endorsed
Online Only
Not accepting new clients
Hi, I'm Dr. Jennifer Scharding. I have been practicing for ten years, providing therapy for adults, couples, and families. I hold a doctorate in psychology, and my research focuses on how outer perceptions affect our inner self-worth. I believe that as my client, you come to me as your own agent of change, and my job is to facilitate and support that with all the expertise and enthusiasm I offer. Working together, we will process trauma, uncover the roots of issues, build lasting trust and self-worth, and recognize -and celebrate!- the strength and resilience shown with each step of progress.
Hi, I'm Dr. Jennifer Scharding. I have been practicing for ten years, providing therapy for adults, couples, and families. I hold a doctorate in psychology, and my research focuses on how outer perceptions affect our inner self-worth. I believe that as my client, you come to me as your own agent of change, and my job is to facilitate and support that with all the expertise and enthusiasm I offer. Working together, we will process trauma, uncover the roots of issues, build lasting trust and self-worth, and recognize -and celebrate!- the strength and resilience shown with each step of progress.
(650) 955-1017 View (650) 955-1017
Photo of Tamika Blaisdell, Clinical Social Work/Therapist, MA, LCSW
Tamika Blaisdell
Clinical Social Work/Therapist, MA, LCSW
Online Only
I guide individuals through spiritual warfare and affliction. I’ve been in the mental health field since 2003. My work experience is derived from working in psychiatric facilities, high schools, prisons and my own private practice.
I guide individuals through spiritual warfare and affliction. I’ve been in the mental health field since 2003. My work experience is derived from working in psychiatric facilities, high schools, prisons and my own private practice.
(406) 578-5520 View (406) 578-5520
Photo of Kristin Butler - Child Therapy Institute, Pre-Licensed Professional, AMFT
Child Therapy Institute
Pre-Licensed Professional, AMFT
San Pablo, CA 94806
Not accepting new clients
(341) 221-4526 View (341) 221-4526

More Therapists Nearby

Photo of Peter Kouzmov, Marriage & Family Therapist, LMFT
Peter Kouzmov
Marriage & Family Therapist, LMFT
Online Only
You shouldn't have to spend your first session explaining yourself. As a gay, biracial immigrant and licensed therapist, I bring lived experience to the work. I specialize in LGBTQ+ concerns, immigrant and multicultural identities, trauma, anxiety, depression, and relationship challenges. My practice is affirming of diverse identities, relationship structures, and expressions of sexuality. Integrative approach: IFS, psychodynamic, somatic, CBT, DBT, Gottman. Online only. Licensed in New York and California. English, Bulgarian, Macedonian. Free 15-minute consultation—let's see if we're a good fit.
You shouldn't have to spend your first session explaining yourself. As a gay, biracial immigrant and licensed therapist, I bring lived experience to the work. I specialize in LGBTQ+ concerns, immigrant and multicultural identities, trauma, anxiety, depression, and relationship challenges. My practice is affirming of diverse identities, relationship structures, and expressions of sexuality. Integrative approach: IFS, psychodynamic, somatic, CBT, DBT, Gottman. Online only. Licensed in New York and California. English, Bulgarian, Macedonian. Free 15-minute consultation—let's see if we're a good fit.
(929) 755-8093 View (929) 755-8093
Photo of Angela Haick, Marriage & Family Therapist, MA, CALMFT, EdD
Angela Haick
Marriage & Family Therapist, MA, CALMFT, EdD
1 Endorsed
Walnut Creek, CA 94596
I offer a safe and supportive environment where clients can explore their painful experiences while gaining deeper insights into their struggles. My goal is to guide them toward resilience and healing. I work with individuals, couples, teens, LGBTQ2S populations, and families facing challenges such as depression, anxiety, trauma, eating disorders, body dysmorphia and life transitions. Utilizing a holistic approach, I integrate Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Solution-Focused Therapy, Narrative Therapy, and psychodynamic techniques to tailor treatment to each client's unique needs.
I offer a safe and supportive environment where clients can explore their painful experiences while gaining deeper insights into their struggles. My goal is to guide them toward resilience and healing. I work with individuals, couples, teens, LGBTQ2S populations, and families facing challenges such as depression, anxiety, trauma, eating disorders, body dysmorphia and life transitions. Utilizing a holistic approach, I integrate Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Solution-Focused Therapy, Narrative Therapy, and psychodynamic techniques to tailor treatment to each client's unique needs.
(925) 940-4256 View (925) 940-4256
Photo of Erin Carnahan, Licensed Professional Counselor, LPCC, CMHC, MA
Erin Carnahan
Licensed Professional Counselor, LPCC, CMHC, MA
Online Only
When you’re queer, trans, neurodivergent, or questioning– especially if you were ever in the evangelical church–you’re probably blaming yourself for still barely scraping by (even if no one else seems to see how much you’re struggling). You’ve been trying so hard to fit in and feel better for so long, but life still feels overwhelming, precarious, and off somehow. As the chronic stress mounts, you’re realizing that stuffing the feelings and questions down doesn’t work very well or for very long. As someone with multiple marginalized and intersecting identities, it’s rare to find someone who gets it– who can be there for all of you.
When you’re queer, trans, neurodivergent, or questioning– especially if you were ever in the evangelical church–you’re probably blaming yourself for still barely scraping by (even if no one else seems to see how much you’re struggling). You’ve been trying so hard to fit in and feel better for so long, but life still feels overwhelming, precarious, and off somehow. As the chronic stress mounts, you’re realizing that stuffing the feelings and questions down doesn’t work very well or for very long. As someone with multiple marginalized and intersecting identities, it’s rare to find someone who gets it– who can be there for all of you.
(415) 653-0771 View (415) 653-0771
Photo of Suzan S. Alhakeem, Marriage & Family Therapist, MA, LMFT
Suzan S. Alhakeem
Marriage & Family Therapist, MA, LMFT
Online Only
Accepting new clients and insurance. I'm a licensed Marriage and Family Therapist (LMFT) with specialized training in EMDR (Eye Movement Desensitization and Reprocessing), offering trauma-informed care to individuals seeking deep, lasting healing. My approach is warm, collaborative, and nonjudgmental. I provide a safe and supportive space where you can explore difficult emotions, process past experiences, and reconnect with your inner strength. Whether you're navigating anxiety, relationship challenges, unresolved childhood wounds, or the aftermath of trauma, I meet you where you are — and walk with you at your pace.
Accepting new clients and insurance. I'm a licensed Marriage and Family Therapist (LMFT) with specialized training in EMDR (Eye Movement Desensitization and Reprocessing), offering trauma-informed care to individuals seeking deep, lasting healing. My approach is warm, collaborative, and nonjudgmental. I provide a safe and supportive space where you can explore difficult emotions, process past experiences, and reconnect with your inner strength. Whether you're navigating anxiety, relationship challenges, unresolved childhood wounds, or the aftermath of trauma, I meet you where you are — and walk with you at your pace.
(949) 676-8395 View (949) 676-8395

See more therapy options for San Pablo

How does your Therapist compare?

Number of Therapists in San Pablo, CA

10+

Average cost per session

$125

Therapists in San Pablo, CA who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
88% Self Esteem
75% Relationship Issues
75% Depression

Average years in practice

14 Years

Top 3 insurances accepted

73% Aetna
64% Cigna and Evernorth
55% TRICARE

How Therapists in San Pablo, CA see their clients

56% Online Only
44% In Person and Online

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in San Pablo?

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.