Therapists in San Diego, CA

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Photo of Maria Martinez: Hope Therapy Group, Marriage & Family Therapist Associate in San Diego, CA
Maria Martinez: Hope Therapy Group
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
San Diego, CA 92117
There are always times when bad situations can overwhelm a person, but the person always has the option to push the struggle to get to a place where they can find happiness. Making an actual effort toward improving life is something that can create happiness in and of itself. And here you are… You did it! You made the first step to your healing journey by taking time out of your day to look for your own therapy. I admire you.
There are always times when bad situations can overwhelm a person, but the person always has the option to push the struggle to get to a place where they can find happiness. Making an actual effort toward improving life is something that can create happiness in and of itself. And here you are… You did it! You made the first step to your healing journey by taking time out of your day to look for your own therapy. I admire you.
(619) 345-5911 View (619) 345-5911
Photo of Mya Williams, Clinical Social Work/Therapist in San Diego, CA
Mya Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92127
Greetings, my name is Mya Williams. I am a licensed clinical social worker operating in California since January 2023. I have been a clinician since 2011, with over 12 years of experience in the field. I utilize several different approaches in the pursuit of mental health, including but not limited to cognitive behavioral therapy, motivational interviewing, and strength-based perspective, to help understand how emotions affect behaviors—my License number: 113156 (CA).
Greetings, my name is Mya Williams. I am a licensed clinical social worker operating in California since January 2023. I have been a clinician since 2011, with over 12 years of experience in the field. I utilize several different approaches in the pursuit of mental health, including but not limited to cognitive behavioral therapy, motivational interviewing, and strength-based perspective, to help understand how emotions affect behaviors—my License number: 113156 (CA).
(858) 330-3861 View (858) 330-3861
Photo of Mylene Eduvala, Clinical Social Work/Therapist in San Diego, CA
Mylene Eduvala
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92127
Not accepting new clients
Are you tired of feeling anxious, overwhelmed, stressed, and even panicked? I can help you manage those emotions when life hands you difficult challenges. You may be struggling to focus on work, school, or even on the relationships you have with other people because of these feelings. I can help you gain back your control. Your thoughts make you question your abilities and may make you feel like an imposter in your own life. Let me show you how to step back into feeling like your authentic self. You're ready to manage your thoughts and feelings to start living the life that you deserve. I can support you with reaching this goal.
Are you tired of feeling anxious, overwhelmed, stressed, and even panicked? I can help you manage those emotions when life hands you difficult challenges. You may be struggling to focus on work, school, or even on the relationships you have with other people because of these feelings. I can help you gain back your control. Your thoughts make you question your abilities and may make you feel like an imposter in your own life. Let me show you how to step back into feeling like your authentic self. You're ready to manage your thoughts and feelings to start living the life that you deserve. I can support you with reaching this goal.
(858) 358-7588 View (858) 358-7588
Photo of Kendra Hadley, Licensed Professional Clinical Counselor in San Diego, CA
Kendra Hadley
Licensed Professional Clinical Counselor, LCPC
Verified Verified
San Diego, CA 92126
Hi, there! My name is Kendra Hadley, and I am a licensed professional clinical counselor in the state of California (LPCC 14503). My areas of expertise are addiction, mental health, trauma, and couples counseling. I utilize a variety of therapeutic modalities and interventions to help people become the best possible versions of themselves. I work primarily with a culturally diverse population of young adults who struggle with a variety of habits and hang-ups, i.e. drug and alcohol addiction, process addiction (i.e. sex, gaming, etc.), and more.
Hi, there! My name is Kendra Hadley, and I am a licensed professional clinical counselor in the state of California (LPCC 14503). My areas of expertise are addiction, mental health, trauma, and couples counseling. I utilize a variety of therapeutic modalities and interventions to help people become the best possible versions of themselves. I work primarily with a culturally diverse population of young adults who struggle with a variety of habits and hang-ups, i.e. drug and alcohol addiction, process addiction (i.e. sex, gaming, etc.), and more.
(858) 381-9751 View (858) 381-9751
Photo of Peggy Sue Black, Licensed Professional Clinical Counselor in San Diego, CA
Peggy Sue Black
Licensed Professional Clinical Counselor, LPCC
Verified Verified
San Diego, CA 92122  (Online Only)
Navigating the challenges of substance abuse, anxiety, trauma and depression requires a nuanced, compassionate approach. Understanding that each person's journey is unique, I meet clients where they're at, offering a tailored path towards healing and self-discovery. Utilizing Cognitive Behavioral Therapy, we explore the intricate relationship between thoughts, emotions, and behaviors, aiming to cultivate resilience and empowerment. My goal is to create a supportive environment where individuals feel seen, heard, and capable of navigating their experiences with newfound strength and clarity
Navigating the challenges of substance abuse, anxiety, trauma and depression requires a nuanced, compassionate approach. Understanding that each person's journey is unique, I meet clients where they're at, offering a tailored path towards healing and self-discovery. Utilizing Cognitive Behavioral Therapy, we explore the intricate relationship between thoughts, emotions, and behaviors, aiming to cultivate resilience and empowerment. My goal is to create a supportive environment where individuals feel seen, heard, and capable of navigating their experiences with newfound strength and clarity
(858) 786-2317 View (858) 786-2317
Photo of Tess Owens, Marriage & Family Therapist in San Diego, CA
Tess Owens
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Diego, CA 92103
Qualified to provide individual and family therapy. I have gained an in-depth understanding and passion for relational and family systems, trauma-informed care and experiential interventions. I am an empathic and insightful therapist with a talent for empowering clients towards positive growth. I have a successful history of achievement in academic, training and work experiences. Trained in assessment, diagnosis, treatment planning and providing psychotherapy to adults & adolescents with a wide variety of presenting problems including, depression, anxiety, trauma, dual diagnosis, self esteem, identity, relapse and addiction.
Qualified to provide individual and family therapy. I have gained an in-depth understanding and passion for relational and family systems, trauma-informed care and experiential interventions. I am an empathic and insightful therapist with a talent for empowering clients towards positive growth. I have a successful history of achievement in academic, training and work experiences. Trained in assessment, diagnosis, treatment planning and providing psychotherapy to adults & adolescents with a wide variety of presenting problems including, depression, anxiety, trauma, dual diagnosis, self esteem, identity, relapse and addiction.
(619) 431-4106 View (619) 431-4106
Photo of David Jaffe, Ph.D., Psychologist in San Diego, CA
David Jaffe, Ph.D.
Psychologist, PhD
Verified Verified
1 Endorsed
San Diego, CA 92117
Are you feeling stuck, unsatisfied in life?  Do you feel like each day is a fight because you are overrun by sadness, anxiety, hopelessness, and anger?  Regardless of your circumstances, please know that you have come to the right person.  My name is Dr. David Jaffe and I am a licensed clinical psychologist that has worked in the mental health field for over 20 years. I can help you to cope with negative emotions more effectively, reduce stress, improve sleep, focus, overall health and well being, reach personal/professional goals, reduce interpersonal conflict, and cope with past trauma more effectively.
Are you feeling stuck, unsatisfied in life?  Do you feel like each day is a fight because you are overrun by sadness, anxiety, hopelessness, and anger?  Regardless of your circumstances, please know that you have come to the right person.  My name is Dr. David Jaffe and I am a licensed clinical psychologist that has worked in the mental health field for over 20 years. I can help you to cope with negative emotions more effectively, reduce stress, improve sleep, focus, overall health and well being, reach personal/professional goals, reduce interpersonal conflict, and cope with past trauma more effectively.
(619) 430-2560 View (619) 430-2560
Photo of Amber Laurie, Associate Clinical Social Worker in San Diego, CA
Amber Laurie
Associate Clinical Social Worker, MA, ASW
Verified Verified
1 Endorsed
San Diego, CA 92108
“I now see that owning our story and loving ourselves through that process is the bravest thing that we will ever do.” – Brené Brown My goal in therapy is to be a strong support for you as you own your story and learn to practice more love and acceptance for yourself. Reaching out to a therapist can be scary and vulnerable, and I hope to provide a safe space for you to identify your goals and begin to make positive, values-based changes toward a more meaningful and fulfilling life.
“I now see that owning our story and loving ourselves through that process is the bravest thing that we will ever do.” – Brené Brown My goal in therapy is to be a strong support for you as you own your story and learn to practice more love and acceptance for yourself. Reaching out to a therapist can be scary and vulnerable, and I hope to provide a safe space for you to identify your goals and begin to make positive, values-based changes toward a more meaningful and fulfilling life.
(619) 732-5530 View (619) 732-5530
Photo of Wayne Allen Bardwell, Psychologist in San Diego, CA
Wayne Allen Bardwell
Psychologist, PhD, MBA, F-APOS
Verified Verified
1 Endorsed
San Diego, CA 92101
I believe the basis of a successful psychotherapy experience is a warm, empathic and non-judgmental connection where clients feel understood, supported and accepted. My clinical work focuses on helping people with depression or anxiety issues, chronic or life-threatening illness, & chronic pain. In addition, I enjoy working with older adolescents and young adults who have been frustrated in trying to capitalize on their strengths & achieve their personal & professional goals. Our work may involve issues related to mood, behaviors, education/career, stage-of-life transitions, relationships, & sexuality or sexual orientation.
I believe the basis of a successful psychotherapy experience is a warm, empathic and non-judgmental connection where clients feel understood, supported and accepted. My clinical work focuses on helping people with depression or anxiety issues, chronic or life-threatening illness, & chronic pain. In addition, I enjoy working with older adolescents and young adults who have been frustrated in trying to capitalize on their strengths & achieve their personal & professional goals. Our work may involve issues related to mood, behaviors, education/career, stage-of-life transitions, relationships, & sexuality or sexual orientation.
(619) 817-8023 View (619) 817-8023
Photo of Stacy Kim Johnston, Psychologist in San Diego, CA
Stacy Kim Johnston
Psychologist, PhD
Verified Verified
San Diego, CA 92101
I work well with people who are seeking improvement on the following issues: relationship issues whether it be husband-wife, cohabitants, mother-daughter/son, father-son/daughter, co-parenting, or divorce mediation. I also have experience with substance abuse issues and dual diagnosis as well as co-dependency. Self-esteem is often a struggle with many teens and young women and this is another area of expertise. Anger issues are commonly found in men and this too is an area in which I can offer professional help. I welcome you to contact me to see if we are a good fit.
I work well with people who are seeking improvement on the following issues: relationship issues whether it be husband-wife, cohabitants, mother-daughter/son, father-son/daughter, co-parenting, or divorce mediation. I also have experience with substance abuse issues and dual diagnosis as well as co-dependency. Self-esteem is often a struggle with many teens and young women and this is another area of expertise. Anger issues are commonly found in men and this too is an area in which I can offer professional help. I welcome you to contact me to see if we are a good fit.
(619) 778-7215 View (619) 778-7215
Photo of Amanda Cisneros, Marriage & Family Therapist in San Diego, CA
Amanda Cisneros
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92123  (Online Only)
Not accepting new clients
Amanda Cisneros is a Licensed Marriage and Family Therapist, based in San Diego, who provides online therapy to individuals across California. With a focus on creating a safe and inviting environment, that allow you to show up as you are, therapy will help you harness your inner strengths in order to navigate difficult life transitions. Amanda specializes in supporting college students and young professionals with adjusting to life transitions and managing conflict in their interpersonal relationships, helping them to learn and develop life skills in order to thrive!
Amanda Cisneros is a Licensed Marriage and Family Therapist, based in San Diego, who provides online therapy to individuals across California. With a focus on creating a safe and inviting environment, that allow you to show up as you are, therapy will help you harness your inner strengths in order to navigate difficult life transitions. Amanda specializes in supporting college students and young professionals with adjusting to life transitions and managing conflict in their interpersonal relationships, helping them to learn and develop life skills in order to thrive!
(858) 304-7965 View (858) 304-7965
Photo of Cheree Alejandro, Licensed Professional Counselor in San Diego, CA
Cheree Alejandro
Licensed Professional Counselor, LPCC
Verified Verified
San Diego, CA 92113
My name is Cheree Alejandro. I am a Licensed Professional Clinical Counseling. I have work in multiple areas with different populations. Such as crisis assessment and intervention, dual diagnosis, individual and group therapy for depression and anxiety. I use different modalities such as CBT, DBT, motivational interviewing, solution brief focused therapy. Worked with different cultures, ages from 5 to 85.
My name is Cheree Alejandro. I am a Licensed Professional Clinical Counseling. I have work in multiple areas with different populations. Such as crisis assessment and intervention, dual diagnosis, individual and group therapy for depression and anxiety. I use different modalities such as CBT, DBT, motivational interviewing, solution brief focused therapy. Worked with different cultures, ages from 5 to 85.
(619) 717-8914 View (619) 717-8914
Photo of Jeanette Shepherd @ Grow Through Life Counseling, Associate Marriage & Family Therapist in San Diego, CA
Jeanette Shepherd @ Grow Through Life Counseling
Associate Marriage & Family Therapist, AMFT
Verified Verified
1 Endorsed
San Diego, CA 92131
Hello! I provide therapy for youth, families, and individuals and have worked with various populations. I believe that everyone deserves a sense of belonging and a safe place to land while navigating life's challenges. I have experience treating complex trauma, family conflict, peer conflict, identity exploration, anxiety, depression, the impacts of social media/devices, and parenting challenges. I understand that everyone's mental health journey looks different. No matter what you may be facing, I would be honored to walk alongside you through it.
Hello! I provide therapy for youth, families, and individuals and have worked with various populations. I believe that everyone deserves a sense of belonging and a safe place to land while navigating life's challenges. I have experience treating complex trauma, family conflict, peer conflict, identity exploration, anxiety, depression, the impacts of social media/devices, and parenting challenges. I understand that everyone's mental health journey looks different. No matter what you may be facing, I would be honored to walk alongside you through it.
(858) 682-6110 View (858) 682-6110
Photo of Meredith Mauzé, Marriage & Family Therapist in San Diego, CA
Meredith Mauzé
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92108
Waitlist for new clients
If you have made it this far, chances are you are seeking something you haven’t yet found. You may just want someone to talk to or hold space for you. You may be hoping to explore and discover more about yourself, and utilize therapy to work through your barriers to growth and healing. I would be honored to be a part of your journey. I believe that therapy should be a safe space for folks to process, and is a collaborative effort between client and therapist. You may not feel it in this moment, but you are the expert of your experience.
If you have made it this far, chances are you are seeking something you haven’t yet found. You may just want someone to talk to or hold space for you. You may be hoping to explore and discover more about yourself, and utilize therapy to work through your barriers to growth and healing. I would be honored to be a part of your journey. I believe that therapy should be a safe space for folks to process, and is a collaborative effort between client and therapist. You may not feel it in this moment, but you are the expert of your experience.
(619) 257-2555 View (619) 257-2555
Photo of Theokratia Psychotherapy Professional Corporation, Marriage & Family Therapist in San Diego, CA
Theokratia Psychotherapy Professional Corporation
Marriage & Family Therapist, PSY, LMFT, MA, Dr
Verified Verified
San Diego, CA 92101
Our group of therapists treats all forms: individual, families, couples, etc. We enjoy working with couples (premarital couples, married couples, divorcing and divorced couples, co-parenting couples). Our client is the relationship and our goal is that you would experience new life in your relationship.
Our group of therapists treats all forms: individual, families, couples, etc. We enjoy working with couples (premarital couples, married couples, divorcing and divorced couples, co-parenting couples). Our client is the relationship and our goal is that you would experience new life in your relationship.
(858) 251-8152 View (858) 251-8152
Photo of Halima S ., Licensed Professional Clinical Counselor in San Diego, CA
Halima S .
Licensed Professional Clinical Counselor, MS, LPCC
Verified Verified
San Diego, CA 92111  (Online Only)
We are currently accepting clients! AMALY is a virtual mental health organization that serves individuals and couples across California. We specialize in providing services to BIPOC clients.
We are currently accepting clients! AMALY is a virtual mental health organization that serves individuals and couples across California. We specialize in providing services to BIPOC clients.
(619) 505-3750 View (619) 505-3750
Photo of Tabitha Hernandez, Clinical Social Work/Therapist in San Diego, CA
Tabitha Hernandez
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92101  (Online Only)
Waitlist for new clients
Hello Hello, I'm Tabitha :) I'm a Licensed Clinical Social Worker (LCSW) based in San Diego, California. I believe in empathetic listening, transparency, and empowerment as a means to unravel inner conflict. I have a client-centered, trauma-informed approach, integrating conventional and holistic therapeutic modalities. I encourage mind-body oriented integrative methods in providing counseling, mental health and wellness approaches. My approach is to reveal the barriers we build in attempts to protect ourselves from childhood and adult relationship traumas.
Hello Hello, I'm Tabitha :) I'm a Licensed Clinical Social Worker (LCSW) based in San Diego, California. I believe in empathetic listening, transparency, and empowerment as a means to unravel inner conflict. I have a client-centered, trauma-informed approach, integrating conventional and holistic therapeutic modalities. I encourage mind-body oriented integrative methods in providing counseling, mental health and wellness approaches. My approach is to reveal the barriers we build in attempts to protect ourselves from childhood and adult relationship traumas.
(442) 254-0011 View (442) 254-0011
Photo of Lisa Kemble, Marriage & Family Therapist in San Diego, CA
Lisa Kemble
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92103  (Online Only)
I'm passionate about helping people explore their stories in creative ways to empower them to live fully and authentically. In therapy, I create a safe and sacred space where people can understand both their power and their pain, heal from the wounds and trauma of their pasts, and move forward in their lives into meaning, freedom and wholeness. I have an active, engaged, personal and empathic style, and I strive to help my clients feel comfortable and known.
I'm passionate about helping people explore their stories in creative ways to empower them to live fully and authentically. In therapy, I create a safe and sacred space where people can understand both their power and their pain, heal from the wounds and trauma of their pasts, and move forward in their lives into meaning, freedom and wholeness. I have an active, engaged, personal and empathic style, and I strive to help my clients feel comfortable and known.
(858) 251-6926 View (858) 251-6926
Photo of Anna de la Paz Roberts, Marriage & Family Therapist in San Diego, CA
Anna de la Paz Roberts
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Diego, CA 92116
Not accepting new clients
You are only human. This means needing secure, safe attachments with others in order to thrive. You want freedom from addiction, anxiety, depression, or trauma. You’re experiencing conflicts in your most important relationships. These problems often block us from feeling confident or thinking clearly. You may be out of energy trying to fix what's not working and need a new perspective to resolve these difficulties. As a Licensed Marriage and Family Therapist, I support individuals and relationships through solution-focused and strengths-based approaches.
You are only human. This means needing secure, safe attachments with others in order to thrive. You want freedom from addiction, anxiety, depression, or trauma. You’re experiencing conflicts in your most important relationships. These problems often block us from feeling confident or thinking clearly. You may be out of energy trying to fix what's not working and need a new perspective to resolve these difficulties. As a Licensed Marriage and Family Therapist, I support individuals and relationships through solution-focused and strengths-based approaches.
(619) 722-3329 View (619) 722-3329
Photo of Zhaohui (Sunny) Yang, Marriage & Family Therapist in San Diego, CA
Zhaohui (Sunny) Yang
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92127
I'm very much a client-centered therapist and collaborate with my clients in defining the goals and paths of recovery. Being an immigrant myself, I work extensively with immigrants and their families, as well as families of mixed racial/cultural backgrounds. I am a strong advocate for under-served, underrepresented groups, and for victims of social injustice and domestic violence.
I'm very much a client-centered therapist and collaborate with my clients in defining the goals and paths of recovery. Being an immigrant myself, I work extensively with immigrants and their families, as well as families of mixed racial/cultural backgrounds. I am a strong advocate for under-served, underrepresented groups, and for victims of social injustice and domestic violence.
(619) 330-9142 View (619) 330-9142

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$160

Therapists in San Diego, CA who prioritize treating:

93% Anxiety
87% Depression
71% Self Esteem
66% Relationship Issues
66% Trauma and PTSD
66% Coping Skills
62% Stress

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
73% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in San Diego?

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.