Therapists in Vancouver, WA

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Photo of Trish Carder, Counselor in Vancouver, WA
Trish Carder
Counselor, LMHCA, LICSWA
Verified Verified
1 Endorsed
Vancouver, WA 98662
Currently, I have a limited number of late afternoon/early evening openings for clients seeking either in-person or telehealth appointments. I work with adults, age 18 and over, who have histories of trauma, including physical, sexual, or verbal abuse, and abandonment or neglect, and those going through difficult life transitions, such as divorce or loss of a loved one. Symptoms we address include depression, anxiety, anger, low self-esteem, and feeling disconnected from yourself or others.
Currently, I have a limited number of late afternoon/early evening openings for clients seeking either in-person or telehealth appointments. I work with adults, age 18 and over, who have histories of trauma, including physical, sexual, or verbal abuse, and abandonment or neglect, and those going through difficult life transitions, such as divorce or loss of a loved one. Symptoms we address include depression, anxiety, anger, low self-esteem, and feeling disconnected from yourself or others.
(360) 523-1283 View (360) 523-1283
Photo of Cherry Foultner, Marriage & Family Therapist in Vancouver, WA
Cherry Foultner
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Vancouver, WA 98662
Pursuing a better self is a challenging journey. At times, you can feel lost and unsure how to break yourself out of the never-ending cycle. Do you often feel weighed down by challenging life situations, relationship difficulties, mental health, or stress? I can help you work on strategies and inner resources that will allow you to address the root cause of your difficulties and find healing.
Pursuing a better self is a challenging journey. At times, you can feel lost and unsure how to break yourself out of the never-ending cycle. Do you often feel weighed down by challenging life situations, relationship difficulties, mental health, or stress? I can help you work on strategies and inner resources that will allow you to address the root cause of your difficulties and find healing.
(360) 860-5303 View (360) 860-5303
Photo of Megan Conedy, Clinical Social Work/Therapist in Vancouver, WA
Megan Conedy
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Vancouver, WA 98685
I am currently accepting new clients. Seeking out a therapist can be a difficult, yet courageous first step to bettering your life. I believe everyone has a unique and powerful story to tell and I am here to listen. Together, we will be able to identify your concerns with your current situation, explore patterns that aren't working, and develop skills to make life more manageable, peaceful, and enjoyable. We will start where you are and focus where you want to focus, all at your pace.
I am currently accepting new clients. Seeking out a therapist can be a difficult, yet courageous first step to bettering your life. I believe everyone has a unique and powerful story to tell and I am here to listen. Together, we will be able to identify your concerns with your current situation, explore patterns that aren't working, and develop skills to make life more manageable, peaceful, and enjoyable. We will start where you are and focus where you want to focus, all at your pace.
(360) 515-4894 View (360) 515-4894
Photo of Bryan Ledbury, Counselor in Vancouver, WA
Bryan Ledbury
Counselor, LMHC
Verified Verified
Vancouver, WA 98686
Bryan graduated with a Master of Arts in Counseling from Multnomah University in 2012. Bryan is a Licensed Mental Health Counselor in the state of Washington. Bryan has experience working with various diagnoses, including depression, anxiety, PTSD, and bipolar. Bryan also has experience working with dual diagnosis (substance abuse/addictions and mental health).
Bryan graduated with a Master of Arts in Counseling from Multnomah University in 2012. Bryan is a Licensed Mental Health Counselor in the state of Washington. Bryan has experience working with various diagnoses, including depression, anxiety, PTSD, and bipolar. Bryan also has experience working with dual diagnosis (substance abuse/addictions and mental health).
(360) 361-8513 View (360) 361-8513
Photo of Roxane Renee Johnson, Clinical Social Work/Therapist in Vancouver, WA
Roxane Renee Johnson
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Vancouver, WA 98686
Discover Your Path to Growth and Healing! Are you ready to embark on a transformative journey towards personal growth and healing? I'm a licensed clinical social worker specializing in helping children, teens, and adults overcome challenges. Using evidence-based techniques like ACT, DBT, and CBT, I'll guide you through present and past issues. If you have any of the insurance listed below, please head over to HelloAlma.com and request a consult.
Discover Your Path to Growth and Healing! Are you ready to embark on a transformative journey towards personal growth and healing? I'm a licensed clinical social worker specializing in helping children, teens, and adults overcome challenges. Using evidence-based techniques like ACT, DBT, and CBT, I'll guide you through present and past issues. If you have any of the insurance listed below, please head over to HelloAlma.com and request a consult.
(360) 800-3591 View (360) 800-3591
Photo of Kristine Kemp, Clinical Social Work/Therapist in Vancouver, WA
Kristine Kemp
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98662
Stress and anxiety manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
Stress and anxiety manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
(360) 516-2952 View (360) 516-2952
Photo of Rebecca Bradley, Clinical Social Work/Therapist in Vancouver, WA
Rebecca Bradley
Clinical Social Work/Therapist
Verified Verified
Vancouver, WA 98660
Welcome to a therapeutic space where healing is holistic, and the mind-body connection is at the core of transformation. My practice is a sanctuary for those navigating the complexities of life, offering support for a range of challenges including trauma, depression, anxiety, grief, psychosis and existential crisis. In our collaborative journey, I see myself as a partner and guide, empowering you to explore the depths of your own potential for healing. My practice is rooted in the belief that each individual possesses innate ability to heal themselves. Together, we navigate the path towards unlocking the transformative power within
Welcome to a therapeutic space where healing is holistic, and the mind-body connection is at the core of transformation. My practice is a sanctuary for those navigating the complexities of life, offering support for a range of challenges including trauma, depression, anxiety, grief, psychosis and existential crisis. In our collaborative journey, I see myself as a partner and guide, empowering you to explore the depths of your own potential for healing. My practice is rooted in the belief that each individual possesses innate ability to heal themselves. Together, we navigate the path towards unlocking the transformative power within
(360) 938-4293 View (360) 938-4293
Photo of Stephanie Horan, Clinical Social Work/Therapist in Vancouver, WA
Stephanie Horan
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98662
Stephanie Horan is a Licensed Clinical Social Worker in Washington who has been practicing since 2018. She received her Master's of Social Work from Brigham Young University with a focus in clinical social work. She also received her Bachelor's Degree in Sociology from Brigham Young University. Since then, she has had maintained training in Suicide Prevention, Crucial Conversations, Acceptance Commitment Therapy, Neurofeedback, Cognitive Behavioral Therapy, Expressive Arts Therapy, Motivational Interviewing, Faith Deconstruction, and working with LGTBQ+ populations.
Stephanie Horan is a Licensed Clinical Social Worker in Washington who has been practicing since 2018. She received her Master's of Social Work from Brigham Young University with a focus in clinical social work. She also received her Bachelor's Degree in Sociology from Brigham Young University. Since then, she has had maintained training in Suicide Prevention, Crucial Conversations, Acceptance Commitment Therapy, Neurofeedback, Cognitive Behavioral Therapy, Expressive Arts Therapy, Motivational Interviewing, Faith Deconstruction, and working with LGTBQ+ populations.
(360) 818-2917 View (360) 818-2917
Photo of Luke M Wright, Counselor in Vancouver, WA
Luke M Wright
Counselor, LMHC
Verified Verified
Vancouver, WA 98683
Luke M. Wright is a Licensed Mental Health Counselor in Washington who has been practicing since 2022. He has an MACP from The Seattle School of Theology and Psychology and a Certification of completion from the Narrative Focused Trauma Care Level II at The Allender Center. In Luke's approach to therapy, you will find it conversationally and relationally driven. He believes that relationships are the framework in which change, and healing occur regardless of the therapeutic context a therapist draws from. In addition to this, Luke believes that our symptoms and pain are rooted in the deep stories of our life.
Luke M. Wright is a Licensed Mental Health Counselor in Washington who has been practicing since 2022. He has an MACP from The Seattle School of Theology and Psychology and a Certification of completion from the Narrative Focused Trauma Care Level II at The Allender Center. In Luke's approach to therapy, you will find it conversationally and relationally driven. He believes that relationships are the framework in which change, and healing occur regardless of the therapeutic context a therapist draws from. In addition to this, Luke believes that our symptoms and pain are rooted in the deep stories of our life.
(360) 218-0317 View (360) 218-0317
Photo of Pamela Ann Skiver, Clinical Social Work/Therapist in Vancouver, WA
Pamela Ann Skiver
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98684
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
(360) 583-4935 View (360) 583-4935
Photo of Samantha Lynes, Licensed Professional Counselor in Vancouver, WA
Samantha Lynes
Licensed Professional Counselor, LMHC
Verified Verified
Vancouver, WA 98662  (Online Only)
Samantha Lynes is a Licensed Mental Health Counselor (LMHC) who utilizes evidence-based practices and tailors her dialogue and treatment plans to meet the unique and specific needs of each client. Samantha specializes in depression, anxiety, self-esteem difficulties, life transitions, and trauma.
Samantha Lynes is a Licensed Mental Health Counselor (LMHC) who utilizes evidence-based practices and tailors her dialogue and treatment plans to meet the unique and specific needs of each client. Samantha specializes in depression, anxiety, self-esteem difficulties, life transitions, and trauma.
(360) 868-8094 View (360) 868-8094
Photo of Cindy Feng, Psychologist in Vancouver, WA
Cindy Feng
Psychologist, PsyD
Verified Verified
Vancouver, WA 98665
Hello, I hope you and your loved ones are safe and healthy amidst the COVID-19 crisis. Coronavirus has triggered pervasive anxiety and is transforming how we work, live, consider our health, and engage in social interactions. I specialize in providing culturally-sensitive and empowering online video therapy with the goal of positive change. Therapy is an active platform for growth. I hope to help you process the stress and anxiety of shelter-in-place, working from home, social isolation, and the uncertainty that looms ahead while helping you to stay connected to a positive attitude.
Hello, I hope you and your loved ones are safe and healthy amidst the COVID-19 crisis. Coronavirus has triggered pervasive anxiety and is transforming how we work, live, consider our health, and engage in social interactions. I specialize in providing culturally-sensitive and empowering online video therapy with the goal of positive change. Therapy is an active platform for growth. I hope to help you process the stress and anxiety of shelter-in-place, working from home, social isolation, and the uncertainty that looms ahead while helping you to stay connected to a positive attitude.
(833) 766-4948 View (833) 766-4948
Photo of Keina Ritenburgh, Clinical Social Work/Therapist in Vancouver, WA
Keina Ritenburgh
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98663
I believe that we all have the power deep inside of us to make the changes that we want in our lives. Sometimes it just takes a little bit of extra support and a different perspective along the way. My counseling approach is one of care, compassion, and empathy. It is important to build a strong therapeutic relationship with my client, one that feels comfortable and free from judgment and shame. Therapy is an opportunity for expression, self-exploration, healing, and learning new skills and strategies to address the issues that are getting in your way. Taking care of your mental health is as important as your physical health.
I believe that we all have the power deep inside of us to make the changes that we want in our lives. Sometimes it just takes a little bit of extra support and a different perspective along the way. My counseling approach is one of care, compassion, and empathy. It is important to build a strong therapeutic relationship with my client, one that feels comfortable and free from judgment and shame. Therapy is an opportunity for expression, self-exploration, healing, and learning new skills and strategies to address the issues that are getting in your way. Taking care of your mental health is as important as your physical health.
(360) 226-5423 View (360) 226-5423
Photo of Kayann Foster, Counselor in Vancouver, WA
Kayann Foster
Counselor, MA, LMHC, SUDPT, NCC, LPC
Verified Verified
2 Endorsed
Vancouver, WA 98682  (Online Only)
Accepting New Clients and providing telehealth-only services. What does it mean to prioritize your mental health? I ask this question to help shed light on one of the most effective ways to handle life's challenges and unresolved trauma. Therapy opens doors to unlimited possibilities, your ideal self. I focus on helping my clients step outside themselves and explore hidden aspects of who they are. The fear of the unknown is real and therapy allows you to traverse that journey with a facilitator, someone you can reach out to in a crisis.
Accepting New Clients and providing telehealth-only services. What does it mean to prioritize your mental health? I ask this question to help shed light on one of the most effective ways to handle life's challenges and unresolved trauma. Therapy opens doors to unlimited possibilities, your ideal self. I focus on helping my clients step outside themselves and explore hidden aspects of who they are. The fear of the unknown is real and therapy allows you to traverse that journey with a facilitator, someone you can reach out to in a crisis.
(360) 858-8048 View (360) 858-8048
Photo of Jonathan Rabon, Psychologist in Vancouver, WA
Jonathan Rabon
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
Education/Experience: Jonathan is a licensed Psychologist in the State of Washington. He earned his Bachelor of Arts (BA) in Psychology from the University of Alabama in 2002, Master of Arts (MA) in Clinical Psychology in 2006 and Doctor of Clinical Psychology (PsyD) from George Fox University in Newberg, Oregon. Jonathan has worked with male and female adults and adolescents in the following settings: community mental health centers, college counseling center, mental health court, youth corrections, outpatient private practice, and adult corrections.
Education/Experience: Jonathan is a licensed Psychologist in the State of Washington. He earned his Bachelor of Arts (BA) in Psychology from the University of Alabama in 2002, Master of Arts (MA) in Clinical Psychology in 2006 and Doctor of Clinical Psychology (PsyD) from George Fox University in Newberg, Oregon. Jonathan has worked with male and female adults and adolescents in the following settings: community mental health centers, college counseling center, mental health court, youth corrections, outpatient private practice, and adult corrections.
(360) 938-4216 View (360) 938-4216
Photo of Kathleen Gibbs, Mental Health Counselor in Vancouver, WA
Kathleen Gibbs
Mental Health Counselor, LMHC
Verified Verified
Vancouver, WA 98662
Katie is a Licensed Mental Health Counselor (LMHC) who has been practicing since 2017. She graduated from the University of Washington in Seattle with a Masters degree in Child and Adolescent Psychology: Prevention and Treatment. The program focused on implementing evidence-based practices such as Cognitive-Behavioral Therapy, elements of Dialectical Behavior Therapy, Trauma-Focused Cognitive-Behavioral Therapy and various parenting interventions. Katie combines her education in these evidence-based practices with client-centered treatment to ensure both success and engagement for her clients.
Katie is a Licensed Mental Health Counselor (LMHC) who has been practicing since 2017. She graduated from the University of Washington in Seattle with a Masters degree in Child and Adolescent Psychology: Prevention and Treatment. The program focused on implementing evidence-based practices such as Cognitive-Behavioral Therapy, elements of Dialectical Behavior Therapy, Trauma-Focused Cognitive-Behavioral Therapy and various parenting interventions. Katie combines her education in these evidence-based practices with client-centered treatment to ensure both success and engagement for her clients.
(360) 361-8649 View (360) 361-8649
Photo of Jasmine Cejna (She_Her), Counselor in Vancouver, WA
Jasmine Cejna (She_Her)
Counselor, LMHC, LPC
Verified Verified
3 Endorsed
Vancouver, WA 98662
Life can be as painful as it is beautiful. It's not always easy to be our true selves. I am here to support you in living life authentically and without shame - to be confident in the person you truly are. Together we can celebrate the positives and work through the challenges that life presents. I believe your personal goals can be achieved and your struggles can be overcome with support that meets your needs.
Life can be as painful as it is beautiful. It's not always easy to be our true selves. I am here to support you in living life authentically and without shame - to be confident in the person you truly are. Together we can celebrate the positives and work through the challenges that life presents. I believe your personal goals can be achieved and your struggles can be overcome with support that meets your needs.
(971) 205-7843 View (971) 205-7843
Photo of Terry Turner James, Counselor in Vancouver, WA
Terry Turner James
Counselor, LMHC
Verified Verified
Vancouver, WA 98662  (Online Only)
Navigating through life's ever-changing landscape can be a complex journey, often marked by waves of anxiety, shades of depression, and the challenges of adjustment disorder. These experiences, though unique, share a common thread: they reflect our response to the world around us and the transitions we face. In my practice, I focus on understanding these emotional landscapes, creating a supportive space where you can explore and process these feelings. We'll work together to acknowledge the impact of life's shifts and the emotions they stir, fostering resilience and a deeper understanding of your personal journey.
Navigating through life's ever-changing landscape can be a complex journey, often marked by waves of anxiety, shades of depression, and the challenges of adjustment disorder. These experiences, though unique, share a common thread: they reflect our response to the world around us and the transitions we face. In my practice, I focus on understanding these emotional landscapes, creating a supportive space where you can explore and process these feelings. We'll work together to acknowledge the impact of life's shifts and the emotions they stir, fostering resilience and a deeper understanding of your personal journey.
(360) 262-1911 View (360) 262-1911
Photo of Bryanna Goodman, Marriage & Family Therapist in Vancouver, WA
Bryanna Goodman
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Vancouver, WA 98683
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
(360) 524-6121 View (360) 524-6121
Photo of Sharon Winkler, Clinical Social Work/Therapist in Vancouver, WA
Sharon Winkler
Clinical Social Work/Therapist, MSW, LICSW, MAC
Verified Verified
Vancouver, WA 98684
If you’re looking for a therapy of depth, insight, and durability; if you’re seeking a highly-trained therapist with over 35 years of experience who listens carefully, deeply, and thoughtfully; if you’ve been disappointed by ‘quick fix’ approaches that promise much and deliver little; if you want an individualized approach designed specifically with your needs in mind, then please call me to discuss whether we might be a good fit.
If you’re looking for a therapy of depth, insight, and durability; if you’re seeking a highly-trained therapist with over 35 years of experience who listens carefully, deeply, and thoughtfully; if you’ve been disappointed by ‘quick fix’ approaches that promise much and deliver little; if you want an individualized approach designed specifically with your needs in mind, then please call me to discuss whether we might be a good fit.
(360) 448-3379 View (360) 448-3379

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
77% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
67% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
55% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.