Therapists in Santa Fe, NM

Photo of Jill Sara Rosenberg, Marriage & Family Therapist in Santa Fe, NM
Jill Sara Rosenberg
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Santa Fe, NM 87505
I know that the process of beginning therapy can be overwhelming because I’ve been there. It takes vulnerability and courage to ask for help. I also know that therapy works because I’ve seen it--in my own life and in the lives of my clients. I congratulate you on taking this significant step toward finding relief and reconnecting with your most authentic self. I’m so glad you’re here. My practice is grounded in my belief that the therapeutic relationship provides a unique opportunity to explore experiences and parts of ourselves that are hard to look at alone. We are all capable of healing, growth and transformation at any point.
I know that the process of beginning therapy can be overwhelming because I’ve been there. It takes vulnerability and courage to ask for help. I also know that therapy works because I’ve seen it--in my own life and in the lives of my clients. I congratulate you on taking this significant step toward finding relief and reconnecting with your most authentic self. I’m so glad you’re here. My practice is grounded in my belief that the therapeutic relationship provides a unique opportunity to explore experiences and parts of ourselves that are hard to look at alone. We are all capable of healing, growth and transformation at any point.
(213) 293-4497 View (213) 293-4497
Photo of Julie Morgan, Licensed Professional Counselor in Santa Fe, NM
Julie Morgan
Licensed Professional Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87501  (Online Only)
I am a Licensed Professional Clinical Counselor with several additional trainings including working with Harvard Medical School in Global Mental Health and Traumatic recovery. I have worked within many cultures and contexts including high level business executives, veterans, Indigenous and refugee populations and professional athletes. I work with individuals and couples and am available for crisis or emergency sessions.
I am a Licensed Professional Clinical Counselor with several additional trainings including working with Harvard Medical School in Global Mental Health and Traumatic recovery. I have worked within many cultures and contexts including high level business executives, veterans, Indigenous and refugee populations and professional athletes. I work with individuals and couples and am available for crisis or emergency sessions.
(970) 696-8080 View (970) 696-8080
Photo of Megan V. Phillips, Counselor in Santa Fe, NM
Megan V. Phillips
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87505  (Online Only)
In psychotherapy, I aim to offer an authentic space for self-exploration and healing. My therapy practice is grounded in mindfulness and cognitive behavioral approaches. My clients include individuals and couples experiencing stressful life transitions. I practice culturally responsive and trauma sensitive therapy and provide a safe, non-judgemental place to process uncomfortable emotions and mental stress. I see my role as a guide to help you and navigate authentic healing.
In psychotherapy, I aim to offer an authentic space for self-exploration and healing. My therapy practice is grounded in mindfulness and cognitive behavioral approaches. My clients include individuals and couples experiencing stressful life transitions. I practice culturally responsive and trauma sensitive therapy and provide a safe, non-judgemental place to process uncomfortable emotions and mental stress. I see my role as a guide to help you and navigate authentic healing.
(505) 657-3723 View (505) 657-3723
Photo of Silvia Stenitzer, Counselor in Santa Fe, NM
Silvia Stenitzer
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87505
Coming to therapy is an act of self-love. Being curious about what makes us feel and act the way we do is the most rewarding endeavor, bringing authenticity, creativity, and choice into our lives. Our self-concept and beliefs about the world were formed in infancy and learned in our primary relationships. Unconsciously, these early experiences guide many of our actions in the present time. I am passionate about exploring with you old patterns that do not serve you anymore. I support you in cultivating conscious life-affirming choices and self-caring responses to the inevitable challenging and painful events of life.
Coming to therapy is an act of self-love. Being curious about what makes us feel and act the way we do is the most rewarding endeavor, bringing authenticity, creativity, and choice into our lives. Our self-concept and beliefs about the world were formed in infancy and learned in our primary relationships. Unconsciously, these early experiences guide many of our actions in the present time. I am passionate about exploring with you old patterns that do not serve you anymore. I support you in cultivating conscious life-affirming choices and self-caring responses to the inevitable challenging and painful events of life.
(505) 412-4893 View (505) 412-4893
Photo of Miranda Chicklis, Counselor in Santa Fe, NM
Miranda Chicklis
Counselor, LPCC
Verified Verified
Santa Fe, NM 87505  (Online Only)
I enjoy supporting adults with self-discovery, increasing self-worth and creating more fulfilling relationships. I specialize in the treatment of sexuality, including sexual trauma, sexual compulsion, sexual difficulties, improving intimacy and enhancing sexual pleasure. I have extensive experience working with PTSD and trauma related symptoms, such as anxiety, depression, flashbacks and shame.
I enjoy supporting adults with self-discovery, increasing self-worth and creating more fulfilling relationships. I specialize in the treatment of sexuality, including sexual trauma, sexual compulsion, sexual difficulties, improving intimacy and enhancing sexual pleasure. I have extensive experience working with PTSD and trauma related symptoms, such as anxiety, depression, flashbacks and shame.
(505) 591-4248 View (505) 591-4248
Photo of Maegan Carter, Pre-Licensed Professional in Santa Fe, NM
Maegan Carter
Pre-Licensed Professional, CMHC-I
Verified Verified
Santa Fe, NM 87505
Hello! I am a clinical mental health counseling intern. I practice therapy from a humanistic, person-centered lens. While my first therapists were Cognitive-Behavioral focused, I have grown to appreciate a more adaptive approach. I have an interest in psychodrama, trauma informed therapy, and positive psychology. As a member of the queer community myself, I am LGBTQIA+ affirming, ethical non-monogamy, and kink friendly. Feminist theory heavily influences my therapeutic perspective with regards to the overarching societal and social justice systems that impact all of our daily lives. I hope to one day specialize in sex therapy.
Hello! I am a clinical mental health counseling intern. I practice therapy from a humanistic, person-centered lens. While my first therapists were Cognitive-Behavioral focused, I have grown to appreciate a more adaptive approach. I have an interest in psychodrama, trauma informed therapy, and positive psychology. As a member of the queer community myself, I am LGBTQIA+ affirming, ethical non-monogamy, and kink friendly. Feminist theory heavily influences my therapeutic perspective with regards to the overarching societal and social justice systems that impact all of our daily lives. I hope to one day specialize in sex therapy.
(505) 594-5044 View (505) 594-5044
Photo of Andrea Campbell, Counselor in Santa Fe, NM
Andrea Campbell
Counselor, PhD, LPCC
Verified Verified
Santa Fe, NM 87501
With thirty years of therapeutic experience and training I have developed proven tools & excellent ideas for deep personal transformation. My approach to healing is based upon sound training, professional expertise and personal growth. It's my belief that a therapist must do her own personal work first in order to be an effective partner in healing for her clients. My professional comments and personal story appear in the best selling book, "Motherless Daughters," by hope Edelman. Positive growth occurs in a safe environment. I invite you to experience the safety and comfort I provide.
With thirty years of therapeutic experience and training I have developed proven tools & excellent ideas for deep personal transformation. My approach to healing is based upon sound training, professional expertise and personal growth. It's my belief that a therapist must do her own personal work first in order to be an effective partner in healing for her clients. My professional comments and personal story appear in the best selling book, "Motherless Daughters," by hope Edelman. Positive growth occurs in a safe environment. I invite you to experience the safety and comfort I provide.
(505) 207-3346 View (505) 207-3346
Photo of Elllen J Shabshai Fox, Clinical Social Work/Therapist in Santa Fe, NM
Elllen J Shabshai Fox
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505  (Online Only)
I welcome clients who seek therapy in order to change behaviors, relationships, or careers that are unsatisfying, and those who wish to unleash their creative energies - in the arts, business, academia, in parenting, and partnership. I especially enjoy clients who are questioning their relationship with addictive substances and are ready to take positive action. I have a warm and engaging style that my cients enjoy. I also specialize in healing the trauma of equestrian accidents.
I welcome clients who seek therapy in order to change behaviors, relationships, or careers that are unsatisfying, and those who wish to unleash their creative energies - in the arts, business, academia, in parenting, and partnership. I especially enjoy clients who are questioning their relationship with addictive substances and are ready to take positive action. I have a warm and engaging style that my cients enjoy. I also specialize in healing the trauma of equestrian accidents.
(505) 484-2860 View (505) 484-2860
Photo of Susan Chambers Otero, Counselor in Santa Fe, NM
Susan Chambers Otero
Counselor, LPCC, MA, MEd
Verified Verified
Santa Fe, NM 87505  (Online Only)
Seeking therapy is often prompted by sudden crisis or by having reached the limit of endurance over an issue or situation. I work to help re-establish a greater sense of inner wellbeing and a deeper sense of one's self, from which clients are able to more successfully address depression, anxiety, life transitions and difficult relationships.
Seeking therapy is often prompted by sudden crisis or by having reached the limit of endurance over an issue or situation. I work to help re-establish a greater sense of inner wellbeing and a deeper sense of one's self, from which clients are able to more successfully address depression, anxiety, life transitions and difficult relationships.
(505) 819-3710 View (505) 819-3710
Photo of Richard Wilson, Counselor in Santa Fe, NM
Richard Wilson
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Santa Fe, NM 87505
I enjoy working and developing a therapeutic relationship with people that are struggling in their life whether it's with depression, anger, trauma, anxiety, relationships or even a sense that something needs to change. It's within that struggle that the spark of hope resides and I see it as my job to help people focus on their future, their strengths and successes and then begin to rediscover the hope and power to begin to shape their future and their lives.
I enjoy working and developing a therapeutic relationship with people that are struggling in their life whether it's with depression, anger, trauma, anxiety, relationships or even a sense that something needs to change. It's within that struggle that the spark of hope resides and I see it as my job to help people focus on their future, their strengths and successes and then begin to rediscover the hope and power to begin to shape their future and their lives.
(505) 819-3938 View (505) 819-3938
Photo of Claire Lynne Siwula, Marriage & Family Therapist in Santa Fe, NM
Claire Lynne Siwula
Marriage & Family Therapist, LMFT
Verified Verified
Santa Fe, NM 87507
Are you having trouble coping? Crisis can be an opportunity for positive change. I can assist you with coping strategies, communication tools, and support if you are feeling stuck. I utilize a strength-based, holistic approach that is respectful and collaborative. Over 20 years experience utilizing evidence-based interventions for depression, relationship issues, anxiety, and trauma (EMDR, CPT, Internal Family Systems).
Are you having trouble coping? Crisis can be an opportunity for positive change. I can assist you with coping strategies, communication tools, and support if you are feeling stuck. I utilize a strength-based, holistic approach that is respectful and collaborative. Over 20 years experience utilizing evidence-based interventions for depression, relationship issues, anxiety, and trauma (EMDR, CPT, Internal Family Systems).
(505) 388-0216 View (505) 388-0216
Photo of Lisa Danner, Clinical Social Work/Therapist in Santa Fe, NM
Lisa Danner
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Santa Fe, NM 87505
Do you find yourself dreading going home, anticipating the same destructive interactions with loved ones? Are you isolating? Can you imagine truly fulfilling relationships with clear communication and a satisfying life? Do you believe that you are ready for a new chapter? Are you willing to change? If the answer is YES, you have already begun the process; awareness is the first step. If you are ready to make the commitment to yourself to realize the life you want and deserve to be living, let me help you with that. My job will be to deliver non-judgmental clarity, along with the safety, empathy and guidance to get you there.
Do you find yourself dreading going home, anticipating the same destructive interactions with loved ones? Are you isolating? Can you imagine truly fulfilling relationships with clear communication and a satisfying life? Do you believe that you are ready for a new chapter? Are you willing to change? If the answer is YES, you have already begun the process; awareness is the first step. If you are ready to make the commitment to yourself to realize the life you want and deserve to be living, let me help you with that. My job will be to deliver non-judgmental clarity, along with the safety, empathy and guidance to get you there.
(505) 557-1445 View (505) 557-1445
Photo of Kirsten Nelson, Counselor in Santa Fe, NM
Kirsten Nelson
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Santa Fe, NM 87505  (Online Only)
For each of us, life is not without change, loss, transition, even trauma, and the emotional difficulties that result. And we heal and transform by way of supportive connection, internally, environmentally, and relationally. I am inspired by the subtle ways in which providing a safe, compassionate and nonjudgmental space allows for a client’s inner wisdom, insights, and empowerment to emerge and for life’s transitions to be eased. I work to provide a sanctuary to process, be witnessed in, and build helpful skills for dealing with loss & grief, transition, emotional distress such as anxiety and depression, and trauma.
For each of us, life is not without change, loss, transition, even trauma, and the emotional difficulties that result. And we heal and transform by way of supportive connection, internally, environmentally, and relationally. I am inspired by the subtle ways in which providing a safe, compassionate and nonjudgmental space allows for a client’s inner wisdom, insights, and empowerment to emerge and for life’s transitions to be eased. I work to provide a sanctuary to process, be witnessed in, and build helpful skills for dealing with loss & grief, transition, emotional distress such as anxiety and depression, and trauma.
(505) 587-8690 View (505) 587-8690
Laura Miller Psychotherapy LLC
Counselor, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87505
Not accepting new clients
I focus on adults of all ages who are experiencing depression, anxiety, life transitions, grief and loss as well as those trying to understand relationships and the events that have shaped them. I hope to provide a safe environment in which to develop and explore insights that will encourage and enable growth and well-being. I will endeavor to help identify motivations, desires and personal ethics and the facility to express them. My frame of reference is largely psychodynamic (meaning that the unconscious mind affects conscious feelings, thoughts and behavior) but may draw from other orientations when suitable.
I focus on adults of all ages who are experiencing depression, anxiety, life transitions, grief and loss as well as those trying to understand relationships and the events that have shaped them. I hope to provide a safe environment in which to develop and explore insights that will encourage and enable growth and well-being. I will endeavor to help identify motivations, desires and personal ethics and the facility to express them. My frame of reference is largely psychodynamic (meaning that the unconscious mind affects conscious feelings, thoughts and behavior) but may draw from other orientations when suitable.
(206) 594-5297 View (206) 594-5297
Photo of Joseph Wolf, Marriage & Family Therapist in Santa Fe, NM
Joseph Wolf
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Santa Fe, NM 87507
Asking for help is a sign of strength. By seeking therapy, you are moving towards growth and transformation. Feeling challenged in relationships and wanting a deeper connection with the people in your life is a common desire, yet at times can be so elusive. You are not alone. By acknowledging this and getting support, you will have taken the first courageous step in moving toward healing.As a Licensed Marriage and Family Therapist, I work with families, couples, and individuals to detangle ingrained patterns. My work is to guide you in connecting to your innate strength and wisdom. I support clients in unraveling old wounds.
Asking for help is a sign of strength. By seeking therapy, you are moving towards growth and transformation. Feeling challenged in relationships and wanting a deeper connection with the people in your life is a common desire, yet at times can be so elusive. You are not alone. By acknowledging this and getting support, you will have taken the first courageous step in moving toward healing.As a Licensed Marriage and Family Therapist, I work with families, couples, and individuals to detangle ingrained patterns. My work is to guide you in connecting to your innate strength and wisdom. I support clients in unraveling old wounds.
(505) 605-2179 View (505) 605-2179
Photo of Thomas McCaffrey, Psychologist in Santa Fe, NM
Thomas McCaffrey
Psychologist, PsyD, MBA
Verified Verified
Santa Fe, NM 87505
If you are suffering from depression or anxiety, dysfunctional relationships, trauma, grief or a life transition, such as divorce, illness or job loss, I am here to help as these are my areas of focus. I ascribe to a bio-psycho-social-spiritual approach to therapy and believe these four elements make an important contribution to our mental well-being. To ensure healing, I will meet you where you are and we will call upon a broad array of disciplines within and outside of psychology. If you are seeking a meaningful and successful therapy experience, I offer an empathetic and caring environment which is the foundation of my work.
If you are suffering from depression or anxiety, dysfunctional relationships, trauma, grief or a life transition, such as divorce, illness or job loss, I am here to help as these are my areas of focus. I ascribe to a bio-psycho-social-spiritual approach to therapy and believe these four elements make an important contribution to our mental well-being. To ensure healing, I will meet you where you are and we will call upon a broad array of disciplines within and outside of psychology. If you are seeking a meaningful and successful therapy experience, I offer an empathetic and caring environment which is the foundation of my work.
(224) 836-4448 View (224) 836-4448
Photo of Chris Chickering, Counselor in Santa Fe, NM
Chris Chickering
Counselor, MA, LMHC, NLPF
Verified Verified
Santa Fe, NM 87505  (Online Only)
You deserve a healthier, wealthier, and more fulfilling life where you wake up ready to tackle every day with passion and enthusiasm. Helping people tap their innate strengths and shift their thinking to reach and even surpass their potential is what gets me out bed every morning. My life’s mission is to help you break through your challenges and overcome your limiting beliefs to attain the results you desire and deserve, and have fun doing it. Together we'll overcome your limiting beliefs, follow a proven framework for creating new habits to overcome those beliefs, and then work to reinforce those new habits to achieve your goals.
You deserve a healthier, wealthier, and more fulfilling life where you wake up ready to tackle every day with passion and enthusiasm. Helping people tap their innate strengths and shift their thinking to reach and even surpass their potential is what gets me out bed every morning. My life’s mission is to help you break through your challenges and overcome your limiting beliefs to attain the results you desire and deserve, and have fun doing it. Together we'll overcome your limiting beliefs, follow a proven framework for creating new habits to overcome those beliefs, and then work to reinforce those new habits to achieve your goals.
(505) 391-5579 View (505) 391-5579
Photo of Sarah Grenzeback, Counselor in Santa Fe, NM
Sarah Grenzeback
Counselor, MA, LPCC, ATR
Verified Verified
1 Endorsed
Santa Fe, NM 87505  (Online Only)
I currently have openings for telehealth! Whatever you are going through, you don't have to go through it alone.
I currently have openings for telehealth! Whatever you are going through, you don't have to go through it alone.
(256) 576-9550 View (256) 576-9550
Photo of Nora Gluck, Clinical Social Work/Therapist in Santa Fe, NM
Nora Gluck
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87506  (Online Only)
Waitlist for new clients
For 50 years, I have helped individuals and couples find more pleasure in life through creating satisfying relationships and meaningful work. Therapy at its best is a collaborative process between client and therapist. I have special interest and expertise in couple therapy and psychotherapy and have extensive training and experience in both. I practice trauma-informed therapy, including EMDR and other trauma-clearing techniques. I incorporate yoga, meditation, deep relaxation, visualization and other mind/body techniques. I customize my approach to the unique needs of each client. My work is informed by my own healing journey.
For 50 years, I have helped individuals and couples find more pleasure in life through creating satisfying relationships and meaningful work. Therapy at its best is a collaborative process between client and therapist. I have special interest and expertise in couple therapy and psychotherapy and have extensive training and experience in both. I practice trauma-informed therapy, including EMDR and other trauma-clearing techniques. I incorporate yoga, meditation, deep relaxation, visualization and other mind/body techniques. I customize my approach to the unique needs of each client. My work is informed by my own healing journey.
(505) 210-8660 View (505) 210-8660
Photo of Ginna Clark, Counselor in Santa Fe, NM
Ginna Clark
Counselor, PsyD, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87505
Not accepting new clients
I work with adults, couples, families, and teens to untangle their problems, cope with emotional pain, and live more authentically. I believe that understanding a person's relationships with others, both historically and currently, is central to the process of change. This means that we'll spend time together talking about current, everyday stressors and dilemmas but we'll also look to identify patterns and dynamics that seem to have an ongoing influence in your life.
I work with adults, couples, families, and teens to untangle their problems, cope with emotional pain, and live more authentically. I believe that understanding a person's relationships with others, both historically and currently, is central to the process of change. This means that we'll spend time together talking about current, everyday stressors and dilemmas but we'll also look to identify patterns and dynamics that seem to have an ongoing influence in your life.
(803) 403-1038 View (803) 403-1038

How does your Therapist compare?

Number of Therapists in Santa Fe, NM

500+

Average cost per session

$135

Therapists in Santa Fe, NM who prioritize treating:

90% Anxiety
85% Depression
79% Relationship Issues
76% Trauma and PTSD
76% Self Esteem
71% Grief
64% Stress

Average years in practice

13 Years

Top 3 insurances accepted

74% Presbyterian
72% BlueCross and BlueShield
65% Medicaid

How Therapists in Santa Fe, NM see their clients

61% In Person and Online
39% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Santa Fe?

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.