Therapists in Fargo, ND

Photo of Lisa Mastel, Licensed Professional Counselor in Fargo, ND
Lisa Mastel
Licensed Professional Counselor, LPCC, LAC
Verified Verified
2 Endorsed
Fargo, ND 58104
As a mental health counselor and substance use counselor I have enjoyed walking alongside my clients who are striving to improve the quality of their life. It is my goal to work with my clients to achieve their goals. We all need a little help, encouragement, and guidance at times; I am looking forward to helping you achieve your goals and live your best life.
As a mental health counselor and substance use counselor I have enjoyed walking alongside my clients who are striving to improve the quality of their life. It is my goal to work with my clients to achieve their goals. We all need a little help, encouragement, and guidance at times; I am looking forward to helping you achieve your goals and live your best life.
(701) 760-4966 View (701) 760-4966
Photo of Dr. Todd F Lewis, Licensed Professional Counselor in Fargo, ND
Dr. Todd F Lewis
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
1 Endorsed
Fargo, ND 58103
Not accepting new clients
Welcome to my profile! I am honored to take this moment to share a bit about my counseling approach and philosophy of helping. I believe that individuals have within themselves the power and tools to improve the quality of their lives. I am passionate about providing a welcoming place to assist individuals in becoming more aware of what they want and need, the choices they have in life, and their own potential to heal. I view counseling as a collaborative process of building on the strengths and assets of clients and promote these to maximize life satisfaction and healthy living.
Welcome to my profile! I am honored to take this moment to share a bit about my counseling approach and philosophy of helping. I believe that individuals have within themselves the power and tools to improve the quality of their lives. I am passionate about providing a welcoming place to assist individuals in becoming more aware of what they want and need, the choices they have in life, and their own potential to heal. I view counseling as a collaborative process of building on the strengths and assets of clients and promote these to maximize life satisfaction and healthy living.
(336) 664-8103 View (336) 664-8103
Photo of Jesse Lamm - Dakota Family Services, Licensed Professional Counselor in Fargo, ND
Jesse Lamm - Dakota Family Services
Licensed Professional Counselor, LPCC
Verified Verified
1 Endorsed
Fargo, ND 58104  (Online Only)
I provide therapy for adolescents and adults ages 16-40. I believe in meeting clients where they are and guiding them as they work toward their individual goals and needs. I am very open to processing anything that a client brings to our time together and exploring underlying issues related to trauma. I work with clients to discover the root of their symptoms and identify how those symptoms are impacting their life and daily functioning. I also help clients discover useful coping skills to further promote their ability to cope and improve daily functioning.
I provide therapy for adolescents and adults ages 16-40. I believe in meeting clients where they are and guiding them as they work toward their individual goals and needs. I am very open to processing anything that a client brings to our time together and exploring underlying issues related to trauma. I work with clients to discover the root of their symptoms and identify how those symptoms are impacting their life and daily functioning. I also help clients discover useful coping skills to further promote their ability to cope and improve daily functioning.
(701) 436-2640 View (701) 436-2640
Photo of Nicole Sand, Licensed Professional Counselor in Fargo, ND
Nicole Sand
Licensed Professional Counselor, M Ed, LPC, NCC
Verified Verified
Fargo, ND 58103
Nicole is a Licensed Professional Counselor in the state of North Dakota with over 5 years of experience. She is dedicated to creating a safe space to develop a secure and collaborative therapeutic relationship. Nicole is passionate about connecting with each of her clients to encourage personal growth and healing, new insights, and authentic living. She strives to provide courage and hope to her clients while helping them met their goals and create more meaning and fulfillment in their lives.
Nicole is a Licensed Professional Counselor in the state of North Dakota with over 5 years of experience. She is dedicated to creating a safe space to develop a secure and collaborative therapeutic relationship. Nicole is passionate about connecting with each of her clients to encourage personal growth and healing, new insights, and authentic living. She strives to provide courage and hope to her clients while helping them met their goals and create more meaning and fulfillment in their lives.
(701) 401-1147 View (701) 401-1147
Photo of Pfeifer Counseling Services, Counselor in Fargo, ND
Pfeifer Counseling Services
Counselor, MS, LPCC
Verified Verified
3 Endorsed
Fargo, ND 58104
If I were a baker or a mechanic, then who I am as a person wouldn't matter, as long as the donuts are good or your car gets fixed. However, with counseling, how you feel about your counselor matters significantly. Being a good fit is a necessity. I hope that this brief narrative gives you an idea of what working with me might look like so that you can make an informed decision if I'd be an appropriate fit for what you need. I value the science behind what we feel and why we feel it. I value humor. I value unconditional regard for those I serve. These are integral to my work.
If I were a baker or a mechanic, then who I am as a person wouldn't matter, as long as the donuts are good or your car gets fixed. However, with counseling, how you feel about your counselor matters significantly. Being a good fit is a necessity. I hope that this brief narrative gives you an idea of what working with me might look like so that you can make an informed decision if I'd be an appropriate fit for what you need. I value the science behind what we feel and why we feel it. I value humor. I value unconditional regard for those I serve. These are integral to my work.
(701) 253-1297 View (701) 253-1297
Photo of Erika Lake, Clinical Social Work/Therapist in Fargo, ND
Erika Lake
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fargo, ND 58103
Erika earned a Bachelor’s Degree in Social Work from Minnesota State University Moorhead and a Master’s Degree in Social Work from the University of North Dakota. She is licensed at the independent level as a clinical social worker. Erika has experience working in both inpatient and outpatient settings.
Erika earned a Bachelor’s Degree in Social Work from Minnesota State University Moorhead and a Master’s Degree in Social Work from the University of North Dakota. She is licensed at the independent level as a clinical social worker. Erika has experience working in both inpatient and outpatient settings.
(701) 419-1573 View (701) 419-1573
Photo of Kasidy Hollands, Clinical Social Work/Therapist in Fargo, ND
Kasidy Hollands
Clinical Social Work/Therapist, MSW
Verified Verified
Fargo, ND 58103
I wholeheartedly understand the stigma surrounding mental health and the courage it takes to seek support. I recognize that reaching out can be incredibly challenging. That's why I am dedicated to creating a safe and non-judgmental space where clients feel empowered to share their experiences openly. Through a strength-based perspective, I partner with my clients to harness their inner resilience and capabilities, guiding them towards healing and personal growth. Together, we navigate the journey towards mental wellness with compassion, empathy, and strength.
I wholeheartedly understand the stigma surrounding mental health and the courage it takes to seek support. I recognize that reaching out can be incredibly challenging. That's why I am dedicated to creating a safe and non-judgmental space where clients feel empowered to share their experiences openly. Through a strength-based perspective, I partner with my clients to harness their inner resilience and capabilities, guiding them towards healing and personal growth. Together, we navigate the journey towards mental wellness with compassion, empathy, and strength.
(701) 599-4968 View (701) 599-4968
Photo of Renae M Reinardy, Psychologist in Fargo, ND
Renae M Reinardy
Psychologist, PsyD
Verified Verified
1 Endorsed
Fargo, ND 58103
The Lakeside Center for Behavioral Change provides empirically validated, effective treatment to children, adolescents and adults who suffer from OCD, trichotillomania, tic disorders, hoarding, stress, phobias, anxiety, and related conditions. The Center provides individual, group and family treatment in a professional, welcoming atmosphere. Dr. Reinardy is the Founder of the Lakeside Center and has given hundreds of presentations locally and nationally. The Center's mission is to provide effective therapeutic services to clients and offer training and consultation to other mental health providers.
The Lakeside Center for Behavioral Change provides empirically validated, effective treatment to children, adolescents and adults who suffer from OCD, trichotillomania, tic disorders, hoarding, stress, phobias, anxiety, and related conditions. The Center provides individual, group and family treatment in a professional, welcoming atmosphere. Dr. Reinardy is the Founder of the Lakeside Center and has given hundreds of presentations locally and nationally. The Center's mission is to provide effective therapeutic services to clients and offer training and consultation to other mental health providers.
(701) 552-6284 View (701) 552-6284
Photo of Christy Rae Wilkie - Dakota Family Services, Clinical Social Work/Therapist in Fargo, ND
Christy Rae Wilkie - Dakota Family Services
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fargo, ND 58104
I provide therapy for children, adolescents, and young adults who have complex behavioral health issues. I combine my extensive clinical expertise with my belief in kids, and have a unique ability to find and develop their strengths. I work hard to be an ideal therapist for the clients I am working with and doing what is best to fit their needs. I typically provide cognitive behavioral therapy augmented with motivational interviewing and psychoeducation, but I am trained in other modalities as well.
I provide therapy for children, adolescents, and young adults who have complex behavioral health issues. I combine my extensive clinical expertise with my belief in kids, and have a unique ability to find and develop their strengths. I work hard to be an ideal therapist for the clients I am working with and doing what is best to fit their needs. I typically provide cognitive behavioral therapy augmented with motivational interviewing and psychoeducation, but I am trained in other modalities as well.
(701) 599-4940 View (701) 599-4940
Photo of Denage Sauve, Counselor in Fargo, ND
Denage Sauve
Counselor, MEd, LPCC
Verified Verified
Fargo, ND 58103
I believe each individual has their own story to embrace, and that by having the right therapeutic support and understanding, an empowered and fulfilled lifestyle can be achieved. I view change and personal growth as an ever-evolving process, and believe that when we begin to understand ourselves and our emotional experiences, true wellness and meaningful change can emerge. I greatly value connecting with each of my clients, and strive to elicit strength, compassion, and healing in our work together.
I believe each individual has their own story to embrace, and that by having the right therapeutic support and understanding, an empowered and fulfilled lifestyle can be achieved. I view change and personal growth as an ever-evolving process, and believe that when we begin to understand ourselves and our emotional experiences, true wellness and meaningful change can emerge. I greatly value connecting with each of my clients, and strive to elicit strength, compassion, and healing in our work together.
(701) 599-3976 View (701) 599-3976
Photo of Andi Wheeler, Counselor in Fargo, ND
Andi Wheeler
Counselor, MS, LPC, LPCC
Verified Verified
Fargo, ND 58104
I feel grateful to do what I do and I see it as a privilege to witness the resilient nature of the human spirit each day. Each person has a unique life story, and often there are aspects of it that cause pain and shame. None of us can escape suffering because it is a natural part of the human experience. This is a difficult truth to accept. My goal is not to help you avoid all emotional pain but to offer support so that you learn how to navigate it with more ease. The transformation happens when there is awareness, acceptance, compassion, & useful action towards a life that is aligned with values.
I feel grateful to do what I do and I see it as a privilege to witness the resilient nature of the human spirit each day. Each person has a unique life story, and often there are aspects of it that cause pain and shame. None of us can escape suffering because it is a natural part of the human experience. This is a difficult truth to accept. My goal is not to help you avoid all emotional pain but to offer support so that you learn how to navigate it with more ease. The transformation happens when there is awareness, acceptance, compassion, & useful action towards a life that is aligned with values.
(701) 543-6364 View (701) 543-6364
Photo of Mystal Axtman, Counselor in Fargo, ND
Mystal Axtman
Counselor, MSEd, LPCC
Verified Verified
Fargo, ND 58104
My goal is to create a supportive environment where my clients can explore their emotional needs and overcome barriers that limit their full potential. I offer counseling sessions during daytime and evening hours for individuals and couples for topics of concern including Depression, Dual Diagnosis, Codependency, Anxiety/Stress, Communication issues, Trust issues, Loneliness, Emotional intimacy, Trauma/PTSD, Traumatic Brain Injury and Self-esteem issues. I would like the opportunity to help you heal any experiences that impact your life and to join you on your journey to becoming a better you.
My goal is to create a supportive environment where my clients can explore their emotional needs and overcome barriers that limit their full potential. I offer counseling sessions during daytime and evening hours for individuals and couples for topics of concern including Depression, Dual Diagnosis, Codependency, Anxiety/Stress, Communication issues, Trust issues, Loneliness, Emotional intimacy, Trauma/PTSD, Traumatic Brain Injury and Self-esteem issues. I would like the opportunity to help you heal any experiences that impact your life and to join you on your journey to becoming a better you.
(701) 484-0712 View (701) 484-0712
Photo of Lena Khibnik, Licensed Professional Counselor in Fargo, ND
Lena Khibnik
Licensed Professional Counselor, LAPC, LPC(MN), NCC, MS
Verified Verified
1 Endorsed
Fargo, ND 58104
Is your struggle with depression, anxiety, or other distress interfering with your life? Has it created tension or distance in your relationships or caused problems for you at work or school? You are feeling overwhelmed with your current situation and unable to cope with the challenges you face. I offer a range of behavioral health services that can help you meet the challenges and move beyond them.
Is your struggle with depression, anxiety, or other distress interfering with your life? Has it created tension or distance in your relationships or caused problems for you at work or school? You are feeling overwhelmed with your current situation and unable to cope with the challenges you face. I offer a range of behavioral health services that can help you meet the challenges and move beyond them.
(701) 581-1910 View (701) 581-1910
Photo of Angell Naslund, Counselor in Fargo, ND
Angell Naslund
Counselor, MS, LPCC-S
Verified Verified
1 Endorsed
Fargo, ND 58104
Are you feeling stuck in your relationship & unsure of what to do? Have you been hurt by infidelity, or feel like you and your partner are growing apart? Are you feeling overwhelmed, alone, lost or broken? Are worries constantly running through your head & you just can’t “turn it off”? Life is full of difficult transitions. Relationships end, children leave the nest, jobs are lost, important people in our lives pass away. It can leave you with just enough energy to put on a brave face and “fake” it through the day. But what if life could be different?
Are you feeling stuck in your relationship & unsure of what to do? Have you been hurt by infidelity, or feel like you and your partner are growing apart? Are you feeling overwhelmed, alone, lost or broken? Are worries constantly running through your head & you just can’t “turn it off”? Life is full of difficult transitions. Relationships end, children leave the nest, jobs are lost, important people in our lives pass away. It can leave you with just enough energy to put on a brave face and “fake” it through the day. But what if life could be different?
(701) 402-3057 View (701) 402-3057
Photo of Cassie Wehseler, Clinical Social Work/Therapist in Fargo, ND
Cassie Wehseler
Clinical Social Work/Therapist, LMSW, LGSW
Verified Verified
1 Endorsed
Fargo, ND 58103
I’m happy you’re here considering mental health services. I am a Licensed Master Social Worker in the state of North Dakota & Licensed Graduate Social Worker in the state of Minnesota. As your practitioner, my goal is to help you celebrate your strengths, process the areas in your life that you’d like to improve & learn about what makes you, you! I specialize in adolescents & young adults ranging in age from about 9-22 years. During this stage in life, you or your loved one may be experiencing anxiety, depression, difficult life transitions, conflict at school, or stressful friendships & relationships.
I’m happy you’re here considering mental health services. I am a Licensed Master Social Worker in the state of North Dakota & Licensed Graduate Social Worker in the state of Minnesota. As your practitioner, my goal is to help you celebrate your strengths, process the areas in your life that you’d like to improve & learn about what makes you, you! I specialize in adolescents & young adults ranging in age from about 9-22 years. During this stage in life, you or your loved one may be experiencing anxiety, depression, difficult life transitions, conflict at school, or stressful friendships & relationships.
(701) 401-0695 View (701) 401-0695
Photo of Jeana Scheffler, Licensed Professional Counselor in Fargo, ND
Jeana Scheffler
Licensed Professional Counselor, LPCC
Verified Verified
Fargo, ND 58103
Jeana Scheffler has been in the mental health field for 8 years and is licensed as an LPCC-S in North Dakota, an LMHC in Iowa, and an LPCC in Minnesota. Jeana creates a trusting environment and tailors her approach to create the best possible opportunity for improvement. I counsel older children (10+) through adulthood. Jeana has experience with depression, anxiety, stress, adjustment disorders, life transitions, ADHD, personality disorders, suicidal ideation, and self-harm.
Jeana Scheffler has been in the mental health field for 8 years and is licensed as an LPCC-S in North Dakota, an LMHC in Iowa, and an LPCC in Minnesota. Jeana creates a trusting environment and tailors her approach to create the best possible opportunity for improvement. I counsel older children (10+) through adulthood. Jeana has experience with depression, anxiety, stress, adjustment disorders, life transitions, ADHD, personality disorders, suicidal ideation, and self-harm.
(701) 638-9873 View (701) 638-9873
Photo of Angela M Cavett, Psychologist in Fargo, ND
Angela M Cavett
Psychologist, PhD, LP, RPT-S
Verified Verified
1 Endorsed
Fargo, ND 58103
My life-long passion is to help children, adolescents, and families heal. I work with children with a range of presenting concerns including attachment, behavior, mood and anxiety. I provide evidence-based treatments within a caring, trusting therapeutic relationship. I enjoy working with children that are considered "complex" including those who have had early developmental trauma and those who have behavioral difficulties that cause significant challenges. Helping parents to become more attuned and connected allows for healing across generations.
My life-long passion is to help children, adolescents, and families heal. I work with children with a range of presenting concerns including attachment, behavior, mood and anxiety. I provide evidence-based treatments within a caring, trusting therapeutic relationship. I enjoy working with children that are considered "complex" including those who have had early developmental trauma and those who have behavioral difficulties that cause significant challenges. Helping parents to become more attuned and connected allows for healing across generations.
(701) 419-6692 View (701) 419-6692
Photo of Y-Knot Psychotherapy, Licensed Professional Counselor in Fargo, ND
Y-Knot Psychotherapy
Licensed Professional Counselor, MDiv, MA, LPC, NCC
Verified Verified
Fargo, ND 58102  (Online Only)
Waitlist for new clients
Rev. Steven R. Giddens is a Lacanian Psychoanalyst who holds an LPC in ND and is an Ordained Minister in the United Church of Christ (UCC). Rev. Giddens is a Psychoanalyst Member of The School of Psychoanalysis of the Forums of the Lacanian Field (SPFLF). A member of the Colorado Analytic Forum of the Lacanian Field and member of the Clinical College of Colorado in Denver, CO.
Rev. Steven R. Giddens is a Lacanian Psychoanalyst who holds an LPC in ND and is an Ordained Minister in the United Church of Christ (UCC). Rev. Giddens is a Psychoanalyst Member of The School of Psychoanalysis of the Forums of the Lacanian Field (SPFLF). A member of the Colorado Analytic Forum of the Lacanian Field and member of the Clinical College of Colorado in Denver, CO.
(701) 929-7581 View (701) 929-7581
Photo of Natalie Reiter, Counselor in Fargo, ND
Natalie Reiter
Counselor, LPC, LPCC, CCS, DCC
Verified Verified
2 Endorsed
Fargo, ND 58104
Hi! My name is Natalie from Prairieland Counseling and my passion is partnering with others to help make positive changes in their lives. I specialize in anxiety, depression, pregnancy concerns, and life transitions. Together, we will work on identifying what needs to change and how we can make that happen. I have over a decade of experience working in mental health, including specialty training in reproductive medicine, perinatal mental health, career counseling, interpersonal therapy, and EMDR. I am an LGBTQ+ ally and I love the work I do. My services are provided in office or via web based services.
Hi! My name is Natalie from Prairieland Counseling and my passion is partnering with others to help make positive changes in their lives. I specialize in anxiety, depression, pregnancy concerns, and life transitions. Together, we will work on identifying what needs to change and how we can make that happen. I have over a decade of experience working in mental health, including specialty training in reproductive medicine, perinatal mental health, career counseling, interpersonal therapy, and EMDR. I am an LGBTQ+ ally and I love the work I do. My services are provided in office or via web based services.
(701) 401-2524 View (701) 401-2524
Photo of It's a Part of, PLLC, Clinical Social Work/Therapist in Fargo, ND
It's a Part of, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Fargo, ND 58104
Finding the right "FIT", in many aspects of life, can be a challenge. I have had the opportunity to work within various systems to include group home settings, inpatient hospital, human service centers, and private practice. I have been able to see clients in all parts of their journey and appreciate being able to go along side clients to work toward their goals in life. I will be offering in-person and telehealth.
Finding the right "FIT", in many aspects of life, can be a challenge. I have had the opportunity to work within various systems to include group home settings, inpatient hospital, human service centers, and private practice. I have been able to see clients in all parts of their journey and appreciate being able to go along side clients to work toward their goals in life. I will be offering in-person and telehealth.
(701) 369-3181 View (701) 369-3181

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How does your Therapist compare?

Number of Therapists in Fargo, ND

100+

Average cost per session

$175

Therapists in Fargo, ND who prioritize treating:

93% Anxiety
89% Depression
78% Relationship Issues
78% Self Esteem
78% Stress
75% Coping Skills
73% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
85% Sanford Health Plan
56% UnitedHealthcare UHC | UBH

How Therapists in Fargo, ND see their clients

86% In Person and Online
14% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Fargo?

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.