Therapists in Lake Butler, FL

Photo of Lakisha Likely, Counselor, LMHC
Lakisha Likely
Counselor, LMHC
Online Only
Lakisha professional accomplishments include obtaining a License in Mental Health Counselor, License in Certified Addiction Professional, License in Juvenile Sex Offender Treatment, and Eye Movement Reprocessing, Desensitization(EMDR) certified therapist. Lakisha is a Florida state board certified qualifying supervisor for mental health counselors, clinical social workers, and marriage/family therapists. Lastly, Lakisha is a Florida Certification Board trainer for continued education units(CEUs) with mental health counseling, marriage family therapy, clinical social work, and certified behavioral case manager.
Lakisha professional accomplishments include obtaining a License in Mental Health Counselor, License in Certified Addiction Professional, License in Juvenile Sex Offender Treatment, and Eye Movement Reprocessing, Desensitization(EMDR) certified therapist. Lakisha is a Florida state board certified qualifying supervisor for mental health counselors, clinical social workers, and marriage/family therapists. Lastly, Lakisha is a Florida Certification Board trainer for continued education units(CEUs) with mental health counseling, marriage family therapy, clinical social work, and certified behavioral case manager.
(321) 285-1333 View (321) 285-1333
Photo of Dr. Markyse Bernadin, Clinical Social Work/Therapist, PhD, LCSW
Dr. Markyse Bernadin
Clinical Social Work/Therapist, PhD, LCSW
Online Only
Are you feeling overwhelmed, uncertain, or struggling to find direction? My goal is to offer a space of clarity and understanding where we can work together toward healing, growth, and purposeful change. I bring years of expertise to our sessions, tailoring each approach to fit your unique needs, so you feel truly seen and supported. In our work together you will gain not only insight from your challenges, but also practical tools to create meaningful shifts in your life.
Are you feeling overwhelmed, uncertain, or struggling to find direction? My goal is to offer a space of clarity and understanding where we can work together toward healing, growth, and purposeful change. I bring years of expertise to our sessions, tailoring each approach to fit your unique needs, so you feel truly seen and supported. In our work together you will gain not only insight from your challenges, but also practical tools to create meaningful shifts in your life.
(786) 551-4313 View (786) 551-4313
Photo of Erin Green, Registered Mental Health Counselor Intern, MA, RMHCI
Erin Green
Registered Mental Health Counselor Intern, MA, RMHCI
1 Endorsed
Serves Area
Are you looking for a safe, compassionate space to slow down, breathe, and feel supported? I am passionate about people and their stories, where mental health and Christianity intersect, and how God is calling us toward redemption. If you’re navigating anxiety, grief, or relational wounds, you’re not alone. As a trauma-informed, attachment-focused, and grief-informed counselor, I walk with clients through their valley of grief and loss toward hope, clarity, and redemption. I serve clients in Gainesville, Newberry, Jonesville, and surrounding areas.
Are you looking for a safe, compassionate space to slow down, breathe, and feel supported? I am passionate about people and their stories, where mental health and Christianity intersect, and how God is calling us toward redemption. If you’re navigating anxiety, grief, or relational wounds, you’re not alone. As a trauma-informed, attachment-focused, and grief-informed counselor, I walk with clients through their valley of grief and loss toward hope, clarity, and redemption. I serve clients in Gainesville, Newberry, Jonesville, and surrounding areas.
(352) 660-8216 View (352) 660-8216

More Therapists Nearby

Photo of Charmaine Weatherly, Clinical Social Work/Therapist, LCSW
Charmaine Weatherly
Clinical Social Work/Therapist, LCSW
1 Endorsed
Alachua, FL 32615
I have spent the last 30 years working with individuals and families on a wide range of emotional issues from substance abuse to grief in providing psychotherapeutic support. My background as a Licensed Clinical Social Worker (LCSW) has made it possible for me to lend emotional know how around Depression, Anxiety, Addiction, Relationships and Life’s Challenges at any stage. I have also spent several years working as an EAP Counselor in navigating workplace issues. I realize that these are stressful times and getting the right kind of help is most important. My approach is simple, it’s walking with you through this difficult time.
I have spent the last 30 years working with individuals and families on a wide range of emotional issues from substance abuse to grief in providing psychotherapeutic support. My background as a Licensed Clinical Social Worker (LCSW) has made it possible for me to lend emotional know how around Depression, Anxiety, Addiction, Relationships and Life’s Challenges at any stage. I have also spent several years working as an EAP Counselor in navigating workplace issues. I realize that these are stressful times and getting the right kind of help is most important. My approach is simple, it’s walking with you through this difficult time.
(352) 436-6140 View (352) 436-6140
Photo of Chris Kazachkova, Clinical Social Work/Therapist, LCSW
Chris Kazachkova
Clinical Social Work/Therapist, LCSW
1 Endorsed
Gainesville, FL 32605
I am a certified Perinatal Mental Health specialist, and enjoy helping people treat a multitude of concerns such as anxiety and depression, stress, relationship issues, trauma, life transitions, perinatal mental health, and pregnancy loss. Sessions will be tailored to the needs and expectations of each unique client. I attend regular trainings to stay up to date on a variety of modalities and use a variety of therapeutic interventions during my sessions, including EMDR, CBT, and DBT. I am comfortable meeting you where you currently are in order for us to move forward together.
I am a certified Perinatal Mental Health specialist, and enjoy helping people treat a multitude of concerns such as anxiety and depression, stress, relationship issues, trauma, life transitions, perinatal mental health, and pregnancy loss. Sessions will be tailored to the needs and expectations of each unique client. I attend regular trainings to stay up to date on a variety of modalities and use a variety of therapeutic interventions during my sessions, including EMDR, CBT, and DBT. I am comfortable meeting you where you currently are in order for us to move forward together.
(352) 612-3868 View (352) 612-3868
Photo of Kirstin Tally, Registered Clinical Social Worker Intern, RCSWI
Kirstin Tally
Registered Clinical Social Worker Intern, RCSWI
1 Endorsed
Online Only
Sometimes adulting just… sucks. You’re making real decisions, carrying new responsibilities, and trying to figure out who you are, while feeling confused, anxious, or unexpectedly lonely. Past hurts may be showing up in ways you don’t understand, and it can feel disorienting to realize that what worked before doesn’t anymore. I work with emerging adult women and college students across Florida, offering online therapy via telehealth for anxiety, trauma, identity questions, relationships, and major life transitions. Therapy with me is a place to slow down, make sense of what’s surfacing, and feel less alone in this in-between season.
Sometimes adulting just… sucks. You’re making real decisions, carrying new responsibilities, and trying to figure out who you are, while feeling confused, anxious, or unexpectedly lonely. Past hurts may be showing up in ways you don’t understand, and it can feel disorienting to realize that what worked before doesn’t anymore. I work with emerging adult women and college students across Florida, offering online therapy via telehealth for anxiety, trauma, identity questions, relationships, and major life transitions. Therapy with me is a place to slow down, make sense of what’s surfacing, and feel less alone in this in-between season.
(863) 286-0960 View (863) 286-0960
Photo of Alexandra Vaganova - Serenity Space Therapy , Marriage & Family Therapist, MS, LMFT, MCAP, CHT
Serenity Space Therapy
Marriage & Family Therapist, MS, LMFT, MCAP, CHT
Online Only
I am never enough and somehow always too much." "I have always felt like the black sheep of the family." Sounds familiar? From the outside, you look like you have it all together, but on the inside, it feels like a completely different story. You may feel worn down by constant worries and sadness, overwhelmed, or on edge. You might not even remember a time when things felt easier. But one thing is clear: you are ready for relief. You are ready to feel calm. You are ready to feel grounded and at peace with yourself. Most of all, you are ready to rediscover your true, confident self. Let's move past the noise and focus on real change.
I am never enough and somehow always too much." "I have always felt like the black sheep of the family." Sounds familiar? From the outside, you look like you have it all together, but on the inside, it feels like a completely different story. You may feel worn down by constant worries and sadness, overwhelmed, or on edge. You might not even remember a time when things felt easier. But one thing is clear: you are ready for relief. You are ready to feel calm. You are ready to feel grounded and at peace with yourself. Most of all, you are ready to rediscover your true, confident self. Let's move past the noise and focus on real change.
(754) 217-2710 View (754) 217-2710
Photo of Dr. Derrick L Smith, Marriage & Family Therapist Intern, EdD
Dr. Derrick L Smith
Marriage & Family Therapist Intern, EdD
Gainesville, FL 32605
Welcome! I’m Derrick, a Registered Licensed Marriage and Family Therapist Intern, dedicated to helping individuals, couples, and families navigate life’s challenges with compassion and clarity. With six years of experience, I specialize in strengthening relationships, fostering communication, and supporting clients through emotional struggles like anxiety, depression, or major life changes. You’ll find a nonjudgmental environment in our sessions where your voice is heard. I believe challenges are opportunities for connection and transformation. Together, we’ll work toward practical solutions and meaningful change at your pace.
Welcome! I’m Derrick, a Registered Licensed Marriage and Family Therapist Intern, dedicated to helping individuals, couples, and families navigate life’s challenges with compassion and clarity. With six years of experience, I specialize in strengthening relationships, fostering communication, and supporting clients through emotional struggles like anxiety, depression, or major life changes. You’ll find a nonjudgmental environment in our sessions where your voice is heard. I believe challenges are opportunities for connection and transformation. Together, we’ll work toward practical solutions and meaningful change at your pace.
(352) 785-4649 View (352) 785-4649
Photo of Jessica Miller, Clinical Social Work/Therapist, LCSW
Jessica Miller
Clinical Social Work/Therapist, LCSW
Online Only
I believe that effective therapy is built on insight, action, and compassion. I enjoy working with individuals who want better for themselves and are ready to move forward, even if they’re still figuring out where to begin. In therapy, I focus on building connection and trust, creating a space where you can feel safe to explore what’s really going on without judgment. Together, we’ll look at patterns that keep you feeling stuck and find supportive, practical ways to start shifting them right away—so you can feel more grounded, authentic, and empowered in your life.
I believe that effective therapy is built on insight, action, and compassion. I enjoy working with individuals who want better for themselves and are ready to move forward, even if they’re still figuring out where to begin. In therapy, I focus on building connection and trust, creating a space where you can feel safe to explore what’s really going on without judgment. Together, we’ll look at patterns that keep you feeling stuck and find supportive, practical ways to start shifting them right away—so you can feel more grounded, authentic, and empowered in your life.
(352) 691-7743 View (352) 691-7743
Photo of Dr. Doles Jadotte, Clinical Social Work/Therapist, PhD, MSW, LCSW
Dr. Doles Jadotte
Clinical Social Work/Therapist, PhD, MSW, LCSW
Lake City, FL 32055
Welcome, and thank you for visiting. I offer telehealth therapy to individuals, couples, and families across Florida. If you're facing relationship challenges, trauma, anxiety, depression, or life transitions, you're not alone. I provide a compassionate, supportive space to explore these issues. Whether you're navigating Acute Stress Disorder or seeking tools for daily coping, we'll work together to build insight, resilience, and emotional well-being, all from the comfort of your own space.
Welcome, and thank you for visiting. I offer telehealth therapy to individuals, couples, and families across Florida. If you're facing relationship challenges, trauma, anxiety, depression, or life transitions, you're not alone. I provide a compassionate, supportive space to explore these issues. Whether you're navigating Acute Stress Disorder or seeking tools for daily coping, we'll work together to build insight, resilience, and emotional well-being, all from the comfort of your own space.
(386) 946-6636 View (386) 946-6636
Photo of Elizabeth Southard, Counselor, LMHC
Elizabeth Southard
Counselor, LMHC
Macclenny, FL 32063
I understand some are hesitant to reach out for help. I strive to make it a comfortable process and work with you to achieve your goals. I provide faith-based counseling if desired. I understand feeling well is important and I will work with you to help you meet your goals.
I understand some are hesitant to reach out for help. I strive to make it a comfortable process and work with you to achieve your goals. I provide faith-based counseling if desired. I understand feeling well is important and I will work with you to help you meet your goals.
(904) 204-9777 View (904) 204-9777
Photo of Emily Pruitt, Counselor, LMHC, MS, NCC
Emily Pruitt
Counselor, LMHC, MS, NCC
1 Endorsed
Online Only
You might look like you have it together on the outside, but inside something still feels off... like you’re stuck in patterns you can’t quite break. Maybe relationships feel harder than they should, certain triggers hit out of nowhere, or you find yourself reacting in ways you don’t fully understand.
You might look like you have it together on the outside, but inside something still feels off... like you’re stuck in patterns you can’t quite break. Maybe relationships feel harder than they should, certain triggers hit out of nowhere, or you find yourself reacting in ways you don’t fully understand.
View
Photo of Martin Avellaneda, Licensed Mental Health Counselor, LMHC
Martin Avellaneda
Licensed Mental Health Counselor, LMHC
1 Endorsed
Online Only
Emotions, behaviors, and the thoughts we have can be difficult to manage at times. I assist clients on understanding where their emotions and/or behaviors stem from. I also help in tracking your thoughts, understanding your thoughts, and if needed challenging your thoughts. All of this helps in guiding you down the path you want to go, including reaching certain goals and improving your relationships with friends, family, co-workers, and significant others.
Emotions, behaviors, and the thoughts we have can be difficult to manage at times. I assist clients on understanding where their emotions and/or behaviors stem from. I also help in tracking your thoughts, understanding your thoughts, and if needed challenging your thoughts. All of this helps in guiding you down the path you want to go, including reaching certain goals and improving your relationships with friends, family, co-workers, and significant others.
(863) 592-3087 View (863) 592-3087
Photo of Julia Edwards, Pre-Licensed Professional, LCSW, Intern
Julia Edwards
Pre-Licensed Professional, LCSW, Intern
Online Only
If you’re feeling overwhelmed by anxiety, trauma, or relationship challenges, you’re not alone. I work with individuals, teens, and families navigating complex PTSD, childhood experiences, and behavioral concerns. I also support survivors of domestic and sexual violence. My approach is trauma-informed, structured, and compassionate, integrating faith-based support for those who desire it. Together, we’ll build insight, coping skills, and stability.
If you’re feeling overwhelmed by anxiety, trauma, or relationship challenges, you’re not alone. I work with individuals, teens, and families navigating complex PTSD, childhood experiences, and behavioral concerns. I also support survivors of domestic and sexual violence. My approach is trauma-informed, structured, and compassionate, integrating faith-based support for those who desire it. Together, we’ll build insight, coping skills, and stability.
(386) 832-0738 View (386) 832-0738
Photo of Marie Estelle Spike, Counselor, MS, LMHC, PC
Marie Estelle Spike
Counselor, MS, LMHC, PC
Online Only
As a solution focused online counselor, my goal is to help you uncover your true potential and lead a healthy, energetic life that is worth celebrating. While we can't change difficult situations in the past, we can work together to better understand, process and resolve obstacles to your happiness & well-being. By applying safe & gentle therapeutic techniques, such as Hypnosis and Energy Tapping - solely at your discretion- we will alleviate your emotional distress and work through negative perceptions and behaviors that have been holding you back from living life to the fullest.
As a solution focused online counselor, my goal is to help you uncover your true potential and lead a healthy, energetic life that is worth celebrating. While we can't change difficult situations in the past, we can work together to better understand, process and resolve obstacles to your happiness & well-being. By applying safe & gentle therapeutic techniques, such as Hypnosis and Energy Tapping - solely at your discretion- we will alleviate your emotional distress and work through negative perceptions and behaviors that have been holding you back from living life to the fullest.
(517) 200-3145 View (517) 200-3145
Photo of David Conway, Clinical Social Work/Therapist, LCSW, LMSW
David Conway
Clinical Social Work/Therapist, LCSW, LMSW
5 Endorsed
Online Only
If you’re struggling with depression, anxiety, trauma, CPTSD or feeling lost, you’ve already taken the first brave step by being here. You may long for peace, direction, and better emotional regulation after years of survival. Perhaps you’re tired of carrying the weight of the past and want to feel more in control of your thoughts and reactions. Together, we’ll explore your story with compassion, uncover what’s holding you back, and help you reconnect with your strength and sense of purpose. Healing isn’t about perfection—it’s about understanding yourself, building balance, and moving forward with confidence and clarity.
If you’re struggling with depression, anxiety, trauma, CPTSD or feeling lost, you’ve already taken the first brave step by being here. You may long for peace, direction, and better emotional regulation after years of survival. Perhaps you’re tired of carrying the weight of the past and want to feel more in control of your thoughts and reactions. Together, we’ll explore your story with compassion, uncover what’s holding you back, and help you reconnect with your strength and sense of purpose. Healing isn’t about perfection—it’s about understanding yourself, building balance, and moving forward with confidence and clarity.
(239) 345-2376 View (239) 345-2376
Photo of Kimberly T Brown, Clinical Social Work/Therapist, LCSW
Kimberly T Brown
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
Not accepting new clients
I get it. At this point, you may be exhausted with the feelings and/or issue at hand and need a space to feel heard. I commend you for finding the courage to seek out assistance in a therapist that you can trust. Whether it's depression, anxiety, stress or trauma, I am here to help.
I get it. At this point, you may be exhausted with the feelings and/or issue at hand and need a space to feel heard. I commend you for finding the courage to seek out assistance in a therapist that you can trust. Whether it's depression, anxiety, stress or trauma, I am here to help.
(352) 261-6425 View (352) 261-6425
Photo of Ernest J Bordini, Psychologist, PhD
Ernest J Bordini
Psychologist, PhD
Gainesville, FL 32605
Thirty years of experience providing clinical and forensic adult and pediatric neuropsychological assessement. This includes head injuries, developmental disoders, ADHD, LD, Asperger's. Forensic evaluations are conducted by retainer by defense (IME/CME) or by plaintiff attorney. Recognized as expert in state and federal court. Most of my psychotherapy is geared to longer term insight-oriented treatment and I enjoy working with physicians, professionals, officers and military.
Thirty years of experience providing clinical and forensic adult and pediatric neuropsychological assessement. This includes head injuries, developmental disoders, ADHD, LD, Asperger's. Forensic evaluations are conducted by retainer by defense (IME/CME) or by plaintiff attorney. Recognized as expert in state and federal court. Most of my psychotherapy is geared to longer term insight-oriented treatment and I enjoy working with physicians, professionals, officers and military.
(352) 729-3230 View (352) 729-3230
Photo of Dr. Amanda E Mikell, Psychologist, PsyD
Dr. Amanda E Mikell
Psychologist, PsyD
1 Endorsed
Online Only
Are you struggling with stress, anxiety, burnout, loss, depression, or simply feeling stuck? Are you experiencing more irritability, losing sleep, or not enjoying things like you used to? There is help available. Hi, I’m Dr. Amanda Mikell, a licensed clinical psychologist with over 19-years experience providing results driven, evidence-based psychotherapy to adults who are capable, driven, and often overwhelmed. I offer a supportive, practical, and non-judgmental approach to help you move through challenges, manage stress, reduce feelings of anxiety or depression, and improve your quality of life.
Are you struggling with stress, anxiety, burnout, loss, depression, or simply feeling stuck? Are you experiencing more irritability, losing sleep, or not enjoying things like you used to? There is help available. Hi, I’m Dr. Amanda Mikell, a licensed clinical psychologist with over 19-years experience providing results driven, evidence-based psychotherapy to adults who are capable, driven, and often overwhelmed. I offer a supportive, practical, and non-judgmental approach to help you move through challenges, manage stress, reduce feelings of anxiety or depression, and improve your quality of life.
(772) 666-4767 View (772) 666-4767
Photo of Edie J Siemann, Marriage & Family Therapist, EdS, LMFT, LMHC
Edie J Siemann
Marriage & Family Therapist, EdS, LMFT, LMHC
Online Only
Not accepting new clients
Seeking help is an important and personal decision. As a licensed marriage and family therapist and a licensed mental health counselor, I offer a style of counseling that is both gentle and challenging to individuals, couples and families. My approach in the therapeutic process is one that supports and guides you to gain greater understanding of yourself and your relationships as you work to resolve the issues you choose to address such as: anxiety, depression, low self-esteem, relational issues and disruptions in life. In therapy we set goals explore thoughts, feelings and behaviors and work together toward your desired outcomes.
Seeking help is an important and personal decision. As a licensed marriage and family therapist and a licensed mental health counselor, I offer a style of counseling that is both gentle and challenging to individuals, couples and families. My approach in the therapeutic process is one that supports and guides you to gain greater understanding of yourself and your relationships as you work to resolve the issues you choose to address such as: anxiety, depression, low self-esteem, relational issues and disruptions in life. In therapy we set goals explore thoughts, feelings and behaviors and work together toward your desired outcomes.
(352) 405-4528 View (352) 405-4528

How does your Therapist compare?

Number of Therapists in Lake Butler, FL

< 10

Therapists in Lake Butler, FL who prioritize treating:

100% Trauma and PTSD
67% Relationship Issues
67% Depression
67% Anxiety
67% Grief
67% Self Esteem
67% Sexual Abuse

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Oxford

How Therapists in Lake Butler, FL see their clients

67% Online Only
33% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Lake Butler?

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.