Therapists in Lake Mary, FL

Photo of Melanie Mason, Marriage & Family Therapist, MS, LMFT
Melanie Mason
Marriage & Family Therapist, MS, LMFT
Lake Mary, FL 32746
Have you experienced betrayal or infidelity in your marriage? Do you feel lost and helpless? Trust broken is not easily regained. Don't let shame or fear keep you from getting the help you need. I often see couples who tried to fight through betrayal alone with damaging consequences. Now is the time to seek help, and you need someone who has studied couples and betrayal. I have extensive, post-graduate training in couples therapy and trauma, and helping couples is my passion. If you are hurting and your relationship no longer feels like the safe place it once was, call me. Working with couples is my passion! Call me at 407-917-0322
Have you experienced betrayal or infidelity in your marriage? Do you feel lost and helpless? Trust broken is not easily regained. Don't let shame or fear keep you from getting the help you need. I often see couples who tried to fight through betrayal alone with damaging consequences. Now is the time to seek help, and you need someone who has studied couples and betrayal. I have extensive, post-graduate training in couples therapy and trauma, and helping couples is my passion. If you are hurting and your relationship no longer feels like the safe place it once was, call me. Working with couples is my passion! Call me at 407-917-0322
(407) 901-1877 View (407) 901-1877
Photo of Zulma Grijalba, Pre-Licensed Professional, MS, MA, RMHCI
Zulma Grijalba
Pre-Licensed Professional, MS, MA, RMHCI
1 Endorsed
Lake Mary, FL 32746
I’m passionate about working with couples to strengthen communication and deepen their bond. Supporting women in embracing their resilience is a core part of my approach, and I strive to empower them in all aspects of life. I also have a deep appreciation for working with Hispanic seniors, honoring their experiences and helping them navigate life transitions with understanding and care. My goal is to create a warm, supportive space where healing, growth, and lasting transformation can take place. Hablo Español apoyo a parejas, mujeres y adultos mayores en su crecimiento, brindandote herramientas para empoderarte una sesión a la vez!
I’m passionate about working with couples to strengthen communication and deepen their bond. Supporting women in embracing their resilience is a core part of my approach, and I strive to empower them in all aspects of life. I also have a deep appreciation for working with Hispanic seniors, honoring their experiences and helping them navigate life transitions with understanding and care. My goal is to create a warm, supportive space where healing, growth, and lasting transformation can take place. Hablo Español apoyo a parejas, mujeres y adultos mayores en su crecimiento, brindandote herramientas para empoderarte una sesión a la vez!
(321) 850-5160 View (321) 850-5160
Photo of Earl Lewis, Counselor, LMHC
Earl Lewis
Counselor, LMHC
Online Only
My ideal client is hopeful that they can achieve, overcome, or get through their concern. I know that each client is unique in their issues, needs, and goals, and I don't judge those areas. Instead, I respect the client's focus and seek to understand what those are. Ideally, the client has goals that are both in the here and now and can be sustaining and realistic. In addition, the client's needs are reasonable and obtainable needs such as improving one's mood because they're sad, alleviating symptoms of anxiety that have been ongoing for weeks, or having a better relationship with a family member.
My ideal client is hopeful that they can achieve, overcome, or get through their concern. I know that each client is unique in their issues, needs, and goals, and I don't judge those areas. Instead, I respect the client's focus and seek to understand what those are. Ideally, the client has goals that are both in the here and now and can be sustaining and realistic. In addition, the client's needs are reasonable and obtainable needs such as improving one's mood because they're sad, alleviating symptoms of anxiety that have been ongoing for weeks, or having a better relationship with a family member.
(407) 594-7187 View (407) 594-7187
Photo of Rachel Camilo Harris - Rachel Harris, EMDR Therapy & Intensives, Counselor, LMHC, LPCC
Rachel Harris, EMDR Therapy & Intensives
Counselor, LMHC, LPCC
2 Endorsed
Online Only
Have you or your child experienced a distressing event and now seeking emotional healing? Are there unwanted patterns you just can’t seem to break? Unsure who to trust or where to go to get the healing you deserve after such a scary experience? I specialize in trauma recovery, offering compassionate and creative therapeutic experiences. With a focus on childhood and complex trauma, I offer EMDR and therapy intensives to empower transformation. Whether you're an adult seeking retroactive work or a child in the midst of stress, discover your resilience & handcraft your healing today!
Have you or your child experienced a distressing event and now seeking emotional healing? Are there unwanted patterns you just can’t seem to break? Unsure who to trust or where to go to get the healing you deserve after such a scary experience? I specialize in trauma recovery, offering compassionate and creative therapeutic experiences. With a focus on childhood and complex trauma, I offer EMDR and therapy intensives to empower transformation. Whether you're an adult seeking retroactive work or a child in the midst of stress, discover your resilience & handcraft your healing today!
(407) 553-9722 View (407) 553-9722
Photo of Alfred Dean Vonetes - VonCare Inc, Psychologist, PsyD
VonCare Inc
Psychologist, PsyD
Online Only
I offer an eclectic approach to a diverse group of populations throughout the entire lifespan; utilizing several types of therapeutic modalities including: cognitive-behavioral, dialectical-behavioral, psychodynamic/psychoanalytic, psychoeducational counseling, humanistic, existential, relaxation training, sports-exercise psychology, family systems, as well as mindfulness philosophies and techniques. During our initial consultation, information is gathered through the use of various assessment techniques in order to specifically identify problematic areas. During the early formation of the therapeutic relationship we will create goals that can be empirically measured in order to statistically track patient progress and maintain quality assurance.
I offer an eclectic approach to a diverse group of populations throughout the entire lifespan; utilizing several types of therapeutic modalities including: cognitive-behavioral, dialectical-behavioral, psychodynamic/psychoanalytic, psychoeducational counseling, humanistic, existential, relaxation training, sports-exercise psychology, family systems, as well as mindfulness philosophies and techniques. During our initial consultation, information is gathered through the use of various assessment techniques in order to specifically identify problematic areas. During the early formation of the therapeutic relationship we will create goals that can be empirically measured in order to statistically track patient progress and maintain quality assurance.
(407) 801-8476 View (407) 801-8476
Photo of Farah Baptiste, Pre-Licensed Professional, MA
Farah Baptiste
Pre-Licensed Professional, MA
5 Endorsed
Online Only
Hi, I’m Farah! I believe in a holistic approach that integrates mind, body, and spirit, to foster genuine, lasting healing. My ideal client is someone feeling the weight of life, navigating complex relationships, or wrestling with the past. Together, we’ll develop tools to help you manage emotions, break unhealthy cycles, and build meaningful connections.
Hi, I’m Farah! I believe in a holistic approach that integrates mind, body, and spirit, to foster genuine, lasting healing. My ideal client is someone feeling the weight of life, navigating complex relationships, or wrestling with the past. Together, we’ll develop tools to help you manage emotions, break unhealthy cycles, and build meaningful connections.
(386) 387-8321 View (386) 387-8321
Photo of Anella Garness, Counselor, LMHC
Anella Garness
Counselor, LMHC
Lake Mary, FL 32746
Anella Garness is a Licensed Mental Health Counselor who received her M. A. in Clinical Psychology from the University of Central Florida. She has over 5 years of experience working with children, adolescents and adults in both outpatient and residential settings. She has extensive experience with substance use disorders and co-occurring disorders. Her areas of interest also include trauma and resiliency which resulted in her decision to become trained in EMDR.
Anella Garness is a Licensed Mental Health Counselor who received her M. A. in Clinical Psychology from the University of Central Florida. She has over 5 years of experience working with children, adolescents and adults in both outpatient and residential settings. She has extensive experience with substance use disorders and co-occurring disorders. Her areas of interest also include trauma and resiliency which resulted in her decision to become trained in EMDR.
(386) 388-6061 View (386) 388-6061
Photo of Samantha L Charbonneau, Marriage & Family Therapist, MS, LMFT, PA
Samantha L Charbonneau
Marriage & Family Therapist, MS, LMFT, PA
5 Endorsed
Lake Mary, FL 32746
My therapeutic model is Solution Focused Brief Therapy. My clientele includes individuals, couples, families, and groups. I collaborate with clients - adults, and adolescents - to identify and develop their strengths, exploring and developing solutions to improve the quality of their lives. I work with a number of presenting therapeutic issues including: mental health, couples/marriage counseling, blended families, pre-marital counseling, separation/divorce, parenting/co-parenting, employment/EAP, etc. I enjoy working with one participant or several participating members of a client's family/support system.
My therapeutic model is Solution Focused Brief Therapy. My clientele includes individuals, couples, families, and groups. I collaborate with clients - adults, and adolescents - to identify and develop their strengths, exploring and developing solutions to improve the quality of their lives. I work with a number of presenting therapeutic issues including: mental health, couples/marriage counseling, blended families, pre-marital counseling, separation/divorce, parenting/co-parenting, employment/EAP, etc. I enjoy working with one participant or several participating members of a client's family/support system.
(407) 972-1501 View (407) 972-1501
Photo of Karon Montgomery, Mental Health Counselor, LMHC, QS, CJSOTS
Karon Montgomery
Mental Health Counselor, LMHC, QS, CJSOTS
1 Endorsed
Online Only
Hi! Thank you for taking the first steps toward becoming the best version of yourself! I'm honored that you would consider me to assist you on this journey. My name is Karon Montgomery I am a native of Orlando, Florida. I received my Bachelor of Science Degree in Human Service and a Master of Science Degree in Mental Health counseling. I am a Licensed Mental Health Counselor and a Certified Juvenile Sex Offender Specialist Counselor. I love working with both children and adults. Children and adolescents present unique challenges and I love finding unique ways to help those in need.
Hi! Thank you for taking the first steps toward becoming the best version of yourself! I'm honored that you would consider me to assist you on this journey. My name is Karon Montgomery I am a native of Orlando, Florida. I received my Bachelor of Science Degree in Human Service and a Master of Science Degree in Mental Health counseling. I am a Licensed Mental Health Counselor and a Certified Juvenile Sex Offender Specialist Counselor. I love working with both children and adults. Children and adolescents present unique challenges and I love finding unique ways to help those in need.
(321) 421-5691 View (321) 421-5691
Photo of Yiny Poveda, Clinical Social Work/Therapist, LCSW, MCAP, ICADC
Yiny Poveda
Clinical Social Work/Therapist, LCSW, MCAP, ICADC
3 Endorsed
Online Only
Asking yourself questions like “Why can't I just be happy?” and “Why do I have this feeling inside of me?” is a normal part of life. Everyone experiences difficult times at some point. Either because they lived through something traumatic or for seemingly no reason at all. What matters is how we respond to and deal with these thoughts. Seeking help to deal with your challenges is brave. It shows that you take ownership and responsibility for your mental and physical wellbeing. You cannot go through life completely without experiencing challenges. However, you do not have to suffer alone. Talking about it helps.
Asking yourself questions like “Why can't I just be happy?” and “Why do I have this feeling inside of me?” is a normal part of life. Everyone experiences difficult times at some point. Either because they lived through something traumatic or for seemingly no reason at all. What matters is how we respond to and deal with these thoughts. Seeking help to deal with your challenges is brave. It shows that you take ownership and responsibility for your mental and physical wellbeing. You cannot go through life completely without experiencing challenges. However, you do not have to suffer alone. Talking about it helps.
(407) 612-2459 View (407) 612-2459
Photo of Arachel Abreu, Pre-Licensed Professional
Arachel Abreu
Pre-Licensed Professional
6 Endorsed
Lake Mary, FL 32746
Not accepting new clients
Feeling stuck, overwhelmed, or unheard? Whether you're battling anxiety, depression, or self-doubt, or struggling with communication and intimacy in your relationship, you don’t have to face it alone. You deserve a space where you feel truly understood, where you can unpack your emotions, gain clarity, and start making real changes. I specialize in helping individuals and couples break through emotional roadblocks, improve relationships, and build confidence in themselves. My approach is warm, client-centered, and solution-focused, giving you practical tools to navigate life’s challenges in a way that feels right for you.
Feeling stuck, overwhelmed, or unheard? Whether you're battling anxiety, depression, or self-doubt, or struggling with communication and intimacy in your relationship, you don’t have to face it alone. You deserve a space where you feel truly understood, where you can unpack your emotions, gain clarity, and start making real changes. I specialize in helping individuals and couples break through emotional roadblocks, improve relationships, and build confidence in themselves. My approach is warm, client-centered, and solution-focused, giving you practical tools to navigate life’s challenges in a way that feels right for you.
(407) 598-5236 View (407) 598-5236
Photo of Erika Dodd, Marriage & Family Therapist, LMFT
Erika Dodd
Marriage & Family Therapist, LMFT
Online Only
I would love to help you learn how to feel confident and safe in your own skin, and create a purposeful life that makes you excited to wake up in the morning.
I would love to help you learn how to feel confident and safe in your own skin, and create a purposeful life that makes you excited to wake up in the morning.
(321) 455-5508 View (321) 455-5508
Photo of Monica Perry, Marriage & Family Therapist, MS, LMFT
Monica Perry
Marriage & Family Therapist, MS, LMFT
Lake Mary, FL 32746
Perhaps the most difficult and courageous decision one must make in life is to ask for help during troubling times. I practice holistic reality-based therapy, teaching clients to become agents of their own change. I will assist in identifying goals, as well as barriers, and together we will collaborate to devise and implement a set of life skills and tools that will ultimately become the backbone of positive change for an individual or family. I believe that the client-therapist relationship is the single most important factor in successful therapy outcomes.
Perhaps the most difficult and courageous decision one must make in life is to ask for help during troubling times. I practice holistic reality-based therapy, teaching clients to become agents of their own change. I will assist in identifying goals, as well as barriers, and together we will collaborate to devise and implement a set of life skills and tools that will ultimately become the backbone of positive change for an individual or family. I believe that the client-therapist relationship is the single most important factor in successful therapy outcomes.
(386) 243-3633 View (386) 243-3633
Photo of Amanda Taylor Martin - Mosaics Counseling, Counselor, MA, LMHC
Mosaics Counseling
Counselor, MA, LMHC
2 Endorsed
Lake Mary, FL 32746
Amanda is passionate about partnering with her clients as they pursue healing and growth and aims to respect each individual with whom she has the privilege to work. She is honored to help empower her clients to face “icky” things from the past for the sake of freedom to live organically in the present moment.
Amanda is passionate about partnering with her clients as they pursue healing and growth and aims to respect each individual with whom she has the privilege to work. She is honored to help empower her clients to face “icky” things from the past for the sake of freedom to live organically in the present moment.
(407) 329-6553 View (407) 329-6553
Photo of Sarah A Gura, Licensed Mental Health Counselor, MA, LMHC, LCPC, EMDR, RYT200
Sarah A Gura
Licensed Mental Health Counselor, MA, LMHC, LCPC, EMDR, RYT200
2 Endorsed
Lake Mary, FL 32746
Hi, there! I can help you with stress, anxiety, panic attacks, depression, trauma, and relationships. Learning to take better care of yourself is valuable and necessary. We'll complete an assessment, create a treatment plan together, and get you where you want to be! Florida patients can be seen in-person or via telehealth. Illinois patients are telehealth only.
Hi, there! I can help you with stress, anxiety, panic attacks, depression, trauma, and relationships. Learning to take better care of yourself is valuable and necessary. We'll complete an assessment, create a treatment plan together, and get you where you want to be! Florida patients can be seen in-person or via telehealth. Illinois patients are telehealth only.
(321) 415-3403 View (321) 415-3403
Photo of Carol A. Duryea, Clinical Social Work/Therapist, LCSW, MSW
Carol A. Duryea
Clinical Social Work/Therapist, LCSW, MSW
1 Endorsed
Lake Mary, FL 32746
We all have life challenges. We all have times of pain, sometimes fearing things will never change. Whether you are facing loss or illness, loneliness, hurtful relationships, or past trauma, you can build the resilience and skill to heal and live your best life. Take a first step. It really just starts with a simple conversation. Finding peace and workable solutions is a process. Let's begin by exploring your needs and goals, moving toward restoration, healing and hope. Discover your true identity.
We all have life challenges. We all have times of pain, sometimes fearing things will never change. Whether you are facing loss or illness, loneliness, hurtful relationships, or past trauma, you can build the resilience and skill to heal and live your best life. Take a first step. It really just starts with a simple conversation. Finding peace and workable solutions is a process. Let's begin by exploring your needs and goals, moving toward restoration, healing and hope. Discover your true identity.
(407) 214-5180 View (407) 214-5180
Photo of Sheyla P Neira-Changa, Counselor, LMHC
Sheyla P Neira-Changa
Counselor, LMHC
Online Only
I am the proud daughter of immigrant parents, and I carry with me a deep understanding of what it means to navigate big life changes. Growing up between cultures taught me the importance of compassion, resilience, and listening deeply. These lessons have shaped who I am — not just as a mental health counselor, but also as a wife, a mother, and a human being. I am especially sensitive to the unique challenges that come with cultural identity, transition, and the weight of expectations — both spoken and unspoken. It’s from this place of empathy and lived experience that I hold space for others.
I am the proud daughter of immigrant parents, and I carry with me a deep understanding of what it means to navigate big life changes. Growing up between cultures taught me the importance of compassion, resilience, and listening deeply. These lessons have shaped who I am — not just as a mental health counselor, but also as a wife, a mother, and a human being. I am especially sensitive to the unique challenges that come with cultural identity, transition, and the weight of expectations — both spoken and unspoken. It’s from this place of empathy and lived experience that I hold space for others.
(689) 302-4180 View (689) 302-4180
Photo of Milca M. Journet Beltran, Clinical Social Work/Therapist, LCSW
Milca M. Journet Beltran
Clinical Social Work/Therapist, LCSW
1 Endorsed
Lake Mary, FL 32746
Waitlist for new clients
Hola! I’m Milca or MJ. I’m a Latina Clinical Social Worker/therapist specializing in supporting teens and adults facing challenges like anxiety, OCD, panic attacks, intrusive thoughts, self harm, trauma, PTSD, depression, ADHD, school/college stress, chronic conditions and life changes. I understand how though these challenges can be, the constant worry, intrusive thoughts and feelings of sadness. We'll work together using strategies such as CBT, Exposure and Response Prevention (ERP), mindfulness, self regulation and coping skills. I provide relatable, solution focused support to help you feel more confident and capable.
Hola! I’m Milca or MJ. I’m a Latina Clinical Social Worker/therapist specializing in supporting teens and adults facing challenges like anxiety, OCD, panic attacks, intrusive thoughts, self harm, trauma, PTSD, depression, ADHD, school/college stress, chronic conditions and life changes. I understand how though these challenges can be, the constant worry, intrusive thoughts and feelings of sadness. We'll work together using strategies such as CBT, Exposure and Response Prevention (ERP), mindfulness, self regulation and coping skills. I provide relatable, solution focused support to help you feel more confident and capable.
(321) 450-8756 View (321) 450-8756
Photo of Sumbul Zaidi - Genius Minds Testing and Counseling, EdS
Genius Minds Testing and Counseling
Verified Verified
Lake Mary, FL 32746
Welcome to my profile! I believe all children are hidden gems, they just need to be discovered! At Genius Minds Testing and Counseling, I take great pride in helping families understand how their child learns best so they can succeed academically, behaviorally, and socially in life.
Welcome to my profile! I believe all children are hidden gems, they just need to be discovered! At Genius Minds Testing and Counseling, I take great pride in helping families understand how their child learns best so they can succeed academically, behaviorally, and socially in life.
(407) 588-7386 View (407) 588-7386
Photo of Dr. Shannon M. Holliker, Clinical Social Work/Therapist, PhD, LCSW, MS
Dr. Shannon M. Holliker
Clinical Social Work/Therapist, PhD, LCSW, MS
1 Endorsed
Online Only
Therapy can be an empowering and beneficial experience that is unique and individual. Some people only need support for a short time. In order to get to where we want to be, it isn’t always necessary to relive the past. I incorporate evidence-based approaches, but with relevance to 2025. Sometimes, in order to meet a goal, we need someone to hold us accountable and other times we need reflective support. We will identify what type of manageable strategies and support is best together-By setting realistic steps with a focus on progress, we will do intentional work together in an honest, safe, and collaborative setting.
Therapy can be an empowering and beneficial experience that is unique and individual. Some people only need support for a short time. In order to get to where we want to be, it isn’t always necessary to relive the past. I incorporate evidence-based approaches, but with relevance to 2025. Sometimes, in order to meet a goal, we need someone to hold us accountable and other times we need reflective support. We will identify what type of manageable strategies and support is best together-By setting realistic steps with a focus on progress, we will do intentional work together in an honest, safe, and collaborative setting.
(321) 406-2930 View (321) 406-2930

See more therapy options for Lake Mary

How does your Therapist compare?

Number of Therapists in Lake Mary, FL

200+

Average cost per session

$150

Therapists in Lake Mary, FL who prioritize treating:

92% Anxiety
84% Depression
80% Relationship Issues
74% Self Esteem
73% Trauma and PTSD
71% Coping Skills
67% Stress

Average years in practice

13 Years

Top 3 insurances accepted

90% Aetna
77% Cigna and Evernorth
77% UnitedHealthcare UHC | UBH

How Therapists in Lake Mary, FL see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Lake Mary?

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.