Therapists in Gwinnett County, GA

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Photo of Tess Ramona Gibbs, Counselor in Gwinnett County, GA
Tess Ramona Gibbs
Counselor, MS
Verified
1 Endorsed
Lawrenceville, GA 30046  (Online Only)
I am a graduate of The Fort Valley State University, with a Masters degree in Clinical Mental Health Counseling. I love people connections and have a passion for the health of marriages, women and the family structure. My compassion, empathy and life experiences continue to move me in my passion to serve people in such a way that improves their overall well-being. I enjoy establishing connections with individuals and organizations through attentive and innovative services. This is achieved through empathetic listening and serving others with passion and creativity that improves the overall well-being of the clients.
I am a graduate of The Fort Valley State University, with a Masters degree in Clinical Mental Health Counseling. I love people connections and have a passion for the health of marriages, women and the family structure. My compassion, empathy and life experiences continue to move me in my passion to serve people in such a way that improves their overall well-being. I enjoy establishing connections with individuals and organizations through attentive and innovative services. This is achieved through empathetic listening and serving others with passion and creativity that improves the overall well-being of the clients.
(470) 333-7866 View (470) 333-7866
Photo of Daja Robinson, Licensed Professional Counselor in Gwinnett County, GA
Daja Robinson
Licensed Professional Counselor, LPC
Verified
1 Endorsed
Suwanee, GA 30024  (Online Only)
I love to help aspiring people find new meaning of life by sorting through feelings of worry and hopelessness instead of avoiding them like an annoying telemarketer. My clients struggle just like you do. Despite being successful, intelligent, and as sweet as a Georgia peach, life is hard. When they first come in, they feel overwhelmed with every aspect of their life. What once seemed like a small hurdle has turned into an Olympic sport to overcome. They can hardly remember feeling motivated and feel like joy has vanished.
I love to help aspiring people find new meaning of life by sorting through feelings of worry and hopelessness instead of avoiding them like an annoying telemarketer. My clients struggle just like you do. Despite being successful, intelligent, and as sweet as a Georgia peach, life is hard. When they first come in, they feel overwhelmed with every aspect of their life. What once seemed like a small hurdle has turned into an Olympic sport to overcome. They can hardly remember feeling motivated and feel like joy has vanished.
(470) 264-5132 View (470) 264-5132
Photo of New Beginnings Counseling Center, Licensed Professional Counselor in Gwinnett County, GA
New Beginnings Counseling Center
Licensed Professional Counselor, LPC, NCC, CPCS
Verified
Lawrenceville, GA 30046
Yolanda is an Licensed Professional Counselor with over 20 years of experience providing help, hope and healing, in a supportive and confidential environment, to individuals, couples and families who are struggling with life's challenges. I am committed to motivate, empower and facilitate change in my clients by understanding their needs and providing the necessary skills and tools to grow and reach their full potential. I am focussed on delivering the highest quality of care and seek to improve the lives of others and bring them to a place of restoration.
Yolanda is an Licensed Professional Counselor with over 20 years of experience providing help, hope and healing, in a supportive and confidential environment, to individuals, couples and families who are struggling with life's challenges. I am committed to motivate, empower and facilitate change in my clients by understanding their needs and providing the necessary skills and tools to grow and reach their full potential. I am focussed on delivering the highest quality of care and seek to improve the lives of others and bring them to a place of restoration.
(678) 820-4754 View (678) 820-4754
Photo of Dr. Natasha M. Ramsey, Licensed Professional Counselor in Gwinnett County, GA
Dr. Natasha M. Ramsey
Licensed Professional Counselor, PsyD, LPC, NCC, CPCS, CCTP
Verified
2 Endorsed
Dacula, GA 30019  (Online Only)
Why bother telling anyone, they won't believe you or won't care. People would think it was your fault, after all, you did not say "no". There is no way that your physical health issues could be related to what happened to you, after all, it was so long ago and you don't even think about it anymore. It becomes easier to wear a mask then reveal the pain of what you cannot speak about. Being strong all the time becomes harder as the days, weeks, and months go by.
Why bother telling anyone, they won't believe you or won't care. People would think it was your fault, after all, you did not say "no". There is no way that your physical health issues could be related to what happened to you, after all, it was so long ago and you don't even think about it anymore. It becomes easier to wear a mask then reveal the pain of what you cannot speak about. Being strong all the time becomes harder as the days, weeks, and months go by.
(678) 264-3513 View (678) 264-3513
Photo of Darrin S. Bronfman, Clinical Social Work/Therapist in Gwinnett County, GA
Darrin S. Bronfman
Clinical Social Work/Therapist, LCSW
Verified
Norcross, GA 30071
I see a variety of clients ranging from couples to individual adults and children. I emphasize that a therapeutic relationship is a personal one. It is important to me for my clients to feel that they are actively involved in the process of therapy, and I make an effort to progress at their pace. I frequently serve as a guide, ensuring that we address the needs that the client has identified, while also offering my own perspective on their issues.
I see a variety of clients ranging from couples to individual adults and children. I emphasize that a therapeutic relationship is a personal one. It is important to me for my clients to feel that they are actively involved in the process of therapy, and I make an effort to progress at their pace. I frequently serve as a guide, ensuring that we address the needs that the client has identified, while also offering my own perspective on their issues.
(770) 450-5407 View (770) 450-5407
Photo of Dr. Alejandro L. Navarrete-Aguilar, Licensed Professional Counselor in Gwinnett County, GA
Dr. Alejandro L. Navarrete-Aguilar
Licensed Professional Counselor, PsyD, LPC, CPCS
Verified
5 Endorsed
Norcross, GA 30071
Dr. Navarrete-Aguilar and his team at the Counseling Institute of Atlanta are bilingual therapists (Spanish and Portuguese) who specialize in immigration-related issues. We have helped many clients and their families with their immigration cases. We can complete a clinical evaluation for Waivers, U-Visa, VAWA, Cancellation of Removal, T Visa, and Political Asylum cases.
Dr. Navarrete-Aguilar and his team at the Counseling Institute of Atlanta are bilingual therapists (Spanish and Portuguese) who specialize in immigration-related issues. We have helped many clients and their families with their immigration cases. We can complete a clinical evaluation for Waivers, U-Visa, VAWA, Cancellation of Removal, T Visa, and Political Asylum cases.
(404) 998-8839 View (404) 998-8839
Photo of Dionne Reid-Hayles, Clinical Social Work/Therapist in Gwinnett County, GA
Dionne Reid-Hayles
Clinical Social Work/Therapist, MSW, LCSW
Verified
3 Endorsed
Lawrenceville, GA 30046
Now accepting New Clients ! Are you struggling in silence with anxiety, depression, trauma or grief ? As your experienced therapist, I am ready to guide you on your journey to mental wellness. We will develop an individualize goal oriented treatment plan that brings results. Whether you are an adult or adolescent, professional or college student your feelings are valid. I will provide a safe and nonjudgmental space for you to share your story. Whether your preference is in office or virtual. My clients enjoys seeing their symptoms improving and their lives changing. Take the first step and call today to schedule your appt.
Now accepting New Clients ! Are you struggling in silence with anxiety, depression, trauma or grief ? As your experienced therapist, I am ready to guide you on your journey to mental wellness. We will develop an individualize goal oriented treatment plan that brings results. Whether you are an adult or adolescent, professional or college student your feelings are valid. I will provide a safe and nonjudgmental space for you to share your story. Whether your preference is in office or virtual. My clients enjoys seeing their symptoms improving and their lives changing. Take the first step and call today to schedule your appt.
(770) 450-5062 View (770) 450-5062
Photo of Natalie R Bell, Counselor in Gwinnett County, GA
Natalie R Bell
Counselor, CCTP, NCC
Verified
1 Endorsed
Suwanee, GA 30024
It is said that we rise by lifting others. This rings true as it describes why most of us in the field do the work. We want you to rise and have the self-efficacy to lift yourself. I do not believe in a one-size-fit-all approach for my clients, as I work to find the best therapeutic support for each person. I have an open-door policy and encourage you to take the lead in your own healing and path forward.
It is said that we rise by lifting others. This rings true as it describes why most of us in the field do the work. We want you to rise and have the self-efficacy to lift yourself. I do not believe in a one-size-fit-all approach for my clients, as I work to find the best therapeutic support for each person. I have an open-door policy and encourage you to take the lead in your own healing and path forward.
(678) 688-9932 View (678) 688-9932
Photo of We Climb Counseling & Consulting LLC., Licensed Professional Counselor in Gwinnett County, GA
We Climb Counseling & Consulting LLC.
Licensed Professional Counselor, NCC, LPC, CPCS, ACS, LCSW
Verified
Snellville, GA 30078  (Online Only)
We are passionate and enthusiastic counselors dedicated to serving a diverse population with diverse needs. We strive to create an environment that promotes safety, vulnerability, collaboration, and trust. Our areas of emphasis include: Mood Disorders, Anxiety Disorders, Trauma, and Stress-Related Disorders, Conduct Disorders, Gender Identity, and Race-Based Trauma Stress (RBTS). We have significant experience working with children and adolescents who have experienced developmental delays, varying degrees of trauma, and various types of physical and/or sexual abuse.
We are passionate and enthusiastic counselors dedicated to serving a diverse population with diverse needs. We strive to create an environment that promotes safety, vulnerability, collaboration, and trust. Our areas of emphasis include: Mood Disorders, Anxiety Disorders, Trauma, and Stress-Related Disorders, Conduct Disorders, Gender Identity, and Race-Based Trauma Stress (RBTS). We have significant experience working with children and adolescents who have experienced developmental delays, varying degrees of trauma, and various types of physical and/or sexual abuse.
(770) 629-8669 View (770) 629-8669
Photo of David Daesoo Kim, Licensed Professional Counselor in Gwinnett County, GA
David Daesoo Kim
Licensed Professional Counselor, PhD, LPC, CPCS
Verified
16 Endorsed
Norcross, GA 30071
I have enjoyed providing psychotherapy for over twenty years. I currently maintain a private practice in Peachtree Corners/Norcross, Georgia where I work with individuals, couples, and families in both Korean and English languages. I offer both short and long-term psychotherapy depending on client need. Some people find just a few sessions helpful to resolve an issue while others choose to explore long-standing patterns and struggles over a more extended period of time.
I have enjoyed providing psychotherapy for over twenty years. I currently maintain a private practice in Peachtree Corners/Norcross, Georgia where I work with individuals, couples, and families in both Korean and English languages. I offer both short and long-term psychotherapy depending on client need. Some people find just a few sessions helpful to resolve an issue while others choose to explore long-standing patterns and struggles over a more extended period of time.
(404) 341-5480 View (404) 341-5480
Photo of Pamela E. Flatow, Clinical Social Work/Therapist in Gwinnett County, GA
Pamela E. Flatow
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Lawrenceville, GA 30043  (Online Only)
Pam Flatow was born and raised in New York. She graduated Cum Laude from Boston University with a BA and received her Masters in Social Work from Hunter College. She has worked in medical and psychiatric settings, inpatient and outpatient, and was Director of Social Services at a psychiatric hospital in Florida. Pam has many years of experience in her private practice, working with both adolescents and adults utilizing an eclectic range of therapeutic modalities. She is warm and caring and this comes across to her clients. She is the mother of three grown children and had a long term marriage until her husband passed away in 2015.
Pam Flatow was born and raised in New York. She graduated Cum Laude from Boston University with a BA and received her Masters in Social Work from Hunter College. She has worked in medical and psychiatric settings, inpatient and outpatient, and was Director of Social Services at a psychiatric hospital in Florida. Pam has many years of experience in her private practice, working with both adolescents and adults utilizing an eclectic range of therapeutic modalities. She is warm and caring and this comes across to her clients. She is the mother of three grown children and had a long term marriage until her husband passed away in 2015.
(678) 841-8165 View (678) 841-8165
Photo of Alfiya James, Clinical Social Work/Therapist in Gwinnett County, GA
Alfiya James
Clinical Social Work/Therapist, LCSW
Verified
Lawrenceville, GA 30044
Alfiya James is a Licensed Clinical Social Worker in the state of Georgia who has been practicing since 2011. She received her Master of Social Work from University of Georgia. Alfiya believes in the importance of using integrative therapy approach, establishes an empathic, caring relationship with her clients, and helps to grow in self- awareness and self-acceptance. Alfiya helps individuals seeking help for different psychological and life problems.
Alfiya James is a Licensed Clinical Social Worker in the state of Georgia who has been practicing since 2011. She received her Master of Social Work from University of Georgia. Alfiya believes in the importance of using integrative therapy approach, establishes an empathic, caring relationship with her clients, and helps to grow in self- awareness and self-acceptance. Alfiya helps individuals seeking help for different psychological and life problems.
(678) 541-7109 View (678) 541-7109
Photo of Dr, Matt Turner., Psychologist in Gwinnett County, GA
Dr, Matt Turner.
Psychologist, PhD
Verified
Lawrenceville, GA 30043  (Online Only)
Dr. Matt Turner offers virtual counseling for mental health and adjustment concerns and provides consultation on parenting and school related matters He specializes in providing psychological services for adolescents and young adults and their families.
Dr. Matt Turner offers virtual counseling for mental health and adjustment concerns and provides consultation on parenting and school related matters He specializes in providing psychological services for adolescents and young adults and their families.
(678) 833-0983 View (678) 833-0983
Photo of Maike Wegner-Kleine, Marriage & Family Therapist in Gwinnett County, GA
Maike Wegner-Kleine
Marriage & Family Therapist, MS, LMFT
Verified
6 Endorsed
Buford, GA 30518
Maike holds a Masters Degree in Marriage & Family Therapy from Valdosta State University and a Bachelors Degree in Child & Family Development from The University of Georgia. She has enjoyed enhancing her work with children, adolescents, adults, families and couples by assisting everyone involved to work collaboratively to achieve their full potential. She is Certified in the Prepare/Enrich Program which is used to strengthen and enhance marriages as well as prepare for marriage; this program utilizes a comprehensive assessment which the couple will complete along with skill building exercises during therapy.
Maike holds a Masters Degree in Marriage & Family Therapy from Valdosta State University and a Bachelors Degree in Child & Family Development from The University of Georgia. She has enjoyed enhancing her work with children, adolescents, adults, families and couples by assisting everyone involved to work collaboratively to achieve their full potential. She is Certified in the Prepare/Enrich Program which is used to strengthen and enhance marriages as well as prepare for marriage; this program utilizes a comprehensive assessment which the couple will complete along with skill building exercises during therapy.
(678) 329-8820 View (678) 329-8820
Photo of Alix Amar, Clinical Social Work/Therapist in Gwinnett County, GA
Alix Amar
Clinical Social Work/Therapist, MEd, MSS, LCSW
Verified
1 Endorsed
Lilburn, GA 30047  (Online Only)
I am an experienced psychotherapist with over 30 years of expertise in the field. Throughout my career, I have dedicated myself to studying and practicing various therapeutic modalities, including Psychodynamic therapy, Gestalt, Expressive Arts, Somatic Therapy, EMDR, Grief therapy, and Trauma therapy. My true passion lies in working with those who are living with dissociation and plurality. I am proud to serve on the board of An Infinite Mind and offer Creative Journaling workshops and a Creative Explorations series on zoom for people Living with Dissociation.
I am an experienced psychotherapist with over 30 years of expertise in the field. Throughout my career, I have dedicated myself to studying and practicing various therapeutic modalities, including Psychodynamic therapy, Gestalt, Expressive Arts, Somatic Therapy, EMDR, Grief therapy, and Trauma therapy. My true passion lies in working with those who are living with dissociation and plurality. I am proud to serve on the board of An Infinite Mind and offer Creative Journaling workshops and a Creative Explorations series on zoom for people Living with Dissociation.
(267) 609-9192 View (267) 609-9192
Photo of Alex Le, Pre-Licensed Professional in Gwinnett County, GA
Alex Le
Pre-Licensed Professional
Verified
Sugar Hill, GA 30518
Hi there! My name is Alex Le and I am a Master's Level Clinician at Grace Counseling Services LLC. I received my Master's in Clinical Counseling Psychology from Brenau University. I have spent the last year working with clients from various backgrounds, however my specialty and passion lies in working with children and teens who have experienced trauma, perinatal mental health, and grief counseling.
Hi there! My name is Alex Le and I am a Master's Level Clinician at Grace Counseling Services LLC. I received my Master's in Clinical Counseling Psychology from Brenau University. I have spent the last year working with clients from various backgrounds, however my specialty and passion lies in working with children and teens who have experienced trauma, perinatal mental health, and grief counseling.
(470) 431-1523 View (470) 431-1523
Photo of Michele Ruiz, Licensed Professional Counselor in Gwinnett County, GA
Michele Ruiz
Licensed Professional Counselor, LPC, RPT, CPCS
Verified
Dacula, GA 30019
I am a passionate and creative bilingual counselor, who seeks to make the counseling process a fun and positive healing experience. My extensive counseling experience led me to have the pleasure to work with children, adolescents, and their families in stressful and challenging situations. I look forward to helping my clients achieve their individual goals, help parents build new parenting skills, and assist on improving the family integration. My purpose is to equip each of my clients to find the tools they need to improve their wellbeing in a matter that is effective for them.
I am a passionate and creative bilingual counselor, who seeks to make the counseling process a fun and positive healing experience. My extensive counseling experience led me to have the pleasure to work with children, adolescents, and their families in stressful and challenging situations. I look forward to helping my clients achieve their individual goals, help parents build new parenting skills, and assist on improving the family integration. My purpose is to equip each of my clients to find the tools they need to improve their wellbeing in a matter that is effective for them.
(470) 719-4762 View (470) 719-4762
Photo of Elaine Moss, Clinical Social Work/Therapist in Gwinnett County, GA
Elaine Moss
Clinical Social Work/Therapist, LCSW
Verified
23 Endorsed
Suwanee, GA 30024
I help highly intelligent over-achievers trade anxiety for confidence without feeling like a failure. My clients struggle like you do. Despite being smart, successful, and funnier than a viral meme, life is hard. When they first come in, they feel trapped by their image. They like being thought of as organized and successful, but inside they feel a total fake. When they stop to think about it, they realize they don't even feel like themselves anymore... it's like they've morphed into what other people expect them to be. Their greatest fear is people seeing the real person behind their mask and rejecting them.
I help highly intelligent over-achievers trade anxiety for confidence without feeling like a failure. My clients struggle like you do. Despite being smart, successful, and funnier than a viral meme, life is hard. When they first come in, they feel trapped by their image. They like being thought of as organized and successful, but inside they feel a total fake. When they stop to think about it, they realize they don't even feel like themselves anymore... it's like they've morphed into what other people expect them to be. Their greatest fear is people seeing the real person behind their mask and rejecting them.
(678) 364-7346 View (678) 364-7346
Photo of Hannah Rinehart, Licensed Professional Counselor in Gwinnett County, GA
Hannah Rinehart
Licensed Professional Counselor, LPC, BC-TMH, CPCS
Verified
5 Endorsed
Norcross, GA 30071
My desire is to come alongside you during life transitions, relationship issues and stressful times to provide a supportive and caring environment that assists you in dealing with life's difficulties. I work with women, adolescents and families struggling with anxiety, depression, addictions, faith-based issues, stress management, trauma, childhood sexual abuse, grief and relationship problems.
My desire is to come alongside you during life transitions, relationship issues and stressful times to provide a supportive and caring environment that assists you in dealing with life's difficulties. I work with women, adolescents and families struggling with anxiety, depression, addictions, faith-based issues, stress management, trauma, childhood sexual abuse, grief and relationship problems.
(678) 466-7420 View (678) 466-7420
Photo of Carmita Rivers, Licensed Professional Counselor in Gwinnett County, GA
Carmita Rivers
Licensed Professional Counselor, LPC, NCC, CAMS, CPCS
Verified
1 Endorsed
Snellville, GA 30078
I enjoy working with others to help them become empowered and successful by unlocking their potential. All services are provided in a calm and peaceful environment. Within this environment I am able to help those who are having difficulties in everyday life. All sessions will be tailored to fit individual needs and will provide fresh perspectives and will go at the client's pace. During a client's time with me, they will always feel supported and encouraged.
I enjoy working with others to help them become empowered and successful by unlocking their potential. All services are provided in a calm and peaceful environment. Within this environment I am able to help those who are having difficulties in everyday life. All sessions will be tailored to fit individual needs and will provide fresh perspectives and will go at the client's pace. During a client's time with me, they will always feel supported and encouraged.
(404) 800-3258 View (404) 800-3258

See more therapy options for Gwinnett County

How does your Therapist compare?

Number of Therapists in Gwinnett County, GA

1,000+

Average cost per session

$130

Therapists in Gwinnett County, GA who prioritize treating:

92% Anxiety
90% Depression
74% Self Esteem
72% Relationship Issues
71% Coping Skills
66% Trauma and PTSD
62% Stress

Average years in practice

11 Years

Top 3 insurances accepted

88% Aetna
76% Cigna and Evernorth
71% BlueCross and BlueShield

How Therapists in Gwinnett County, GA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Gwinnett County?

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.