Therapists in Boulder, CO

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Photo of Judith C Cardell, Licensed Professional Counselor in Boulder, CO
Judith C Cardell
Licensed Professional Counselor, LPC
Verified Verified
Boulder, CO 80302
Thank you for visiting my website. I hope the information you find here will be helpful to you. I have been a licensed Masters level therapist since 1991, specializing in anxiety disorders. I came to this profession through my own personal experience with severe anxiety. As a young woman, I suffered from panic disorder and agoraphobia, and I found my life increasingly limited by my fears. In my practice, I have devoted myself to helping others find freedom from disabling anxiety. I provide specialized treatment for children, adolescents and adults- all ages can suffer from these life limiting anxiety conditions.
Thank you for visiting my website. I hope the information you find here will be helpful to you. I have been a licensed Masters level therapist since 1991, specializing in anxiety disorders. I came to this profession through my own personal experience with severe anxiety. As a young woman, I suffered from panic disorder and agoraphobia, and I found my life increasingly limited by my fears. In my practice, I have devoted myself to helping others find freedom from disabling anxiety. I provide specialized treatment for children, adolescents and adults- all ages can suffer from these life limiting anxiety conditions.
(303) 747-4241 View (303) 747-4241
Photo of Jessica McCrea, Psychologist in Boulder, CO
Jessica McCrea
Psychologist, PsyD
Verified Verified
Boulder, CO 80302
The emotional challenges you are facing in your relationships or your work signal the opportunity for your greatest growth. Whether you are experiencing anxiety, stress, emotional reactivity, loneliness, grief, relationship challenges, life transitions or low self-worth, I can assist you to make lasting change. Within our collaboration together, you can learn skills for self-soothing, find relief from emotional reactivity, and shift self-limiting thoughts to thoughts that help you thrive.
The emotional challenges you are facing in your relationships or your work signal the opportunity for your greatest growth. Whether you are experiencing anxiety, stress, emotional reactivity, loneliness, grief, relationship challenges, life transitions or low self-worth, I can assist you to make lasting change. Within our collaboration together, you can learn skills for self-soothing, find relief from emotional reactivity, and shift self-limiting thoughts to thoughts that help you thrive.
(720) 597-7623 View (720) 597-7623
Photo of Kaila Jantz, Clinical Social Work/Therapist in Boulder, CO
Kaila Jantz
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Boulder, CO 80303
As an integrative practitioner, I believe that there’s not a one-size fits all approach to therapy. I value the importance of creating a treatment plan that is tailored to your specific needs, goals, and lifestyle. With an approach rooted in collaboration and support, I strive to establish a safe, nonjudgemental space to for you to explore and overcome barriers that are keeping you from living the life you want to live. I bring warm energy to sessions and am passionate about fostering genuine connection through empathy, integrity, and humor.
As an integrative practitioner, I believe that there’s not a one-size fits all approach to therapy. I value the importance of creating a treatment plan that is tailored to your specific needs, goals, and lifestyle. With an approach rooted in collaboration and support, I strive to establish a safe, nonjudgemental space to for you to explore and overcome barriers that are keeping you from living the life you want to live. I bring warm energy to sessions and am passionate about fostering genuine connection through empathy, integrity, and humor.
(720) 868-9282 View (720) 868-9282
Photo of Kerri Honaker, Licensed Professional Counselor in Boulder, CO
Kerri Honaker
Licensed Professional Counselor, MS, MA, LPC, BCN
Verified Verified
Boulder, CO 80302
I love working with people. I tend to be a really good listener, love to brainstorm, and am somewhat directive. I am very practical and real. I enjoy very much hearing and working to understand situations and patterns in a person's life, where are they repeating themselves, and how many ways are there to break up patterns that are not serving us. I am keen to see habits and places that shut us down, and like to work on and practice how that may shift, with much compassion on how scary that can be. I appreciate the vulnerability it takes to come in and share intimate and hard details about ourselves.
I love working with people. I tend to be a really good listener, love to brainstorm, and am somewhat directive. I am very practical and real. I enjoy very much hearing and working to understand situations and patterns in a person's life, where are they repeating themselves, and how many ways are there to break up patterns that are not serving us. I am keen to see habits and places that shut us down, and like to work on and practice how that may shift, with much compassion on how scary that can be. I appreciate the vulnerability it takes to come in and share intimate and hard details about ourselves.
(720) 821-0723 View (720) 821-0723
Photo of Diane Hall Drapkin, Clinical Social Work/Therapist in Boulder, CO
Diane Hall Drapkin
Clinical Social Work/Therapist, LCSW
Verified Verified
Boulder, CO 80302  (Online Only)
“ I am committed to supporting and treating women and their families who are struggling with anxiety and depression during pregnancy and postpartum. I have a strength based, solution focused approach and I will work with you to navigate the challenges of parenthood. “
“ I am committed to supporting and treating women and their families who are struggling with anxiety and depression during pregnancy and postpartum. I have a strength based, solution focused approach and I will work with you to navigate the challenges of parenthood. “
(833) 850-2073 View (833) 850-2073
Photo of Matthew Holloran, Licensed Professional Counselor in Boulder, CO
Matthew Holloran
Licensed Professional Counselor, JD, LPC, CACIII
Verified Verified
Boulder, CO 80302
Life is full of ups and downs and neither need be feared. Despite our best efforts, we cannot avoid suffering. Successful therapy helps clients learn to understand our lives. It can help us learn to recognize patterns of seeking safety at the cost of aliveness. My clients often are seeking relief from anxiety and stress, or working with specific challenges, including substance abuse, relationship challenges, career difficulties and life transitions. I work with individuals who are seeking to develop greater spiritual awareness and more joy in life. If you are looking change careers or want to find meaning in life, I can help.
Life is full of ups and downs and neither need be feared. Despite our best efforts, we cannot avoid suffering. Successful therapy helps clients learn to understand our lives. It can help us learn to recognize patterns of seeking safety at the cost of aliveness. My clients often are seeking relief from anxiety and stress, or working with specific challenges, including substance abuse, relationship challenges, career difficulties and life transitions. I work with individuals who are seeking to develop greater spiritual awareness and more joy in life. If you are looking change careers or want to find meaning in life, I can help.
(720) 506-3673 View (720) 506-3673
Photo of Krystel Mairs, Registered Psychotherapist in Boulder, CO
Krystel Mairs
Registered Psychotherapist, MA, NLC
Verified Verified
Boulder, CO 80301
Hi! It is my goal to provide a safe and compassionate space for individuals seeking personal growth and emotional support. If you're navigating relationship issues, struggling with low self-esteem, battling anxiety or perfectionism, dealing with grief and loss, or simply going through life transitions, it is my goal to help you find inner balance and harmony. I believe in a holistic approach that values the interconnectedness of mind, body, and soul. Clients are the experts of their own experiences, and I trust in their innate healing process.
Hi! It is my goal to provide a safe and compassionate space for individuals seeking personal growth and emotional support. If you're navigating relationship issues, struggling with low self-esteem, battling anxiety or perfectionism, dealing with grief and loss, or simply going through life transitions, it is my goal to help you find inner balance and harmony. I believe in a holistic approach that values the interconnectedness of mind, body, and soul. Clients are the experts of their own experiences, and I trust in their innate healing process.
(720) 706-1806 View (720) 706-1806
Photo of Resolve, Licensed Professional Counselor in Boulder, CO
Resolve
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
1 Endorsed
Boulder, CO 80302
You are in the right place; I am so glad you are here. My life’s calling is working with clients ready to explore their relationship with substances as well as those experiencing high conflict divorce. If your relationship with substances or your (ex)partner/coparent is getting in the way of who you want to be & what you want for your life, I will walk with you to manage & resolve the isolation, stress, & anxiety that comes with your situation. Because I have been on this exact journey, I understand the importance of having someone support you & help you find solutions in a mindful, centered, & strategic manner.
You are in the right place; I am so glad you are here. My life’s calling is working with clients ready to explore their relationship with substances as well as those experiencing high conflict divorce. If your relationship with substances or your (ex)partner/coparent is getting in the way of who you want to be & what you want for your life, I will walk with you to manage & resolve the isolation, stress, & anxiety that comes with your situation. Because I have been on this exact journey, I understand the importance of having someone support you & help you find solutions in a mindful, centered, & strategic manner.
(720) 835-1252 View (720) 835-1252
Photo of Jill Dawson, Licensed Professional Counselor in Boulder, CO
Jill Dawson
Licensed Professional Counselor, MA, LPC
Verified Verified
Boulder, CO 80301
My grounded presence, genuine care, and insightfulness will help you feel heard and held in your journey of healing and growth. With my support, you will learn how to relate to familiar struggles in new ways and make changes to move toward a more satisfying and meaningful life. My skillful and compassionate approach allows you to feel challenged and cared for.
My grounded presence, genuine care, and insightfulness will help you feel heard and held in your journey of healing and growth. With my support, you will learn how to relate to familiar struggles in new ways and make changes to move toward a more satisfying and meaningful life. My skillful and compassionate approach allows you to feel challenged and cared for.
(720) 740-8702 View (720) 740-8702
Photo of Kimberly Bermudez Adolescents And Young Adults, Clinical Social Work/Therapist in Boulder, CO
Kimberly Bermudez Adolescents And Young Adults
Clinical Social Work/Therapist, LCSW
Verified Verified
Boulder, CO 80303
As a psychotherapist with 28 years of experience, I approach therapy from an empathic relational orientation. It is very important my clients feel heard and validated with a sense of security as they explore their experiences of both suffering and success. I often use Cognitive Behavioral Therapy (CBT), an evidenced based psychotherapy treatment to help improve communication with others, reduce fears and phobias, interrupt thoughts that lead to addictive and other self destructive behaviors, improve self esteem and change negative thought patterns.
As a psychotherapist with 28 years of experience, I approach therapy from an empathic relational orientation. It is very important my clients feel heard and validated with a sense of security as they explore their experiences of both suffering and success. I often use Cognitive Behavioral Therapy (CBT), an evidenced based psychotherapy treatment to help improve communication with others, reduce fears and phobias, interrupt thoughts that lead to addictive and other self destructive behaviors, improve self esteem and change negative thought patterns.
(720) 707-3402 View (720) 707-3402
Photo of Kevin Kelly, Psychologist in Boulder, CO
Kevin Kelly
Psychologist, PsyD
Verified Verified
Boulder, CO 80304
For 30 years, I have helped clients overcome depression, anxiety, anger, stress, relationship conflicts, ADD, addictions, workplace, and motivation problems. I am a very interactive, direct (often with humor) and solution focused therapist who challenges clients to instigate the change they want to see. I help clients develop skills in approaching discomfort rather than avoiding. Using cognitive strategies, I can help you change negative thinking to positive. I help clients express their healthiest emotions rather than using emotions to defend or manipulate. I encourage exercise and mindfulness for optimal living.
For 30 years, I have helped clients overcome depression, anxiety, anger, stress, relationship conflicts, ADD, addictions, workplace, and motivation problems. I am a very interactive, direct (often with humor) and solution focused therapist who challenges clients to instigate the change they want to see. I help clients develop skills in approaching discomfort rather than avoiding. Using cognitive strategies, I can help you change negative thinking to positive. I help clients express their healthiest emotions rather than using emotions to defend or manipulate. I encourage exercise and mindfulness for optimal living.
(720) 902-8575 View (720) 902-8575
Photo of Calley Passoth, Clinical Social Work/Therapist in Boulder, CO
Calley Passoth
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Boulder, CO 80301  (Online Only)
Overwhelmed? Feeling lost, or stuck in a pattern of unhealthy behaviors, and wondering how to turn things around? Everyone faces challenges, but you don't have to navigate them alone.
Overwhelmed? Feeling lost, or stuck in a pattern of unhealthy behaviors, and wondering how to turn things around? Everyone faces challenges, but you don't have to navigate them alone.
(720) 790-6618 View (720) 790-6618
Photo of Trisha Wolfe, Licensed Professional Counselor in Boulder, CO
Trisha Wolfe
Licensed Professional Counselor
Verified Verified
1 Endorsed
Boulder, CO 80302
Accepting new clients! Stop putting yourself last, break free of self-sabotaging habits, and start uncovering your authentic self to move toward the future you're dreaming of. Many of the patterns we experience in our lives are the result of things we have learned in our past environments. This can show up in our lives as anxiety, stress, depression, feelings of disconnection, sadness, and more. Maybe you find yourself agreeing with those around you just to keep the peace, unsure of your own needs, acting like a chameleon to fit in with those around you, or anxious just trying to handle the stressors of your daily life.
Accepting new clients! Stop putting yourself last, break free of self-sabotaging habits, and start uncovering your authentic self to move toward the future you're dreaming of. Many of the patterns we experience in our lives are the result of things we have learned in our past environments. This can show up in our lives as anxiety, stress, depression, feelings of disconnection, sadness, and more. Maybe you find yourself agreeing with those around you just to keep the peace, unsure of your own needs, acting like a chameleon to fit in with those around you, or anxious just trying to handle the stressors of your daily life.
(720) 821-5512 View (720) 821-5512
Photo of Cindy J Smith, Clinical Social Work/Therapist in Boulder, CO
Cindy J Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Boulder, CO 80302
The difference between a glass half empty and one half full is a matter of shifting perspective. Sounds simple, but years of trauma, habitual behaviors, and thinking patterns can train our brains to see only what we expect to see. Research has shown that these brain patterns can be shifted at any time in life. New brain based therapies such as brainspotting make this process more accessible, creating shifts in your feeling and thinking states that lead to more balance and emotional well-being. Learning to recognize and listen to your body's innate intelligence is the first step.
The difference between a glass half empty and one half full is a matter of shifting perspective. Sounds simple, but years of trauma, habitual behaviors, and thinking patterns can train our brains to see only what we expect to see. Research has shown that these brain patterns can be shifted at any time in life. New brain based therapies such as brainspotting make this process more accessible, creating shifts in your feeling and thinking states that lead to more balance and emotional well-being. Learning to recognize and listen to your body's innate intelligence is the first step.
(720) 288-0986 View (720) 288-0986
Photo of Afra Moenter, Licensed Professional Counselor in Boulder, CO
Afra Moenter
Licensed Professional Counselor, PhD, MEd, LPC
Verified Verified
5 Endorsed
Boulder, CO 80301
I have 25+ years of experience in the field of Mental and Neuro Health. My special Interest and Expertise is in the areas of Functional Neurological Disorders (FND), Somatoform Dissociation, (P)NES, NEAD, Epilepsy, Unexplained Medical Symptoms, and Unique Experiences (such as hearing voices, having visions, mystical or paranormal experiences).
I have 25+ years of experience in the field of Mental and Neuro Health. My special Interest and Expertise is in the areas of Functional Neurological Disorders (FND), Somatoform Dissociation, (P)NES, NEAD, Epilepsy, Unexplained Medical Symptoms, and Unique Experiences (such as hearing voices, having visions, mystical or paranormal experiences).
(720) 606-4341 View (720) 606-4341
Photo of Katherine Partch, Counselor in Boulder, CO
Katherine Partch
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Boulder, CO 80301
My priority as a body-centered psychotherapist, is to listen without judgement and work together to create an integrative, trauma sensitive approach to support your healing, growth, and developmental journey. You will receive a variety of tools and resources to help with emotional regulation, coping skills, mindfulness, and practical skills that may help inform you of how to care for your body, mind, spirit and emotional well-being. Our work together may include using movement, awareness of emotions and bodily sensations, and learning about resources that will help integrate what you learn in therapy into your everyday life.
My priority as a body-centered psychotherapist, is to listen without judgement and work together to create an integrative, trauma sensitive approach to support your healing, growth, and developmental journey. You will receive a variety of tools and resources to help with emotional regulation, coping skills, mindfulness, and practical skills that may help inform you of how to care for your body, mind, spirit and emotional well-being. Our work together may include using movement, awareness of emotions and bodily sensations, and learning about resources that will help integrate what you learn in therapy into your everyday life.
(720) 605-0983 View (720) 605-0983
Photo of Suzita Cochran, Psychologist in Boulder, CO
Suzita Cochran
Psychologist, PhD
Verified Verified
Boulder, CO 80303
It's not easy to seek help for your child. I've been there. I've been a psychologist for 28 years, but I've been a parent for 24, and counting. As a child and family psychologist, I help young families develop skills and routines to support healthy relationships for years to come. Play therapy allows children to integrate difficult experiences, and move past the stuck points in which they (and their parents) often find themselves. And it even works to do it virtually!
It's not easy to seek help for your child. I've been there. I've been a psychologist for 28 years, but I've been a parent for 24, and counting. As a child and family psychologist, I help young families develop skills and routines to support healthy relationships for years to come. Play therapy allows children to integrate difficult experiences, and move past the stuck points in which they (and their parents) often find themselves. And it even works to do it virtually!
(720) 802-0555 View (720) 802-0555
Photo of Mike Murphy Counseling, Marriage & Family Therapist in Boulder, CO
Mike Murphy Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Boulder, CO 80302
Specializing in Teens & Young Adults: However isolated they appear, I hold a strong belief that young adult emotional and behavioral struggles are primarily a reaction to family influences. To fully support this population in reaching their potential, their challenges will need to be looked upon in the context of family, so to identify how such strife continues to be reinforced. This systemic approach to therapy paves the way for greatest insight to be gained by those who really matter, allowing for symptom reduction and ultimately greater relational harmony.
Specializing in Teens & Young Adults: However isolated they appear, I hold a strong belief that young adult emotional and behavioral struggles are primarily a reaction to family influences. To fully support this population in reaching their potential, their challenges will need to be looked upon in the context of family, so to identify how such strife continues to be reinforced. This systemic approach to therapy paves the way for greatest insight to be gained by those who really matter, allowing for symptom reduction and ultimately greater relational harmony.
(720) 619-3553 View (720) 619-3553
Photo of Wendy Conquest, Licensed Professional Counselor in Boulder, CO
Wendy Conquest
Licensed Professional Counselor, MA, LPC, CSAT-S, IBP, EMDR
Verified Verified
2 Endorsed
Boulder, CO 80301
I specialize in treating infidelity including pornography usage interfering with intimacy and relationships. Currently I am seeing couples who have already been working through the discovery of sex addiction and betrayal trauma, have both done some work and healing and are now ready to move to the next stage of healing. I offer 1/2 day, full day and weekend immersions tailored to the couples needs. In addition I work with sex/porn addicts who are in all stages of recovery. I run a men's group for males who have at least 6 months of sobriety. Visit www.wendyconquest.com
I specialize in treating infidelity including pornography usage interfering with intimacy and relationships. Currently I am seeing couples who have already been working through the discovery of sex addiction and betrayal trauma, have both done some work and healing and are now ready to move to the next stage of healing. I offer 1/2 day, full day and weekend immersions tailored to the couples needs. In addition I work with sex/porn addicts who are in all stages of recovery. I run a men's group for males who have at least 6 months of sobriety. Visit www.wendyconquest.com
(720) 213-5925 View (720) 213-5925
Photo of Toni M. Forman, Licensed Professional Counselor in Boulder, CO
Toni M. Forman
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
1 Endorsed
Boulder, CO 80301
Waitlist for new clients
I work with those facing life transitions, uncertainty, or longing for more fulfillment in their lives and relationships. I love to help individuals reconnect with their inner wisdom, find their joy and fuel their passions. We do this by addressing body, mind, heart and soul. I am guided by the heartfelt belief that a good therapeutic alliance can improve lives through mindful attention, building skills, and gaining perspective. My clients report feeling more empowered, embodied and connected after our work together. My goal is to help individuals connect with their deep inner resources to lead richer, more satisfying lives.
I work with those facing life transitions, uncertainty, or longing for more fulfillment in their lives and relationships. I love to help individuals reconnect with their inner wisdom, find their joy and fuel their passions. We do this by addressing body, mind, heart and soul. I am guided by the heartfelt belief that a good therapeutic alliance can improve lives through mindful attention, building skills, and gaining perspective. My clients report feeling more empowered, embodied and connected after our work together. My goal is to help individuals connect with their deep inner resources to lead richer, more satisfying lives.
(720) 897-3287 View (720) 897-3287

How does your Therapist compare?

Number of Therapists in Boulder, CO

1,000+

Average cost per session

$150

Therapists in Boulder, CO who prioritize treating:

92% Anxiety
85% Depression
84% Relationship Issues
79% Self Esteem
76% Trauma and PTSD
70% Stress
70% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

69% Aetna
61% UnitedHealthcare UHC | UBH
59% Cigna and Evernorth

How Therapists in Boulder, CO see their clients

71% In Person and Online
29% Online Only

Gender breakdown

75% Female
22% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Boulder?

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.