Therapists in Carol Stream, IL

Photo of Ashley Fincher, Licensed Professional Counselor, MA, LPC
Ashley Fincher
Licensed Professional Counselor, MA, LPC
7 Endorsed
Carol Stream, IL 60188
Healing begins when we confront that pain with understanding and learn healthier ways to manage it. When starting to seek a a new therapist we have to recognize that recovery and healing is more than just overcoming it, it's about finding the empowerment in your journey. Trauma and addiction often go hand in hand, as unresolved pain can drive us to seek comfort in harmful ways. Many of my clients seek connection and guidance to heal from trauma, addiction, and relationship issues.
Healing begins when we confront that pain with understanding and learn healthier ways to manage it. When starting to seek a a new therapist we have to recognize that recovery and healing is more than just overcoming it, it's about finding the empowerment in your journey. Trauma and addiction often go hand in hand, as unresolved pain can drive us to seek comfort in harmful ways. Many of my clients seek connection and guidance to heal from trauma, addiction, and relationship issues.
(331) 343-4398 View (331) 343-4398
Photo of Laura Esposito, Counselor, MA, LCPC
Laura Esposito
Counselor, MA, LCPC
1 Endorsed
Online Only
Not accepting new clients
If you're seeing this, you are thinking about trying counseling. Seeking counseling is a brave decision and I'm glad you may be stepping out of your comfort zone! Treatment is not "one size fits all" and you may be seeking counseling for a variety of reasons. I have worked with a range of struggles and want to help guide you in learning about yourself. I value a collaborative and genuine approach to therapy.
If you're seeing this, you are thinking about trying counseling. Seeking counseling is a brave decision and I'm glad you may be stepping out of your comfort zone! Treatment is not "one size fits all" and you may be seeking counseling for a variety of reasons. I have worked with a range of struggles and want to help guide you in learning about yourself. I value a collaborative and genuine approach to therapy.
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Photo of Ann Letourneau, Psychologist, PsyD
Ann Letourneau
Psychologist, PsyD
4 Endorsed
Carol Stream, IL 60188
Are you struggling with depression, anxiety, or relationship issues? Is life just plain overwhelming at this point? Are you ready to feel better and make changes in your life? If so, I think you would find therapy helpful. I can journey with you as you navigate these hard times.
Are you struggling with depression, anxiety, or relationship issues? Is life just plain overwhelming at this point? Are you ready to feel better and make changes in your life? If so, I think you would find therapy helpful. I can journey with you as you navigate these hard times.
(630) 608-6819 View (630) 608-6819
Photo of Thomas Young, Licensed Clinical Professional Counselor, MA, MS, LCPC, LMHC
Thomas Young
Licensed Clinical Professional Counselor, MA, MS, LCPC, LMHC
1 Endorsed
Online Only
Being honest and true to yourself takes a great deal of courage. You have the courage and hope to transform your life. I can help you in that journey. I provide counseling that can help improve who you are, and the life that you lead. We all need help finding the courage and compassion to face our personal challenges, so that we may nurture healthy connections with the people around us. It would be my honor and privileged to help you achieve your goals.
Being honest and true to yourself takes a great deal of courage. You have the courage and hope to transform your life. I can help you in that journey. I provide counseling that can help improve who you are, and the life that you lead. We all need help finding the courage and compassion to face our personal challenges, so that we may nurture healthy connections with the people around us. It would be my honor and privileged to help you achieve your goals.
(443) 995-5898 View (443) 995-5898
Photo of Adriana Franco, Clinical Social Work/Therapist, LCSW
Adriana Franco
Clinical Social Work/Therapist, LCSW
Online Only
Welcome! I am a Bilingual Licensed Clinical Social Worker and Certified Addictions Counselor with over 17 years of experience. Currently, my main focus is providing therapy to young adults and adults, for a wide range of concerns including, anxiety, depression, substance use disorders, anger, domestic violence, and parenting. My role as a therapist is to understand you as an individual, listen, provide a non-judgmental safe space, guide, advocate, advice, and educate those in need as they find their voices and healthier lifestyles, meeting them where they are at – believing that clients are the experts of their lives.
Welcome! I am a Bilingual Licensed Clinical Social Worker and Certified Addictions Counselor with over 17 years of experience. Currently, my main focus is providing therapy to young adults and adults, for a wide range of concerns including, anxiety, depression, substance use disorders, anger, domestic violence, and parenting. My role as a therapist is to understand you as an individual, listen, provide a non-judgmental safe space, guide, advocate, advice, and educate those in need as they find their voices and healthier lifestyles, meeting them where they are at – believing that clients are the experts of their lives.
(773) 694-9531 View (773) 694-9531
Photo of Fiona Arthurs, Marriage & Family Therapist, MA, LMFT
Fiona Arthurs
Marriage & Family Therapist, MA, LMFT
Carol Stream, IL 60188
I believe that healthy human connection has the power to heal and transform relational patterns. I am passionate about helping individuals, couples, families, adolescents and children create healthy human connections. With the integration of faith in therapy, healthy relationships can be formed and broken relationships can be repaired. In working with me, you will receive compassionate, honest and quality care. Let me help you navigate through broken relationships, adjustments in life, marriage, parenting and teenage stuff. I have experience working with multicultural families, ethnic minorities, and ministry families.
I believe that healthy human connection has the power to heal and transform relational patterns. I am passionate about helping individuals, couples, families, adolescents and children create healthy human connections. With the integration of faith in therapy, healthy relationships can be formed and broken relationships can be repaired. In working with me, you will receive compassionate, honest and quality care. Let me help you navigate through broken relationships, adjustments in life, marriage, parenting and teenage stuff. I have experience working with multicultural families, ethnic minorities, and ministry families.
(630) 451-8769 x701 View (630) 451-8769 x701
Prospering Minds Counseling
Pre-Licensed Professional, MA, QMHP
Carol Stream, IL 60188
As a therapist with over 10 years of experience, I enjoy working with those who feels stuck—whether in patterns of self-doubt, the weight of past trauma, or the overwhelming pressure of life’s expectations. They may struggle with anxiety, depression, identity, or shame, feeling disconnected from their own voice and unsure of how to move forward. Deep down, they want clarity, healing, and the ability to trust themselves. They seek a space where they can be seen, heard, and understood without judgment, where they can explore their emotions safely and begin to rewrite their story.
As a therapist with over 10 years of experience, I enjoy working with those who feels stuck—whether in patterns of self-doubt, the weight of past trauma, or the overwhelming pressure of life’s expectations. They may struggle with anxiety, depression, identity, or shame, feeling disconnected from their own voice and unsure of how to move forward. Deep down, they want clarity, healing, and the ability to trust themselves. They seek a space where they can be seen, heard, and understood without judgment, where they can explore their emotions safely and begin to rewrite their story.
(630) 394-1510 View (630) 394-1510
Photo of Adriana Franco, Clinical Social Work/Therapist, LCSW
Adriana Franco
Clinical Social Work/Therapist, LCSW
Online Only
Welcome! I’m a bilingual Licensed Clinical Social Worker and Certified Addiction Counselor with more than 20 years of experience—and this work is truly my passion. As someone who came to this as a second career, I consider it an honor and privilege to walk alongside young adults and adults as they navigate life’s challenges. I provide counseling for a wide range of concerns, including anxiety, depression, substance misuse, process addictions, anger, relationship difficulties, and life transitions.
Welcome! I’m a bilingual Licensed Clinical Social Worker and Certified Addiction Counselor with more than 20 years of experience—and this work is truly my passion. As someone who came to this as a second career, I consider it an honor and privilege to walk alongside young adults and adults as they navigate life’s challenges. I provide counseling for a wide range of concerns, including anxiety, depression, substance misuse, process addictions, anger, relationship difficulties, and life transitions.
(630) 354-0823 View (630) 354-0823
Photo of Jodi Macaluso, Counselor, MA, LCPC, CADC
Jodi Macaluso
Counselor, MA, LCPC, CADC
Carol Stream, IL 60188
During my career as a therapist, I have gained the expertise in joining a person "where they are at" while developing an environment of safety, security and mutual respect. I have been told that my voice and manner quickly communicates friendliness and kindness, and that people overall, find that I am not at all intimidating and very easy to talk to. I provide an integrative supportive approach that allows for healing and growth. I combine Motivational Enhancement with Cognitive Behavioral interventions to assist in identifying the unique qualities and strengths of each person I work with to evoke change and emotional wellness.
During my career as a therapist, I have gained the expertise in joining a person "where they are at" while developing an environment of safety, security and mutual respect. I have been told that my voice and manner quickly communicates friendliness and kindness, and that people overall, find that I am not at all intimidating and very easy to talk to. I provide an integrative supportive approach that allows for healing and growth. I combine Motivational Enhancement with Cognitive Behavioral interventions to assist in identifying the unique qualities and strengths of each person I work with to evoke change and emotional wellness.
(847) 906-2582 View (847) 906-2582
Photo of Ann Letourneau Csj - Central DuPage Pastoral Counseling Center, Psychologist
You may be searching for ways to cope with a difficult transition or painful circumstance in your life. Perhaps you find yourself struggling with shifts in key relationships or the feelings you have towards those relationships. Our pastoral counselors provide compassionate support and professional direction. Counseling services are offered to assist individuals, couples and families.
You may be searching for ways to cope with a difficult transition or painful circumstance in your life. Perhaps you find yourself struggling with shifts in key relationships or the feelings you have towards those relationships. Our pastoral counselors provide compassionate support and professional direction. Counseling services are offered to assist individuals, couples and families.
(630) 812-0621 View (630) 812-0621
Photo of Santa Houdek, Counselor, LCPC
Santa Houdek
Counselor, LCPC
1 Endorsed
Online Only
Hi there, I'm Santa! I know that it can be very intimidating to begin therapy. I use compassion and humor to create a space for clients to feel safe and comfortable. My aim is for clients to feel seen and heard, gain awareness of themselves and their experiences, and learn tools to navigate life's challenges and reach their goals. I strongly believe that everyone has the ability to change, to grow and to accomplish their goals. If you are experiencing difficulties or challenges in your life, with yourself, with others, with your job and/or your family, I can help you get to where you want to be.
Hi there, I'm Santa! I know that it can be very intimidating to begin therapy. I use compassion and humor to create a space for clients to feel safe and comfortable. My aim is for clients to feel seen and heard, gain awareness of themselves and their experiences, and learn tools to navigate life's challenges and reach their goals. I strongly believe that everyone has the ability to change, to grow and to accomplish their goals. If you are experiencing difficulties or challenges in your life, with yourself, with others, with your job and/or your family, I can help you get to where you want to be.
(872) 324-1451 View (872) 324-1451
Photo of Mike Langer, Licensed Professional Counselor, MA, LPC
Mike Langer
Licensed Professional Counselor, MA, LPC
7 Endorsed
Carol Stream, IL 60188
I support children, teens, young adults, and adults who’ve experienced trauma—whether from relationships, childhood, or events that left lasting impact. My approach is calm, grounded, and trauma-informed, with a focus on creating emotional safety and building trust at your pace. Many of my clients come in carrying shame, hyper-independence, or a sense of disconnection. Together, we work to gently unpack what’s beneath the surface, reconnect with your voice, and move toward healing without pressure or judgment. Your story deserves to be held with care.
I support children, teens, young adults, and adults who’ve experienced trauma—whether from relationships, childhood, or events that left lasting impact. My approach is calm, grounded, and trauma-informed, with a focus on creating emotional safety and building trust at your pace. Many of my clients come in carrying shame, hyper-independence, or a sense of disconnection. Together, we work to gently unpack what’s beneath the surface, reconnect with your voice, and move toward healing without pressure or judgment. Your story deserves to be held with care.
(630) 937-3911 View (630) 937-3911
Photo of Rebecca Janssens, Licensed Professional Counselor, MS, LPC, ATR-P
Rebecca Janssens
Licensed Professional Counselor, MS, LPC, ATR-P
7 Endorsed
Carol Stream, IL 60188
Healing takes courage, and I believe we all have it, even when it requires digging deep to access it. I work with teens, adults, and older adults who are navigating challenges such as communication struggles, boundary-setting, grief and loss, trauma, or unhealthy relationship patterns. Many clients feel overwhelmed by others’ expectations, stuck in cycles that no longer serve them, or unsure how to move forward after major life transitions. Whether you are processing loss, healing from trauma, navigating relational challenges, I offer a compassionate, safe space where you can show up authentically and feel genuinely understood.
Healing takes courage, and I believe we all have it, even when it requires digging deep to access it. I work with teens, adults, and older adults who are navigating challenges such as communication struggles, boundary-setting, grief and loss, trauma, or unhealthy relationship patterns. Many clients feel overwhelmed by others’ expectations, stuck in cycles that no longer serve them, or unsure how to move forward after major life transitions. Whether you are processing loss, healing from trauma, navigating relational challenges, I offer a compassionate, safe space where you can show up authentically and feel genuinely understood.
(630) 793-4831 View (630) 793-4831
Photo of Naveeda Athar - Tricon Counseling Center, Counselor, EdD, LCPC, CADC, CDVP, C-PAIP
Tricon Counseling Center
Counselor, EdD, LCPC, CADC, CDVP, C-PAIP
Carol Stream, IL 60188
Dr. Naveeda Athar had been working as a counselor since 2004. She had intensive training in Domestic Violence, Substance abuse, adolescent counseling, Psychological Assessments, anger management, grief counseling and women's issues. Program for substance abuse is licensed by the state of Illinois Division of Alcohol and Substance Abuse. Domestic Violence Perpetrator's program is also licensed by the Department of Human Services, Illinois. Dr. Athar can speak, read and write Urdu fluently and have treated many people from South Asian background due to her special skills. She is a Domestic Violence Advocate for the victims of violence.
Dr. Naveeda Athar had been working as a counselor since 2004. She had intensive training in Domestic Violence, Substance abuse, adolescent counseling, Psychological Assessments, anger management, grief counseling and women's issues. Program for substance abuse is licensed by the state of Illinois Division of Alcohol and Substance Abuse. Domestic Violence Perpetrator's program is also licensed by the Department of Human Services, Illinois. Dr. Athar can speak, read and write Urdu fluently and have treated many people from South Asian background due to her special skills. She is a Domestic Violence Advocate for the victims of violence.
(630) 793-4854 View (630) 793-4854
Photo of Taylor Hammes, Licensed Professional Counselor, MA, LPC
Taylor Hammes
Licensed Professional Counselor, MA, LPC
8 Endorsed
Carol Stream, IL 60188
I hope to provide a supportive and nonjudgmental space where you can navigate everyday challenges and develop practical skills for emotional regulation, social interactions, and distress tolerance. Many of the clients I work with are managing the effects of trauma or ADHD, and I understand that reaching out for help can be a big step, especially if it’s your first time in therapy. My goal is to create a warm, collaborative environment where you feel safe to explore your experiences and build the tools you need to feel more in control and resilient in your daily life.
I hope to provide a supportive and nonjudgmental space where you can navigate everyday challenges and develop practical skills for emotional regulation, social interactions, and distress tolerance. Many of the clients I work with are managing the effects of trauma or ADHD, and I understand that reaching out for help can be a big step, especially if it’s your first time in therapy. My goal is to create a warm, collaborative environment where you feel safe to explore your experiences and build the tools you need to feel more in control and resilient in your daily life.
(224) 569-1412 View (224) 569-1412
Photo of Elissa McGovern, Psychologist, PsyD
Elissa McGovern
Psychologist, PsyD
2 Endorsed
Carol Stream, IL 60188
Finding a therapist and beginning therapy can be a daunting and overwhelming process. As a therapist, it is my goal to simplify that process. I believe in the importance of creating a welcoming environment that promotes growth and self-discovery. I am passionate about establishing a collaborative and goal-oriented treatment model. I believe in meeting each client where they are and developing a treatment plan that is tailored to their unique needs and goals.
Finding a therapist and beginning therapy can be a daunting and overwhelming process. As a therapist, it is my goal to simplify that process. I believe in the importance of creating a welcoming environment that promotes growth and self-discovery. I am passionate about establishing a collaborative and goal-oriented treatment model. I believe in meeting each client where they are and developing a treatment plan that is tailored to their unique needs and goals.
(630) 923-5294 View (630) 923-5294
Photo of JoAnne McKee, Counselor, MS, LCPC, SEP
JoAnne McKee
Counselor, MS, LCPC, SEP
Carol Stream, IL 60188
I am a psychotherapist and body centered therapist in private practice with over 20 years experience in the Chicagoland area. I remain curious and open to exploring how your energy field, psychology and nervous system interrelate and move toward wholeness. I provide individual, group and family therapy to adults, adolescents and children to build innate resiliency and re-regulate the nervous system relevant to issues of Developmental Trauma, Complex PTSD, Prenatal / Birth Trauma, Accidents, and Pre/Post Op Medical Procedures.
I am a psychotherapist and body centered therapist in private practice with over 20 years experience in the Chicagoland area. I remain curious and open to exploring how your energy field, psychology and nervous system interrelate and move toward wholeness. I provide individual, group and family therapy to adults, adolescents and children to build innate resiliency and re-regulate the nervous system relevant to issues of Developmental Trauma, Complex PTSD, Prenatal / Birth Trauma, Accidents, and Pre/Post Op Medical Procedures.
(331) 321-4770 x201 View (331) 321-4770 x201
Photo of Anna Ciampanelli, Psychologist, PsyD
Anna Ciampanelli
Psychologist, PsyD
1 Endorsed
Carol Stream, IL 60188
Dr. Ciampanelli specializes in pediatric and adult neuropsychology and offers individual therapy and neuropsychological testing across the lifespan. She has therapeutic experience treating depression, anxiety, trauma, grief and loss, perfectionism, executive dysfunction, school/work performance challenges, caregiver burden, aging, and chronic medical conditions, among other concerns. She aspires to promote a life of meaning and build upon your strengths and values. Dr. Ciampanelli offers tailored neuropsychological evaluations and treatment recommendations for an array of social-emotional and neurological concerns.
Dr. Ciampanelli specializes in pediatric and adult neuropsychology and offers individual therapy and neuropsychological testing across the lifespan. She has therapeutic experience treating depression, anxiety, trauma, grief and loss, perfectionism, executive dysfunction, school/work performance challenges, caregiver burden, aging, and chronic medical conditions, among other concerns. She aspires to promote a life of meaning and build upon your strengths and values. Dr. Ciampanelli offers tailored neuropsychological evaluations and treatment recommendations for an array of social-emotional and neurological concerns.
(630) 757-8196 View (630) 757-8196
Photo of Ashley Espino, Pre-Licensed Professional, QMHP
Ashley Espino
Pre-Licensed Professional, QMHP
7 Endorsed
Carol Stream, IL 60188
Taking the first step can be daunting and overwhelming—but you do not have to face it alone. My ideal client is someone longing to feel heard and deeply understood, supported, and empowered with clarity. Whether you're facing behavioral concerns, miscommunications, or simply feeling lost, you’ve found an empathetic and judgment-free space. I strive to create a collaborative, safe space where we can work together toward the healing and growth that you desire.
Taking the first step can be daunting and overwhelming—but you do not have to face it alone. My ideal client is someone longing to feel heard and deeply understood, supported, and empowered with clarity. Whether you're facing behavioral concerns, miscommunications, or simply feeling lost, you’ve found an empathetic and judgment-free space. I strive to create a collaborative, safe space where we can work together toward the healing and growth that you desire.
(630) 547-3476 View (630) 547-3476
Photo of Carly Wolfram, Counselor, LCPC, PhD, MA
Carly Wolfram
Counselor, LCPC, PhD, MA
10 Endorsed
Carol Stream, IL 60188
Trauma can bring about changes that are beyond your control, but healing empowers you to make the changes you choose. Starting therapy with a new therapist can be especially challenging when you have experienced trauma. I am passionate about helping individuals of all ages navigate trauma, dissociative issues, ADHD, and more. Many of my clients seek my support after trying multiple therapists or doctors who couldn't quite identify the core issues, or because they didn't feel a meaningful connection with them. Additionally, they seek connection and guidance to heal from trauma, which is central to my therapeutic approach.
Trauma can bring about changes that are beyond your control, but healing empowers you to make the changes you choose. Starting therapy with a new therapist can be especially challenging when you have experienced trauma. I am passionate about helping individuals of all ages navigate trauma, dissociative issues, ADHD, and more. Many of my clients seek my support after trying multiple therapists or doctors who couldn't quite identify the core issues, or because they didn't feel a meaningful connection with them. Additionally, they seek connection and guidance to heal from trauma, which is central to my therapeutic approach.
(224) 252-8065 View (224) 252-8065

See more therapy options for Carol Stream

How does your Therapist compare?

Number of Therapists in Carol Stream, IL

70+

Average cost per session

$150

Therapists in Carol Stream, IL who prioritize treating:

95% Depression
95% Anxiety
84% Relationship Issues
78% Grief
75% Self Esteem
68% Trauma and PTSD
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
86% Aetna
64% Cigna and Evernorth

How Therapists in Carol Stream, IL see their clients

76% In Person and Online
24% Online Only

Gender breakdown

89% Female
10% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Carol Stream?

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.