Therapists in Salina, KS

Photo of Teresa E Hernandez, Clinical Social Work/Therapist, LSCSW
Teresa E Hernandez
Clinical Social Work/Therapist, LSCSW
Salina, KS 67401
As a professional psychotherapist, I offer tools to help you work through current and past rough experiences. También hablo español. Without judgment or shame, I offer a warm environment where you take an active role in releasing the past in order to shape the future you want. We all affect each other. With my grounded emotional energy, you're more able to find your way of letting go. Your goals are the main target of treatment. We work together to reach them. Visit my website for more info. Visite a mi sitio web para ver más información.
As a professional psychotherapist, I offer tools to help you work through current and past rough experiences. También hablo español. Without judgment or shame, I offer a warm environment where you take an active role in releasing the past in order to shape the future you want. We all affect each other. With my grounded emotional energy, you're more able to find your way of letting go. Your goals are the main target of treatment. We work together to reach them. Visit my website for more info. Visite a mi sitio web para ver más información.
(785) 376-0892 View (785) 376-0892
Photo of James Patrick Hyland - New Steps Therapy, Licensed Professional Counselor, LPC
New Steps Therapy
Licensed Professional Counselor, LPC
Online Only
I use encrypted Telehealth/Video Conferencing for all sessions. This allows you to be comfortable and safe in your own space. Life can feel overwhelming — especially when you’re carrying stress, anxiety, depression, or traumatic experiences that have been hard to make sense of. At New Steps Therapy, I provide calm, supportive counseling for teens, young adults, adults, and seniors who are struggling and looking for steady, compassionate care. Whether you’re feeling stuck, worn down, or simply unsure where to turn, this is the place where you can begin your new life's journey.
I use encrypted Telehealth/Video Conferencing for all sessions. This allows you to be comfortable and safe in your own space. Life can feel overwhelming — especially when you’re carrying stress, anxiety, depression, or traumatic experiences that have been hard to make sense of. At New Steps Therapy, I provide calm, supportive counseling for teens, young adults, adults, and seniors who are struggling and looking for steady, compassionate care. Whether you’re feeling stuck, worn down, or simply unsure where to turn, this is the place where you can begin your new life's journey.
(785) 453-7002 View (785) 453-7002
Photo of Rebecca Beus, Clinical Social Work/Therapist, LSCSW, LMSW
Rebecca Beus
Clinical Social Work/Therapist, LSCSW, LMSW
1 Endorsed
Salina, KS 67401
Hello. My name is Rebecca Beus and I’m a Therapist at WellSpring Psychotherapy. Emotional distress can be deeply painful. Whether it is you…yourself coping with emotional pain or if you are dealing with a loved one who is in emotional distress. My goal is to allow a safe space for my clients to ventilate this pain and be truly heard without judgement. I look forward to working with you or your loved ones to identify healthy solutions to reduce this emotional pain and move forward with healthy healing and increasing joy in your life.
Hello. My name is Rebecca Beus and I’m a Therapist at WellSpring Psychotherapy. Emotional distress can be deeply painful. Whether it is you…yourself coping with emotional pain or if you are dealing with a loved one who is in emotional distress. My goal is to allow a safe space for my clients to ventilate this pain and be truly heard without judgement. I look forward to working with you or your loved ones to identify healthy solutions to reduce this emotional pain and move forward with healthy healing and increasing joy in your life.
(785) 975-8073 View (785) 975-8073
Photo of Cynthia Eckert-McCoy - Cynthia Eckert-McCoy LSCSW, LLC, Clinical Social Work/Therapist, LSCSW, ACSW
Cynthia Eckert-McCoy LSCSW, LLC
Clinical Social Work/Therapist, LSCSW, ACSW
Salina, KS 67401
Bowen Family Systems Approach and EMDR Therapy both saved my life! Come and see what you can do with these approaches. Depression and Anxiety surface when self is out of sync in relationship systems, whether marriage, family or workplace. EMDR is a trauma incident based approach which helps to stop the intrusions about an incident, stop the body re-experiencing and give a way to avoid less for fear of reminders. Both these approaches show reward with some hard work.
Bowen Family Systems Approach and EMDR Therapy both saved my life! Come and see what you can do with these approaches. Depression and Anxiety surface when self is out of sync in relationship systems, whether marriage, family or workplace. EMDR is a trauma incident based approach which helps to stop the intrusions about an incident, stop the body re-experiencing and give a way to avoid less for fear of reminders. Both these approaches show reward with some hard work.
(785) 566-4723 View (785) 566-4723
Photo of Tori Sander, Clinical Social Work/Therapist, LSCSW, LMSW
Tori Sander
Clinical Social Work/Therapist, LSCSW, LMSW
1 Endorsed
Salina, KS 67401
Hello and welcome, I’m Tori. I believe that at certain times in our lives we need extra support to help us create the lives we want to live and heal from circumstances that may have caused us pain. I enjoy working with a variety of clients in reaching their full potential. I’m most experienced with teens, young adults, those pregnant and postpartum, new parents, and inclusive mental health. Whatever your experience or goals may be, your story is welcome here.
Hello and welcome, I’m Tori. I believe that at certain times in our lives we need extra support to help us create the lives we want to live and heal from circumstances that may have caused us pain. I enjoy working with a variety of clients in reaching their full potential. I’m most experienced with teens, young adults, those pregnant and postpartum, new parents, and inclusive mental health. Whatever your experience or goals may be, your story is welcome here.
(785) 329-1077 x15 View (785) 329-1077 x15
Photo of Patrick Hyland, Licensed Professional Counselor, LPC
Patrick Hyland
Licensed Professional Counselor, LPC
Salina, KS 67401
Veterans and First Responders: I have been where you are or have been. I have personally experienced the extreme hardships of being a military pilot in combat. I served in combat in Vietnam and Bosnia. My military career as a pilot lasted more than 21 years. I have suffered the trauma, mental anguish, and heartbreak of losing friends and loved ones by my extreme and undisciplined behavior and unknown gut-clenching anger. My journey has given me a unique and empathetic perspective and effective tools to support and diminish the invisible wounds and scars of military service and combat.
Veterans and First Responders: I have been where you are or have been. I have personally experienced the extreme hardships of being a military pilot in combat. I served in combat in Vietnam and Bosnia. My military career as a pilot lasted more than 21 years. I have suffered the trauma, mental anguish, and heartbreak of losing friends and loved ones by my extreme and undisciplined behavior and unknown gut-clenching anger. My journey has given me a unique and empathetic perspective and effective tools to support and diminish the invisible wounds and scars of military service and combat.
(785) 465-2250 View (785) 465-2250
Photo of Leasha J Strang - Oasis Counseling Services LLC, Clinical Social Work/Therapist, LSCSW, MSW
Oasis Counseling Services LLC
Clinical Social Work/Therapist, LSCSW, MSW
Salina, KS 67401
When human beings experience trauma or severe life stressors it is not uncommon to feel like life is unraveling. Our clinicians have a range of experience with all ages of individuals including adults, teenagers, children, couples, and families. Our goal is to help you discover healthy perceptions of yourself so you can experience transformation, wholeness, and peace. Oasis is the only therapy practice in Salina to offer a unique non-chemical treatment cleared by the FDA to treat Anxiety and Insomnia! Many of our clients have had great success with this treatment without having to take medications! Curious? Ask about Alpha-Stim!
When human beings experience trauma or severe life stressors it is not uncommon to feel like life is unraveling. Our clinicians have a range of experience with all ages of individuals including adults, teenagers, children, couples, and families. Our goal is to help you discover healthy perceptions of yourself so you can experience transformation, wholeness, and peace. Oasis is the only therapy practice in Salina to offer a unique non-chemical treatment cleared by the FDA to treat Anxiety and Insomnia! Many of our clients have had great success with this treatment without having to take medications! Curious? Ask about Alpha-Stim!
(785) 833-5471 View (785) 833-5471
Photo of Emily Birney, Marriage & Family Therapist, LMFT
Emily Birney
Marriage & Family Therapist, LMFT
Salina, KS 67401
I’m so glad you’re here, considering what therapy could look like for you! It takes courage to do so and may even feel risky. I hold great respect for the therapy space and the way clients show up to it – I can’t wait to meet you there, however you show up. It’s a privilege to be invited into so many stories, ones that hold deep sorrow, loss, trauma, pain, anxiety, relational distress, overwhelming life stressors, inner turmoil, and more. Life can be incredibly hard and also incredibly beautiful – I would be honored to help you navigate all the space in between. I work with individuals (age 15+), couples, and family systems!
I’m so glad you’re here, considering what therapy could look like for you! It takes courage to do so and may even feel risky. I hold great respect for the therapy space and the way clients show up to it – I can’t wait to meet you there, however you show up. It’s a privilege to be invited into so many stories, ones that hold deep sorrow, loss, trauma, pain, anxiety, relational distress, overwhelming life stressors, inner turmoil, and more. Life can be incredibly hard and also incredibly beautiful – I would be honored to help you navigate all the space in between. I work with individuals (age 15+), couples, and family systems!
(785) 370-3530 View (785) 370-3530
Photo of Bryan Winter, Marriage & Family Therapist, EdS, LCMFT, LCPC
Bryan Winter
Marriage & Family Therapist, EdS, LCMFT, LCPC
Salina, KS 67401
I am licensed as a Clinical Marriage and Family Therapist and as a Clinical Professional Counselor. I have been working with clients since 1993.
I am licensed as a Clinical Marriage and Family Therapist and as a Clinical Professional Counselor. I have been working with clients since 1993.
(785) 816-4089 View (785) 816-4089
Photo of Carol Moddelmog, Marriage & Family Therapist, MS, LCMFT
Carol Moddelmog
Marriage & Family Therapist, MS, LCMFT
Salina, KS 67401
With over 25 years of experience as a therapist, I am deeply passionate about helping individuals navigate life's challenges and grow into their fullest selves. It is truly a privilege to walk alongside my clients as they pursue healing, clarity, and meaningful change.
With over 25 years of experience as a therapist, I am deeply passionate about helping individuals navigate life's challenges and grow into their fullest selves. It is truly a privilege to walk alongside my clients as they pursue healing, clarity, and meaningful change.
(785) 246-7986 View (785) 246-7986
Photo of Alex Austin, Clinical Social Work/Therapist, LMSW
Alex Austin
Clinical Social Work/Therapist, LMSW
Salina, KS 67401
I enjoy helping clients heal from their trauma and become more empowered in their relationships and lives. I have experience working with survivors of various types of trauma including interpersonal violence, abuse, and neglect. I have worked with clients who suffer from depressive and anxiety disorders to help improve their symptoms and develop coping skills that work for them. I have worked with children, teenagers, and adults of various ages.
I enjoy helping clients heal from their trauma and become more empowered in their relationships and lives. I have experience working with survivors of various types of trauma including interpersonal violence, abuse, and neglect. I have worked with clients who suffer from depressive and anxiety disorders to help improve their symptoms and develop coping skills that work for them. I have worked with children, teenagers, and adults of various ages.
(785) 572-4104 View (785) 572-4104
Photo of Robert M. Cunningham Jr., Marriage & Family Therapist, MSFT, LMFT
Robert M. Cunningham Jr.
Marriage & Family Therapist, MSFT, LMFT
3 Endorsed
Salina, KS 67401
A wise man said; “Faith is confidence in what we hope for and assurance about what we do not see.” No matter what place you are in life, please know that you are monumental and have importance that may be hard to see and believe. This is why I am excited to join you mind-to-mind, heart-to-heart, and face-to-face as you develop more into the monumental person that you are. As you well know, our past has a direct influence on our present circumstances and view of self. Improving in life may not be easy and will require working through past hurts, disappointments, regrets, flawed views of self, and broken or failed relationships.
A wise man said; “Faith is confidence in what we hope for and assurance about what we do not see.” No matter what place you are in life, please know that you are monumental and have importance that may be hard to see and believe. This is why I am excited to join you mind-to-mind, heart-to-heart, and face-to-face as you develop more into the monumental person that you are. As you well know, our past has a direct influence on our present circumstances and view of self. Improving in life may not be easy and will require working through past hurts, disappointments, regrets, flawed views of self, and broken or failed relationships.
(785) 264-4434 View (785) 264-4434
Photo of Shadow Love- Erckert, Psychologist, MS, LMLP
Shadow Love- Erckert
Psychologist, MS, LMLP
1 Endorsed
Online Only
Shadow has a masters in Clinical Psychology and is board certified as a Licensed Master Level Psychologist in the state of Kansas; with certification in Crisis prevention, suicide intervention, and counseling on access to lethal means. She takes a strong person centered approach with a combination of self-compassion and intentional action to reflect on your decision-making and inspire growth and change in your day-to-day lives and relationships.
Shadow has a masters in Clinical Psychology and is board certified as a Licensed Master Level Psychologist in the state of Kansas; with certification in Crisis prevention, suicide intervention, and counseling on access to lethal means. She takes a strong person centered approach with a combination of self-compassion and intentional action to reflect on your decision-making and inspire growth and change in your day-to-day lives and relationships.
(913) 399-2137 View (913) 399-2137
Photo of Angela K Sartain, Marriage & Family Therapist, MS, MSFT, LCMFT
Angela K Sartain
Marriage & Family Therapist, MS, MSFT, LCMFT
1 Endorsed
Salina, KS 67401
I am a Licensed Marriage and Family Therapist, who endeavors to come along side of you and aid in finding new perspectives, insights, and strengths in addressing life obstacles. I work with all ages, individuals, couples, and families who are experiencing crises, trauma, phase of life difficulties, and other hindrances to everyday living. I am trained in EMDR, Sand Tray Therapy, Prepare and Enrich, and Couples Communication.
I am a Licensed Marriage and Family Therapist, who endeavors to come along side of you and aid in finding new perspectives, insights, and strengths in addressing life obstacles. I work with all ages, individuals, couples, and families who are experiencing crises, trauma, phase of life difficulties, and other hindrances to everyday living. I am trained in EMDR, Sand Tray Therapy, Prepare and Enrich, and Couples Communication.
(785) 727-7269 x302 View (785) 727-7269 x302
Photo of Callum Grevas, Counselor, LPC, NCC
Callum Grevas
Counselor, LPC, NCC
Salina, KS 67401
I work with those who feel stuck, whether they're struggling with anxiety, self-doubt, relationship challenges, or adjusting to major life transitions. Many of my clients want to better understand themselves, manage stress, and build confidence as they navigate life's demands. I also enjoy working with athletes who are balancing performance pressures, identity, and personal well-being off the field. My clients are motivated to grow, but value a space where they can feel heard, supported, and challenged in a collaborative way. My goal is to help them gain clarity, better sense of self, and progress towards a more fulfilled life.
I work with those who feel stuck, whether they're struggling with anxiety, self-doubt, relationship challenges, or adjusting to major life transitions. Many of my clients want to better understand themselves, manage stress, and build confidence as they navigate life's demands. I also enjoy working with athletes who are balancing performance pressures, identity, and personal well-being off the field. My clients are motivated to grow, but value a space where they can feel heard, supported, and challenged in a collaborative way. My goal is to help them gain clarity, better sense of self, and progress towards a more fulfilled life.
(785) 333-4499 View (785) 333-4499
Photo of Jami Evans, Marriage & Family Therapist, LMFT, MS, BA
Jami Evans
Marriage & Family Therapist, LMFT, MS, BA
1 Endorsed
Online Only
We’ve all felt emotionally stuck, such as being depressed over experiences or traumas we had no control over (choice) or being overwhelmed with the thoughts of changing our story. Everyone deserves physical and emotional well-being no matter how uncomfortable the journey may be. So allow me to walk with you or create a space for you to heal, by processing the effects it's had on your life. I would like for you to have the capabilities to embrace a new you and outlook of your choosing.
We’ve all felt emotionally stuck, such as being depressed over experiences or traumas we had no control over (choice) or being overwhelmed with the thoughts of changing our story. Everyone deserves physical and emotional well-being no matter how uncomfortable the journey may be. So allow me to walk with you or create a space for you to heal, by processing the effects it's had on your life. I would like for you to have the capabilities to embrace a new you and outlook of your choosing.
(316) 202-8269 View (316) 202-8269
Photo of Patrick Hyland, Licensed Clinical Professional Counselor, LCPC
Patrick Hyland
Licensed Clinical Professional Counselor, LCPC
Salina, KS 67401
I am now a Kansas authorized LPC Supervisor. Call for details. I specialize in addressing the challenges of our lives that have directly caused depression, anxiety, anger, uncertainty and PTSD. I have been where you are. I have personally experienced the extreme hardships of losing loved ones, trying to overcome the impacts of 2 divorces caused by my PTSD, and extreme anxiety and depression. I have more than 10 years working with others who have chosen to ask for my help as a professional, experienced and dedicated counselor. I am accepting new clients both in-person and by telehealth from your computer or cell phone. Call today.
I am now a Kansas authorized LPC Supervisor. Call for details. I specialize in addressing the challenges of our lives that have directly caused depression, anxiety, anger, uncertainty and PTSD. I have been where you are. I have personally experienced the extreme hardships of losing loved ones, trying to overcome the impacts of 2 divorces caused by my PTSD, and extreme anxiety and depression. I have more than 10 years working with others who have chosen to ask for my help as a professional, experienced and dedicated counselor. I am accepting new clients both in-person and by telehealth from your computer or cell phone. Call today.
(785) 546-6583 View (785) 546-6583
Photo of Stephanie Nelson, Licensed Professional Counselor, LPC
Stephanie Nelson
Licensed Professional Counselor, LPC
1 Endorsed
Salina, KS 67401
Hi! I am so glad you are here! Your story matters. No matter how messy it may feel. Life can feel heavy when you’re carrying so much, whether it’s the challenges of foster care, adoption, or struggling with your faith through it all. Maybe anxiety, relationship issues, or the pressure to keep it all together weighs on you. Whatever it may be, you don’t have to hide or have it all figured out. This is a space of grace, honesty, and healing where you can be truly seen and supported. You are not alone. You are fully known, and deeply loved exactly as you are.
Hi! I am so glad you are here! Your story matters. No matter how messy it may feel. Life can feel heavy when you’re carrying so much, whether it’s the challenges of foster care, adoption, or struggling with your faith through it all. Maybe anxiety, relationship issues, or the pressure to keep it all together weighs on you. Whatever it may be, you don’t have to hide or have it all figured out. This is a space of grace, honesty, and healing where you can be truly seen and supported. You are not alone. You are fully known, and deeply loved exactly as you are.
(785) 465-2789 View (785) 465-2789
Photo of Lisa Berry, Licensed Professional Counselor, LPC
Lisa Berry
Licensed Professional Counselor, LPC
Online Only
Working together we will identify strengths, challenge unhealthy thoughts and reactions, and strive for a healthy work/life balance. I base my approach on a theory that embodies the mind, body, and neurological system working together to make sense of what you may be feeling and experiencing. Through the process, our goal will be to help you begin living life to the fullest. This is your journey; you identify what is important to you and guide the pace to achieve whatever goals you set for yourself. Together we will explore coping techniques and different mindfulness tools to identify what works exactly for you.
Working together we will identify strengths, challenge unhealthy thoughts and reactions, and strive for a healthy work/life balance. I base my approach on a theory that embodies the mind, body, and neurological system working together to make sense of what you may be feeling and experiencing. Through the process, our goal will be to help you begin living life to the fullest. This is your journey; you identify what is important to you and guide the pace to achieve whatever goals you set for yourself. Together we will explore coping techniques and different mindfulness tools to identify what works exactly for you.
(913) 308-3455 View (913) 308-3455
Photo of Katelynn Reed, Psychologist, LCP, LCAC
Katelynn Reed
Psychologist, LCP, LCAC
Salina, KS 67401
I am a Licensed Clinical Psychotherapist (LCP) in the state of Kansas. I provide individualized psychological evaluation services for toddlers on up through adults. I assist individuals in finding answers to their questions, offer diagnostic clarity, and provide treatment recommendations. Specific diagnoses I can assess for include affective diagnoses, personality disorders, Autism Spectrum Disorder, ADHD, Fetal Alcohol Syndrome, Intellectual and Learning Disabilities, and Developmental Delays. Court related services are also offered including competency evaluations, sexual offender evaluations, and adult guardianship.
I am a Licensed Clinical Psychotherapist (LCP) in the state of Kansas. I provide individualized psychological evaluation services for toddlers on up through adults. I assist individuals in finding answers to their questions, offer diagnostic clarity, and provide treatment recommendations. Specific diagnoses I can assess for include affective diagnoses, personality disorders, Autism Spectrum Disorder, ADHD, Fetal Alcohol Syndrome, Intellectual and Learning Disabilities, and Developmental Delays. Court related services are also offered including competency evaluations, sexual offender evaluations, and adult guardianship.
(785) 629-4573 View (785) 629-4573

See more therapy options for Salina

How does your Therapist compare?

Number of Therapists in Salina, KS

70+

Average cost per session

$160

Therapists in Salina, KS who prioritize treating:

90% Anxiety
89% Depression
77% Trauma and PTSD
70% Stress
63% Grief
62% Self Esteem
61% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
69% Aetna
54% Medicaid

How Therapists in Salina, KS see their clients

73% In Person and Online
27% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Salina?

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.