Therapists in Esko, MN

Photo of Sharon Davern, Marriage & Family Therapist in Esko, MN
Sharon Davern
Marriage & Family Therapist, MSEd, LMFT
Verified Verified
1 Endorsed
Esko, MN 55733  (Online Only)
I am only offering Televideo counseling. It is very effective. I have over 30 years in the human service field. I have worked extensively with individuals, couples, families and groups. My specialities are PTSD, relationship problems, depression, anxiety, OCD, co-dependency, domestic violence, children's behavioral problems, chemical abuse and dependency. My clients tell me that my direct style of interacting has been very helpful for them. I have a true belief that we all have the ability to get better and solve our issues, but we don't always know it and need assistance to find our own healing.
I am only offering Televideo counseling. It is very effective. I have over 30 years in the human service field. I have worked extensively with individuals, couples, families and groups. My specialities are PTSD, relationship problems, depression, anxiety, OCD, co-dependency, domestic violence, children's behavioral problems, chemical abuse and dependency. My clients tell me that my direct style of interacting has been very helpful for them. I have a true belief that we all have the ability to get better and solve our issues, but we don't always know it and need assistance to find our own healing.
(507) 881-9927 View (507) 881-9927
Photo of Makenzie Johnson, Licensed Professional Counselor in Esko, MN
Makenzie Johnson
Licensed Professional Counselor, LPC, MSE
Verified Verified
1 Endorsed
Esko, MN 55733
I am seeking clients who are looking for support navigating life transitions and finding more balance in our busy lives. As a previous K-12 educator, I also hope to work with educators and helping professionals as there is a large need for ongoing support in such a taxing career. I have a passion for perinatal mental health and provide services and support for women who are experiencing infertility, pregnancy, postpartum, or transitioning into motherhood. I will be certified in Perinatal Mental Health through the Postpartum Support International to provide services to women in December.
I am seeking clients who are looking for support navigating life transitions and finding more balance in our busy lives. As a previous K-12 educator, I also hope to work with educators and helping professionals as there is a large need for ongoing support in such a taxing career. I have a passion for perinatal mental health and provide services and support for women who are experiencing infertility, pregnancy, postpartum, or transitioning into motherhood. I will be certified in Perinatal Mental Health through the Postpartum Support International to provide services to women in December.
(218) 432-9184 View (218) 432-9184
Photo of Rachel G Ashford, Clinical Social Work/Therapist in Esko, MN
Rachel G Ashford
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Esko, MN 55733
I love working with teens and adults who are looking to make positive changes in their lives and are ready to heal from a variety of issues, including trauma exposure, PTSD, depression, anxiety, or family and relational issues. I think the relationship between therapist and client is the basis for healing and progress in therapy.
I love working with teens and adults who are looking to make positive changes in their lives and are ready to heal from a variety of issues, including trauma exposure, PTSD, depression, anxiety, or family and relational issues. I think the relationship between therapist and client is the basis for healing and progress in therapy.
(218) 228-3140 View (218) 228-3140

More Therapists Nearby

Photo of Myret Bulgin, Pre-Licensed Professional in Esko, MN
Myret Bulgin
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Cloquet, MN 55720
Greetings! My name is Myret and I'm a pre-licensed counselor in Minnesota. Everyone has issues and sometimes we need help to alleviate our distress. I approach each person uniquely and believe the individual is the expert on their own experience and have most of the insights needed to help reach their goals but may not have the tools necessary to do so. I aim to provide a safe and open space for one to explore those elements of self required to see the changes they desire and to facilitate growth. My goal is to help you achieve the level of functioning that you wish for.
Greetings! My name is Myret and I'm a pre-licensed counselor in Minnesota. Everyone has issues and sometimes we need help to alleviate our distress. I approach each person uniquely and believe the individual is the expert on their own experience and have most of the insights needed to help reach their goals but may not have the tools necessary to do so. I aim to provide a safe and open space for one to explore those elements of self required to see the changes they desire and to facilitate growth. My goal is to help you achieve the level of functioning that you wish for.
(218) 514-5279 View (218) 514-5279
Photo of Arrowhead Psychological Clinic, Dr David B Plude, Psychologist in Esko, MN
Arrowhead Psychological Clinic, Dr David B Plude
Psychologist, PsyD, LP, CEO
Verified Verified
Hermantown, MN 55810
Arrowhead Psychological Clinic has been providing counseling services to the Northland for over 35 years. We take pride in providing professional, confidential services to our clientele in a warm and inviting environment. At APC we strive to develop a deep understanding of our clients and the issues that bring them in. It is within that understanding that we develop a treatment plan that moves towards healing and growth. We work with couples seeking better relationships with each other and with their family members as well as individuals and organizations.
Arrowhead Psychological Clinic has been providing counseling services to the Northland for over 35 years. We take pride in providing professional, confidential services to our clientele in a warm and inviting environment. At APC we strive to develop a deep understanding of our clients and the issues that bring them in. It is within that understanding that we develop a treatment plan that moves towards healing and growth. We work with couples seeking better relationships with each other and with their family members as well as individuals and organizations.
(218) 228-3604 View (218) 228-3604
Photo of North Shore Mental Health Services in Esko, MN
North Shore Mental Health Services
LICSW
Verified Verified
Cloquet, MN 55720
Welcome to NSMHS! We offer therapy services for adults and teens wanting to explore a deeper part of themselves and who are ready to create a more full and meaningful life. Some of the life concerns we work with include trauma, depression, anxiety, low motivation or confidence, couples therapy, life transitions and grief. If you're feeling lost or stuck in any of these areas we're here to help.
Welcome to NSMHS! We offer therapy services for adults and teens wanting to explore a deeper part of themselves and who are ready to create a more full and meaningful life. Some of the life concerns we work with include trauma, depression, anxiety, low motivation or confidence, couples therapy, life transitions and grief. If you're feeling lost or stuck in any of these areas we're here to help.
(218) 394-9108 View (218) 394-9108
Photo of Jessica Sweeney, Clinical Social Work/Therapist in Esko, MN
Jessica Sweeney
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Cloquet, MN 55720
Waitlist for new clients
I believe you deserve a life of balance, connection, and joy. I enjoy working with adults from varying backgrounds who are looking to feel supported and heard. My work focuses on finding inherent strengths that lead individuals to the best versions of themselves in a world full of uncertainty. Clients I serve often struggle adjusting to life changes, depression, anxiety, traumatic memories, grief, and gender identity.
I believe you deserve a life of balance, connection, and joy. I enjoy working with adults from varying backgrounds who are looking to feel supported and heard. My work focuses on finding inherent strengths that lead individuals to the best versions of themselves in a world full of uncertainty. Clients I serve often struggle adjusting to life changes, depression, anxiety, traumatic memories, grief, and gender identity.
(218) 316-6918 View (218) 316-6918
Photo of Patricia Grigsby, Clinical Social Work/Therapist in Esko, MN
Patricia Grigsby
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Cloquet, MN 55720  (Online Only)
Let's pretend... it's 6 months from now - what is different? What do you have more of? In the beginning of therapy, many people come confused, overwhelmed, and burned-out. Some describe feeling lost, or "wanting to feel like me again." Many tell me that they've tried everything, to no avail. But they also often know where they want to be. Maybe you're in a place where you feel ready to make a change. Or maybe that you need to make one. Taking the first step in finding a provider, scheduling an appointment, and meeting for the first time is hard work! And it is the last step you need to do alone.
Let's pretend... it's 6 months from now - what is different? What do you have more of? In the beginning of therapy, many people come confused, overwhelmed, and burned-out. Some describe feeling lost, or "wanting to feel like me again." Many tell me that they've tried everything, to no avail. But they also often know where they want to be. Maybe you're in a place where you feel ready to make a change. Or maybe that you need to make one. Taking the first step in finding a provider, scheduling an appointment, and meeting for the first time is hard work! And it is the last step you need to do alone.
(218) 377-7828 View (218) 377-7828
Photo of Alexis Zotti, Pre-Licensed Professional in Esko, MN
Alexis Zotti
Pre-Licensed Professional, MSW, LGSW
Verified Verified
Hermantown, MN 55810
For as long as I can remember, I have had a passion for helping and supporting others, which is why I love being a therapist. You as an individual come into my office with your own unique set of challenges, needs, and history. This allows me to really take my time getting to know who you are, what you're looking for, and what will be most helpful to you in our time together. I strive to create a safe space that utilizes a strengths based and non judgmental approach where you feel heard, understood, and more confident as you reach your identified goals at a pace that feels sustainable to you. My goal is to meet you where you're at.
For as long as I can remember, I have had a passion for helping and supporting others, which is why I love being a therapist. You as an individual come into my office with your own unique set of challenges, needs, and history. This allows me to really take my time getting to know who you are, what you're looking for, and what will be most helpful to you in our time together. I strive to create a safe space that utilizes a strengths based and non judgmental approach where you feel heard, understood, and more confident as you reach your identified goals at a pace that feels sustainable to you. My goal is to meet you where you're at.
(218) 245-4133 View (218) 245-4133
Photo of Sam Sakry, Clinical Social Work/Therapist in Esko, MN
Sam Sakry
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Cloquet, MN 55720
Sam provides counseling services to individuals, couples, and families. With a background in social work, mental health, and human sexuality, Sam's professional interests are providing trauma-informed care for disadvantaged and underserved populations. Sam's background experience is in sexual prevention and education, having worked in community-based and correctional settings in the Twin Ports area on issues of domestic violence, sex trafficking, mental health, and support groups. Sam's approach to therapy is to affirm and empower clients through a trusted relationship that is free of judgment.
Sam provides counseling services to individuals, couples, and families. With a background in social work, mental health, and human sexuality, Sam's professional interests are providing trauma-informed care for disadvantaged and underserved populations. Sam's background experience is in sexual prevention and education, having worked in community-based and correctional settings in the Twin Ports area on issues of domestic violence, sex trafficking, mental health, and support groups. Sam's approach to therapy is to affirm and empower clients through a trusted relationship that is free of judgment.
(218) 300-1641 View (218) 300-1641
Photo of Bethani Grace Kepler, Art Therapist in Esko, MN
Bethani Grace Kepler
Art Therapist, MA, ATR
Verified Verified
Duluth, MN 55807  (Online Only)
Waitlist for new clients
Bethany is deeply committed to social equality and actively tries to establish an inclusive, safe environment for all people, regardless of gender, sexual orientation, political affiliation, race, ethnicity, religious or spiritual origin, or other factors. Bethany particularly enjoys supporting & working with LGBTQ and transgender people of all ages. Bethany provides therapy for humans experiencing relationship conflict, anxiety, depression, PTSD, grief, schizophrenia, personality disorders, mood disorders, attachment trauma, survivors of complex trauma, & adjustment disorders.
Bethany is deeply committed to social equality and actively tries to establish an inclusive, safe environment for all people, regardless of gender, sexual orientation, political affiliation, race, ethnicity, religious or spiritual origin, or other factors. Bethany particularly enjoys supporting & working with LGBTQ and transgender people of all ages. Bethany provides therapy for humans experiencing relationship conflict, anxiety, depression, PTSD, grief, schizophrenia, personality disorders, mood disorders, attachment trauma, survivors of complex trauma, & adjustment disorders.
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Photo of Dr. Melissa J Anderson, Psychologist in Esko, MN
Dr. Melissa J Anderson
Psychologist, PsyD, LP, LMFT
Verified Verified
Cloquet, MN 55720
Melissa Anderson Psychological Services has been serving the Moose Lake and surrounding areas for over 15 years. Our team of therapists and psychologists are compassionate about what we do and are here to help. We recognize the struggles people face in receiving support due to the lack of rural services available. We understand the importance of small-town values and culture. We live and work in this community and are dedicated to the people and families we serve.
Melissa Anderson Psychological Services has been serving the Moose Lake and surrounding areas for over 15 years. Our team of therapists and psychologists are compassionate about what we do and are here to help. We recognize the struggles people face in receiving support due to the lack of rural services available. We understand the importance of small-town values and culture. We live and work in this community and are dedicated to the people and families we serve.
(218) 318-1746 View (218) 318-1746
Photo of HP Psychological Associates, PC, Psychologist in Esko, MN
HP Psychological Associates, PC
Psychologist
Verified Verified
1 Endorsed
Cloquet, MN 55720
We know how important it is to have options when you decide to reach out for support. As a group of clinicians invested in your wellbeing, we provide individual and group counseling to adults, children (ages 4+), families, and couples. Because we cannot determine when life stressors or increasing mental health concerns will occur, you may be able to be seen the same day of your call.
We know how important it is to have options when you decide to reach out for support. As a group of clinicians invested in your wellbeing, we provide individual and group counseling to adults, children (ages 4+), families, and couples. Because we cannot determine when life stressors or increasing mental health concerns will occur, you may be able to be seen the same day of your call.
(218) 464-0908 View (218) 464-0908
Photo of Bruce Beaman, Marriage & Family Therapist in Esko, MN
Bruce Beaman
Marriage & Family Therapist, MSEd, LMFT
Verified Verified
Cloquet, MN 55720  (Online Only)
Thank you for taking the time to visit this page. I hope what you find here feels right for you. Everyone has basic human needs such as being heard and understood, affirmed, included, loved, and safe. These are met through healthy relationships with the world around us and form the foundation of our personal health and well-being. In meeting our needs, our behavior is purposeful, and no one sets out to fail. Therapy is a process of discovery, or re-discovery, of how to be our best selves and achieve a more satisfying, fulfilling, and enriched life.
Thank you for taking the time to visit this page. I hope what you find here feels right for you. Everyone has basic human needs such as being heard and understood, affirmed, included, loved, and safe. These are met through healthy relationships with the world around us and form the foundation of our personal health and well-being. In meeting our needs, our behavior is purposeful, and no one sets out to fail. Therapy is a process of discovery, or re-discovery, of how to be our best selves and achieve a more satisfying, fulfilling, and enriched life.
(218) 376-7048 View (218) 376-7048
Photo of MAP Behavioral Health Center in Esko, MN
MAP Behavioral Health Center
LPCC, PsyD, LP, LADC, APRN
Verified Verified
Cloquet, MN 55720
Welcome to MAP, a comprehensive mental health center dedicated to providing individual and family counseling, medication management, an ADHD skills program, premarital counseling packages, and psychological services in a warm, welcoming environment. Using a variety of evidenced-based modalities, our practitioners maintain integrity by prioritizing our clients.
Welcome to MAP, a comprehensive mental health center dedicated to providing individual and family counseling, medication management, an ADHD skills program, premarital counseling packages, and psychological services in a warm, welcoming environment. Using a variety of evidenced-based modalities, our practitioners maintain integrity by prioritizing our clients.
(218) 935-6052 View (218) 935-6052
Photo of Samantha Rohl, Pre-Licensed Professional in Esko, MN
Samantha Rohl
Pre-Licensed Professional
Verified Verified
1 Endorsed
Cloquet, MN 55720
Change can be difficult, but some of our most difficult times can be our greatest opportunities for growth and healing. Therapy is a place to gather tools that help you identify your feelings, better understand yourself, and manage uncomfortable emotions. I aim to create an empathetic and trusting environment and relationship in which you can feel safe, seen, heard, and respected to discover areas of yourself that need of healing. I am a recent graduate from Southwestern College-Santa Fe with a master’s degree in art therapy and counseling, working towards my independent licensure.
Change can be difficult, but some of our most difficult times can be our greatest opportunities for growth and healing. Therapy is a place to gather tools that help you identify your feelings, better understand yourself, and manage uncomfortable emotions. I aim to create an empathetic and trusting environment and relationship in which you can feel safe, seen, heard, and respected to discover areas of yourself that need of healing. I am a recent graduate from Southwestern College-Santa Fe with a master’s degree in art therapy and counseling, working towards my independent licensure.
(218) 413-2123 View (218) 413-2123
Photo of Eve-Lynn Fellersen, Counselor in Esko, MN
Eve-Lynn Fellersen
Counselor, MSEd, LPCC
Verified Verified
2 Endorsed
Cloquet, MN 55720
My name is Eve and I am a licensed therapist (LPCC) in Minnesota and Wisconsin. In today’s world, many of us can often feel alone, isolated, and overwhelmed. It takes courage and strength to reach out for support and connection. I am here to support you in navigating challenging times. You can expect an authentic safe space to feel heard, validated, and understood. I have worked with clients in a wide range of concerns and enjoy working with individuals, couples and families.
My name is Eve and I am a licensed therapist (LPCC) in Minnesota and Wisconsin. In today’s world, many of us can often feel alone, isolated, and overwhelmed. It takes courage and strength to reach out for support and connection. I am here to support you in navigating challenging times. You can expect an authentic safe space to feel heard, validated, and understood. I have worked with clients in a wide range of concerns and enjoy working with individuals, couples and families.
(218) 215-4089 View (218) 215-4089
Photo of Peter Meilahn, MA, LPCC, Counselor in Esko, MN
Peter Meilahn, MA, LPCC
Counselor, LPCC
Verified Verified
Cloquet, MN 55720
My clients can change anxiety, ADHD, autism, or pain with live heart and brain feedback called biofeedback or neurofeedback in online visits. Clients control music volume on their phones with their calm attention levels with free biofeedback equipment I provide. It is easy mindfulness therapy for kids and adults. It is proven to work as well as medication for anxiety, ADHD, and pain. I have years of experience as a therapist, and have taught clinicians at The University of MN Medical Center and elsewhere. Insurance covers this service. To schedule a 20 minute call, click here: https://neurotherapy.intakeq.com/booking
My clients can change anxiety, ADHD, autism, or pain with live heart and brain feedback called biofeedback or neurofeedback in online visits. Clients control music volume on their phones with their calm attention levels with free biofeedback equipment I provide. It is easy mindfulness therapy for kids and adults. It is proven to work as well as medication for anxiety, ADHD, and pain. I have years of experience as a therapist, and have taught clinicians at The University of MN Medical Center and elsewhere. Insurance covers this service. To schedule a 20 minute call, click here: https://neurotherapy.intakeq.com/booking
(651) 349-6846 View (651) 349-6846
Photo of Nicole Dorothy Watson, Clinical Social Work/Therapist in Esko, MN
Nicole Dorothy Watson
Clinical Social Work/Therapist, LGSW, MSW, CMT
Verified Verified
1 Endorsed
Cloquet, MN 55720
Waitlist for new clients
Nicole is a firm believer that trauma and addiction go hand and hand. "It too effects our bodies. A lot of times clients are unaware of that early in their recovery, and they have been using substances to cope for years. I am driven to teach my clients about the mind body connection by the teaching and exploring of somatics, negative thoughts, unconventional coping skills, i.e., such as breathworks, and by exploring safety and its meaning within themselves. Seeing other people's light shine again and finding themselves is the fuel to why I do this healing work."
Nicole is a firm believer that trauma and addiction go hand and hand. "It too effects our bodies. A lot of times clients are unaware of that early in their recovery, and they have been using substances to cope for years. I am driven to teach my clients about the mind body connection by the teaching and exploring of somatics, negative thoughts, unconventional coping skills, i.e., such as breathworks, and by exploring safety and its meaning within themselves. Seeing other people's light shine again and finding themselves is the fuel to why I do this healing work."
(218) 506-6992 View (218) 506-6992
Photo of Rebecca Oachs, Clinical Social Work/Therapist in Esko, MN
Rebecca Oachs
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Cloquet, MN 55720
As a therapist, I educate on coping skills and provide insight on changing negative/anxious thought patterns. My focus is not to provide every answer but to give you room for reflection and openness to considering/identifying alternative perspectives. I strive to be an excellent critical listener, holding hope for your growth and change while providing non-judgmental acceptance. My work is strengths-based: focusing on positives while balancing/considering current difficulties and desired changes. I feel my strengths lie in treating anxiety, depression and OCD although I provide services for a wide range of diagnoses.
As a therapist, I educate on coping skills and provide insight on changing negative/anxious thought patterns. My focus is not to provide every answer but to give you room for reflection and openness to considering/identifying alternative perspectives. I strive to be an excellent critical listener, holding hope for your growth and change while providing non-judgmental acceptance. My work is strengths-based: focusing on positives while balancing/considering current difficulties and desired changes. I feel my strengths lie in treating anxiety, depression and OCD although I provide services for a wide range of diagnoses.
(218) 282-4470 View (218) 282-4470

Nearby Searches for Esko

How does your Therapist compare?

Number of Therapists in Esko, MN

< 10

Therapists in Esko, MN who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Grief
100% Parenting
100% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Medica
100% Medicaid

How Therapists in Esko, MN see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female

FAQs - About Therapy and Counseling

How can I find a therapist in Esko?

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.