Therapists in Billings, MT
![Photo of Kylie Becker, PCLC , ATR, Pre-Licensed Professional](https://photos.psychologytoday.com/d0306c8c-db90-4fdd-bf16-eee7cce96c2e/1/320x400.jpeg)
I am an art therapist, passionate and dedicated, on a transformative journey to help neurodivergent, LGBTQ+, and grieving adults discover their authentic selves through the power of art therapy. I have a deep understanding of the complexities and nuances of identity and experience, and I create a sanctuary where art becomes the language of the soul-a space where colors, textures, and shapes transcend verbal communication. By blending artistic creation with therapeutic techniques, I offer a unique pathway for healing and self-discovery encouraging each person to embrace their true essence amidst life's challenges.
I am an art therapist, passionate and dedicated, on a transformative journey to help neurodivergent, LGBTQ+, and grieving adults discover their authentic selves through the power of art therapy. I have a deep understanding of the complexities and nuances of identity and experience, and I create a sanctuary where art becomes the language of the soul-a space where colors, textures, and shapes transcend verbal communication. By blending artistic creation with therapeutic techniques, I offer a unique pathway for healing and self-discovery encouraging each person to embrace their true essence amidst life's challenges.
![Photo of Mark R. Lambott, MA, MS, LCPC, Counselor](https://photos.psychologytoday.com/84e090f2-f9ef-4f9f-8ba7-b0497f00ab84/1/320x400.jpeg)
I believe in helping people achieve balance and clarity, and to reach their full potential. I strive to provide quality, professional mental health services in a safe environment that is supportive and non-judgmental.
I believe in helping people achieve balance and clarity, and to reach their full potential. I strive to provide quality, professional mental health services in a safe environment that is supportive and non-judgmental.
![Photo of Christine K Duda, MSEd, LCPC, Counselor](https://photos.psychologytoday.com/a1851439-4a15-4ee5-86bf-88ba07e757bb/2/320x400.jpeg)
I am the owner of Summit Healing Center and am a Licensed Professional Counselor as well as a Nationally Certified Counselor. Do you feel like things are unbalanced, unmanageable and overwhelming? I believe thru all of life's challenges and obstacles we have a potential hidden within us that with support, empathy and compassion we can achieve and sustain. I am committed to supporting you find balance and serenity in your life, while learning and growing to make life long changes. I have 7+ years as a Licensed Professional Counselor with 10+ years in the helping profession.
I am the owner of Summit Healing Center and am a Licensed Professional Counselor as well as a Nationally Certified Counselor. Do you feel like things are unbalanced, unmanageable and overwhelming? I believe thru all of life's challenges and obstacles we have a potential hidden within us that with support, empathy and compassion we can achieve and sustain. I am committed to supporting you find balance and serenity in your life, while learning and growing to make life long changes. I have 7+ years as a Licensed Professional Counselor with 10+ years in the helping profession.
![Photo of Tiffany Vance-Whipple - Therapy with Tiffany, LCPC, LAC, Counselor](https://photos.psychologytoday.com/48f58094-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My goal as your therapist is to meet you where you are at and help you navigate through the process of growth and healing. I have been in the human service field in some capacity since 2009. I use a person centered approach and believe that being authentic is an important part of the counseling process. I have primary worked with adolescents and adults with addictions and mental health. In this practice it is my goal to help the client feel safe enough to talk honestly and open with me to work through all aspects of their life.
My goal as your therapist is to meet you where you are at and help you navigate through the process of growth and healing. I have been in the human service field in some capacity since 2009. I use a person centered approach and believe that being authentic is an important part of the counseling process. I have primary worked with adolescents and adults with addictions and mental health. In this practice it is my goal to help the client feel safe enough to talk honestly and open with me to work through all aspects of their life.
![Photo of Monde Solomon - Emcimbini Wellness, LLC, MSW, SWLC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/dcb5b6d8-b500-4056-aebc-c02cf77e1ec3/2/320x400.jpeg)
Emcimbini Wellness, LLC
Clinical Social Work/Therapist, MSW, SWLC
Verified Verified
1 Endorsed
Billings, MT 59102
Find your VOICE.... Let us work together to EMPOWER and ENCOURAGE you to draw STRENGTH from your personal experiences and what is TRUE for you.
Find your VOICE.... Let us work together to EMPOWER and ENCOURAGE you to draw STRENGTH from your personal experiences and what is TRUE for you.
![Photo of Dawn Marie Birk, PhD, Psychologist](https://photos.psychologytoday.com/4d5b9734-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. Dawn M. Birk, Ph.D. d.b.a. A Peaceful Point, L.L.C. No matter where you are in your life, let me help you find your peaceful point. Life is hard sometimes and we all go through periods when we could use guidance, assistance in coping, a warm empathic listener and someone who can aid us in identifying and achieving our goals. I look for the strengths in every individual whether we meet solely for an evaluation or for short or long-term therapy. Together we look for ways to find peace in life.
Dr. Dawn M. Birk, Ph.D. d.b.a. A Peaceful Point, L.L.C. No matter where you are in your life, let me help you find your peaceful point. Life is hard sometimes and we all go through periods when we could use guidance, assistance in coping, a warm empathic listener and someone who can aid us in identifying and achieving our goals. I look for the strengths in every individual whether we meet solely for an evaluation or for short or long-term therapy. Together we look for ways to find peace in life.
![Photo of Catherine Goss - Cat Goss Counseling, MS , LAC, LCPC, Counselor](https://photos.psychologytoday.com/2b8ed117-01a4-4d93-a1a2-f9a7a0e25ccc/1/320x400.jpeg)
I believe that people have the knowledge and the power to change their lives. Person centered counseling provides unconditional positive regard and validation in order to give people the space and the support they need to make their own changes in their own time.
I believe that people have the knowledge and the power to change their lives. Person centered counseling provides unconditional positive regard and validation in order to give people the space and the support they need to make their own changes in their own time.
![Photo of Cherish L Roberts - CrossWay Inc, LCPC, LMFT, Counselor](https://photos.psychologytoday.com/3142234f-8034-4040-aa7a-cd765f8c108d/2/320x400.jpeg)
We desire to be the helping hands and feet to those in our community who courageously reach for help. We seek to be a model counseling agency known for its integrity, professionalism and uncompromising commitment to our clients. We recognize that the human experience, whether troublesome or fulfilling, has spiritual, social, psychological, and physical components and that life’s stresses vary from individual to individual.
We desire to be the helping hands and feet to those in our community who courageously reach for help. We seek to be a model counseling agency known for its integrity, professionalism and uncompromising commitment to our clients. We recognize that the human experience, whether troublesome or fulfilling, has spiritual, social, psychological, and physical components and that life’s stresses vary from individual to individual.
![Photo of Rebecca Baumgardner, LCSW, LAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7a6fd319-f3b1-4d12-a5e4-e00bd670e507/4/320x400.jpeg)
Rebecca Baumgardner
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
1 Endorsed
Billings, MT 59101
Not accepting new clients
Hello! I am a dually Licensed Clinical Social Worker and a Licensed Addiction Counselor. Perhaps you have arrived here, looking for a way to better manage a difficult situation or season of life, to work through life altering grief/loss, to manage uncomfortable symptoms, or maybe even, to heal from a painful past with the hope of finally feeling free. I truly enjoy working with individuals who are committed to knowing themselves on a deeper level, so they are better equipped to make the changes they hope for in their life. I value human connection, and provide care in a shame free, judgment free, and collaborative way.
Hello! I am a dually Licensed Clinical Social Worker and a Licensed Addiction Counselor. Perhaps you have arrived here, looking for a way to better manage a difficult situation or season of life, to work through life altering grief/loss, to manage uncomfortable symptoms, or maybe even, to heal from a painful past with the hope of finally feeling free. I truly enjoy working with individuals who are committed to knowing themselves on a deeper level, so they are better equipped to make the changes they hope for in their life. I value human connection, and provide care in a shame free, judgment free, and collaborative way.
![Photo of Amy Bailey, LAC, AAC, QHMA-I, CADCII, Counselor](https://photos.psychologytoday.com/a4de079e-f2ee-4b5b-a9d9-a5574ab6b630/1/320x400.jpeg)
Hi Everyone! I have 20+ years' experience and demonstrated expertise in a wide variety of mental health areas. At the present time I am specializing in Holistic Trauma, PTSD, Anxiety and chemical and behavioral addictions that tend to be challenging, persistent and difficult to change. Yes you read that correctly. My determination and commitment to work along side you to overcome any obstacles preventing you from moving towards your goals and succeeding in your life is a passion for me.
Hi Everyone! I have 20+ years' experience and demonstrated expertise in a wide variety of mental health areas. At the present time I am specializing in Holistic Trauma, PTSD, Anxiety and chemical and behavioral addictions that tend to be challenging, persistent and difficult to change. Yes you read that correctly. My determination and commitment to work along side you to overcome any obstacles preventing you from moving towards your goals and succeeding in your life is a passion for me.
![Photo of Kelli G Mullen, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/842118a6-9deb-46e2-ab87-1de2bf6c3104/2/320x400.jpeg)
Kelli G Mullen
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Billings, MT 59101
Waitlist for new clients
I am a Licensed Clinical Social Worker (LCSW) providing therapy to individuals, families and/or couples wanting more support in life. Anxiety, Depression, Mood Disorder, Trauma, Family Dysfunction, Behavioral Issues and Life Stressors are all areas I have expertise to treat using evidence based interventions in addressing the unique needs presented.
I am a Licensed Clinical Social Worker (LCSW) providing therapy to individuals, families and/or couples wanting more support in life. Anxiety, Depression, Mood Disorder, Trauma, Family Dysfunction, Behavioral Issues and Life Stressors are all areas I have expertise to treat using evidence based interventions in addressing the unique needs presented.
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![Photo of Morgan Sternhagen, MS, LCPC, Counselor](https://photos.psychologytoday.com/873baaa2-bf54-4ad2-aa32-68834b433f58/1/320x400.jpeg)
My passion is providing support and empowering others in their journey to the person they want to be. I believe in having a "good fit" and relationship with my clients, and them with me. I am dedicated to your success by focusing our relationship on compassion, empathy, respect and honesty as we work together in the healing process. I also believe change happens with practice and consistency. I also understand that what works for one, may not work for others, so I will work with you to find what strategies and supports work best for you.
My passion is providing support and empowering others in their journey to the person they want to be. I believe in having a "good fit" and relationship with my clients, and them with me. I am dedicated to your success by focusing our relationship on compassion, empathy, respect and honesty as we work together in the healing process. I also believe change happens with practice and consistency. I also understand that what works for one, may not work for others, so I will work with you to find what strategies and supports work best for you.
![Photo of Annette Bacheller, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/faba16a5-f87c-4154-8ebb-528d47391717/2/320x400.jpeg)
I have been practicing in the field of mental health for many years. With so many years of experience, I have been able to strengthen my clinical skills and develop my clinical expertise to help you achieve your unique goals. I continue to educate myself and implement evidence based programs. Some of these models include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and a Mindfulness based approach. Over the years, I have provided clinical therapy to countless individuals and couples.
I have been practicing in the field of mental health for many years. With so many years of experience, I have been able to strengthen my clinical skills and develop my clinical expertise to help you achieve your unique goals. I continue to educate myself and implement evidence based programs. Some of these models include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and a Mindfulness based approach. Over the years, I have provided clinical therapy to countless individuals and couples.
![Photo of Ashley Novakovich, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7044188c-bd31-481a-b646-3a63f44e3546/3/320x400.jpeg)
Ashley Novakovich
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Billings, MT 59101
I’m an EMDR and EFT trained therapist committed to helping you overcome the roadblocks in your life. My work focuses on understanding your experience and creating a safe environment to challenge and change patterns. I come to the therapy relationship with a humanistic approach and a grounding in attachment theory. I believe therapy is a collaborative process to meet your goals.
I’m an EMDR and EFT trained therapist committed to helping you overcome the roadblocks in your life. My work focuses on understanding your experience and creating a safe environment to challenge and change patterns. I come to the therapy relationship with a humanistic approach and a grounding in attachment theory. I believe therapy is a collaborative process to meet your goals.
![Photo of Lital Diament - MontanaTherapyForMoms, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/dd570ba7-436f-43a1-bc90-4d7c701266bc/2/320x400.png)
MontanaTherapyForMoms
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Billings, MT 59106 (Online Only)
Congratulations for reaching out! You are not alone. Your step of seeking therapy and recovery begins now. I see each person as a unique individual. A person with life experiences- needing to relate, confide in and be validated. I treat each person with authenticity and unconditional positive regard. I focus on what is in front of me and not "what could be." My approach is a holistic one; I look at the whole person, including any underlying medical concerns, in order to help you identify your basic core self. Remember, you are brave for making the first step - reach out!
Congratulations for reaching out! You are not alone. Your step of seeking therapy and recovery begins now. I see each person as a unique individual. A person with life experiences- needing to relate, confide in and be validated. I treat each person with authenticity and unconditional positive regard. I focus on what is in front of me and not "what could be." My approach is a holistic one; I look at the whole person, including any underlying medical concerns, in order to help you identify your basic core self. Remember, you are brave for making the first step - reach out!
![Photo of Grady Johnson, MMFT, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/7fc7076f-7d14-439e-b189-748fd43e64a8/1/320x400.jpeg)
Grady Johnson
Marriage & Family Therapist, MMFT, LMFT
Verified Verified
1 Endorsed
Billings, MT 59102
Waitlist for new clients
Welcome! I'm Grady, a Marriage and Family Therapist specializing in couple and family therapy, premarital counseling, relationship/attachment issues, and play therapy. Beginning therapy is an exciting and potentially daunting experience. It's hard to know where to start when you've been feeling stuck. Know that you've made an excellent choice stepping up for yourself and your loved ones. In the therapy room, I aim to provide a welcoming, calming environment where my clients and I can collaborate to uncover questions, ideas and solutions that work for each family, couple, or individual's unique life situation.
Welcome! I'm Grady, a Marriage and Family Therapist specializing in couple and family therapy, premarital counseling, relationship/attachment issues, and play therapy. Beginning therapy is an exciting and potentially daunting experience. It's hard to know where to start when you've been feeling stuck. Know that you've made an excellent choice stepping up for yourself and your loved ones. In the therapy room, I aim to provide a welcoming, calming environment where my clients and I can collaborate to uncover questions, ideas and solutions that work for each family, couple, or individual's unique life situation.
![Photo of Tara Sorenson, LCPC, LAC, Counselor](https://photos.psychologytoday.com/f6f3828c-8f54-4bf0-aa94-7668ec019b66/2/320x400.jpeg)
Feeling overwhelmed by trauma, stress, or recent life events? Whether you're a first responder, healthcare professional, or navigating personal challenges, repeated exposure to high-pressure situations or trauma can take a toll on your mental health. EMDR therapy and Intensives offer rapid, long-lasting relief, helping you heal from trauma, reduce PTSD symptoms, and reclaim your life. Take the step towards healing—schedule your FREE 30-minute consultation today. Your journey to well-being starts with a call.
Feeling overwhelmed by trauma, stress, or recent life events? Whether you're a first responder, healthcare professional, or navigating personal challenges, repeated exposure to high-pressure situations or trauma can take a toll on your mental health. EMDR therapy and Intensives offer rapid, long-lasting relief, helping you heal from trauma, reduce PTSD symptoms, and reclaim your life. Take the step towards healing—schedule your FREE 30-minute consultation today. Your journey to well-being starts with a call.
![Photo of Shelby Smith (Bunker) - Finding Connections Counseling, Inc- Shelby Smith, MS, LCPC, Counselor](https://photos.psychologytoday.com/a2b53691-f06e-4dcd-b64a-14ba4d325883/2/320x400.jpeg)
Finding Connections Counseling, Inc- Shelby Smith
Counselor, MS, LCPC
Verified Verified
Billings, MT 59105
On the outside, it looks like you have it all together, except on the inside you're screaming for someone to hear you. Maybe you're struggling to sleep, or putting off that task by scrolling Tiktok for hours, or forgetting to eat meals. You find your brain goes a million miles a minute and you will never get "all of the thing" done. You know you need help because the thought of this continuing is too much. I'm here to say you're not alone, and together we'll discover ways to get you to your ideal life!
On the outside, it looks like you have it all together, except on the inside you're screaming for someone to hear you. Maybe you're struggling to sleep, or putting off that task by scrolling Tiktok for hours, or forgetting to eat meals. You find your brain goes a million miles a minute and you will never get "all of the thing" done. You know you need help because the thought of this continuing is too much. I'm here to say you're not alone, and together we'll discover ways to get you to your ideal life!
![Photo of Nicole Gioia, LCSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/efc4e93d-11da-4aef-9c14-66d3b8b0f032/2/320x400.jpeg)
Nicole Gioia
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Billings, MT 59101
Taking the first step in your therapeutic journey can bring up many emotions, exploration of these feelings and what led you to seeking a therapist is what I am here to help guide you through. I enjoy working with individuals using a solution focused model, led by you. I work with a wide range of age groups and offer online or face to face therapy sessions in the Billings, Montana area. I look forward to talking with you.
Taking the first step in your therapeutic journey can bring up many emotions, exploration of these feelings and what led you to seeking a therapist is what I am here to help guide you through. I enjoy working with individuals using a solution focused model, led by you. I work with a wide range of age groups and offer online or face to face therapy sessions in the Billings, Montana area. I look forward to talking with you.
![Photo of Kathleen J Wagner - Kathleen J. Wagner, Psychotherapy Services, PLLC, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cfb05b0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kathleen J. Wagner, Psychotherapy Services, PLLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Billings, MT 59106
I love working with my clients in the relational field with a goal of undoing aloneness. We will work together to identify defenses and blocks that prevent wholehearted, healthy living. With a goal of transformational change using client-centered attachment based therapy processes for a variety of mental health concerns. I specialize in the treatment of trauma induced syndromes. I primarily see adults; considering each individual, their goals and needs and seeking feedback to ensure that a therapeutic alliance can be fostered and make every effort to maintain that connection.
I love working with my clients in the relational field with a goal of undoing aloneness. We will work together to identify defenses and blocks that prevent wholehearted, healthy living. With a goal of transformational change using client-centered attachment based therapy processes for a variety of mental health concerns. I specialize in the treatment of trauma induced syndromes. I primarily see adults; considering each individual, their goals and needs and seeking feedback to ensure that a therapeutic alliance can be fostered and make every effort to maintain that connection.
See more therapy options for Billings
How does your Therapist compare?
Number of Therapists in Billings, MT
300+
Average cost per session
$165
Therapists in Billings, MT who prioritize treating:
89% | Anxiety |
85% | Depression |
77% | Trauma and PTSD |
73% | Coping Skills |
72% | Relationship Issues |
72% | Self Esteem |
65% | Stress |
Average years in practice
9 Years
Top 3 insurances accepted
86% | BlueCross and BlueShield |
71% | Allegiance |
70% | Aetna |
How Therapists in Billings, MT see their clients
79% | In Person and Online | |
21% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Billings?
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
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.
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.
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.