Therapists in Riverfront, Missoula, MT

Photo of Dr. Caroline Krenn, Counselor in Riverfront, Missoula, MT
Dr. Caroline Krenn
Counselor, MA, PsyD, LCPC
Verified
Riverfront, Missoula, MT 59801  (Online Only)
There are times when our overwhelm can become so great we feel lost.
There are times when our overwhelm can become so great we feel lost.
(406) 296-5562 View (406) 296-5562
Photo of Catie Forsting, Counselor in Riverfront, Missoula, MT
Catie Forsting
Counselor, MA, LCPC
Verified
Riverfront, Missoula, MT 59801
I'm an attachment therapist who is passionate about helping individuals, couples, and families thrive through bettering their relationships.
I'm an attachment therapist who is passionate about helping individuals, couples, and families thrive through bettering their relationships.
(406) 215-4486 View (406) 215-4486
Photo of Sophia Jensen, Counselor in Riverfront, Missoula, MT
Sophia Jensen
Counselor, MA, LCPC
Verified
Riverfront, Missoula, MT 59801
My goal as a counselor is for you to feel comfortable to work through life’s difficulties, no matter how big or small, in a safe environment. Through this process, you can gain new insight and start to change the behavioral patterns that no longer serve you. Though therapy can be difficult, I also believe it has the potential to be wildly rewarding, healing and even fun.
My goal as a counselor is for you to feel comfortable to work through life’s difficulties, no matter how big or small, in a safe environment. Through this process, you can gain new insight and start to change the behavioral patterns that no longer serve you. Though therapy can be difficult, I also believe it has the potential to be wildly rewarding, healing and even fun.
(406) 213-7298 View (406) 213-7298
Photo of John Sheehan, Clinical Social Work/Therapist in Riverfront, Missoula, MT
John Sheehan
Clinical Social Work/Therapist, MSW, LCSW
Verified
1 Endorsed
Riverfront, Missoula, MT 59801
In our work I will offer you a safe, nonjudgmental space as we explore and identify what you want to work towards. I specialize in working with individual adults (18+) struggling with anxiety, depression, lack of fulfillment in life, difficulty with transitions or making important decisions, unhealthy relationship patterns, and low self-esteem. I believe people can make positive changes in their lives. Through developing a safe, trusting, therapeutic relationship we will work together to help you feel more confident, break unhealthy patterns, build insight, develop new skills, heal from past trauma, and implement positive change.
In our work I will offer you a safe, nonjudgmental space as we explore and identify what you want to work towards. I specialize in working with individual adults (18+) struggling with anxiety, depression, lack of fulfillment in life, difficulty with transitions or making important decisions, unhealthy relationship patterns, and low self-esteem. I believe people can make positive changes in their lives. Through developing a safe, trusting, therapeutic relationship we will work together to help you feel more confident, break unhealthy patterns, build insight, develop new skills, heal from past trauma, and implement positive change.
(406) 510-0925 View (406) 510-0925
Photo of Grace Kok, Clinical Social Work/Therapist in Riverfront, Missoula, MT
Grace Kok
Clinical Social Work/Therapist, LCSW
Verified
Riverfront, Missoula, MT 59801
Hello and Welcome! Thank you for visiting my profile, I am so glad you are here! I work from a strength-based, person-centered approach as I believe every individual has the strength and resiliency within for growth, healing, and change. I offer a compassionate, warm, and supportive space where you will feel heard and validated. I strive to create an empowering environment where we will collaboratively establish ongoing, flexible goals to make sessions most effective. I am passionate about working with adolescents and adults in addressing anxiety, depression, trauma, stress, self-esteem/self-acceptance challenges and more!
Hello and Welcome! Thank you for visiting my profile, I am so glad you are here! I work from a strength-based, person-centered approach as I believe every individual has the strength and resiliency within for growth, healing, and change. I offer a compassionate, warm, and supportive space where you will feel heard and validated. I strive to create an empowering environment where we will collaboratively establish ongoing, flexible goals to make sessions most effective. I am passionate about working with adolescents and adults in addressing anxiety, depression, trauma, stress, self-esteem/self-acceptance challenges and more!
(406) 732-6799 View (406) 732-6799
Photo of Ariel Berg-DiGangi, Clinical Social Work/Therapist in Riverfront, Missoula, MT
Ariel Berg-DiGangi
Clinical Social Work/Therapist, LCSW
Verified
Riverfront, Missoula, MT 59801
I'm a Licensed Clinical Social Worker from Montana who has been in the Missoula area for over a decade. I specialize in issues pertaining to LGBTQI+ matters, anxiety and depression, grief and loss. I also serve couples of all genders/sexual orientations, and am sex positive, kink and consensually non-monogomous affirming. Please see my website for more details on my approach to couples work. I approach therapeutic work individually with each unique client, but tend to focus on a dual perspectives model and working through our struggles while attending to other life matters. I currently am accepting clients aged 16 and up.
I'm a Licensed Clinical Social Worker from Montana who has been in the Missoula area for over a decade. I specialize in issues pertaining to LGBTQI+ matters, anxiety and depression, grief and loss. I also serve couples of all genders/sexual orientations, and am sex positive, kink and consensually non-monogomous affirming. Please see my website for more details on my approach to couples work. I approach therapeutic work individually with each unique client, but tend to focus on a dual perspectives model and working through our struggles while attending to other life matters. I currently am accepting clients aged 16 and up.
(406) 296-4684 View (406) 296-4684
Photo of Roni Lett, Psychologist in Riverfront, Missoula, MT
Roni Lett
Psychologist, PhD
Verified
Riverfront, Missoula, MT 59801
Life is full of challenges, crises and transitions. We often have no control over the experiences we face. The process of therapy can focus on how we face, resolve and integrate these challenges. I believe therapy is a collaborative effort between client and therapist. We explore issues, identify available emotional resources and strengthen areas and develop coping strategies to navigate difficult life events. My job is to help you identify what feelings, beliefs and behaviors you want to change so that your life is more fulfilling and satisfying.
Life is full of challenges, crises and transitions. We often have no control over the experiences we face. The process of therapy can focus on how we face, resolve and integrate these challenges. I believe therapy is a collaborative effort between client and therapist. We explore issues, identify available emotional resources and strengthen areas and develop coping strategies to navigate difficult life events. My job is to help you identify what feelings, beliefs and behaviors you want to change so that your life is more fulfilling and satisfying.
(406) 909-4212 View (406) 909-4212
Photo of Jennifer Boehmke Hudson, Counselor in Riverfront, Missoula, MT
Jennifer Boehmke Hudson
Counselor, LCPC
Verified
1 Endorsed
Riverfront, Missoula, MT 59801
Welcome to my practice! I take a positive, respectful, growth-oriented approach to therapy. I believe we each have intrinsic resources for healing and connection, and an innate striving for vitality, balance, wholeness, and personal maturity. Working in a variety of community-based settings, I have come to appreciate the power of human resiliency, the importance of naming and claiming our stories, and the transformative quality of suffering. I view my role as a therapist as witness to your unique story, and companion to your growth as we wrestle with the often complex questions life brings.
Welcome to my practice! I take a positive, respectful, growth-oriented approach to therapy. I believe we each have intrinsic resources for healing and connection, and an innate striving for vitality, balance, wholeness, and personal maturity. Working in a variety of community-based settings, I have come to appreciate the power of human resiliency, the importance of naming and claiming our stories, and the transformative quality of suffering. I view my role as a therapist as witness to your unique story, and companion to your growth as we wrestle with the often complex questions life brings.
(406) 359-6958 View (406) 359-6958
Photo of Donna J Ryngala PhD, Psychologist in Riverfront, Missoula, MT
Donna J Ryngala PhD
Psychologist, PhD
Verified
Riverfront, Missoula, MT 59801
Not accepting new clients
There are many barriers that prevent us from moving forward in life and therapy can help to overcome them. Over the last 15+ years, I have worked with individuals with a variety of struggles. I find that there is a strong connection between the expression of emotions and how healthy our relationships are. With a firm grasp of the research behind effective treatments, I balance compassion with strategies for creating lasting change. We will work collaboratively to create a plan for your individual needs. Therapy will focuses on actions, thoughts and feelings and when we may need to accept or change them.
There are many barriers that prevent us from moving forward in life and therapy can help to overcome them. Over the last 15+ years, I have worked with individuals with a variety of struggles. I find that there is a strong connection between the expression of emotions and how healthy our relationships are. With a firm grasp of the research behind effective treatments, I balance compassion with strategies for creating lasting change. We will work collaboratively to create a plan for your individual needs. Therapy will focuses on actions, thoughts and feelings and when we may need to accept or change them.
(406) 296-5071 View (406) 296-5071
Photo of Janna Legg, Pre-Licensed Professional in Riverfront, Missoula, MT
Janna Legg
Pre-Licensed Professional
Verified
Riverfront, Missoula, MT 59801
Life is full of unexpected turns- some are wonderful and others you wish could be erased. Without a map these experiences can leave you feeling lost and unsure of what to do next. Whether the lived experience is a diagnosis, life transition, changes in a relationship, or something from your past, a therapeutic relationship can help support you in processing the unexpected in life. Being able to commit to working through life experiences can be hard but ultimately allows you to live knowing you can overcome the unexpected life events and not be reduced by them.
Life is full of unexpected turns- some are wonderful and others you wish could be erased. Without a map these experiences can leave you feeling lost and unsure of what to do next. Whether the lived experience is a diagnosis, life transition, changes in a relationship, or something from your past, a therapeutic relationship can help support you in processing the unexpected in life. Being able to commit to working through life experiences can be hard but ultimately allows you to live knowing you can overcome the unexpected life events and not be reduced by them.
(406) 420-6874 View (406) 420-6874
Photo of Matthew Jakupcak, Psychologist in Riverfront, Missoula, MT
Matthew Jakupcak
Psychologist, PhD
Verified
1 Endorsed
Riverfront, Missoula, MT 59801
Not accepting new clients
I value interpersonal approaches to psychotherapy, using evidenced-based strategies to target specific symptoms. This means that I pay close attention to the relationship I have with my clients and use techniques that have been tested and found to be effective for resolving mental health issues. I am an active therapist and I will openly share my thoughts and recommendations with you throughout our work together. I also adopt a compassionate, non-judgmental view with clients. Together, we can develop new ways for you to cope and help you to resolve the issues that prompted you to seek care.
I value interpersonal approaches to psychotherapy, using evidenced-based strategies to target specific symptoms. This means that I pay close attention to the relationship I have with my clients and use techniques that have been tested and found to be effective for resolving mental health issues. I am an active therapist and I will openly share my thoughts and recommendations with you throughout our work together. I also adopt a compassionate, non-judgmental view with clients. Together, we can develop new ways for you to cope and help you to resolve the issues that prompted you to seek care.
(406) 204-5283 View (406) 204-5283
Photo of Ellen Claire Yoshimura, Psychologist in Riverfront, Missoula, MT
Ellen Claire Yoshimura
Psychologist, PhD
Verified
Riverfront, Missoula, MT 59801
I believe that we're all works in progress, having found this to be true of clients struggling with life changes to clients with the most complicated of problems--even young gang members, in whom I've had the privilege of seeing humanity and goodness. The role of therapist, for me, is one of empowering, bearing witness to life's bewilderment and suffering, and jointly creating a peace of mind and resilience, sometimes in the face of unresolved problems, while honoring one's own truth and rewriting our narratives in a way that makes sense to us as we make meaning to our lives.
I believe that we're all works in progress, having found this to be true of clients struggling with life changes to clients with the most complicated of problems--even young gang members, in whom I've had the privilege of seeing humanity and goodness. The role of therapist, for me, is one of empowering, bearing witness to life's bewilderment and suffering, and jointly creating a peace of mind and resilience, sometimes in the face of unresolved problems, while honoring one's own truth and rewriting our narratives in a way that makes sense to us as we make meaning to our lives.
(406) 645-5528 View (406) 645-5528
Photo of Viviane Manfre, Licensed Clinical Professional Counselor in Riverfront, Missoula, MT
Viviane Manfre
Licensed Clinical Professional Counselor, MA, LCPC
Verified
Riverfront, Missoula, MT 59801
I welcome you to an empowering, transformative experience! Whether you are going through a difficult moment in your life or pursuing personal growth, I am here for you. As a person-centered counselor, I will join you in a collaborative process, offering you my presence, experience and dedication to support you in your own healing in a safe, non-judgmental space. Through compassion and trust, I will help you make changes toward a more authentic and positive relationship with yourself and the world around you.
I welcome you to an empowering, transformative experience! Whether you are going through a difficult moment in your life or pursuing personal growth, I am here for you. As a person-centered counselor, I will join you in a collaborative process, offering you my presence, experience and dedication to support you in your own healing in a safe, non-judgmental space. Through compassion and trust, I will help you make changes toward a more authentic and positive relationship with yourself and the world around you.
(406) 416-5077 View (406) 416-5077
Photo of Katie M. McCall, Psychologist in Riverfront, Missoula, MT
Katie M. McCall
Psychologist, PhD
Verified
Riverfront, Missoula, MT 59801
Part of being human means that most of us will inevitably struggle at some point in our lives. It is common to seek support and guidance to help navigate through difficult times. Finding a therapist who feels like "the right fit" can be challenging, as it is important to find someone you trust and who is knowledgeable about what has prompted you to seek help. My treatment approach is grounded in compassionately understanding client's unique life history and experiences. I highly value authenticity and flexibility; and my goal is to build a collaborative relationship so that we can tailor therapy to address your needs.
Part of being human means that most of us will inevitably struggle at some point in our lives. It is common to seek support and guidance to help navigate through difficult times. Finding a therapist who feels like "the right fit" can be challenging, as it is important to find someone you trust and who is knowledgeable about what has prompted you to seek help. My treatment approach is grounded in compassionately understanding client's unique life history and experiences. I highly value authenticity and flexibility; and my goal is to build a collaborative relationship so that we can tailor therapy to address your needs.
(360) 703-9278 View (360) 703-9278
Photo of Meghan Maloney, Clinical Social Work/Therapist in Riverfront, Missoula, MT
Meghan Maloney
Clinical Social Work/Therapist, LCSW, RYT
Verified
1 Endorsed
Riverfront, Missoula, MT 59801
Not accepting new clients
< Currently not taking new clients > At certain times we all need help facing difficult experiences that may disrupt our understanding of who we are and how to find our way forward. I offer an accepting and nonjudgemental approach that is integrative, down to earth, and person centered. Our work together will help you harness your inner resources and develop helpful skills to heal and address patterns to lead a more balanced and fulfilling life.
< Currently not taking new clients > At certain times we all need help facing difficult experiences that may disrupt our understanding of who we are and how to find our way forward. I offer an accepting and nonjudgemental approach that is integrative, down to earth, and person centered. Our work together will help you harness your inner resources and develop helpful skills to heal and address patterns to lead a more balanced and fulfilling life.
(406) 284-8242 View (406) 284-8242
Photo of Alex Malich, Clinical Social Work/Therapist in Riverfront, Missoula, MT
Alex Malich
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
Riverfront, Missoula, MT 59801
I believe each us embody an innate wisdom and deep knowing of our strengths and beauty. Sometimes when we experience stress or unexpected change we can lose touch with a positive sense of self and the resources that allow us to thrive in a challenging world. A compassionate, supportive, and collaborative therapeutic relationship strengthens our ability to move through some of our most challenging moments. Together, we will create the conditions for vulnerability and authenticity in a mutual effort to undergo the difficult work of personal transformation.
I believe each us embody an innate wisdom and deep knowing of our strengths and beauty. Sometimes when we experience stress or unexpected change we can lose touch with a positive sense of self and the resources that allow us to thrive in a challenging world. A compassionate, supportive, and collaborative therapeutic relationship strengthens our ability to move through some of our most challenging moments. Together, we will create the conditions for vulnerability and authenticity in a mutual effort to undergo the difficult work of personal transformation.
(406) 623-5542 View (406) 623-5542
Photo of Michael Thomas Hudson, Counselor in Riverfront, Missoula, MT
Michael Thomas Hudson
Counselor, LCPC, MA
Verified
Riverfront, Missoula, MT 59801
Not accepting new clients
I believe that all people have, within themselves, the capacity for immense change and growth. My role is to provide support, therapy, and guidance that is targeted to my clients' individual needs and strengths. I have compassion and respect for my clients, and the relationship we build provides a context for working through whatever may temporarily be blocking growth. I have been working in clinical settings (wilderness therapy and therapeutic group care) since 1996, and have been a therapist since 2002.
I believe that all people have, within themselves, the capacity for immense change and growth. My role is to provide support, therapy, and guidance that is targeted to my clients' individual needs and strengths. I have compassion and respect for my clients, and the relationship we build provides a context for working through whatever may temporarily be blocking growth. I have been working in clinical settings (wilderness therapy and therapeutic group care) since 1996, and have been a therapist since 2002.
(406) 235-1620 View (406) 235-1620
Photo of Erin E. Williams, Counselor in Riverfront, Missoula, MT
Erin E. Williams
Counselor
Verified
Riverfront, Missoula, MT 59801
Waitlist for new clients
I believe we all have the capacity to heal. If you chose to work with me, I will offer you a non-judgmental space where you can heal and grow. I am a Licensed Professional Counselor and I have a holistic approach to psychotherapy. I offer psychotherapy with adults, teenagers and children. I also offer therapy for parents who want to improve their relationship with their children. I offer therapy for a variety of issues and concerns, including anxiety, depression, loss, trauma, attachment difficulties, grief, difficult decision making, isolation, relationship distress and foster care/ adoption, fertility issues and pregnancy loss.
I believe we all have the capacity to heal. If you chose to work with me, I will offer you a non-judgmental space where you can heal and grow. I am a Licensed Professional Counselor and I have a holistic approach to psychotherapy. I offer psychotherapy with adults, teenagers and children. I also offer therapy for parents who want to improve their relationship with their children. I offer therapy for a variety of issues and concerns, including anxiety, depression, loss, trauma, attachment difficulties, grief, difficult decision making, isolation, relationship distress and foster care/ adoption, fertility issues and pregnancy loss.
(406) 313-2693 View (406) 313-2693
Photo of Majken Elek, Licensed Professional Counselor in Riverfront, Missoula, MT
Majken Elek
Licensed Professional Counselor, MA, LPC
Verified
1 Endorsed
Riverfront, Missoula, MT 59801  (Online Only)
We all deserve to feel aligned, safe and nurtured. Cultivating compassionate self-awareness and acceptance, are at the core of healing, change and growth. When we feel healthy and fulfilled we are more likely to live with meaning. I utilize an integrative lens, centered in mindfulness, somatic, attachment and IFS orientations to promote increased consciousness of thoughts, values, feelings, and behavior patterns. My approach is intuitive, and warm. Our work together involves expanding awareness of the inner mind, and felt senses to move towards a more integrated self. I am tele health only at this time. Serving Oregon and Montana.
We all deserve to feel aligned, safe and nurtured. Cultivating compassionate self-awareness and acceptance, are at the core of healing, change and growth. When we feel healthy and fulfilled we are more likely to live with meaning. I utilize an integrative lens, centered in mindfulness, somatic, attachment and IFS orientations to promote increased consciousness of thoughts, values, feelings, and behavior patterns. My approach is intuitive, and warm. Our work together involves expanding awareness of the inner mind, and felt senses to move towards a more integrated self. I am tele health only at this time. Serving Oregon and Montana.
(503) 406-1536 View (503) 406-1536

Online Therapists

Photo of Travis W Stratford, Counselor in Riverfront, Missoula, MT
Travis W Stratford
Counselor, MD, MA, NCC, PCLC
Verified
Missoula, MT 59804
Is your relationship struggling with communication, intimacy or emotional connection? Do medical challenges leave you feeling stressed or anxious? Are you wrestling with emotional or physical pain?  If so, I am here to help you accomplish your mental health, relationship, and life goals. I can assist you in navigating challenges such as chronic pain, learning to accept change, and learning to move forward in life with a positive attitude. In addition to individual therapy, I specialize in couples therapy and marriage counseling. Let's work together to resolve relationship difficulties, cope with negative emotions and thrive.
Is your relationship struggling with communication, intimacy or emotional connection? Do medical challenges leave you feeling stressed or anxious? Are you wrestling with emotional or physical pain?  If so, I am here to help you accomplish your mental health, relationship, and life goals. I can assist you in navigating challenges such as chronic pain, learning to accept change, and learning to move forward in life with a positive attitude. In addition to individual therapy, I specialize in couples therapy and marriage counseling. Let's work together to resolve relationship difficulties, cope with negative emotions and thrive.
(406) 510-2465 View (406) 510-2465

See more therapy options for Riverfront, Missoula

How does your Therapist compare?

Number of Therapists in Riverfront, Missoula, MT

10+

Average cost per session

$165

Therapists in Riverfront, Missoula, MT who prioritize treating:

95% Relationship Issues
89% Depression
89% Anxiety
84% Trauma and PTSD
84% Self Esteem
84% Life Transitions
79% Stress

Average years in practice

17 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
94% PacificSource
88% Allegiance

How Therapists in Riverfront, Missoula, MT see their clients

90% In Person and Online
10% Online Only

Gender breakdown

87% Female
13% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Riverfront, Missoula?

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.