Therapists in Centerville, OH

Photo of Darcie R Clark, Counselor in Centerville, OH
Darcie R Clark
Counselor, MS, LPCC-S, LMHC, LCDCIII
Verified
1 Endorsed
Centerville, OH 45459
Our approach to therapy is one in which our clients are viewed as resilient and resourceful. Our office is a place where change happens. I am now offering Equine Facilitated Psychotherapy to our practice. Horses are extremely intuitive animals and are able to help facilitate change on an emotional relational level that enhances the healing process.I have had a long interest in horses and find a healing effect to be activated when in their presence. This realization was probably the most important driving force that propelled me into this horse/person connection as a modality for treatment.
Our approach to therapy is one in which our clients are viewed as resilient and resourceful. Our office is a place where change happens. I am now offering Equine Facilitated Psychotherapy to our practice. Horses are extremely intuitive animals and are able to help facilitate change on an emotional relational level that enhances the healing process.I have had a long interest in horses and find a healing effect to be activated when in their presence. This realization was probably the most important driving force that propelled me into this horse/person connection as a modality for treatment.
(937) 877-5996 View (937) 877-5996
Photo of Kathleen R Anderson, Clinical Social Work/Therapist in Centerville, OH
Kathleen R Anderson
Clinical Social Work/Therapist, MSW, LISW-S
Verified
1 Endorsed
Centerville, OH 45459
I firmly believe that life presents us with opportunities to learn more about ourselves, even during some of our more difficult times. Each of us has the power within ourselves to make positive changes in our lives. I work hard in providing emotional support and tools to my clients to help them cope with whatever life presents to them."
I firmly believe that life presents us with opportunities to learn more about ourselves, even during some of our more difficult times. Each of us has the power within ourselves to make positive changes in our lives. I work hard in providing emotional support and tools to my clients to help them cope with whatever life presents to them."
(937) 579-0426 x2 View (937) 579-0426 x2
Photo of Anthony Boyd, Licensed Professional Clinical Counselor in Centerville, OH
Anthony Boyd
Licensed Professional Clinical Counselor, MS, LPCC, LMHC, LPC, NCC
Verified
Centerville, OH 45459
Working from a multicultural perspective that employs a Person-centered approach, I am able to gain a holistic perspective of you. Throughout your therapy, we will collaborate as we tend to your inner life; both the light and shadow. I will listen to you closely with care and curiosity, and without judgment. I align closely with Jungian theory and primarily use Psychodynamic Therapy. By helping you find and recognize patterns in your emotions, thoughts, and beliefs, you can gain insight into yourself. I find this approach fosters individuation and integration, allowing for wholeness and becoming the highest version of yourself.
Working from a multicultural perspective that employs a Person-centered approach, I am able to gain a holistic perspective of you. Throughout your therapy, we will collaborate as we tend to your inner life; both the light and shadow. I will listen to you closely with care and curiosity, and without judgment. I align closely with Jungian theory and primarily use Psychodynamic Therapy. By helping you find and recognize patterns in your emotions, thoughts, and beliefs, you can gain insight into yourself. I find this approach fosters individuation and integration, allowing for wholeness and becoming the highest version of yourself.
(937) 696-7904 View (937) 696-7904
Photo of Constance Goodrum, Marriage & Family Therapist in Centerville, OH
Constance Goodrum
Marriage & Family Therapist, LMFT
Verified
1 Endorsed
Centerville, OH 45458
I'm Constance, a licensed Marriage and Family Therapist based in Ohio, and I'm here to help you find your path to mental well-being. I'm committed to tailoring each session to your unique needs, fostering a safe and comfortable space where you can openly share your life experiences and challenges. My journey began at Northcentral University, where I earned my Master of Arts in Marriage and Family Therapy. I have a Bachelor of Science degree from Central State University and a Master of Business Administration from Ashford University.
I'm Constance, a licensed Marriage and Family Therapist based in Ohio, and I'm here to help you find your path to mental well-being. I'm committed to tailoring each session to your unique needs, fostering a safe and comfortable space where you can openly share your life experiences and challenges. My journey began at Northcentral University, where I earned my Master of Arts in Marriage and Family Therapy. I have a Bachelor of Science degree from Central State University and a Master of Business Administration from Ashford University.
(937) 914-3188 View (937) 914-3188
Photo of Doug Hickey, Licensed Professional Counselor in Centerville, OH
Doug Hickey
Licensed Professional Counselor, MS, LPC
Verified
Centerville, OH 45459
I am passionate about providing a supportive, nurturing, and non-judgmental environment to hold space for clients so they can navigate life challenges. I incorporate mindfulness-based, holistic therapy and am passionate about functional, root-cause approaches.approaches. Some areas of interest include depression, anxiety, life transitions, self-esteem issues, life purpose, and relationship and marital issues.I believe that therapy is an investment in oneself, and I love seeing clients thrive and grow as they process existing struggles, heal past wounds, learn new skills, and develop their already existing strengths.
I am passionate about providing a supportive, nurturing, and non-judgmental environment to hold space for clients so they can navigate life challenges. I incorporate mindfulness-based, holistic therapy and am passionate about functional, root-cause approaches.approaches. Some areas of interest include depression, anxiety, life transitions, self-esteem issues, life purpose, and relationship and marital issues.I believe that therapy is an investment in oneself, and I love seeing clients thrive and grow as they process existing struggles, heal past wounds, learn new skills, and develop their already existing strengths.
(937) 963-0317 View (937) 963-0317
Photo of Jessica Owens, Counselor in Centerville, OH
Jessica Owens
Counselor, MAEd, LPCC
Verified
Centerville, OH 45459
*Not currently accepting new clients* I have worked with children, adolescents, adults, and families. I have facilitated several groups including topics such as self-esteem, healthy relationships, social skills, and creative journaling. I believe in tailoring therapy to each unique individual, drawing from a wide range of theories. I work collaboratively to identify what my clients want out of therapy and develop strength based goals. Using my creativity, I design interventions that will benefit clients in achieving their goals as well as have a little fun. Various forms of art and play are often incorporated into sessions.
*Not currently accepting new clients* I have worked with children, adolescents, adults, and families. I have facilitated several groups including topics such as self-esteem, healthy relationships, social skills, and creative journaling. I believe in tailoring therapy to each unique individual, drawing from a wide range of theories. I work collaboratively to identify what my clients want out of therapy and develop strength based goals. Using my creativity, I design interventions that will benefit clients in achieving their goals as well as have a little fun. Various forms of art and play are often incorporated into sessions.
(937) 679-4173 View (937) 679-4173
Photo of Jay Wainscot, Licensed Professional Clinical Counselor in Centerville, OH
Jay Wainscot
Licensed Professional Clinical Counselor, MS, LPCC-S, LICDC-S
Verified
Centerville, OH 45459
Part of "being in the solution" when times are difficult is what you are doing right now: looking for answers and the support to find them. Everyone is challenged by life events. The path to self-awareness and personal growth is not an easy one. I accompany my clients as they discover their potential and deal with the barriers that prevent them from reaching it. My approach is holistic, meaning that I pay attention to all aspects of a person's experience including their physical, emotional, intellectual and spiritual well being.
Part of "being in the solution" when times are difficult is what you are doing right now: looking for answers and the support to find them. Everyone is challenged by life events. The path to self-awareness and personal growth is not an easy one. I accompany my clients as they discover their potential and deal with the barriers that prevent them from reaching it. My approach is holistic, meaning that I pay attention to all aspects of a person's experience including their physical, emotional, intellectual and spiritual well being.
(937) 912-4192 View (937) 912-4192
Photo of Tammy Williams-Petry, Clinical Social Work/Therapist in Centerville, OH
Tammy Williams-Petry
Clinical Social Work/Therapist, MSW, LISW-S, ACSW
Verified
1 Endorsed
Centerville, OH 45459
Not accepting new clients
*Currently Not accepting New Clients* I am a skilled clinician/supervisor with more than 20 years of ongoing training/therapeutic experiences. I believe positive change is ALWAYS possible with a mindful, solution-focused, trauma informed and action oriented approach, which will encompass your strengths and values. I will provide you a safe, supportive, and encouraging environment where I am confident we can partner together to problem solve, decrease suffering, create positive change, and enhance the quality of your life. I am passionate about SELF care, breaking cycles, creating healthy boundaries, and overall personal well being.
*Currently Not accepting New Clients* I am a skilled clinician/supervisor with more than 20 years of ongoing training/therapeutic experiences. I believe positive change is ALWAYS possible with a mindful, solution-focused, trauma informed and action oriented approach, which will encompass your strengths and values. I will provide you a safe, supportive, and encouraging environment where I am confident we can partner together to problem solve, decrease suffering, create positive change, and enhance the quality of your life. I am passionate about SELF care, breaking cycles, creating healthy boundaries, and overall personal well being.
(937) 262-4728 x5 View (937) 262-4728 x5
Photo of Kayla Gehle, Clinical Social Work/Therapist in Centerville, OH
Kayla Gehle
Clinical Social Work/Therapist, LISW-S
Verified
Centerville, OH 45459
Kayla Gehle, LISW-S Kayla Gehle is a Licensed Independent Social Worker in Ohio who has been practicing since 2017. She graduated with her Bachelor of Arts in Social Work from Wright State University and received her Master of Arts in Social Work from the University of Cincinnati. Kayla believes that through authentic human connection built by trust, unconditional support, respect, and transparency one can create the change they need in their life.
Kayla Gehle, LISW-S Kayla Gehle is a Licensed Independent Social Worker in Ohio who has been practicing since 2017. She graduated with her Bachelor of Arts in Social Work from Wright State University and received her Master of Arts in Social Work from the University of Cincinnati. Kayla believes that through authentic human connection built by trust, unconditional support, respect, and transparency one can create the change they need in their life.
(937) 900-9582 View (937) 900-9582
Photo of Kevin R. Foley, Counselor in Centerville, OH
Kevin R. Foley
Counselor, MEd, LPCC, LICDC
Verified
Centerville, OH 45459
Not accepting new clients
My purpose of my life is to eliminate anxiety and depression, one person at a time. Through a client-centered approach I help each person return to calm and clarity. I acknowledge individuals for where they are and who they aspire to be, while increasing their emotional connection to their own purpose and priorities. By carrying out these actions daily, I fulfill my purpose to help you build your life worth living. For more information, visit my website: www.TheKevinRFoley.us
My purpose of my life is to eliminate anxiety and depression, one person at a time. Through a client-centered approach I help each person return to calm and clarity. I acknowledge individuals for where they are and who they aspire to be, while increasing their emotional connection to their own purpose and priorities. By carrying out these actions daily, I fulfill my purpose to help you build your life worth living. For more information, visit my website: www.TheKevinRFoley.us
(937) 813-6674 View (937) 813-6674
Photo of Erin O'Reilly, Clinical Social Work/Therapist in Centerville, OH
Erin O'Reilly
Clinical Social Work/Therapist, LISW
Verified
Centerville, OH 45459
Life can be both wonderful and challenging. We all deserve support and sometimes it is helpful to share with someone outside of your personal life. I have been a therapist for 19 years supporting people going through life changes, anxiety, depression, PTSD, parenting challenges, substance use & grief. I specialize in developmental trauma (complex PTSD). There is a strong connection between our bodies and mind. I help people learn to navigate this connection through mindfulness practices. I offer an authentic and compassionate relationship. I believe you have the answers you need and I can help you get there.
Life can be both wonderful and challenging. We all deserve support and sometimes it is helpful to share with someone outside of your personal life. I have been a therapist for 19 years supporting people going through life changes, anxiety, depression, PTSD, parenting challenges, substance use & grief. I specialize in developmental trauma (complex PTSD). There is a strong connection between our bodies and mind. I help people learn to navigate this connection through mindfulness practices. I offer an authentic and compassionate relationship. I believe you have the answers you need and I can help you get there.
(937) 880-3482 View (937) 880-3482
Photo of Stephen B Fortson, Counselor in Centerville, OH
Stephen B Fortson
Counselor, EdD, PCC-S
Verified
2 Endorsed
Centerville, OH 45459
Hello, my name is Dr. Stephen Fortson and I specialize in treating couples, families, and individuals with professional clinical counseling services. I have been a licensed clinical professional counselor for 29 years. I am also retired associate professor and chair of the Department of Human Services at Wright State University where I oversaw the counselor preparation program 20 years. If you are in need of personalized couples, family or individual counseling, please contact me. I am currently accepting new clients.
Hello, my name is Dr. Stephen Fortson and I specialize in treating couples, families, and individuals with professional clinical counseling services. I have been a licensed clinical professional counselor for 29 years. I am also retired associate professor and chair of the Department of Human Services at Wright State University where I oversaw the counselor preparation program 20 years. If you are in need of personalized couples, family or individual counseling, please contact me. I am currently accepting new clients.
(937) 265-4780 View (937) 265-4780
Photo of Ken Knoechel, Clinical Social Work/Therapist in Centerville, OH
Ken Knoechel
Clinical Social Work/Therapist, LPC, MS
Verified
Centerville, OH 45458  (Online Only)
Ken is a dedicated psychotherapist, passionate about guiding individuals through their journey of change. Ken specializes in helping men, women, and couples navigate through intense emotions such as frustration, stress, anxiety, depression, and conflict. You will learn to design a life that will give you a renewed sense of connection and purpose, so that you can create a life you are comfortable with.
Ken is a dedicated psychotherapist, passionate about guiding individuals through their journey of change. Ken specializes in helping men, women, and couples navigate through intense emotions such as frustration, stress, anxiety, depression, and conflict. You will learn to design a life that will give you a renewed sense of connection and purpose, so that you can create a life you are comfortable with.
(937) 729-2707 View (937) 729-2707
Photo of Ammy L Nienaber, Counselor in Centerville, OH
Ammy L Nienaber
Counselor, LPCC
Verified
Centerville, OH 45459
I enjoy helping people ages 8 and up from all walks of life with a variety of mental health concerns, like depression, anxiety, difficult life changes, or those struggling with loss. I will connect with you where you are and work with you to meet your goals.
I enjoy helping people ages 8 and up from all walks of life with a variety of mental health concerns, like depression, anxiety, difficult life changes, or those struggling with loss. I will connect with you where you are and work with you to meet your goals.
(937) 882-2037 View (937) 882-2037
Photo of Meghan Polly, Counselor in Centerville, OH
Meghan Polly
Counselor, MA, LPC
Verified
Centerville, OH 45459
Meghan Polly, LPC Meghan Polly is a Licensed Professional Counselor in Ohio who has been practicing since 2018. She has a Master of Arts in Clinical Mental Health Counseling from Xavier University and a Bachelor of Science in Psychology from High Point University. Meghan believes in meeting the client where they are at and finding out what skills they have that they can work on strengthening. Meghan also strives to find out what interventions work best for each specific client so they can have an experience tailored to their specific needs. Outside of work, Meghan enjoys reading, playing video games, cooking, and baking.
Meghan Polly, LPC Meghan Polly is a Licensed Professional Counselor in Ohio who has been practicing since 2018. She has a Master of Arts in Clinical Mental Health Counseling from Xavier University and a Bachelor of Science in Psychology from High Point University. Meghan believes in meeting the client where they are at and finding out what skills they have that they can work on strengthening. Meghan also strives to find out what interventions work best for each specific client so they can have an experience tailored to their specific needs. Outside of work, Meghan enjoys reading, playing video games, cooking, and baking.
(937) 884-1065 View (937) 884-1065
Photo of Kim J Peterson, Counselor in Centerville, OH
Kim J Peterson
Counselor, MS, LPCC
Verified
Centerville, OH 45459
With over 20 years successful experience in assisting clients in developing and building their long-term skills for coping and problem solving, I believe that my practice can help you find your way to the life goals you desire. My approach to counseling is interactive with my clients, based on the concept that understanding and coming to terms with one's emotions is essential to effective problem solving and personal growth. I strive to provide a comfortable, supportive and non-judgmental environment for clients to effectively deal with life's issues and enrich their lives.
With over 20 years successful experience in assisting clients in developing and building their long-term skills for coping and problem solving, I believe that my practice can help you find your way to the life goals you desire. My approach to counseling is interactive with my clients, based on the concept that understanding and coming to terms with one's emotions is essential to effective problem solving and personal growth. I strive to provide a comfortable, supportive and non-judgmental environment for clients to effectively deal with life's issues and enrich their lives.
(937) 569-0407 View (937) 569-0407
Photo of Katelyn Studebaker, Licensed Professional Clinical Counselor in Centerville, OH
Katelyn Studebaker
Licensed Professional Clinical Counselor, MS, LPCC
Verified
1 Endorsed
Centerville, OH 45459
I am currently accepting clients ages 8 and older. I believe in using empathy, humor, flexibility, and creativity to help my clients achieve their goals. I invite you to come as you are, wear what is comfortable, and allow yourself to be as authentic as you can. Do you struggle with "big feelings," panic attacks, depression, low self-esteem, or mood swings? Maybe you're having a hard time controlling impulsive behaviors or increasing motivation. If that sounds like you, maybe I can help. I am especially passionate about helping people with panic attacks and trauma become more skillful and assertive to create joyful lives.
I am currently accepting clients ages 8 and older. I believe in using empathy, humor, flexibility, and creativity to help my clients achieve their goals. I invite you to come as you are, wear what is comfortable, and allow yourself to be as authentic as you can. Do you struggle with "big feelings," panic attacks, depression, low self-esteem, or mood swings? Maybe you're having a hard time controlling impulsive behaviors or increasing motivation. If that sounds like you, maybe I can help. I am especially passionate about helping people with panic attacks and trauma become more skillful and assertive to create joyful lives.
(937) 442-8800 View (937) 442-8800
Photo of Kristin Bull, Counselor in Centerville, OH
Kristin Bull
Counselor, MS, LPCC
Verified
Centerville, OH 45459
Stressed out? Anxious about life? Not certain about what to do next? Have a child with special needs? Let me be the one to help you process through these difficult and transitional times. Working as an Intervention Specialist for 15 years in a public school district, and as a mental health counselor, I know the stressors, anxiety, and paperwork that goes into supporting students and parents. I will help you learn how to advocate and set boundaries for yourself. During our sessions, you can expect to learn how to cope and empower yourself to be the best you possible.
Stressed out? Anxious about life? Not certain about what to do next? Have a child with special needs? Let me be the one to help you process through these difficult and transitional times. Working as an Intervention Specialist for 15 years in a public school district, and as a mental health counselor, I know the stressors, anxiety, and paperwork that goes into supporting students and parents. I will help you learn how to advocate and set boundaries for yourself. During our sessions, you can expect to learn how to cope and empower yourself to be the best you possible.
(937) 787-6961 View (937) 787-6961
Photo of Michelle Davis, Clinical Social Work/Therapist in Centerville, OH
Michelle Davis
Clinical Social Work/Therapist, LISW-S
Verified
Centerville, OH 45459
Michelle Davis is a Licensed Independent Social Worker. She received a Master's of Social Work and a Bachelor's in Human Development from California State University, San Marcos. Michelle has been practicing since 2017. She has previous experience working with children, adolescents, young adults and their families in wraparound and community mental health settings. Michelle views clients through a client centered and trauma informed lens and has advanced training in Trauma Focused Cognitive Behavioral Therapy. Her main areas of focus include anxiety, depression, behavior/oppositional defiance and trauma.
Michelle Davis is a Licensed Independent Social Worker. She received a Master's of Social Work and a Bachelor's in Human Development from California State University, San Marcos. Michelle has been practicing since 2017. She has previous experience working with children, adolescents, young adults and their families in wraparound and community mental health settings. Michelle views clients through a client centered and trauma informed lens and has advanced training in Trauma Focused Cognitive Behavioral Therapy. Her main areas of focus include anxiety, depression, behavior/oppositional defiance and trauma.
(937) 858-6721 View (937) 858-6721
Photo of Joy Witwer, Clinical Social Work/Therapist in Centerville, OH
Joy Witwer
Clinical Social Work/Therapist, MSW, LISW-S
Verified
2 Endorsed
Centerville, OH 45459
I am strengths based in my approach. I believe that you have skills and talents that will allow you to reach your potential and thrive. I want to start where you are and help guide you to use those skills and add more to your toolbox. Your comfort in the therapeutic alliance we develop is very important to the work we do together, and I believe my compassionate, warm and open-minded approach will create a safe space for you to explore the challenges you are facing right now.
I am strengths based in my approach. I believe that you have skills and talents that will allow you to reach your potential and thrive. I want to start where you are and help guide you to use those skills and add more to your toolbox. Your comfort in the therapeutic alliance we develop is very important to the work we do together, and I believe my compassionate, warm and open-minded approach will create a safe space for you to explore the challenges you are facing right now.
(937) 826-4667 View (937) 826-4667

See more therapy options for Centerville

How does your Therapist compare?

Number of Therapists in Centerville, OH

100+

Average cost per session

$125

Therapists in Centerville, OH who prioritize treating:

96% Anxiety
91% Depression
77% Trauma and PTSD
74% Relationship Issues
71% Self Esteem
67% Grief
66% Stress

Average years in practice

16 Years

Top 3 insurances accepted

75% UnitedHealthcare UHC | UBH
68% Anthem | Elevance
64% BlueCross and BlueShield

How Therapists in Centerville, OH see their clients

85% In Person and Online
15% Online Only

Gender breakdown

81% Female
19% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Centerville?

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.