Therapists in Carmel, IN

Photo of Debbie M Warman, Psychologist in Carmel, IN
Debbie M Warman
Psychologist, PhD, HSPP, ABPP
Verified Verified
Carmel, IN 46032
I am passionate about working with people who have anxiety disorders and OCD - in my experience they are clear how long they have suffered, they work hard in treatment, and, then, they get better. That, to me, is the point of treatment... to feel better and to start doing the things in life that matter to you. Anxiety and OCD can make you feel horribly stuck in fears and upsetting thoughts, often having thoughts that leave you confused or terrified. My treatment specialty, Cognitive Behavioral Therapy (CBT), aims to make thoughts less scary and to make things that feel impossible... easier.
I am passionate about working with people who have anxiety disorders and OCD - in my experience they are clear how long they have suffered, they work hard in treatment, and, then, they get better. That, to me, is the point of treatment... to feel better and to start doing the things in life that matter to you. Anxiety and OCD can make you feel horribly stuck in fears and upsetting thoughts, often having thoughts that leave you confused or terrified. My treatment specialty, Cognitive Behavioral Therapy (CBT), aims to make thoughts less scary and to make things that feel impossible... easier.
(317) 758-3569 View (317) 758-3569
Photo of Laura Silence, Counselor in Carmel, IN
Laura Silence
Counselor, LMHC
Verified Verified
1 Endorsed
Carmel, IN 46032
Helping others feel more empowered to manage their mental health is my passion. Using a person-centered approach, my practice emphasizes providing evidence based therapeutic interventions guiding teens and adults through the fog that has been weighing them down, in a compassionate and non-judgmental, safe space. With several years of clinical experience working in an Indianapolis based psychiatric emergency department completing risk assessments for people who struggle with suicidal ideation and suicide attempts, self- harming behaviors, addiction, victims of interpersonal abuse, and a variety of other urgent mental health needs.
Helping others feel more empowered to manage their mental health is my passion. Using a person-centered approach, my practice emphasizes providing evidence based therapeutic interventions guiding teens and adults through the fog that has been weighing them down, in a compassionate and non-judgmental, safe space. With several years of clinical experience working in an Indianapolis based psychiatric emergency department completing risk assessments for people who struggle with suicidal ideation and suicide attempts, self- harming behaviors, addiction, victims of interpersonal abuse, and a variety of other urgent mental health needs.
(463) 243-5892 View (463) 243-5892
Photo of Emily Grimwood, Clinical Social Work/Therapist in Carmel, IN
Emily Grimwood
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, IN 46032
Emily Grimwood is board-certified by the Behavioral Health and Human Sciences Licensing Board as a licensed clinical social worker. Emily received her bachelor's in psychology from Purdue University in 2016 and master's in social work from Indiana University-Purdue University Indianapolis in 2018. Emily has experience providing therapy services in an outpatient setting to individuals of all ages and from different backgrounds. She is a certified dialectical behavioral therapist and uses techniques of cognitive behavioral therapy and motivational interviewing as well as Theraplay-based principles.
Emily Grimwood is board-certified by the Behavioral Health and Human Sciences Licensing Board as a licensed clinical social worker. Emily received her bachelor's in psychology from Purdue University in 2016 and master's in social work from Indiana University-Purdue University Indianapolis in 2018. Emily has experience providing therapy services in an outpatient setting to individuals of all ages and from different backgrounds. She is a certified dialectical behavioral therapist and uses techniques of cognitive behavioral therapy and motivational interviewing as well as Theraplay-based principles.
(463) 223-9283 View (463) 223-9283
Photo of Amy Lemmon, Clinical Social Work/Therapist in Carmel, IN
Amy Lemmon
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, IN 46032
Amy Lemmon is a Licensed Clinical Social Worker with more than 12 years of experience specializing in anxiety, depression, adjustment to chronic illness and medical conditions, midlife transitions, and women's issues. As a therapist, Amy has counseled a diverse group of adults in clinical, community and outpatient settings. She draws from a range of experience in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), person centered approach, strengths based perspective, and mindfulness. Amy's therapeutic style is holistic and rooted in mutual respect and understanding.
Amy Lemmon is a Licensed Clinical Social Worker with more than 12 years of experience specializing in anxiety, depression, adjustment to chronic illness and medical conditions, midlife transitions, and women's issues. As a therapist, Amy has counseled a diverse group of adults in clinical, community and outpatient settings. She draws from a range of experience in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), person centered approach, strengths based perspective, and mindfulness. Amy's therapeutic style is holistic and rooted in mutual respect and understanding.
(463) 217-0590 View (463) 217-0590
Photo of Amaurita Kanai, Psychologist in Carmel, IN
Amaurita Kanai
Psychologist, PsyD, HSPP
Verified Verified
Carmel, IN 46032
Waitlist for new clients
Dr. Kanai sees ages 0-5 for autism evaluations. We are waitlisted at this time. You may check scheduling information on our website. Thank you!
Dr. Kanai sees ages 0-5 for autism evaluations. We are waitlisted at this time. You may check scheduling information on our website. Thank you!
Photo of Dr. Emma Carter, Psychologist in Carmel, IN
Dr. Emma Carter
Psychologist, PsyD, HSPP, CYC-P
Verified Verified
Carmel, IN 46032  (Online Only)
As a Licensed Clinical Psychologist, it is truly my privilege to witness the kind of strength needed to find therapy. I have special appreciation for the (often painful) moment when your present becomes harder than the fear that comes with change. I hope you’ll find acceptance and respect for exactly who you are, while I also commit to do all I can to support the desired transformation in the areas that brought us together. I try to approach all that I do with compassion, curiosity, and with a deep appreciation for our shared humanity.
As a Licensed Clinical Psychologist, it is truly my privilege to witness the kind of strength needed to find therapy. I have special appreciation for the (often painful) moment when your present becomes harder than the fear that comes with change. I hope you’ll find acceptance and respect for exactly who you are, while I also commit to do all I can to support the desired transformation in the areas that brought us together. I try to approach all that I do with compassion, curiosity, and with a deep appreciation for our shared humanity.
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Photo of Carmel Therapy & Wellness, Counselor in Carmel, IN
Carmel Therapy & Wellness
Counselor, MA, LMHC, LCAC
Verified Verified
Carmel, IN 46032
Progress is a professional passion of mine. I listen to you & get to where you're at; I ask questions & offer feedback to help you discover your own solutions that will feel right to you. With over 20 yrs experience, I use little 'therapy-speak' but rather use my experience and training to have conversational style assessments and psychotherapy sessions in which we move forward in the direction you need to go. I bring a holistic approach to both individual & couples therapy where I draw on Cognitive Behavioral, Gestalt & Jungian, Trauma-focused, and Addictions therapies to create a space for growth.
Progress is a professional passion of mine. I listen to you & get to where you're at; I ask questions & offer feedback to help you discover your own solutions that will feel right to you. With over 20 yrs experience, I use little 'therapy-speak' but rather use my experience and training to have conversational style assessments and psychotherapy sessions in which we move forward in the direction you need to go. I bring a holistic approach to both individual & couples therapy where I draw on Cognitive Behavioral, Gestalt & Jungian, Trauma-focused, and Addictions therapies to create a space for growth.
(317) 900-6109 View (317) 900-6109
Photo of Megan Neitling, Counselor in Carmel, IN
Megan Neitling
Counselor, MS, LMHC, CST
Verified Verified
Carmel, IN 46032  (Online Only)
Wishing your relationship would improve? Feeling disconnected from your spouse/partner(s)? Does your relationship feel unsatisfying sexually or emotionally? Having frequent conflicts or fights? Do you wish your partner could meet your physical or emotional needs and desires? Want help overcoming jealousy, insecurity, or sexual shame/guilt? Struggling to overcome an affair? Looking for help with non-monogamy, kinks/fetishes, or LGBTQ+ issues? Navigating solutions to these issues can feel overwhelming and difficult. Rest assured that you can have a stronger, more connected, sexually fulfilling life and relationship with Sex Therapy.
Wishing your relationship would improve? Feeling disconnected from your spouse/partner(s)? Does your relationship feel unsatisfying sexually or emotionally? Having frequent conflicts or fights? Do you wish your partner could meet your physical or emotional needs and desires? Want help overcoming jealousy, insecurity, or sexual shame/guilt? Struggling to overcome an affair? Looking for help with non-monogamy, kinks/fetishes, or LGBTQ+ issues? Navigating solutions to these issues can feel overwhelming and difficult. Rest assured that you can have a stronger, more connected, sexually fulfilling life and relationship with Sex Therapy.
(317) 344-8619 View (317) 344-8619
Photo of Marla Hylton, Clinical Social Work/Therapist in Carmel, IN
Marla Hylton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Carmel, IN 46032
Marla specializes in Individual & Couples Therapy as well as Mediation between divorcing parents. Marla has worked with people with a wide range of issues including; depression, anxiety, relationship issues, being bullied, addiction, sexual abuse, physical abuse, alcoholism, employment stressors and health issues. Marla also works with couples to heal their relationships & improve communication. If you are seeking therapy and would like to talk with Marla about her experience with a particular issue, feel free to call and ask. Marla is also a Mediator who partners with Kim Van Valer, Mediator & Private Judge, to guide couples through the divorce process without going to court.
Marla specializes in Individual & Couples Therapy as well as Mediation between divorcing parents. Marla has worked with people with a wide range of issues including; depression, anxiety, relationship issues, being bullied, addiction, sexual abuse, physical abuse, alcoholism, employment stressors and health issues. Marla also works with couples to heal their relationships & improve communication. If you are seeking therapy and would like to talk with Marla about her experience with a particular issue, feel free to call and ask. Marla is also a Mediator who partners with Kim Van Valer, Mediator & Private Judge, to guide couples through the divorce process without going to court.
(317) 449-0839 View (317) 449-0839
Photo of Hannah McShane, Counselor in Carmel, IN
Hannah McShane
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Carmel, IN 46032
Hi there, my name is Hannah. Sometimes, life has a way of throwing curveballs that are hard to navigate. Whether you’re experiencing anxiety, depression, grief, relationship concerns, or just feel stuck, therapy can be a place to figure those things out. My goal is to provide a safe environment for you to process and navigate your concerns, while equipping you with the skills to advocate for your needs.
Hi there, my name is Hannah. Sometimes, life has a way of throwing curveballs that are hard to navigate. Whether you’re experiencing anxiety, depression, grief, relationship concerns, or just feel stuck, therapy can be a place to figure those things out. My goal is to provide a safe environment for you to process and navigate your concerns, while equipping you with the skills to advocate for your needs.
(317) 620-8535 View (317) 620-8535
Amy Armstrong
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmel, IN 46032
Emotional distress is overwhelming and can interfere with your life. Professional support and treatment can help resolve many difficulties, relationships can become more fulfilling, and self image can be enhanced. I have a dynamic, warm and interactive style, and believe everyone has the ability to use their inner strength and awareness, as well as develop more effective ways of coping. I have been in private practice for fifteen years.
Emotional distress is overwhelming and can interfere with your life. Professional support and treatment can help resolve many difficulties, relationships can become more fulfilling, and self image can be enhanced. I have a dynamic, warm and interactive style, and believe everyone has the ability to use their inner strength and awareness, as well as develop more effective ways of coping. I have been in private practice for fifteen years.
(317) 722-0566 View (317) 722-0566
Photo of Morgan Stoner, Marriage & Family Therapist in Carmel, IN
Morgan Stoner
Marriage & Family Therapist, MA, LMFT
Verified Verified
Carmel, IN 46032
I received my Master’s in Marriage and Family Therapy from Indiana Wesleyan University and completed my Bachelor of Science in Human Services at Purdue University. I have experience with children, adolescents, families, couples and individuals, and have worked with clients in a range of cultures, backgrounds, and walks of life. My approach to therapy involves forming a strong therapeutic alliance with my clients in order to walk alongside them as they achieve their goals and become better versions of themselves! I encourage clients as they find personal purpose and drive.
I received my Master’s in Marriage and Family Therapy from Indiana Wesleyan University and completed my Bachelor of Science in Human Services at Purdue University. I have experience with children, adolescents, families, couples and individuals, and have worked with clients in a range of cultures, backgrounds, and walks of life. My approach to therapy involves forming a strong therapeutic alliance with my clients in order to walk alongside them as they achieve their goals and become better versions of themselves! I encourage clients as they find personal purpose and drive.
(317) 548-1965 View (317) 548-1965
Photo of Jenna Doyle, Counselor in Carmel, IN
Jenna Doyle
Counselor, LMHC
Verified Verified
Carmel, IN 46032
Life can feel overwhelming and difficult to navigate at times. The thoughts that consume your day, feeling hopeless that the pain will never go away, and the uncertainty of how to transition through this period can make you feel stuck. My goal is to help you gain insight and awareness along with learn new strategies and coping skills to navigate through these difficult times. I also understand how important it is to provide an environment where you feel heard, supported, and understood in order to facilitate these changes and feel confident in applying these techniques within your life.
Life can feel overwhelming and difficult to navigate at times. The thoughts that consume your day, feeling hopeless that the pain will never go away, and the uncertainty of how to transition through this period can make you feel stuck. My goal is to help you gain insight and awareness along with learn new strategies and coping skills to navigate through these difficult times. I also understand how important it is to provide an environment where you feel heard, supported, and understood in order to facilitate these changes and feel confident in applying these techniques within your life.
(317) 483-0119 View (317) 483-0119
Photo of Indy Mental Health Associates, Clinical Social Work/Therapist in Carmel, IN
Indy Mental Health Associates
Clinical Social Work/Therapist, MA, , LCSW
Verified Verified
Carmel, IN 46032
Reaching out to a therapist is the first and most important step you can do to help yourself. I understand that opening up to a new person is difficult, it is important to develop a rapport with a patient-therapist, so trust is built. Honesty plays an important role in therapy because it helps the therapist to identify the needs and goals for the treatment.
Reaching out to a therapist is the first and most important step you can do to help yourself. I understand that opening up to a new person is difficult, it is important to develop a rapport with a patient-therapist, so trust is built. Honesty plays an important role in therapy because it helps the therapist to identify the needs and goals for the treatment.
(317) 934-2942 View (317) 934-2942
Photo of Cara Schmidt, Counselor in Carmel, IN
Cara Schmidt
Counselor, LMHC
Verified Verified
1 Endorsed
Carmel, IN 46032
Are life circumstances negatively affecting your mental health? Relationships, careers, family, and health can be overwhelming and unpredictable. Obstacles at times lead to anxiety, depression, and other emotional issues. Striving for overall health, well-being and balance in our lives moves us forward toward contentment in ourselves and our perspective of the life we live. Learning to navigate, accept and overcome these challenges can be an empowering experience to help us realize our inner potential to make positive change.
Are life circumstances negatively affecting your mental health? Relationships, careers, family, and health can be overwhelming and unpredictable. Obstacles at times lead to anxiety, depression, and other emotional issues. Striving for overall health, well-being and balance in our lives moves us forward toward contentment in ourselves and our perspective of the life we live. Learning to navigate, accept and overcome these challenges can be an empowering experience to help us realize our inner potential to make positive change.
(317) 779-1725 View (317) 779-1725
Photo of Jordan Madison, Pre-Licensed Professional in Carmel, IN
Jordan Madison
Pre-Licensed Professional, MA, MFT
Verified Verified
2 Endorsed
Carmel, IN 46032
Com’on let’s be honest .... relationships can be stressful! Some of us might decide to suffer in silence, share details with people who don't support us in healthy ways, or even force ourselves to "accommodate" our partner's needs without being poured into. We can't expect for relationships to become healthy again if we continue with the same attitudes, beliefs, and behaviors when engaging with our loved ones. That's why I'm here; to break up the monotonous routines and to encourage engagement in the use of tools WORTH trying! You can do all things through Christ who strengths you!
Com’on let’s be honest .... relationships can be stressful! Some of us might decide to suffer in silence, share details with people who don't support us in healthy ways, or even force ourselves to "accommodate" our partner's needs without being poured into. We can't expect for relationships to become healthy again if we continue with the same attitudes, beliefs, and behaviors when engaging with our loved ones. That's why I'm here; to break up the monotonous routines and to encourage engagement in the use of tools WORTH trying! You can do all things through Christ who strengths you!
(317) 834-7637 View (317) 834-7637
Photo of Imen Saadeh, Pre-Licensed Professional in Carmel, IN
Imen Saadeh
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Carmel, IN 46033
Are you feeling overwhelmed by life’s challenges? As a compassionate therapist with over 10 years of experience, I’m here to provide you with a safe and cozy space to share your story and work towards a more peaceful and fulfilling life. My expertise lies in helping minority and immigrant individuals and families who are dealing with grief and trauma, as well as young women and mothers who are struggling with identity issues, depression and anxiety.
Are you feeling overwhelmed by life’s challenges? As a compassionate therapist with over 10 years of experience, I’m here to provide you with a safe and cozy space to share your story and work towards a more peaceful and fulfilling life. My expertise lies in helping minority and immigrant individuals and families who are dealing with grief and trauma, as well as young women and mothers who are struggling with identity issues, depression and anxiety.
(317) 868-1226 View (317) 868-1226
Photo of Infinity Wellness Associates, LLC, Psychologist in Carmel, IN
Infinity Wellness Associates, LLC
Psychologist
Verified Verified
Carmel, IN 46032
Our team of five therapists and two medication management providers is dedicated to providing you with the highest quality mental health options. We provide therapy and medication management on your terms and we strive to create a powerful therapeutic connection to help guide you on the path to achieve the life you want. Whether you want to learn techniques to manage anxiety and depression or improve your communication and relationships, we are here to work alongside you to reach your goals. We work with children, teens, adults, families, new parents, and couples using the most effective, evidence-based therapies to meet your needs.
Our team of five therapists and two medication management providers is dedicated to providing you with the highest quality mental health options. We provide therapy and medication management on your terms and we strive to create a powerful therapeutic connection to help guide you on the path to achieve the life you want. Whether you want to learn techniques to manage anxiety and depression or improve your communication and relationships, we are here to work alongside you to reach your goals. We work with children, teens, adults, families, new parents, and couples using the most effective, evidence-based therapies to meet your needs.
(317) 706-4852 View (317) 706-4852
Photo of Amber Colt, Clinical Social Work/Therapist in Carmel, IN
Amber Colt
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Carmel, IN 46032
Waitlist for new clients
It can be daunting to begin or resume therapy and I make it a priority to recognize this and provide a supportive environment. Whether you are navigating a specific stressful situation or seeking to improve the quality of your life or relationships, feeling accepted, understood and respected is imperative. Working together, we will identify what is important to you and explore how best to achieve your goals.
It can be daunting to begin or resume therapy and I make it a priority to recognize this and provide a supportive environment. Whether you are navigating a specific stressful situation or seeking to improve the quality of your life or relationships, feeling accepted, understood and respected is imperative. Working together, we will identify what is important to you and explore how best to achieve your goals.
(317) 483-7582 View (317) 483-7582
Photo of Leah Cook, Counselor in Carmel, IN
Leah Cook
Counselor, MA, LMHC, MBA
Verified Verified
Carmel, IN 46032
I realize choosing a therapist can seem overwhelming, but it doesn't have to be an anxiety inducing experience. One of the most important things to consider when choosing a therapist is the therapeutic relationship. That may seem obvious, but research shows that the relationship is just as important, if not more important, than the techniques used. That's why finding someone you click with is significant in your journey. I treat the relationship with care, building trust, respect, and understanding, but I will also challenge you in sessions because life isn't always easy so therapy won't always feel easy either.
I realize choosing a therapist can seem overwhelming, but it doesn't have to be an anxiety inducing experience. One of the most important things to consider when choosing a therapist is the therapeutic relationship. That may seem obvious, but research shows that the relationship is just as important, if not more important, than the techniques used. That's why finding someone you click with is significant in your journey. I treat the relationship with care, building trust, respect, and understanding, but I will also challenge you in sessions because life isn't always easy so therapy won't always feel easy either.
(463) 946-4928 View (463) 946-4928

How does your Therapist compare?

Number of Therapists in Carmel, IN

500+

Average cost per session

$131

Therapists in Carmel, IN who prioritize treating:

93% Anxiety
90% Depression
75% Relationship Issues
73% Trauma and PTSD
72% Self Esteem
67% Stress
66% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

78% Anthem | Elevance
72% BlueCross and BlueShield
58% Aetna

How Therapists in Carmel, IN see their clients

81% In Person and Online
19% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Carmel?

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.