Therapists in Gig Harbor, WA

Photo of Kelsey Roth, Counselor in Gig Harbor, WA
Kelsey Roth
Counselor, MA, LMHC
Verified Verified
Gig Harbor, WA 98335
I provide a safe space for my clients to be heard, understood, and supported. I believe counseling is a process in which I work with them to reflect on, develop, and shape their unique story. Everyone has intrinsic strengths, and I love helping clients identify and utilize their personal strengths to heal and grow. My goal is to create a space that allows for personal exploration, genuine healing, and skill development to help them become healthy and confident in their identity and path forward.
I provide a safe space for my clients to be heard, understood, and supported. I believe counseling is a process in which I work with them to reflect on, develop, and shape their unique story. Everyone has intrinsic strengths, and I love helping clients identify and utilize their personal strengths to heal and grow. My goal is to create a space that allows for personal exploration, genuine healing, and skill development to help them become healthy and confident in their identity and path forward.
(253) 487-0291 View (253) 487-0291
Photo of Jennifer Hogge, Marriage & Family Therapist in Gig Harbor, WA
Jennifer Hogge
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Gig Harbor, WA 98335
Waitlist for new clients
Everyone needs support and help, especially during difficult times.It takes courage to seek a more fulfilling and happier life and to take steps towards change. I am here to support and empower you. So if you are struggling with depression, anxiety, ADHD, strained parent-child relationships let's find tools/solutions to have the life you desire. I provide individual and family therapy for those 13 and older. I do not provide couples therapy at this time. Therapy can provide a safe space to be heard, validated, explore solutions, identify new perspectives and tools for continued growth well after therapy is finished.
Everyone needs support and help, especially during difficult times.It takes courage to seek a more fulfilling and happier life and to take steps towards change. I am here to support and empower you. So if you are struggling with depression, anxiety, ADHD, strained parent-child relationships let's find tools/solutions to have the life you desire. I provide individual and family therapy for those 13 and older. I do not provide couples therapy at this time. Therapy can provide a safe space to be heard, validated, explore solutions, identify new perspectives and tools for continued growth well after therapy is finished.
(253) 367-3114 View (253) 367-3114
Photo of Teresa R Renner, Marriage & Family Therapist in Gig Harbor, WA
Teresa R Renner
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Gig Harbor, WA 98335
My passion is to motivate, educate and support the deepest level of healing and highest level of achievement available to my clients, personally, professionally and in their relationships. I assist my clients in healing long standing issue as they move through difficult life circumstances with a deeper understanding and appreciation of themselves and others. Utilizing my training in fitness, holistic nutrition, & personal growth combined with over 20 years experience in mental health, I feel uniquely qualified to assist my clients in understanding and healing their "whole being". I'm licensed and have practices in WA and CA.
My passion is to motivate, educate and support the deepest level of healing and highest level of achievement available to my clients, personally, professionally and in their relationships. I assist my clients in healing long standing issue as they move through difficult life circumstances with a deeper understanding and appreciation of themselves and others. Utilizing my training in fitness, holistic nutrition, & personal growth combined with over 20 years experience in mental health, I feel uniquely qualified to assist my clients in understanding and healing their "whole being". I'm licensed and have practices in WA and CA.
(253) 321-1853 View (253) 321-1853
Photo of Eric E. Dooley, Psychologist in Gig Harbor, WA
Eric E. Dooley
Psychologist, MDiv, PsyD, CSAT
Verified Verified
Gig Harbor, WA 98335
We all make mistakes. We sometimes get caught in a pattern of mistakes that we can't break. I offer compassionate support, respect, warmth, and a safe place to talk about difficult private issues. I have a positive and hopeful view of life. I am interested in working with people who find themselves at a challenging point in their life and are looking for someone they trust to help them move forward. It is a great sign of strength to reach out to a helping professional, and I look forward to working in collaboration with you!
We all make mistakes. We sometimes get caught in a pattern of mistakes that we can't break. I offer compassionate support, respect, warmth, and a safe place to talk about difficult private issues. I have a positive and hopeful view of life. I am interested in working with people who find themselves at a challenging point in their life and are looking for someone they trust to help them move forward. It is a great sign of strength to reach out to a helping professional, and I look forward to working in collaboration with you!
(253) 259-2327 View (253) 259-2327
Photo of David Walker, Marriage & Family Therapist in Gig Harbor, WA
David Walker
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Gig Harbor, WA 98335
Not accepting new clients
We all can be vulnerable to the twists, turns, and pressures that life presents to us. I provide a safe, respectful, and comfortable space for you to learn how to better cope with life has brought you. I believe that you bring strengths, and resources with you that can help you to reach your goals in therapy and my approaches are matched to you as a unique individual. I have over 20 years experience working in a variety of areas such as treating trauma and abuse, dissociative disorders, parenting, divorce/separation, anxiety, and mood disorders.
We all can be vulnerable to the twists, turns, and pressures that life presents to us. I provide a safe, respectful, and comfortable space for you to learn how to better cope with life has brought you. I believe that you bring strengths, and resources with you that can help you to reach your goals in therapy and my approaches are matched to you as a unique individual. I have over 20 years experience working in a variety of areas such as treating trauma and abuse, dissociative disorders, parenting, divorce/separation, anxiety, and mood disorders.
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Photo of Jenny Dooley, Counselor in Gig Harbor, WA
Jenny Dooley
Counselor, MEd, LMHC
Verified Verified
Gig Harbor, WA 98335
Not accepting new clients
I provide counseling services to women and small groups in recovery. Areas of special interest are supporting women with issues related to trauma and betrayal, grief, spiritual growth, and life transitions. I have counseled women in cross-cultural settings for more than 30 years. I am particularly sensitive to the cultural, spiritual, and family backgrounds of my clients. I enjoy exploring the experiences that make each woman unique. I will work with you to uncover and develop your strengths as you overcome personal challenges.
I provide counseling services to women and small groups in recovery. Areas of special interest are supporting women with issues related to trauma and betrayal, grief, spiritual growth, and life transitions. I have counseled women in cross-cultural settings for more than 30 years. I am particularly sensitive to the cultural, spiritual, and family backgrounds of my clients. I enjoy exploring the experiences that make each woman unique. I will work with you to uncover and develop your strengths as you overcome personal challenges.
(253) 214-3722 View (253) 214-3722
Photo of Jackie M Smith, Clinical Social Work/Therapist in Gig Harbor, WA
Jackie M Smith
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Gig Harbor, WA 98335
Feeling stuck, anxious, or overwhelmed? You work hard to be competent on the outside, maintaining control, holding your life together. Yet you know something is off on the inside. You want to be free. Free from the worry, anxiety and the patterns you keep finding yourself living over and over. You don't need to live your life this way any longer. Is this type of freedom even possible? Yes. Yes it is. You do not have to walk this path alone any longer. You have tried everything you can think of to help you sleep, help you cope, stop the flashbacks. Some of your strategies worked, but they are not enough.
Feeling stuck, anxious, or overwhelmed? You work hard to be competent on the outside, maintaining control, holding your life together. Yet you know something is off on the inside. You want to be free. Free from the worry, anxiety and the patterns you keep finding yourself living over and over. You don't need to live your life this way any longer. Is this type of freedom even possible? Yes. Yes it is. You do not have to walk this path alone any longer. You have tried everything you can think of to help you sleep, help you cope, stop the flashbacks. Some of your strategies worked, but they are not enough.
(253) 527-5924 View (253) 527-5924
Photo of Blue Waters Counseling, PLLC--Sara Odash, LMHC, Counselor in Gig Harbor, WA
Blue Waters Counseling, PLLC--Sara Odash, LMHC
Counselor, MA, LMHC, NCC
Verified Verified
Gig Harbor, WA 98335
Are you struggling with the same problems? Do you sometimes feel that your relationships aren't working, your job is a nightmare, your children aren't what you expected when you were expecting? Change doesn't have to be hard. Let's work together to understand what can be changed, find new interpersonal tools, and increase your personal power and effectiveness.
Are you struggling with the same problems? Do you sometimes feel that your relationships aren't working, your job is a nightmare, your children aren't what you expected when you were expecting? Change doesn't have to be hard. Let's work together to understand what can be changed, find new interpersonal tools, and increase your personal power and effectiveness.
(253) 237-8269 View (253) 237-8269
Photo of Bethany N Donovan, Counselor in Gig Harbor, WA
Bethany N Donovan
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Gig Harbor, WA 98335
Not accepting new clients
Are you looking to recover from trauma, anxiety, self-doubt, self-criticism, and negative thought patterns? Are you unsure of where to start and feeling overwhelmed? Are you looking for someone to shed some light in areas you cannot yet see clearly for yourself and to help you create a roadmap from where you are to where you want to be? We can create goals and a plan for moving forward together. If you're ready to put in the work it takes to heal and prefer a collaborative approach to therapy wherein you are in charge but will have a caring guide to walk beside you, then we will be a great match.
Are you looking to recover from trauma, anxiety, self-doubt, self-criticism, and negative thought patterns? Are you unsure of where to start and feeling overwhelmed? Are you looking for someone to shed some light in areas you cannot yet see clearly for yourself and to help you create a roadmap from where you are to where you want to be? We can create goals and a plan for moving forward together. If you're ready to put in the work it takes to heal and prefer a collaborative approach to therapy wherein you are in charge but will have a caring guide to walk beside you, then we will be a great match.
(661) 489-8383 View (661) 489-8383
Photo of Heather Cummings, Counselor in Gig Harbor, WA
Heather Cummings
Counselor, LMHCA
Verified Verified
1 Endorsed
Gig Harbor, WA 98335
Life is hard. Sometimes we have deep wounds that have been shoved down or covered up for years. It may be a significant traumatic event, adverse childhood experiences of abuse and neglect or painful moments in adulthood. These events shape the way we see ourselves, others and the world around us. Whatever the wounds, when you find they are impacting your life in the here and now it is necessary to clean the wounds in order to allow the body and brain to heal. As a Christian Counselor, I have spiritual and secular options for processing traumatic material both in the past and in the here-and-now.
Life is hard. Sometimes we have deep wounds that have been shoved down or covered up for years. It may be a significant traumatic event, adverse childhood experiences of abuse and neglect or painful moments in adulthood. These events shape the way we see ourselves, others and the world around us. Whatever the wounds, when you find they are impacting your life in the here and now it is necessary to clean the wounds in order to allow the body and brain to heal. As a Christian Counselor, I have spiritual and secular options for processing traumatic material both in the past and in the here-and-now.
(253) 387-1883 View (253) 387-1883
Photo of Spencer Bailey, LPC Intern in Gig Harbor, WA
Spencer Bailey
LPC Intern
Verified Verified
Gig Harbor, WA 98335
Throughout life, we may find ourselves struggling in various ways. You are not alone. My goal is to help you along your journey, providing respect, encouragement, and collaboration. You can think of our relationship as you being the driver and me being your GPS. You have a goal of where you want to go, whether that be in lessening anxieties and depression, or simply wanting to learn more about yourself and how to better tackle everyday chores.
Throughout life, we may find ourselves struggling in various ways. You are not alone. My goal is to help you along your journey, providing respect, encouragement, and collaboration. You can think of our relationship as you being the driver and me being your GPS. You have a goal of where you want to go, whether that be in lessening anxieties and depression, or simply wanting to learn more about yourself and how to better tackle everyday chores.
(253) 364-1168 View (253) 364-1168
Photo of Leidy Martinez Bodre, Pre-Licensed Professional in Gig Harbor, WA
Leidy Martinez Bodre
Pre-Licensed Professional, LICSW
Verified Verified
Gig Harbor, WA 98335  (Online Only)
To offer a safe and welcoming environment where clients feel comfortable sharing their story. My goal is to assist clients in identifying their concerns and challenges, explore patterns that aren’t working and develop skills to make their lives more manageable and fulfilling.
To offer a safe and welcoming environment where clients feel comfortable sharing their story. My goal is to assist clients in identifying their concerns and challenges, explore patterns that aren’t working and develop skills to make their lives more manageable and fulfilling.
(253) 352-4916 View (253) 352-4916
Photo of Robert Sherman, Clinical Social Work/Therapist in Gig Harbor, WA
Robert Sherman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gig Harbor, WA 98335  (Online Only)
Greetings. I love to help others. I have 22 years experience working as a seasoned, licensed mental health professional in Oregon and Idaho with a variety of clients and issues. I provide quality psychotherapy services. I use a holistic approach to assessment, diagnosis and treatment planning. Please know that you are always in the driver seat during your experience. Perhaps I can help you too!
Greetings. I love to help others. I have 22 years experience working as a seasoned, licensed mental health professional in Oregon and Idaho with a variety of clients and issues. I provide quality psychotherapy services. I use a holistic approach to assessment, diagnosis and treatment planning. Please know that you are always in the driver seat during your experience. Perhaps I can help you too!
(206) 350-3696 View (206) 350-3696
Photo of Jen Reisinger, Counselor in Gig Harbor, WA
Jen Reisinger
Counselor, MA, LMHC
Verified Verified
Gig Harbor, WA 98335
Are you looking for a therapist who is down-to-earth, approachable, and will work with you as you navigate a challenging season of life? I would love to connect with you. As a Licensed Mental Health Counselor, I have specialized training and expertise in supporting individuals of all ages experiencing major transitions, pregnancy/postpartum, grief, loss and adjustment to life-limiting illness. I frequently support individuals who are looking to identify and change patterns they've outgrown, develop healthy self-esteem and self-concept and navigate the challenging chapters of life.
Are you looking for a therapist who is down-to-earth, approachable, and will work with you as you navigate a challenging season of life? I would love to connect with you. As a Licensed Mental Health Counselor, I have specialized training and expertise in supporting individuals of all ages experiencing major transitions, pregnancy/postpartum, grief, loss and adjustment to life-limiting illness. I frequently support individuals who are looking to identify and change patterns they've outgrown, develop healthy self-esteem and self-concept and navigate the challenging chapters of life.
(253) 649-2017 View (253) 649-2017
Photo of Anne Douglass, Counselor in Gig Harbor, WA
Anne Douglass
Counselor, MA, LMHC, SUDP
Verified Verified
6 Endorsed
Gig Harbor, WA 98335
The goal of my work is to help clients is to overcome obstacles to healthy relationships, communication, and lifestyle success. Growing up in an alcoholic or dysfunctional family will effect one's adulthood and have a negative impact on relationships. You want to process this with a trusted professional. My experience as a therapist will allow you to let go of old habits, fears, and rules which have kept you from the joyous and free life you desire. My specialty is working with adult children of alcoholics, depression and anxiety.
The goal of my work is to help clients is to overcome obstacles to healthy relationships, communication, and lifestyle success. Growing up in an alcoholic or dysfunctional family will effect one's adulthood and have a negative impact on relationships. You want to process this with a trusted professional. My experience as a therapist will allow you to let go of old habits, fears, and rules which have kept you from the joyous and free life you desire. My specialty is working with adult children of alcoholics, depression and anxiety.
(253) 785-3089 View (253) 785-3089
Photo of Rose Ann VandenBerghe, Mental Health Counselor in Gig Harbor, WA
Rose Ann VandenBerghe
Mental Health Counselor, PhD, LMHC
Verified Verified
Gig Harbor, WA 98335
I am currently accepting new clients. I work with adult individuals, 21-101, who are wanting support to grow and change. I believe compassion is the heart of good therapy and I will do my best to help you access your own wisdom to move towards healing. My specialties include major life transitions, grief (including eco-grief), aging, anxiety, depression, dreamwork, and the search for meaning in life.
I am currently accepting new clients. I work with adult individuals, 21-101, who are wanting support to grow and change. I believe compassion is the heart of good therapy and I will do my best to help you access your own wisdom to move towards healing. My specialties include major life transitions, grief (including eco-grief), aging, anxiety, depression, dreamwork, and the search for meaning in life.
(253) 352-4392 View (253) 352-4392
Photo of Jamie Melsness, Counselor in Gig Harbor, WA
Jamie Melsness
Counselor, LMHC
Verified Verified
2 Endorsed
Gig Harbor, WA 98335
Accepting new Clients I believe in the importance of establishing a client/therapist relationship based on mutual respect and integrity. My focus and goal in my work is to help navigate through the personal process of growth and change done through my approach of aligning to provide hope and healing. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills.The heart of my holistic approach is centered on truly hearing your story with compassion and supporting you in your healing journey. My ideal client is one who is motivated to seek change and willing to take the steps.
Accepting new Clients I believe in the importance of establishing a client/therapist relationship based on mutual respect and integrity. My focus and goal in my work is to help navigate through the personal process of growth and change done through my approach of aligning to provide hope and healing. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills.The heart of my holistic approach is centered on truly hearing your story with compassion and supporting you in your healing journey. My ideal client is one who is motivated to seek change and willing to take the steps.
(253) 499-5175 View (253) 499-5175
Photo of Dr. Colleen Rustad, Psychologist in Gig Harbor, WA
Dr. Colleen Rustad
Psychologist, PhD, LCP
Verified Verified
3 Endorsed
Gig Harbor, WA 98335  (Online Only)
Waitlist for new clients
I will work collaboratively with you in therapy so you can work through any challenges you may be facing and achieve your goals. Whether you are experiencing a new problem, or have been struggling with something for a while, together we will work to find your inner strengths, overcome past or present challenges, and improve the quality of your life. I am a warm and compassionate therapist who provides a safe, caring, and non-judgmental environment. My goal is for you to feel more hopeful and confident, and to live the life you desire.
I will work collaboratively with you in therapy so you can work through any challenges you may be facing and achieve your goals. Whether you are experiencing a new problem, or have been struggling with something for a while, together we will work to find your inner strengths, overcome past or present challenges, and improve the quality of your life. I am a warm and compassionate therapist who provides a safe, caring, and non-judgmental environment. My goal is for you to feel more hopeful and confident, and to live the life you desire.
(253) 201-2154 View (253) 201-2154
Photo of Bonnie McKenney, Counselor in Gig Harbor, WA
Bonnie McKenney
Counselor, MS, LMHC, NCC, MHP, CMHP
Verified Verified
5 Endorsed
Gig Harbor, WA 98335
Not accepting new clients
Did something(s) really bad happen? Completely stressed out, anxious, depressed or feeling stuck? Is there too much to think about and sort out? Not sure what to do next or if it's even worth it? I would like to help you feel better, and to discover greater meaning and purpose for your life. As a Certified EMDR therapist (attachment focused), I can help you process the traumatic events that have occurred. Together we can fine meaning and purpose and work towards creating the new story you want for your life. I partner with teens, parents and individual adults to help sort through the difficult issues your facing today.
Did something(s) really bad happen? Completely stressed out, anxious, depressed or feeling stuck? Is there too much to think about and sort out? Not sure what to do next or if it's even worth it? I would like to help you feel better, and to discover greater meaning and purpose for your life. As a Certified EMDR therapist (attachment focused), I can help you process the traumatic events that have occurred. Together we can fine meaning and purpose and work towards creating the new story you want for your life. I partner with teens, parents and individual adults to help sort through the difficult issues your facing today.
(253) 265-4074 View (253) 265-4074
Photo of Rachel Rainbolt, Marriage & Family Therapist Associate in Gig Harbor, WA
Rachel Rainbolt
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Gig Harbor, WA 98335  (Online Only)
Do you struggle to show up as the mother you want to be? If you begin your day with a whole-hearted intention for peace that seems to dissolve with each day’s anxieties and triggers, I can help. I have immediate openings for aspiring gentle mothers and their loved ones who are tired of the struggle and ready for peace, freedom, connection, and joy within themselves, their relationships, and their lives.
Do you struggle to show up as the mother you want to be? If you begin your day with a whole-hearted intention for peace that seems to dissolve with each day’s anxieties and triggers, I can help. I have immediate openings for aspiring gentle mothers and their loved ones who are tired of the struggle and ready for peace, freedom, connection, and joy within themselves, their relationships, and their lives.
(253) 766-5473 View (253) 766-5473

How does your Therapist compare?

Number of Therapists in Gig Harbor, WA

200+

Average cost per session

$150

Therapists in Gig Harbor, WA who prioritize treating:

94% Anxiety
87% Depression
80% Relationship Issues
77% Self Esteem
75% Stress
74% Trauma and PTSD
72% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

82% Premera
66% Regence
63% First Choice Health | FCH

How Therapists in Gig Harbor, WA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Gig Harbor?

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.