Therapists in Bend, OR

Photo of Nirmal Conforti, LCSW, Clinical Social Work/Therapist
Nirmal Conforti
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Bend, OR 97701
We are all looking for love. Authentic self love takes time, attention and oftentimes help.  Looking for it outside of yourself is exhausting, demoralizing and depressing. Believing that there must be something wrong with you is isolating and terrible for the self esteem required for a healthy relationship. You are tired of feeling like a beggar, when you know you have so much to give. You know you are amazing and are at loss as to how to get what you need and want in a partner. You’d like a relationship with mutual love, respect and deep connection. You would also like to feel great about yourself in the context of a relationship
We are all looking for love. Authentic self love takes time, attention and oftentimes help.  Looking for it outside of yourself is exhausting, demoralizing and depressing. Believing that there must be something wrong with you is isolating and terrible for the self esteem required for a healthy relationship. You are tired of feeling like a beggar, when you know you have so much to give. You know you are amazing and are at loss as to how to get what you need and want in a partner. You’d like a relationship with mutual love, respect and deep connection. You would also like to feel great about yourself in the context of a relationship
(541) 234-8137 View (541) 234-8137
Photo of Jared Utterback, LMFT, Marriage & Family Therapist
Jared Utterback
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Bend, OR 97702
Waitlist for new clients
I believe that every person is created in the image of God, is uniquely designed and can obtain optimum mental health if they are willing to put forth the effort. I utilize many methods of counseling including a client-centered talk therapy approach, family systems theory, cognitive behavioral therapy, and EMDR.
I believe that every person is created in the image of God, is uniquely designed and can obtain optimum mental health if they are willing to put forth the effort. I utilize many methods of counseling including a client-centered talk therapy approach, family systems theory, cognitive behavioral therapy, and EMDR.
(458) 216-5779 View (458) 216-5779
Photo of Amber Bishop, MA, CADC
Amber Bishop
Professional Counselor Associate, MA, CADC
Verified Verified
1 Endorsed
Bend, OR 97701
I offer specialized care using evidence-based practices like EMDR, CBT, and CPT, helping clients process trauma and reclaim their lives. My approach is tailored to each person's unique experiences, ensuring effective, personalized care. I create a down-to-earth, non-judgmental space where you can feel heard and understood. With a deep commitment to authenticity and professionalism, I work with individuals who have experienced severe trauma, helping them heal from the lasting impact of their past. Ready to start your journey to recovery? Reach out today!
I offer specialized care using evidence-based practices like EMDR, CBT, and CPT, helping clients process trauma and reclaim their lives. My approach is tailored to each person's unique experiences, ensuring effective, personalized care. I create a down-to-earth, non-judgmental space where you can feel heard and understood. With a deep commitment to authenticity and professionalism, I work with individuals who have experienced severe trauma, helping them heal from the lasting impact of their past. Ready to start your journey to recovery? Reach out today!
(458) 231-8379 x2 View (458) 231-8379 x2
Photo of Linda J Schrader, PhD, Psychologist
Linda J Schrader
Psychologist, PhD
Verified Verified
Bend, OR 97701
Please visit my website to get more information and to contact me. I see adults in individual or couples therapy, and specialize in treating depression, anxiety, life transitions, couple dynamics, and sexual difficulties. I view wellness holistically, so we'll be mindful of the physical, emotional, spiritual & cognitive aspects of your health in our work together. My approach to psychotherapy is multi-faceted, so we may work at different levels in the same session, shifting our focus as needed between formative relationships, current relationships, thoughts and actions-- and back again-- as needed.
Please visit my website to get more information and to contact me. I see adults in individual or couples therapy, and specialize in treating depression, anxiety, life transitions, couple dynamics, and sexual difficulties. I view wellness holistically, so we'll be mindful of the physical, emotional, spiritual & cognitive aspects of your health in our work together. My approach to psychotherapy is multi-faceted, so we may work at different levels in the same session, shifting our focus as needed between formative relationships, current relationships, thoughts and actions-- and back again-- as needed.
(458) 218-3752 View (458) 218-3752
Photo of Gary Eugene Hunter, LCSW, Clinical Social Work/Therapist
Gary Eugene Hunter
Clinical Social Work/Therapist, LCSW
Verified Verified
Bend, OR 97701
Waitlist for new clients
I have worked for over 30 years as a psychotherapist in the public and private sector serving clients of all ethnicities, cultures, spirituality, and sexual identities. My specializations include Depression, Anxiety, PTSD, Identity, Parenting, Couples, Grief, and Bereavement as well as issues stemming from the trauma experience. I have successfully worked with both male and female survivors of sexual assault.
I have worked for over 30 years as a psychotherapist in the public and private sector serving clients of all ethnicities, cultures, spirituality, and sexual identities. My specializations include Depression, Anxiety, PTSD, Identity, Parenting, Couples, Grief, and Bereavement as well as issues stemming from the trauma experience. I have successfully worked with both male and female survivors of sexual assault.
(458) 236-3242 View (458) 236-3242
Photo of Mary Elizabeth Reiss, CPLC, MCPC
Mary Elizabeth Reiss
CPLC, MCPC
Verified Verified
Bend, OR 97703
Imagine walking into an interview with the confidence that you will ace it or having a discussion with a colleague or your partner and feeling understood . I hold a graduate degree and I am a masters certified coach with extensive training in executive functioning. I work with individuals, families, and couples experiencing ADHD and executive functioning skills challenges. I educate and support my clients in developing and improving skills, including organization, time management, emotional regulation, communication, conflict resolution, goal attainment, and more.
Imagine walking into an interview with the confidence that you will ace it or having a discussion with a colleague or your partner and feeling understood . I hold a graduate degree and I am a masters certified coach with extensive training in executive functioning. I work with individuals, families, and couples experiencing ADHD and executive functioning skills challenges. I educate and support my clients in developing and improving skills, including organization, time management, emotional regulation, communication, conflict resolution, goal attainment, and more.
(458) 232-1300 View (458) 232-1300
Photo of Jodi Harvey, MA, Pre-Licensed Professional
Jodi Harvey
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Bend, OR 97701
I've been helping people with the "hard stuff" for a long time. I decided to work in the field of domestic violence in 1998 by way of intervention programs for both men and women who were convicted of an assault or who self identified as wanting to end their use of abuse with their loved ones. I opened my own business in 2000 specializing in anger management, domestic violence, parent education for children and teens, co-parenting education, and a program for parents who were convicted of abuse or neglect. I became a mediator in 2014 and I have conducted thousands of child custody, parenting plan, and family conflict mediations.
I've been helping people with the "hard stuff" for a long time. I decided to work in the field of domestic violence in 1998 by way of intervention programs for both men and women who were convicted of an assault or who self identified as wanting to end their use of abuse with their loved ones. I opened my own business in 2000 specializing in anger management, domestic violence, parent education for children and teens, co-parenting education, and a program for parents who were convicted of abuse or neglect. I became a mediator in 2014 and I have conducted thousands of child custody, parenting plan, and family conflict mediations.
(458) 214-8543 View (458) 214-8543
Photo of Kelsey Pederson, LCSW, Clinical Social Work/Therapist
Kelsey Pederson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bend, OR 97702  (Online Only)
Welcome, I am here to support you in your journey towards healing, growth, and wholehearted living. I work collaboratively with youth, adults, and families to help them identify their obstacles, strengths, and goals. This can be related to anythinge from depression, anxiety, trauma, self worth, career and life transitions, to family, parenting, and relational challenges. I am passionate about building relationships with people and supporting them in discovering their identity, building healthy relationships, and expanding their life skills.
Welcome, I am here to support you in your journey towards healing, growth, and wholehearted living. I work collaboratively with youth, adults, and families to help them identify their obstacles, strengths, and goals. This can be related to anythinge from depression, anxiety, trauma, self worth, career and life transitions, to family, parenting, and relational challenges. I am passionate about building relationships with people and supporting them in discovering their identity, building healthy relationships, and expanding their life skills.
(209) 583-9161 View (209) 583-9161
Photo of Matikas Grace, MC, LPC, NCC, Licensed Professional Counselor
Matikas Grace
Licensed Professional Counselor, MC, LPC, NCC
Verified Verified
Bend, OR 97703
I specialize in working with queer and trans folx. Living in Central Oregon is often very isolating for this population and I would like my practice to support them. My background and training is in supporting pre-teens, teens, and young adults who are being oppressed by the system. I have worked with clients on probation and parole for multiple years and have experience in supporting through that experience. I also focus my practice on non-white individuals, the generational trauma that non-white folx continue to navigate every day.
I specialize in working with queer and trans folx. Living in Central Oregon is often very isolating for this population and I would like my practice to support them. My background and training is in supporting pre-teens, teens, and young adults who are being oppressed by the system. I have worked with clients on probation and parole for multiple years and have experience in supporting through that experience. I also focus my practice on non-white individuals, the generational trauma that non-white folx continue to navigate every day.
(458) 202-2895 View (458) 202-2895
Photo of Annie Warzecha, Pre-Licensed Professional
Annie Warzecha
Pre-Licensed Professional
Verified Verified
1 Endorsed
Bend, OR 97701
As a Counseling Intern, I am passionate about bringing real healing to clients from diverse backgrounds through EMDR and a Gestalt-informed approach. My natural curiosity allows me to embody a non judgmental stance with my clients, practicing acceptance and finding joy in learning. I follow the client’s lead and am an empathic listener, yet I do not refrain from sharing my insights and challenging my clients to explore novel perspectives and take positive action when appropriate. I view myself as my clients’ partner, collaborating to empower, improve wellness, and support them in living wholeheartedly.
As a Counseling Intern, I am passionate about bringing real healing to clients from diverse backgrounds through EMDR and a Gestalt-informed approach. My natural curiosity allows me to embody a non judgmental stance with my clients, practicing acceptance and finding joy in learning. I follow the client’s lead and am an empathic listener, yet I do not refrain from sharing my insights and challenging my clients to explore novel perspectives and take positive action when appropriate. I view myself as my clients’ partner, collaborating to empower, improve wellness, and support them in living wholeheartedly.
(458) 227-5741 View (458) 227-5741
Photo of Jessica Monahan, FNP-BC
Jessica Monahan
FNP-BC
Verified Verified
Bend, OR 97703  (Online Only)
Are you feeling overwhelmed, anxious, or struggling with depression? Do you have a hard time managing stress or finding balance in your life? If so, you may be an ideal client for my practice. I work with individuals who are looking to improve their mental health and overall well-being. My clients are often seeking a safe and non-judgmental space to explore their emotions, gain insight into their behaviors, and learn new coping skills. They may be experiencing challenges related to relationships, work, or other areas of their lives, and they are motivated to make positive changes.
Are you feeling overwhelmed, anxious, or struggling with depression? Do you have a hard time managing stress or finding balance in your life? If so, you may be an ideal client for my practice. I work with individuals who are looking to improve their mental health and overall well-being. My clients are often seeking a safe and non-judgmental space to explore their emotions, gain insight into their behaviors, and learn new coping skills. They may be experiencing challenges related to relationships, work, or other areas of their lives, and they are motivated to make positive changes.
(458) 455-0083 View (458) 455-0083
Photo of Jennifer Murphy, LCSW, CADC II, CPT, RYT, Clinical Social Work/Therapist
Jennifer Murphy
Clinical Social Work/Therapist, LCSW, CADC II, CPT, RYT
Verified Verified
Bend, OR 97702
Reflecting on our life patterns takes courage and I'm here to say you're worth it ! Allowing ourselves to receive support isn't something many of us were taught. I have been working in the therapeutic field for 32 years. I love collaborating with my client's natural and courageous ability to create healing within themselves and their relationships. I can help you break dysfunctional ways of interacting with yourself and your relationships. We all deserve to discover connection, understanding, true intimacy and enjoyment in our lives.
Reflecting on our life patterns takes courage and I'm here to say you're worth it ! Allowing ourselves to receive support isn't something many of us were taught. I have been working in the therapeutic field for 32 years. I love collaborating with my client's natural and courageous ability to create healing within themselves and their relationships. I can help you break dysfunctional ways of interacting with yourself and your relationships. We all deserve to discover connection, understanding, true intimacy and enjoyment in our lives.
(503) 386-0218 View (503) 386-0218
Photo of Wendy Reimann, LMFT, LPC, Marriage & Family Therapist
Wendy Reimann
Marriage & Family Therapist, LMFT, LPC
Verified Verified
1 Endorsed
Bend, OR 97702
Do you sense your life has become unmanageable? Do you feel there are roadblocks in your relationships? The journey of life can become bumpy. I offer a safe place to walk alongside you while facing distress, anxiety, heartbreak, or other disappointments life can bring. I will help to guide you toward healthier relationships. I address parental relationships with children, couples relationships (both premarital and couples counseling). I also work with individuals in gaining insight into interpersonal conflicts. I work with parents and children struggling with finding the joy in raising kids including families facing the challenge of disabilities.
Do you sense your life has become unmanageable? Do you feel there are roadblocks in your relationships? The journey of life can become bumpy. I offer a safe place to walk alongside you while facing distress, anxiety, heartbreak, or other disappointments life can bring. I will help to guide you toward healthier relationships. I address parental relationships with children, couples relationships (both premarital and couples counseling). I also work with individuals in gaining insight into interpersonal conflicts. I work with parents and children struggling with finding the joy in raising kids including families facing the challenge of disabilities.
(503) 360-9388 View (503) 360-9388
Photo of Megan Lux, CSWA, Pre-Licensed Professional
Megan Lux
Pre-Licensed Professional, CSWA
Verified Verified
Bend, OR 97701
Ready to access more joy? I’m ready to offer guidance in the process! ​I enjoy working with teens, young adults and adults ages 15+. I feel confident in working with a variety of topics including Depression, Anxiety, Trauma, Life Transitions, Coping Skills for Stress Management, and LGBTQ+ Topics of Concern. I have training in DBT, CBT, and ACT.
Ready to access more joy? I’m ready to offer guidance in the process! ​I enjoy working with teens, young adults and adults ages 15+. I feel confident in working with a variety of topics including Depression, Anxiety, Trauma, Life Transitions, Coping Skills for Stress Management, and LGBTQ+ Topics of Concern. I have training in DBT, CBT, and ACT.
(541) 343-1728 View (541) 343-1728
Photo of Brinna Keillor, MC, NCC
Brinna Keillor
Professional Counselor Associate, MC, NCC
Verified Verified
1 Endorsed
Bend, OR 97702
Currently accepting new clients! My goal as a therapist is to help children, teens, adults, and families make positive and lasting change in their lives. By exploring counseling services for yourself or a loved one, you are already making steps toward that positive change. I aim to create a safe and welcoming environment for people from all walks of life where growth can happen. Using your own unique strengths and combining them with new tools, we will work together towards goals that you wish to accomplish.
Currently accepting new clients! My goal as a therapist is to help children, teens, adults, and families make positive and lasting change in their lives. By exploring counseling services for yourself or a loved one, you are already making steps toward that positive change. I aim to create a safe and welcoming environment for people from all walks of life where growth can happen. Using your own unique strengths and combining them with new tools, we will work together towards goals that you wish to accomplish.
(458) 224-8753 x1003 View (458) 224-8753 x1003
Photo of Brynn Zagunis, MS, LPC, Licensed Professional Counselor
Brynn Zagunis
Licensed Professional Counselor, MS, LPC
Verified Verified
Bend, OR 97703
Not accepting new clients
Your feelings are real and impact your overall health and functioning. Often our greatest hurts arise from the way others have treated us. While it can feel overwhelming to clean up the emotional mess someone else has caused in your life, your body wants to heal and you can reclaim your health and wellness. I specialize in treating trauma and am dedicated to helping others heal from the experiences that often prevent people from achieving the sort of happiness they seek.
Your feelings are real and impact your overall health and functioning. Often our greatest hurts arise from the way others have treated us. While it can feel overwhelming to clean up the emotional mess someone else has caused in your life, your body wants to heal and you can reclaim your health and wellness. I specialize in treating trauma and am dedicated to helping others heal from the experiences that often prevent people from achieving the sort of happiness they seek.
(458) 203-1669 View (458) 203-1669
Photo of Haley Wilson, MCOUN, LPC, Licensed Professional Counselor
Haley Wilson
Licensed Professional Counselor, MCOUN, LPC
Verified Verified
Bend, OR 97701
Sex. Intimacy. Pleasure. These topics can feel overwhelming and vulnerable to discuss. Maybe you’ve turned to Google for answers on how to improve your sex life, but still feel discouraged or unsure if there’s more to explore. Perhaps the very thought of sex makes you uncomfortable, let alone talking about it. You’re looking to reconnect with yourself, heal from the past, and build confidence in your relationships. If you’re ready to open up, get curious about your experiences, and share your story, let’s see if we’re a good fit.
Sex. Intimacy. Pleasure. These topics can feel overwhelming and vulnerable to discuss. Maybe you’ve turned to Google for answers on how to improve your sex life, but still feel discouraged or unsure if there’s more to explore. Perhaps the very thought of sex makes you uncomfortable, let alone talking about it. You’re looking to reconnect with yourself, heal from the past, and build confidence in your relationships. If you’re ready to open up, get curious about your experiences, and share your story, let’s see if we’re a good fit.
(458) 203-1531 View (458) 203-1531
Natalie M Heidtmann
Licensed Professional Counselor, LPC, MS, CADCI
Verified Verified
Bend, OR 97703
I work with couples who are experiencing interpersonal distress associated with negative cycles of communication and disconnection. I utilize Emotionally Focused Couple Therapy to help build insight into the attachment issues underlying each other's reactivity within the cycle. In addition, I address attachment trauma utilizing EMDR, Brainspotting and Internal Family Systems, helping to build understanding and compassion within the relationship.
I work with couples who are experiencing interpersonal distress associated with negative cycles of communication and disconnection. I utilize Emotionally Focused Couple Therapy to help build insight into the attachment issues underlying each other's reactivity within the cycle. In addition, I address attachment trauma utilizing EMDR, Brainspotting and Internal Family Systems, helping to build understanding and compassion within the relationship.
(458) 207-5534 View (458) 207-5534
Photo of Jamie Lockwood, LMFT-A, Marriage & Family Therapist Associate
Jamie Lockwood
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
Bend, OR 97703
My goal is to help individuals, couples and families experience healthier and happier lives and relationships by providing them with a safe and accepting space to navigate and overcome the challenges they’re facing. I strive to create a collaborative therapeutic process that is encouraging and empowering and work with clients to discover their strengths while helping them to understand the “why” of negative patterns and how to make their hoped-for changes. I primarily work with clients who have experienced/are experiencing life transitions, stressors, anxiety, depression, marriage/relationship distress and family conflicts.
My goal is to help individuals, couples and families experience healthier and happier lives and relationships by providing them with a safe and accepting space to navigate and overcome the challenges they’re facing. I strive to create a collaborative therapeutic process that is encouraging and empowering and work with clients to discover their strengths while helping them to understand the “why” of negative patterns and how to make their hoped-for changes. I primarily work with clients who have experienced/are experiencing life transitions, stressors, anxiety, depression, marriage/relationship distress and family conflicts.
(458) 217-5769 View (458) 217-5769
Photo of Allison Clark - Bend Thoughts & Therapy, LPC, M-Coun, NCC, Licensed Professional Counselor
Bend Thoughts & Therapy
Licensed Professional Counselor, LPC, M-Coun, NCC
Verified Verified
1 Endorsed
Bend, OR 97702
Waitlist for new clients
Anxiety can leave us feeling stuck, but there is hope. Do you wake up feeling overwhelmed and unsure of what next steps in life look like and how to move forward? If you feel stuck in the same patterns, symptoms of burnout, stress, overwhelm and trauma in day to day life, I can help guide you to unpack challenges and stuck points to begin working towards a life of fulfillment. Check out my website for more info! bendthoughtsandtherapy.squarespace.com
Anxiety can leave us feeling stuck, but there is hope. Do you wake up feeling overwhelmed and unsure of what next steps in life look like and how to move forward? If you feel stuck in the same patterns, symptoms of burnout, stress, overwhelm and trauma in day to day life, I can help guide you to unpack challenges and stuck points to begin working towards a life of fulfillment. Check out my website for more info! bendthoughtsandtherapy.squarespace.com
(458) 203-8554 View (458) 203-8554
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How does your Therapist compare?

Number of Therapists in Bend, OR

600+

Average cost per session

$165

Therapists in Bend, OR who prioritize treating:

91% Anxiety
87% Depression
79% Relationship Issues
77% Trauma and PTSD
77% Self Esteem
74% Stress
70% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

75% PacificSource
54% Oregon Health Plan (OHP)
42% Aetna

How Therapists in Bend, OR see their clients

63% In Person and Online
37% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bend?

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.