Therapists in Clatskanie, OR

Photo of Tessa Zasta - Fernweh Forest, MS,  EdS, LPCA, NCC, Counselor
Fernweh Forest
Counselor, MS, EdS, LPCA, NCC
Verified Verified
Clatskanie, OR 97016
Fernweh Forest provides therapeutic services to youth and families. Together we can tap into your natural capacity for growth, healing, and transformation. We believe in the depth and power of shared experience, holistic healing, and nature connection. With Fernweh Forest, you and your family can take the therapeutic experience outside, utilizing nature, adventure, and body-based interventions to increase connection with the whole self (mind/body/spirit), each other, and the earth, while inspiring problem solving though challenge and exploring emotions. Life is messy. Let us support you and your family in navigating the hard stuff.
Fernweh Forest provides therapeutic services to youth and families. Together we can tap into your natural capacity for growth, healing, and transformation. We believe in the depth and power of shared experience, holistic healing, and nature connection. With Fernweh Forest, you and your family can take the therapeutic experience outside, utilizing nature, adventure, and body-based interventions to increase connection with the whole self (mind/body/spirit), each other, and the earth, while inspiring problem solving though challenge and exploring emotions. Life is messy. Let us support you and your family in navigating the hard stuff.
(971) 299-7508 View (971) 299-7508
Photo of Ian J Kepler, LCSW, CADC-II, MSW, Clinical Social Work/Therapist
Ian J Kepler
Clinical Social Work/Therapist, LCSW, CADC-II, MSW
Verified Verified
Clatskanie, OR 97016  (Online Only)
I believe that when we are buried in fear, anxiety, depression, existential dread or the various forms of mental and emotional distress that lead us to seek counseling, we are primarily dealing with a loss of connection. That disconnection - from people, purpose, safety, motivation, meaning and even disconnection from our own sense of self - can have so many different causes, and each of us must chart our own path to wholeness which can feel impossible to do on our own. I am continuously humbled by the bravery of my clients as they step onto this path of healing and self discovery which is not always easy, but is always worth it.
I believe that when we are buried in fear, anxiety, depression, existential dread or the various forms of mental and emotional distress that lead us to seek counseling, we are primarily dealing with a loss of connection. That disconnection - from people, purpose, safety, motivation, meaning and even disconnection from our own sense of self - can have so many different causes, and each of us must chart our own path to wholeness which can feel impossible to do on our own. I am continuously humbled by the bravery of my clients as they step onto this path of healing and self discovery which is not always easy, but is always worth it.
(971) 265-6364 View (971) 265-6364
Photo of Sarah Osborn, MA CMHC, Licensed Professional Counselor
Sarah Osborn
Licensed Professional Counselor, MA CMHC
Verified Verified
Clatskanie, OR 97016  (Online Only)
Many of us experience the feeling of being stuck, wanting to move forward but not knowing how to break free of those things holding us back. What I offer is the opportunity for you to be safe, heard, and understood in a way that allows you to discover your path forward. You get to decide what you want to do and where you want to go.
Many of us experience the feeling of being stuck, wanting to move forward but not knowing how to break free of those things holding us back. What I offer is the opportunity for you to be safe, heard, and understood in a way that allows you to discover your path forward. You get to decide what you want to do and where you want to go.
(971) 251-1064 View (971) 251-1064

Online Therapists

Photo of Nicole Randall, Pre-Licensed Professional
Nicole Randall
Pre-Licensed Professional
Verified Verified
Tigard, OR 97223
Welcome! I know change is hard, but it is necessary if you want something in your life to be different. I will try my best to help you conquer your negative thoughts, gain understanding, help build your sense of self, and improve your relationships with others.
Welcome! I know change is hard, but it is necessary if you want something in your life to be different. I will try my best to help you conquer your negative thoughts, gain understanding, help build your sense of self, and improve your relationships with others.
(971) 217-6879 View (971) 217-6879
Photo of Dr. Darin Bergen, PsyD, Psychologist
Dr. Darin Bergen
Psychologist, PsyD
Verified Verified
4 Endorsed
Portland, OR 97214
You've been suffering on your own for far too long, pushing away the pain until it feels like you have nothing left. You're exhausted. You feel alone but you put on a mask, smiling on the outside while you're in so much pain inside. Because you pull it together for the people around you, nobody realizes what is going on. You've lost interest in everything. You can't concentrate. Sometimes you hate yourself and wonder if you deserve to feel good ever again. You feel weak and you are so tired of this pain. It's time for a change.
You've been suffering on your own for far too long, pushing away the pain until it feels like you have nothing left. You're exhausted. You feel alone but you put on a mask, smiling on the outside while you're in so much pain inside. Because you pull it together for the people around you, nobody realizes what is going on. You've lost interest in everything. You can't concentrate. Sometimes you hate yourself and wonder if you deserve to feel good ever again. You feel weak and you are so tired of this pain. It's time for a change.
(503) 308-6146 View (503) 308-6146
Photo of J Renee Tate, PsyD, Psychologist
J Renee Tate
Psychologist, PsyD
Verified Verified
Portland, OR 97214
I am a licensed psychologist based in Portland, Oregon with a primary focus in evaluation and assessment. I also conduct individual psychotherapy for adults, particularly those adjusting to medical diagnoses. I periodically run groups for caregivers about managing the cognitive and emotional effects of strokes and brain injuries, drawing on current research and my history working in a rehabilitation unit.
I am a licensed psychologist based in Portland, Oregon with a primary focus in evaluation and assessment. I also conduct individual psychotherapy for adults, particularly those adjusting to medical diagnoses. I periodically run groups for caregivers about managing the cognitive and emotional effects of strokes and brain injuries, drawing on current research and my history working in a rehabilitation unit.
(503) 217-6990 View (503) 217-6990
Photo of Angee Gilchrist-Stewart, MA, LPC, CIMHP, NCC, Licensed Professional Counselor
Angee Gilchrist-Stewart
Licensed Professional Counselor, MA, LPC, CIMHP, NCC
Verified Verified
3 Endorsed
Beaverton, OR 97005  (Online Only)
Life's challenges can sometimes feel overwhelming, but you don't have to face them alone. If you're seeking a compassionate listener, a fresh perspective, someone to challenge you, or support to help you navigate life's complexities, I'm here to empower you. My approach is collaborative and tailored to your unique needs, helping you uncover new ways to engage with life and move forward with confidence. Together, we'll explore practical solutions and meaningful insights that empower you to overcome obstacles and embrace your full potential. I believe in your capacity for growth and am committed to walking this path alongside you.
Life's challenges can sometimes feel overwhelming, but you don't have to face them alone. If you're seeking a compassionate listener, a fresh perspective, someone to challenge you, or support to help you navigate life's complexities, I'm here to empower you. My approach is collaborative and tailored to your unique needs, helping you uncover new ways to engage with life and move forward with confidence. Together, we'll explore practical solutions and meaningful insights that empower you to overcome obstacles and embrace your full potential. I believe in your capacity for growth and am committed to walking this path alongside you.
(971) 203-7878 View (971) 203-7878
Photo of Alondra Rogers, DSW, CSWA, LMSW
Alondra Rogers
Clinical Social Work Associate, DSW, CSWA, LMSW
Verified Verified
2 Endorsed
Sandy, OR 97055  (Online Only)
Waitlist for new clients
I specialize in providing affirming therapy to Autistic, ADHD, and other neurodivergent clients. My goal is to meet my clients wherever they are to support their self-discovery, radical self-acceptance, and building up their tool kits of accommodations and coping skills.
I specialize in providing affirming therapy to Autistic, ADHD, and other neurodivergent clients. My goal is to meet my clients wherever they are to support their self-discovery, radical self-acceptance, and building up their tool kits of accommodations and coping skills.
(503) 898-7797 View (503) 898-7797
Photo of Joy Wilson - Joy Wilson, LMHC, Counselor
Joy Wilson
Counselor, LMHC
Verified Verified
2 Endorsed
Portland, OR 97222
Our life stories do not always have the fairy tale endings that we hoped for, but we are not mere puppets. We are active agents in pursuit of meaningful moments and positive outcomes. I will help you identify your strengths and collaborate with you to find solutions to challenges in your story. I strive to provide a counseling relationship in which you can feel safe, heard, and supported as you explore or process whatever you choose.
Our life stories do not always have the fairy tale endings that we hoped for, but we are not mere puppets. We are active agents in pursuit of meaningful moments and positive outcomes. I will help you identify your strengths and collaborate with you to find solutions to challenges in your story. I strive to provide a counseling relationship in which you can feel safe, heard, and supported as you explore or process whatever you choose.
(503) 850-8088 View (503) 850-8088
Photo of Michael J Irvine, PsyD, Psychologist
Michael J Irvine
Psychologist, PsyD
Verified Verified
Portland, OR 97232
I have experience working with individuals who have depression, anxiety, experienced trauma and/or currently struggling to cope with a range of symptoms that might include PTSD, shame, relationship stress, self-esteem, and addiction. I operate from contextual behaviorist approach as well as utilize Eye Movement Desensitization and Reprocessing (EMDR) with my clients. I am also well versed in the 12-step recovery and have found that incredibly important in my work with individuals and family members affected by the disease of addiction.
I have experience working with individuals who have depression, anxiety, experienced trauma and/or currently struggling to cope with a range of symptoms that might include PTSD, shame, relationship stress, self-esteem, and addiction. I operate from contextual behaviorist approach as well as utilize Eye Movement Desensitization and Reprocessing (EMDR) with my clients. I am also well versed in the 12-step recovery and have found that incredibly important in my work with individuals and family members affected by the disease of addiction.
(503) 386-0203 View (503) 386-0203
Photo of Matt Kidder, LPC, CADC I, Licensed Professional Counselor
Matt Kidder
Licensed Professional Counselor, LPC, CADC I
Verified Verified
Portland, OR 97215
Hello! My guess is that you're currently feeling a bit overwhelmed and possibly frustrated by the task of finding a therapist who both resonates with you and, is available. Being overwhelmed by the complexity of our lives, by our relationships, our work-lives and by the financial pressures we sometimes face seems to have become the "new normal" for many of us. Helping clients better manage these challenges while finding new solutions in an open-minded, comfortable and at times humorous environment is at the core of my practice. I enjoy working with youth, adults and couples seeking helpful new life-skills and big picture clarity.
Hello! My guess is that you're currently feeling a bit overwhelmed and possibly frustrated by the task of finding a therapist who both resonates with you and, is available. Being overwhelmed by the complexity of our lives, by our relationships, our work-lives and by the financial pressures we sometimes face seems to have become the "new normal" for many of us. Helping clients better manage these challenges while finding new solutions in an open-minded, comfortable and at times humorous environment is at the core of my practice. I enjoy working with youth, adults and couples seeking helpful new life-skills and big picture clarity.
(971) 290-4212 View (971) 290-4212
Photo of Dawnne Howard Professional Counselor Associate, MA
Dawnne Howard Professional Counselor Associate
Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Happy Valley, OR 97086  (Online Only)
My approach includes understanding that trust and rapport is important to foster a therapeutic relationship that can help facilitate the change you want to see in your life. The belief that each person is uniquely made from their specific experiences drives my passion to connect and tailor treatment to each person’s individual needs. Treatment with me includes helping you reach your goals by helping you develop the tools and skills needed to grow in confidence as you become the person you want to be. I enjoy working on topics that include but are not limited to building self-esteem and self-worth, learning to manage strong emotions.
My approach includes understanding that trust and rapport is important to foster a therapeutic relationship that can help facilitate the change you want to see in your life. The belief that each person is uniquely made from their specific experiences drives my passion to connect and tailor treatment to each person’s individual needs. Treatment with me includes helping you reach your goals by helping you develop the tools and skills needed to grow in confidence as you become the person you want to be. I enjoy working on topics that include but are not limited to building self-esteem and self-worth, learning to manage strong emotions.
(503) 917-3939 View (503) 917-3939
Photo of Michael D'Angelo - Michael D'Angelo, MA, LMFT,OR, MFTA,WA, Marriage & Family Therapist Associate
Michael D'Angelo
Marriage & Family Therapist Associate, MA, LMFT,OR, MFTA,WA
Verified Verified
Portland, OR 97205
Waitlist for new clients
I offer a warm and welcoming space for those seeking positive change in their lives or in relationship. Whether you and/or your loved ones are going through a family or life transition, experiencing relational difficulties, or needing support with emotional struggles, I can help you mobilize your strengths to meet and transform challenges in your life. As a supportive ally, I help you discover how to reduce anxiety, heal from traumas, transform relational patterns, and develop the skills needed to increase trust and connection with yourself and others.
I offer a warm and welcoming space for those seeking positive change in their lives or in relationship. Whether you and/or your loved ones are going through a family or life transition, experiencing relational difficulties, or needing support with emotional struggles, I can help you mobilize your strengths to meet and transform challenges in your life. As a supportive ally, I help you discover how to reduce anxiety, heal from traumas, transform relational patterns, and develop the skills needed to increase trust and connection with yourself and others.
(971) 326-8538 View (971) 326-8538
Photo of Michelle Sarchiapone, PCA, Pre-Licensed Professional
Michelle Sarchiapone
Pre-Licensed Professional, PCA
Verified Verified
3 Endorsed
Portland, OR 97218
I draw on over 25 years of experience with somatics, mindfulness/meditation, and the creative arts to bring a unique synergy of skills to my counseling approach. In our sessions, you can expect to go beyond conventional therapy, merging somatic practices with a deep exploration into your emotional world and, often, what lies beyond the self. In our time together, we will engage with your body's wisdom and reimagine personal narratives, turning these insights into practical actions for holistic healing and self-growth.
I draw on over 25 years of experience with somatics, mindfulness/meditation, and the creative arts to bring a unique synergy of skills to my counseling approach. In our sessions, you can expect to go beyond conventional therapy, merging somatic practices with a deep exploration into your emotional world and, often, what lies beyond the self. In our time together, we will engage with your body's wisdom and reimagine personal narratives, turning these insights into practical actions for holistic healing and self-growth.
(971) 278-9293 View (971) 278-9293
Photo of Jacqueline R Shannon, LMFT, CADCIII, Marriage & Family Therapist
Jacqueline R Shannon
Marriage & Family Therapist, LMFT, CADCIII
Verified Verified
Portland, OR 97213
Jackie Shannon is a Licensed Marriage and Family Therapist and Certified Alcohol and Drug Counselor. Jackie makes use of a humanistic and existential approach through a variety of experiential modalities. By creating a safe space for individuals to experience the discomfort of life’s challenges, Jackie supports individuals in developing relationship through trust, empathy, direct and candid inquiry, and down to earth humor. Jackie encourages intuitive exploration through integrating talk therapy with present moment awareness using sound, music, role play and energy work.
Jackie Shannon is a Licensed Marriage and Family Therapist and Certified Alcohol and Drug Counselor. Jackie makes use of a humanistic and existential approach through a variety of experiential modalities. By creating a safe space for individuals to experience the discomfort of life’s challenges, Jackie supports individuals in developing relationship through trust, empathy, direct and candid inquiry, and down to earth humor. Jackie encourages intuitive exploration through integrating talk therapy with present moment awareness using sound, music, role play and energy work.
(503) 751-8716 View (503) 751-8716
Photo of Alicia Loiler, MA, PCA
Alicia Loiler
Professional Counselor Associate, MA, PCA
Verified Verified
2 Endorsed
Sherwood, OR 97140
As a therapist, I believe everyone has inherent value, and I want to create a space where every person feels safe, confident and comfortable. As well as meeting people where they are and help them rediscover their intrinsic value, worth, and develop self-compassion and self-worth. There are challenges in life that are hard. I will work to empower you and to help you become the best and strongest version of yourself. My goal is to walk along side you through this process. We all face challenges in life but sometimes we need someone to support and cheer us on.
As a therapist, I believe everyone has inherent value, and I want to create a space where every person feels safe, confident and comfortable. As well as meeting people where they are and help them rediscover their intrinsic value, worth, and develop self-compassion and self-worth. There are challenges in life that are hard. I will work to empower you and to help you become the best and strongest version of yourself. My goal is to walk along side you through this process. We all face challenges in life but sometimes we need someone to support and cheer us on.
(509) 517-7754 View (509) 517-7754
Photo of Corey Connare, CSWA, Pre-Licensed Professional
Corey Connare
Pre-Licensed Professional, CSWA
Verified Verified
Portland, OR 97232  (Online Only)
Hey! I’m Corey and I am welcoming new clients. If you're grappling with how to feel better, navigate relationships, or work through tough times, I'm here to offer support. Together we can work on reducing anxiety and depression, improving communication, strengthening relationships, and finding a deeper connection with yourself. Many clients I work with have experienced trauma in their lives, which often shows up in all sorts of challenging ways in daily life. Confronting difficulties with our mental health can be intimidating and I seek to make this process collaborative while we set an appropriate pace for achieving your goals.
Hey! I’m Corey and I am welcoming new clients. If you're grappling with how to feel better, navigate relationships, or work through tough times, I'm here to offer support. Together we can work on reducing anxiety and depression, improving communication, strengthening relationships, and finding a deeper connection with yourself. Many clients I work with have experienced trauma in their lives, which often shows up in all sorts of challenging ways in daily life. Confronting difficulties with our mental health can be intimidating and I seek to make this process collaborative while we set an appropriate pace for achieving your goals.
(503) 455-7479 View (503) 455-7479
Photo of Emily Wilson-Barnard, MA, Marriage & Family Therapist
Emily Wilson-Barnard
Marriage & Family Therapist, MA
Verified Verified
4 Endorsed
Beaverton, OR 97005
You may feel isolated or overwhelmed by close relationships. Despite your efforts, you may feel like you're stuck in cycles that feel intractable. Relationship therapy can help you and the people you love to improve communication, deepen understanding, reprioritize joy/pleasure and promote hope. Therapy can help you to heal. Whether you are experiencing exasperation, grief, disillusionment, boredom, loneliness or something else, we can work to foster flexibility, empathy, vulnerability and resilience. I’d love to learn more about you and your loved ones, and see if we feel like a good initial fit for therapy.
You may feel isolated or overwhelmed by close relationships. Despite your efforts, you may feel like you're stuck in cycles that feel intractable. Relationship therapy can help you and the people you love to improve communication, deepen understanding, reprioritize joy/pleasure and promote hope. Therapy can help you to heal. Whether you are experiencing exasperation, grief, disillusionment, boredom, loneliness or something else, we can work to foster flexibility, empathy, vulnerability and resilience. I’d love to learn more about you and your loved ones, and see if we feel like a good initial fit for therapy.
(971) 256-6282 View (971) 256-6282
Photo of Gennady Fortuna, MA,  LPC, Licensed Professional Counselor
Gennady Fortuna
Licensed Professional Counselor, MA, LPC
Verified Verified
Gladstone, OR 97027
Everyone progresses to become the best version of themselves. It can be difficult as life is full of surprises and road blocks that not only delay progression but could also regress it. Gennady will be peeling away the inner layers to identify the root of the mental stagnation and provide the tools needed to thrive. He will utilize eclectic approaches to highlight the inner self and ignite mental clarity.
Everyone progresses to become the best version of themselves. It can be difficult as life is full of surprises and road blocks that not only delay progression but could also regress it. Gennady will be peeling away the inner layers to identify the root of the mental stagnation and provide the tools needed to thrive. He will utilize eclectic approaches to highlight the inner self and ignite mental clarity.
(833) 996-1403 View (833) 996-1403
Photo of Demir Crone, MA, AMFT, Marriage & Family Therapist Associate
Demir Crone
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Portland, OR 97209  (Online Only)
I work with a variety of issues- trauma, attachment issues, sexual challenges, anxiety, depression, mood disorders, life transitions, LGBTQ+, and more. With individuals, I draw primarily on AEDP and ISTDP- two compassionate, deep, and relational psychodynamic approaches designed to create lasting change. I am actively receiving training in both, along with consultations in order to provide high quality therapy to all my clients. I work with couples and have done training in Emotional Focused Therapy for Couples and sex therapy (ATSIP Level 1). I am currently doing trainings in ISTDP for Couples and in the Developmental Model.
I work with a variety of issues- trauma, attachment issues, sexual challenges, anxiety, depression, mood disorders, life transitions, LGBTQ+, and more. With individuals, I draw primarily on AEDP and ISTDP- two compassionate, deep, and relational psychodynamic approaches designed to create lasting change. I am actively receiving training in both, along with consultations in order to provide high quality therapy to all my clients. I work with couples and have done training in Emotional Focused Therapy for Couples and sex therapy (ATSIP Level 1). I am currently doing trainings in ISTDP for Couples and in the Developmental Model.
(503) 594-7676 View (503) 594-7676

See more therapy options for Clatskanie

How does your Therapist compare?

Number of Therapists in Clatskanie, OR

< 10

Therapists in Clatskanie, OR who prioritize treating:

67% Relationship Issues
67% Depression
67% Anxiety
67% ADHD
67% Trauma and PTSD
67% Education and Learning Disabilities
67% Dual Diagnosis

Average years in practice

5 Years

Gender breakdown

67% Female
33% Male

How Therapists in Clatskanie, OR see their clients

66% Online Only
34% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Clatskanie?

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.