Therapists in Humboldt, Portland, OR

Photo of Tatum Marcus, Marriage & Family Therapist, LMFT
Tatum Marcus
Marriage & Family Therapist, LMFT
Humboldt, Portland, OR 97217
I love chatting with people about life- the highs and lows, and everything along the way. I can bring a grounded perspective to our conversations, as well as new ideas around things that may be on your mind. There are many angles that we could use in our work together. We could speak archetypally, transpersonally - holding the big picture in mind. We could use the language of psychology - I love sharing theoretical constructs that might be useful as we walk along our paths in life. We could just chat as one human to another, in a down-to-earth, connective way.
I love chatting with people about life- the highs and lows, and everything along the way. I can bring a grounded perspective to our conversations, as well as new ideas around things that may be on your mind. There are many angles that we could use in our work together. We could speak archetypally, transpersonally - holding the big picture in mind. We could use the language of psychology - I love sharing theoretical constructs that might be useful as we walk along our paths in life. We could just chat as one human to another, in a down-to-earth, connective way.
(971) 365-3130 View (971) 365-3130
Photo of Megan Dixon, Licensed Professional Counselor, MS, NCC
Megan Dixon
Licensed Professional Counselor, MS, NCC
Humboldt, Portland, OR 97217
I'm honored to sit as co-navigator on your journey and support you unconditionally through overwhelming times of change and struggle. I believe having intentional support for the healing process is essential and that's why I'm here. I focus on attachment work, resolution and recovery from PTSD/complex PTSD, intergenerational trauma patterns; targeting the many ways that hurts and betrayals leave their mark on our hearts and nervous systems, interrupting connection to self and others. Growth and healing is hard work. If you're ready I'll be there with you, step by step.
I'm honored to sit as co-navigator on your journey and support you unconditionally through overwhelming times of change and struggle. I believe having intentional support for the healing process is essential and that's why I'm here. I focus on attachment work, resolution and recovery from PTSD/complex PTSD, intergenerational trauma patterns; targeting the many ways that hurts and betrayals leave their mark on our hearts and nervous systems, interrupting connection to self and others. Growth and healing is hard work. If you're ready I'll be there with you, step by step.
(503) 744-5809 View (503) 744-5809
Photo of E. K. Frey, Licensed Professional Counselor, LPC
E. K. Frey
Licensed Professional Counselor, LPC
Humboldt, Portland, OR 97217
I believe that the ability to grow is one that all humans naturally possess but that we need help to bravely enact the changes we desire. Our experience of life is shaped by the way we process the world. Sometimes we were heard and sometimes we felt invisible. Sometimes we knew what to do; often we did not or we felt alone. Counseling can help to restructure thinking patterns and shift responses as clients find awareness and compassion for themselves and others.
I believe that the ability to grow is one that all humans naturally possess but that we need help to bravely enact the changes we desire. Our experience of life is shaped by the way we process the world. Sometimes we were heard and sometimes we felt invisible. Sometimes we knew what to do; often we did not or we felt alone. Counseling can help to restructure thinking patterns and shift responses as clients find awareness and compassion for themselves and others.
(971) 414-4193 View (971) 414-4193
Photo of Matt A Johnston, Licensed Professional Counselor, LPC, CADC II
Matt A Johnston
Licensed Professional Counselor, LPC, CADC II
Humboldt, Portland, OR 97217
I work with people who have struggled with domestic violence, trauma, abuse, relationship issues, PTSD, addiction, problematic drug or alcohol use, depression, shame, men's issues, and working with systems. I help people achieve the freedom and success that they desire.
I work with people who have struggled with domestic violence, trauma, abuse, relationship issues, PTSD, addiction, problematic drug or alcohol use, depression, shame, men's issues, and working with systems. I help people achieve the freedom and success that they desire.
(503) 966-4040 View (503) 966-4040
Photo of Mark Pechovnik, Clinical Social Work/Therapist, LCSW
Mark Pechovnik
Clinical Social Work/Therapist, LCSW
Humboldt, Portland, OR 97217
Clear, calm and non-judgmental awareness of thoughts, emotions and physical presence are the foundations of a mindful approach to healing. As a clinician, I place great emphasis on creating a trusting environment where the mindful exploration of one's life, both today and in the past, can take place with ease and comfort and so we can work together to uncover the places where life seems stuck and unfulfilling or downright painful. Through the skillful means of multiple therapeutic tools, we will untangle your old habit patterns - whether they be old stories, emotional baggage, repetitive relational interactions or spiritual crisis.
Clear, calm and non-judgmental awareness of thoughts, emotions and physical presence are the foundations of a mindful approach to healing. As a clinician, I place great emphasis on creating a trusting environment where the mindful exploration of one's life, both today and in the past, can take place with ease and comfort and so we can work together to uncover the places where life seems stuck and unfulfilling or downright painful. Through the skillful means of multiple therapeutic tools, we will untangle your old habit patterns - whether they be old stories, emotional baggage, repetitive relational interactions or spiritual crisis.
(503) 567-6205 View (503) 567-6205
Photo of Dr. Andrea Millen, Psychologist, PsyD
Dr. Andrea Millen
Psychologist, PsyD
1 Endorsed
Humboldt, Portland, OR 97217
Change is possible. A diagnosis of OCD or another anxiety disorder can be scary and confusing. It can feel like your life is defined by dread, worry, fear, and exhaustion. Much of your energy and time are likely spent trying to present to the outside world as “successful” and “having it all together”. Internally, you may feel disconnected from your core self, your innate purpose and potential, and the ability to enjoy simple moments in your life. Anxiety doesn’t have to define who you are as a human. Therapy is courageous work. I’m glad you’re here making this first step.
Change is possible. A diagnosis of OCD or another anxiety disorder can be scary and confusing. It can feel like your life is defined by dread, worry, fear, and exhaustion. Much of your energy and time are likely spent trying to present to the outside world as “successful” and “having it all together”. Internally, you may feel disconnected from your core self, your innate purpose and potential, and the ability to enjoy simple moments in your life. Anxiety doesn’t have to define who you are as a human. Therapy is courageous work. I’m glad you’re here making this first step.
(971) 206-6560 View (971) 206-6560
Photo of Will Holloway, Licensed Professional Counselor, MA, LPC, LCAT
Will Holloway
Licensed Professional Counselor, MA, LPC, LCAT
3 Endorsed
Humboldt, Portland, OR 97217
What we are looking for in life is often right in front of us yet, we often lack the ability to see it. In contemporary society, many of us are head strong putting the mind and thoughts above the body and feelings. In this manner, we may lose ourselves in a world of mental illusion. When we are able to access our inner nature, comprised in part of our instincts, aptitudes, and intuition, we are more equipped to be self-guided in life and able to achieve balance and wholeness for ourselves.
What we are looking for in life is often right in front of us yet, we often lack the ability to see it. In contemporary society, many of us are head strong putting the mind and thoughts above the body and feelings. In this manner, we may lose ourselves in a world of mental illusion. When we are able to access our inner nature, comprised in part of our instincts, aptitudes, and intuition, we are more equipped to be self-guided in life and able to achieve balance and wholeness for ourselves.
(503) 546-0076 View (503) 546-0076
Photo of Anna Claybaugh, Clinical Social Work/Therapist, LCSW, LICSW
Anna Claybaugh
Clinical Social Work/Therapist, LCSW, LICSW
1 Endorsed
Humboldt, Portland, OR 97217
You are ready to stop patterns that involve giving your power away. You are looking for more fulfillment in life and are ready to reclaim your authentic self. You are tired of feeling like everything else comes before your dreams, goals, empowerment and mental health. You who want to learn how to build more loving awareness and compassion towards yourself in order to support your best life. You are interested in learning more about what makes you who you are, how to shift out of unhealthy beliefs and figure out what’s holding you back from securing happiness and abundance for yourself. Resonate? Then, let's work together.
You are ready to stop patterns that involve giving your power away. You are looking for more fulfillment in life and are ready to reclaim your authentic self. You are tired of feeling like everything else comes before your dreams, goals, empowerment and mental health. You who want to learn how to build more loving awareness and compassion towards yourself in order to support your best life. You are interested in learning more about what makes you who you are, how to shift out of unhealthy beliefs and figure out what’s holding you back from securing happiness and abundance for yourself. Resonate? Then, let's work together.
(360) 654-7698 View (360) 654-7698
Photo of Emily Smith, Marriage & Family Therapist Associate, MA
Emily Smith
Marriage & Family Therapist Associate, MA
6 Endorsed
Humboldt, Portland, OR 97217
At this time, my practice primarily focuses on relational work, including couples and relationship therapy. I’m passionate about supporting partners and family members in finding new ways to connect, communicate, and feel understood. My style is warm, curious, and grounded in helping people feel more seen, in their relationships and within themselves. I also work with individuals navigating relationship stress, life transitions and role shifts, boundary work and self-trust, or patterns that feel difficult to shift. Together, we can explore self-acceptance and find meaningful ways forward.
At this time, my practice primarily focuses on relational work, including couples and relationship therapy. I’m passionate about supporting partners and family members in finding new ways to connect, communicate, and feel understood. My style is warm, curious, and grounded in helping people feel more seen, in their relationships and within themselves. I also work with individuals navigating relationship stress, life transitions and role shifts, boundary work and self-trust, or patterns that feel difficult to shift. Together, we can explore self-acceptance and find meaningful ways forward.
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Photo of Julie Mannon, Licensed Professional Counselor, LPC
Julie Mannon
Licensed Professional Counselor, LPC
Humboldt, Portland, OR 97217
Waitlist for new clients
Currently not accepting new clients. Have you found yourself saying, "I've got to stop doing this", only to do it again? Do you feel stuck, unmotivated, sad, anxious, or are you plagued by painful emotions/memories? I've worked with hundreds of people who have struggled with similar concerns. Working together we've found ways to get unstuck and onto a path of increased self-esteem and happiness. Whether the issue is putting unhealthy food or substances into your body, managing emotions, or not effectively communicating, I'm here to help you identify the patterns that are keeping you stuck and gain control.
Currently not accepting new clients. Have you found yourself saying, "I've got to stop doing this", only to do it again? Do you feel stuck, unmotivated, sad, anxious, or are you plagued by painful emotions/memories? I've worked with hundreds of people who have struggled with similar concerns. Working together we've found ways to get unstuck and onto a path of increased self-esteem and happiness. Whether the issue is putting unhealthy food or substances into your body, managing emotions, or not effectively communicating, I'm here to help you identify the patterns that are keeping you stuck and gain control.
(503) 676-5603 View (503) 676-5603
Photo of Amy Iddings, Clinical Social Work/Therapist, LCSW
Amy Iddings
Clinical Social Work/Therapist, LCSW
3 Endorsed
Humboldt, Portland, OR 97211
Waitlist for new clients
I’ll be honest: I don’t think there’s anything wrong with you, and I don’t think individual therapy is the answer. I imagine you are doing your best to be ok in a very unwell culture – a culture of shame & toxic individualism, a system designed to make us forget who we are, and what's important. I believe in a future where we will remember our connections to each other, ourselves, our planet, and heal in community. Til then, though, I’m here with you. I work from the basic belief that I don’t know what you need, but together we will find it. What if healing isn't about doing more, but about un-becoming everything that is not you?
I’ll be honest: I don’t think there’s anything wrong with you, and I don’t think individual therapy is the answer. I imagine you are doing your best to be ok in a very unwell culture – a culture of shame & toxic individualism, a system designed to make us forget who we are, and what's important. I believe in a future where we will remember our connections to each other, ourselves, our planet, and heal in community. Til then, though, I’m here with you. I work from the basic belief that I don’t know what you need, but together we will find it. What if healing isn't about doing more, but about un-becoming everything that is not you?
(208) 273-9497 View (208) 273-9497
Photo of Dakota Lake, Clinical Social Work/Therapist, LCSW
Dakota Lake
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Folks often tell me that therapy doesn't work for them, however there are many types of therapists and many kinds of approaches to therapy. Sometimes it takes a few tries to find someone that is a good fit for your needs! I have been working in Social Work for 9 years spanning fields such as immigrant and refugee work, HIV case management, housing case management, child welfare, and psychiatric hospital care. I have experience working with individuals with anxiety, depression, OCD, PTSD, and in non-traditional relationships. Additionally, I identify within and have experience working with folks in the LGBTQ+/Queer community.
Folks often tell me that therapy doesn't work for them, however there are many types of therapists and many kinds of approaches to therapy. Sometimes it takes a few tries to find someone that is a good fit for your needs! I have been working in Social Work for 9 years spanning fields such as immigrant and refugee work, HIV case management, housing case management, child welfare, and psychiatric hospital care. I have experience working with individuals with anxiety, depression, OCD, PTSD, and in non-traditional relationships. Additionally, I identify within and have experience working with folks in the LGBTQ+/Queer community.
(503) 738-1994 View (503) 738-1994
Photo of Rebecca Oyer, Clinical Social Work/Therapist, MSW, LCSW, SEP, ISPP
Rebecca Oyer
Clinical Social Work/Therapist, MSW, LCSW, SEP, ISPP
Online Only
I have been practicing as a psychotherapist for 30 years and I very much enjoy my work. My goal is to help people with healing, and in so doing help them to live a more joyful and meaningful life. I have years of experience helping clients address and recover from many different issues. I work with emotional wounds that are often at the core of issues that clients bring to me, and with healing trauma including religious trauma. I have found that when these wounds can be addressed in a safe environment, healing can take place. I work with adults of all life stages, with adolescents, children, with individuals, families and groups.
I have been practicing as a psychotherapist for 30 years and I very much enjoy my work. My goal is to help people with healing, and in so doing help them to live a more joyful and meaningful life. I have years of experience helping clients address and recover from many different issues. I work with emotional wounds that are often at the core of issues that clients bring to me, and with healing trauma including religious trauma. I have found that when these wounds can be addressed in a safe environment, healing can take place. I work with adults of all life stages, with adolescents, children, with individuals, families and groups.
(337) 243-6887 View (337) 243-6887
Photo of Christa (Christine) E Hines, Clinical Social Work/Therapist, LCSW, CADCII, TRE cer
Christa (Christine) E Hines
Clinical Social Work/Therapist, LCSW, CADCII, TRE cer
3 Endorsed
Humboldt, Portland, OR 97217
Not accepting new clients
I am not currently accepting new clients. I am a psychotherapist, licensed as a clinical social worker, certified as an alcohol and drug counselor and TRE provider, drawing on over 35 years of experience. My primary foundational belief is that our mind and body operate as one organism, which contains its own healing potential. I use evidence-based approaches (IFS, EMDR, TRE, SSP, Ketamine Assisted Psychotherapy) to assist clients in the natural healing process that includes moving to a state of regulation in the nervous system and accessing the wisdom that already exists in a person’s brain chemistry and somatic experience.
I am not currently accepting new clients. I am a psychotherapist, licensed as a clinical social worker, certified as an alcohol and drug counselor and TRE provider, drawing on over 35 years of experience. My primary foundational belief is that our mind and body operate as one organism, which contains its own healing potential. I use evidence-based approaches (IFS, EMDR, TRE, SSP, Ketamine Assisted Psychotherapy) to assist clients in the natural healing process that includes moving to a state of regulation in the nervous system and accessing the wisdom that already exists in a person’s brain chemistry and somatic experience.
(503) 446-5102 View (503) 446-5102
Photo of Hannah Hall, Pre-Licensed Professional, CSWA, QMHP
Hannah Hall
Pre-Licensed Professional, CSWA, QMHP
Online Only
I believe therapy is a collaborative process of growth and exploration. Taking the step to begin therapy can be challenging, but I am here to support you wherever you are in your journey. It is important to me to make my clients feel safe, heard, and understood. I am passionate about working with adults ages 20-65 who are experiencing a variety of stressors and mental health conditions.
I believe therapy is a collaborative process of growth and exploration. Taking the step to begin therapy can be challenging, but I am here to support you wherever you are in your journey. It is important to me to make my clients feel safe, heard, and understood. I am passionate about working with adults ages 20-65 who are experiencing a variety of stressors and mental health conditions.
(971) 306-4604 x1 View (971) 306-4604 x1
Photo of Kris Jacobsen - Kris Jacobsen LMHC, PLLC, Counselor, MA, LMHC
Kris Jacobsen LMHC, PLLC
Counselor, MA, LMHC
7 Endorsed
Online Only
Licensed in Washington and Oregon, I offer Telehealth psychotherapy and counseling for those wishing to deepen their self awareness and self compassion skills. This, in turn, to benefit and inform all our relationships. We’ll work experientially, in the moment, growing awareness and compassion for all the parts of you that come up in sessions and finding ways to meet their needs and heal the burdens they carry so that you and they can be more free and harmonious in the world.
Licensed in Washington and Oregon, I offer Telehealth psychotherapy and counseling for those wishing to deepen their self awareness and self compassion skills. This, in turn, to benefit and inform all our relationships. We’ll work experientially, in the moment, growing awareness and compassion for all the parts of you that come up in sessions and finding ways to meet their needs and heal the burdens they carry so that you and they can be more free and harmonious in the world.
(360) 858-6841 View (360) 858-6841
Photo of Taylor Alderson, Marriage & Family Therapist, MA, LMFT
Taylor Alderson
Marriage & Family Therapist, MA, LMFT
Online Only
I am a Trauma Therapist who is certified in EMDR Therapy dedicated to providing compassionate and supportive counseling. I work with individuals both long and short term. Wanting to understand why adverse or difficult things happen to us is natural. When one can contribute a sense of meaning to a difficult situation the power of the problem is often integrated and diminishes. Therapy is a process that can help an individual find the transformational quality in their adverse experiences and become empowered, instead of overwhelmed by them.
I am a Trauma Therapist who is certified in EMDR Therapy dedicated to providing compassionate and supportive counseling. I work with individuals both long and short term. Wanting to understand why adverse or difficult things happen to us is natural. When one can contribute a sense of meaning to a difficult situation the power of the problem is often integrated and diminishes. Therapy is a process that can help an individual find the transformational quality in their adverse experiences and become empowered, instead of overwhelmed by them.
(971) 257-8937 View (971) 257-8937
Photo of Gill Smith, Pre-Licensed Professional, MA
Gill Smith
Pre-Licensed Professional, MA
Online Only
I support folks who feel disconnected from themselves, their emotions, or the people around them. When you’ve learned to distance yourself from feelings in order to cope, it can be hard to know what you feel or how to address it. Together, we move slowly and collaboratively toward reconnection and healing.
I support folks who feel disconnected from themselves, their emotions, or the people around them. When you’ve learned to distance yourself from feelings in order to cope, it can be hard to know what you feel or how to address it. Together, we move slowly and collaboratively toward reconnection and healing.
(971) 444-7610 View (971) 444-7610

Online Therapists

Photo of Douglas Fogel, Psychologist, PsyD
Douglas Fogel
Psychologist, PsyD
Portland, OR 97232
Most of my clients are wrestling with some combination of anxiety, depression, and relationship problems. In addition, they are often struggling to figure out what in life is most meaningful and important for them. With other clients, their life goals and values may be clear, but they find themselves running into psychological barriers such as fear and avoidance. In an ideal world I would want all my clients to be able to say that they have never felt more understood and, simultaneously, that they have never felt more challenged -- always in a safe and respectful environment.
Most of my clients are wrestling with some combination of anxiety, depression, and relationship problems. In addition, they are often struggling to figure out what in life is most meaningful and important for them. With other clients, their life goals and values may be clear, but they find themselves running into psychological barriers such as fear and avoidance. In an ideal world I would want all my clients to be able to say that they have never felt more understood and, simultaneously, that they have never felt more challenged -- always in a safe and respectful environment.
(971) 290-4812 View (971) 290-4812
Photo of Carrie Farrell, Licensed Professional Counselor, LPC, LMT
Carrie Farrell
Licensed Professional Counselor, LPC, LMT
4 Endorsed
Portland, OR 97211
Welcome. You are ready for change. Otherwise, you wouldn’t be here. You want something different or know something more is possible. Whether related to body, mind, spirit, or relationship struggles, I am honored to support you in your journey. In my work, I collaborate with each client to foster a space in which healing, growth, and understanding can support lasting change. These internal changes often translate into a life full of meaning and purpose.
Welcome. You are ready for change. Otherwise, you wouldn’t be here. You want something different or know something more is possible. Whether related to body, mind, spirit, or relationship struggles, I am honored to support you in your journey. In my work, I collaborate with each client to foster a space in which healing, growth, and understanding can support lasting change. These internal changes often translate into a life full of meaning and purpose.
(503) 850-7753 View (503) 850-7753

How does your Therapist compare?

Number of Therapists in Humboldt, Portland, OR

10+

Average cost per session

$175

Therapists in Humboldt, Portland, OR who prioritize treating:

89% Anxiety
83% Self Esteem
78% Relationship Issues
78% Trauma and PTSD
78% Stress
72% Depression
56% Spirituality

Average years in practice

11 Years

Top 3 insurances accepted

47% Regence
40% PacificSource
33% Aetna

How Therapists in Humboldt, Portland, OR see their clients

67% In Person and Online
33% Online Only

Gender breakdown

67% Female
22% Male
11% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Humboldt, Portland?

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.