Therapists in Saint Helens, OR

Photo of Heather M Weaver, Licensed Professional Counselor, LPC, LMFT
Heather M Weaver
Licensed Professional Counselor, LPC, LMFT
Saint Helens, OR 97051
I am a licensed professional counselor and licensed marriage and family therapist. I have been practicing counseling for over 10 years and have had experience in a wide range of mental health conditions as well as relationship concerns. Most common areas I work within include anxiety, work stress, relationship issues, OCD, depression, and ADHD. I commonly utilize a combination of Acceptance and Commitment Therapy with Attachment focus, to assist with skill building of action oriented methods to help with symptoms, as well as deeper meaning process to identify and shift the origin of symptoms.
I am a licensed professional counselor and licensed marriage and family therapist. I have been practicing counseling for over 10 years and have had experience in a wide range of mental health conditions as well as relationship concerns. Most common areas I work within include anxiety, work stress, relationship issues, OCD, depression, and ADHD. I commonly utilize a combination of Acceptance and Commitment Therapy with Attachment focus, to assist with skill building of action oriented methods to help with symptoms, as well as deeper meaning process to identify and shift the origin of symptoms.
(503) 376-6325 View (503) 376-6325
Photo of Sara Foto, Licensed Professional Counselor, MA, LPC, LMHC
Sara Foto
Licensed Professional Counselor, MA, LPC, LMHC
Online Only
Life moves fast, change is inevitable, and the demands of work, relationships, and daily responsibilities can leave you feeling overwhelmed, anxious, burned out, or stuck. Therapy offers a space to slow down, gain perspective, and reconnect with yourself without judgment. I provide flexible teletherapy for adults throughout Oregon and Washington using a collaborative, person-centered approach to help you navigate stress, anxiety, life transitions, relationship challenges, and emotional well-being while building practical skills for lasting change.
Life moves fast, change is inevitable, and the demands of work, relationships, and daily responsibilities can leave you feeling overwhelmed, anxious, burned out, or stuck. Therapy offers a space to slow down, gain perspective, and reconnect with yourself without judgment. I provide flexible teletherapy for adults throughout Oregon and Washington using a collaborative, person-centered approach to help you navigate stress, anxiety, life transitions, relationship challenges, and emotional well-being while building practical skills for lasting change.
(971) 286-3280 View (971) 286-3280
Photo of Abigail Laney, Clinical Social Work/Therapist, LCSW
Abigail Laney
Clinical Social Work/Therapist, LCSW
Online Only
Hi! I'm Abbey Laney - I support struggling, overwhelmed people to feel grounded, self-assured, and secure a meaningful sense of direction in their lives. I often work with people who have a history of trauma and are struggling with overwhelm and burnout, unwanted life patterns they can’t seem to break out of, chronic stress and anxiety that keeps them from living a life they desire, and those struggling just to get through the day. I also commonly work with those feeling lost and unsure of themselves or where they’re going in life, often with a sense of unworthiness that does not match their accomplishments or life experiences.
Hi! I'm Abbey Laney - I support struggling, overwhelmed people to feel grounded, self-assured, and secure a meaningful sense of direction in their lives. I often work with people who have a history of trauma and are struggling with overwhelm and burnout, unwanted life patterns they can’t seem to break out of, chronic stress and anxiety that keeps them from living a life they desire, and those struggling just to get through the day. I also commonly work with those feeling lost and unsure of themselves or where they’re going in life, often with a sense of unworthiness that does not match their accomplishments or life experiences.
(503) 852-5749 View (503) 852-5749
Photo of Sharon L Bonn, Clinical Social Work/Therapist, LCSW
Sharon L Bonn
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
I offer support and provide guidance to aid you in breaking down the barriers that often accompany anxiety, depression and life stage adjustments. I have a particular affinity for assisting those with grief and loss related to a loved one, career, relationship, or physical capacity and feel honored to join you on your journey back to where hope lives.
I offer support and provide guidance to aid you in breaking down the barriers that often accompany anxiety, depression and life stage adjustments. I have a particular affinity for assisting those with grief and loss related to a loved one, career, relationship, or physical capacity and feel honored to join you on your journey back to where hope lives.
(503) 447-8615 View (503) 447-8615
Photo of Angela Lynn Listy, Counselor, LMHC, LPC
Angela Lynn Listy
Counselor, LMHC, LPC
Online Only
As a dedicated Internal Family Systems (IFS) therapist, I specialize in helping clients connect with and heal the different parts of themselves that may be carrying pain, protection, or burdens from past experiences. IFS provides a compassionate and non-pathologizing approach to understanding the complexities of the mind, and it offers a powerful framework for personal transformation. I am passionate about guiding my clients toward a greater sense of self-awareness, emotional balance, and inner harmony. In my work, I help clients identify their "parts"—whether those parts are wounded, protective, or reactive.
As a dedicated Internal Family Systems (IFS) therapist, I specialize in helping clients connect with and heal the different parts of themselves that may be carrying pain, protection, or burdens from past experiences. IFS provides a compassionate and non-pathologizing approach to understanding the complexities of the mind, and it offers a powerful framework for personal transformation. I am passionate about guiding my clients toward a greater sense of self-awareness, emotional balance, and inner harmony. In my work, I help clients identify their "parts"—whether those parts are wounded, protective, or reactive.
(503) 966-3798 View (503) 966-3798
Photo of Angela Listy, Mental Health Counselor, LMHC
Angela Listy
Mental Health Counselor, LMHC
Online Only
Angela Listy, a Licensed Therapist in OR & WA, specializes in Internal Family Systems (IFS), Humanistic, and Client-Centered approaches. In my work with clients, I use IFS to help them identify and understand their various parts, allowing these parts to collaborate and form a cohesive, integrated self. My approach supports clients in moving beyond patterns like Relationship OCD, guiding them to cultivate self-compassion and balance. Together, we work toward an empowered, unified self that can engage authentically with the world. "True healing comes when all parts work together, transforming from fragmentation into wholeness."
Angela Listy, a Licensed Therapist in OR & WA, specializes in Internal Family Systems (IFS), Humanistic, and Client-Centered approaches. In my work with clients, I use IFS to help them identify and understand their various parts, allowing these parts to collaborate and form a cohesive, integrated self. My approach supports clients in moving beyond patterns like Relationship OCD, guiding them to cultivate self-compassion and balance. Together, we work toward an empowered, unified self that can engage authentically with the world. "True healing comes when all parts work together, transforming from fragmentation into wholeness."
(503) 676-5516 View (503) 676-5516
Photo of Ian J Kepler, Clinical Social Work/Therapist, LCSW, MSW
Ian J Kepler
Clinical Social Work/Therapist, LCSW, MSW
1 Endorsed
Online Only
So you make this decision, something needs to change, and you begin scrolling through a list of strangers who say they can help. For most people this process feels alienating. What i have seen is that most people who are looking for therapy are looking for help finding out what the problem is in the first place. It's what we don't know that hurts, and it is in trying to understand ourselves that we find new ways of living. I am a highly relational therapist which means, I take a lot of time getting to know my clients using everything I have learned from a lifetime of trying to understand why we suffer and what we can do about it.
So you make this decision, something needs to change, and you begin scrolling through a list of strangers who say they can help. For most people this process feels alienating. What i have seen is that most people who are looking for therapy are looking for help finding out what the problem is in the first place. It's what we don't know that hurts, and it is in trying to understand ourselves that we find new ways of living. I am a highly relational therapist which means, I take a lot of time getting to know my clients using everything I have learned from a lifetime of trying to understand why we suffer and what we can do about it.
(971) 265-6364 View (971) 265-6364
Photo of Carie Arps, Licensed Professional Counselor, MS, NCC, LMT
Carie Arps
Licensed Professional Counselor, MS, NCC, LMT
1 Endorsed
Serves Area
Relational -Psychodynamic -Somatic Therapy for Individuals and Couples Restoring internal and relational balance for deeper intimacy and increasing the potential for stable and secure relationships. We are born into relationships and throughout life we are embedded in environments that shape who we become, this means we develop ourselves in relation to others. Often patterns of relating cause us to turn away from people that are important to us, creating conflict, unfulfilled experience, and negative feelings. Because behavior is learned, change is possible.
Relational -Psychodynamic -Somatic Therapy for Individuals and Couples Restoring internal and relational balance for deeper intimacy and increasing the potential for stable and secure relationships. We are born into relationships and throughout life we are embedded in environments that shape who we become, this means we develop ourselves in relation to others. Often patterns of relating cause us to turn away from people that are important to us, creating conflict, unfulfilled experience, and negative feelings. Because behavior is learned, change is possible.
(971) 256-8032 View (971) 256-8032
Photo of Zoë Zuschlag, Clinical Social Work/Therapist, LCSW
Zoë Zuschlag
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Waitlist for new clients
I believe that we each already hold the inner wisdom we need to heal ourselves. My role as therapist is to honor that wise voice and work collaboratively with you to create a space for the voice to grow. In my experience, this wisdom is rooted in the body and by working holistically with mind and body we are able to cultivate the connection to our truest, and most at ease, selves. My approach is relational at its core. By building a strong, authentic relationship, we work together to recognize what makes relationships feel hard and what new things we might try to ease them.
I believe that we each already hold the inner wisdom we need to heal ourselves. My role as therapist is to honor that wise voice and work collaboratively with you to create a space for the voice to grow. In my experience, this wisdom is rooted in the body and by working holistically with mind and body we are able to cultivate the connection to our truest, and most at ease, selves. My approach is relational at its core. By building a strong, authentic relationship, we work together to recognize what makes relationships feel hard and what new things we might try to ease them.
View
Photo of Tessa Zasta - Fernweh Forest, Licensed Professional Counselor, MS, EdS, LPC, NCC, CCAT
Fernweh Forest
Licensed Professional Counselor, MS, EdS, LPC, NCC, CCAT
Serves Area
Fernweh Forest provides therapeutic services to individuals, 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 through challenge and exploring emotions.
Fernweh Forest provides therapeutic services to individuals, 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 through challenge and exploring emotions.
(971) 299-7508 View (971) 299-7508
Photo of Cynthia D Vogel, Clinical Social Work/Therapist, LCSW, LICSW
Cynthia D Vogel
Clinical Social Work/Therapist, LCSW, LICSW
Online Only
Waitlist for new clients
Thank you for being here. I appreciate the vulnerability it takes to seek therapeutic care, and I value the trust placed in me. I'm committed to justice and healing, both personally and collectively, valuing anti-racism and mutual aid in my work. I create a warm, safe setting to help you to integrate grief, trauma, altered states, and the esoteric in your life; working towards peace, healing and joy- even in the storm. One of my strengths is in recognizing therapy and healing don't happen in isolation -society and structural (in)equity impacts most everything we do.
Thank you for being here. I appreciate the vulnerability it takes to seek therapeutic care, and I value the trust placed in me. I'm committed to justice and healing, both personally and collectively, valuing anti-racism and mutual aid in my work. I create a warm, safe setting to help you to integrate grief, trauma, altered states, and the esoteric in your life; working towards peace, healing and joy- even in the storm. One of my strengths is in recognizing therapy and healing don't happen in isolation -society and structural (in)equity impacts most everything we do.
(503) 743-6652 View (503) 743-6652
Photo of Troy R. Mitchell, Clinical Social Work/Therapist, LCSW
Troy R. Mitchell
Clinical Social Work/Therapist, LCSW
Serves Area
Many of the people I work with didn’t plan on therapy. They’re skeptical, burned out on systems, or have tried it before without results. I’m a seasoned therapist focused on real change — no judgment, no fluff. Life feels overwhelming for many right now, and carrying it alone takes a heavy toll. Therapy can help you find practical, workable solutions. My approach is private, solution-focused, and completely confidential. You bring your lived experience; I bring years of clinical expertise with people facing similar challenges. Call or email to schedule. Let’s get you waking up with more peace — and maybe even a smile.
Many of the people I work with didn’t plan on therapy. They’re skeptical, burned out on systems, or have tried it before without results. I’m a seasoned therapist focused on real change — no judgment, no fluff. Life feels overwhelming for many right now, and carrying it alone takes a heavy toll. Therapy can help you find practical, workable solutions. My approach is private, solution-focused, and completely confidential. You bring your lived experience; I bring years of clinical expertise with people facing similar challenges. Call or email to schedule. Let’s get you waking up with more peace — and maybe even a smile.
(503) 386-9299 View (503) 386-9299
Photo of Chloe L Ackerman, Psychologist, PsyD
Chloe L Ackerman
Psychologist, PsyD
Serves Area
Not accepting new clients
When we try to achieve perfect happiness, we inevitably fail, and then we think there must be something wrong with us. Many times, we try to escape, distract from, or numb out our hard feelings, but that never works for very long. Wellness is not about being happy all the time or never feeling pain again. Wellness is about learning to get better at feeling, period. That feeling may be happiness or sadness, contentment or grief, anger or joy. In working with me, you’ll learn how to cope with hard emotions while also finding ways to do things that bring meaning to your life, regardless of how you feel.
When we try to achieve perfect happiness, we inevitably fail, and then we think there must be something wrong with us. Many times, we try to escape, distract from, or numb out our hard feelings, but that never works for very long. Wellness is not about being happy all the time or never feeling pain again. Wellness is about learning to get better at feeling, period. That feeling may be happiness or sadness, contentment or grief, anger or joy. In working with me, you’ll learn how to cope with hard emotions while also finding ways to do things that bring meaning to your life, regardless of how you feel.
(503) 714-7610 View (503) 714-7610
Photo of Kayla C. Hart, Clinical Social Work/Therapist, MSW, LCSW, LICSW, CCTP-II
Kayla C. Hart
Clinical Social Work/Therapist, MSW, LCSW, LICSW, CCTP-II
Serves Area
Waitlist for new clients
No one is born with an owner’s manual to happiness. It can be a long road of trial and error we all have to figure out through life. Traumatic experiences can act as roadblocks, affecting our ability to thrive. Sometimes we need help through this process. My job as a Certified Clinical Trauma Professional is to work as a guide to help clients gain insight into their thoughts and behaviors. Together, we process these experiences through transparent discussion and bodily movement, to explore different avenues of healing.
No one is born with an owner’s manual to happiness. It can be a long road of trial and error we all have to figure out through life. Traumatic experiences can act as roadblocks, affecting our ability to thrive. Sometimes we need help through this process. My job as a Certified Clinical Trauma Professional is to work as a guide to help clients gain insight into their thoughts and behaviors. Together, we process these experiences through transparent discussion and bodily movement, to explore different avenues of healing.
View
Photo of Lisa T Iverson, Counselor, MA, LMHC
Lisa T Iverson
Counselor, MA, LMHC
Serves Area
I am genuinely interested in guiding my clients to cultivate a greater degree of resilience to life's inevitable challenges. I teach my clients to utilize mindfulness practices to calibrate their moods, alter their attitudes, develop greater mental flexibility, develop acceptance, and improve overall happiness and well being. This approach works as a positive foundation for most issues that bring clients to my counseling office: counteracting depression and anxiety, accepting grief and loss, parenting challenges, improving significant relationships, addressing post-partum problems, and dealing with the challenges of life in general.
I am genuinely interested in guiding my clients to cultivate a greater degree of resilience to life's inevitable challenges. I teach my clients to utilize mindfulness practices to calibrate their moods, alter their attitudes, develop greater mental flexibility, develop acceptance, and improve overall happiness and well being. This approach works as a positive foundation for most issues that bring clients to my counseling office: counteracting depression and anxiety, accepting grief and loss, parenting challenges, improving significant relationships, addressing post-partum problems, and dealing with the challenges of life in general.
(503) 713-6904 View (503) 713-6904
Photo of Sydoney Blackmore, Clinical Social Work Associate, CSWA, MPH, BFA
Sydoney Blackmore
Clinical Social Work Associate, CSWA, MPH, BFA
Saint Helens, OR 97051
Waitlist for new clients
View

More Therapists Nearby

Photo of Kevin Menasco, Clinical Social Work/Therapist, LCSW
Kevin Menasco
Clinical Social Work/Therapist, LCSW
3 Endorsed
Portland, OR 97202
I specialize in Cognitive Behavioral Therapy (CBT), an evidence based treatment designed to work with individuals and families affected by all specialties and issues listed on my page. Treating challenges like anxiety, depression and OCD, requires a collaborative and supportive process tailored to each individual. With the right treatment it is possible to see significant changes in symptoms so you can spend more time pursing what is most important to you. I offer telehealth based appointments within the states of Oregon, Vermont, and New Hampshire and offer in-person appointments within the Portland, OR area.
I specialize in Cognitive Behavioral Therapy (CBT), an evidence based treatment designed to work with individuals and families affected by all specialties and issues listed on my page. Treating challenges like anxiety, depression and OCD, requires a collaborative and supportive process tailored to each individual. With the right treatment it is possible to see significant changes in symptoms so you can spend more time pursing what is most important to you. I offer telehealth based appointments within the states of Oregon, Vermont, and New Hampshire and offer in-person appointments within the Portland, OR area.
View
Photo of Abby Ernst, Licensed Professional Counselor, LPC, LMHC
Abby Ernst
Licensed Professional Counselor, LPC, LMHC
Online Only
I work with individuals 16 and older in Oregon and Washington with eating disorders including Anorexia, Bulimia, ARFID, Orthorexia, and Binge Eating Disorder. I also love to work with people with other forms of disordered eating and chronic dieting, anxiety, OCD, body image distress, life transitions, and adulting. I am here to help you weather the storm of your eating disorder, anxiety, body image distress, and/or whatever else you bring to the room. Through my own eating disorder recovery, and helping many clients find theirs, I have learned that no recovery journey is the same.
I work with individuals 16 and older in Oregon and Washington with eating disorders including Anorexia, Bulimia, ARFID, Orthorexia, and Binge Eating Disorder. I also love to work with people with other forms of disordered eating and chronic dieting, anxiety, OCD, body image distress, life transitions, and adulting. I am here to help you weather the storm of your eating disorder, anxiety, body image distress, and/or whatever else you bring to the room. Through my own eating disorder recovery, and helping many clients find theirs, I have learned that no recovery journey is the same.
(971) 443-1325 View (971) 443-1325
Photo of Michelle Turner, Clinical Social Work/Therapist, MSW, LCSW
Michelle Turner
Clinical Social Work/Therapist, MSW, LCSW
Hillsboro, OR 97124
Michelle holds a master's degree in social work and is also a Certified Alcohol/ Drug Counselor, level III. She has advanced courses in human development, group dynamics, marriage counseling theories, research methodology, professional orientation and ethics, social and cultural foundations, career counseling, cognitive behavioral therapy, solution focused therapy, counseling and interviewing skills and clinical assessment. Michelle has a diverse experience providing mental health services through both direct clinical care, program management and clinical supervision and training.
Michelle holds a master's degree in social work and is also a Certified Alcohol/ Drug Counselor, level III. She has advanced courses in human development, group dynamics, marriage counseling theories, research methodology, professional orientation and ethics, social and cultural foundations, career counseling, cognitive behavioral therapy, solution focused therapy, counseling and interviewing skills and clinical assessment. Michelle has a diverse experience providing mental health services through both direct clinical care, program management and clinical supervision and training.
(971) 316-4776 View (971) 316-4776
Photo of Melinda Conrad, Professional Counselor Associate, MA
Melinda Conrad
Professional Counselor Associate, MA
Portland, OR 97213
You may be feeling overwhelmed, emotionally stuck, or uncertain about what comes next. Maybe you are navigating a major life transition, grief, relationship changes, or a deeper questioning of who you are and what you want. Even when you’re thoughtful and self-aware, clarity can feel completely out of reach during times like these.
You may be feeling overwhelmed, emotionally stuck, or uncertain about what comes next. Maybe you are navigating a major life transition, grief, relationship changes, or a deeper questioning of who you are and what you want. Even when you’re thoughtful and self-aware, clarity can feel completely out of reach during times like these.
(503) 714-7562 View (503) 714-7562

See more therapy options for Saint Helens

How does your Therapist compare?

Number of Therapists in Saint Helens, OR

10+

Average cost per session

$165

Therapists in Saint Helens, OR who prioritize treating:

88% Depression
75% Anxiety
75% Trauma and PTSD
75% Life Transitions
75% Social Anxiety
75% Complex PTSD
75% Health Anxiety

Average years in practice

11 Years

Top 3 insurances accepted

69% BlueCross and BlueShield
69% Providence
62% Aetna

How Therapists in Saint Helens, OR see their clients

50% In Person and Online
50% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Helens?

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.