Therapists in West Palm Beach, FL

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Photo of Douglas Gorman, Counselor in West Palm Beach, FL
Douglas Gorman
Counselor, LMHC
Verified Verified
West Palm Beach, FL 33406  (Online Only)
Douglas Gorman has been a Licensed Mental Health Counselor (LMHC) since 2015 and has been in the helping profession for over 10 years. Douglas likes to work with individuals above the age of 15 and couples of all ages. He prefers a client that is willing to try and be honest with themselves about their needs and behaviors. Douglas has extensive experience in trauma, crisis, anxiety, depression, parenting, and general life challenges.
Douglas Gorman has been a Licensed Mental Health Counselor (LMHC) since 2015 and has been in the helping profession for over 10 years. Douglas likes to work with individuals above the age of 15 and couples of all ages. He prefers a client that is willing to try and be honest with themselves about their needs and behaviors. Douglas has extensive experience in trauma, crisis, anxiety, depression, parenting, and general life challenges.
(561) 782-3365 View (561) 782-3365
Photo of Susan J Christiansen, Marriage & Family Therapist in West Palm Beach, FL
Susan J Christiansen
Marriage & Family Therapist, PhD, LMFT, AAMFT, NAPW, Stanfo
Verified Verified
West Palm Beach, FL 33401
If you're in a problem relationship, experiencing infidelity, possible divorce, life transitions, difficulty in the workplace, too little time, worried about money, or your family's making you crazy - I can help. Moving from problem talk to solution talk is my focus. I enjoy working together discussing your concerns as you move toward fulfilling relationships, an overall better existence, and peace with yourself. We all want to feel happy and hopeful. However, sometimes life gets in the way and we're unsure of our next step. It's important to know that it's OK to ask for help.
If you're in a problem relationship, experiencing infidelity, possible divorce, life transitions, difficulty in the workplace, too little time, worried about money, or your family's making you crazy - I can help. Moving from problem talk to solution talk is my focus. I enjoy working together discussing your concerns as you move toward fulfilling relationships, an overall better existence, and peace with yourself. We all want to feel happy and hopeful. However, sometimes life gets in the way and we're unsure of our next step. It's important to know that it's OK to ask for help.
(561) 693-1204 View (561) 693-1204
Photo of Authentic Self Psychotherapeutic Services, Psychologist in West Palm Beach, FL
Authentic Self Psychotherapeutic Services
Psychologist, PsyD, LMHC
Verified Verified
2 Endorsed
West Palm Beach, FL 33401
I believe that each individual is unique, and shaped by their life experiences. Problems and difficulties develop when we begin to live in a way that is not in accordance with our "true self". My main goal as a therapist is to help patients explore what path they need to take in order to be authentic to who they are. The ultimate goal for each person is to live a happier, healthier, and more fulfilling life.
I believe that each individual is unique, and shaped by their life experiences. Problems and difficulties develop when we begin to live in a way that is not in accordance with our "true self". My main goal as a therapist is to help patients explore what path they need to take in order to be authentic to who they are. The ultimate goal for each person is to live a happier, healthier, and more fulfilling life.
(561) 220-2529 View (561) 220-2529
Photo of My Life Counseling Services, Counselor in West Palm Beach, FL
My Life Counseling Services
Counselor, LMHC
Verified Verified
West Palm Beach, FL 33406
Keisha Crooks is a graduate from Nova Southeastern University with a Masters degree in Mental Health Counseling. With 7 years of experience as a Licensed Mental Health Counselor in the state of Florida, Keisha has worked with a wide range of clients; both at inpatient and outpatient settings. Her focus is working with individuals to create a healthier, happier life by exploring childhood and current patterns, as past experiences shape our current lives and contribute to our overall mental health.
Keisha Crooks is a graduate from Nova Southeastern University with a Masters degree in Mental Health Counseling. With 7 years of experience as a Licensed Mental Health Counselor in the state of Florida, Keisha has worked with a wide range of clients; both at inpatient and outpatient settings. Her focus is working with individuals to create a healthier, happier life by exploring childhood and current patterns, as past experiences shape our current lives and contribute to our overall mental health.
(561) 462-5402 View (561) 462-5402
Photo of Dagmar E. Nunez, Psychologist in West Palm Beach, FL
Dagmar E. Nunez
Psychologist, Psy D
Verified Verified
West Palm Beach, FL 33411
Dr. Dagmar E. Nuñez bilingual Licensed Clinical Psychologist. I provide psychological and neuropsychological evaluations for ADHD, memory/dementia, Immigration, school/college accommodations.
Dr. Dagmar E. Nuñez bilingual Licensed Clinical Psychologist. I provide psychological and neuropsychological evaluations for ADHD, memory/dementia, Immigration, school/college accommodations.
(954) 758-9862 View (954) 758-9862
Photo of Jennifer Mejias (Bilingual), Marriage & Family Therapist in West Palm Beach, FL
Jennifer Mejias (Bilingual)
Marriage & Family Therapist, LMFT, RPT
Verified Verified
8 Endorsed
West Palm Beach, FL 33417  (Online Only)
I'm available now for new clients. Treatment is about feeling better and gaining confidence to navigate life. I'm here to support you, leveraging your strengths and helping you develop new skills for an emotionally healthy life you can ENJOY. If trauma is part of your history, I'll guide you through healing safely. My approach considers your entire life context – culture, work, city, family, relationships – because it shapes who you are. Ready to embark on this journey towards well-being? Let's take the first step together and create a path for positive change.
I'm available now for new clients. Treatment is about feeling better and gaining confidence to navigate life. I'm here to support you, leveraging your strengths and helping you develop new skills for an emotionally healthy life you can ENJOY. If trauma is part of your history, I'll guide you through healing safely. My approach considers your entire life context – culture, work, city, family, relationships – because it shapes who you are. Ready to embark on this journey towards well-being? Let's take the first step together and create a path for positive change.
(561) 781-5683 View (561) 781-5683
Photo of Arturo (Arty) Morales, Marriage & Family Therapist Intern in West Palm Beach, FL
Arturo (Arty) Morales
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
West Palm Beach, FL 33401
Devoted as a Marriage & Family Therapist, my emphasis is nurturing relationships with compassion. Guiding couples, I enhance communication, deepen connections, and cultivate truly fulfilling relationships. Addressing intimacy, trust, and commitment, I actively collaborate, offering tailored strategies for positive transformation. In a supportive, non-judgmental space, I empower couples to navigate challenges, build a resilient foundation, and actively contribute to the growth of a loving and harmonious relationship.
Devoted as a Marriage & Family Therapist, my emphasis is nurturing relationships with compassion. Guiding couples, I enhance communication, deepen connections, and cultivate truly fulfilling relationships. Addressing intimacy, trust, and commitment, I actively collaborate, offering tailored strategies for positive transformation. In a supportive, non-judgmental space, I empower couples to navigate challenges, build a resilient foundation, and actively contribute to the growth of a loving and harmonious relationship.
(561) 559-6535 View (561) 559-6535
Photo of Elmer Higgins, Clinical Social Work/Therapist in West Palm Beach, FL
Elmer Higgins
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
West Palm Beach, FL 33415
Therapy with Elmer is empowering, client-centered, and inspirational. Elmer desires to meet each client at their level and work at the pace that fits their needs. Elmer offers a safe space with no judgment and compassion to help propel clients too desired goals and aspirations.
Therapy with Elmer is empowering, client-centered, and inspirational. Elmer desires to meet each client at their level and work at the pace that fits their needs. Elmer offers a safe space with no judgment and compassion to help propel clients too desired goals and aspirations.
(561) 556-6438 View (561) 556-6438
Photo of Rebecca Green, Clinical Social Work/Therapist in West Palm Beach, FL
Rebecca Green
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
West Palm Beach, FL 33409
Are you ready to be compassionately challenged? I am a trauma-informed therapist and I work really hard to see what life is like through your lenses. I have worked with clients struggling with mood disorders, acute and chronic trauma, family issues, identity issues, substance abuse, addiction, personality disorders and more. I am trained in Dialectical Behavioral Therapy, and incorporate a lot of these skills into the treatment experience. I want to help people who are struggling with the curve balls that life throws us. You're not in this alone, I promise.
Are you ready to be compassionately challenged? I am a trauma-informed therapist and I work really hard to see what life is like through your lenses. I have worked with clients struggling with mood disorders, acute and chronic trauma, family issues, identity issues, substance abuse, addiction, personality disorders and more. I am trained in Dialectical Behavioral Therapy, and incorporate a lot of these skills into the treatment experience. I want to help people who are struggling with the curve balls that life throws us. You're not in this alone, I promise.
(561) 770-9957 View (561) 770-9957
Photo of Yaneisy Guerra, Psychologist in West Palm Beach, FL
Yaneisy Guerra
Psychologist, Psyd
Verified Verified
West Palm Beach, FL 33406
Yaneisy has worked with all age groups in diverse settings. She provides individual therapy, group therapy, family sessions as well as conducts comprehensive psychological evaluations and developmental evaluations when diagnosing Learning Disabilities and Autism in both English and Spanish. Yaneisy received training in groups for adolescents with sexually reactive/offensive behaviors and provided in home therapy services for juvenile sex offenders and their families. She has experience working with individuals who experience difficulties including, ADHD, ODD, Anxiety, Depression and those who have difficulties coping with stress.
Yaneisy has worked with all age groups in diverse settings. She provides individual therapy, group therapy, family sessions as well as conducts comprehensive psychological evaluations and developmental evaluations when diagnosing Learning Disabilities and Autism in both English and Spanish. Yaneisy received training in groups for adolescents with sexually reactive/offensive behaviors and provided in home therapy services for juvenile sex offenders and their families. She has experience working with individuals who experience difficulties including, ADHD, ODD, Anxiety, Depression and those who have difficulties coping with stress.
(561) 568-9367 View (561) 568-9367
Photo of Marie Danie Cadet, Clinical Social Work/Therapist in West Palm Beach, FL
Marie Danie Cadet
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
West Palm Beach, FL 33413  (Online Only)
Have you been sluggish, avoiding friends, and struggling to complete simple tasks? Is your traumatic past impacting your relationships? Are you contemplating divorce? Struggling with any of the issues I mentioned can be painful and overwhelming. I have worked with clients with many concerns, including depression, anxiety, relationship issues, parenting problems, career challenges, marriage, and divorce. I have also helped many people who have experienced physical trauma or emotional abuse. Allow me the opportunity to help you discover the tools necessary to tackle these challenges.
Have you been sluggish, avoiding friends, and struggling to complete simple tasks? Is your traumatic past impacting your relationships? Are you contemplating divorce? Struggling with any of the issues I mentioned can be painful and overwhelming. I have worked with clients with many concerns, including depression, anxiety, relationship issues, parenting problems, career challenges, marriage, and divorce. I have also helped many people who have experienced physical trauma or emotional abuse. Allow me the opportunity to help you discover the tools necessary to tackle these challenges.
(678) 661-5876 View (678) 661-5876
Photo of Anquonette Irving, Licensed Mental Health Counselor in West Palm Beach, FL
Anquonette Irving
Licensed Mental Health Counselor, LMHC, MEd
Verified Verified
West Palm Beach, FL 33401  (Online Only)
Are you struggling with creating the life you desire? Is you're lack of discipline and consistency stopping you from attaining your goals? Do you know what you want out of life but feel stuck? or perhaps life have thrown you curve balls that makes you feel depressed, anxious, angry, hopeless or helpless.
Are you struggling with creating the life you desire? Is you're lack of discipline and consistency stopping you from attaining your goals? Do you know what you want out of life but feel stuck? or perhaps life have thrown you curve balls that makes you feel depressed, anxious, angry, hopeless or helpless.
(561) 861-3682 View (561) 861-3682
Photo of Beverly Gibel, Clinical Social Work/Therapist in West Palm Beach, FL
Beverly Gibel
Clinical Social Work/Therapist, LCSW, ACSW, BCD, PA
Verified Verified
West Palm Beach, FL 33409
I am an active therapist who provides warmth, understanding and practical feedback. I have treated the most difficult cases with success. I am devoted to the well-being, healing and growth of all people. My expertise spans a spectrum of mental health issues: anxiety, panic, and phobic states, depression/mood disorders, adjustment disorders, spiritual issues, and compulsive or addictive behaviors. Sought by therapists, doctors, lawyers, Working with children, adolescents and adults, I am well trained in family and couples treatment, especially during life transitions. I use a comprehensive, multifaceted approach which may include alternative approaches and consultation with other professionals.
I am an active therapist who provides warmth, understanding and practical feedback. I have treated the most difficult cases with success. I am devoted to the well-being, healing and growth of all people. My expertise spans a spectrum of mental health issues: anxiety, panic, and phobic states, depression/mood disorders, adjustment disorders, spiritual issues, and compulsive or addictive behaviors. Sought by therapists, doctors, lawyers, Working with children, adolescents and adults, I am well trained in family and couples treatment, especially during life transitions. I use a comprehensive, multifaceted approach which may include alternative approaches and consultation with other professionals.
(561) 515-5795 View (561) 515-5795
Photo of Anna Svetchnikov, Marriage & Family Therapist in West Palm Beach, FL
Anna Svetchnikov
Marriage & Family Therapist, MS, LMFT
Verified Verified
West Palm Beach, FL 33411  (Online Only)
Embarking on a journey of personal growth often involves navigating complex relationships and understanding deep-seated emotions. With a specialty in individual, couples, and family therapy, I offer a compassionate approach to help unravel the knots of past experiences and present challenges. Leveraging insights from years of experience, we will work collaboratively to carve a path toward healing and fulfilling relationships. Reach out and let's forge a journey of discovery and transformation together.
Embarking on a journey of personal growth often involves navigating complex relationships and understanding deep-seated emotions. With a specialty in individual, couples, and family therapy, I offer a compassionate approach to help unravel the knots of past experiences and present challenges. Leveraging insights from years of experience, we will work collaboratively to carve a path toward healing and fulfilling relationships. Reach out and let's forge a journey of discovery and transformation together.
(561) 658-4389 View (561) 658-4389
Photo of Kim Miner, Counselor in West Palm Beach, FL
Kim Miner
Counselor, LMHC
Verified Verified
West Palm Beach, FL 33407
I have a great deal of experience with clients experiencing anxiety, depression, relationship issues, and addiction. I enjoy working with clients who are motivated to change, learn, and develop new skills. Honesty helps the process tremendously! I enjoy working with them because I have so many tips and techniques that I have seen work, and that gives me a great deal of motivation and drive to help them!
I have a great deal of experience with clients experiencing anxiety, depression, relationship issues, and addiction. I enjoy working with clients who are motivated to change, learn, and develop new skills. Honesty helps the process tremendously! I enjoy working with them because I have so many tips and techniques that I have seen work, and that gives me a great deal of motivation and drive to help them!
(561) 782-8684 View (561) 782-8684
Photo of Holly Peirce, Registered Mental Health Counselor Intern in West Palm Beach, FL
Holly Peirce
Registered Mental Health Counselor Intern, MA, RMHCI
Verified Verified
West Palm Beach, FL 33410
Waitlist for new clients
Hi! My name is Holly Peirce and I have a Master’s degree in Mental Health Counseling. I have special interest in working with self esteem/self worth issues; grief; recovery from the effects of physical, sexual, and emotional trauma; and addiction issues.
Hi! My name is Holly Peirce and I have a Master’s degree in Mental Health Counseling. I have special interest in working with self esteem/self worth issues; grief; recovery from the effects of physical, sexual, and emotional trauma; and addiction issues.
(561) 783-4791 View (561) 783-4791
Photo of Rebecca Austin, Clinical Social Work/Therapist in West Palm Beach, FL
Rebecca Austin
Clinical Social Work/Therapist, LCSW
Verified Verified
West Palm Beach, FL 33407
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
(561) 517-9960 View (561) 517-9960
Photo of Sujata Uppal in West Palm Beach, FL
Sujata Uppal
MA, CC
Verified Verified
West Palm Beach, FL 33411  (Online Only)
Do you feel stuck, unable to achieve what you want even when you know you can? Does your inner critic make you feel inadequate or like an imposter so that you play small and support others rather than up-leveling your life? Do you want to break self-limiting or self-sabotaging patterns in your relationships or career to value yourself, set yourself up for success, and live your potential? If you’ve answered “yes” to any of these questions and have tried self-help and self-healing without creating the shift you want, we should talk. What might be holding you back are your early life experiences, social conditioning, or trauma.
Do you feel stuck, unable to achieve what you want even when you know you can? Does your inner critic make you feel inadequate or like an imposter so that you play small and support others rather than up-leveling your life? Do you want to break self-limiting or self-sabotaging patterns in your relationships or career to value yourself, set yourself up for success, and live your potential? If you’ve answered “yes” to any of these questions and have tried self-help and self-healing without creating the shift you want, we should talk. What might be holding you back are your early life experiences, social conditioning, or trauma.
(561) 816-4319 View (561) 816-4319
Photo of Deborah S Gellis, Clinical Social Work/Therapist in West Palm Beach, FL
Deborah S Gellis
Clinical Social Work/Therapist, LCSW-R
Verified Verified
West Palm Beach, FL 33406  (Online Only)
Announcement: I am licensed in: FL & NY -- My philosophy: EVERYONE IS CAPABLE OF CHANGE at any point in their lives! Therapy begins from the moment we speak together. Progress can be made in short-term, or longer-term solution-focused therapy. After we meet and I evaluate your presenting problem, I will tailor-make an intervention that will be the most beneficial for you, as we work together to make real progress in your life. Give yourself the gift of change and take this very important first step.
Announcement: I am licensed in: FL & NY -- My philosophy: EVERYONE IS CAPABLE OF CHANGE at any point in their lives! Therapy begins from the moment we speak together. Progress can be made in short-term, or longer-term solution-focused therapy. After we meet and I evaluate your presenting problem, I will tailor-make an intervention that will be the most beneficial for you, as we work together to make real progress in your life. Give yourself the gift of change and take this very important first step.
(917) 338-3015 View (917) 338-3015
Photo of Infinite Wellness & Recovery LLC, Counselor in West Palm Beach, FL
Infinite Wellness & Recovery LLC
Counselor, MA, LMHC, CTP, LCPC
Verified Verified
2 Endorsed
West Palm Beach, FL 33411
I graduated from South University in Florida with a Bachelor of Arts in Psychology and a Master of Arts in Clinical Mental Health Counseling. When working with individuals, couples, adolescents, and families, I use strategies from Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Motivational Enhancement Therapy. I have years of expertise treating serious mental health problems, trauma, and addictions. In order to help clients and families make the healthiest and most proactive decisions for their lives, I will support, empower and motivate you to seek and achieve the goals you wish to set for yourself.
I graduated from South University in Florida with a Bachelor of Arts in Psychology and a Master of Arts in Clinical Mental Health Counseling. When working with individuals, couples, adolescents, and families, I use strategies from Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Motivational Enhancement Therapy. I have years of expertise treating serious mental health problems, trauma, and addictions. In order to help clients and families make the healthiest and most proactive decisions for their lives, I will support, empower and motivate you to seek and achieve the goals you wish to set for yourself.
(561) 418-6391 View (561) 418-6391

See more therapy options for West Palm Beach

How does your Therapist compare?

Number of Therapists in West Palm Beach, FL

800+

Average cost per session

$150

Therapists in West Palm Beach, FL who prioritize treating:

92% Anxiety
86% Depression
77% Self Esteem
75% Relationship Issues
74% Coping Skills
69% Stress
68% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

83% Aetna
83% Cigna and Evernorth
78% UnitedHealthcare UHC | UBH

How Therapists in West Palm Beach, FL see their clients

60% In Person and Online
40% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Palm Beach?

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.