Therapists in Del Mar, CA

Photo of Accurate Assessments of San Diego, Psychologist in Del Mar, CA
Accurate Assessments of San Diego
Psychologist, PhD
Verified Verified
Del Mar, CA 92014
We offer expert Psychological and Substance Abuse Assessments to people aged 17 and older. We know that you are a unique individual and we evaluate your problems in the context of your individuality and life circumstances. When you work with us, you will be treated in a manner that reflects your individuality. You will receive: a high quality evaluation administered by a psychologist, a holistic picture of your problems, comprehensive answers to your questions, recommendations for the next steps, and direct referrals so you can follow up with other treatment providers as needed.
We offer expert Psychological and Substance Abuse Assessments to people aged 17 and older. We know that you are a unique individual and we evaluate your problems in the context of your individuality and life circumstances. When you work with us, you will be treated in a manner that reflects your individuality. You will receive: a high quality evaluation administered by a psychologist, a holistic picture of your problems, comprehensive answers to your questions, recommendations for the next steps, and direct referrals so you can follow up with other treatment providers as needed.
(858) 461-6815 View (858) 461-6815
Photo of Heidi Samuelian, Marriage & Family Therapist in Del Mar, CA
Heidi Samuelian
Marriage & Family Therapist, MS, LMFT
Verified Verified
Del Mar, CA 92014
You may feel stuck, anxious, depressed, or hopeless. However, just the courage to take the first step in knowing you want to experience your life differently takes strength. I work with my clients to expand that strength in a safe environment. When struggling with a family or friend relationship, or when experiencing increased stress from some changing circumstances in life, often unhealed issues start to surface. Now we really need support. These times are actually the ones where the most healing can occur.
You may feel stuck, anxious, depressed, or hopeless. However, just the courage to take the first step in knowing you want to experience your life differently takes strength. I work with my clients to expand that strength in a safe environment. When struggling with a family or friend relationship, or when experiencing increased stress from some changing circumstances in life, often unhealed issues start to surface. Now we really need support. These times are actually the ones where the most healing can occur.
(619) 486-3128 View (619) 486-3128
Photo of Kristine Jackson, Clinical Social Work/Therapist in Del Mar, CA
Kristine Jackson
Clinical Social Work/Therapist, LCSW, CETI, CEDS
Verified Verified
Del Mar, CA 92014
I remember going to my first therapist, and thinking “I have to go back to places I’ve already survived?” You do not have to go backwards, though sometimes we have to feel to heal. With over 30 years of experience, I compassionately help guide you experientially, so you can access somatic and emotional wisdom.
I remember going to my first therapist, and thinking “I have to go back to places I’ve already survived?” You do not have to go backwards, though sometimes we have to feel to heal. With over 30 years of experience, I compassionately help guide you experientially, so you can access somatic and emotional wisdom.
(858) 683-0857 View (858) 683-0857
Photo of Connected-Seen & Heard, Marriage & Family Therapist in Del Mar, CA
Connected-Seen & Heard
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Del Mar, CA 92014
Connected is a unique space that honors the human need to belong. We are passionate about changing the way we treat ourselves and others, the way we operate in our daily lives, and the way we create a bonded and supportive community. Here at Connected we are all about providing you a space to feel seen and heard.
Connected is a unique space that honors the human need to belong. We are passionate about changing the way we treat ourselves and others, the way we operate in our daily lives, and the way we create a bonded and supportive community. Here at Connected we are all about providing you a space to feel seen and heard.
(858) 358-7651 View (858) 358-7651
Photo of Brenda Beach Gomez, Psychologist in Del Mar, CA
Brenda Beach Gomez
Psychologist, PsyD
Verified Verified
1 Endorsed
Del Mar, CA 92014  (Online Only)
I enjoy working with adult populations within a spectrum of life's difficulties, including: anxiety, depression, chronic pain, chronic stress, family dysfunction issues, childhood trauma, self-esteem, and improving confidence or performance. We start with a thorough assessment and build a treatment plan that addresses primary and underlying concerns where you experience "stuckness" and move toward greater joy. I am currently looking for participants for process grief group, adults from dysfunctional families, and chronic pain groups. Please email for more information.
I enjoy working with adult populations within a spectrum of life's difficulties, including: anxiety, depression, chronic pain, chronic stress, family dysfunction issues, childhood trauma, self-esteem, and improving confidence or performance. We start with a thorough assessment and build a treatment plan that addresses primary and underlying concerns where you experience "stuckness" and move toward greater joy. I am currently looking for participants for process grief group, adults from dysfunctional families, and chronic pain groups. Please email for more information.
(619) 432-4955 View (619) 432-4955
Photo of Help Therapy, Psychologist in Del Mar, CA
Help Therapy
Psychologist, PsyD
Verified Verified
1 Endorsed
Del Mar, CA 92014
Since 1993, Help Therapy has been delivering top-tier mental health services. We offer both in-person and teletherapy options, supported by a team of over 150 licensed Psychologists, LCSW"s, LMFT's and Nurse Practitioner's. We'll match you with a provider who meets your specific needs. Serving adults, seniors, families, couples, and youth (ages 7 and up) across California, and accepting most insurances, we provide a range of services, including psychotherapy and psychological evaluations.
Since 1993, Help Therapy has been delivering top-tier mental health services. We offer both in-person and teletherapy options, supported by a team of over 150 licensed Psychologists, LCSW"s, LMFT's and Nurse Practitioner's. We'll match you with a provider who meets your specific needs. Serving adults, seniors, families, couples, and youth (ages 7 and up) across California, and accepting most insurances, we provide a range of services, including psychotherapy and psychological evaluations.
(858) 326-9672 View (858) 326-9672
Photo of M'lissa Trent, Psychologist in Del Mar, CA
M'lissa Trent
Psychologist, M'Lissa Trent, PhD
Verified Verified
1 Endorsed
Del Mar, CA 92014
Therapy is a wonderful collaborative relationship that can help you to identify and clarify internal conflicts and struggles, help access and find solutions to current challenging situations and lead you to a more positive state of mind and sense of well being. My passion is to work with individuals and couples through life transitions, relationship issues and to help you create your best life that is aligned with your truest self. I also work with past and current life traumas and losses and am a certified EMDR therapist.
Therapy is a wonderful collaborative relationship that can help you to identify and clarify internal conflicts and struggles, help access and find solutions to current challenging situations and lead you to a more positive state of mind and sense of well being. My passion is to work with individuals and couples through life transitions, relationship issues and to help you create your best life that is aligned with your truest self. I also work with past and current life traumas and losses and am a certified EMDR therapist.
(858) 252-1578 View (858) 252-1578
Photo of Sean Hogan, Psychologist in Del Mar, CA
Sean Hogan
Psychologist, PhD
Verified Verified
Del Mar, CA 92014
If you or a loved one needs help, insight, or support, my office provides a comfortable and confidential place for us to explore the issues or problems. I've been helping teens and adults with a variety of issues for almost 30 years, with particular experience with anxiety, depression, relationships, personality testing, career testing, substance abuse, and disordered eating. I am currently taking new patients and would be happy to help you or the person you are concerned about assess & work through the issues. Please don't hesitate to call or email.
If you or a loved one needs help, insight, or support, my office provides a comfortable and confidential place for us to explore the issues or problems. I've been helping teens and adults with a variety of issues for almost 30 years, with particular experience with anxiety, depression, relationships, personality testing, career testing, substance abuse, and disordered eating. I am currently taking new patients and would be happy to help you or the person you are concerned about assess & work through the issues. Please don't hesitate to call or email.
(858) 376-7976 View (858) 376-7976
Photo of Hanalei Vierra, Marriage & Family Therapist in Del Mar, CA
Hanalei Vierra
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Del Mar, CA 92014
Are you A GUY who feels confused and clueless about how to create a deeper emotional connection with your intimate partner? Perhaps just as important, is it possible for you to do that in a way that would not sacrifice your sense of masculinity?!? Not only is it possible for you to learn how to speak the Truth of how you feel in a way that will feel masculine, but it will also become a source of personal strength that will help you build a more mature and honest relationship with yourself and with the person you love. I have specialized in working with adult men for 35 years.
Are you A GUY who feels confused and clueless about how to create a deeper emotional connection with your intimate partner? Perhaps just as important, is it possible for you to do that in a way that would not sacrifice your sense of masculinity?!? Not only is it possible for you to learn how to speak the Truth of how you feel in a way that will feel masculine, but it will also become a source of personal strength that will help you build a more mature and honest relationship with yourself and with the person you love. I have specialized in working with adult men for 35 years.
(858) 252-0052 View (858) 252-0052
Photo of Tanya Dantus, Marriage & Family Therapist in Del Mar, CA
Tanya Dantus
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Del Mar, CA 92014
Hello, my name is Tanya. I am a Licensed Marriage & Family Therapist and I'm passionate about helping ambitious, highly sensitive women learn how to stop saying "yes" when they mean "no", set boundaries in a loving, aligned way, claim their true desires, voice, self-expression, and step into their own leadership. My practice focuses on supporting women like you through struggles with saying "no" in certain situations, feeling like there are "ghosts from the past" cluttering your mind & life, anxiety, trouble living out your dreams & making decisions and choices that align with your values, i.e. living your truth.
Hello, my name is Tanya. I am a Licensed Marriage & Family Therapist and I'm passionate about helping ambitious, highly sensitive women learn how to stop saying "yes" when they mean "no", set boundaries in a loving, aligned way, claim their true desires, voice, self-expression, and step into their own leadership. My practice focuses on supporting women like you through struggles with saying "no" in certain situations, feeling like there are "ghosts from the past" cluttering your mind & life, anxiety, trouble living out your dreams & making decisions and choices that align with your values, i.e. living your truth.
(858) 376-5912 View (858) 376-5912
Photo of Dr. John Caffaro, Marriage & Family Therapist in Del Mar, CA
Dr. John Caffaro
Marriage & Family Therapist, PhD
Verified Verified
Del Mar, CA 92014
Waitlist for new clients
My practice is focused on treating adult survivors of childhood interpersonal trauma. I have published numerous peer reviewed papers, authored two seminal books (Caffaro, 1998; 2014) on Sibling Abuse Trauma, trained professionals nationally and internationally, and serve as Advisory Board Member on the Sibling Aggression and Abuse Research and Advocacy Initiative (SAARA) embedded at the University of New Hampshire. I am a licensed psychologist and marriage and family therapist with more than 25 years of clinical experience treating depression, anxiety, and post traumatic stress in adult survivors of interpersonal trauma.
My practice is focused on treating adult survivors of childhood interpersonal trauma. I have published numerous peer reviewed papers, authored two seminal books (Caffaro, 1998; 2014) on Sibling Abuse Trauma, trained professionals nationally and internationally, and serve as Advisory Board Member on the Sibling Aggression and Abuse Research and Advocacy Initiative (SAARA) embedded at the University of New Hampshire. I am a licensed psychologist and marriage and family therapist with more than 25 years of clinical experience treating depression, anxiety, and post traumatic stress in adult survivors of interpersonal trauma.
(858) 264-3014 View (858) 264-3014
Photo of Oded R. Shezifi, Psychologist in Del Mar, CA
Oded R. Shezifi
Psychologist, PsyD, RPT-S
Verified Verified
9 Endorsed
Del Mar, CA 92014
Waitlist for new clients
Are you going through difficult and stressful times? Do you want to improve your ability to regulate your emotions? I am a licensed psychologist, a registered play therapist-supervisor, a trauma-informed therapist, and a certified mindfulness teacher. The therapy I offer is psychodynamic, aimed at enhancing your coping skills by helping you regulate your emotions and thoughts. Our goal will be to reduce reactivity to life's stressors and foster mindfulness and insight.
Are you going through difficult and stressful times? Do you want to improve your ability to regulate your emotions? I am a licensed psychologist, a registered play therapist-supervisor, a trauma-informed therapist, and a certified mindfulness teacher. The therapy I offer is psychodynamic, aimed at enhancing your coping skills by helping you regulate your emotions and thoughts. Our goal will be to reduce reactivity to life's stressors and foster mindfulness and insight.
(858) 260-3583 View (858) 260-3583
Photo of Katie Olson, Psychologist in Del Mar, CA
Katie Olson
Psychologist, PsyD
Verified Verified
Del Mar, CA 92014
Not accepting new clients
I work with adults and teens. Clients come to me when they are looking to improve their overall sense of well-being -- body, mind and spirit. My treatment approach is non-traditional, and I work with people struggling to feel at home in their bodies and their lives. I help with chronic pain, anxiety, depression, infertility, Lyme Disease, pregnancy/postpartum issues, addictive behaviors, issues specific to Highly Sensitive People (HSPs), the effects of trauma, and people who just feel 'lost' and want to revamp their lives. If you've been told over and over that you are 'too sensitive' or 'too much', you are welcome here.
I work with adults and teens. Clients come to me when they are looking to improve their overall sense of well-being -- body, mind and spirit. My treatment approach is non-traditional, and I work with people struggling to feel at home in their bodies and their lives. I help with chronic pain, anxiety, depression, infertility, Lyme Disease, pregnancy/postpartum issues, addictive behaviors, issues specific to Highly Sensitive People (HSPs), the effects of trauma, and people who just feel 'lost' and want to revamp their lives. If you've been told over and over that you are 'too sensitive' or 'too much', you are welcome here.
(858) 264-2717 View (858) 264-2717
Photo of Dr. Sophia Chang-Caffaro, Psychologist in Del Mar, CA
Dr. Sophia Chang-Caffaro
Psychologist, PsyD, CGP
Verified Verified
Del Mar, CA 92014
It hurts every day- despite you doing the best you can to distract yourself, the minute you stop pre-occupying yourself with distractions, you connect immediately with that emotional pain inside and the emptiness and alienation. The emotional pain comes from disconnection. You don’t feel your partner is responsive and present with you. You don’t feel wanted and needed or important. When you try to address this, it doesn't go anywhere, or you end up having a fight, which makes you feel even more devastated and distant from each other. You work so hard and give so much, you are still feeling not good enough and get no acknowledgement.
It hurts every day- despite you doing the best you can to distract yourself, the minute you stop pre-occupying yourself with distractions, you connect immediately with that emotional pain inside and the emptiness and alienation. The emotional pain comes from disconnection. You don’t feel your partner is responsive and present with you. You don’t feel wanted and needed or important. When you try to address this, it doesn't go anywhere, or you end up having a fight, which makes you feel even more devastated and distant from each other. You work so hard and give so much, you are still feeling not good enough and get no acknowledgement.
(626) 427-0151 View (626) 427-0151
Photo of Colette Lord, Psychologist in Del Mar, CA
Colette Lord
Psychologist, PhD
Verified Verified
Del Mar, CA 92014
I am a Certified EMDR therapist and Consultant. I am passionate about helping people let go of the pain of the past, live more fully in the present and develop hope for the future. When you've grown up in a abusive, chaotic, or dysfunctional household it can be really hard to move beyond your past without help. This is especially true if you struggle with any kind of dissociation. It's not that you're weak or unwilling, it's that you don't yet have the tools and the help to do so. I can help you with those tools, while holding space for the reality of the culture and systems we find ourselves in that may continue to cause harm.
I am a Certified EMDR therapist and Consultant. I am passionate about helping people let go of the pain of the past, live more fully in the present and develop hope for the future. When you've grown up in a abusive, chaotic, or dysfunctional household it can be really hard to move beyond your past without help. This is especially true if you struggle with any kind of dissociation. It's not that you're weak or unwilling, it's that you don't yet have the tools and the help to do so. I can help you with those tools, while holding space for the reality of the culture and systems we find ourselves in that may continue to cause harm.
(858) 367-5551 View (858) 367-5551
Photo of Katie Militello, Marriage & Family Therapist in Del Mar, CA
Katie Militello
Marriage & Family Therapist, MA, LMFT, LPCC
Verified Verified
Del Mar, CA 92014  (Online Only)
I am a strengths based, trauma focused therapist specializing in grief & loss, PTSD, and feeling stuck and overwhelmed by past negative experiences and beliefs. I work with clients ranging in age from adolescents to seniors utilizing EMDR and family systems therapy.
I am a strengths based, trauma focused therapist specializing in grief & loss, PTSD, and feeling stuck and overwhelmed by past negative experiences and beliefs. I work with clients ranging in age from adolescents to seniors utilizing EMDR and family systems therapy.
(760) 840-2737 View (760) 840-2737
Photo of Shawna Hogan, Clinical Social Work/Therapist in Del Mar, CA
Shawna Hogan
Clinical Social Work/Therapist, LCSW
Verified Verified
Del Mar, CA 92014
Hello! I have an eclectic array of modalities, including cognitive-behavioral, systems, narrative, and psychodynamic, but my primary goal is to work with you to meet your wants and needs. I have experience with individuals, couples, adolescents, families, and older adults.
Hello! I have an eclectic array of modalities, including cognitive-behavioral, systems, narrative, and psychodynamic, but my primary goal is to work with you to meet your wants and needs. I have experience with individuals, couples, adolescents, families, and older adults.
(858) 295-0138 View (858) 295-0138
Photo of Bentley Hess, Psychologist in Del Mar, CA
Bentley Hess
Psychologist, PhD
Verified Verified
Del Mar, CA 92014  (Online Only)
I imagine you found yourself here because there is something in your life that is not working for you, creating distress, or bringing you pain. OR maybe you are desiring inner change, to evolve and grow as a human, parent, partner, or spiritually. Maybe you want to dive into exploring who you are at your core, what you are capable of, or what truly makes you happy. What is it that you want out of life? Whether you are seeking emotional, spiritual, or physical balance, this is your journey and I am here to guide you in discovering your personal happiness, what brings you peace and makes you feel centered, complete, and healthy.
I imagine you found yourself here because there is something in your life that is not working for you, creating distress, or bringing you pain. OR maybe you are desiring inner change, to evolve and grow as a human, parent, partner, or spiritually. Maybe you want to dive into exploring who you are at your core, what you are capable of, or what truly makes you happy. What is it that you want out of life? Whether you are seeking emotional, spiritual, or physical balance, this is your journey and I am here to guide you in discovering your personal happiness, what brings you peace and makes you feel centered, complete, and healthy.
(858) 758-8116 View (858) 758-8116
Photo of Julieann Myers-Center For Healthy Change, Clinical Social Work/Therapist in Del Mar, CA
Julieann Myers-Center For Healthy Change
Clinical Social Work/Therapist, LCSW, CACIII, MAC, EMDR, CSAT
Verified Verified
Del Mar, CA 92014
Not accepting new clients
There is HOPE! I believe counseling is a "product!" You should have measurable improvements in your life when you are in counseling. I am skilled at providing a safe relationship where you can explore difficult situations, patterns, and experiences while learning new ways to address long-standing challenges. We will identify what has NOT been working and what IS working, with the goal of practicing effective strategies to create more positive results. I am a Certified EMDR and Sex Addiction Therapist, Nationally and state Certified Master Addictions Specialist, and a Licensed Clinical Social Worker.
There is HOPE! I believe counseling is a "product!" You should have measurable improvements in your life when you are in counseling. I am skilled at providing a safe relationship where you can explore difficult situations, patterns, and experiences while learning new ways to address long-standing challenges. We will identify what has NOT been working and what IS working, with the goal of practicing effective strategies to create more positive results. I am a Certified EMDR and Sex Addiction Therapist, Nationally and state Certified Master Addictions Specialist, and a Licensed Clinical Social Worker.
(760) 289-5958 View (760) 289-5958
Photo of Jacquelyn Schwartz, Marriage & Family Therapist in Del Mar, CA
Jacquelyn Schwartz
Marriage & Family Therapist, MA, LMFT
Verified Verified
Del Mar, CA 92014
Are you unhappy in your relationship but don't know what to do? Relationships are the most important part of our lives. Yet, they are not always easy, especially with the people closest to us. Problems arise in every couple's relationship, especially under stressful circumstances such as fertility issues, problems with children, aging parents, blending families, lack of sexual intimacy or coping with a job loss. Stressors like these can contribute to conflict, distance, and other painful relationship interactions. I understand what you are going through and know how to help you find real solutions to your relationship problems.
Are you unhappy in your relationship but don't know what to do? Relationships are the most important part of our lives. Yet, they are not always easy, especially with the people closest to us. Problems arise in every couple's relationship, especially under stressful circumstances such as fertility issues, problems with children, aging parents, blending families, lack of sexual intimacy or coping with a job loss. Stressors like these can contribute to conflict, distance, and other painful relationship interactions. I understand what you are going through and know how to help you find real solutions to your relationship problems.
(858) 207-4857 View (858) 207-4857

How does your Therapist compare?

Number of Therapists in Del Mar, CA

300+

Average cost per session

$185

Therapists in Del Mar, CA who prioritize treating:

93% Anxiety
89% Depression
85% Relationship Issues
79% Self Esteem
70% Trauma and PTSD
65% Grief
63% Stress

Average years in practice

16 Years

Top 3 insurances accepted

53% Aetna
49% Cigna and Evernorth
44% Other

How Therapists in Del Mar, CA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Del Mar?

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.