Therapists in Hill City, SD

Photo of Nancy Peterson - Black Hills Fireside Counseling LLC, Licensed Professional Counselor, MSEd, LPC-MH, QMHP
Black Hills Fireside Counseling LLC
Licensed Professional Counselor, MSEd, LPC-MH, QMHP
Verified Verified
Serves Area
No-one likes to feel that life is out of balance or spinning out of control. It is a sign of strength and determination to seek help. No matter what challenges you are facing, there is help and there is hope. Black Hills Fireside Counseling LLC provides a comfortable and inviting environment in which you can safely share the issues you are facing, helping you towards a good resolution.
No-one likes to feel that life is out of balance or spinning out of control. It is a sign of strength and determination to seek help. No matter what challenges you are facing, there is help and there is hope. Black Hills Fireside Counseling LLC provides a comfortable and inviting environment in which you can safely share the issues you are facing, helping you towards a good resolution.
(605) 250-3577 View (605) 250-3577
Photo of Michael E. Wheaton, Marriage & Family Therapist, MA, LMFT, QMHP
Michael E. Wheaton
Marriage & Family Therapist, MA, LMFT, QMHP
Verified Verified
5 Endorsed
Serves Area
Waitlist for new clients
I am committed to providing a safe and confidential place where we can explore your challenges together, finding hope for the future. My goal is to help you uncover the places where you may be stuck individually or in relationship with others and then help you explore new paths to a more fulfilling life.
I am committed to providing a safe and confidential place where we can explore your challenges together, finding hope for the future. My goal is to help you uncover the places where you may be stuck individually or in relationship with others and then help you explore new paths to a more fulfilling life.
(605) 988-8131 View (605) 988-8131
Photo of Dallas Jerome Caylor - Caylor Counseling LLC, Pre-Licensed Professional
Caylor Counseling LLC
Pre-Licensed Professional
Verified Verified
1 Endorsed
Serves Area
My focus is helping individuals during times of distress, frustration, grief, confusion and burn out with the difficulties of life. This affects us all differently! Sometimes we simply can’t see over the walls that we ourselves put up let alone those that life, others or work can construct for us. Sometimes you simply need someone skilled to help navigate around or over those walls. Understanding the opportunity of life and how we truly can take steps to move ourselves to the life we dream and wish for is possible! No matter what the issues are I hope, to be a guide, and if I can’t help, I will help you find who can.
My focus is helping individuals during times of distress, frustration, grief, confusion and burn out with the difficulties of life. This affects us all differently! Sometimes we simply can’t see over the walls that we ourselves put up let alone those that life, others or work can construct for us. Sometimes you simply need someone skilled to help navigate around or over those walls. Understanding the opportunity of life and how we truly can take steps to move ourselves to the life we dream and wish for is possible! No matter what the issues are I hope, to be a guide, and if I can’t help, I will help you find who can.
(605) 453-4250 View (605) 453-4250
Photo of Casey Raby - Tree of Life Counseling Services, LLC, Pre-Licensed Professional, MA
Tree of Life Counseling Services, LLC
Pre-Licensed Professional, MA
Verified Verified
Serves Area
Does life feel overwhelming at times? Do life’s storms sometimes feel like more than you can handle? I would be honored to walk with you as you traverse life’s stormiest seasons. I believe counseling is a collaborative partnership between counselor and client, and I am passionate about working with individuals and couples who are struggling with both large and small life issues. I believe in a client-centered, integrative framework in which we work together to identify and build on your strengths while addressing any issues that are causing you difficulty.
Does life feel overwhelming at times? Do life’s storms sometimes feel like more than you can handle? I would be honored to walk with you as you traverse life’s stormiest seasons. I believe counseling is a collaborative partnership between counselor and client, and I am passionate about working with individuals and couples who are struggling with both large and small life issues. I believe in a client-centered, integrative framework in which we work together to identify and build on your strengths while addressing any issues that are causing you difficulty.
(605) 525-6500 View (605) 525-6500
Photo of Danielle Finn, Clinical Social Work/Therapist, CSW-PIP
Danielle Finn
Clinical Social Work/Therapist, CSW-PIP
Verified Verified
Serves Area
I am passionate about assisting children, adolescents, and adults as they navigate family and relationship issues. Whether it is being a single parent, going through a divorce, having parents who are divorcing, the loss of a loved one, or the everyday stressors that come from the different relationships in your life, I am here to provide a safe space for you to share your feelings, navigate the transitions, and find peace along your journey. Book with me now by clicking on my website!
I am passionate about assisting children, adolescents, and adults as they navigate family and relationship issues. Whether it is being a single parent, going through a divorce, having parents who are divorcing, the loss of a loved one, or the everyday stressors that come from the different relationships in your life, I am here to provide a safe space for you to share your feelings, navigate the transitions, and find peace along your journey. Book with me now by clicking on my website!
(605) 808-0365 View (605) 808-0365

More Therapists Nearby

Photo of Laura A. Snyder, MA, LMHC, LPC, LPC-MH, NCC
Laura A. Snyder
MA, LMHC, LPC, LPC-MH, NCC
Verified Verified
3 Endorsed
Rapid City, SD 57701
Are you a working professional struggling to get through life right now? Maybe even having to reparent yourself along the way? A mil spouse who is feeling resentful of the military lifestyle? A veteran that doesn’t want to acknowledge that your experiences have left you feeling…off? An active duty person who wants help but doesn’t want to go to mental health on base? A couple that just doesn’t seem to be able to effectively communicate? Whether you’re a veteran, a military spouse, a working professional, a couple+, or some combo of them all, I’m here to help. Reach out & schedule a free consult & together we can figure it out.
Are you a working professional struggling to get through life right now? Maybe even having to reparent yourself along the way? A mil spouse who is feeling resentful of the military lifestyle? A veteran that doesn’t want to acknowledge that your experiences have left you feeling…off? An active duty person who wants help but doesn’t want to go to mental health on base? A couple that just doesn’t seem to be able to effectively communicate? Whether you’re a veteran, a military spouse, a working professional, a couple+, or some combo of them all, I’m here to help. Reach out & schedule a free consult & together we can figure it out.
(253) 559-1894 View (253) 559-1894
Photo of Austin Nachtigall, Pre-Licensed Professional, MS, NCC
Austin Nachtigall
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Serves Area
Welcome to a space where your journey to understanding and improving your mental well-being takes the next step. I’m Austin, a dedicated mental health professional committed to assisting individuals in living up to their fullest potential. With a deep-seated passion for learning and providing best practices, I specialize in helping individuals navigate complex emotions, cultivate resilience, and achieve personal growth. Whether you’re grappling with anxiety, relationship issues, or self-esteem concerns, my approach is rooted in empathy, respect, and collaboration.
Welcome to a space where your journey to understanding and improving your mental well-being takes the next step. I’m Austin, a dedicated mental health professional committed to assisting individuals in living up to their fullest potential. With a deep-seated passion for learning and providing best practices, I specialize in helping individuals navigate complex emotions, cultivate resilience, and achieve personal growth. Whether you’re grappling with anxiety, relationship issues, or self-esteem concerns, my approach is rooted in empathy, respect, and collaboration.
(605) 627-8721 View (605) 627-8721
Photo of Nicholas Waldon Isaacs - Isaacs Behavioral Health LLC, Clinical Social Work/Therapist, CSW-PIP, LAC, QMHP, MEd, MSW
Isaacs Behavioral Health LLC
Clinical Social Work/Therapist, CSW-PIP, LAC, QMHP, MEd, MSW
Verified Verified
Rapid City, SD 57702
I help clients recognize their strengths, regain confidence, and find their voice again. I see mostly trauma patients, a few couples and some addictions. Trauma, (PTSD), Depression and Anxiety affect an individual's moods, thoughts, ability to change, pattern of thinking, coping mechanisms, fears, safety, calm, self-esteem, and confidence. I help my clients, "help themselves," by using a blend of modalities, including EMDR, healthy models, and professional experience, to untangle and compartmentalize their issues. My clients have an opportunity to learn proven, healthy coping mechanisms and healthy behaviors to self-regulate.
I help clients recognize their strengths, regain confidence, and find their voice again. I see mostly trauma patients, a few couples and some addictions. Trauma, (PTSD), Depression and Anxiety affect an individual's moods, thoughts, ability to change, pattern of thinking, coping mechanisms, fears, safety, calm, self-esteem, and confidence. I help my clients, "help themselves," by using a blend of modalities, including EMDR, healthy models, and professional experience, to untangle and compartmentalize their issues. My clients have an opportunity to learn proven, healthy coping mechanisms and healthy behaviors to self-regulate.
(605) 250-2060 View (605) 250-2060
Photo of Melissa Watson Davis, Counselor, MA, NCC
Melissa Watson Davis
Counselor, MA, NCC
Verified Verified
1 Endorsed
Rapid City, SD 57701
I have an innate desire to help others find relief from psychological distress and look forward to helping pre-martial couples, marriage, family, children, adolescent, and women tell their story, discover growth and healing, and create a life they love. As a previous military spouse, I understand these unique challenges as well. I also have over seven years experience in early childhood education, have a firm grasp on childhood challenges, and look forward to learning more. Furthermore, I have a passion to empower and encourage women of all ages to explore, discover, heal, and grow into the person they desire.
I have an innate desire to help others find relief from psychological distress and look forward to helping pre-martial couples, marriage, family, children, adolescent, and women tell their story, discover growth and healing, and create a life they love. As a previous military spouse, I understand these unique challenges as well. I also have over seven years experience in early childhood education, have a firm grasp on childhood challenges, and look forward to learning more. Furthermore, I have a passion to empower and encourage women of all ages to explore, discover, heal, and grow into the person they desire.
(605) 599-1433 View (605) 599-1433
Photo of Dr. Inga Curry, Psychologist, PhD
Dr. Inga Curry
Psychologist, PhD
Verified Verified
2 Endorsed
Online Only
I collaborate with individuals seeking to grow through deeper self-understanding. We will work to build valuable skills and gain insights that you can integrate into your everyday lives. My approach typically combines techniques addressing mental frameworks, emotional awareness, and behavioral patterns. We'll spend some time exploring your current needs and developing the most appropriate approach to allow you to experience meaningful change.
I collaborate with individuals seeking to grow through deeper self-understanding. We will work to build valuable skills and gain insights that you can integrate into your everyday lives. My approach typically combines techniques addressing mental frameworks, emotional awareness, and behavioral patterns. We'll spend some time exploring your current needs and developing the most appropriate approach to allow you to experience meaningful change.
(619) 815-4090 View (619) 815-4090
Photo of E. Jason Stamper - Branch & Vine LLC, Licensed Professional Counselor, LPC-MH, NCC, QMHP
Branch & Vine LLC
Licensed Professional Counselor, LPC-MH, NCC, QMHP
Verified Verified
Rapid City, SD 57702
Not accepting new clients
Are there times when you find yourself mentally and emotionally exhausted? Throughout your life, do you feel different than everyone you know? Do you ask yourself, “why does this keep happening to me?” Does the thought of, just about anything, bring a level of nervous anxiety you cannot tolerate? Then again did someone you love die and you cannot seem to move on? Are there experiences in life you would rather keep buried inside and try as you might, they keep coming back? If you find yourself on the verge of becoming or are, hopeless and you are ready to make a change, it would be an honor to hear your story.
Are there times when you find yourself mentally and emotionally exhausted? Throughout your life, do you feel different than everyone you know? Do you ask yourself, “why does this keep happening to me?” Does the thought of, just about anything, bring a level of nervous anxiety you cannot tolerate? Then again did someone you love die and you cannot seem to move on? Are there experiences in life you would rather keep buried inside and try as you might, they keep coming back? If you find yourself on the verge of becoming or are, hopeless and you are ready to make a change, it would be an honor to hear your story.
(605) 525-6356 x402 View (605) 525-6356 x402
Photo of Lori Morton, Licensed Professional Counselor, MS, LPC
Lori Morton
Licensed Professional Counselor, MS, LPC
Verified Verified
Serves Area
With a genuine passion for supporting individuals, couples, and families in their pursuit of mental and emotional well-being, I bring a wealth of experience and a warm, non-judgmental approach to my counseling. I firmly believe that each person is unique, and I tailor my therapeutic approach to meet your specific needs, fostering a trusting and collaborative relationship. Whether you're navigating life transitions, facing challenges in relationships, coping with anxiety, managing stress, or seeking personal development, my goal is to create a safe and empowering space where you can explore your thoughts and feelings openly.
With a genuine passion for supporting individuals, couples, and families in their pursuit of mental and emotional well-being, I bring a wealth of experience and a warm, non-judgmental approach to my counseling. I firmly believe that each person is unique, and I tailor my therapeutic approach to meet your specific needs, fostering a trusting and collaborative relationship. Whether you're navigating life transitions, facing challenges in relationships, coping with anxiety, managing stress, or seeking personal development, my goal is to create a safe and empowering space where you can explore your thoughts and feelings openly.
(832) 240-7365 View (832) 240-7365
Photo of Trevor Anderson, Pre-Licensed Professional, MA
Trevor Anderson
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Rapid City, SD 57701
I work with adults and couples who are facing painful impasses in their lives. When we encounter overwhelming problems that seem irresolvable, we may feel that life as we know it is over. And in fact, it is. The feeling that our life has become unlivable is a sign that we are ready to transcend our current way of living and pursue a richer one, marked by greater authenticity and love. This sort of self-transcendence is a possibility for anyone willing to listen to the call, including those who have an interest in practicing therapy in continuity with their religious faith.
I work with adults and couples who are facing painful impasses in their lives. When we encounter overwhelming problems that seem irresolvable, we may feel that life as we know it is over. And in fact, it is. The feeling that our life has become unlivable is a sign that we are ready to transcend our current way of living and pursue a richer one, marked by greater authenticity and love. This sort of self-transcendence is a possibility for anyone willing to listen to the call, including those who have an interest in practicing therapy in continuity with their religious faith.
(605) 674-7354 View (605) 674-7354
Photo of Erika LaHood-Burns, Clinical Social Work/Therapist, CSW-PIP
Erika LaHood-Burns
Clinical Social Work/Therapist, CSW-PIP
Verified Verified
Rapid City, SD 57701
I believe in the inherent worth of every individual who steps into my office. I believe in the power of changed thoughts to help propel your actions and lead you to where you'd like to be in life. I believe that healthy relationships- with others and ourselves- are the key to wellbeing.
I believe in the inherent worth of every individual who steps into my office. I believe in the power of changed thoughts to help propel your actions and lead you to where you'd like to be in life. I believe that healthy relationships- with others and ourselves- are the key to wellbeing.
(605) 525-6595 View (605) 525-6595
Photo of Kathy J Sazama - Family Solutions Center, Marriage & Family Therapist, MS, LMFT, QMHP
Family Solutions Center
Marriage & Family Therapist, MS, LMFT, QMHP
Verified Verified
Rapid City, SD 57702
I am a licensed Marriage and Family Therapist . My training is systems therapy. My style is Solution Focused. I do couples therapy and Family. I help people who have issues with depression, anxiety, and fertility concerns . I an an approved supervisor and do business consulting.
I am a licensed Marriage and Family Therapist . My training is systems therapy. My style is Solution Focused. I do couples therapy and Family. I help people who have issues with depression, anxiety, and fertility concerns . I an an approved supervisor and do business consulting.
(605) 250-3207 View (605) 250-3207
Photo of Jeff Wahl, Licensed Professional Counselor, MA, LPC-MH , QMHP, MINT
Jeff Wahl
Licensed Professional Counselor, MA, LPC-MH , QMHP, MINT
Verified Verified
1 Endorsed
Rapid City, SD 57701
My ideal client is exploring change and considering what it may look like. Whether that is change in their relationships, lifestyle, career, family life, social life, etc... They recognize that a change needs to happen. Their goal is to decrease stress from the current behavior that continues to go on and they desire to find a different way to deal with issues that come up in life. They know what needs to change and the thought of doing something different is scary and overwhelming.
My ideal client is exploring change and considering what it may look like. Whether that is change in their relationships, lifestyle, career, family life, social life, etc... They recognize that a change needs to happen. Their goal is to decrease stress from the current behavior that continues to go on and they desire to find a different way to deal with issues that come up in life. They know what needs to change and the thought of doing something different is scary and overwhelming.
(605) 210-6283 View (605) 210-6283
Photo of Cinnamon R Holsclaw, Clinical Social Work/Therapist, LCSW, MA Ed
Cinnamon R Holsclaw
Clinical Social Work/Therapist, LCSW, MA Ed
Verified Verified
Serves Area
If you've ever wondered why you do certain things and want to change them or do them better...I can help with that! Together, we can develop the tools you need to get to know yourself and figure out how all the different parts of your personality can work together to create permanent positive change. You want to quit beating yourself up and move forward, and I want to help you do it! You can learn to be more compassionate, be more kind, and relate better with others AND yourself! Therapy is all about learning to be the best version of yourself, which frees you see the best version of others, too.
If you've ever wondered why you do certain things and want to change them or do them better...I can help with that! Together, we can develop the tools you need to get to know yourself and figure out how all the different parts of your personality can work together to create permanent positive change. You want to quit beating yourself up and move forward, and I want to help you do it! You can learn to be more compassionate, be more kind, and relate better with others AND yourself! Therapy is all about learning to be the best version of yourself, which frees you see the best version of others, too.
(435) 334-5259 View (435) 334-5259
Photo of Elizabeth Ostolozaga - BH Center for Healing & Advancement of Psychthrpy, Clinical Social Work/Therapist, MSW, CSW-PIP
BH Center for Healing & Advancement of Psychthrpy
Clinical Social Work/Therapist, MSW, CSW-PIP
Verified Verified
Rapid City, SD 57702
Become your best self: authentic, whole, empowered, and living a fulfilling life. I specialize in uncovering the roots of what's getting in the way. And something is. It always is. You are doing the best you can with what you have to work with. You can heal those wounds, release ineffective patterns of living, and develop a relationship with yourself that is better than it could ever be. Become unstuck and free. Live like you are meant to. Healing=hopeful+ empowered+active living.
Become your best self: authentic, whole, empowered, and living a fulfilling life. I specialize in uncovering the roots of what's getting in the way. And something is. It always is. You are doing the best you can with what you have to work with. You can heal those wounds, release ineffective patterns of living, and develop a relationship with yourself that is better than it could ever be. Become unstuck and free. Live like you are meant to. Healing=hopeful+ empowered+active living.
(605) 679-4110 View (605) 679-4110
Photo of Jennifer Mayforth, Licensed Professional Counselor, LPC-MH, RPh
Jennifer Mayforth
Licensed Professional Counselor, LPC-MH, RPh
Verified Verified
Online Only
Hi, I'm Jen and I am a licensed professional counselor, friend, mentor, wife, and mother of four. I believe that talking through our issues, pain, and complicated decisions can be one of the most helpful steps people can take to get through life and move toward a better and more rewarding life. I am genuine, warm, kind, and compassionate; connecting with my clients usually comes quickly. I understand how hard it can be to ask for help, but you're braver than you think. Together we will improve mood, decrease anxiety, and enhance your peace by discovering a different path that leads to deeper understanding, growth, and healing.
Hi, I'm Jen and I am a licensed professional counselor, friend, mentor, wife, and mother of four. I believe that talking through our issues, pain, and complicated decisions can be one of the most helpful steps people can take to get through life and move toward a better and more rewarding life. I am genuine, warm, kind, and compassionate; connecting with my clients usually comes quickly. I understand how hard it can be to ask for help, but you're braver than you think. Together we will improve mood, decrease anxiety, and enhance your peace by discovering a different path that leads to deeper understanding, growth, and healing.
(605) 657-4850 View (605) 657-4850
Photo of Jessica Hubner, Licensed Professional Counselor, MS, LPC
Jessica Hubner
Licensed Professional Counselor, MS, LPC
Verified Verified
Rapid City, SD 57701
Do you feel like the challenges you face in life are making you (and your loved ones) out to be crazy, a burden or a problem? I aim to carve out a comfortable healing space for people who are faced with problems that may be tricky to unravel, obstinate to change or that simply need a place to be aired-out and heard. I am interested in meeting people who may struggle to find a good fit with other counselors or people who are new to therapy and looking for a comfortable, personal and respectful relationship.
Do you feel like the challenges you face in life are making you (and your loved ones) out to be crazy, a burden or a problem? I aim to carve out a comfortable healing space for people who are faced with problems that may be tricky to unravel, obstinate to change or that simply need a place to be aired-out and heard. I am interested in meeting people who may struggle to find a good fit with other counselors or people who are new to therapy and looking for a comfortable, personal and respectful relationship.
(605) 646-4409 View (605) 646-4409

See more therapy options for Hill City

How does your Therapist compare?

Number of Therapists in Hill City, SD

< 10

Therapists in Hill City, SD who prioritize treating:

100% Relationship Issues
100% Depression
80% Anxiety
80% Grief
80% Behavioral Issues
80% Life Transitions
60% Divorce

Average years in practice

14 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Medicaid
100% Sanford Health Plan

How Therapists in Hill City, SD see their clients

100% In Person and Online

Gender breakdown

60% Female
40% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Hill City?

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.