Therapists in New Orleans, LA
Sean Lajaunie
Psychologist, PhD
Verified Verified
New Orleans, LA 70118
In therapy, you will have a safe, private, and supportive environment where you and I can address the patterns of problems that you want to understand and change the most. I use evidence-based approaches to therapy, which means that they have been evaluated vigorously by clinicians and the scientific community and shown to be effective for your specific therapy needs. However, every individual is different and you and I will work together to ensure we always have the kind of relationship which leads to healing and helpful change. We also offer psychological and psychoeducational assessments. Visit our website for more details.
In therapy, you will have a safe, private, and supportive environment where you and I can address the patterns of problems that you want to understand and change the most. I use evidence-based approaches to therapy, which means that they have been evaluated vigorously by clinicians and the scientific community and shown to be effective for your specific therapy needs. However, every individual is different and you and I will work together to ensure we always have the kind of relationship which leads to healing and helpful change. We also offer psychological and psychoeducational assessments. Visit our website for more details.
Emily Schumacher
Licensed Professional Counselor, LPC, ATR
Verified Verified
New Orleans, LA 70119
In a marble carving class my professor once explained “You don’t get to tell the marble what to do. If you embrace it in its natural state the marble will reveal its form to you.” Meaning, no matter how hard one tries with a chisel and hammer the natural properties of the material itself will determine how it can be formed. This is my approach to therapy. To accept each client exactly as they are and allow them the space to choose and direct their own growth.
In a marble carving class my professor once explained “You don’t get to tell the marble what to do. If you embrace it in its natural state the marble will reveal its form to you.” Meaning, no matter how hard one tries with a chisel and hammer the natural properties of the material itself will determine how it can be formed. This is my approach to therapy. To accept each client exactly as they are and allow them the space to choose and direct their own growth.
Ronald Royal Delaune
Drug & Alcohol Counselor, LPC, LAC, NCC
Verified Verified
1 Endorsed
New Orleans, LA 70119
My ideal client is anyone suffering from chemical or process addiction (gambling, sex, food, etc) or alcoholism. Addiction and alcoholism are tremendously destructive forces that leave us feeling alone, isolated, and often defeated, but this can be overcome and recovery is possible. If you feel that addiction/alcoholism has you trapped with no escape, give me a call, and together we will find the keys to lasting sobriety. If you have ever thought that you may need to seek help for your drinking or drug use, or just need to talk, now is the time. There is a better way to live and together we can make it happen.
My ideal client is anyone suffering from chemical or process addiction (gambling, sex, food, etc) or alcoholism. Addiction and alcoholism are tremendously destructive forces that leave us feeling alone, isolated, and often defeated, but this can be overcome and recovery is possible. If you feel that addiction/alcoholism has you trapped with no escape, give me a call, and together we will find the keys to lasting sobriety. If you have ever thought that you may need to seek help for your drinking or drug use, or just need to talk, now is the time. There is a better way to live and together we can make it happen.
B. Gerard Woodrich
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
2 Endorsed
New Orleans, LA 70118
Best way to make an appointment is through my website. Hello, thank you for visiting my page. Therapy is a very intimate yet necessary process in order to change negative dynamics in life. I approach therapy through engagement and fostering relationships. My approach is conversational, positive, and process based. I cater to individuals struggling with the realities of their life. Whether its stress from work or relationships, bullying at school, trauma from assault, or anxiety from your environment; I will assist you with processing those issues while strengthening your esteem and perspective.
Best way to make an appointment is through my website. Hello, thank you for visiting my page. Therapy is a very intimate yet necessary process in order to change negative dynamics in life. I approach therapy through engagement and fostering relationships. My approach is conversational, positive, and process based. I cater to individuals struggling with the realities of their life. Whether its stress from work or relationships, bullying at school, trauma from assault, or anxiety from your environment; I will assist you with processing those issues while strengthening your esteem and perspective.
Take Your Time Counseling, LLC.
Clinical Social Work/Therapist, LMSW, CTRP-E
Verified Verified
New Orleans, LA 70115 (Online Only)
“In a society that says, ‘Put yourself last,’ self-love and self-acceptance are revolutionary.”-Brene Brown. Perhaps you have been considering therapy for a while, maybe this is a return for new strategies, or life’s constant upheavals have necessitated you to consider our support. Individual counseling and coaching clients can expect our therapists to provide an open and non-judgmental space for honest dialogue, creative problem-solving strategies, and the use of individually tailored and structured treatment plans, of which you are an active collaborator, to meet your goals.
“In a society that says, ‘Put yourself last,’ self-love and self-acceptance are revolutionary.”-Brene Brown. Perhaps you have been considering therapy for a while, maybe this is a return for new strategies, or life’s constant upheavals have necessitated you to consider our support. Individual counseling and coaching clients can expect our therapists to provide an open and non-judgmental space for honest dialogue, creative problem-solving strategies, and the use of individually tailored and structured treatment plans, of which you are an active collaborator, to meet your goals.
Valencia Gray
Licensed Professional Counselor, MA, LPC
Verified Verified
New Orleans, LA 70130 (Online Only)
Not accepting new clients
I am a licensed professional counselor in New Orleans, LA with 9 years of experience working in behavioral health. I completed my educational training at Xavier University of Louisiana with a Master's of Arts in Clinical Mental Health Counseling. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, mood disorders, and ADHD. I also helped many people who have experienced physical trauma or emotional abuse.
I am a licensed professional counselor in New Orleans, LA with 9 years of experience working in behavioral health. I completed my educational training at Xavier University of Louisiana with a Master's of Arts in Clinical Mental Health Counseling. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, mood disorders, and ADHD. I also helped many people who have experienced physical trauma or emotional abuse.
Matthew T. Watson
Licensed Professional Counselor, MS, LPC-S, RPT
Verified Verified
1 Endorsed
New Orleans, LA 70115
Sometimes we just need a band-aid to get us through a rough patch, and other times a deeper dive into long-standing patterns and struggles is the right focus - both are valid approaches! Choosing the right therapist is an important step, so let's chat about questions you might have and make sure you get the right fit. I work with individuals, couples, and children, and from time to time I also offer group workshops. I have specialized training in EMDR, Play Therapy, and have over a decade of clinical experience. I am currently an LPC Board-approved clinical supervisor as well as an adjunct professor in Loyola's Counseling program.
Sometimes we just need a band-aid to get us through a rough patch, and other times a deeper dive into long-standing patterns and struggles is the right focus - both are valid approaches! Choosing the right therapist is an important step, so let's chat about questions you might have and make sure you get the right fit. I work with individuals, couples, and children, and from time to time I also offer group workshops. I have specialized training in EMDR, Play Therapy, and have over a decade of clinical experience. I am currently an LPC Board-approved clinical supervisor as well as an adjunct professor in Loyola's Counseling program.
Tanya Manslank
Clinical Social Work/Therapist, LCSW, BACS, MT-BC
Verified Verified
3 Endorsed
New Orleans, LA 70123
These last few years have presented many challenges for everyone. Depression, anxiety, addiction, grief and other issues are on a rise. It is not always easy to make the decision to reach out for therapy. However, therapy can help and support a person through what they are experiencing. Change is not easy; it takes courage to change and you do not have to face it alone. I have worked in acute care for many years with adults, elderly, children and adolescents. I feel confident to work with many mental health issues.
These last few years have presented many challenges for everyone. Depression, anxiety, addiction, grief and other issues are on a rise. It is not always easy to make the decision to reach out for therapy. However, therapy can help and support a person through what they are experiencing. Change is not easy; it takes courage to change and you do not have to face it alone. I have worked in acute care for many years with adults, elderly, children and adolescents. I feel confident to work with many mental health issues.
Kimberly Rome Butler
Licensed Professional Counselor, LPC, NCC, MS
Verified Verified
New Orleans, LA 70131 (Online Only)
As a therapist with 20 years of experience, I am dedicated to helping individuals achieve a healthier state of mind. We provide telehealth sessions only, as telehealth has become an increasingly popular option for clients seeking counseling from the comfort of their own homes/offices. Embracing Life Counseling utilizes a holistic approach to treatment; addressing anxiety, depression, and stress management through evidence-based therapies which acknowledge the interconnectedness of mind, body, and spirit. We believe true healing comes from addressing the root causes of mental health issues, rather than simply treating symptoms.
As a therapist with 20 years of experience, I am dedicated to helping individuals achieve a healthier state of mind. We provide telehealth sessions only, as telehealth has become an increasingly popular option for clients seeking counseling from the comfort of their own homes/offices. Embracing Life Counseling utilizes a holistic approach to treatment; addressing anxiety, depression, and stress management through evidence-based therapies which acknowledge the interconnectedness of mind, body, and spirit. We believe true healing comes from addressing the root causes of mental health issues, rather than simply treating symptoms.
Caitlin Riddle
Clinical Social Work/Therapist, MSW, LCSW, MPH
Verified Verified
New Orleans, LA 70115 (Online Only)
Welcome. I am glad that you are here. I work in partnership with my clients- building a safe, authentic space where they can be themselves. The decision to start therapy is a brave one. While vulnerability may feel uncomfortable, your dedication to self exploration is a powerful force. You have all the tools you need to live your fullest life. It's about time we unearth them! I am well versed in Cognitive Behavioral Therapy. By shifting what we tell ourselves, we can create powerful changes in our perspectives and daily behaviors.
Welcome. I am glad that you are here. I work in partnership with my clients- building a safe, authentic space where they can be themselves. The decision to start therapy is a brave one. While vulnerability may feel uncomfortable, your dedication to self exploration is a powerful force. You have all the tools you need to live your fullest life. It's about time we unearth them! I am well versed in Cognitive Behavioral Therapy. By shifting what we tell ourselves, we can create powerful changes in our perspectives and daily behaviors.
Madeline Elise Corcoran
PLPC, MA
Verified Verified
New Orleans, LA 70119
Waitlist for new clients
I work with couples/partnerships and co-parents seeking to deepen their relationships, improve communication, and understand one another's values. I enjoy working with couples seeking to revive or maintain romantic relationships, as well as co-parents navigating divorce. When working with co-parents I seek to help parents develop strategies for increased communication, boundary setting, and collaboration. I have experience working with folks in polyamorous and ethically non-monogamous relationships. I offer my clients the opportunity to explore their relationship wants and needs.
I work with couples/partnerships and co-parents seeking to deepen their relationships, improve communication, and understand one another's values. I enjoy working with couples seeking to revive or maintain romantic relationships, as well as co-parents navigating divorce. When working with co-parents I seek to help parents develop strategies for increased communication, boundary setting, and collaboration. I have experience working with folks in polyamorous and ethically non-monogamous relationships. I offer my clients the opportunity to explore their relationship wants and needs.
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Dr. Shawnell Ware
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
New Orleans, LA 70122 (Online Only)
Engaging in the therapeutic process has rewards to learn about self and coping tools to deal with life stressors. I work with children, adolescents, adults, couples, and families in an open, non-judgmental, safe space environment. Working together, we can achieve the ability to adapt to complex situations, change self-defeating behaviors, improve communication and manage emotions. The goal is to identify strengths by utilizing problem-solving skills to foster growth and self-sufficiency. My mission is to advocate, empower and transform the lives of others to maintain self-worth and live a wholesome life to the maximum potential.
Engaging in the therapeutic process has rewards to learn about self and coping tools to deal with life stressors. I work with children, adolescents, adults, couples, and families in an open, non-judgmental, safe space environment. Working together, we can achieve the ability to adapt to complex situations, change self-defeating behaviors, improve communication and manage emotions. The goal is to identify strengths by utilizing problem-solving skills to foster growth and self-sufficiency. My mission is to advocate, empower and transform the lives of others to maintain self-worth and live a wholesome life to the maximum potential.
Rebekah Anne Cianci
Licensed Professional Counselor, MS, MEd, BCBA, LPC
Verified Verified
New Orleans, LA 70113 (Online Only)
Waitlist for new clients
I work with a wide range of clients, but have a particular focus on working with neurodiversity and/or trauma. I believe in being an active listener, and engaging clients about their own goals. In my counseling practice I work to build a helping relationship with clients and help clients reach their goals through personal insight, examination of experiences and practice of new coping skills. As a behavior analyst, I work with clients to determine goals and skills that will help clients build relationships, enhance safety and learn. ABA is primarily provided to children who have been diagnosed with autism and includes parent training
I work with a wide range of clients, but have a particular focus on working with neurodiversity and/or trauma. I believe in being an active listener, and engaging clients about their own goals. In my counseling practice I work to build a helping relationship with clients and help clients reach their goals through personal insight, examination of experiences and practice of new coping skills. As a behavior analyst, I work with clients to determine goals and skills that will help clients build relationships, enhance safety and learn. ABA is primarily provided to children who have been diagnosed with autism and includes parent training
Christine Johnson
Pre-Licensed Professional, PLPC, MT-BC, NCC
Verified Verified
6 Endorsed
New Orleans, LA 70118
Not accepting new clients
Are you feeling shame or guilt that you can't seem to shake? Struggling to figure out who you are after a lifetime of being told who you "should" be? Hi, I'm CJ and I'd love to work with you. I work with teens and adults who are dealing with anxiety, depression, trauma, life transitions, identity exploration, and relationship concerns. I have particular interest in navigating complex trauma, including emotional abuse and neglect, religious trauma, and navigating neurotypical expectations as a neurodivergent person.
Are you feeling shame or guilt that you can't seem to shake? Struggling to figure out who you are after a lifetime of being told who you "should" be? Hi, I'm CJ and I'd love to work with you. I work with teens and adults who are dealing with anxiety, depression, trauma, life transitions, identity exploration, and relationship concerns. I have particular interest in navigating complex trauma, including emotional abuse and neglect, religious trauma, and navigating neurotypical expectations as a neurodivergent person.
Amarachi Ukachu
Pre-Licensed Professional, MHS, PLPC, CRC
Verified Verified
New Orleans, LA 70122 (Online Only)
In dealing with stressors, life events, challenging relationships, and traumatic experiences we develop patterns to keep ourselves safe and sane; which often also limits us. The challenge is unlearning these narratives and trusting our innate wisdom. When we feel safe, secure, and accepted for who we are we can begin the process of shedding what doesn’t work for us, while exploring our untapped potential. I believe you are the master of your story; and I hope to create a safe space where we can gain insight about your inner battles, develop skills to enhance holistic development, and realize the potential of your authentic self.
In dealing with stressors, life events, challenging relationships, and traumatic experiences we develop patterns to keep ourselves safe and sane; which often also limits us. The challenge is unlearning these narratives and trusting our innate wisdom. When we feel safe, secure, and accepted for who we are we can begin the process of shedding what doesn’t work for us, while exploring our untapped potential. I believe you are the master of your story; and I hope to create a safe space where we can gain insight about your inner battles, develop skills to enhance holistic development, and realize the potential of your authentic self.
Vanessa Batiste-Leal
Licensed Professional Counselor, MHS, LPC, LRC
Verified Verified
New Orleans, LA 70119
Sports counseling for mental health peak performance. I specialize in counseling athletes at all levels - student-athletes, amateur/professional athletes, as well as former athletes, in balancing mind, body, and sport for optimal mental health and well-being. As well as anyone who is seeking to improve performance in their fields, such as business executives, medical professionals, actors, dancers, and more. I provide individual counseling that focuses on establishing goals and developing a plan to build sustainable practices for achieving peak performance in sports and in life.
Sports counseling for mental health peak performance. I specialize in counseling athletes at all levels - student-athletes, amateur/professional athletes, as well as former athletes, in balancing mind, body, and sport for optimal mental health and well-being. As well as anyone who is seeking to improve performance in their fields, such as business executives, medical professionals, actors, dancers, and more. I provide individual counseling that focuses on establishing goals and developing a plan to build sustainable practices for achieving peak performance in sports and in life.
Earline W Osborne
Licensed Professional Counselor, LPC, NCC, CAC, MEd
Verified Verified
New Orleans, LA 70127
Are you having a hard time moving on with your life due to high anxiety, depression, relationship or other issues? E. W. Osborne & Associates, LLC can help you to get out of the state of being stuck. We can help you to meet life's challenges one session at a time. Give us a call if you are ready to make a change for the better. We would love to hear from you.
Are you having a hard time moving on with your life due to high anxiety, depression, relationship or other issues? E. W. Osborne & Associates, LLC can help you to get out of the state of being stuck. We can help you to meet life's challenges one session at a time. Give us a call if you are ready to make a change for the better. We would love to hear from you.
Lauren A Farrell
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
1 Endorsed
New Orleans, LA 70115
Your mental health is a vital key to living your life to your fullest potential. My approach to counseling incorporates Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), Trauma Healing, Inner Child Work & others. I believe many of the problems we face in live are related to unhealthy thinking processes which affect the way we feel & interact with others. I also believe that it is through our struggles that we can learn, grow & find meaning & value in life. We will work together to find ways in which your thoughts/beliefs about yourself & others may be causing emotional distress in your life or your relationships.
Your mental health is a vital key to living your life to your fullest potential. My approach to counseling incorporates Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), Trauma Healing, Inner Child Work & others. I believe many of the problems we face in live are related to unhealthy thinking processes which affect the way we feel & interact with others. I also believe that it is through our struggles that we can learn, grow & find meaning & value in life. We will work together to find ways in which your thoughts/beliefs about yourself & others may be causing emotional distress in your life or your relationships.
Jennifer Engel
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
New Orleans, LA 70118
I am a Licensed Professional Counselor, and I provide individual holistic psychotherapy and mind-body skills training (guided imagery, meditation, relaxation, mindfulness, etc). In addition to providing counseling using a wellness approach (rather than the medical model), I also use mind-body skills training to help clients move towards personal growth and stress reduction and to better cope with transition and developmental processes. My theoretical approach to counseling is somewhat eclectic, but largely humanistic, existential, and integrative. I work with clients on examining and building upon the whole person holistically.
I am a Licensed Professional Counselor, and I provide individual holistic psychotherapy and mind-body skills training (guided imagery, meditation, relaxation, mindfulness, etc). In addition to providing counseling using a wellness approach (rather than the medical model), I also use mind-body skills training to help clients move towards personal growth and stress reduction and to better cope with transition and developmental processes. My theoretical approach to counseling is somewhat eclectic, but largely humanistic, existential, and integrative. I work with clients on examining and building upon the whole person holistically.
Dr. Alexandra Casalino, LLC
Psychologist, PsyD
Verified Verified
7 Endorsed
New Orleans, LA 70125
Currently in private practice in both Louisiana and Rhode Island, I offer individual therapy and psychological assessment to adults. Whether you have a problem to solve, goals to achieve or need emotional support, therapy can offer a safe space for an individual to disclose information and receive supportive, non-judgmental feedback, while learning skills to improve yourself. I am best suited to help you with mood difficulties, such as depression; self-esteem and identity problems; stress and anxiety; substance abuse problems; employment struggles; and relationship problems.
Currently in private practice in both Louisiana and Rhode Island, I offer individual therapy and psychological assessment to adults. Whether you have a problem to solve, goals to achieve or need emotional support, therapy can offer a safe space for an individual to disclose information and receive supportive, non-judgmental feedback, while learning skills to improve yourself. I am best suited to help you with mood difficulties, such as depression; self-esteem and identity problems; stress and anxiety; substance abuse problems; employment struggles; and relationship problems.
See more therapy options for New Orleans
How does your Therapist compare?
Number of Therapists in New Orleans, LA
900+
Average cost per session
$125
Therapists in New Orleans, LA who prioritize treating:
93% | Anxiety |
89% | Depression |
79% | Relationship Issues |
79% | Self Esteem |
73% | Coping Skills |
71% | Stress |
67% | Trauma and PTSD |
Average years in practice
11 Years
Top 3 insurances accepted
77% | BlueCross and BlueShield |
68% | UnitedHealthcare UHC | UBH |
58% | Aetna |
How Therapists in New Orleans, LA see their clients
70% | In Person and Online | |
30% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in New Orleans?
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
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.
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.
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.