Therapists in Tigard, OR

Photo of Brittany Shannon Eide, Licensed Professional Counselor in Tigard, OR
Brittany Shannon Eide
Licensed Professional Counselor, LPC
Verified Verified
Tigard, OR 97223  (Online Only)
I am interested in working with people who are feeling stuck in areas of their life and are ready to make changes, yet need guidance in doing so. I am skilled in relating with and attuning to people, helping them to feel seen and understood. With this gained perspective I enjoy collaborating with individuals, working together to come up with their next best steps in a way that is empowered and easeful. I feel it is important to check in along the way and determine if more or different support is needed throughout the process. I want the client to feel that they are fully seen, cared for, and supported during our time together.
I am interested in working with people who are feeling stuck in areas of their life and are ready to make changes, yet need guidance in doing so. I am skilled in relating with and attuning to people, helping them to feel seen and understood. With this gained perspective I enjoy collaborating with individuals, working together to come up with their next best steps in a way that is empowered and easeful. I feel it is important to check in along the way and determine if more or different support is needed throughout the process. I want the client to feel that they are fully seen, cared for, and supported during our time together.
(971) 240-5740 View (971) 240-5740
Photo of Justin Shull, Licensed Professional Counselor in Tigard, OR
Justin Shull
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Tigard, OR 97223
I specialize in youth/adolescents and younger adults, particularly those with Anxiety, AD/HD, and/or Depression, or just life challenges. I do individual and family therapy, depending on the needs. I work with younger adults who have struggles with failure to launch, college coping struggles, or adults struggling with Anxiety, Depression, and/or AD/HD. Also, if you are having struggles with parenting or helping your child with their struggles; I have specialized in working in these areas for over 15 years. Feel free to contact to see if we are a good fit! I am doing Telehealth and In person sessions.
I specialize in youth/adolescents and younger adults, particularly those with Anxiety, AD/HD, and/or Depression, or just life challenges. I do individual and family therapy, depending on the needs. I work with younger adults who have struggles with failure to launch, college coping struggles, or adults struggling with Anxiety, Depression, and/or AD/HD. Also, if you are having struggles with parenting or helping your child with their struggles; I have specialized in working in these areas for over 15 years. Feel free to contact to see if we are a good fit! I am doing Telehealth and In person sessions.
(503) 714-7768 View (503) 714-7768
Photo of Breanna Fanning, Professional Counselor Associate in Tigard, OR
Breanna Fanning
Professional Counselor Associate, MA, MEd, LPCA
Verified Verified
2 Endorsed
Tigard, OR 97223  (Online Only)
Waitlist for new clients
Beginning the counseling process can be intimidating. I aim to provide clients with a safe and neutral space to share their story and feel wholly accepted without judgment. I believe that inviting the vulnerable parts of ourselves to be seen, heard, and cared for can lay the groundwork for effective therapy. By exploring past and present experiences, thoughts, and feelings, we can identify and alleviate barriers that are preventing you from living the life you desire.
Beginning the counseling process can be intimidating. I aim to provide clients with a safe and neutral space to share their story and feel wholly accepted without judgment. I believe that inviting the vulnerable parts of ourselves to be seen, heard, and cared for can lay the groundwork for effective therapy. By exploring past and present experiences, thoughts, and feelings, we can identify and alleviate barriers that are preventing you from living the life you desire.
(503) 300-5780 View (503) 300-5780
Photo of Fir Counseling, LLC, Licensed Professional Counselor in Tigard, OR
Fir Counseling, LLC
Licensed Professional Counselor, MMCFC, LPC
Verified Verified
1 Endorsed
Tigard, OR 97224
Waitlist for new clients
Whether you are looking for support during a particularly difficult time, to process trauma, or work with you and your family/spouse/partner, I am here to help. My approach is focused on connection, respect and empathy as a way to help clients heal and deepen understanding of themselves and those they love. I have experience working with an array of concerns like anxiety, depression, grief, infertility, trauma and so on using a trauma-informed integrative approach grounded in attachment. I believe each person possesses within themselves the ability to heal and grow and will spend our time in sessions doing just that.
Whether you are looking for support during a particularly difficult time, to process trauma, or work with you and your family/spouse/partner, I am here to help. My approach is focused on connection, respect and empathy as a way to help clients heal and deepen understanding of themselves and those they love. I have experience working with an array of concerns like anxiety, depression, grief, infertility, trauma and so on using a trauma-informed integrative approach grounded in attachment. I believe each person possesses within themselves the ability to heal and grow and will spend our time in sessions doing just that.
(503) 400-3516 View (503) 400-3516
Darlene Staffelbach Psy D
Psychologist, PsyD
Verified Verified
Tigard, OR 97223
Welcome to my psychology practice. Are you struggling with anxiety, depression, trauma recovery, relationship stress, or distress due to constant heavy demands in your daily life? In the therapy relationship, I journey alongside my clients as a partner in thought and a companion in healing and recovery, toward empowerment and more confident living and relating. Our struggles invite us to grow. We don't have to be sick to get better. I also have a specialty in treatment of eating disorders, with a focus on understanding how relationships in the real world impact internal relationships with one's body and with food.
Welcome to my psychology practice. Are you struggling with anxiety, depression, trauma recovery, relationship stress, or distress due to constant heavy demands in your daily life? In the therapy relationship, I journey alongside my clients as a partner in thought and a companion in healing and recovery, toward empowerment and more confident living and relating. Our struggles invite us to grow. We don't have to be sick to get better. I also have a specialty in treatment of eating disorders, with a focus on understanding how relationships in the real world impact internal relationships with one's body and with food.
(503) 405-4041 View (503) 405-4041
Photo of Jason Wilkinson, Marriage & Family Therapist in Tigard, OR
Jason Wilkinson
Marriage & Family Therapist, MA, MDiv
Verified Verified
4 Endorsed
Tigard, OR 97224
People think you have the perfect relationship. And it may even look like it to those on the outside. But if you peel back the curtain, it feels more like you are roommates sharing space. You remember how in love you felt when first married. You were connected. Now, there are just glimpses of that connection. With all the busyness — jobs, kids, & noise — there is no space for real conversation. You are being pulled away from each other by constant distractions & responsibilities. You are afraid of the future possibility of a lonely marriage. You’ve tried everything to help the relationship & now you’re tired. You need help.
People think you have the perfect relationship. And it may even look like it to those on the outside. But if you peel back the curtain, it feels more like you are roommates sharing space. You remember how in love you felt when first married. You were connected. Now, there are just glimpses of that connection. With all the busyness — jobs, kids, & noise — there is no space for real conversation. You are being pulled away from each other by constant distractions & responsibilities. You are afraid of the future possibility of a lonely marriage. You’ve tried everything to help the relationship & now you’re tired. You need help.
(971) 257-1938 View (971) 257-1938
Photo of Tim Phillips, Licensed Professional Counselor in Tigard, OR
Tim Phillips
Licensed Professional Counselor, MA, LPC
Verified Verified
Tigard, OR 97223
There it is...the all too familiar thought…emotion…or behavior. It continues to search for a solution for what life has brought me. Therapy is a place to gain understanding and insight about making personal change, maybe learn some new ways to manage my emotions or relationships, find purpose in doing the things you do…or want to do.
There it is...the all too familiar thought…emotion…or behavior. It continues to search for a solution for what life has brought me. Therapy is a place to gain understanding and insight about making personal change, maybe learn some new ways to manage my emotions or relationships, find purpose in doing the things you do…or want to do.
(503) 912-7400 View (503) 912-7400
Photo of Shoshana L Dudley, Marriage & Family Therapist Associate in Tigard, OR
Shoshana L Dudley
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Tigard, OR 97223  (Online Only)
I am, first and foremost, interested in working with people as people, not as their diagnoses. As a fellow human and collaborative therapist I'm interested in meeting my clients where they're at with whatever they are facing. As an ADHD-er myself I particularly enjoy supporting other neurodiverse folks traversing this neurotypical world. I am also passionate about supporting other therapists through the challenges they face as caregivers and humans.
I am, first and foremost, interested in working with people as people, not as their diagnoses. As a fellow human and collaborative therapist I'm interested in meeting my clients where they're at with whatever they are facing. As an ADHD-er myself I particularly enjoy supporting other neurodiverse folks traversing this neurotypical world. I am also passionate about supporting other therapists through the challenges they face as caregivers and humans.
(503) 822-7893 View (503) 822-7893
Photo of Jennifer DeVan, Clinical Social Work/Therapist in Tigard, OR
Jennifer DeVan
Clinical Social Work/Therapist, LCSW
Verified Verified
Tigard, OR 97223
Waitlist for new clients
Hello! Thank you for viewing my profile. I believe it takes strength and courage to decide to begin therapy. I believe there comes a time in most people's lives when it can be helpful to have a non-biased, supportive person to guide them through life changes or difficulties they may be experiencing. Therapy is a collaborative relationship between the client and the therapist. In order for therapy to be successful, a person has to be ready and want to make changes. It is also essential to feel understood and accepted by your therapist. If you feel that you might benefit from a caring, experienced therapist, please call.
Hello! Thank you for viewing my profile. I believe it takes strength and courage to decide to begin therapy. I believe there comes a time in most people's lives when it can be helpful to have a non-biased, supportive person to guide them through life changes or difficulties they may be experiencing. Therapy is a collaborative relationship between the client and the therapist. In order for therapy to be successful, a person has to be ready and want to make changes. It is also essential to feel understood and accepted by your therapist. If you feel that you might benefit from a caring, experienced therapist, please call.
(503) 828-3957 View (503) 828-3957
Photo of Sammi Harvey, Pre-Licensed Professional in Tigard, OR
Sammi Harvey
Pre-Licensed Professional
Verified Verified
Tigard, OR 97224
I enjoy working with people who wish there was something different about their life; people who feel stuck. I believe that we're all born with innate wisdom that knows what to do next but oftentimes, that quiet knowing can get lost in the noise of life. My goal is to facilitate a space where we can learn how you can access your intuition so you can make decisions to move out of that "stuck" place and begin to create relationships that you feel not only fulfilled by but proud of.
I enjoy working with people who wish there was something different about their life; people who feel stuck. I believe that we're all born with innate wisdom that knows what to do next but oftentimes, that quiet knowing can get lost in the noise of life. My goal is to facilitate a space where we can learn how you can access your intuition so you can make decisions to move out of that "stuck" place and begin to create relationships that you feel not only fulfilled by but proud of.
(971) 999-3569 View (971) 999-3569
Photo of Max Woodcock, LPC Intern in Tigard, OR
Max Woodcock
LPC Intern
Verified Verified
1 Endorsed
Tigard, OR 97224
Are you tired of letting your anxiety control your thoughts and behaviors? Have you been struggling with issues around sexuality or sexual identity? Are the pain and hardships in your life driving you to escape with drugs and/or alcohol? Do your emotions often get the best of you, causing problems in your personal and professional relationships? If you answered yes to any of the above questions, know that you don’t have to struggle alone. Together, we can work to identify patterns of behavior that have led to problems for you, then discover healthier ways of being so you can lead a more fulfilling and happier life.
Are you tired of letting your anxiety control your thoughts and behaviors? Have you been struggling with issues around sexuality or sexual identity? Are the pain and hardships in your life driving you to escape with drugs and/or alcohol? Do your emotions often get the best of you, causing problems in your personal and professional relationships? If you answered yes to any of the above questions, know that you don’t have to struggle alone. Together, we can work to identify patterns of behavior that have led to problems for you, then discover healthier ways of being so you can lead a more fulfilling and happier life.
(971) 999-3743 View (971) 999-3743
Photo of Susan Butler, Licensed Professional Counselor in Tigard, OR
Susan Butler
Licensed Professional Counselor, MA-MFT, LMFT, LPC
Verified Verified
4 Endorsed
Tigard, OR 97224
My passion is to work with couples: pre-marital, couple's with children, empty nesters, and couples entering retirement. We go through so many transitions in our lifetime and each transition brings stresses and issues of it's own. I am a level-3 trained Gottman Therapist and use many modalities as well designed to fit the needs of each couple and individual. I approach my work through a systems perspective. I integrate genograms, Sand Tray therapy, Art therapy, and other interventions to help clients to fine relief from their struggles.
My passion is to work with couples: pre-marital, couple's with children, empty nesters, and couples entering retirement. We go through so many transitions in our lifetime and each transition brings stresses and issues of it's own. I am a level-3 trained Gottman Therapist and use many modalities as well designed to fit the needs of each couple and individual. I approach my work through a systems perspective. I integrate genograms, Sand Tray therapy, Art therapy, and other interventions to help clients to fine relief from their struggles.
(503) 967-0236 View (503) 967-0236
Photo of Danielle Solari, Clinical Social Work/Therapist in Tigard, OR
Danielle Solari
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Tigard, OR 97223  (Online Only)
Not accepting new clients
Welcome! I am so glad you are here. I’m Danielle, a therapist who focuses on working with those on the journey to parenthood or are navigating the challenges that come with being a parent. I work with individuals coping with pregnancy, postpartum mood disorders, infertility, and loss. In addition, I work with adolescents and adults who wish to address experiences with trauma, life transitions, anxiety, or stress. Life can be hard – I see therapy as a place to share your story, in its entirety, without concerns that you need to censor yourself.
Welcome! I am so glad you are here. I’m Danielle, a therapist who focuses on working with those on the journey to parenthood or are navigating the challenges that come with being a parent. I work with individuals coping with pregnancy, postpartum mood disorders, infertility, and loss. In addition, I work with adolescents and adults who wish to address experiences with trauma, life transitions, anxiety, or stress. Life can be hard – I see therapy as a place to share your story, in its entirety, without concerns that you need to censor yourself.
(503) 405-8808 View (503) 405-8808
Photo of Michelle Sanders, Marriage & Family Therapist in Tigard, OR
Michelle Sanders
Marriage & Family Therapist, LMFT
Verified Verified
Tigard, OR 97223
Regardless of your current situation, I will create a safe space, where you can feel seen, heard, respected, and understood. It is not my place to judge you. My hope is to meet you where you are and walk alongside you as you navigate the ups and downs that our world holds. Knowing that you have support and do not have to face obstacles alone can help.
Regardless of your current situation, I will create a safe space, where you can feel seen, heard, respected, and understood. It is not my place to judge you. My hope is to meet you where you are and walk alongside you as you navigate the ups and downs that our world holds. Knowing that you have support and do not have to face obstacles alone can help.
(503) 837-7052 View (503) 837-7052
Photo of Esther Cho, Pre-Licensed Professional in Tigard, OR
Esther Cho
Pre-Licensed Professional, MDiv, MA
Verified Verified
3 Endorsed
Tigard, OR 97223
Waitlist for new clients
Understanding your own journey is one of the bravest things you will ever do for yourself. Sometimes our story doesn’t follow the plan we had dreamed of, or it takes some turns for the worst, leaving us feeling lost, hopeless, and/or lonely. When difficult transitions occur, it makes understanding our story even more difficult. When you enter this season of trying to make sense of the twists and turns, having a skilled companion by your side to listen, see you, affirm you, and explore difficult parts of your story can be healing. I am here to help you discover that inner strength, and provide clarity, and support.
Understanding your own journey is one of the bravest things you will ever do for yourself. Sometimes our story doesn’t follow the plan we had dreamed of, or it takes some turns for the worst, leaving us feeling lost, hopeless, and/or lonely. When difficult transitions occur, it makes understanding our story even more difficult. When you enter this season of trying to make sense of the twists and turns, having a skilled companion by your side to listen, see you, affirm you, and explore difficult parts of your story can be healing. I am here to help you discover that inner strength, and provide clarity, and support.
(503) 966-0713 View (503) 966-0713
Photo of Kierra Baretich, Clinical Social Work/Therapist in Tigard, OR
Kierra Baretich
Clinical Social Work/Therapist, LCSW
Verified Verified
Tigard, OR 97223
Current Saturday openings! I am passionate about working with people just like you; those looking for help. Though I work with clients of all backgrounds, I attest to the Christian faith and have a deep passion for working with Christian individuals who are looking to integrate their spirituality into their healing journey. I also specialize in working with women and men who have or are currently being impacted by narcissistic abuse, particularly from a romantic partner.
Current Saturday openings! I am passionate about working with people just like you; those looking for help. Though I work with clients of all backgrounds, I attest to the Christian faith and have a deep passion for working with Christian individuals who are looking to integrate their spirituality into their healing journey. I also specialize in working with women and men who have or are currently being impacted by narcissistic abuse, particularly from a romantic partner.
(503) 563-3221 View (503) 563-3221
Photo of Holly S. Garrett, Licensed Professional Counselor in Tigard, OR
Holly S. Garrett
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Tigard, OR 97223
Welcome. If you are reading this I am guessing something isn't working in your life. You may be depressed, anxious, overwhelmed, scared, or shut down. You may not know how to communicate your needs to your partner, or deal with your own complicated emotions. Perhaps you are going through a divorce or other life transition. Life is full of twists and turns, many are unexpected and can throw a person off balance. It's ok. This is normal. The truth is that you don't have to do it alone. There is hope! You can find the way back to finding balance in life, work, and love.
Welcome. If you are reading this I am guessing something isn't working in your life. You may be depressed, anxious, overwhelmed, scared, or shut down. You may not know how to communicate your needs to your partner, or deal with your own complicated emotions. Perhaps you are going through a divorce or other life transition. Life is full of twists and turns, many are unexpected and can throw a person off balance. It's ok. This is normal. The truth is that you don't have to do it alone. There is hope! You can find the way back to finding balance in life, work, and love.
(503) 451-6414 View (503) 451-6414
Photo of Azanet Cabezas, Psychologist in Tigard, OR
Azanet Cabezas
Psychologist, PsyD
Verified Verified
1 Endorsed
Tigard, OR 97223
I am a bilingual (English/Spanish) licensed psychologist with over 20 years of experience working with children, adolescents and families. I specialize in early childhood mental health, trauma, at-risk adolescents, depression, anxiety and identity issues ( in relation to acculturation, biculturalism and/or effects of human migration/immigration).
I am a bilingual (English/Spanish) licensed psychologist with over 20 years of experience working with children, adolescents and families. I specialize in early childhood mental health, trauma, at-risk adolescents, depression, anxiety and identity issues ( in relation to acculturation, biculturalism and/or effects of human migration/immigration).
(503) 966-0727 View (503) 966-0727
Photo of Brenda Hawes, Licensed Professional Counselor in Tigard, OR
Brenda Hawes
Licensed Professional Counselor, LPC, LMT, CEAP
Verified Verified
1 Endorsed
Tigard, OR 97223
People can live a life that is joyful, peaceful, compassionate, mindful and connected with the love that we all are. As life takes it course, we can lose sight of who we are at our essence. Patterns and habits get established that can interfere with living life to its fullest and in alignment with core values and highest priority intentions. Cognitive decisions get made that form belief systems and ways of acting and behaving in the world that are not always in alignment with our essence. Emotions can get stored in the physical body, which the cognitive mind may not always be able to fully access without support and guidance.
People can live a life that is joyful, peaceful, compassionate, mindful and connected with the love that we all are. As life takes it course, we can lose sight of who we are at our essence. Patterns and habits get established that can interfere with living life to its fullest and in alignment with core values and highest priority intentions. Cognitive decisions get made that form belief systems and ways of acting and behaving in the world that are not always in alignment with our essence. Emotions can get stored in the physical body, which the cognitive mind may not always be able to fully access without support and guidance.
(503) 854-0348 View (503) 854-0348
Photo of Kyle Butler, LPC Intern in Tigard, OR
Kyle Butler
LPC Intern
Verified Verified
Tigard, OR 97224
Therapy takes courage and honesty. My goal is to facilitate and help navigate the specific and unique obstacles you are presented with. I want to share the right tools and skills that will help you navigate future dilemmas. I am here to help how I can, and have specific focus on depression, anxiety, and self-esteem problems. While not helping others in therapy, I enjoy reading, talking with friends and family, learning new things, trying new foods, cooking with my wife, and keeping up with my todler daughter’s zest for life.
Therapy takes courage and honesty. My goal is to facilitate and help navigate the specific and unique obstacles you are presented with. I want to share the right tools and skills that will help you navigate future dilemmas. I am here to help how I can, and have specific focus on depression, anxiety, and self-esteem problems. While not helping others in therapy, I enjoy reading, talking with friends and family, learning new things, trying new foods, cooking with my wife, and keeping up with my todler daughter’s zest for life.
(971) 328-4081 View (971) 328-4081

How does your Therapist compare?

Number of Therapists in Tigard, OR

300+

Average cost per session

$150

Therapists in Tigard, OR who prioritize treating:

91% Anxiety
85% Depression
80% Relationship Issues
76% Self Esteem
73% Stress
67% Trauma and PTSD
65% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

60% PacificSource
51% Aetna
43% BlueCross and BlueShield

How Therapists in Tigard, OR see their clients

73% In Person and Online
27% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tigard?

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.