Therapists in Kennewick, WA

Photo of Rylie Drury - Rylie Drury Counseling LLC, Clinical Social Work/Therapist, MSW, LICSW
Rylie Drury Counseling LLC
Clinical Social Work/Therapist, MSW, LICSW
3 Endorsed
Kennewick, WA 99336
Not accepting new clients
Healing from trauma is a complex process that demands strength, compassion of truth, and courage— you don’t have to walk it alone. I specialize in supporting children, youth and adults who have experienced trauma, abuse, or difficult life events. My approach integrates evidence-based techniques with a deep respect for each person’s story to foster hope, resilience, and lasting change. I especially cherish working with children in foster care or with trauma histories, and first responders carrying the quiet weight of their service.
Healing from trauma is a complex process that demands strength, compassion of truth, and courage— you don’t have to walk it alone. I specialize in supporting children, youth and adults who have experienced trauma, abuse, or difficult life events. My approach integrates evidence-based techniques with a deep respect for each person’s story to foster hope, resilience, and lasting change. I especially cherish working with children in foster care or with trauma histories, and first responders carrying the quiet weight of their service.
(509) 207-2715 View (509) 207-2715
Photo of Aisha Hanson - Trail Counseling Services, Counselor, MA, LMHCA, NCC
Trail Counseling Services
Counselor, MA, LMHCA, NCC
3 Endorsed
Kennewick, WA 99336
Premera/Lifewise, some BCBS, Personify, Aetna, Coordinated Care/Ambetter and CHPW. In-person sessions in a professional office near the Columbia Center Mall. If you’re feeling stretched thin or unsure of your next step, you’re not alone. Life can feel heavy—whether you’re managing family stress, work demands, or significant life changes. I help teens, adults, couples, and seniors 65+ manage anxiety, identity shifts, relationship strain, and the stress of everyday life and high-pressure responsibilities. Whether you’re adjusting to new transitions or looking for direction and peace, we’ll work together to find clarity and purpose.
Premera/Lifewise, some BCBS, Personify, Aetna, Coordinated Care/Ambetter and CHPW. In-person sessions in a professional office near the Columbia Center Mall. If you’re feeling stretched thin or unsure of your next step, you’re not alone. Life can feel heavy—whether you’re managing family stress, work demands, or significant life changes. I help teens, adults, couples, and seniors 65+ manage anxiety, identity shifts, relationship strain, and the stress of everyday life and high-pressure responsibilities. Whether you’re adjusting to new transitions or looking for direction and peace, we’ll work together to find clarity and purpose.
(509) 269-2301 View (509) 269-2301
Photo of Christina Macaluso, Clinical Social Work/Therapist, MSW, LSWAIC
Christina Macaluso
Clinical Social Work/Therapist, MSW, LSWAIC
1 Endorsed
Kennewick, WA 99336
Waitlist for new clients
You may be navigating some of life’s most challenging experiences—processing trauma, anxiety, or deep-seated pain from your past. Perhaps you’re seeking someone who will truly hear your story and sit with you through the difficult moments. You want more than just coping; you’re ready to build meaningful tools for healing while making sense of your experiences. You deserve a space where your struggles are met with understanding and your journey toward growth is supported.
You may be navigating some of life’s most challenging experiences—processing trauma, anxiety, or deep-seated pain from your past. Perhaps you’re seeking someone who will truly hear your story and sit with you through the difficult moments. You want more than just coping; you’re ready to build meaningful tools for healing while making sense of your experiences. You deserve a space where your struggles are met with understanding and your journey toward growth is supported.
(509) 749-7007 View (509) 749-7007
Photo of Miracle Hall, Clinical Social Work/Therapist, LSWAIC
Miracle Hall
Clinical Social Work/Therapist, LSWAIC
Kennewick, WA 99336
Waitlist for new clients
As a Black and Gay mental health professional, my mission is to create a space of healing, empowerment, and growth for individuals from marginalized communities, particularly within the LGBTQ+ and BIPOC populations. My approach is deeply rooted in cultural humility, an understanding of the intersectionality of identities, and a firm belief that every individual deserves to be seen, heard, and valued for who they are. Therapy should be a collaborative, empowering process, where your voice and lived experience are in the center.
As a Black and Gay mental health professional, my mission is to create a space of healing, empowerment, and growth for individuals from marginalized communities, particularly within the LGBTQ+ and BIPOC populations. My approach is deeply rooted in cultural humility, an understanding of the intersectionality of identities, and a firm belief that every individual deserves to be seen, heard, and valued for who they are. Therapy should be a collaborative, empowering process, where your voice and lived experience are in the center.
(509) 732-9827 View (509) 732-9827
Photo of Kim Lindholm - Kim Lindholm , Counselor
Kim Lindholm
Counselor
Online Only
I am a compassionate and dedicated Licensed Mental Health Counselor (LMHC) with over 30 years of experience counseling individuals, couples, and families. I have a warm and empathetic approach, that creates a safe and non-judgmental space for clients to explore their thoughts, feelings, and experiences. My style is both empowering and collaborative.
I am a compassionate and dedicated Licensed Mental Health Counselor (LMHC) with over 30 years of experience counseling individuals, couples, and families. I have a warm and empathetic approach, that creates a safe and non-judgmental space for clients to explore their thoughts, feelings, and experiences. My style is both empowering and collaborative.
(509) 581-2918 View (509) 581-2918
Photo of Dennice Janz, Marriage & Family Therapist, MA, LMFT
Dennice Janz
Marriage & Family Therapist, MA, LMFT
Online Only
Whether you are seeking help with a major transition or ways to manage the problems of every day life, choosing the right therapist is a very important decision. My counseling style is very welcoming and non-judgmental. I provide therapeutic mental health services for children, adolescents, and adults. The services provided cover a wide range of topics from depression and anxiety to child rearing to marriage counseling. Each client receives support in a caring environment. The focus of therapy is on enhancing strengths and promoting a vision of wellness while learning skills to improve life satisfaction.
Whether you are seeking help with a major transition or ways to manage the problems of every day life, choosing the right therapist is a very important decision. My counseling style is very welcoming and non-judgmental. I provide therapeutic mental health services for children, adolescents, and adults. The services provided cover a wide range of topics from depression and anxiety to child rearing to marriage counseling. Each client receives support in a caring environment. The focus of therapy is on enhancing strengths and promoting a vision of wellness while learning skills to improve life satisfaction.
(253) 785-4039 View (253) 785-4039
Photo of Patricia J Cochran, Counselor, MS, LMHC
Patricia J Cochran
Counselor, MS, LMHC
Kennewick, WA 99336
Have you been struggling with anxiety or depression? Has it been difficult to cope with your emotions? Are you having a tough time navigating relationships? I strive to create a safe environment in which the client is able to explore and identify areas of their life that have been problematic. It is important to me to get to know my clients and meet them on a moment-to-moment basis and help by entering their world. My approach focuses on the person and assists in the growth process. Goal setting for personal growth is an area of focus to make sure that you feel empowered to address current concerns.
Have you been struggling with anxiety or depression? Has it been difficult to cope with your emotions? Are you having a tough time navigating relationships? I strive to create a safe environment in which the client is able to explore and identify areas of their life that have been problematic. It is important to me to get to know my clients and meet them on a moment-to-moment basis and help by entering their world. My approach focuses on the person and assists in the growth process. Goal setting for personal growth is an area of focus to make sure that you feel empowered to address current concerns.
(509) 309-0944 View (509) 309-0944
Photo of Joe Streetman, Counselor, PhD, LMHC
Joe Streetman
Counselor, PhD, LMHC
Kennewick, WA 99336
Is anxiety, depression, or stress getting the best of you? Are you constantly feeling overwhelmed, losing sleep, or dealing with stress related health problems? Joe Streetman, PhD, LMHC combines the benefits of talk therapy with neurofeedback and over 20 years of clinical experience. When you’re struggling it isn’t just you that suffers. That’s the advantage of neurofeedback, helping you feel better, faster, improving relationships with your family and coworkers, improving performance and success at school and/or work, and allowing you to experience life with more energy, calm, and an enhanced feeling of wellbeing.
Is anxiety, depression, or stress getting the best of you? Are you constantly feeling overwhelmed, losing sleep, or dealing with stress related health problems? Joe Streetman, PhD, LMHC combines the benefits of talk therapy with neurofeedback and over 20 years of clinical experience. When you’re struggling it isn’t just you that suffers. That’s the advantage of neurofeedback, helping you feel better, faster, improving relationships with your family and coworkers, improving performance and success at school and/or work, and allowing you to experience life with more energy, calm, and an enhanced feeling of wellbeing.
(509) 341-0646 View (509) 341-0646
Photo of Araceli Perez, Clinical Social Work/Therapist, LICSW, MSW, CDP
Araceli Perez
Clinical Social Work/Therapist, LICSW, MSW, CDP
Kennewick, WA 99336
"Change is inevitable... growth is optional" - Maxwell Leadership. With extensive experience in the mental health and substance abuse field since the early 2000s, my focus is on healing the wounded inner child to foster freedom and wellness. I have experience collaborating with individuals, couples, and families. My background includes 10 years in crisis intervention and substance abuse outpatient treatment. I am skilled in working with trauma victims and survivors, crisis intervention, critical incident support.
"Change is inevitable... growth is optional" - Maxwell Leadership. With extensive experience in the mental health and substance abuse field since the early 2000s, my focus is on healing the wounded inner child to foster freedom and wellness. I have experience collaborating with individuals, couples, and families. My background includes 10 years in crisis intervention and substance abuse outpatient treatment. I am skilled in working with trauma victims and survivors, crisis intervention, critical incident support.
(509) 207-1179 View (509) 207-1179
Photo of Sarah McCann, Clinical Social Work/Therapist, LSWAIC, SUDP
Sarah McCann
Clinical Social Work/Therapist, LSWAIC, SUDP
1 Endorsed
Kennewick, WA 99336
In our work together, your therapy isn’t pulled from a template. It’s built around what actually works for you. You’ll find yourself in a space that feels steady, practical, and honest. My work is grounded in the belief that you know yourself, even if it doesn’t always feel that way. My role is to help you make sense of things, build insight, and create meaningful change. Over time, clients often find they feel more clear, more grounded, and more confident in how they handle relationships, stress, and day-to-day life.
In our work together, your therapy isn’t pulled from a template. It’s built around what actually works for you. You’ll find yourself in a space that feels steady, practical, and honest. My work is grounded in the belief that you know yourself, even if it doesn’t always feel that way. My role is to help you make sense of things, build insight, and create meaningful change. Over time, clients often find they feel more clear, more grounded, and more confident in how they handle relationships, stress, and day-to-day life.
(509) 268-4947 View (509) 268-4947
Photo of Delaney Clark, Clinical Social Work/Therapist, MSW, LICSWA
Delaney Clark
Clinical Social Work/Therapist, MSW, LICSWA
1 Endorsed
Kennewick, WA 99336
I am an LICSW Associate transitioning from social work to clinical practice. During my years of social work, I gained extensive experience working with diverse clientele through the WA State Dept. of Children, Youth, and Families (DCYF). Throughout my journey, my passion has remained focused on empowering children to thrive in any environment or situation. I also strive to include families and caregivers throughout the process to ensure continuing progress both during and after the therapeutic journey.
I am an LICSW Associate transitioning from social work to clinical practice. During my years of social work, I gained extensive experience working with diverse clientele through the WA State Dept. of Children, Youth, and Families (DCYF). Throughout my journey, my passion has remained focused on empowering children to thrive in any environment or situation. I also strive to include families and caregivers throughout the process to ensure continuing progress both during and after the therapeutic journey.
(509) 394-4104 View (509) 394-4104
Photo of Yessica Rosas, Clinical Social Work/Therapist, MSW, LICSW, CCTP
Yessica Rosas
Clinical Social Work/Therapist, MSW, LICSW, CCTP
Kennewick, WA 99336
I like to have a conversation. The idea of counseling and being “in therapy” can be overwhelming. Allowing yourself to be vulnerable can seem like too great an undertaking. First is a conversation. We start here to learn which therapeutic approach works best for you. My goal is to help clients identify what is most impacting & affecting their well-being, and help to find correlating themes in stressors that may initially seem unrelated but taxing. Treatment methods and techniques vary depending on the client’s needs & goals. In this way, I can help form a personalized toolbox of skills/resources for clients to turn to as needed.
I like to have a conversation. The idea of counseling and being “in therapy” can be overwhelming. Allowing yourself to be vulnerable can seem like too great an undertaking. First is a conversation. We start here to learn which therapeutic approach works best for you. My goal is to help clients identify what is most impacting & affecting their well-being, and help to find correlating themes in stressors that may initially seem unrelated but taxing. Treatment methods and techniques vary depending on the client’s needs & goals. In this way, I can help form a personalized toolbox of skills/resources for clients to turn to as needed.
(509) 398-9404 View (509) 398-9404
Photo of Prama Chakravarti, Psychologist, PhD
Prama Chakravarti
Psychologist, PhD
Kennewick, WA 99336
My areas of clinical specialty include: Children, adolescents and adults with emotional and behavioral challenges like anxiety, depression, trauma response or ADHD. Parent training for emotional and behavioral disorders. Comprehensive assessments including neuropsychological testing for ADHD and Learning Disorders across all ages. Cognitive Behavior Therapy for Insomnia (CBT-I) across all age groups including older adults. My training strength lies in doctoral and post doctoral training at Southern Illinois University and University of Maine, respectively, in research established treatments and assessments.
My areas of clinical specialty include: Children, adolescents and adults with emotional and behavioral challenges like anxiety, depression, trauma response or ADHD. Parent training for emotional and behavioral disorders. Comprehensive assessments including neuropsychological testing for ADHD and Learning Disorders across all ages. Cognitive Behavior Therapy for Insomnia (CBT-I) across all age groups including older adults. My training strength lies in doctoral and post doctoral training at Southern Illinois University and University of Maine, respectively, in research established treatments and assessments.
(425) 448-4582 View (425) 448-4582
Photo of Dr. L. S. Lindman Wolcott, Psychologist, PhD
Dr. L. S. Lindman Wolcott
Psychologist, PhD
Kennewick, WA 99336
Typical clients include those troubled with depression, anxiety, PTSD, and lifestyle problems. A first meeting is typically done to get to know my client as the rapport between a client and therapist is the most important aspect of successful treatment. With extensive experience treating Veterans and their issues, I provide a straightforward approach that focuses on both your needs, as determined by diagnosis, and desire to live a better life.
Typical clients include those troubled with depression, anxiety, PTSD, and lifestyle problems. A first meeting is typically done to get to know my client as the rapport between a client and therapist is the most important aspect of successful treatment. With extensive experience treating Veterans and their issues, I provide a straightforward approach that focuses on both your needs, as determined by diagnosis, and desire to live a better life.
(509) 722-8481 View (509) 722-8481
Photo of Sydnee Grant, Counselor, LMHCA
Sydnee Grant
Counselor, LMHCA
Kennewick, WA 99336
I’m Sydnee, a licensed mental health counselor associate and former middle school teacher. My passion is in helping teens and adults manage anxiety, depression, trauma, childhood hurt, and life transitions. My holistic approach blends cognitive behavioral therapy (CBT), mindfulness, and whole-person care to support your emotional, mental, and spiritual well-being. Whether you're healing from past trauma or navigating life’s pressures, therapy can help you feel more grounded, connected, and empowered. Healing begins when you allow yourself to be seen and supported.
I’m Sydnee, a licensed mental health counselor associate and former middle school teacher. My passion is in helping teens and adults manage anxiety, depression, trauma, childhood hurt, and life transitions. My holistic approach blends cognitive behavioral therapy (CBT), mindfulness, and whole-person care to support your emotional, mental, and spiritual well-being. Whether you're healing from past trauma or navigating life’s pressures, therapy can help you feel more grounded, connected, and empowered. Healing begins when you allow yourself to be seen and supported.
(509) 383-8552 View (509) 383-8552
Photo of Milca Ruiz Manzo, Clinical Social Work/Therapist, MSW, LICSWA
Milca Ruiz Manzo
Clinical Social Work/Therapist, MSW, LICSWA
6 Endorsed
Kennewick, WA 99336
You want to be heard? Lets talk...My goal is to create a safe, supportive, and non-judgmental environment where you can explore your concerns and work towards meaningful change. I believe in a collaborative approach, where we work together to find the best strategies for your growth and well-being.
You want to be heard? Lets talk...My goal is to create a safe, supportive, and non-judgmental environment where you can explore your concerns and work towards meaningful change. I believe in a collaborative approach, where we work together to find the best strategies for your growth and well-being.
(509) 749-8647 View (509) 749-8647
Photo of Nora Kristine Marks, Psychologist, PhD
Nora Kristine Marks
Psychologist, PhD
Kennewick, WA 99336
Columbia Basin Psychological Services provides psychological assessment and psychotherapy for the Tri-Cities, Walla Walla, and surrounding areas. ​ At CBPS, we are a team of experienced and compassionate mental health professionals who are dedicated to helping you achieve your goals. Our team includes licensed psychologists and therapists who specialize in a variety of areas, including anxiety treatment, depression treatment, trauma therapy, and adolescent therapy. We provide a warm and welcoming environment where you can feel safe and supported as you navigate life's challenges
Columbia Basin Psychological Services provides psychological assessment and psychotherapy for the Tri-Cities, Walla Walla, and surrounding areas. ​ At CBPS, we are a team of experienced and compassionate mental health professionals who are dedicated to helping you achieve your goals. Our team includes licensed psychologists and therapists who specialize in a variety of areas, including anxiety treatment, depression treatment, trauma therapy, and adolescent therapy. We provide a warm and welcoming environment where you can feel safe and supported as you navigate life's challenges
(509) 572-2126 View (509) 572-2126
Photo of Erin Leigh Sharma, Counselor, MEd, LMHC
Erin Leigh Sharma
Counselor, MEd, LMHC
8 Endorsed
Kennewick, WA 99336
Not accepting new clients
Let me assist you on your therapeutic healing journey. I can help with finding your pathway to freedom in expression and helping to resolve patterns that keep us from living the life we deserve and desire. I am a person-centered therapist that pulls from many different approaches to meet you where you need to be met. I do believe that the relationship we create in therapy is the foundation for all transformation that will occur. I would feel very privileged to be witness and hold the space for your healing. I look forward to speaking to you soon.
Let me assist you on your therapeutic healing journey. I can help with finding your pathway to freedom in expression and helping to resolve patterns that keep us from living the life we deserve and desire. I am a person-centered therapist that pulls from many different approaches to meet you where you need to be met. I do believe that the relationship we create in therapy is the foundation for all transformation that will occur. I would feel very privileged to be witness and hold the space for your healing. I look forward to speaking to you soon.
(509) 774-3310 View (509) 774-3310
Photo of Heather Perry, Clinical Social Work/Therapist, LSWAIC
Heather Perry
Clinical Social Work/Therapist, LSWAIC
Kennewick, WA 99338
I work with adolescents (13+) and adults who feel stuck in patterns of anxiety, low mood, or disconnection. Much of my work is grounded in attachment theory, helping clients understand how early experiences shape the way they relate to themselves and others today. I’m especially passionate about supporting parents in their own healing, with the belief that tending to our inner world helps create a more regulated, connected foundation for the next generation. Together, we slow things down, build self-awareness, and create space for emotions to be processed rather than pushed away.
I work with adolescents (13+) and adults who feel stuck in patterns of anxiety, low mood, or disconnection. Much of my work is grounded in attachment theory, helping clients understand how early experiences shape the way they relate to themselves and others today. I’m especially passionate about supporting parents in their own healing, with the belief that tending to our inner world helps create a more regulated, connected foundation for the next generation. Together, we slow things down, build self-awareness, and create space for emotions to be processed rather than pushed away.
(509) 210-6712 View (509) 210-6712
Photo of Jenifer Munson, Counselor, MEd, LMHC, NCC, CMHS, DMHS
Jenifer Munson
Counselor, MEd, LMHC, NCC, CMHS, DMHS
4 Endorsed
Kennewick, WA 99336
You would do anything for your children, but far too often they seem out of control. Sometimes you secretly worry that you don't have the right tools to help them grow into stable, healthy and happy adults. You wish you could better understand their intense emotions. Whenever you try to reach them, it turns into the same old fight. It's frustrating to see them continue to act in the same way. You are ready to see the joy return to your child's eyes. You want to feel in control again.
You would do anything for your children, but far too often they seem out of control. Sometimes you secretly worry that you don't have the right tools to help them grow into stable, healthy and happy adults. You wish you could better understand their intense emotions. Whenever you try to reach them, it turns into the same old fight. It's frustrating to see them continue to act in the same way. You are ready to see the joy return to your child's eyes. You want to feel in control again.
(509) 202-4031 View (509) 202-4031

See more therapy options for Kennewick

How does your Therapist compare?

Number of Therapists in Kennewick, WA

200+

Average cost per session

$150

Therapists in Kennewick, WA who prioritize treating:

92% Anxiety
88% Depression
78% Trauma and PTSD
78% Self Esteem
76% Relationship Issues
67% Stress
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

85% Premera Blue Cross
75% Aetna
74% Regence

How Therapists in Kennewick, WA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Kennewick?

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.