Therapists in Peshastin, WA

Photo of Maile Davelaar, LMFT, Marriage & Family Therapist
Maile Davelaar
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Peshastin, WA 98847
Trauma disrupts our sense of self—our ability to trust and to truly experience safety. With this core understanding, my approach is gentle and compassionate. I provide a safe, supportive and professional relationship as you explore and reshape the impact that abuse has had on your life. I will listen as you set the pace, focusing on building a foundation of safety while helping you develop coping skills that fit your lifestyle.
Trauma disrupts our sense of self—our ability to trust and to truly experience safety. With this core understanding, my approach is gentle and compassionate. I provide a safe, supportive and professional relationship as you explore and reshape the impact that abuse has had on your life. I will listen as you set the pace, focusing on building a foundation of safety while helping you develop coping skills that fit your lifestyle.
(509) 676-6009 View (509) 676-6009
Photo of Katie Schmitten, CSWA, LSWAIC, Pre-Licensed Professional
Katie Schmitten
Pre-Licensed Professional, CSWA, LSWAIC
Verified Verified
Peshastin, WA 98847
Hello my name is Katie and it is nice to meet you. I am currently taking new patients, teens 14 and older, and adults in Oregon and Washington. I have served in the field for 12 years and welcome populations of all demographics, ethnicities and cultures. I have extensive experience in school based settings assisting with issues such as complex trauma, self harm, addiction, anxiety, depression, grief, loss, life transitions, divorce, adoption, children in the foster system, parent coaching, and other issues. I look forward to meeting you and helping you achieve healing and permanent change.
Hello my name is Katie and it is nice to meet you. I am currently taking new patients, teens 14 and older, and adults in Oregon and Washington. I have served in the field for 12 years and welcome populations of all demographics, ethnicities and cultures. I have extensive experience in school based settings assisting with issues such as complex trauma, self harm, addiction, anxiety, depression, grief, loss, life transitions, divorce, adoption, children in the foster system, parent coaching, and other issues. I look forward to meeting you and helping you achieve healing and permanent change.
(206) 593-3834 View (206) 593-3834

More Therapists Nearby

Photo of Patricia Ann Schrumpf - Out of the Miry Clay Counseling Services, MA, LMHC, Counselor
Out of the Miry Clay Counseling Services
Counselor, MA, LMHC
Verified Verified
Leavenworth, WA 98826
I welcome those who have been abused, either by physical abuse, sexual, or emotional/psychological. I am level 3 trained for Gottman Couples Counseling as well as specializing in treating those with PTSD ( not related to military). I also work with children that have difficulty in navigating through the trauma that they have suffered.
I welcome those who have been abused, either by physical abuse, sexual, or emotional/psychological. I am level 3 trained for Gottman Couples Counseling as well as specializing in treating those with PTSD ( not related to military). I also work with children that have difficulty in navigating through the trauma that they have suffered.
(509) 381-1031 View (509) 381-1031
Photo of Spencer Davidson-Badgley, LMFTA, Marriage & Family Therapist Associate
Spencer Davidson-Badgley
Marriage & Family Therapist Associate, LMFTA
Verified Verified
3 Endorsed
Leavenworth, WA 98826
Waitlist for new clients
Life is full of ups and downs. Thankfully, you don't have to go through it alone. When you are seeking support, it's important to know that you haven't failed and fallen short. There isn't anything to be ashamed of in having struggles. Humans are wired for support, relationships, and growth. Basically, we all need help sometimes. When you walk into my office, you can expect to be met with respect and compassion. We will work together to deepen your understanding of your struggles and strengths to empower you to live the life you want to live. I'll be with you in the downs and we will celebrate the ups.
Life is full of ups and downs. Thankfully, you don't have to go through it alone. When you are seeking support, it's important to know that you haven't failed and fallen short. There isn't anything to be ashamed of in having struggles. Humans are wired for support, relationships, and growth. Basically, we all need help sometimes. When you walk into my office, you can expect to be met with respect and compassion. We will work together to deepen your understanding of your struggles and strengths to empower you to live the life you want to live. I'll be with you in the downs and we will celebrate the ups.
(509) 236-8985 View (509) 236-8985
Photo of Rebecca Ann Gear, LMHC
Rebecca Ann Gear
Mental Health Counselor, LMHC
Verified Verified
3 Endorsed
Cashmere, WA 98815
Hey there! Welcome! I believe therapy is an invitation to become whole, to live as our authentic selves, to accept and love ourselves fiercely and gently, and to offer that love to one another. The work of therapy can help us sort through the parts of our lives to find authenticity, meaning and healing by keeping, tossing, re-imagining, and recovering the pieces of our life story. We work together with the story of your life to find and see you in all your depth and complexity, strengths and limitations, beauty, and goodness.
Hey there! Welcome! I believe therapy is an invitation to become whole, to live as our authentic selves, to accept and love ourselves fiercely and gently, and to offer that love to one another. The work of therapy can help us sort through the parts of our lives to find authenticity, meaning and healing by keeping, tossing, re-imagining, and recovering the pieces of our life story. We work together with the story of your life to find and see you in all your depth and complexity, strengths and limitations, beauty, and goodness.
(509) 571-2347 View (509) 571-2347
Photo of Dee Cummings - Pathways to Parenting, BSP, CC, Counselor
Pathways to Parenting
Counselor, BSP, CC
Verified Verified
Cashmere, WA 98815
My focus is on the struggling families, providing support and encouragement in reframing the family dynamic, bringing into play the family history and what brought the client to where they are at today; focusing on moving beyond the moment, improving the future. I work primarily with the Department of Developmental Disabilities and custody dispute cases providing Parent Education, Counseling, Anger Management, and Behavioral Support Services for youth.
My focus is on the struggling families, providing support and encouragement in reframing the family dynamic, bringing into play the family history and what brought the client to where they are at today; focusing on moving beyond the moment, improving the future. I work primarily with the Department of Developmental Disabilities and custody dispute cases providing Parent Education, Counseling, Anger Management, and Behavioral Support Services for youth.
(509) 631-9591 View (509) 631-9591
Photo of Sarah Caldwell, LICSW, Clinical Social Work/Therapist
Sarah Caldwell
Clinical Social Work/Therapist, LICSW
Verified Verified
Leavenworth, WA 98826
There has to be an easier way to get through life. Anxiety, depression and constant stress can't be how everyone else feels all the time. You talk to your girlfriends, and they’re a great support but that relief never lasts. You feel like you’re running in circles trying this tip and that. You wonder if you might be broken. You’re ready for things to change - actually change - this time. You’re ready to get out of survival mode and let go of anxiety and insecurity. Most of all, you’re ready for your life to feel peaceful and authentic.
There has to be an easier way to get through life. Anxiety, depression and constant stress can't be how everyone else feels all the time. You talk to your girlfriends, and they’re a great support but that relief never lasts. You feel like you’re running in circles trying this tip and that. You wonder if you might be broken. You’re ready for things to change - actually change - this time. You’re ready to get out of survival mode and let go of anxiety and insecurity. Most of all, you’re ready for your life to feel peaceful and authentic.
(509) 517-6626 View (509) 517-6626
Photo of Bobbie Jo Anderson - Prosperity Counseling Services, MEd, LMHC, Licensed Psychoanalyst
Prosperity Counseling Services
Licensed Psychoanalyst, MEd, LMHC
Verified Verified
Cashmere, WA 98815
Life has taught me that pain and suffering are part of the human experience. You may be feeling alone, confused, and frustrated, but with the right tools, you can learn to weather the storms and move towards a meaningful, satisfying life. I want to provide a compassionate, listening ear. I serve people who dealing with anxiety, burn out, or depression; who have experienced trauma and need help processing it; or who are struggling with their purpose and the direction of their life. I help clients build the skills they need to feel better and take action so that they can move toward a meaningful and satisfying life.
Life has taught me that pain and suffering are part of the human experience. You may be feeling alone, confused, and frustrated, but with the right tools, you can learn to weather the storms and move towards a meaningful, satisfying life. I want to provide a compassionate, listening ear. I serve people who dealing with anxiety, burn out, or depression; who have experienced trauma and need help processing it; or who are struggling with their purpose and the direction of their life. I help clients build the skills they need to feel better and take action so that they can move toward a meaningful and satisfying life.
(509) 567-3593 View (509) 567-3593
Photo of LaRee Rumble - LaRee Rumble LMHC Counseling Services, LMHC, NCC, Counselor
LaRee Rumble LMHC Counseling Services
Counselor, LMHC, NCC
Verified Verified
Leavenworth, WA 98826
Not accepting new clients
I am a licensed, nationally board-certified counselor whose focus is client centered. Many of us at some point in our lives experience events which leave us feeling powerless or hopeless. It can be beneficial to find someone outside of your family and social network when wanting to discuss these experiences. My role as your therapist is to listen, ask questions and assist you in finding resolutions that are relevant. Trust is an important piece in developing a comfortable working relationship in therapy. It is an honor to participate in your journey. For more information please view my website.
I am a licensed, nationally board-certified counselor whose focus is client centered. Many of us at some point in our lives experience events which leave us feeling powerless or hopeless. It can be beneficial to find someone outside of your family and social network when wanting to discuss these experiences. My role as your therapist is to listen, ask questions and assist you in finding resolutions that are relevant. Trust is an important piece in developing a comfortable working relationship in therapy. It is an honor to participate in your journey. For more information please view my website.
(509) 563-7021 View (509) 563-7021
Photo of Cynthia Buckley, MS, LMHC, Counselor
Cynthia Buckley
Counselor, MS, LMHC
Verified Verified
Cashmere, WA 98815
Suffering from mental and emotional problems can cause you to feel hopeless and defeated. You may believe recovery is not possible and that you're destined to live a life of misery. I am here to tell you that you can heal and be happy instead of sad and anxious. I help individuals who suffer from trauma, anxiety disorders and OCD. I also work well with individuals who struggle to regulate their emotions or participate in self-destructive behaviors. In therapy we work together on understanding how your thoughts, belief systems, and feelings play a role in your life.
Suffering from mental and emotional problems can cause you to feel hopeless and defeated. You may believe recovery is not possible and that you're destined to live a life of misery. I am here to tell you that you can heal and be happy instead of sad and anxious. I help individuals who suffer from trauma, anxiety disorders and OCD. I also work well with individuals who struggle to regulate their emotions or participate in self-destructive behaviors. In therapy we work together on understanding how your thoughts, belief systems, and feelings play a role in your life.
(509) 415-8530 View (509) 415-8530
Photo of Heather Henriksen, MA, LMHC, Counselor
Heather Henriksen
Counselor, MA, LMHC
Verified Verified
Leavenworth, WA 98826
Not accepting new clients
Are you looking for new ways to approach old problems? Are there times you feel alone, anxious, or overwhelmed? As you are reading this, you have probably decided something in your life needs to change. I most enjoy working with people on life transitions and identity with an emphasis on personality structure. In other words, why we do the things we do. I also use the Enneagram Personality typing system for those who are interested.
Are you looking for new ways to approach old problems? Are there times you feel alone, anxious, or overwhelmed? As you are reading this, you have probably decided something in your life needs to change. I most enjoy working with people on life transitions and identity with an emphasis on personality structure. In other words, why we do the things we do. I also use the Enneagram Personality typing system for those who are interested.
(509) 312-1723 View (509) 312-1723
Photo of Tim Bartlett, MS, LMHC, Counselor
Tim Bartlett
Counselor, MS, LMHC
Verified Verified
Leavenworth, WA 98826
Are you looking for redemption? For a way through the pain to a place of emotional growth and spiritual freedom? Perhaps today is the day to seek help and begin the journey back to who you were meant to be....Based on Romans 12:2, my counseling approach is to assist clients with the transformation of inaccurate thoughts, beliefs and self-perceptions. I use a strengths-based model grounded in encouragement and practical feedback. I work together with my clients to identify and activate their talents and unrealized spiritual potential to bring about positive change and emotional healing.
Are you looking for redemption? For a way through the pain to a place of emotional growth and spiritual freedom? Perhaps today is the day to seek help and begin the journey back to who you were meant to be....Based on Romans 12:2, my counseling approach is to assist clients with the transformation of inaccurate thoughts, beliefs and self-perceptions. I use a strengths-based model grounded in encouragement and practical feedback. I work together with my clients to identify and activate their talents and unrealized spiritual potential to bring about positive change and emotional healing.
(509) 774-5390 View (509) 774-5390
Photo of Malliga Obilisundar Delaney, PYSD, Psychologist
Malliga Obilisundar Delaney
Psychologist, PYSD
Verified Verified
Dryden, WA 98821
Most people hope to live a healthy, happy, and fulfilling life. I would love the opportunity to help you achieve this. For 30 years, my efforts were spent helping children and families in the educational environment. I have experience dealing with children diagnosed with emotional and educational disabilities. I have worked with children and adolescents with ADHD, anxiety, depression, conduct disorder, and oppositional defiant disorder, among others. Currently, my work is focused on psychotherapy with children, adolescents, and adults.
Most people hope to live a healthy, happy, and fulfilling life. I would love the opportunity to help you achieve this. For 30 years, my efforts were spent helping children and families in the educational environment. I have experience dealing with children diagnosed with emotional and educational disabilities. I have worked with children and adolescents with ADHD, anxiety, depression, conduct disorder, and oppositional defiant disorder, among others. Currently, my work is focused on psychotherapy with children, adolescents, and adults.
(347) 679-6346 View (347) 679-6346
Photo of Heather M Kniffen, MSW, LICSW, Clinical Social Work/Therapist
Heather M Kniffen
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Cashmere, WA 98815
Waitlist for new clients
As we enter the later stages of our lives or struggle with complex medical issues, we can face some difficult issues. Life, as we have known it, can change in difficult ways. We may be experiencing losses including independence, loved ones, financial insecurity and other challenges. You may feel overwhelmed and isolated in your struggles. Sadness, anxiety and despair can set in. You are not alone! I help to navigate the hardships and focus on renewing hope, purpose and joy. I work with you to feel heard and understood. We will find solutions together and work to restore your quality of life.
As we enter the later stages of our lives or struggle with complex medical issues, we can face some difficult issues. Life, as we have known it, can change in difficult ways. We may be experiencing losses including independence, loved ones, financial insecurity and other challenges. You may feel overwhelmed and isolated in your struggles. Sadness, anxiety and despair can set in. You are not alone! I help to navigate the hardships and focus on renewing hope, purpose and joy. I work with you to feel heard and understood. We will find solutions together and work to restore your quality of life.
(509) 424-5830 View (509) 424-5830
Photo of Julie m Ray - Julie Ray Counseling, MS, LMFT, Marriage & Family Therapist
Julie Ray Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Cashmere, WA 98815
I work with individuals, couples and families. With my family systems approach, each person plays an integral role to the health of the whole system/family. My work with struggling couples is to foster hope when it has been lost. I collaborate with parents, their children and teens to address and resolve behavioral issues and developmental challenges. If you struggle with anxiety, grief or depression, I will work alongside of you in a non-judgmental fashion to explore issues and apply new skills to help you overcome the challenges you are facing. I have 14 plus years of experience.
I work with individuals, couples and families. With my family systems approach, each person plays an integral role to the health of the whole system/family. My work with struggling couples is to foster hope when it has been lost. I collaborate with parents, their children and teens to address and resolve behavioral issues and developmental challenges. If you struggle with anxiety, grief or depression, I will work alongside of you in a non-judgmental fashion to explore issues and apply new skills to help you overcome the challenges you are facing. I have 14 plus years of experience.
(509) 571-2231 View (509) 571-2231
Photo of Liz Hadley, MA, LMHCA, Counselor
Liz Hadley
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Leavenworth, WA 98826  (Online Only)
At the core of my therapeutic approach is my belief that we heal and transform through authentic and empathic connection. I view therapy as a collaborative process where we co-create a space to engage what has been wounded and find medicine to heal and grow. Seeking healing and restoration is a brave and courageous journey that goes against all the systems of oppression that seek to wound and separate us. I considered it a profound honor to walk with someone in this journey through challenges, suffering, wonder, curiosity and pain, to find a healing, growth, embodiment and joy that follows us beyond the therapy room.
At the core of my therapeutic approach is my belief that we heal and transform through authentic and empathic connection. I view therapy as a collaborative process where we co-create a space to engage what has been wounded and find medicine to heal and grow. Seeking healing and restoration is a brave and courageous journey that goes against all the systems of oppression that seek to wound and separate us. I considered it a profound honor to walk with someone in this journey through challenges, suffering, wonder, curiosity and pain, to find a healing, growth, embodiment and joy that follows us beyond the therapy room.
(206) 333-0490 View (206) 333-0490
Photo of Michael Civile, LMHC, MS
Michael Civile
Mental Health Counselor, LMHC, MS
Verified Verified
Leavenworth, WA 98826
Not accepting new clients
Please check back - I will update when spots become available! During times of stress, I have found that being listened to and understood by a trained professional has been invaluable. These days, stress is impacting us more than ever. Maybe the ways you’re coping are taking a toll on you or the ones you care about. Maybe you're finding it hard to "leave work at work" and be present at home. Or you realize the things you've been working towards leave you feeling sort of empty and you want to make some changes. Or maybe the question, "Why do I keep doing (fill in the blank)?" has been circling your mind for a while.
Please check back - I will update when spots become available! During times of stress, I have found that being listened to and understood by a trained professional has been invaluable. These days, stress is impacting us more than ever. Maybe the ways you’re coping are taking a toll on you or the ones you care about. Maybe you're finding it hard to "leave work at work" and be present at home. Or you realize the things you've been working towards leave you feeling sort of empty and you want to make some changes. Or maybe the question, "Why do I keep doing (fill in the blank)?" has been circling your mind for a while.
(509) 295-9592 View (509) 295-9592
Photo of Jenelle D Landgraf - Peaks & Valleys Healing, LICSW, Clinical Social Work/Therapist
Peaks & Valleys Healing
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Leavenworth, WA 98826  (Online Only)
Are feelings of hopelessness, unworthiness, shame, stress, grief, guilt, anxiety or depression stopping you from living the life you desire? Do you feel stuck and unsure how to move forward?
Are feelings of hopelessness, unworthiness, shame, stress, grief, guilt, anxiety or depression stopping you from living the life you desire? Do you feel stuck and unsure how to move forward?
(509) 204-8858 View (509) 204-8858
Photo of Alex Cohen, LMFTA, Marriage & Family Therapist Associate
Alex Cohen
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Leavenworth, WA 98826  (Online Only)
For me, “psychotherapy has to do with…people playing together.” My therapeutic approach is grounded in practicality, metaphor, and paradox. Whether you want to examine your relationship to archetypes and epic tales, investigate the mundane and extraordinary beauty in doing the dishes, or delve into your style of relating to another being: bring all of it - it is welcome and deserving of your attention. Fundamentally, I am fascinated by people - our stories, our journeys and our capacities for grace and awe.
For me, “psychotherapy has to do with…people playing together.” My therapeutic approach is grounded in practicality, metaphor, and paradox. Whether you want to examine your relationship to archetypes and epic tales, investigate the mundane and extraordinary beauty in doing the dishes, or delve into your style of relating to another being: bring all of it - it is welcome and deserving of your attention. Fundamentally, I am fascinated by people - our stories, our journeys and our capacities for grace and awe.
(206) 895-6379 View (206) 895-6379
Photo of Jesse Regnier, PsyD, LP, Psychologist
Jesse Regnier
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Leavenworth, WA 98826  (Online Only)
We all deserve respect, care, and acceptance. I have a passion for helping people navigate the difficult transitions that can occur in life due to a change in health or other circumstances. I believe that we all do our best given the resources and situation provided, and that a change in perspective or new tool can make all the difference. Besides primarily using a cognitive behavioral therapy framework to address unconscious processes, I have broad experience incorporating existential, spiritual, and meaning based approaches in pursuing growth.
We all deserve respect, care, and acceptance. I have a passion for helping people navigate the difficult transitions that can occur in life due to a change in health or other circumstances. I believe that we all do our best given the resources and situation provided, and that a change in perspective or new tool can make all the difference. Besides primarily using a cognitive behavioral therapy framework to address unconscious processes, I have broad experience incorporating existential, spiritual, and meaning based approaches in pursuing growth.
(509) 236-1517 View (509) 236-1517

How does your Therapist compare?

Number of Therapists in Peshastin, WA

< 10

Therapists in Peshastin, WA who prioritize treating:

100% Domestic Abuse
100% Trauma and PTSD
100% Domestic Violence
100% Self-Harming
50% Relationship Issues
50% Depression
50% Anxiety

Average years in practice

14 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% First Choice Health | FCH

How Therapists in Peshastin, WA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Peshastin?

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.