Therapists in Quincy, WA

Photo of Robert E Bates, MA, LMHC, Counselor
Robert E Bates
Counselor, MA, LMHC
Verified Verified
Quincy, WA 98848  (Online Only)
I am currently Focusing on Military Veterans in my practice: We can all use a little help now and then. I bring a diverse skill set of life and counseling experience. I grew up with a tumultuous household in a small community. I joined the military at a young age and have lived and worked throughout the world. I have had my own family, raising children weathering many successes and failures in the process. I have experienced counseling as a client; my personal experience enhances my great respect for my clients' vulnerability in our sessions. I am a fellow traveler in life, as you learn and grow so do I.
I am currently Focusing on Military Veterans in my practice: We can all use a little help now and then. I bring a diverse skill set of life and counseling experience. I grew up with a tumultuous household in a small community. I joined the military at a young age and have lived and worked throughout the world. I have had my own family, raising children weathering many successes and failures in the process. I have experienced counseling as a client; my personal experience enhances my great respect for my clients' vulnerability in our sessions. I am a fellow traveler in life, as you learn and grow so do I.
(509) 236-1418 View (509) 236-1418
Photo of Nicole Harbert, MEd, EdS, LPC, LMHC, Counselor
Nicole Harbert
Counselor, MEd, EdS, LPC, LMHC
Verified Verified
Quincy, WA 98848  (Online Only)
I strive to provide quality, dependable, and helpful therapy to those in need. I find extreme satisfaction helping people identify areas in their life that are challenging them and helping those individuals find resolution, perspective, and peace. My experience as a counselor includes working with adolescents, adults, and couples in areas of transition, crises, personal growth and development, divorce, strengthening relationships, communicating more effectively, weight and eating issues, anxiety, blended family structures, identity crises, depression, women issues, sexual dysfunction, grief, and gender issues.
I strive to provide quality, dependable, and helpful therapy to those in need. I find extreme satisfaction helping people identify areas in their life that are challenging them and helping those individuals find resolution, perspective, and peace. My experience as a counselor includes working with adolescents, adults, and couples in areas of transition, crises, personal growth and development, divorce, strengthening relationships, communicating more effectively, weight and eating issues, anxiety, blended family structures, identity crises, depression, women issues, sexual dysfunction, grief, and gender issues.
(509) 779-8675 View (509) 779-8675
Photo of Pamela Duggan, MSW, LMHC, Counselor
Pamela Duggan
Counselor, MSW, LMHC
Verified Verified
Quincy, WA 98848
My training and experience over the last twenty five years has equipped me to assist individuals, couples and families. Individual goals may be making peace with your past, improving self confidence or resolving stuck issues and moving forward. I have extensive training in treating anxiety disorders and trauma. I also have training and experience with children and parent issues.
My training and experience over the last twenty five years has equipped me to assist individuals, couples and families. Individual goals may be making peace with your past, improving self confidence or resolving stuck issues and moving forward. I have extensive training in treating anxiety disorders and trauma. I also have training and experience with children and parent issues.
(509) 795-0646 View (509) 795-0646
Photo of Katie Raser, LMHC
Katie Raser
Mental Health Counselor, LMHC
Verified Verified
Quincy, WA 98848  (Online Only)
My name is Katie Raser and I am a licensed mental health counselor with a background in social work. I have been providing individual counseling to adults since 2017. After working with folks of all ages and in all stages of life, these days, I work with expectant and new parents, struggling with the transition to parenting, anxiety, depression, or other mood changes, or PMADS (previously referred to as post-partum depression). While I primarily work with birthing and pregnant people, I also am happy to work with non-birthing parents as well.
My name is Katie Raser and I am a licensed mental health counselor with a background in social work. I have been providing individual counseling to adults since 2017. After working with folks of all ages and in all stages of life, these days, I work with expectant and new parents, struggling with the transition to parenting, anxiety, depression, or other mood changes, or PMADS (previously referred to as post-partum depression). While I primarily work with birthing and pregnant people, I also am happy to work with non-birthing parents as well.
(323) 643-8569 View (323) 643-8569
Photo of Peggy D Peterson, MS, LMHC, NCC, Counselor
Peggy D Peterson
Counselor, MS, LMHC, NCC
Verified Verified
Quincy, WA 98848
As a counselor with more than twenty years experience in both clinical and private practice settings, my goal is to provide you with a safe, comfortable and secure environment where, together, we will identify your counseling needs. Adult clients find my supportive, practical, holistic approach helpful in gaining understanding and insight into themselves and others. With this new understanding comes positive change. I use a variety of therapy techniques, including cognitive behavioral, interpersonal, relational, coping skill building, and anxiety reduction.
As a counselor with more than twenty years experience in both clinical and private practice settings, my goal is to provide you with a safe, comfortable and secure environment where, together, we will identify your counseling needs. Adult clients find my supportive, practical, holistic approach helpful in gaining understanding and insight into themselves and others. With this new understanding comes positive change. I use a variety of therapy techniques, including cognitive behavioral, interpersonal, relational, coping skill building, and anxiety reduction.
(509) 987-5967 View (509) 987-5967
Photo of LaRee Rumble - LaRee Rumble LMHC Counseling Services, LMHC, NCC, Counselor
LaRee Rumble LMHC Counseling Services
Counselor, LMHC, NCC
Verified Verified
Quincy, WA 98848
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 Melissa Jane Kelley - Rising Hope-Counseling by Melissa Kelley, MA, CLC, Counselor
Rising Hope-Counseling by Melissa Kelley
Counselor, MA, CLC
Verified Verified
Quincy, WA 98848
What is causing the problem? I have a three pronged approach looking at biochemistry of the body, Mind, and Spirit. To Work with you as a cohesive whole not just individual parts. BODY : Are you experience depression, anxiety, irritability, low blood sugar "hangry"? Repair Biochemistry of the brain to end most mood instability. Learn to feed your brain and body like professional athletes. Stop blaming yourself for having "No Will Power". Stop reaching for food and substances to feel good. Gain a stable mood, relaxed mind and body. Experience childlike joy and enthusiasm again.
What is causing the problem? I have a three pronged approach looking at biochemistry of the body, Mind, and Spirit. To Work with you as a cohesive whole not just individual parts. BODY : Are you experience depression, anxiety, irritability, low blood sugar "hangry"? Repair Biochemistry of the brain to end most mood instability. Learn to feed your brain and body like professional athletes. Stop blaming yourself for having "No Will Power". Stop reaching for food and substances to feel good. Gain a stable mood, relaxed mind and body. Experience childlike joy and enthusiasm again.
(509) 213-0282 View (509) 213-0282
Photo of Ryan Poortinga - Valley Counseling LLC, LMHCA, M Ed
Valley Counseling LLC
Mental Health Counselor Associate, LMHCA, M Ed
Verified Verified
Quincy, WA 98848  (Online Only)
It would be a great pleasure to partner with you to work through whatever it is you are facing. Counseling is so valuable and it can make a huge difference in the moment and for years to come. Whatever you are facing, you are not alone. Finding the right counselor can be challenging, but I am glad you are giving it a try. If it is your first time or you are returning to counseling, Welcome I am glad you are here.
It would be a great pleasure to partner with you to work through whatever it is you are facing. Counseling is so valuable and it can make a huge difference in the moment and for years to come. Whatever you are facing, you are not alone. Finding the right counselor can be challenging, but I am glad you are giving it a try. If it is your first time or you are returning to counseling, Welcome I am glad you are here.
(509) 401-8313 View (509) 401-8313
Photo of Dr. Jessica Fritzges, PhD, Psychologist
Dr. Jessica Fritzges
Psychologist, PhD
Verified Verified
Quincy, WA 98848  (Online Only)
Online booking available! I work with adults who are overcoming past trauma, depression, anxiety, and challenges like distraction, forgetfulness, and trouble managing their mood day to day. When you seek therapy, you hope to find someone who can help make sense of how you're struggling; then, you need guidance about how to start making changes to feel better. I specialize in addressing the needs of people who are living with complex trauma, PTSD, dissociation, and related conditions like ADHD and personality disorders. I offer both psychological testing and therapy, diagnosing and treating trauma and mental health concerns.
Online booking available! I work with adults who are overcoming past trauma, depression, anxiety, and challenges like distraction, forgetfulness, and trouble managing their mood day to day. When you seek therapy, you hope to find someone who can help make sense of how you're struggling; then, you need guidance about how to start making changes to feel better. I specialize in addressing the needs of people who are living with complex trauma, PTSD, dissociation, and related conditions like ADHD and personality disorders. I offer both psychological testing and therapy, diagnosing and treating trauma and mental health concerns.
(509) 673-7382 View (509) 673-7382
Photo of Nicole Prentice, MSW, LICSW, LCSW, Clinical Social Work/Therapist
Nicole Prentice
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Quincy, WA 98848
We’re glad you’re here. You’ve already taken the first step. As a certified clinical trauma professional, Nicole Prentice is passionate about meeting clients in their hurting and walk alongside them as they journey toward healing. Nicole’s experiences include working with both children and adults, ranging from challenges with brief adjustment disorders to major chronic and/or complex trauma histories.
We’re glad you’re here. You’ve already taken the first step. As a certified clinical trauma professional, Nicole Prentice is passionate about meeting clients in their hurting and walk alongside them as they journey toward healing. Nicole’s experiences include working with both children and adults, ranging from challenges with brief adjustment disorders to major chronic and/or complex trauma histories.
(509) 361-2035 View (509) 361-2035

Online Therapists

Photo of Heidi Nielson, LMFTA, Marriage & Family Therapist Associate
Heidi Nielson
Marriage & Family Therapist Associate, LMFTA
Verified Verified
6 Endorsed
West Richland, WA 99353  (Online Only)
Limited immediate openings for individual clients. Currently accepting couples for a short wait list. Time availability of sessions is mostly in the evenings with some daytime weekday availability currently. I enjoy working with queer and neurodiverse clients on a variety of issues. I work with individuals, couples, and families of all kinds. Communication and transitions can be difficult, but growth is possible.
Limited immediate openings for individual clients. Currently accepting couples for a short wait list. Time availability of sessions is mostly in the evenings with some daytime weekday availability currently. I enjoy working with queer and neurodiverse clients on a variety of issues. I work with individuals, couples, and families of all kinds. Communication and transitions can be difficult, but growth is possible.
(509) 567-2951 View (509) 567-2951
Photo of Tim Bartlett, MS, LMHC, Counselor
Tim Bartlett
Counselor, MS, LMHC
Verified Verified
Wenatchee, WA 98801
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 Joan D Green Ferguson, MS LMFT, Marriage & Family Therapist
Joan D Green Ferguson
Marriage & Family Therapist, MS LMFT
Verified Verified
Enumclaw, WA 98022
Are you challenged by parenting, or difficulties in your intimate relationships? Are you struggling with feelings of unworthiness, grief, painful trauma history or dissatisfaction with your life circumstances? Are you experiencing feelings of anxiety or depression and you don't understand where this is coming from? I am a licensed Marriage and Family Therapist with over 30 years’ experience treating adults and youth, couples and families. With respect, trust and safety, We will focus on improving your relationship with yourself and others to help you find the meaning, increased satisfaction, and peace and happiness that you seek.
Are you challenged by parenting, or difficulties in your intimate relationships? Are you struggling with feelings of unworthiness, grief, painful trauma history or dissatisfaction with your life circumstances? Are you experiencing feelings of anxiety or depression and you don't understand where this is coming from? I am a licensed Marriage and Family Therapist with over 30 years’ experience treating adults and youth, couples and families. With respect, trust and safety, We will focus on improving your relationship with yourself and others to help you find the meaning, increased satisfaction, and peace and happiness that you seek.
(360) 519-2627 View (360) 519-2627
Photo of Lori Senger, MA, LMHC, Counselor
Lori Senger
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Ellensburg, WA 98926  (Online Only)
I have immediate availability & over 11 years experience working with diverse cultures & a spectrum of behavioral & mental health concerns. Whether you're grappling with things such as: low self-esteem, communication, relationship or school/work issues, parenting challenges, stress, or experiencing symptoms of depression or anxiety, I am dedicated to offering you tailored support. I believe that including caregivers in some of the treatment process is instrumental in fostering understanding & ensuring sustained success & growth for the younger individual. My goal is to create a safe & collaborative space to address your concerns
I have immediate availability & over 11 years experience working with diverse cultures & a spectrum of behavioral & mental health concerns. Whether you're grappling with things such as: low self-esteem, communication, relationship or school/work issues, parenting challenges, stress, or experiencing symptoms of depression or anxiety, I am dedicated to offering you tailored support. I believe that including caregivers in some of the treatment process is instrumental in fostering understanding & ensuring sustained success & growth for the younger individual. My goal is to create a safe & collaborative space to address your concerns
(509) 581-2914 View (509) 581-2914
Photo of Nick Duran, LMHC, Counselor
Nick Duran
Counselor, LMHC
Verified Verified
Wenatchee, WA 98801  (Online Only)
I meet clients where they are and offer treatment that is LGBTQIA+ affirming and culturally responsive. I am devoted to working with individuals and couples facing various issues, including anxiety, depression, bipolar, ADHD, grief, and life transitions. I believe clients are the experts of their lived experience, and therapy is an investment in one’s success and empowerment.
I meet clients where they are and offer treatment that is LGBTQIA+ affirming and culturally responsive. I am devoted to working with individuals and couples facing various issues, including anxiety, depression, bipolar, ADHD, grief, and life transitions. I believe clients are the experts of their lived experience, and therapy is an investment in one’s success and empowerment.
(253) 893-8454 View (253) 893-8454
Photo of Emily Vickerman, LMHC-A, MA, Pre-Licensed Professional
Emily Vickerman
Pre-Licensed Professional, LMHC-A, MA
Verified Verified
Granger, WA 98932  (Online Only)
Dealing with anxiety, OCD, relationship issues, faith struggles, or postpartum difficulties are challenges that many people face. Healing and growth require both compassion for oneself and a readiness to confront the hard truths that may emerge during therapy. Clients who desire both support and challenge—someone who can empathize with their pain while also helping them to push through barriers and make meaningful changes, work well with my approach to therapy.
Dealing with anxiety, OCD, relationship issues, faith struggles, or postpartum difficulties are challenges that many people face. Healing and growth require both compassion for oneself and a readiness to confront the hard truths that may emerge during therapy. Clients who desire both support and challenge—someone who can empathize with their pain while also helping them to push through barriers and make meaningful changes, work well with my approach to therapy.
(509) 286-2528 View (509) 286-2528
Photo of Jeff Michaelis, LMHCA, CPTT-C, CSAT-C, NCC, MBA, Counselor
Jeff Michaelis
Counselor, LMHCA, CPTT-C, CSAT-C, NCC, MBA
Verified Verified
Kennewick, WA 99336
Are you struggling with unwanted sexual acting-out behaviors? Have been betrayed by a spouse or significant other? Do you have any traumatic experiences in your life that are holding you back? Are you tired of living a double life? I can help. As a Certified Sexual Addiction Therapist - Candidate, Certified Partner Trauma Therapist - Candidate, and an ART-trained therapist, I know you have the tools and the ability to recover your life, you may need someone to walk along with you to help you find the way though. I would be honored to be your guide in recovery.
Are you struggling with unwanted sexual acting-out behaviors? Have been betrayed by a spouse or significant other? Do you have any traumatic experiences in your life that are holding you back? Are you tired of living a double life? I can help. As a Certified Sexual Addiction Therapist - Candidate, Certified Partner Trauma Therapist - Candidate, and an ART-trained therapist, I know you have the tools and the ability to recover your life, you may need someone to walk along with you to help you find the way though. I would be honored to be your guide in recovery.
(509) 215-2386 View (509) 215-2386
Photo of Lynnette Whitney, LICSW, Clinical Social Work/Therapist
Lynnette Whitney
Clinical Social Work/Therapist, LICSW
Verified Verified
Yakima, WA 98902
Many of us, at some point in our lives, will need to reach out for assistance. We will need someone to come alongside us and provide support and a new perspective as we navigate issues that arise in our lives. I consider it a privilege to be a part of that journey with you. My hope is that we can work together to discover your strengths and unique characteristics that you can use to overcome the obstacles you may face. I try to provide a safe space where you can come as yourself, understand yourself better, and learn to value yourself and what you bring into this world.
Many of us, at some point in our lives, will need to reach out for assistance. We will need someone to come alongside us and provide support and a new perspective as we navigate issues that arise in our lives. I consider it a privilege to be a part of that journey with you. My hope is that we can work together to discover your strengths and unique characteristics that you can use to overcome the obstacles you may face. I try to provide a safe space where you can come as yourself, understand yourself better, and learn to value yourself and what you bring into this world.
(509) 412-3530 View (509) 412-3530
Photo of Kelsey Bourn, MA, LMHCA, LMFTA, NCC, Counselor
Kelsey Bourn
Counselor, MA, LMHCA, LMFTA, NCC
Verified Verified
2 Endorsed
Winthrop, WA 98862
I believe that humans are constantly evolving, seeking to reduce suffering, and can enhance self-awareness by delving into the depths of their unconscious mind. There are things in life that challenge us, our values, and our beliefs. As a result, our natural response might show up as stress, anxiety, anger, or grief and lead us to start asking ourselves some tough questions about the meaning of life. It is through counseling that we can start to explore these thoughts and become more self-determined and confident in our choices.
I believe that humans are constantly evolving, seeking to reduce suffering, and can enhance self-awareness by delving into the depths of their unconscious mind. There are things in life that challenge us, our values, and our beliefs. As a result, our natural response might show up as stress, anxiety, anger, or grief and lead us to start asking ourselves some tough questions about the meaning of life. It is through counseling that we can start to explore these thoughts and become more self-determined and confident in our choices.
(509) 285-9142 View (509) 285-9142
Photo of Christy Laws, BSW, SUDP, Drug & Alcohol Counselor
Christy Laws
Drug & Alcohol Counselor, BSW, SUDP
Verified Verified
Richland, WA 99352
As a dedicated and empathetic therapist, I am committed to providing a safe space for self-exploration and growth. With a client-centered approach, I aim to understand your unique experiences and collaboratively work towards positive change. My goal is to support you on your journey, fostering a trusting therapeutic relationship built on respect, confidentiality, and a genuine commitment to your well-being. Together, we can navigate challenges, develop coping strategies, and uncover the strengths within you to promote lasting positive transformation.
As a dedicated and empathetic therapist, I am committed to providing a safe space for self-exploration and growth. With a client-centered approach, I aim to understand your unique experiences and collaboratively work towards positive change. My goal is to support you on your journey, fostering a trusting therapeutic relationship built on respect, confidentiality, and a genuine commitment to your well-being. Together, we can navigate challenges, develop coping strategies, and uncover the strengths within you to promote lasting positive transformation.
(509) 512-1922 View (509) 512-1922

See more therapy options for Quincy

How does your Therapist compare?

Number of Therapists in Quincy, WA

10+

Average cost per session

$154

Therapists in Quincy, WA who prioritize treating:

100% Depression
90% Anxiety
70% Relationship Issues
70% Grief
70% Trauma and PTSD
70% Self Esteem
70% Stress

Average years in practice

12 Years

Top 3 insurances accepted

88% Regence
75% Cigna and Evernorth
75% Premera Blue Cross

How Therapists in Quincy, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Quincy?

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.