Therapists in La Crosse, WI

Photo of Lana R.g. Buchner, MS, LPC, ADHD-, CCSP, Counselor
Lana R.g. Buchner
Counselor, MS, LPC, ADHD-, CCSP
Verified Verified
La Crosse, WI 54601
Waitlist for new clients
Life can be complicated, wrought with difficult challenges, unexpected events, and seemingly impossible choices. Everyone encounters unique experiences that shape who we are. Some of those experiences can be painful and cause us to question, doubt ourselves, or live with emotional pain. Sometimes, we need someone to talk to and unload our burdens. I will help you to gain insight into what may be keeping you feeling like you cannot move forward and help you to find healing within. I will customize the best plan for you and together we will journey to discover your strengths and accessing your inner power. I am here for you.
Life can be complicated, wrought with difficult challenges, unexpected events, and seemingly impossible choices. Everyone encounters unique experiences that shape who we are. Some of those experiences can be painful and cause us to question, doubt ourselves, or live with emotional pain. Sometimes, we need someone to talk to and unload our burdens. I will help you to gain insight into what may be keeping you feeling like you cannot move forward and help you to find healing within. I will customize the best plan for you and together we will journey to discover your strengths and accessing your inner power. I am here for you.
(608) 470-6292 View (608) 470-6292
Photo of Meg Jelen, MA, LMFT, Marriage & Family Therapist
Meg Jelen
Marriage & Family Therapist, MA, LMFT
Verified Verified
La Crosse, WI 54601
You have made it far in life, so I know you are already strong and skilled! Sometimes it can be difficult to see that part of ourselves; we might lose sight of our abilities or be blinded by the stressors we face. Or perhaps the skills and abilities that carried us through past challenges are not supporting us through our current circumstances. My philosophy of care is holistic combining evidence-based practices with a multi-dimensional approach to well-being. I work to support and empower clients in improving their quality of life and achieving their goals.
You have made it far in life, so I know you are already strong and skilled! Sometimes it can be difficult to see that part of ourselves; we might lose sight of our abilities or be blinded by the stressors we face. Or perhaps the skills and abilities that carried us through past challenges are not supporting us through our current circumstances. My philosophy of care is holistic combining evidence-based practices with a multi-dimensional approach to well-being. I work to support and empower clients in improving their quality of life and achieving their goals.
(608) 200-2641 View (608) 200-2641
Photo of George Lough, PhD, SEP, NARM, Psychologist
George Lough
Psychologist, PhD, SEP, NARM
Verified Verified
La Crosse, WI 54601  (Online Only)
For over forty years I've helped people heal their emotional wounds. If you grew up in a dysfunctional family, the traumatic effects of that environment, such as anxiety, depression, anger, and relationship problems, are with you to this day. To have the fully functioning life you want, it is essential to recover from the neglect, abuse, and lack of parental attunement from which you may have suffered in your early years. I'll collaborate with you to help you understand how your past affects your present, and how you can make the changes you need to improve your life and relationships.
For over forty years I've helped people heal their emotional wounds. If you grew up in a dysfunctional family, the traumatic effects of that environment, such as anxiety, depression, anger, and relationship problems, are with you to this day. To have the fully functioning life you want, it is essential to recover from the neglect, abuse, and lack of parental attunement from which you may have suffered in your early years. I'll collaborate with you to help you understand how your past affects your present, and how you can make the changes you need to improve your life and relationships.
(608) 523-9041 View (608) 523-9041
Photo of Chris Newton, PhD, Psychologist
Chris Newton
Psychologist, PhD
Verified Verified
La Crosse, WI 54601
Waitlist for new clients
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
(608) 530-0575 View (608) 530-0575
Photo of Amelia Cronk, APSW, LGSW, Clinical Social Work/Therapist
Amelia Cronk
Clinical Social Work/Therapist, APSW, LGSW
Verified Verified
La Crosse, WI 54601
Through prior clinical experience and graduate school, I have provided services to those individuals experiencing and dealing with challenges related to related to depression, anxiety, attachment issues, adjustment disorders, relationship issues, adolescent issues, college age issues, and who identify as LGBTQ+. This prior experience is in addition to other stressors or life's experiences and challenges individual are facing. Through my time working in the MCHS Emergency Department, I have worked with individuals in crisis and provided crisis intervention services and completed suicide risk assessments.
Through prior clinical experience and graduate school, I have provided services to those individuals experiencing and dealing with challenges related to related to depression, anxiety, attachment issues, adjustment disorders, relationship issues, adolescent issues, college age issues, and who identify as LGBTQ+. This prior experience is in addition to other stressors or life's experiences and challenges individual are facing. Through my time working in the MCHS Emergency Department, I have worked with individuals in crisis and provided crisis intervention services and completed suicide risk assessments.
(608) 344-5471 View (608) 344-5471
Photo of Kendra A Holzer, PhD, LP, Psychologist
Kendra A Holzer
Psychologist, PhD, LP
Verified Verified
La Crosse, WI 54601
I'm delighted you have arrived here, after noticing something in you or your life is asking for your attention & care. A willingness to look into your inner self & experience reflects hope in the possibility of transformation. For many, this journey begins with a feeling that something is unbalanced, unresolved, or unreachable. Perhaps you've experienced concern about your emotional & mental well-being for awhile and now sense a readiness to open to your suffering as a pathway to healing. Or something unexpected has compromised your usual way of coping, and you believe uncovering your resilience will move you through the adversity.
I'm delighted you have arrived here, after noticing something in you or your life is asking for your attention & care. A willingness to look into your inner self & experience reflects hope in the possibility of transformation. For many, this journey begins with a feeling that something is unbalanced, unresolved, or unreachable. Perhaps you've experienced concern about your emotional & mental well-being for awhile and now sense a readiness to open to your suffering as a pathway to healing. Or something unexpected has compromised your usual way of coping, and you believe uncovering your resilience will move you through the adversity.
(608) 200-2416 View (608) 200-2416
Photo of Samuel Mahr, MS, LPCC, LPC, Licensed Professional Counselor
Samuel Mahr
Licensed Professional Counselor, MS, LPCC, LPC
Verified Verified
La Crosse, WI 54601
As a Licensed Professional Counselor, I specialize in working with children, adolescents, and young adults age 12 through adulthood. My clinical experience is working in a community based setting to provide individual, family, and group therapy to teenagers and young adults. As a therapist, I have had worked with clients experiencing depression, anxiety, grief, suicidality, trauma, and much more.
As a Licensed Professional Counselor, I specialize in working with children, adolescents, and young adults age 12 through adulthood. My clinical experience is working in a community based setting to provide individual, family, and group therapy to teenagers and young adults. As a therapist, I have had worked with clients experiencing depression, anxiety, grief, suicidality, trauma, and much more.
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Photo of Kelsey Whalen, LMFT, MA, Marriage & Family Therapist
Kelsey Whalen
Marriage & Family Therapist, LMFT, MA
Verified Verified
La Crosse, WI 54601
As a Marriage and Family Therapist I work with adults and couples of all kinds looking to break the unhealthy cycles that cause us to get stuck. I think therapy should be a space for all to heal from the past and learn new tools to live a brighter and more fulfilled life. I will not pretend to know what is best for you, however, I will offer my opinion and challenge you as we work together to find ways to tackle life’s hurdles. I am warm, empathetic, and value the work you put into being your best. I strive to make therapy a personalized experience that you feel is helpful and not just a quick fix.
As a Marriage and Family Therapist I work with adults and couples of all kinds looking to break the unhealthy cycles that cause us to get stuck. I think therapy should be a space for all to heal from the past and learn new tools to live a brighter and more fulfilled life. I will not pretend to know what is best for you, however, I will offer my opinion and challenge you as we work together to find ways to tackle life’s hurdles. I am warm, empathetic, and value the work you put into being your best. I strive to make therapy a personalized experience that you feel is helpful and not just a quick fix.
(608) 933-9723 View (608) 933-9723
Photo of Jay Clark, LPC, LPCC, Licensed Professional Counselor
Jay Clark
Licensed Professional Counselor, LPC, LPCC
Verified Verified
La Crosse, WI 54601
I believe that most people are naturally inclined toward growth and healing. People move toward self-actualization when life circumstances are right. I work with my clients to identify personal strengths and situational barriers for the purpose of maximizing potential. I have over 15 years of experience in the counseling field. I have worked with children, adolescents, and adults on a variety of personal and interpersonal issues. Feel free to contact me if you would like to make an appointment or if you have questions of any kind.
I believe that most people are naturally inclined toward growth and healing. People move toward self-actualization when life circumstances are right. I work with my clients to identify personal strengths and situational barriers for the purpose of maximizing potential. I have over 15 years of experience in the counseling field. I have worked with children, adolescents, and adults on a variety of personal and interpersonal issues. Feel free to contact me if you would like to make an appointment or if you have questions of any kind.
(608) 302-6917 View (608) 302-6917
Photo of Diane Monte, MSSW, LCSW, LICSW, Clinical Social Work/Therapist
Diane Monte
Clinical Social Work/Therapist, MSSW, LCSW, LICSW
Verified Verified
1 Endorsed
La Crosse, WI 54601
Let’s build a foundation of connectedness! Life is in constant motion with moments of joy, celebration and ease, as well as moments of grief, stress and disconnect. My commitment is to meet you where you are, build on your skills, all while adding new tools that help you move toward your values and goals.
Let’s build a foundation of connectedness! Life is in constant motion with moments of joy, celebration and ease, as well as moments of grief, stress and disconnect. My commitment is to meet you where you are, build on your skills, all while adding new tools that help you move toward your values and goals.
(608) 315-5191 View (608) 315-5191
Photo of Karen D Corrigan, MPH, PhD, LCSW, Clinical Social Work/Therapist
Karen D Corrigan
Clinical Social Work/Therapist, MPH, PhD, LCSW
Verified Verified
La Crosse, WI 54601
Psychotherapy can improve many aspects of one’s life. It can improve our relationship with ourselves, our family, and others. Psychotherapy can also improve our quality of life by addressing past and current situations and by learning new skills for the future.
Psychotherapy can improve many aspects of one’s life. It can improve our relationship with ourselves, our family, and others. Psychotherapy can also improve our quality of life by addressing past and current situations and by learning new skills for the future.
(608) 200-2304 x7 View (608) 200-2304 x7
Photo of Kevin Lee Knack - Peaceful Journey Counseling Services, MS,  LPC, NCC, Licensed Professional Counselor
Peaceful Journey Counseling Services
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
La Crosse, WI 54601
Every one of us is on a very personal journey through life and we all face unexpected challenges from time to time. Your road ahead may seem impossible to navigate and may even feel overwhelming. In these moments it's good to have help available and accessible. It's never easy to ask for assistance but that is the first and most important step in getting back what now seems lost and out of reach.
Every one of us is on a very personal journey through life and we all face unexpected challenges from time to time. Your road ahead may seem impossible to navigate and may even feel overwhelming. In these moments it's good to have help available and accessible. It's never easy to ask for assistance but that is the first and most important step in getting back what now seems lost and out of reach.
(608) 433-9741 View (608) 433-9741
Photo of Liz Stine, LPC, Licensed Professional Counselor
Liz Stine
Licensed Professional Counselor, LPC
Verified Verified
La Crosse, WI 54601
OCD, ANXIETY, PANIC, and PHOBIAS can all be incredibly uncomfortable, taking away precious time from what is important to you. Perhaps rumination, checking or intrusive, scary thoughts are ruining valuable aspects of your life. You want to feel better, you want relief and you want connection with others. What if you could experience less anxiety, feel more confident, and be able to approach your day with more surplus? Together we will make a plan that creates lasting change and together find strategies that work for you - that you can take into your daily life.
OCD, ANXIETY, PANIC, and PHOBIAS can all be incredibly uncomfortable, taking away precious time from what is important to you. Perhaps rumination, checking or intrusive, scary thoughts are ruining valuable aspects of your life. You want to feel better, you want relief and you want connection with others. What if you could experience less anxiety, feel more confident, and be able to approach your day with more surplus? Together we will make a plan that creates lasting change and together find strategies that work for you - that you can take into your daily life.
(608) 200-2324 View (608) 200-2324
Photo of Jeanne Claire Szatkowski, LCSW, CSAC, Clinical Social Work/Therapist
Jeanne Claire Szatkowski
Clinical Social Work/Therapist, LCSW, CSAC
Verified Verified
La Crosse, WI 54601
I have worked with many people over the years; young children, adolescents, young adults, adults, all with various issues. Many of the clients I see are struggling with anxiety, worries, depression, chemical use, relationship concerns, or parenting dilemmas. Often times, people are most helped by having someone to listen, to help them explore the issue, and to find solutions that work for them. My 35 years of experience have given me insight into what strategies are most effective. I am licensed and skilled in both mental health and chemical use issues.
I have worked with many people over the years; young children, adolescents, young adults, adults, all with various issues. Many of the clients I see are struggling with anxiety, worries, depression, chemical use, relationship concerns, or parenting dilemmas. Often times, people are most helped by having someone to listen, to help them explore the issue, and to find solutions that work for them. My 35 years of experience have given me insight into what strategies are most effective. I am licensed and skilled in both mental health and chemical use issues.
(608) 807-1930 View (608) 807-1930
Photo of Jennifer L Burelbach, MSSA, LCSW, DCSW, Clinical Social Work/Therapist
Jennifer L Burelbach
Clinical Social Work/Therapist, MSSA, LCSW, DCSW
Verified Verified
La Crosse, WI 54601
I cannot think of a single person who hasn't hit a bump in the road of life. We all have this happen- you know, times when we go a bit off track. Maybe, it is difficulty at home or couples constantly arguing. Maybe parents and children are not getting along. Perhaps it is more personal: you are just not feeling quite right, are feeling down and depressed, or are anxious and disorganized. Maybe you are struggling with past hurts or trauma. I am here to help.
I cannot think of a single person who hasn't hit a bump in the road of life. We all have this happen- you know, times when we go a bit off track. Maybe, it is difficulty at home or couples constantly arguing. Maybe parents and children are not getting along. Perhaps it is more personal: you are just not feeling quite right, are feeling down and depressed, or are anxious and disorganized. Maybe you are struggling with past hurts or trauma. I am here to help.
(608) 530-0694 View (608) 530-0694
Photo of Kenzie L Fox, MS, LPC, Licensed Professional Counselor
Kenzie L Fox
Licensed Professional Counselor, MS, LPC
Verified Verified
La Crosse, WI 54601
Not accepting new clients
Many people start therapy with me because of anxiety, depression, trauma, and/or relationship conflicts. Once we get started, more often than not, it becomes a self-growth journey! I believe you are the expert in your own life. I can simply serve as a guide, walking along next to you, to help you become who you want to be. You have what you need inside of you - you might just need a mirror to really see it. I believe in the power of validation. Everyone wants to be seen, heard, and understood. Clients are most successful when they are ready to put in the work, and when they know what they want to get out of the therapy process.
Many people start therapy with me because of anxiety, depression, trauma, and/or relationship conflicts. Once we get started, more often than not, it becomes a self-growth journey! I believe you are the expert in your own life. I can simply serve as a guide, walking along next to you, to help you become who you want to be. You have what you need inside of you - you might just need a mirror to really see it. I believe in the power of validation. Everyone wants to be seen, heard, and understood. Clients are most successful when they are ready to put in the work, and when they know what they want to get out of the therapy process.
(608) 406-4676 View (608) 406-4676
Photo of Edward Keane, LPC, Licensed Professional Counselor
Edward Keane
Licensed Professional Counselor, LPC
Verified Verified
La Crosse, WI 54601
Life isn’t always easy. Sometimes, even the strongest people need a little help to work through some of life’s more challenging problems. We all have battles to fight and hurdles to overcome at some point in life. Whether you struggle with anxiety, depression, relationships, work-related mental health disability, inappropriate or problematic sex-related problems, or any other issue, you should know that there is hope for a better tomorrow.
Life isn’t always easy. Sometimes, even the strongest people need a little help to work through some of life’s more challenging problems. We all have battles to fight and hurdles to overcome at some point in life. Whether you struggle with anxiety, depression, relationships, work-related mental health disability, inappropriate or problematic sex-related problems, or any other issue, you should know that there is hope for a better tomorrow.
(608) 496-8597 View (608) 496-8597
Photo of Ashley Grimsled, MS, LPC, Counselor
Ashley Grimsled
Counselor, MS, LPC
Verified Verified
1 Endorsed
La Crosse, WI 54601
Waitlist for new clients
I am not accepting new clients until November as new openings are limited. No evening hours open. I've been helping clients find their way through these feelings for the last 12 years. I can help clients learn about and use effective coping skills in order to gain a better understanding of themselves and work on becoming happy, healthy, and strong individuals. Sometimes people are just looking for someone to talk to and I am hear to listen, guide, and help you achieve your best life. I work with everyone to come up with a treatment plan that best suits their individual needs. Let's set up a plan together that we can work through.
I am not accepting new clients until November as new openings are limited. No evening hours open. I've been helping clients find their way through these feelings for the last 12 years. I can help clients learn about and use effective coping skills in order to gain a better understanding of themselves and work on becoming happy, healthy, and strong individuals. Sometimes people are just looking for someone to talk to and I am hear to listen, guide, and help you achieve your best life. I work with everyone to come up with a treatment plan that best suits their individual needs. Let's set up a plan together that we can work through.
(608) 383-5374 View (608) 383-5374
Photo of Gregg Scharf, MS, LPC, CSAC, Licensed Professional Counselor
Gregg Scharf
Licensed Professional Counselor, MS, LPC, CSAC
Verified Verified
1 Endorsed
La Crosse, WI 54601
I am accepting new clients. I have experience working in a variety of clinical settings treating both mental health and addiction issues simultaneously or separately. I offer court-ordered alcohol and drug assessments, DOT assessments as a certified Substance Abuse Professional (SAP), as well as attorney-ordered assessments. What makes my approach unique, is my ability to adapt treatment to fit your specific needs thereby making a complicated process a little more manageable. When the client can wrap their mind around the problem in a way they've never considered is the beginning point for effective and meaningful therapy.
I am accepting new clients. I have experience working in a variety of clinical settings treating both mental health and addiction issues simultaneously or separately. I offer court-ordered alcohol and drug assessments, DOT assessments as a certified Substance Abuse Professional (SAP), as well as attorney-ordered assessments. What makes my approach unique, is my ability to adapt treatment to fit your specific needs thereby making a complicated process a little more manageable. When the client can wrap their mind around the problem in a way they've never considered is the beginning point for effective and meaningful therapy.
(608) 466-4762 View (608) 466-4762
Photo of Dr. Robert J. Dixon - Coulee Psychological Services, LLC, PhD, LP, NCSP, Psychologist
Coulee Psychological Services, LLC
Psychologist, PhD, LP, NCSP
Verified Verified
La Crosse, WI 54601
My ideal client would be anyone in elementary, middle school, high school or post-secondary or early employment. When asked or when I introduced myself, I would label myself as a "school doctor" (rather than a medical doctor) who specializes in all things related to school including, but not limited to academic expectations or challenges; getting along with others through social connections or behavior choices, emotional adjustment or coping with stressors. Usually there is a gap between where you are and where you would like to be and it is our job to work together and move towards reducing that gap.
My ideal client would be anyone in elementary, middle school, high school or post-secondary or early employment. When asked or when I introduced myself, I would label myself as a "school doctor" (rather than a medical doctor) who specializes in all things related to school including, but not limited to academic expectations or challenges; getting along with others through social connections or behavior choices, emotional adjustment or coping with stressors. Usually there is a gap between where you are and where you would like to be and it is our job to work together and move towards reducing that gap.
(608) 465-4714 View (608) 465-4714
1

How does your Therapist compare?

Number of Therapists in La Crosse, WI

100+

Average cost per session

$145

Therapists in La Crosse, WI who prioritize treating:

93% Anxiety
86% Depression
75% Relationship Issues
75% Coping Skills
73% Self Esteem
72% Stress
61% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

78% Optum
77% UnitedHealthcare UHC | UBH
76% BlueCross and BlueShield

How Therapists in La Crosse, WI see their clients

55% In Person and Online
45% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in La Crosse?

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.