Therapists in Waukesha, WI

Photo of Vanessa Schumann, Drug & Alcohol Counselor, MS, LPC, CSAC
Vanessa Schumann
Drug & Alcohol Counselor, MS, LPC, CSAC
Waukesha, WI 53188
As a dually licensed clinical therapist, my practice focuses on substance abuse and/or dual diagnosis (mental health concerns co-occurring with substance abuse). With extensive experience facilitating relapse prevention group therapy, I incorporate important topics to assist individuals with the recovery process. Some of which include identification of triggers, utilization of coping strategies, and development of relapse prevention plans. Additionally, I work with individuals who are solely seeking mental health treatment for issues including but not limited to depression, anxiety, grief, and/or stress disorders.
As a dually licensed clinical therapist, my practice focuses on substance abuse and/or dual diagnosis (mental health concerns co-occurring with substance abuse). With extensive experience facilitating relapse prevention group therapy, I incorporate important topics to assist individuals with the recovery process. Some of which include identification of triggers, utilization of coping strategies, and development of relapse prevention plans. Additionally, I work with individuals who are solely seeking mental health treatment for issues including but not limited to depression, anxiety, grief, and/or stress disorders.
(262) 435-5192 View (262) 435-5192
Photo of Laura Cherone, Clinical Social Work/Therapist, LCSW, LCSAC
Laura Cherone
Clinical Social Work/Therapist, LCSW, LCSAC
1 Endorsed
Waukesha, WI 53188
I help my clients improve and accomplish positive, meaningful life change and become free from unwanted attitudes, behaviors or feelings. I consider it a privilege to coach and guide another person through mental health, life adjustment, relationship or family struggles. Therapy is a process of assisted growth and change. It often involves clearing out old and new difficulties while discovering, applying and practicing new approaches. I strive to build therapeutic relationships that are based on confidentiality and trust where my clients remain in charge of what occurs in every session as we work toward mutually defined goals.
I help my clients improve and accomplish positive, meaningful life change and become free from unwanted attitudes, behaviors or feelings. I consider it a privilege to coach and guide another person through mental health, life adjustment, relationship or family struggles. Therapy is a process of assisted growth and change. It often involves clearing out old and new difficulties while discovering, applying and practicing new approaches. I strive to build therapeutic relationships that are based on confidentiality and trust where my clients remain in charge of what occurs in every session as we work toward mutually defined goals.
(262) 762-9529 View (262) 762-9529
Photo of Danielle Tobin (Filtz), Counselor, MS, LPC-IT
Danielle Tobin (Filtz)
Counselor, MS, LPC-IT
1 Endorsed
Waukesha, WI 53188
I am a compassionate, holistic therapist who works with individuals ages 14 and older, supporting clients through relationship and communication concerns, anxiety, depression, grief and loss, self-esteem challenges, anger, work–life balance concerns. My work is grounded in the belief that healing happens when we address both the mind and the body, and when therapy honors the whole person rather than just symptoms. I really enjoy working collaboratively with clients to develop emotional intelligence, explore and unpack relationship patterns, and strengthen communication skills, cultivating healthier, more fulfilling relationships.
I am a compassionate, holistic therapist who works with individuals ages 14 and older, supporting clients through relationship and communication concerns, anxiety, depression, grief and loss, self-esteem challenges, anger, work–life balance concerns. My work is grounded in the belief that healing happens when we address both the mind and the body, and when therapy honors the whole person rather than just symptoms. I really enjoy working collaboratively with clients to develop emotional intelligence, explore and unpack relationship patterns, and strengthen communication skills, cultivating healthier, more fulfilling relationships.
(262) 587-6048 View (262) 587-6048
Photo of Noelle Penshorn, Marriage & Family Therapist, MS, LMFT
Noelle Penshorn
Marriage & Family Therapist, MS, LMFT
Online Only
I believe that relationships are the center of our lives. When we are accepting and compassionate to ourselves, we can bring our best to our relationships. As your therapist, I aim to provide you a safe and caring environment, where you feel comfortable to discuss what is happening in your life. Together we will explore ways to heal emotional pain, recognize unhealthy patterns and resolve personal problems. Please contact me today to get started.
I believe that relationships are the center of our lives. When we are accepting and compassionate to ourselves, we can bring our best to our relationships. As your therapist, I aim to provide you a safe and caring environment, where you feel comfortable to discuss what is happening in your life. Together we will explore ways to heal emotional pain, recognize unhealthy patterns and resolve personal problems. Please contact me today to get started.
(262) 300-4778 View (262) 300-4778
Photo of Sue Pakula, Licensed Professional Counselor, MS, LPC
Sue Pakula
Licensed Professional Counselor, MS, LPC
1 Endorsed
Waukesha, WI 53186
As a therapist, I strive to be empathic and authentic with my clients. I practice with a Person Centered approach and draw from Interpersonal Psychotherapy and Existentialism. With these ideas, we build our therapeutic relationship on trust and understanding. We work on goals that you feel are important – you are the expert in your life!
As a therapist, I strive to be empathic and authentic with my clients. I practice with a Person Centered approach and draw from Interpersonal Psychotherapy and Existentialism. With these ideas, we build our therapeutic relationship on trust and understanding. We work on goals that you feel are important – you are the expert in your life!
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Photo of Mandy Leslie, Licensed Professional Counselor, MS, LPC
Mandy Leslie
Licensed Professional Counselor, MS, LPC
Waukesha, WI 53188
Life's motion can feel intense and demanding, moving at a pace beyond one's stride, resulting in chronic stress, anxiety, and for some, chronic pain. Throughout this motion, self-care and nurturing relationships can feel overwhelming. Connecting with another human can be one of the safest ways to ground, center, and encounter what is asking for acknowledgment and care, forging a new pathway. I believe the therapeutic relationship and environment has immense potential to provide a secure container for what is felt to be seen and explored, giving fear the opportunity to be faced and transformed into intentional forward movement.
Life's motion can feel intense and demanding, moving at a pace beyond one's stride, resulting in chronic stress, anxiety, and for some, chronic pain. Throughout this motion, self-care and nurturing relationships can feel overwhelming. Connecting with another human can be one of the safest ways to ground, center, and encounter what is asking for acknowledgment and care, forging a new pathway. I believe the therapeutic relationship and environment has immense potential to provide a secure container for what is felt to be seen and explored, giving fear the opportunity to be faced and transformed into intentional forward movement.
(262) 259-4100 View (262) 259-4100
Photo of Anna Kraft, Licensed Professional Counselor, MS, LPC, NCC
Anna Kraft
Licensed Professional Counselor, MS, LPC, NCC
7 Endorsed
Waukesha, WI 53188
As you’re navigating your path, it’s easy to feel overwhelmed, lost, or stuck. You might feel like you’ve spent a long time minimizing your needs, staying small, or adapting to others—and now something inside you is ready for more. I work with individuals navigating neurodivergence, codependent relationship patterns, and those who identify as “minimizers”/ “turtles” who want support coming out of their shell and taking up space more fully. I also support gender-diverse clients using informed consent and self-determination models. My practice is sex-positive, affirming, and knowledgeable of ENM/poly relationships.
As you’re navigating your path, it’s easy to feel overwhelmed, lost, or stuck. You might feel like you’ve spent a long time minimizing your needs, staying small, or adapting to others—and now something inside you is ready for more. I work with individuals navigating neurodivergence, codependent relationship patterns, and those who identify as “minimizers”/ “turtles” who want support coming out of their shell and taking up space more fully. I also support gender-diverse clients using informed consent and self-determination models. My practice is sex-positive, affirming, and knowledgeable of ENM/poly relationships.
(262) 205-6934 View (262) 205-6934
Photo of Heather Brose, Clinical Social Work/Therapist, LCSW
Heather Brose
Clinical Social Work/Therapist, LCSW
3 Endorsed
Waukesha, WI 53188
I am a non-binary and queer therapist. I am a licensed clinical social worker and have been working in the mental health field for 10 years, with a specific focus on the LGBTQIA+ community for the past 4 years. I specialize in working with adults struggling with anxiety, relationship difficulties, low self-esteem, identity, sexuality and adjustment. I am also familiar and comfortable with working with those in non-traditional relationship types - non-monogamy (ENM, Polyamory, Swinging), BDSM/Kink, etc.
I am a non-binary and queer therapist. I am a licensed clinical social worker and have been working in the mental health field for 10 years, with a specific focus on the LGBTQIA+ community for the past 4 years. I specialize in working with adults struggling with anxiety, relationship difficulties, low self-esteem, identity, sexuality and adjustment. I am also familiar and comfortable with working with those in non-traditional relationship types - non-monogamy (ENM, Polyamory, Swinging), BDSM/Kink, etc.
(414) 441-5221 View (414) 441-5221
Photo of Melissa McWilliams, Licensed Professional Counselor, LPC
Melissa McWilliams
Licensed Professional Counselor, LPC
1 Endorsed
Waukesha, WI 53188
Nature based. Animal assisted (horses). Holistic approaches. I am a Licensed Professional Counselor and have been a part of the LifeStriders therapeutic team since 2014. My experience and interest lies in working with individuals, families, and children with goals including, but not limited to: anxiety, depression, communication skills, ADD / ADHD, self confidence, coping skills, self advocacy, impulsivity, parenting, grief, stress management, anger management, emotional awareness and regulation, and behavioral issues.
Nature based. Animal assisted (horses). Holistic approaches. I am a Licensed Professional Counselor and have been a part of the LifeStriders therapeutic team since 2014. My experience and interest lies in working with individuals, families, and children with goals including, but not limited to: anxiety, depression, communication skills, ADD / ADHD, self confidence, coping skills, self advocacy, impulsivity, parenting, grief, stress management, anger management, emotional awareness and regulation, and behavioral issues.
(262) 218-3411 View (262) 218-3411
Photo of Claire Layton, Clinical Social Work/Therapist, LCSW, CSAC, ICS
Claire Layton
Clinical Social Work/Therapist, LCSW, CSAC, ICS
Waukesha, WI 53188
Welcome! I specialize in providing positive, compassionate care for all clients. I am a Licensed Clinical Social Worker as well as Clinical Substance Abuse Counselor. I have experience helping people in all different circumstances, stages in life, with very different backgrounds. In the end, I believe that we all want kindness, respect, and to be heard. I focus on active listening and helping clients create their own path to wellness.
Welcome! I specialize in providing positive, compassionate care for all clients. I am a Licensed Clinical Social Worker as well as Clinical Substance Abuse Counselor. I have experience helping people in all different circumstances, stages in life, with very different backgrounds. In the end, I believe that we all want kindness, respect, and to be heard. I focus on active listening and helping clients create their own path to wellness.
(262) 393-3937 View (262) 393-3937
Susan Love
Clinical Social Work/Therapist, MSW, LCSW
Waukesha, WI 53186
Susan Love, LCSW, provides compassionate and expert care to individuals in Wisconsin seeking to improve their mental health and navigate life's challenges. Susan specializes in treating adults, teens, and seniors, helping clients manage a range of issues, including anxiety, depression, and bipolar disorder. Whether addressing midlife transitions or later life concerns, her therapeutic approach is tailored to meet the unique needs of each individual, offering support through difficult emotional landscapes.
Susan Love, LCSW, provides compassionate and expert care to individuals in Wisconsin seeking to improve their mental health and navigate life's challenges. Susan specializes in treating adults, teens, and seniors, helping clients manage a range of issues, including anxiety, depression, and bipolar disorder. Whether addressing midlife transitions or later life concerns, her therapeutic approach is tailored to meet the unique needs of each individual, offering support through difficult emotional landscapes.
(262) 667-5517 View (262) 667-5517
Photo of Jean Panich, Psychologist, PhD
Jean Panich
Psychologist, PhD
1 Endorsed
Waukesha, WI 53188
I have respect for people of all diverse backgrounds and feel honored to work in a healing profession. It can take courage to ask for help but can be well worth taking the first steps! I think the process is a partnership of working together towards achieving your goals. Therapy does require a commitment, disclosing issues and at times practicing new skills. It can be both serious but also lighthearted and when combined with using other resources, it can improve your overall well being.
I have respect for people of all diverse backgrounds and feel honored to work in a healing profession. It can take courage to ask for help but can be well worth taking the first steps! I think the process is a partnership of working together towards achieving your goals. Therapy does require a commitment, disclosing issues and at times practicing new skills. It can be both serious but also lighthearted and when combined with using other resources, it can improve your overall well being.
(262) 254-9644 View (262) 254-9644
Photo of Sara Francis - Engaging Therapies LLC, MS, MEd, LPC
Engaging Therapies LLC
Verified Verified
Waukesha, WI 53186
We're here to offer a helping hand and be one piece of your journey, your process to heal. We offer therapy designed for you because everyone's journey is unique. No one size fits all, every piece is different. Are you struggling with issues related to trauma, grief, depression, anxiety, major life changes or something else? There comes a time when we need some help from a certified professional to help cope with many of life's challenges. We'd love to help you on your journey toward healing and self-discovery.
We're here to offer a helping hand and be one piece of your journey, your process to heal. We offer therapy designed for you because everyone's journey is unique. No one size fits all, every piece is different. Are you struggling with issues related to trauma, grief, depression, anxiety, major life changes or something else? There comes a time when we need some help from a certified professional to help cope with many of life's challenges. We'd love to help you on your journey toward healing and self-discovery.
(262) 684-1886 View (262) 684-1886
Photo of Patricia Jahr, Licensed Professional Counselor, MA, LPC
Patricia Jahr
Licensed Professional Counselor, MA, LPC
Waukesha, WI 53188
Patricia Jahr, a Licensed Professional Counselor Associate at LifeStance Health, is dedicated to helping individuals navigate the complexities of mental health. Based in Wisconsin, she offers personalized therapy for adults aged 18 and older, addressing issues such as anxiety, depression, grief, and trauma. Patricia is committed to fostering a supportive environment where clients can feel safe and understood, allowing for meaningful healing and growth. With a passion for empowering her clients, Patricia emphasizes the importance of establishing a trusting therapeutic relationship.
Patricia Jahr, a Licensed Professional Counselor Associate at LifeStance Health, is dedicated to helping individuals navigate the complexities of mental health. Based in Wisconsin, she offers personalized therapy for adults aged 18 and older, addressing issues such as anxiety, depression, grief, and trauma. Patricia is committed to fostering a supportive environment where clients can feel safe and understood, allowing for meaningful healing and growth. With a passion for empowering her clients, Patricia emphasizes the importance of establishing a trusting therapeutic relationship.
(262) 588-4716 View (262) 588-4716
Photo of Amy Middleton, Clinical Social Work/Therapist, MA, LCSW
Amy Middleton
Clinical Social Work/Therapist, MA, LCSW
Waukesha, WI 53188
Life is always changing. It can be hard to navigate transitions and it takes courage to reach out and ask for help. I believe in a client centered, collaborative, solution-focused approach: empowering my clients to see their choices, potential, and value. I have been providing therapy services for over 30 years and have experience working with a wide range of issues: anxiety, stress, depression, grief, trauma, life transitions, parenting, adjustment issues, women's issues, work stressors, family conflicts, medical concerns, assertiveness/ empowerment etc.
Life is always changing. It can be hard to navigate transitions and it takes courage to reach out and ask for help. I believe in a client centered, collaborative, solution-focused approach: empowering my clients to see their choices, potential, and value. I have been providing therapy services for over 30 years and have experience working with a wide range of issues: anxiety, stress, depression, grief, trauma, life transitions, parenting, adjustment issues, women's issues, work stressors, family conflicts, medical concerns, assertiveness/ empowerment etc.
(262) 683-5815 View (262) 683-5815
Photo of Dr. Elizabeth Walker, Psychologist, PsyD
Dr. Elizabeth Walker
Psychologist, PsyD
Waukesha, WI 53188
Elizabeth Walker, PsyD, is a clinical psychologist at LifeStance Health, offering psychological testing services for individuals throughout the lifespan (ages 6-64). Dr. Walker provides comprehensive psychological assessments for diagnostic clarity of a wide range of conditions, including neurodevelopmental disorders (Attention-Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, Intellectual Developmental Disorder, Specific Learning Disorder, etc.), mood disorders, trauma, and other behavioral concerns. Dr. Walker enjoys working collaboratively with clients to ensure that the assessment is tailored to their unique needs.
Elizabeth Walker, PsyD, is a clinical psychologist at LifeStance Health, offering psychological testing services for individuals throughout the lifespan (ages 6-64). Dr. Walker provides comprehensive psychological assessments for diagnostic clarity of a wide range of conditions, including neurodevelopmental disorders (Attention-Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, Intellectual Developmental Disorder, Specific Learning Disorder, etc.), mood disorders, trauma, and other behavioral concerns. Dr. Walker enjoys working collaboratively with clients to ensure that the assessment is tailored to their unique needs.
(262) 393-4527 View (262) 393-4527
Photo of Kesley Jones, Licensed Professional Counselor, LPC
Kesley Jones
Licensed Professional Counselor, LPC
Waukesha, WI 53188
Kesley Jones is a Licensed Professional Counselor serving patients in Wisconsin. She treats adults across various life stages, including young adults, middleaged individuals, and seniors, focusing on providing individualized therapy that addresses specific mental health needs. Kesley specializes in helping patients overcome anxiety, depression, and obsessivecompulsive disorder, utilizing evidencebased treatments tailored to each individuals unique situation. Her approach is compassionate, yet rooted in clinical expertise, offering care to those in Wisconsin who are seeking to improve their emotional wellbeing and mental health.
Kesley Jones is a Licensed Professional Counselor serving patients in Wisconsin. She treats adults across various life stages, including young adults, middleaged individuals, and seniors, focusing on providing individualized therapy that addresses specific mental health needs. Kesley specializes in helping patients overcome anxiety, depression, and obsessivecompulsive disorder, utilizing evidencebased treatments tailored to each individuals unique situation. Her approach is compassionate, yet rooted in clinical expertise, offering care to those in Wisconsin who are seeking to improve their emotional wellbeing and mental health.
(262) 683-5615 View (262) 683-5615
Photo of Kaitlyn Sheskey, Licensed Professional Counselor, MSEd, LPC
Kaitlyn Sheskey
Licensed Professional Counselor, MSEd, LPC
Waukesha, WI 53186
Kate Sheskey is a Licensed Professional Counselor who has been practicing since 2017. She graduated from UW-Whitewater with a degree in Clinical Mental Health Counseling.
Kate Sheskey is a Licensed Professional Counselor who has been practicing since 2017. She graduated from UW-Whitewater with a degree in Clinical Mental Health Counseling.
(262) 588-4127 View (262) 588-4127
Photo of Kristen Roberts, Clinical Social Work/Therapist, LCSW
Kristen Roberts
Clinical Social Work/Therapist, LCSW
4 Endorsed
Waukesha, WI 53188
If you clicked on my profile you are wanting to take the first step towards change. Life throws a lot at us and sometimes we need a neutral listening ear to figure out what to do next. I am here for clients ages 10 - adult who are looking to learn how to feel feelings without spiraling or shutting down, to stop fighting with negative or unhelpful thoughts, and are open to taking a creative approach to get there.
If you clicked on my profile you are wanting to take the first step towards change. Life throws a lot at us and sometimes we need a neutral listening ear to figure out what to do next. I am here for clients ages 10 - adult who are looking to learn how to feel feelings without spiraling or shutting down, to stop fighting with negative or unhelpful thoughts, and are open to taking a creative approach to get there.
(262) 286-0646 View (262) 286-0646
Photo of Austin Schaftary, Pre-Licensed Professional
Austin Schaftary
Pre-Licensed Professional
Waukesha, WI 53186
I work with children, adolescents, and adults navigating depression, anxiety, OCD, trauma, mood disorders, personality concerns, and other emotional or behavioral challenges. My priority is creating space where you can show up honestly and authentically each and every meeting. Together we can identify patterns, strengthen coping, build insight, and take meaningful steps toward lasting, sustainable change through the development of a strong therapeutic relationship built on trust and collaboration. You are the expert of you and your treatment deserves to reflect that.
I work with children, adolescents, and adults navigating depression, anxiety, OCD, trauma, mood disorders, personality concerns, and other emotional or behavioral challenges. My priority is creating space where you can show up honestly and authentically each and every meeting. Together we can identify patterns, strengthen coping, build insight, and take meaningful steps toward lasting, sustainable change through the development of a strong therapeutic relationship built on trust and collaboration. You are the expert of you and your treatment deserves to reflect that.
(262) 360-4653 View (262) 360-4653

See more therapy options for Waukesha

How does your Therapist compare?

Number of Therapists in Waukesha, WI

300+

Average cost per session

$141

Therapists in Waukesha, WI who prioritize treating:

95% Anxiety
92% Depression
70% Trauma and PTSD
69% Self Esteem
67% Stress
64% Relationship Issues
60% Grief

Average years in practice

9 Years

Top 3 insurances accepted

80% Aetna
73% BlueCross and BlueShield
67% UnitedHealthcare UHC | UBH

How Therapists in Waukesha, WI see their clients

77% In Person and Online
23% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Waukesha?

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.