Therapists in New Mexico

View cities and counties in New Mexico
Photo of undefined - Zia Vista Therapy, LLC, LCSW, Clinical Social Work/Therapist
Zia Vista Therapy, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Las Cruces, NM 88001
Are you feeling challenged by the process of adjusting to a major life change? You might be feeling lost or confused around one or more life decisions or looking for some gentle guidance while navigating an unexpected loss or other changes in your life. Often, we find ourselves reflecting on our past or present family or other relationship dynamics and begin noticing how impactful those experiences have been on us. Sometimes it can feel difficult to manage our moods and emotions as a result of depression, anxiety, and/or traumatic events on our own. We welcome the opportunity to walk alongside you on any path you may be traveling.
Are you feeling challenged by the process of adjusting to a major life change? You might be feeling lost or confused around one or more life decisions or looking for some gentle guidance while navigating an unexpected loss or other changes in your life. Often, we find ourselves reflecting on our past or present family or other relationship dynamics and begin noticing how impactful those experiences have been on us. Sometimes it can feel difficult to manage our moods and emotions as a result of depression, anxiety, and/or traumatic events on our own. We welcome the opportunity to walk alongside you on any path you may be traveling.
(575) 265-0582 View (575) 265-0582
Photo of David Clees, MA, LMHC, LPCC
David Clees
Mental Health Counselor, MA, LMHC, LPCC
Verified Verified
1 Endorsed
Albuquerque, NM 87120  (Online Only)
I invite you to more fully be yourself. My approach to therapy assumes that you are motivated to look at changing one or all of these: how you feel, how you think, or how you act. The self-discovery that's part of therapy comes when we gradually become more aware of how we think, how we feel, how we act. If you find yourself with a general sense of dissatisfaction (with yourself or the world), feel apathetic or fearful of what's next, or find yourself making the same mistakes over and over, my approach combining mindfulness, body awareness, deep listening (to your story) and creative problem-solving will be useful to you.
I invite you to more fully be yourself. My approach to therapy assumes that you are motivated to look at changing one or all of these: how you feel, how you think, or how you act. The self-discovery that's part of therapy comes when we gradually become more aware of how we think, how we feel, how we act. If you find yourself with a general sense of dissatisfaction (with yourself or the world), feel apathetic or fearful of what's next, or find yourself making the same mistakes over and over, my approach combining mindfulness, body awareness, deep listening (to your story) and creative problem-solving will be useful to you.
(206) 285-6956 View (206) 285-6956
Photo of Bethany Moore, MA, LPCC, ATR-BC, LPAT, Counselor
Bethany Moore
Counselor, MA, LPCC, ATR-BC, LPAT
Verified Verified
2 Endorsed
Santa Fe, NM 87505
I consider myself a Self-Healing Guide. My relationship with clients is built on respect, empathy, compassion, validation, humor and inspiration. We work Together. Much of my work is based on the knowing that you have all the answers inside yourself and my job is to help you re-learn how to access that information and heal. My job is to trust intuition and the information I receive while working with you to support you with grounded guidance & facilitation. I also offer Workshops & Retreats for women.
I consider myself a Self-Healing Guide. My relationship with clients is built on respect, empathy, compassion, validation, humor and inspiration. We work Together. Much of my work is based on the knowing that you have all the answers inside yourself and my job is to help you re-learn how to access that information and heal. My job is to trust intuition and the information I receive while working with you to support you with grounded guidance & facilitation. I also offer Workshops & Retreats for women.
(505) 295-0547 View (505) 295-0547
Photo of Eliza Delaney, CMHC, ATR, Counselor
Eliza Delaney
Counselor, CMHC, ATR
Verified Verified
1 Endorsed
Santa Fe, NM 87501
Not accepting new clients
As a Clinical Mental Health Counselor and Registered Art Therapist, I work with clients at all ages and stages of life. I take a client-centered approach and follow the needs of each individual depending on whether they prefer talk therapy, art therapy or a combination. Majority of my experience includes working with clients that struggle with anxiety, depression, attachment issues, family conflict, trauma and abuse/neglect. I aim to create a safe space to build trust and empower self growth in my clients. Therapy has been healing in my own life and I hope to provide support for others struggling with their mental health.
As a Clinical Mental Health Counselor and Registered Art Therapist, I work with clients at all ages and stages of life. I take a client-centered approach and follow the needs of each individual depending on whether they prefer talk therapy, art therapy or a combination. Majority of my experience includes working with clients that struggle with anxiety, depression, attachment issues, family conflict, trauma and abuse/neglect. I aim to create a safe space to build trust and empower self growth in my clients. Therapy has been healing in my own life and I hope to provide support for others struggling with their mental health.
(505) 588-6822 View (505) 588-6822
Photo of Nancy Haverkos, MA, LPCC, Counselor
Nancy Haverkos
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87501  (Online Only)
Have you ever wondered why it seems you always get the same results in relationship? Since there are many forms of relating, it's likely you find common threads in most of those. We live in a culture that promotes codependency and fails to support us on a path of personal empowerment. This colors not only our perception of others, but also of ourselves. Feelings of sadness, grief and anger arise, and are difficult to calm. With focus on intention, coaching toward better boundaries, and clearer communication, it's possible to find more joy and harmony in life.
Have you ever wondered why it seems you always get the same results in relationship? Since there are many forms of relating, it's likely you find common threads in most of those. We live in a culture that promotes codependency and fails to support us on a path of personal empowerment. This colors not only our perception of others, but also of ourselves. Feelings of sadness, grief and anger arise, and are difficult to calm. With focus on intention, coaching toward better boundaries, and clearer communication, it's possible to find more joy and harmony in life.
(505) 386-4168 View (505) 386-4168
Photo of Rebecca Jarrell, MA, LPCC, Counselor
Rebecca Jarrell
Counselor, MA, LPCC
Verified Verified
Albuquerque, NM 87112  (Online Only)
The death of your loved one has left a gaping hole in your life. They meant so much to you, but now they’re just gone. You don’t know how to carry on without them. Those around you are of no comfort either. You’re misunderstood when you speak to others about your loss. You’ve never felt more alone and confused, tired of people not knowing what to say or how to act around you. You don’t understand why you’re expected to get over your feelings and just move on. “I wish someone understood how this feels,” you say to yourself.
The death of your loved one has left a gaping hole in your life. They meant so much to you, but now they’re just gone. You don’t know how to carry on without them. Those around you are of no comfort either. You’re misunderstood when you speak to others about your loss. You’ve never felt more alone and confused, tired of people not knowing what to say or how to act around you. You don’t understand why you’re expected to get over your feelings and just move on. “I wish someone understood how this feels,” you say to yourself.
(505) 392-2291 View (505) 392-2291
Photo of Samari Rodriguez Rios, PhD , LMHC, Counselor
Samari Rodriguez Rios
Counselor, PhD , LMHC
Verified Verified
Santa Fe, NM 87505  (Online Only)
You have become a mom, your child is not older than 3, and you feel lost, sad, alone, rageful, misunderstood or even feel you don't know who you are anymore. Nobody told you that motherhood could be so overwhelming. However, you are certain that you don't want to hurt your child in the same ways you were hurt as a kid. All you want is to become the mother you anticipated to be for your child, but how?
You have become a mom, your child is not older than 3, and you feel lost, sad, alone, rageful, misunderstood or even feel you don't know who you are anymore. Nobody told you that motherhood could be so overwhelming. However, you are certain that you don't want to hurt your child in the same ways you were hurt as a kid. All you want is to become the mother you anticipated to be for your child, but how?
(505) 636-5569 View (505) 636-5569
Photo of Mallory Hemerlein, LCSW, RYT, Clinical Social Work/Therapist
Mallory Hemerlein
Clinical Social Work/Therapist, LCSW, RYT
Verified Verified
1 Endorsed
Santa Fe, NM 87505  (Online Only)
Welcome, I'm so glad you're here! I specialize in working with people who have experienced trauma & support people who are moving through life's transitions. Many of my clients may be experiencing anxiety, depression, addictive behaviors, substance use, or relationship issues. It's my honor to provide affirming care to LGBTQIA+ folks. I am fluent in ASL can offer services to Deaf or HoH clients in their native language. I am certified in two trauma treatments, Reconsolidation of Traumatic Memories (RTM) & Compassionate Inquiry. Both are aimed to remind you of your wholeness beyond the traumatic experiences.
Welcome, I'm so glad you're here! I specialize in working with people who have experienced trauma & support people who are moving through life's transitions. Many of my clients may be experiencing anxiety, depression, addictive behaviors, substance use, or relationship issues. It's my honor to provide affirming care to LGBTQIA+ folks. I am fluent in ASL can offer services to Deaf or HoH clients in their native language. I am certified in two trauma treatments, Reconsolidation of Traumatic Memories (RTM) & Compassionate Inquiry. Both are aimed to remind you of your wholeness beyond the traumatic experiences.
(505) 370-3180 View (505) 370-3180
Photo of undefined - The Center Through the Looking Glass
The Center Through the Looking Glass
Verified Verified
Las Cruces, NM 88001  (Online Only)
Our Center has served Las Cruces and the surrounding Communities with quality mental health care for over 28 years. Our staff of medical psychologists, clinical psychologists, counselors, and social workers, offer therapy services including telehealth uniquely designed to foster your mental health in these challenging times.
Our Center has served Las Cruces and the surrounding Communities with quality mental health care for over 28 years. Our staff of medical psychologists, clinical psychologists, counselors, and social workers, offer therapy services including telehealth uniquely designed to foster your mental health in these challenging times.
(575) 205-4724 View (575) 205-4724
Photo of undefined - The Institute for Psychotherapy Services, PhD, Psychologist
The Institute for Psychotherapy Services
Psychologist, PhD
Verified Verified
Santa Fe, NM 87505
The Institute for Post Graduate Studies is a psychotherapy and counseling center offering high quality dynamic psychotherapy to individuals, couples and adolescents throughout New Mexico. We offer a wide range of treatments for psychological difficulties with providers who are master’s level or above, experienced and independently licensed psychotherapists. Our approach emphasizes empathy, the exploration of unique inner worlds and practical solutions to painful life situations. We are committed to clinical environments that are cultural sensitive and inclusive of every New Mexican.
The Institute for Post Graduate Studies is a psychotherapy and counseling center offering high quality dynamic psychotherapy to individuals, couples and adolescents throughout New Mexico. We offer a wide range of treatments for psychological difficulties with providers who are master’s level or above, experienced and independently licensed psychotherapists. Our approach emphasizes empathy, the exploration of unique inner worlds and practical solutions to painful life situations. We are committed to clinical environments that are cultural sensitive and inclusive of every New Mexican.
(505) 596-4574 View (505) 596-4574
Photo of undefined - Dr. JamieLynn Gonzales, LCSW-S, FSW  BeMeBetter, DSW, LCSW-S, FSW, Clinical Social Work/Therapist
Dr. JamieLynn Gonzales, LCSW-S, FSW BeMeBetter
Clinical Social Work/Therapist, DSW, LCSW-S, FSW
Verified Verified
2 Endorsed
Albuquerque, NM 87111
BeMeBetter is accepting new clients. Specializing in Cognitive Behavioral Therapy (CBT), trained in Eye Movement Desensitization and Reprocessing (EMDR), and a certified Financial Social Worker, I work with individuals struggling with affective disorders (depression, anxiety, PTSD, trauma) and financial stress affecting overall wellbeing. I particularly enjoy helping Veterans, their family members, and adolescents struggling with school performance or phase of life problems.
BeMeBetter is accepting new clients. Specializing in Cognitive Behavioral Therapy (CBT), trained in Eye Movement Desensitization and Reprocessing (EMDR), and a certified Financial Social Worker, I work with individuals struggling with affective disorders (depression, anxiety, PTSD, trauma) and financial stress affecting overall wellbeing. I particularly enjoy helping Veterans, their family members, and adolescents struggling with school performance or phase of life problems.
(505) 395-5710 View (505) 395-5710
Photo of Stephen Ausherman, LMHC, ATR, MA, Licensed Professional Counselor
Stephen Ausherman
Licensed Professional Counselor, LMHC, ATR, MA
Verified Verified
Albuquerque, NM 87109
You are the expert on yourself with unique perspectives and beliefs shaped by your own personal experiences. I invite you to lead me on a journey of what your life has been like so far, and in doing so reveal to me what you need to live at your full potential. From there we begin the next stage of your journey.
You are the expert on yourself with unique perspectives and beliefs shaped by your own personal experiences. I invite you to lead me on a journey of what your life has been like so far, and in doing so reveal to me what you need to live at your full potential. From there we begin the next stage of your journey.
(505) 393-7623 View (505) 393-7623
Photo of Felicia Cocq-Rasmussen, LMSW, Clinical Social Work/Therapist
Felicia Cocq-Rasmussen
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Albuquerque, NM 87110
I have always been fascinated by human behavior and the human condition. I would like to specialize in neurodiversity, complex trauma, and self-esteem. I am a firm believer in creating accommodations and striving for self-compassion and acceptance. I believe that we as humans are wired for connection. At times unhealthy relationships are all we know. I enjoy working with couples as I believe that making a commitment to another human is one of the most vulnerable things we do in our lives. I strive to help my clients and couples develop a strong sense of self to foster healthy, reliable, and trustworthy relationships.
I have always been fascinated by human behavior and the human condition. I would like to specialize in neurodiversity, complex trauma, and self-esteem. I am a firm believer in creating accommodations and striving for self-compassion and acceptance. I believe that we as humans are wired for connection. At times unhealthy relationships are all we know. I enjoy working with couples as I believe that making a commitment to another human is one of the most vulnerable things we do in our lives. I strive to help my clients and couples develop a strong sense of self to foster healthy, reliable, and trustworthy relationships.
(505) 405-1086 View (505) 405-1086
Photo of Julie S Murphy, MA, LPCC, Counselor
Julie S Murphy
Counselor, MA, LPCC
Verified Verified
Albuquerque, NM 87112
Psychotherapy is a partnership with the goal of exploring who you are, what you want, and what is getting in your way. But how does it work? First, engaging in psychotherapy gives you the rare opportunity for another human being to focus entirely on you which can be healing in itself. And if that person is specifically trained to know what questions to ask and when to challenge and confront and when to support and encourage, then the possibilities for growth are endless.
Psychotherapy is a partnership with the goal of exploring who you are, what you want, and what is getting in your way. But how does it work? First, engaging in psychotherapy gives you the rare opportunity for another human being to focus entirely on you which can be healing in itself. And if that person is specifically trained to know what questions to ask and when to challenge and confront and when to support and encourage, then the possibilities for growth are endless.
(505) 933-8819 View (505) 933-8819
Photo of Daphne Lowe, MA, MFT, Marriage & Family Therapist
Daphne Lowe
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
Santa Fe, NM 87507  (Online Only)
Not accepting new clients
Are you longing for a better relationship with your partner? Is anxiety or trauma in the way of your goals? Have you been running faster and faster, yet feel stuck? I specialize in couples therapy and trauma treatment, using state of the art training combined with over 20 years of experience. Today, your problems might feel overwhelming. I can help you find tools and solutions that will help.
Are you longing for a better relationship with your partner? Is anxiety or trauma in the way of your goals? Have you been running faster and faster, yet feel stuck? I specialize in couples therapy and trauma treatment, using state of the art training combined with over 20 years of experience. Today, your problems might feel overwhelming. I can help you find tools and solutions that will help.
(415) 799-4218 View (415) 799-4218
Photo of Ben Greenberg, PsyD, Psychologist
Ben Greenberg
Psychologist, PsyD
Verified Verified
1 Endorsed
Santa Fe, NM 87505  (Online Only)
Waitlist for new clients
Perhaps you're struggling to adapt to challenging circumstances, resolve issues in relationships, process difficult experiences, break harmful habits, or simply just feel better.
Perhaps you're struggling to adapt to challenging circumstances, resolve issues in relationships, process difficult experiences, break harmful habits, or simply just feel better.
(505) 657-3142 View (505) 657-3142
Photo of Carol Brusca, LMFT, Marriage & Family Therapist
Carol Brusca
Marriage & Family Therapist, LMFT
Verified Verified
Albuquerque, NM 87121
Hi! I'm Carol Brusca, a licensed Marriage and Family therapist and Trauma specialist. I have extensive experience working with trauma, Vicarious Trauma and helping individuals create wellness in their lives. My approach to therapy is to help individuals find out why they are stuck and coming up with strategies to help them move forwards. I typically work with adult individuals and couples. The most common types of concerns I see are Trauma, anxiety, adjustment disorders, depression, school related concerns and individuals who are sorting through how to increase the quality of their lives.
Hi! I'm Carol Brusca, a licensed Marriage and Family therapist and Trauma specialist. I have extensive experience working with trauma, Vicarious Trauma and helping individuals create wellness in their lives. My approach to therapy is to help individuals find out why they are stuck and coming up with strategies to help them move forwards. I typically work with adult individuals and couples. The most common types of concerns I see are Trauma, anxiety, adjustment disorders, depression, school related concerns and individuals who are sorting through how to increase the quality of their lives.
(505) 672-7829 View (505) 672-7829
Photo of undefined - Avenidas Nuevas Counseling, LCSW, MBA, MSW, Clinical Social Work/Therapist
Avenidas Nuevas Counseling
Clinical Social Work/Therapist, LCSW, MBA, MSW
Verified Verified
1 Endorsed
Albuquerque, NM 87106
I've been involved in the social service/mental health field since 07. My experience and career of assisting other ranges from working at a homeless shelter to incarcerated youth to Adult Inpatient Psych to One on one/Group General Mental Health concerns. Many of client concerns that I have assisted range from past/present trauma events, distorted view of self, and substance abuse and life transitions and cognitive distortions and depressed/anxious mood and etc. All with the goal of seeking some form of peace and balance in their lives.
I've been involved in the social service/mental health field since 07. My experience and career of assisting other ranges from working at a homeless shelter to incarcerated youth to Adult Inpatient Psych to One on one/Group General Mental Health concerns. Many of client concerns that I have assisted range from past/present trauma events, distorted view of self, and substance abuse and life transitions and cognitive distortions and depressed/anxious mood and etc. All with the goal of seeking some form of peace and balance in their lives.
(505) 240-8938 View (505) 240-8938
Photo of Ione Hepburn, MA, LMHC, CLC, C-MI, Counselor
Ione Hepburn
Counselor, MA, LMHC, CLC, C-MI
Verified Verified
1 Endorsed
Albuquerque, NM 87102
Everyone has vulnerabilities, but imagine a life where your vulnerabilities have become your strengths. Although it may seem overwhelming now, with the right support, your pain can be transformed into an incredible source of personal growth. From my own experiences and those I have supported on their unique journeys, I have seen the true potential of transformation. For this reason, I offer more than just therapy - together, we will create a safe and compassionate space where you can confront your challenges, empower yourself, and transform your life.
Everyone has vulnerabilities, but imagine a life where your vulnerabilities have become your strengths. Although it may seem overwhelming now, with the right support, your pain can be transformed into an incredible source of personal growth. From my own experiences and those I have supported on their unique journeys, I have seen the true potential of transformation. For this reason, I offer more than just therapy - together, we will create a safe and compassionate space where you can confront your challenges, empower yourself, and transform your life.
(505) 257-4573 View (505) 257-4573
Photo of undefined - Dusty L Humes, Ph.D., Clinical & Forensic Svcs, PhD, Psychologist
Dusty L Humes, Ph.D., Clinical & Forensic Svcs
Psychologist, PhD
Verified Verified
1 Endorsed
Albuquerque, NM 87104  (Online Only)
I had a psychology practice in Austin for 20 years, relocating to Albuquerque in 2012. As an outgrowth of my continuing work with clients from Texas, I have developed a specialty in providing internet therapy. My specialties include eating disorders, complex mood disorders, personality disorders, recovery from narcissistic abuse, and helping families with "failure to launch" young adults. I also provide consultation to parents who are struggling with an oppositional adolescent or an adult child with ongoing difficulties. I provide both therapeutic and forensic psychological evaluations.
I had a psychology practice in Austin for 20 years, relocating to Albuquerque in 2012. As an outgrowth of my continuing work with clients from Texas, I have developed a specialty in providing internet therapy. My specialties include eating disorders, complex mood disorders, personality disorders, recovery from narcissistic abuse, and helping families with "failure to launch" young adults. I also provide consultation to parents who are struggling with an oppositional adolescent or an adult child with ongoing difficulties. I provide both therapeutic and forensic psychological evaluations.
(505) 806-1446 View (505) 806-1446

How does your Therapist compare?

Average cost per session

$130

Therapists in New Mexico who prioritize treating:

89% Anxiety
85% Depression
77% Trauma and PTSD
74% Relationship Issues
74% Self Esteem
66% Coping Skills
65% Stress

Average years in practice

13 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
76% Presbyterian
70% Medicaid

How Therapists in New Mexico see their clients

65% In Person and Online
35% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New Mexico?

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.