Therapists in New Orleans, LA
Katherine Warrington
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
New Orleans, LA 70115
Waitlist for new clients
Starting therapy can be laced with a multitude of emotions and questions. My goal in therapy is to provide you with a space to be able to explore various aspects of your life without feeling judged or restricted, to bring further awareness forward, and to facilitate growth in your life. My approach to counseling is from a holistic point of view and I believe that all aspects of your self have led you where you are today. I work alongside clients building relationships, empowering, and guiding them towards their goals.
Starting therapy can be laced with a multitude of emotions and questions. My goal in therapy is to provide you with a space to be able to explore various aspects of your life without feeling judged or restricted, to bring further awareness forward, and to facilitate growth in your life. My approach to counseling is from a holistic point of view and I believe that all aspects of your self have led you where you are today. I work alongside clients building relationships, empowering, and guiding them towards their goals.
Christopher Lacefield Jones
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
New Orleans, LA 70115
Everyone deserves respect and compassion. My approach to counseling matches the need you bring to my office and your individuality. We decide together how best to use your strengths and my expertise to overcome your challenges. I strive to honor, acknowledge, and work with your unique circumstances and individuality to achieve the balance you seek in your life.
Everyone deserves respect and compassion. My approach to counseling matches the need you bring to my office and your individuality. We decide together how best to use your strengths and my expertise to overcome your challenges. I strive to honor, acknowledge, and work with your unique circumstances and individuality to achieve the balance you seek in your life.
Averie McCauley LLC/Crescent City Psychotherapy
Clinical Social Work/Therapist, MSW, LCSW, BACS
Verified Verified
17 Endorsed
New Orleans, LA 70119 (Online Only)
As an EMDRIA approved Consultant with certifications in EMDR, Brainspotting, and Integrative Somatic Trauma Therapy, I offer evidenced-based psychotherapy. Stress, anxiety, and trauma overwhelm our systems. Symptoms can manifest in unexpected ways. There may be an identifiable trigger or we may not know why we feel the way we do. These brain-body modalities work with the self-healing aspects of our biology, restoring balance to the nervous system, and influencing neural patterning so that deep and lasting change can occur. Intensives/ customized accelerated therapy programs are available.
As an EMDRIA approved Consultant with certifications in EMDR, Brainspotting, and Integrative Somatic Trauma Therapy, I offer evidenced-based psychotherapy. Stress, anxiety, and trauma overwhelm our systems. Symptoms can manifest in unexpected ways. There may be an identifiable trigger or we may not know why we feel the way we do. These brain-body modalities work with the self-healing aspects of our biology, restoring balance to the nervous system, and influencing neural patterning so that deep and lasting change can occur. Intensives/ customized accelerated therapy programs are available.
Joseph Boffa
Psychologist, PhD
Verified Verified
New Orleans, LA 70118 (Online Only)
Hello, and thank you for your interest in working with me! I’m a licensed clinical psychologist with experience helping people grow beyond stress, anxiety, panic, and trauma. I have helped clients from diverse backgrounds learn to thrive using techniques based in cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). My philosophy is that I shouldn’t keep you as a client for long - if I did, I wouldn’t be doing my job very well. Instead, my role is to give you the tools to be your own therapist and thrive with autonomy.
Hello, and thank you for your interest in working with me! I’m a licensed clinical psychologist with experience helping people grow beyond stress, anxiety, panic, and trauma. I have helped clients from diverse backgrounds learn to thrive using techniques based in cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). My philosophy is that I shouldn’t keep you as a client for long - if I did, I wouldn’t be doing my job very well. Instead, my role is to give you the tools to be your own therapist and thrive with autonomy.
Michael Miller
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
New Orleans, LA 70113 (Online Only)
Individuals: Do you have difficult life transitions and need support in self-growth? Put the needs others before yourself? Desire coping skills for painful thoughts and emotions or shift the pattern of toxic relationships? Couples: Do you desire to enhance communication or solve perpetual problems that cycle in patterns? Repair trust after infidelity or negotiate conflict after complex events? Open or expand your current partnership with mutually designed agreements? Trauma: Do you want to heal childhood trauma or reprocess disturbing memories? Address ongoing traumatic stress to prevent or greatly reduce potential for future PTSD?
Individuals: Do you have difficult life transitions and need support in self-growth? Put the needs others before yourself? Desire coping skills for painful thoughts and emotions or shift the pattern of toxic relationships? Couples: Do you desire to enhance communication or solve perpetual problems that cycle in patterns? Repair trust after infidelity or negotiate conflict after complex events? Open or expand your current partnership with mutually designed agreements? Trauma: Do you want to heal childhood trauma or reprocess disturbing memories? Address ongoing traumatic stress to prevent or greatly reduce potential for future PTSD?
Linda Williams
Limited Licensed Psychologist, MA, LLP
Verified Verified
New Orleans, LA 70119 (Online Only)
Each of my clients is seen as unique, while also recognizing the collective nature of our human experiences and the ways systemic oppression, such as racism and classism, effect our lives and mental health. My goal is to engage with you in ways that are safe for you. Over the span of 45 years, 23 of which have been in private practice, I have worked with children, teens, families, couples, women and men individually in a variety of settings. I bring real talk, humor and compassion to my work and I view therapy as a conversation about life. My goal is to help you find your voice as you work to heal from the challenges of life.
Each of my clients is seen as unique, while also recognizing the collective nature of our human experiences and the ways systemic oppression, such as racism and classism, effect our lives and mental health. My goal is to engage with you in ways that are safe for you. Over the span of 45 years, 23 of which have been in private practice, I have worked with children, teens, families, couples, women and men individually in a variety of settings. I bring real talk, humor and compassion to my work and I view therapy as a conversation about life. My goal is to help you find your voice as you work to heal from the challenges of life.
Jordan Anderson
Licensed Professional Counselor, MHS, LPC, RPT
Verified Verified
1 Endorsed
New Orleans, LA 70119
I work with children ages 3-13 and I work with caregivers too. I believe in the therapeutic power of the relationship between the therapist and the client. When you are ready to embark on your counseling journey, it is important you feel comfortable with your potential therapist. I offer individual and family sessions at this time. I also provide parenting sessions regularly when working with children. I believe parents are my roadmap when it comes to working with children, so collaboration with parents and caregivers is important!
I work with children ages 3-13 and I work with caregivers too. I believe in the therapeutic power of the relationship between the therapist and the client. When you are ready to embark on your counseling journey, it is important you feel comfortable with your potential therapist. I offer individual and family sessions at this time. I also provide parenting sessions regularly when working with children. I believe parents are my roadmap when it comes to working with children, so collaboration with parents and caregivers is important!
Reion Byrd Janeau
Clinical Social Work/Therapist, LCSW
Verified Verified
New Orleans, LA 70118 (Online Only)
Many of us face challenges that can be stressful or cause strong emotional reactions. Oftentimes, we put ourselves last but I am here to remind you why it's important to take care of you first. Like our physical health, there are aspects of our mental health we need to understand and manage the best way we can to protect our emotional well-being from future problems. Whether you're having difficulty dealing with life stressors, navigating changes in a relationship or managing a mental health diagnosis; I am here to help you identify strategies that will provide balance and overall well-being.
Many of us face challenges that can be stressful or cause strong emotional reactions. Oftentimes, we put ourselves last but I am here to remind you why it's important to take care of you first. Like our physical health, there are aspects of our mental health we need to understand and manage the best way we can to protect our emotional well-being from future problems. Whether you're having difficulty dealing with life stressors, navigating changes in a relationship or managing a mental health diagnosis; I am here to help you identify strategies that will provide balance and overall well-being.
Scarlet K O'Dell Berckes
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
New Orleans, LA 70119
Congratulations on taking the first step to living an emotionally healthy life. Taking this step for yourself shows that you are fearless, you are brave, and you want to feel and live emotionally balanced. It is time to make the necessary lifestyle and emotional changes to get out of toxic relationships and situations that may be hindering you from being the best version of yourself. I am here to help! I recognize that there are outside factors that interfere with the ability to reach individuals. I offer a non-threatening environment to help individuals reach their full potential emotionally.
Congratulations on taking the first step to living an emotionally healthy life. Taking this step for yourself shows that you are fearless, you are brave, and you want to feel and live emotionally balanced. It is time to make the necessary lifestyle and emotional changes to get out of toxic relationships and situations that may be hindering you from being the best version of yourself. I am here to help! I recognize that there are outside factors that interfere with the ability to reach individuals. I offer a non-threatening environment to help individuals reach their full potential emotionally.
Liora Diamond
Licensed Professional Counselor, MS, LPC
Verified Verified
5 Endorsed
New Orleans, LA 70119
Sometimes internal and external pressure becomes too much to bear alone. My goal is to provide a contained space where you can begin to unburden and explore. You will set the pace as we explore the issues most important to you, including daily hardships, navigating relationships, and untangling pain past and present. I prioritize working from an understanding of your unique identity and worldview.
Sometimes internal and external pressure becomes too much to bear alone. My goal is to provide a contained space where you can begin to unburden and explore. You will set the pace as we explore the issues most important to you, including daily hardships, navigating relationships, and untangling pain past and present. I prioritize working from an understanding of your unique identity and worldview.
Mylischa Lewis
Clinical Social Work/Therapist, DSW, MSW, LCSW, BACS
Verified Verified
2 Endorsed
New Orleans, LA 70124 (Online Only)
Are you struggling to adjust to a chronic health condition? Are you feeling anxious and overwhelmed after receiving a new medical diagnosis, experiencing a medical emergency, or sustaining an injury? Are the health consequences of an illness or injury making it difficult to keep up with the demands of your career, family and relationships? You may be tired of doing it all on your own, but what if you didn't have to. Welcome! Today you are one step closer to finding the solutions to regain calm in your mind and body, and get back to living a more active and joy-filled life.
Are you struggling to adjust to a chronic health condition? Are you feeling anxious and overwhelmed after receiving a new medical diagnosis, experiencing a medical emergency, or sustaining an injury? Are the health consequences of an illness or injury making it difficult to keep up with the demands of your career, family and relationships? You may be tired of doing it all on your own, but what if you didn't have to. Welcome! Today you are one step closer to finding the solutions to regain calm in your mind and body, and get back to living a more active and joy-filled life.
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Well Psychotherapy
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
5 Endorsed
New Orleans, LA 70119
We are a growing team of trauma-informed therapists who approach psychotherapy as a collaborative, connected experience. Together, we work to make meaning of your experiences. We are skilled and passionate about supporting folks struggling with a variety of personal and relational situations, including: anxieties, depression, perinatal mood and anxiety disorders, personality & mood disorders, eating disorders, dissociation, and interpersonal difficulties. Ultimately, we help you carve the paths to integrate brain, mind, body, and spirit in managing the effects of adverse life experiences as well as personal and collective traumas.
We are a growing team of trauma-informed therapists who approach psychotherapy as a collaborative, connected experience. Together, we work to make meaning of your experiences. We are skilled and passionate about supporting folks struggling with a variety of personal and relational situations, including: anxieties, depression, perinatal mood and anxiety disorders, personality & mood disorders, eating disorders, dissociation, and interpersonal difficulties. Ultimately, we help you carve the paths to integrate brain, mind, body, and spirit in managing the effects of adverse life experiences as well as personal and collective traumas.
Dr. Karen A Pellerin
Psychologist, PsyD
Verified Verified
New Orleans, LA 70130 (Online Only)
Welcome to my profile! I am a Licensed Clinical Psychologist with over 20 years of experience. I pride my practice on delivering exceptional personalized care in a confidential, supportive environment. Whether you're feeling anxious, depressed, struggling with life transitions or changes, uncertain about your career path, or having relationship concerns, my approach is to help you find positive alternatives to overcome these challenges. Therapy can help you gain a better understanding and insight into how your thoughts, feelings, and behaviors influence each other and how these patterns can either hinder you from or propel you toward your desired goals, achievements, and emotional satisfaction.
Welcome to my profile! I am a Licensed Clinical Psychologist with over 20 years of experience. I pride my practice on delivering exceptional personalized care in a confidential, supportive environment. Whether you're feeling anxious, depressed, struggling with life transitions or changes, uncertain about your career path, or having relationship concerns, my approach is to help you find positive alternatives to overcome these challenges. Therapy can help you gain a better understanding and insight into how your thoughts, feelings, and behaviors influence each other and how these patterns can either hinder you from or propel you toward your desired goals, achievements, and emotional satisfaction.
Max Wallace
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
New Orleans, LA 70118
Hey, y’all! I’m Max, and it’s wonderful to meet you. While I don’t know exactly why you’re here yet, I do know that you should be proud of yourself for seeking out support. Considering a new therapist or going to therapy for the first time is often a bit scary. I can help. Whether you’re needing change, new coping skills, or a calm, quiet place for yourself - where the outside world is put on pause for a moment - I will be committed to helping you reach your goals, while we develop safety and trust together.
Hey, y’all! I’m Max, and it’s wonderful to meet you. While I don’t know exactly why you’re here yet, I do know that you should be proud of yourself for seeking out support. Considering a new therapist or going to therapy for the first time is often a bit scary. I can help. Whether you’re needing change, new coping skills, or a calm, quiet place for yourself - where the outside world is put on pause for a moment - I will be committed to helping you reach your goals, while we develop safety and trust together.
Brittney Johnson
Licensed Professional Counselor, MS, LPC-S, NCC
Verified Verified
1 Endorsed
New Orleans, LA 70118 (Online Only)
Waitlist for new clients
Are you tired? Do you feel like life throws you one obstacle after another? Are you so overwhelmed that you sometimes feel paralyzed by stress or anxiety? If so, you're not alone. As a Black woman and New Orleans native, I understand what it means to embody resilience while weary of being known for that characteristic. But as a counselor, I understand how important emotional well-being, healthy relationships, and internal motivation are for sustaining difficult times. Therapy is a wonderful tool that can help you achieve stability and wellness. Don't let fear, worry, depression or shame keep holding you back from the life you want.
Are you tired? Do you feel like life throws you one obstacle after another? Are you so overwhelmed that you sometimes feel paralyzed by stress or anxiety? If so, you're not alone. As a Black woman and New Orleans native, I understand what it means to embody resilience while weary of being known for that characteristic. But as a counselor, I understand how important emotional well-being, healthy relationships, and internal motivation are for sustaining difficult times. Therapy is a wonderful tool that can help you achieve stability and wellness. Don't let fear, worry, depression or shame keep holding you back from the life you want.
Stacy Lewis-Goins
MS, PLPC, NCC
Verified Verified
New Orleans, LA 70130
Do others think you have it all together? But you don’t feel that way? Are you struggling trying to keep it all together? If you are reading this, congratulations! I know it takes a lot of courage to consider counseling…to choose you. You have taken the first step to reauthoring your story. Hi, I’m Stacy, a PLPC with a lifelong passion for helping individuals as they become the best version of themselves. My goal is to collaborate with you on your journey in a compassionate partnership to help you achieve your goals through encouragement and empowerment as you edit and rewrite your narrative.
Do others think you have it all together? But you don’t feel that way? Are you struggling trying to keep it all together? If you are reading this, congratulations! I know it takes a lot of courage to consider counseling…to choose you. You have taken the first step to reauthoring your story. Hi, I’m Stacy, a PLPC with a lifelong passion for helping individuals as they become the best version of themselves. My goal is to collaborate with you on your journey in a compassionate partnership to help you achieve your goals through encouragement and empowerment as you edit and rewrite your narrative.
Bethanie Mangigian
Clinical Social Work/Therapist, LCSW
Verified Verified
10 Endorsed
New Orleans, LA 70119
Not accepting new clients
If you are on this page, a powerful change in your life has already begun. By making the courageous choice to commit to therapy, you are embarking on a journey that has the potential to help you heal from past trauma, effectively cope with present challenges, and cultivate a joyful, fully embodied life. I work with a range of clients experiencing anxiety, depression, vocational stress, burnout, grief, and relationship challenges. Using Emotionally Focused Therapy, I can help you examine patterns in your most intimate relationships. I also support clients navigating questions of gender identity, sexual and relational orientation.
If you are on this page, a powerful change in your life has already begun. By making the courageous choice to commit to therapy, you are embarking on a journey that has the potential to help you heal from past trauma, effectively cope with present challenges, and cultivate a joyful, fully embodied life. I work with a range of clients experiencing anxiety, depression, vocational stress, burnout, grief, and relationship challenges. Using Emotionally Focused Therapy, I can help you examine patterns in your most intimate relationships. I also support clients navigating questions of gender identity, sexual and relational orientation.
Laura Sullivan
Licensed Professional Counselor, MA, LPC
Verified Verified
New Orleans, LA 70115
Not accepting new clients
You may feel numb, disconnected, and unable to cope effectively with personal and relational challenges. You have developed behaviors like lying, misusing substances, avoiding or procrastinating that make you feel even worse. You are successful in your professional life, but feel less confident and secure in your personal life. You are ready for something to change from deep within you. My passion is utilizing the powerful benefits of EMDR, and EMDR Intensives, with clients who are tired of putting band-aids on their problems and are ready to get at the root of their problems and experience true healing.
You may feel numb, disconnected, and unable to cope effectively with personal and relational challenges. You have developed behaviors like lying, misusing substances, avoiding or procrastinating that make you feel even worse. You are successful in your professional life, but feel less confident and secure in your personal life. You are ready for something to change from deep within you. My passion is utilizing the powerful benefits of EMDR, and EMDR Intensives, with clients who are tired of putting band-aids on their problems and are ready to get at the root of their problems and experience true healing.
Amarachi Ukachu
Pre-Licensed Professional, MHS, PLPC, CRC
Verified Verified
New Orleans, LA 70122 (Online Only)
In dealing with stressors, life events, challenging relationships, and traumatic experiences we develop patterns to keep ourselves safe and sane; which often also limits us. The challenge is unlearning these narratives and trusting our innate wisdom. When we feel safe, secure, and accepted for who we are we can begin the process of shedding what doesn’t work for us, while exploring our untapped potential. I believe you are the master of your story; and I hope to create a safe space where we can gain insight about your inner battles, develop skills to enhance holistic development, and realize the potential of your authentic self.
In dealing with stressors, life events, challenging relationships, and traumatic experiences we develop patterns to keep ourselves safe and sane; which often also limits us. The challenge is unlearning these narratives and trusting our innate wisdom. When we feel safe, secure, and accepted for who we are we can begin the process of shedding what doesn’t work for us, while exploring our untapped potential. I believe you are the master of your story; and I hope to create a safe space where we can gain insight about your inner battles, develop skills to enhance holistic development, and realize the potential of your authentic self.
Bianca Puglia
Licensed Professional Counselor, PhD, LPC, CCTP
Verified Verified
3 Endorsed
New Orleans, LA 70119
The choice of a counselor is an important one. The relationship between a therapist and a client is the foundation for successful therapy. I see therapy as a journey of self discovery. As you gain an better understanding of yourself and your behavior, you will become empowered to cope and deal with situations in healthier ways. My goal for all clients is to help you be the person you want to be - living the life that you choose.
The choice of a counselor is an important one. The relationship between a therapist and a client is the foundation for successful therapy. I see therapy as a journey of self discovery. As you gain an better understanding of yourself and your behavior, you will become empowered to cope and deal with situations in healthier ways. My goal for all clients is to help you be the person you want to be - living the life that you choose.
See more therapy options for New Orleans
How does your Therapist compare?
Number of Therapists in New Orleans, LA
900+
Average cost per session
$125
Therapists in New Orleans, LA who prioritize treating:
93% | Anxiety |
89% | Depression |
79% | Relationship Issues |
79% | Self Esteem |
73% | Coping Skills |
71% | Stress |
67% | Trauma and PTSD |
Average years in practice
11 Years
Top 3 insurances accepted
76% | BlueCross and BlueShield |
69% | UnitedHealthcare UHC | UBH |
59% | Aetna |
How Therapists in New Orleans, LA see their clients
70% | In Person and Online | |
30% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in New Orleans?
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
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.
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.
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.