Therapists in Fresno, CA

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Photo of Chalice Streitman, Marriage & Family Therapist Associate in Fresno, CA
Chalice Streitman
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
3 Endorsed
Fresno, CA 93711
I am honored to be a therapist because I am constantly reminded of the strength and beauty of humanity. I witness my clients practice the art of healing through the ups and downs with compassion. I love working with clients not only on thoughts, feelings, behaviors, patterns, and symptoms but also somatically. Working holistically, including all of you in sessions: mind, body, and even spirit is a passion of mine but of course not a requirement. Above all else, my sole intention is to empower you on your healing journey, so please, come as you are!
I am honored to be a therapist because I am constantly reminded of the strength and beauty of humanity. I witness my clients practice the art of healing through the ups and downs with compassion. I love working with clients not only on thoughts, feelings, behaviors, patterns, and symptoms but also somatically. Working holistically, including all of you in sessions: mind, body, and even spirit is a passion of mine but of course not a requirement. Above all else, my sole intention is to empower you on your healing journey, so please, come as you are!
(559) 540-8953 View (559) 540-8953
Photo of Roopa Cantu, Clinical Social Work/Therapist in Fresno, CA
Roopa Cantu
Clinical Social Work/Therapist, LCSW
Verified Verified
Fresno, CA 93722  (Online Only)
My trajectory as a person and professional has been engaging, enlightening, and adventurous. My career has been incredibly diverse and fulfilling, from labor and community organizing to counseling and psychotherapy. I seek to provide supportive and individualized clinical supervision and psychotherapy services to you, whatever your need might be. I feel deep empathy and connection to all people who have also been on the journey of self-development and growth; this encompasses fellow culturally diverse recovering alcoholics, members of 12-step programs, and beneficiaries of mental health treatment including from disordered eating.
My trajectory as a person and professional has been engaging, enlightening, and adventurous. My career has been incredibly diverse and fulfilling, from labor and community organizing to counseling and psychotherapy. I seek to provide supportive and individualized clinical supervision and psychotherapy services to you, whatever your need might be. I feel deep empathy and connection to all people who have also been on the journey of self-development and growth; this encompasses fellow culturally diverse recovering alcoholics, members of 12-step programs, and beneficiaries of mental health treatment including from disordered eating.
(559) 529-9498 View (559) 529-9498
Photo of Larry L. Langford, Marriage & Family Therapist in Fresno, CA
Larry L. Langford
Marriage & Family Therapist, PhD, LMFT, LPCC
Verified Verified
1 Endorsed
Fresno, CA 93704
Psychotherapy deals with those issues close to the human heart: what we love, what we hate, what we fear, what we hope for. It might seem that such things would be obvious to everyone, but it can be surprisingly hard to understand not only what we want but why we want it. That's where a good therapist comes in, one who is trained and objective, but equally important, one who is compassionate and respectful. I can help you work through issues and difficulties that might otherwise seem insurmountable.
Psychotherapy deals with those issues close to the human heart: what we love, what we hate, what we fear, what we hope for. It might seem that such things would be obvious to everyone, but it can be surprisingly hard to understand not only what we want but why we want it. That's where a good therapist comes in, one who is trained and objective, but equally important, one who is compassionate and respectful. I can help you work through issues and difficulties that might otherwise seem insurmountable.
(559) 529-5792 View (559) 529-5792
Photo of Amy J Balmanno, Licensed Educational Psychologist in Fresno, CA
Amy J Balmanno
Licensed Educational Psychologist, MS, NCSP, LEP3747
Verified Verified
Fresno, CA 93710
Accepting New Referrals. Do you have concerns about your child's learning or behavior? Are you worried that they may have a learning or developmental disability and need special services or accommodations through school? Do you wonder if they would they benefit from educational counseling to improve school functioning? Do you have/are you a student involved in sports and are interested in obtaining a neuropsychological baseline prior to the season starting? Are you an adult student needing testing for accommodations at your college/university? If you answer yes to any of these questions, I can help you find solutions.
Accepting New Referrals. Do you have concerns about your child's learning or behavior? Are you worried that they may have a learning or developmental disability and need special services or accommodations through school? Do you wonder if they would they benefit from educational counseling to improve school functioning? Do you have/are you a student involved in sports and are interested in obtaining a neuropsychological baseline prior to the season starting? Are you an adult student needing testing for accommodations at your college/university? If you answer yes to any of these questions, I can help you find solutions.
(559) 206-0175 View (559) 206-0175
Photo of Yuli Castillo, Counselor in Fresno, CA
Yuli Castillo
Counselor, PhD, LPCC, CRC
Verified Verified
1 Endorsed
Fresno, CA 93711
Life can present challenges leading to trauma and increased stress; let’s create together a warmth and safe environment to address your concerns, improve your mood, and grow personally. I am a bicultural, bilingual (Spanish/English) Licensed Professional Clinical Counselor who enjoys working with children, families and adults. I have worked with clients of all ages with a variety of issues including depression, anxiety, trauma, abuse, PTSD & other types of disabilities (e.g. physical, sensory, learning, substance abuse). I also enjoy worked with children and teens with behavioral concerns, family conflict, and adjustment struggles.
Life can present challenges leading to trauma and increased stress; let’s create together a warmth and safe environment to address your concerns, improve your mood, and grow personally. I am a bicultural, bilingual (Spanish/English) Licensed Professional Clinical Counselor who enjoys working with children, families and adults. I have worked with clients of all ages with a variety of issues including depression, anxiety, trauma, abuse, PTSD & other types of disabilities (e.g. physical, sensory, learning, substance abuse). I also enjoy worked with children and teens with behavioral concerns, family conflict, and adjustment struggles.
(559) 296-7411 View (559) 296-7411
Photo of Michael 'page' Morgan, Licensed Professional Counselor in Fresno, CA
Michael 'page' Morgan
Licensed Professional Counselor, LPCC
Verified Verified
Fresno, CA 93727
Hi there, I'm Michael "Page" Morgan, a licensed professional clinical counselor. I've helped people with a variety of issues including ADHD, anxiety, Autism, mood disorders, trauma, PTSD, and more. My approach utilizes Cognitive Behavioral Therapy, Narrative Therapy, and Existential Therapy, but I customize therapy for each individual based on their situation. I am a fun, down, earthly person. I have worked in private therapy offices, County Specialty Mental Health Services, Native American Clinics, the Educational Field, Church Counseling Offices, and the Jail System.
Hi there, I'm Michael "Page" Morgan, a licensed professional clinical counselor. I've helped people with a variety of issues including ADHD, anxiety, Autism, mood disorders, trauma, PTSD, and more. My approach utilizes Cognitive Behavioral Therapy, Narrative Therapy, and Existential Therapy, but I customize therapy for each individual based on their situation. I am a fun, down, earthly person. I have worked in private therapy offices, County Specialty Mental Health Services, Native American Clinics, the Educational Field, Church Counseling Offices, and the Jail System.
(559) 379-5716 View (559) 379-5716
Photo of Lindsey D Soennichsen, Marriage & Family Therapist in Fresno, CA
Lindsey D Soennichsen
Marriage & Family Therapist, LMFT, CADC, MS
Verified Verified
1 Endorsed
Fresno, CA 93720  (Online Only)
I know what it's like being scared to seek help. I know that asking for help can sometimes feel like things are failing and I caused them. I also know how nervous I felt when I looked for assistance and wanting to begin therapy, scared with questions like, will I be judged? Will they keep my confidence? Can I trust them? I knew that when seeking therapy and looking for help all I wanted was for things to be better, get better, live healthier and be accepted. Therapy is scary, it can bring up issues that may be more frightening than you would like to cope with. Therapy is also helpful, healthy and the best part is, you're not alone.
I know what it's like being scared to seek help. I know that asking for help can sometimes feel like things are failing and I caused them. I also know how nervous I felt when I looked for assistance and wanting to begin therapy, scared with questions like, will I be judged? Will they keep my confidence? Can I trust them? I knew that when seeking therapy and looking for help all I wanted was for things to be better, get better, live healthier and be accepted. Therapy is scary, it can bring up issues that may be more frightening than you would like to cope with. Therapy is also helpful, healthy and the best part is, you're not alone.
(559) 337-6254 View (559) 337-6254
Photo of Claudia Schroeder, Clinical Social Work/Therapist in Fresno, CA
Claudia Schroeder
Clinical Social Work/Therapist, LCSW
Verified Verified
Fresno, CA 93720
What if you could get off the roller emotional coaster? Does it feel like your emotions are all over the place? You have big reactions when doing everyday things-like talking with your spouse, friends, people at work, taking the kids to the store. It always goes the same way. Your emotions get the best of you. You feel out of touch with who you really are and how you want your life to be. You feel on edge and notice that overwhelm is just a situation, interaction or comment away. You notice this keeps happening but you’re not sure what do about it? This is not who you want to be.
What if you could get off the roller emotional coaster? Does it feel like your emotions are all over the place? You have big reactions when doing everyday things-like talking with your spouse, friends, people at work, taking the kids to the store. It always goes the same way. Your emotions get the best of you. You feel out of touch with who you really are and how you want your life to be. You feel on edge and notice that overwhelm is just a situation, interaction or comment away. You notice this keeps happening but you’re not sure what do about it? This is not who you want to be.
(559) 242-4376 View (559) 242-4376
Photo of Jasmine I. De La Torre, Marriage & Family Therapist Associate in Fresno, CA
Jasmine I. De La Torre
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Fresno, CA 93711
Not accepting new clients
I believe therapy is a journey, one in which the client is the navigating driver. As a therapist, I take the passenger seat and support my clients in the direction they chose to go with in their therapeutic journey. I tailor each therapy session to the unique needs of my clients while utilizing empathy, respect, and transparency in a safe and nonjudgemental environment.
I believe therapy is a journey, one in which the client is the navigating driver. As a therapist, I take the passenger seat and support my clients in the direction they chose to go with in their therapeutic journey. I tailor each therapy session to the unique needs of my clients while utilizing empathy, respect, and transparency in a safe and nonjudgemental environment.
(559) 242-1102 View (559) 242-1102
Photo of Nucleus Behavioral Health, Psychologist in Fresno, CA
Nucleus Behavioral Health
Psychologist, PhD
Verified Verified
Fresno, CA 93711
Our primary goal is to help kids manage the road to adulthood. We provide therapy to help kids process their thoughts and feelings, assessment to make diagnoses or to guide therapeutic treatment, and consultation with parents and other providers to help adults better understand the kids in their lives. ​We are inclusive clinicians who are neurodivergent and LGBTQIA+ affirming.
Our primary goal is to help kids manage the road to adulthood. We provide therapy to help kids process their thoughts and feelings, assessment to make diagnoses or to guide therapeutic treatment, and consultation with parents and other providers to help adults better understand the kids in their lives. ​We are inclusive clinicians who are neurodivergent and LGBTQIA+ affirming.
(559) 236-6421 View (559) 236-6421
Photo of Lynn Young, Marriage & Family Therapist in Fresno, CA
Lynn Young
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93720
I encourage and collaboratively work with my clients to focus on solutions and their goals while highlighting individual strengths they already possess but have often forgotten or have gone unnoticed.
I encourage and collaboratively work with my clients to focus on solutions and their goals while highlighting individual strengths they already possess but have often forgotten or have gone unnoticed.
(559) 345-9580 View (559) 345-9580
James A Powroznik
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93704
As a family systems therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand how the past has affected your life and resolve challenges in your life by resolving the past, We will unearth long-standing behavior patterns or negative perceptions. Through joural writing and autobiographical work, we can unraval the past, so the future is for you to make. In couples work, unravaling the personal past of each person in the relationship, can be the solution to a fuller and richer relationship.
As a family systems therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand how the past has affected your life and resolve challenges in your life by resolving the past, We will unearth long-standing behavior patterns or negative perceptions. Through joural writing and autobiographical work, we can unraval the past, so the future is for you to make. In couples work, unravaling the personal past of each person in the relationship, can be the solution to a fuller and richer relationship.
(559) 358-4837 View (559) 358-4837
Photo of Dr. Nonish C Xiong, Psychologist in Fresno, CA
Dr. Nonish C Xiong
Psychologist, PsyD
Verified Verified
1 Endorsed
Fresno, CA 93726  (Online Only)
Our personalities are not just what we consciously choose; they're shaped by a mix of conscious and subconscious drives. We often act based on subconscious desires and motivations we might not be aware of. Some subconscious processes actually help us adapt and function better. By becoming more aware of these subconscious influences (both positive and negative), we can better regulate our emotions and respond more effectively to our environment. This is why I am committed to helping clients achieve their objectives by exploring and adjusting their thoughts and self-talk patterns.
Our personalities are not just what we consciously choose; they're shaped by a mix of conscious and subconscious drives. We often act based on subconscious desires and motivations we might not be aware of. Some subconscious processes actually help us adapt and function better. By becoming more aware of these subconscious influences (both positive and negative), we can better regulate our emotions and respond more effectively to our environment. This is why I am committed to helping clients achieve their objectives by exploring and adjusting their thoughts and self-talk patterns.
(559) 644-0382 View (559) 644-0382
Photo of Rebecca M. Kahle, Marriage & Family Therapist in Fresno, CA
Rebecca M. Kahle
Marriage & Family Therapist, LMFT, IFEC, CEIM
Verified Verified
1 Endorsed
Fresno, CA 93711
I am passionate about helping children, adolescents and parents by working collaboratively to facilitate healthy and meaningful relationships. I believe that children need to know and feel that they are loved, valued, and validated. When children are able to feel their value they are learn how to communicate their feelings and emotions in a positive way.
I am passionate about helping children, adolescents and parents by working collaboratively to facilitate healthy and meaningful relationships. I believe that children need to know and feel that they are loved, valued, and validated. When children are able to feel their value they are learn how to communicate their feelings and emotions in a positive way.
(559) 236-5223 View (559) 236-5223
Photo of Amber Jamila Simmons, Marriage & Family Therapist in Fresno, CA
Amber Jamila Simmons
Marriage & Family Therapist, MA, EXA, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93703
As we journey through life, we collect experiences. Some of the experiences we collect are negative and can affect how we travel on our journey to our goals. If you’ve ever found yourself: worrying, struggling with sadness, indecisive and unable to complete goals, finding it difficult to find purpose, feeling sadness that won’t ease up, having bodily issues and trouble sleeping, it would not be uncommon to need extra support to help you to climb over the hurdles of life and become the person you’ve always envisioned.
As we journey through life, we collect experiences. Some of the experiences we collect are negative and can affect how we travel on our journey to our goals. If you’ve ever found yourself: worrying, struggling with sadness, indecisive and unable to complete goals, finding it difficult to find purpose, feeling sadness that won’t ease up, having bodily issues and trouble sleeping, it would not be uncommon to need extra support to help you to climb over the hurdles of life and become the person you’ve always envisioned.
(510) 588-7792 View (510) 588-7792
Photo of Aaron M Carter, Marriage & Family Therapist in Fresno, CA
Aaron M Carter
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93727  (Online Only)
Your story is unique. My goal is to develop a plan to help you create the life you see for yourself. I look forward to supporting you as you break through the obstacles that are holding you back. Let's work together to find realistic solutions to problems you believe are impeding your progress. Feel free to reach out to join a safe environment for you to express yourself and make positive changes. For the fastest response, please contact (559)250-5885 via text to schedule an appointment.
Your story is unique. My goal is to develop a plan to help you create the life you see for yourself. I look forward to supporting you as you break through the obstacles that are holding you back. Let's work together to find realistic solutions to problems you believe are impeding your progress. Feel free to reach out to join a safe environment for you to express yourself and make positive changes. For the fastest response, please contact (559)250-5885 via text to schedule an appointment.
(559) 462-8610 View (559) 462-8610
Photo of Cordie Micah Qualle, Marriage & Family Therapist in Fresno, CA
Cordie Micah Qualle
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93711
Concerned about the behavior of your child or teenager? Having difficulty connecting with someone you care about? I enjoy working collaboratively with clients of all ages, but specialize in using my experience gained working with the juvenile corrections population and establishing an Adolescent DBT Program for Kings View Counseling Services to provide effective treatment to families with children or adolescents who struggle with explosive anger, substance abuse, mood disruption or self-harming behaviors. Together we work to improve their understanding and control of their emotional and mental responses in order to accomplish their life goals.
Concerned about the behavior of your child or teenager? Having difficulty connecting with someone you care about? I enjoy working collaboratively with clients of all ages, but specialize in using my experience gained working with the juvenile corrections population and establishing an Adolescent DBT Program for Kings View Counseling Services to provide effective treatment to families with children or adolescents who struggle with explosive anger, substance abuse, mood disruption or self-harming behaviors. Together we work to improve their understanding and control of their emotional and mental responses in order to accomplish their life goals.
(559) 717-4106 View (559) 717-4106
Photo of Bridges Therapy Group of CA, Marriage & Family Therapist in Fresno, CA
Bridges Therapy Group of CA
Marriage & Family Therapist, LMFT, AMFT, LCSW
Verified Verified
Fresno, CA 93710  (Online Only)
At Bridges Therapy Group of California, we’re dedicated to matching you with the perfect therapist for you and ensuring that your insurance will truly pay for your sessions. We are contracted, in-network providers with all the insurers listed below. We verify your benefits before you start so there are no surprises to you.
At Bridges Therapy Group of California, we’re dedicated to matching you with the perfect therapist for you and ensuring that your insurance will truly pay for your sessions. We are contracted, in-network providers with all the insurers listed below. We verify your benefits before you start so there are no surprises to you.
(559) 242-1135 View (559) 242-1135
Photo of Constance Leger, Clinical Social Work/Therapist in Fresno, CA
Constance Leger
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fresno, CA 93711
Are you feeling stuck in intense emotions or behavioral patterns that don’t serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to “have it all together”. I’m here to join you on this journey to discover healing and build a balanced life. I provide collaborative, authentic, compassionate, client-centered and non-judgmental counseling. My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, identify how you can become the best version of you
Are you feeling stuck in intense emotions or behavioral patterns that don’t serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to “have it all together”. I’m here to join you on this journey to discover healing and build a balanced life. I provide collaborative, authentic, compassionate, client-centered and non-judgmental counseling. My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, identify how you can become the best version of you
(559) 234-0730 View (559) 234-0730
Photo of Desirae Spignor, Clinical Social Work/Therapist in Fresno, CA
Desirae Spignor
Clinical Social Work/Therapist, LCSW
Verified Verified
Fresno, CA 93722
Hello, my name is Desirae Spignor. I am a Licensed Clinical Social Worker. My therapeutic approach is eclectic, integrating my education and lived experience into my practice. In my experience trauma (historical, environmental, interpersonal, etc.) has been the root cause of most behavioral health and even some medical issues. If we work on ways to alleviate the impacts of trauma(s) on our lives it'll directly impact our overall wellness. This is why I've spent my time as a Behavioral Health Specialist focused on learning/unlearning about trauma and how impacts us.
Hello, my name is Desirae Spignor. I am a Licensed Clinical Social Worker. My therapeutic approach is eclectic, integrating my education and lived experience into my practice. In my experience trauma (historical, environmental, interpersonal, etc.) has been the root cause of most behavioral health and even some medical issues. If we work on ways to alleviate the impacts of trauma(s) on our lives it'll directly impact our overall wellness. This is why I've spent my time as a Behavioral Health Specialist focused on learning/unlearning about trauma and how impacts us.
(559) 245-1921 View (559) 245-1921

How does your Therapist compare?

Number of Therapists in Fresno, CA

800+

Average cost per session

$150

Therapists in Fresno, CA who prioritize treating:

91% Anxiety
89% Depression
73% Coping Skills
72% Self Esteem
69% Relationship Issues
68% Stress
66% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
70% UnitedHealthcare UHC | UBH
69% Cigna and Evernorth

How Therapists in Fresno, CA see their clients

81% In Person and Online
19% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fresno?

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.