Therapists in Vancouver, WA

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Photo of Lilly Trammell in Vancouver, WA
Lilly Trammell
MS, LMHC, NCC
Verified Verified
4 Endorsed
Vancouver, WA 98661  (Online Only)
I'm interested in helping you figure out what you want, and helping you get there. Being a teen and young adult is so stressful and weird, with or without other factors like mental health issues. I can help with all the identity exploration that you might need like sexuality, gender, career goals, education plans, self-esteem, etc., as well as issues like depression, anxiety, trauma, suicide, and self harm. If your parent/guardian is "making" you come, we can work with that too. Just remember, you're the one who consents for therapy, so you choose what we work on.
I'm interested in helping you figure out what you want, and helping you get there. Being a teen and young adult is so stressful and weird, with or without other factors like mental health issues. I can help with all the identity exploration that you might need like sexuality, gender, career goals, education plans, self-esteem, etc., as well as issues like depression, anxiety, trauma, suicide, and self harm. If your parent/guardian is "making" you come, we can work with that too. Just remember, you're the one who consents for therapy, so you choose what we work on.
(360) 564-1302 View (360) 564-1302
Photo of Elana Kier, Clinical Social Work/Therapist in Vancouver, WA
Elana Kier
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Vancouver, WA 98685  (Online Only)
Not accepting new clients
Are you looking for support? Do you want assistance setting and achieving goals? Through therapy we can work together to identify the root of why you might be struggling and set clear, achievable goals. I offer a warm, direct, and empowering approach to treatment. I believe that you have many of the answers and we can work together to unlock them to create positive change in your life.
Are you looking for support? Do you want assistance setting and achieving goals? Through therapy we can work together to identify the root of why you might be struggling and set clear, achievable goals. I offer a warm, direct, and empowering approach to treatment. I believe that you have many of the answers and we can work together to unlock them to create positive change in your life.
(360) 495-1668 View (360) 495-1668
Photo of Davina Karpstein, Counselor in Vancouver, WA
Davina Karpstein
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Vancouver, WA 98683
If you are seeking guidance, it takes courage and strength. Whether you are struggling to adjust to a life transition, finding it hard to make changes last, or just ready to face your past, you do not have to find your way alone. Your thoughts, feelings and behaviors may feel overwhelming and impossible to understand or connect but I can work with you to create a space for change and help you find relief from the suffering.
If you are seeking guidance, it takes courage and strength. Whether you are struggling to adjust to a life transition, finding it hard to make changes last, or just ready to face your past, you do not have to find your way alone. Your thoughts, feelings and behaviors may feel overwhelming and impossible to understand or connect but I can work with you to create a space for change and help you find relief from the suffering.
(360) 732-8993 View (360) 732-8993
Photo of Blue Prism Therapy, Counselor in Vancouver, WA
Blue Prism Therapy
Counselor, LMHCA, MA
Verified Verified
Vancouver, WA 98662
Congratulations for taking the first step toward healthier relationships, personal growth and mental wellbeing. I am a person-centered therapist who likes to cater our interactions to your specific personal needs. I take a holistic creative approach to help you shake out those things that have not been serving you to move toward your greater authentic self. I provide art therapies including music, movement, poetry/writing, and the visual arts.
Congratulations for taking the first step toward healthier relationships, personal growth and mental wellbeing. I am a person-centered therapist who likes to cater our interactions to your specific personal needs. I take a holistic creative approach to help you shake out those things that have not been serving you to move toward your greater authentic self. I provide art therapies including music, movement, poetry/writing, and the visual arts.
(509) 519-1158 View (509) 519-1158
Photo of Sabra P. Larsen, Clinical Social Work/Therapist in Vancouver, WA
Sabra P. Larsen
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98663
Life's challenges may overwhelm your ability to cope and leave you confused and distressed. As a skilled therapist, I can assist to make this time fruitful rather then just a time to get through. I provide a safe comfortable place to focus on your experience of life. You will receive kindness, respect and genuine caring. My approach is client directed,with compassionate inquiry and creative exploration, using collaborative problem-solving to assist you in restoring your balance and moving in a positive direction; often with deeper insight and a greater capacity for joy and contentment.
Life's challenges may overwhelm your ability to cope and leave you confused and distressed. As a skilled therapist, I can assist to make this time fruitful rather then just a time to get through. I provide a safe comfortable place to focus on your experience of life. You will receive kindness, respect and genuine caring. My approach is client directed,with compassionate inquiry and creative exploration, using collaborative problem-solving to assist you in restoring your balance and moving in a positive direction; often with deeper insight and a greater capacity for joy and contentment.
(360) 525-9073 View (360) 525-9073
Photo of Kimberly Noel, Clinical Social Work/Therapist in Vancouver, WA
Kimberly Noel
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Vancouver, WA 98662
Being a parent, or caregiver, is no small thing.  There are so many challenges now-a-days.  The child mental health crisis has grown, and with it, the family mental health crisis, which means treatment must include the family as a whole.  My role as a therapist is to assist your child and family as a whole in working towards your goals by offering a supportive and safe space, and providing the opportunity for growth as a family.
Being a parent, or caregiver, is no small thing.  There are so many challenges now-a-days.  The child mental health crisis has grown, and with it, the family mental health crisis, which means treatment must include the family as a whole.  My role as a therapist is to assist your child and family as a whole in working towards your goals by offering a supportive and safe space, and providing the opportunity for growth as a family.
(360) 583-6932 View (360) 583-6932
Photo of Nicole Laurent, Counselor in Vancouver, WA
Nicole Laurent
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98664  (Online Only)
My ideal clients are individuals grappling with mental health challenges, seeking to explore the therapeutic potential of ketogenic diets as a metabolic intervention for symptom reduction. They are motivated to integrate metabolic, functional, and nutritional strategies with psychotherapy to address issues like mood disorders, anxiety, trauma, and cognitive function. These clients are looking for a comprehensive, biopsychosocial approach to improve their mental well-being and meet their wellness goals.
My ideal clients are individuals grappling with mental health challenges, seeking to explore the therapeutic potential of ketogenic diets as a metabolic intervention for symptom reduction. They are motivated to integrate metabolic, functional, and nutritional strategies with psychotherapy to address issues like mood disorders, anxiety, trauma, and cognitive function. These clients are looking for a comprehensive, biopsychosocial approach to improve their mental well-being and meet their wellness goals.
(425) 224-6633 View (425) 224-6633
Photo of Staci Jenkins, Counselor in Vancouver, WA
Staci Jenkins
Counselor, LMHC
Verified Verified
Vancouver, WA 98686
Staci Jenkins is a Licensed Mental Health Counselor who has been practicing since 2015. She guides her clients through the process of healing and change in order that they may lower unnecessary suffering and live in line with their long-term goals and values. Her main areas of focus include depression, anxiety, bipolar disorder, social phobia, panic, agoraphobia, PTSD, relational trauma and characterological wounding, grief and loss, women's issues, life stressors, anger management, substance and alcohol misuse and behavior change. She provides both individual and group therapy to individuals aged 18-65+.
Staci Jenkins is a Licensed Mental Health Counselor who has been practicing since 2015. She guides her clients through the process of healing and change in order that they may lower unnecessary suffering and live in line with their long-term goals and values. Her main areas of focus include depression, anxiety, bipolar disorder, social phobia, panic, agoraphobia, PTSD, relational trauma and characterological wounding, grief and loss, women's issues, life stressors, anger management, substance and alcohol misuse and behavior change. She provides both individual and group therapy to individuals aged 18-65+.
(360) 800-3525 View (360) 800-3525
Photo of Jessalyn Jackson, Counselor in Vancouver, WA
Jessalyn Jackson
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660  (Online Only)
I have a special interest in helping you discover what is truly possible for yourself and your life. Maybe you've found yourself in a cycle that you can't seem to get out of, missing out on what makes your life truly vital. I work closely with individuals who are struggling with life transitions, work-related stress, relationship issues, depression and anxiety. My goal is to walk alongside you as you reflect and make connections that propel your life forward in the direction that you want while gaining the tools to sustain it.
I have a special interest in helping you discover what is truly possible for yourself and your life. Maybe you've found yourself in a cycle that you can't seem to get out of, missing out on what makes your life truly vital. I work closely with individuals who are struggling with life transitions, work-related stress, relationship issues, depression and anxiety. My goal is to walk alongside you as you reflect and make connections that propel your life forward in the direction that you want while gaining the tools to sustain it.
(206) 752-4354 View (206) 752-4354
Photo of Stacy Oxford @ Good Talk, Counselor in Vancouver, WA
Stacy Oxford @ Good Talk
Counselor, MS LMHC, NCC, LCPC
Verified Verified
3 Endorsed
Vancouver, WA 98684
Everyone needs a person, a place where they can talk. Freely talk. And share the things that make us feel small, the things we do that we don't understand, our worries and secret hurts that have been done to us or that we have done to others. The thing is - talking doesn't always feel good. And sometimes, the things we want to talk about are downright painful. But just because it hurts - doesn't mean we shouldn't talk about it. That's why I'm here. I want to help you have a good talk... about hard things.
Everyone needs a person, a place where they can talk. Freely talk. And share the things that make us feel small, the things we do that we don't understand, our worries and secret hurts that have been done to us or that we have done to others. The thing is - talking doesn't always feel good. And sometimes, the things we want to talk about are downright painful. But just because it hurts - doesn't mean we shouldn't talk about it. That's why I'm here. I want to help you have a good talk... about hard things.
(360) 227-6829 View (360) 227-6829
Photo of Adam Hall, Counselor in Vancouver, WA
Adam Hall
Counselor, LMHCA
Verified Verified
Vancouver, WA 98662
Adam Hall is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2016. He has earned both his Bachelor's and Master's degree in Professional Counseling. Adam works with teens, individuals, and couples to navigate through the storms of life and relationships. This could be the relationship you have with yourself, parent and child relationships, or romantic partnerships. His previous experience includes working with teens from foster care, working in community mental health, and faith-based counseling.
Adam Hall is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2016. He has earned both his Bachelor's and Master's degree in Professional Counseling. Adam works with teens, individuals, and couples to navigate through the storms of life and relationships. This could be the relationship you have with yourself, parent and child relationships, or romantic partnerships. His previous experience includes working with teens from foster care, working in community mental health, and faith-based counseling.
(360) 777-5267 View (360) 777-5267
Photo of Anna Gavrishova, Counselor in Vancouver, WA
Anna Gavrishova
Counselor, LMHC, PMHNP
Verified Verified
1 Endorsed
Vancouver, WA 98662
Go to halcyoncounseling.as.me/ to schedule a consult for my waitlist. I provide counseling & med management to individuals & families. Everyone experiences significant anxiety, sadness or emotional distress at some point in their lives, and most people have experienced some sort of traumatic event in their past. Seeking support during times when life feels overwhelming can help you build awareness of yourself, your personal needs and how to manage stress without destructive behaviors and thoughts. My tailored, trauma-informed and evidence-based therapy will help you navigate your unique struggles and reach your personal goals.
Go to halcyoncounseling.as.me/ to schedule a consult for my waitlist. I provide counseling & med management to individuals & families. Everyone experiences significant anxiety, sadness or emotional distress at some point in their lives, and most people have experienced some sort of traumatic event in their past. Seeking support during times when life feels overwhelming can help you build awareness of yourself, your personal needs and how to manage stress without destructive behaviors and thoughts. My tailored, trauma-informed and evidence-based therapy will help you navigate your unique struggles and reach your personal goals.
(360) 558-3477 View (360) 558-3477
Photo of Alternative Behavioral Therapy, Counselor in Vancouver, WA
Alternative Behavioral Therapy
Counselor, MA, LMHC, BCN
Verified Verified
3 Endorsed
Vancouver, WA 98683
Alternative Behavioral Therapy specializes in the integration of talk therapy and Neurofeedback which is commonly used for the treatment and normalization of ADHD. We can incorporate this practice into PTSD, depression, sleep disorders, learning disabilities, anxiety, and much more. For those adept in this field, we practice Infra-low, SMR training, theta/beta ratio, and alpha-theta deep state processing as well as ISF (Infra-slow frequency training). For disorders resulting from trauma, EMDR may be incorporated as deemed appropriate. Other modality options may include Play Therapy or life coaching as well.
Alternative Behavioral Therapy specializes in the integration of talk therapy and Neurofeedback which is commonly used for the treatment and normalization of ADHD. We can incorporate this practice into PTSD, depression, sleep disorders, learning disabilities, anxiety, and much more. For those adept in this field, we practice Infra-low, SMR training, theta/beta ratio, and alpha-theta deep state processing as well as ISF (Infra-slow frequency training). For disorders resulting from trauma, EMDR may be incorporated as deemed appropriate. Other modality options may include Play Therapy or life coaching as well.
(855) 838-3053 View (855) 838-3053
Photo of DrShannon Lilja/Sandalwood Counseling, Counselor in Vancouver, WA
DrShannon Lilja/Sandalwood Counseling
Counselor, DBH, LPC, LMHC, CADC, CDP
Verified Verified
1 Endorsed
Vancouver, WA 98661
Anxiety, depression, relationship issues, obsessive thoughts/behaviors…you may feel that something isn't working or doesn’t fit, or perhaps you are missing something you want (better communication, feeling heard, understanding). Perhaps you haven't found a solution to manage things quite the way you want. My goal is to help increase awareness and insight, working with you to understand what is going on now, its impact, and support efforts toward your goal to improve relationships, develop skills, resolve conflicts, increase self-esteem, heal, and grow. Therapy can offer wonderful opportunities to move toward the change you seek.
Anxiety, depression, relationship issues, obsessive thoughts/behaviors…you may feel that something isn't working or doesn’t fit, or perhaps you are missing something you want (better communication, feeling heard, understanding). Perhaps you haven't found a solution to manage things quite the way you want. My goal is to help increase awareness and insight, working with you to understand what is going on now, its impact, and support efforts toward your goal to improve relationships, develop skills, resolve conflicts, increase self-esteem, heal, and grow. Therapy can offer wonderful opportunities to move toward the change you seek.
(360) 564-5434 View (360) 564-5434
Photo of Nancy R West, Clinical Social Work/Therapist in Vancouver, WA
Nancy R West
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Vancouver, WA 98684  (Online Only)
Are you struggling with Grief & Loss? Depression or Anxiety? Has everyday life become unbearable but you don't feel there is anyone to talk to about it? Let me help you find the strength within to begin the healing process. As a gay Latina, I bring a unique perspective to my practice and enjoy serving culturally diverse and under represented communities.
Are you struggling with Grief & Loss? Depression or Anxiety? Has everyday life become unbearable but you don't feel there is anyone to talk to about it? Let me help you find the strength within to begin the healing process. As a gay Latina, I bring a unique perspective to my practice and enjoy serving culturally diverse and under represented communities.
(360) 761-3949 View (360) 761-3949
Photo of Physician-Specialized Therapeutic Services , Psychologist in Vancouver, WA
Physician-Specialized Therapeutic Services
Psychologist, MA, PsyD
Verified Verified
Vancouver, WA 98686  (Online Only)
Seen as pillars of society, as a physician you may feel you have no one to turn to right now. The pre-pandemic statistics are especially upsetting: 29% of resident physicians experienced depression; 16% of emergency physicians met the criteria for a post-traumatic stress disorder diagnosis, & doctors have a higher risk of death by suicide compared to other professions. We stand to lose 1 doctor a day to suicide. The pandemic has been especially challenging for physicians, their families, & the medical community in general: doctors are experiencing burnout from new challenges they are encountering. Burnout is not a ride of passage.
Seen as pillars of society, as a physician you may feel you have no one to turn to right now. The pre-pandemic statistics are especially upsetting: 29% of resident physicians experienced depression; 16% of emergency physicians met the criteria for a post-traumatic stress disorder diagnosis, & doctors have a higher risk of death by suicide compared to other professions. We stand to lose 1 doctor a day to suicide. The pandemic has been especially challenging for physicians, their families, & the medical community in general: doctors are experiencing burnout from new challenges they are encountering. Burnout is not a ride of passage.
(360) 228-2952 View (360) 228-2952
Photo of Maraiah Esslinger, Counselor in Vancouver, WA
Maraiah Esslinger
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98662
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and holds a Master of Fine Art from Georgia State University and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy, finding that this supports growth, healing, and empowerment.
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and holds a Master of Fine Art from Georgia State University and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy, finding that this supports growth, healing, and empowerment.
(360) 361-8499 View (360) 361-8499
Photo of Stephanie Doig, LPC Intern in Vancouver, WA
Stephanie Doig
LPC Intern, BS
Verified Verified
Vancouver, WA 98685
I strive to put clients at ease with a warm, casual, down-to-earth style. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation. Clients with panic attacks, worries, and social anxiety will especially feel at peace. Many people who come to see me also struggle with depression, infertility, and disordered eating. My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental.
I strive to put clients at ease with a warm, casual, down-to-earth style. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation. Clients with panic attacks, worries, and social anxiety will especially feel at peace. Many people who come to see me also struggle with depression, infertility, and disordered eating. My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental.
(360) 997-2074 View (360) 997-2074
Photo of Heidi Louise McKinney, Marriage & Family Therapist in Vancouver, WA
Heidi Louise McKinney
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Vancouver, WA 98660
Not accepting new clients
I am looking forward to expanding my scope of practice to include working/collaborating with medical physicians in an integrated health care clinic in Southwest Washington. It has been a pleasure and privilege serving patients in the Middle Tennessee area.
I am looking forward to expanding my scope of practice to include working/collaborating with medical physicians in an integrated health care clinic in Southwest Washington. It has been a pleasure and privilege serving patients in the Middle Tennessee area.
(615) 247-6458 View (615) 247-6458
Photo of Katherine Anne Latter, Counselor in Vancouver, WA
Katherine Anne Latter
Counselor, MA, LMHC, LPC, LIMHP
Verified Verified
1 Endorsed
Vancouver, WA 98684  (Online Only)
Allow yourself to experience changes through the seasons of life! As a counselor, it is my delight to come alongside clients and encourage them to transition through life's challenges. I believe that people can transform, weather the storms of life, and gain tools and insights to help them do so. I provide a safe environment, filled with compassion and empathy, in which clients can share their hearts, their fears, their dreams, and their stories.
Allow yourself to experience changes through the seasons of life! As a counselor, it is my delight to come alongside clients and encourage them to transition through life's challenges. I believe that people can transform, weather the storms of life, and gain tools and insights to help them do so. I provide a safe environment, filled with compassion and empathy, in which clients can share their hearts, their fears, their dreams, and their stories.
(360) 383-5631 View (360) 383-5631

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
69% Self Esteem
67% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

72% Aetna
55% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA 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 Vancouver?

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.