Therapists in Lake Oswego, OR

Photo of Chynna Springer, Licensed Professional Counselor in Lake Oswego, OR
Chynna Springer
Licensed Professional Counselor, MA, LMHC, LPC, CADCI
Verified Verified
Lake Oswego, OR 97035  (Online Only)
Waitlist for new clients
Do you want to improve your quality of life? Are symptoms of stress, anxiety, or depression preventing you from living your life to its fullest potential? Do you feel trapped in an unhealthy relationship? Are you overwhelmed, burnt out, or juggling multiple roles? Counseling can support you through these challenges! I will create a safe therapeutic environment where you can be heard, feel understood, and work towards positive growth. You will learn practical tools to reach your goals based on your individual needs. I approach counseling from a client-driven and strengths-based perspective.
Do you want to improve your quality of life? Are symptoms of stress, anxiety, or depression preventing you from living your life to its fullest potential? Do you feel trapped in an unhealthy relationship? Are you overwhelmed, burnt out, or juggling multiple roles? Counseling can support you through these challenges! I will create a safe therapeutic environment where you can be heard, feel understood, and work towards positive growth. You will learn practical tools to reach your goals based on your individual needs. I approach counseling from a client-driven and strengths-based perspective.
(503) 455-7348 View (503) 455-7348
Photo of Lisa Gabardi, PhD, LLC, Psychologist in Lake Oswego, OR
Lisa Gabardi, PhD, LLC
Psychologist, PhD, LLC
Verified Verified
Lake Oswego, OR 97035
I provide a supportive, compassionate environment combined with practical guidance to promote your strengths, clarify your values and goals, and develop flexible thinking and new habits. Because I believe that when life challenges are met with compassion and practical guidance, the challenges become a catalyst for healing, resilience, and developing your best self. I consider psychotherapy to be a collaborative process, utilizing my expertise and your strengths to meet your goals. I actively participate in the therapy process, supporting your efforts toward sustainable change in your life.
I provide a supportive, compassionate environment combined with practical guidance to promote your strengths, clarify your values and goals, and develop flexible thinking and new habits. Because I believe that when life challenges are met with compassion and practical guidance, the challenges become a catalyst for healing, resilience, and developing your best self. I consider psychotherapy to be a collaborative process, utilizing my expertise and your strengths to meet your goals. I actively participate in the therapy process, supporting your efforts toward sustainable change in your life.
(503) 831-9614 View (503) 831-9614
Photo of David C Manfield, Psychologist in Lake Oswego, OR
David C Manfield
Psychologist, PhD
Verified Verified
1 Endorsed
Lake Oswego, OR 97034  (Online Only)
Waitlist for new clients
I am a therapist with over thirty years clinical experience. Over the years I've worked with and helped hundreds of individuals and couples through a wide range of difficulties. My style is respectful, interactive and dynamic. I've learned that there are a lot ways to help, to heal and to promote personal growth, and that no particular approach fits every person or situation. Anxious? Depressed? Or individuals with problems arising from recent traumatic events or from childhood trauma or neglect, whose parents may have been inconsistent or worse, I often combine EMDR, IFS and other mindfulness strategies.
I am a therapist with over thirty years clinical experience. Over the years I've worked with and helped hundreds of individuals and couples through a wide range of difficulties. My style is respectful, interactive and dynamic. I've learned that there are a lot ways to help, to heal and to promote personal growth, and that no particular approach fits every person or situation. Anxious? Depressed? Or individuals with problems arising from recent traumatic events or from childhood trauma or neglect, whose parents may have been inconsistent or worse, I often combine EMDR, IFS and other mindfulness strategies.
(503) 446-5093 View (503) 446-5093
Photo of Paul Guinther, Psychologist in Lake Oswego, OR
Paul Guinther
Psychologist, PhD
Verified Verified
Lake Oswego, OR 97035  (Online Only)
Your pain is a key that can unlock the door to a better life. As a psychologist, I work to help you turn that key- to help open yourself to the compassion, enjoyment, and fulfillment that are waiting for you. I can help you through life's problems using evidence based therapy, meaning we will practice techniques that science has shown work when people commit to the process. I use a form of cognitive behavioral therapy called Acceptance and Commitment Therapy, which has been shown by research to be effective not only in reducing suffering but also in increasing life satisfaction.
Your pain is a key that can unlock the door to a better life. As a psychologist, I work to help you turn that key- to help open yourself to the compassion, enjoyment, and fulfillment that are waiting for you. I can help you through life's problems using evidence based therapy, meaning we will practice techniques that science has shown work when people commit to the process. I use a form of cognitive behavioral therapy called Acceptance and Commitment Therapy, which has been shown by research to be effective not only in reducing suffering but also in increasing life satisfaction.
(971) 247-9984 View (971) 247-9984
Photo of Melinda Reynolds-Pena, Licensed Professional Counselor in Lake Oswego, OR
Melinda Reynolds-Pena
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Lake Oswego, OR 97035
I believe that people can change and often need assistance during the process. I believe that relationships are worth investing in and couples can learn to relate to each other more effectively. I believe sometimes people become stuck trying to do the right thing, or figure out what is the right thing. I believe people often need encouragement to push past where they are stuck. I believe we all can benefit and learn from hearing a different perspective.
I believe that people can change and often need assistance during the process. I believe that relationships are worth investing in and couples can learn to relate to each other more effectively. I believe sometimes people become stuck trying to do the right thing, or figure out what is the right thing. I believe people often need encouragement to push past where they are stuck. I believe we all can benefit and learn from hearing a different perspective.
(503) 446-3183 View (503) 446-3183
Photo of David E. Blakeslee, Psy.D., PC, Psychologist in Lake Oswego, OR
David E. Blakeslee, Psy.D., PC
Psychologist, MA, PsyD
Verified Verified
1 Endorsed
Lake Oswego, OR 97034
Waitlist for new clients
Taking the first step to get help is often the most difficult, but it is often a hopeful sign that you are ready for growth and ready for change. Finding a compassionate, experienced psychologist at such a time will have the powerful benefit of moving you in a focused way on your needed areas of growth and discovering new areas of strength. Dr. Blakeslee has helped hundreds of individuals, scores of couples and dozens of families in his 20+ years of practice. The science of psychology has made treatment for depression, anxiety, trauma and dysfunctional relationships more successful.
Taking the first step to get help is often the most difficult, but it is often a hopeful sign that you are ready for growth and ready for change. Finding a compassionate, experienced psychologist at such a time will have the powerful benefit of moving you in a focused way on your needed areas of growth and discovering new areas of strength. Dr. Blakeslee has helped hundreds of individuals, scores of couples and dozens of families in his 20+ years of practice. The science of psychology has made treatment for depression, anxiety, trauma and dysfunctional relationships more successful.
(503) 925-6313 View (503) 925-6313
Photo of Kushanthi Samaratunge, Psychologist in Lake Oswego, OR
Kushanthi Samaratunge
Psychologist, PsyD
Verified Verified
2 Endorsed
Lake Oswego, OR 97035
Do you feel that you and your family have been struggling lately? are you, or your family members struggling with anything that you are not certain how to deal with? No matter how much you have tried things seem to be the same or seem to be getting worse for you and your family? Do you feel accepted and understood?
Do you feel that you and your family have been struggling lately? are you, or your family members struggling with anything that you are not certain how to deal with? No matter how much you have tried things seem to be the same or seem to be getting worse for you and your family? Do you feel accepted and understood?
(503) 755-5511 View (503) 755-5511
Photo of Martha Darkins, Licensed Professional Counselor in Lake Oswego, OR
Martha Darkins
Licensed Professional Counselor, RN, LPC, CSAT
Verified Verified
Lake Oswego, OR 97034  (Online Only)
Are you struggling with compulsive sexual thoughts or behaviors that interfere with work or relationships? Do you have a secret life? Are you married to or partnered with someone who lies, cheats or betrays you? Are you re-experiencing the pain of a trauma or abuse history? I can help you gain relief from sadness, loss and grief. End the cycle of one-night stands, hook-ups and failed relationships. You can redefine your goals for healthy sexuality and find a way back to your true values, making your life worth living. Seek help. Therapy works if you are willing to work on your recovery.
Are you struggling with compulsive sexual thoughts or behaviors that interfere with work or relationships? Do you have a secret life? Are you married to or partnered with someone who lies, cheats or betrays you? Are you re-experiencing the pain of a trauma or abuse history? I can help you gain relief from sadness, loss and grief. End the cycle of one-night stands, hook-ups and failed relationships. You can redefine your goals for healthy sexuality and find a way back to your true values, making your life worth living. Seek help. Therapy works if you are willing to work on your recovery.
(503) 451-6549 View (503) 451-6549
Photo of Susan Shelbourne, Licensed Professional Counselor in Lake Oswego, OR
Susan Shelbourne
Licensed Professional Counselor, LPC, NCC
Verified Verified
Lake Oswego, OR 97034
Whether you are experiencing anxiety, depression, relationship issues or life transitions, knowing there is someone there who will listen and support you with nonjudgmental understanding and compassion can make those challenges easier to face. My goal as your therapist is to provide a safe, empathetic space for you to express your thoughts and emotions as we work together, exploring your goals and finding new paths to meet the challenges in your life.
Whether you are experiencing anxiety, depression, relationship issues or life transitions, knowing there is someone there who will listen and support you with nonjudgmental understanding and compassion can make those challenges easier to face. My goal as your therapist is to provide a safe, empathetic space for you to express your thoughts and emotions as we work together, exploring your goals and finding new paths to meet the challenges in your life.
(503) 479-4418 View (503) 479-4418
Photo of Genevieve Payne, Marriage & Family Therapist in Lake Oswego, OR
Genevieve Payne
Marriage & Family Therapist, LMFT
Verified Verified
7 Endorsed
Lake Oswego, OR 97035
I'm a therapist with a real passion for working with women during difficult transitions such as going to college, experiencing heartbreak, becoming pregnant, learning how to be a parent, and separation and divorce. During these times, we discover reserves of inner strength that we never knew we had. If we can open ourselves up to new ways of interacting with painful experiences, it can unlock the door to honest and vulnerable communication and a greater capacity for love. I treat a variety of traumas including acute trauma, childhood or attachment trauma, sexual trauma, and medical trauma.
I'm a therapist with a real passion for working with women during difficult transitions such as going to college, experiencing heartbreak, becoming pregnant, learning how to be a parent, and separation and divorce. During these times, we discover reserves of inner strength that we never knew we had. If we can open ourselves up to new ways of interacting with painful experiences, it can unlock the door to honest and vulnerable communication and a greater capacity for love. I treat a variety of traumas including acute trauma, childhood or attachment trauma, sexual trauma, and medical trauma.
(503) 678-9275 View (503) 678-9275
Photo of Amy Holbrook, Clinical Social Work/Therapist in Lake Oswego, OR
Amy Holbrook
Clinical Social Work/Therapist, LCSW, CADCIII
Verified Verified
Lake Oswego, OR 97035
It can often feel like a brave step to decide to go to therapy. I specialize in recovery-- from old patterns that no longer serve you, problems with anxiety or depression, addiction, grief and relationships that are changing. Perhaps you are not sure what you need but you know something is just not quite right...Psychotherapy can be an opportunity to think carefully about your life, your history and what you hope for with a trained listener who can help you navigate and help you to figure important things out.
It can often feel like a brave step to decide to go to therapy. I specialize in recovery-- from old patterns that no longer serve you, problems with anxiety or depression, addiction, grief and relationships that are changing. Perhaps you are not sure what you need but you know something is just not quite right...Psychotherapy can be an opportunity to think carefully about your life, your history and what you hope for with a trained listener who can help you navigate and help you to figure important things out.
(503) 919-7017 View (503) 919-7017
Photo of Vibhuti (Vee) with Ally Counseling, Marriage & Family Therapist Associate in Lake Oswego, OR
Vibhuti (Vee) with Ally Counseling
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Lake Oswego, OR 97035
Hello and Welcome! I am grateful to be doing work I love and find it immensely rewarding to be your ally in creating profound and lasting positive changes in your life. My therapeutic role is as a thought partner in helping clients strengthen one's inherent resilience. Several clients have stated they've had "more progress from one session than months of previous therapy." I have worked with clients of all ages from numerous intersecting racial, cultural, and religious backgrounds also, a wide range of sexual and gender orientations and various abilities/disabilities. Acknowledge systems of oppression, LGBTQIA+ and BIPOC affirming.
Hello and Welcome! I am grateful to be doing work I love and find it immensely rewarding to be your ally in creating profound and lasting positive changes in your life. My therapeutic role is as a thought partner in helping clients strengthen one's inherent resilience. Several clients have stated they've had "more progress from one session than months of previous therapy." I have worked with clients of all ages from numerous intersecting racial, cultural, and religious backgrounds also, a wide range of sexual and gender orientations and various abilities/disabilities. Acknowledge systems of oppression, LGBTQIA+ and BIPOC affirming.
(503) 300-5671 View (503) 300-5671
Photo of Margot Miles, Hypnotherapist in Lake Oswego, OR
Margot Miles, Hypnotherapist
CHT
Verified Verified
Lake Oswego, OR 97035
Have you been feeling stressed, stuck or overwhelmed? Finding it difficult to stop unhealthy thoughts, habits or behaviors? Hypnosis can help.
Have you been feeling stressed, stuck or overwhelmed? Finding it difficult to stop unhealthy thoughts, habits or behaviors? Hypnosis can help.
(503) 442-6221 View (503) 442-6221
Photo of Kokua Counseling PDX, LLC., Licensed Professional Counselor in Lake Oswego, OR
Kokua Counseling PDX, LLC.
Licensed Professional Counselor, LPC, MS, MEd
Verified Verified
Lake Oswego, OR 97035
My current appointment schedule is Monday through Friday, 9am to 1pm. I current do NOT offer afternoon (after 2pm), evening or weekend appointments. I welcome all unique challenges. I enjoy seeking a collaborative partnership with each client to discover a path to navigate everyday life events and challenges.
My current appointment schedule is Monday through Friday, 9am to 1pm. I current do NOT offer afternoon (after 2pm), evening or weekend appointments. I welcome all unique challenges. I enjoy seeking a collaborative partnership with each client to discover a path to navigate everyday life events and challenges.
(971) 252-7465 View (971) 252-7465
Photo of Cynthia Hiles, Clinical Social Work/Therapist in Lake Oswego, OR
Cynthia Hiles
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake Oswego, OR 97035
Cynthia Hiles, LCSW received her master's degree in Social Work from University of Southern California three decades ago. She has been a practicing Clinical Social Worker in private practice and in a neonatal intensive care unit in a medical setting. Working with individuals or families coping with a medical crisis or facing a life challenge is her primary focus. Utilizing various treatment modalities, she is able to tailor a tool kit to maximize the therapeutic process in a respectful and compassionate setting.
Cynthia Hiles, LCSW received her master's degree in Social Work from University of Southern California three decades ago. She has been a practicing Clinical Social Worker in private practice and in a neonatal intensive care unit in a medical setting. Working with individuals or families coping with a medical crisis or facing a life challenge is her primary focus. Utilizing various treatment modalities, she is able to tailor a tool kit to maximize the therapeutic process in a respectful and compassionate setting.
(503) 966-9117 View (503) 966-9117
Photo of Still Waters Counseling Services, LLC, Marriage & Family Therapist in Lake Oswego, OR
Still Waters Counseling Services, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Lake Oswego, OR 97035
I am a Licensed Marriage and Family Therapist in the State of Oregon providing mental health services in Oregon since 2010. I provide in-person and virtual trauma-informed therapy, respecting diversity and multiculturalism. My philosophy and approach towards treatment is person-centered, with the belief that each person has all the answers, and the ability to solve their problems within themselves. I see my role as an assistant in reaching the best solution for each person’s unique situation. I specialize in working with couples, families, individuals, digital nomads, entrepreneurs, and those who work from home.
I am a Licensed Marriage and Family Therapist in the State of Oregon providing mental health services in Oregon since 2010. I provide in-person and virtual trauma-informed therapy, respecting diversity and multiculturalism. My philosophy and approach towards treatment is person-centered, with the belief that each person has all the answers, and the ability to solve their problems within themselves. I see my role as an assistant in reaching the best solution for each person’s unique situation. I specialize in working with couples, families, individuals, digital nomads, entrepreneurs, and those who work from home.
(458) 218-8694 View (458) 218-8694
Photo of Kelly Allen, Licensed Professional Counselor in Lake Oswego, OR
Kelly Allen
Licensed Professional Counselor, MS, LPC
Verified Verified
Lake Oswego, OR 97035
Hello! Thank you for considering me as your therapist and I am so excited you are on this journey for yourself. I am a Licensed Professional Counselor at Senua Counseling Clinic, with many years of experience providing counseling for individuals and couples. I provide both in person and virtual therapy options. It is an absolute privilege to work collaboratively with my clients to help them achieve the quality of life they desire and I am passionate about creating a safe and supportive environment for my clients to discover themselves in.
Hello! Thank you for considering me as your therapist and I am so excited you are on this journey for yourself. I am a Licensed Professional Counselor at Senua Counseling Clinic, with many years of experience providing counseling for individuals and couples. I provide both in person and virtual therapy options. It is an absolute privilege to work collaboratively with my clients to help them achieve the quality of life they desire and I am passionate about creating a safe and supportive environment for my clients to discover themselves in.
(503) 743-0565 View (503) 743-0565
Photo of Hummingbird Healing, Marriage & Family Therapist in Lake Oswego, OR
Hummingbird Healing
Marriage & Family Therapist, LMFT
Verified Verified
Lake Oswego, OR 97035  (Online Only)
You don't have to go through this alone. If you are a BIPOC person in search of culturally competent care I am here to help you. If you are struggling with depression, anxiety, life transitions, racial identity, or racial trauma I believe you deserve to be seen and heard. It would be my honor to support you on your healing journey.
You don't have to go through this alone. If you are a BIPOC person in search of culturally competent care I am here to help you. If you are struggling with depression, anxiety, life transitions, racial identity, or racial trauma I believe you deserve to be seen and heard. It would be my honor to support you on your healing journey.
(503) 486-4896 View (503) 486-4896
Photo of Portland Psychological Assessments, LLC, Psychologist in Lake Oswego, OR
Portland Psychological Assessments, LLC
Psychologist
Verified Verified
Lake Oswego, OR 97035
We offer quality mental health services through a variety of psychological evaluations for the city of Portland and the surrounding areas. Our office conducts evaluations and screenings related to the identification of developmental disorders, autism spectrum disorder, cognitive problems, emotional struggles, intellectual difficulties, and dementia. Our primary job duties are related to the administration, interpretation, and writing of diagnostic evaluations. As such, we are able to provide feedback within one week after testing has been administered. Please contact us to talk about how we can help you.
We offer quality mental health services through a variety of psychological evaluations for the city of Portland and the surrounding areas. Our office conducts evaluations and screenings related to the identification of developmental disorders, autism spectrum disorder, cognitive problems, emotional struggles, intellectual difficulties, and dementia. Our primary job duties are related to the administration, interpretation, and writing of diagnostic evaluations. As such, we are able to provide feedback within one week after testing has been administered. Please contact us to talk about how we can help you.
(503) 512-6719 View (503) 512-6719
Photo of Chelsea Bucina, Psychologist in Lake Oswego, OR
Chelsea Bucina
Psychologist, PsyD
Verified Verified
5 Endorsed
Lake Oswego, OR 97035
I specialize in helping adult men with trauma and PTSD overcome patterns that keep them feeling stuck so they can experience greater satisfaction in their lives and relationships. Trauma affects everyone differently, but social stigma and expectations for men to be unemotional and strong often lead to feelings of weakness that prevent men from seeking help when needed. Men sometimes externalize symptoms with substance use, anger, relationship conflict, social isolation, and workaholism. My goal is creating a safe space for you to address these patterns and move toward a greater sense of control, connectedness, and wellbeing.
I specialize in helping adult men with trauma and PTSD overcome patterns that keep them feeling stuck so they can experience greater satisfaction in their lives and relationships. Trauma affects everyone differently, but social stigma and expectations for men to be unemotional and strong often lead to feelings of weakness that prevent men from seeking help when needed. Men sometimes externalize symptoms with substance use, anger, relationship conflict, social isolation, and workaholism. My goal is creating a safe space for you to address these patterns and move toward a greater sense of control, connectedness, and wellbeing.
(503) 782-1972 View (503) 782-1972

How does your Therapist compare?

Number of Therapists in Lake Oswego, OR

400+

Average cost per session

$165

Therapists in Lake Oswego, OR who prioritize treating:

94% Anxiety
87% Depression
83% Relationship Issues
78% Self Esteem
70% Trauma and PTSD
70% Stress
69% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

58% PacificSource
48% Aetna
44% BlueCross and BlueShield

How Therapists in Lake Oswego, OR see their clients

64% In Person and Online
36% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lake Oswego?

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.