Therapists in Boca Raton, FL
Jacqueline Gilreath
Clinical Social Work/Therapist, LCSW
Verified Verified
Boca Raton, FL 33487
Jackie Gilreath is a Licensed Clinical Social Worker with Genesis Counseling. She is the Teen & Adult Clinical Director with offices in Coral Springs, Delray, Boca and virtually throughout FL. She received her Master’s Degree Florida International University. Jackie has experience providing individual, group and family therapy for those struggling with substance abuse and mental illness. Jackie has a passion for working with individuals and families who have been impacted by trauma and the recovery process. Jackie utilizes evidenced based practice in treating depression, anxiety, PTSD, substance use/recovery, and life transitions.
Jackie Gilreath is a Licensed Clinical Social Worker with Genesis Counseling. She is the Teen & Adult Clinical Director with offices in Coral Springs, Delray, Boca and virtually throughout FL. She received her Master’s Degree Florida International University. Jackie has experience providing individual, group and family therapy for those struggling with substance abuse and mental illness. Jackie has a passion for working with individuals and families who have been impacted by trauma and the recovery process. Jackie utilizes evidenced based practice in treating depression, anxiety, PTSD, substance use/recovery, and life transitions.
Priscilla Souto
Counselor, MEd, NCC, LMHC
Verified Verified
1 Endorsed
Boca Raton, FL 33432
Direct, honest and solution focused is my approach in helping couples, families and individuals (adolescents/adults) improve their communication and overall life. Anxiety, miscommunication, and concern is so common with all the relationships and responsibilities we have. I will help you find ways to handle your worries, reconnect with your partner, and overall better manage your stress. Picking a therapist can be a difficult and overwhelming task. I can assure you that your experience working with me will be beneficial and easy. My goal is provide you with techniques and coping skills to improve your life and reach your goals.
Direct, honest and solution focused is my approach in helping couples, families and individuals (adolescents/adults) improve their communication and overall life. Anxiety, miscommunication, and concern is so common with all the relationships and responsibilities we have. I will help you find ways to handle your worries, reconnect with your partner, and overall better manage your stress. Picking a therapist can be a difficult and overwhelming task. I can assure you that your experience working with me will be beneficial and easy. My goal is provide you with techniques and coping skills to improve your life and reach your goals.
Elizabeth A Divine
Counselor, LMHC
Verified Verified
Boca Raton, FL 33433 (Online Only)
I am a Licensed Mental Health Counselor (LMHC) and National Certified Counselor (NCC). I have been in the field for 10 years. Do you struggle with feeling lost and overwhelmed? Are your day-to-day responsibilities too much to handle sometimes? Does it feel like the world is closing in on you? Is work or school stressful? I empower everyday people to live their lives and take steps towards realizing their ideal self. You're here because you've decided to embark on that journey. That can be scary and overwhelming, but you're making the right choice! I can't wait to be your companion and help you overcome the obstacles in the way.
I am a Licensed Mental Health Counselor (LMHC) and National Certified Counselor (NCC). I have been in the field for 10 years. Do you struggle with feeling lost and overwhelmed? Are your day-to-day responsibilities too much to handle sometimes? Does it feel like the world is closing in on you? Is work or school stressful? I empower everyday people to live their lives and take steps towards realizing their ideal self. You're here because you've decided to embark on that journey. That can be scary and overwhelming, but you're making the right choice! I can't wait to be your companion and help you overcome the obstacles in the way.
Dr. Erica M. Goodstone
Counselor, PhD, LMHC
Verified Verified
4 Endorsed
Boca Raton, FL 33432
I believe "Where There Is Love There IS A Way!" If YOU want to attract, create and keep a loving relationship, you must first understand, accept, forgive and love yourself. Then you are ready to understand, accept, forgive and love another person. Emotional, communication and sexual problems quickly resolve as loving feelings intensify. I help you bring back desire, sensuality, passion, joy and love in your relationships.
I believe "Where There Is Love There IS A Way!" If YOU want to attract, create and keep a loving relationship, you must first understand, accept, forgive and love yourself. Then you are ready to understand, accept, forgive and love another person. Emotional, communication and sexual problems quickly resolve as loving feelings intensify. I help you bring back desire, sensuality, passion, joy and love in your relationships.
Rebecca Marcus Wheeler
Clinical Social Work/Therapist, DSW, LCSW, MCAP
Verified Verified
Boca Raton, FL 33486
Habits. Choices. Barriers. How might these be impacting your health, outlook, or lifestyle? How will change encourage pursuing and achieving your goals? Let's work together to explore a healthier mindset.
Habits. Choices. Barriers. How might these be impacting your health, outlook, or lifestyle? How will change encourage pursuing and achieving your goals? Let's work together to explore a healthier mindset.
Naomi Berger
Marriage & Family Therapist, LMFT, LMHC, CAP, EdS, ACS
Verified Verified
1 Endorsed
Boca Raton, FL 33434
Are you unhappy in your relationship? are feeling unheard? not understood? not supported? alone? frustrated with unresolved conflicts? fighting over the same issues? thinking of leaving but afraid? Are you having an affair or struggling to heal from one? Are past hurts, traumas disappointments affecting your relationship? your daily functioning? your ability to trust? You believe that your and your children's future will be better saving your relationship but you do not know how? We understand and can help you get to the bottom of the problem in first session. No need to continue suffering Call us! you will be glad that you did.
Are you unhappy in your relationship? are feeling unheard? not understood? not supported? alone? frustrated with unresolved conflicts? fighting over the same issues? thinking of leaving but afraid? Are you having an affair or struggling to heal from one? Are past hurts, traumas disappointments affecting your relationship? your daily functioning? your ability to trust? You believe that your and your children's future will be better saving your relationship but you do not know how? We understand and can help you get to the bottom of the problem in first session. No need to continue suffering Call us! you will be glad that you did.
Beverly Joy Pedroche
Psychologist, PsyD
Verified Verified
5 Endorsed
Boca Raton, FL 33431
Your life is good, but you just aren’t happy. On the outside you look like you have it all together, but you definitely don't feel that way. Sometimes you feel depressed or anxious and you don't know how to get out of it. You feel stuck and want things to change, but you just don’t know how to make that happen. You struggle to prioritize self-care and set healthy boundaries. Perhaps you're a college-aged female and are overwhelmed by the stress of school and the responsibilities of being a young adult. You aren't coping well and you're ready to learn effective coping skills from a therapist who gets you.
Your life is good, but you just aren’t happy. On the outside you look like you have it all together, but you definitely don't feel that way. Sometimes you feel depressed or anxious and you don't know how to get out of it. You feel stuck and want things to change, but you just don’t know how to make that happen. You struggle to prioritize self-care and set healthy boundaries. Perhaps you're a college-aged female and are overwhelmed by the stress of school and the responsibilities of being a young adult. You aren't coping well and you're ready to learn effective coping skills from a therapist who gets you.
Merri Schiff
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Boca Raton, FL 33428
My passion for helping others began at a young age, volunteering in middle school. This was the start of my life long career of over 35 years working as a Social Worker with people in various scenarios; the past 19 years, primarily with elders and their adult children. I treat Depression, Anxiety and Panic Disorder, Bipolar DO, OCD and PTSD. I have joined the amazing group at Boca Raton Psychiatry and work in conjunction with the psychiatrists as part of your team. Please visit Bocaratonpsychiatry.com for more info or our second location in Delray at Delraybeachpsychiatry.com.
My passion for helping others began at a young age, volunteering in middle school. This was the start of my life long career of over 35 years working as a Social Worker with people in various scenarios; the past 19 years, primarily with elders and their adult children. I treat Depression, Anxiety and Panic Disorder, Bipolar DO, OCD and PTSD. I have joined the amazing group at Boca Raton Psychiatry and work in conjunction with the psychiatrists as part of your team. Please visit Bocaratonpsychiatry.com for more info or our second location in Delray at Delraybeachpsychiatry.com.
Tasha Hyppolite
Licensed Professional Counselor, LMHC
Verified Verified
Boca Raton, FL 33434
Tasha is a Licensed Mental Health Counselor who received her Master’s in Mental Health Counseling from Nova Southeastern University, and her Bachelors in Psychology from Florida Atlantic University.
Tasha is a Licensed Mental Health Counselor who received her Master’s in Mental Health Counseling from Nova Southeastern University, and her Bachelors in Psychology from Florida Atlantic University.
Katie Manganello
Psychologist, PsyD
Verified Verified
1 Endorsed
Boca Raton, FL 33432 (Online Only)
If you're dealing with OCD, anxiety disorders, or PTSD, you might feel like these challenges are controlling your life. You're looking for effective ways to manage overwhelming symptoms that disrupt your daily routines, relationships, and overall sense of well-being. Your goals likely include gaining control over your thoughts and actions, finding relief from constant worry or fear, and improving your mental health. You're motivated to engage in therapy, seeking a compassionate and understanding therapist who can guide you through the process of healing and personal growth.
If you're dealing with OCD, anxiety disorders, or PTSD, you might feel like these challenges are controlling your life. You're looking for effective ways to manage overwhelming symptoms that disrupt your daily routines, relationships, and overall sense of well-being. Your goals likely include gaining control over your thoughts and actions, finding relief from constant worry or fear, and improving your mental health. You're motivated to engage in therapy, seeking a compassionate and understanding therapist who can guide you through the process of healing and personal growth.
Brooke Whitfield-Fattovich
Counselor, MS, LMHC, NCC
Verified Verified
1 Endorsed
Boca Raton, FL 33487
Women's fertility and peripartum are unique and complex. They come with a wide range of emotions, from excitement to fear. As beautiful as the childbearing journey can be, women can also experience medical fatigue, financial strain, pressure from family and friends, and at times, struggle to feel connected to their partner. Allow me to support you through these times, and we will work together to ease the anxiety and walk through this experience feeling empowered. I also treat addiction and recovery, and individuals dealing with issues associated with blended families/co-parenting.
Women's fertility and peripartum are unique and complex. They come with a wide range of emotions, from excitement to fear. As beautiful as the childbearing journey can be, women can also experience medical fatigue, financial strain, pressure from family and friends, and at times, struggle to feel connected to their partner. Allow me to support you through these times, and we will work together to ease the anxiety and walk through this experience feeling empowered. I also treat addiction and recovery, and individuals dealing with issues associated with blended families/co-parenting.
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Abby Bernstein
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Boca Raton, FL 33431
I specialize in treating various types of eating disorders, mood disorders, addictions and adolescent issues. Working with both males and females who are struggling with Anorexia, Bulimia, Binge Eating, Exercise addiction, Orthorexia, self-esteem issues and body image related issues. I also focus on treating adolescents who are struggling with common adolescent issues such as: Bullying, substance use, eating disorders, self harm, peer pressure, social media addiction, school stress and mood disorders. Services include: Individual therapy, family therapy and couples counseling.
I specialize in treating various types of eating disorders, mood disorders, addictions and adolescent issues. Working with both males and females who are struggling with Anorexia, Bulimia, Binge Eating, Exercise addiction, Orthorexia, self-esteem issues and body image related issues. I also focus on treating adolescents who are struggling with common adolescent issues such as: Bullying, substance use, eating disorders, self harm, peer pressure, social media addiction, school stress and mood disorders. Services include: Individual therapy, family therapy and couples counseling.
David Cohen
Licensed Mental Health Counselor, LMHC, CBT,ERP, CCTP-2, ART, CH,CCAT
Verified Verified
5 Endorsed
Boca Raton, FL 33431
Welcome! I would like to commend you for starting, or continuing, your process of therapy/counseling/coaching, as it takes much courage to look in the mirror and create awareness and change. People come into therapy for a wide array of reasons and concerns. In addition to psychological issues, counseling can also be helpful for those who are looking to foster personal/professional growth, and also to provide a safe/objective place to talk. Whatever your reasons, I promise to meet you where you are and help you in your process of exploration, healing, growth, realization, and change. I look forward to working with you.
Welcome! I would like to commend you for starting, or continuing, your process of therapy/counseling/coaching, as it takes much courage to look in the mirror and create awareness and change. People come into therapy for a wide array of reasons and concerns. In addition to psychological issues, counseling can also be helpful for those who are looking to foster personal/professional growth, and also to provide a safe/objective place to talk. Whatever your reasons, I promise to meet you where you are and help you in your process of exploration, healing, growth, realization, and change. I look forward to working with you.
Caterina Chimenti
Counselor, LMHC, ACS, CEO, PA, PhD
Verified Verified
Boca Raton, FL 33486
Dr. Chimenti teaches PhD students how to be ethical practitioners who advocate for patients in conjunction to her Private Practices. As a Yoga and Meditation Instructor since 1998; She individualizes the incorporation of in depth analysis of Western and Eastern models of the mind into her clinical practice. As a Veteran of the U.S. Army; She has extensive experience with Emotional and Psychological trauma; trained in EMDR. Working with families, couples dealing with attachment issues that result in trauma, addiction and maladaptive behaviors and thought patterns is definitely a wide population of her clientele.
Dr. Chimenti teaches PhD students how to be ethical practitioners who advocate for patients in conjunction to her Private Practices. As a Yoga and Meditation Instructor since 1998; She individualizes the incorporation of in depth analysis of Western and Eastern models of the mind into her clinical practice. As a Veteran of the U.S. Army; She has extensive experience with Emotional and Psychological trauma; trained in EMDR. Working with families, couples dealing with attachment issues that result in trauma, addiction and maladaptive behaviors and thought patterns is definitely a wide population of her clientele.
Barbara L. Morrison- Southcoast Psychiatric
Counselor, LMHC
Verified Verified
Boca Raton, FL 33487
Barbara is a Licensed Mental Health Counselor (LMHC) from the Midwest. Here, she earned her Bachelor’s degree from Illinois State University. After majoring in counseling during her undergraduate years, she went on to earn her Master’s in psychology. She graduated from Nova Southeastern University in Florida. Barbara has worked as a psychotherapist for almost 25 years, helping patients work through various complex challenges in life, including grief, couples and individual counseling, family issues, stress, anxiety, depression, disorders and more. She also has experience as a therapist at Hospice for 12 years, helping families cope
Barbara is a Licensed Mental Health Counselor (LMHC) from the Midwest. Here, she earned her Bachelor’s degree from Illinois State University. After majoring in counseling during her undergraduate years, she went on to earn her Master’s in psychology. She graduated from Nova Southeastern University in Florida. Barbara has worked as a psychotherapist for almost 25 years, helping patients work through various complex challenges in life, including grief, couples and individual counseling, family issues, stress, anxiety, depression, disorders and more. She also has experience as a therapist at Hospice for 12 years, helping families cope
Susan Gallagher-Ross
Psychologist, PhD
Verified Verified
Boca Raton, FL 33431
Life can be difficult and challenging at times. You might be struggling with depression, anxiety, loss, relationship problems, career issues, or simply looking to live a happier and more stress- free life. We often believe that seeking help is a sign of weakness, and that counseling can be an intimidating prospect. Taking that first step in finding help is scary, but you do not have to struggle alone. Even if you are feeling hopeless and overwhelmed, you can overcome the obstacles that hold you back from success and happiness. Challenges or crises can be opportunities for growth and change.
Life can be difficult and challenging at times. You might be struggling with depression, anxiety, loss, relationship problems, career issues, or simply looking to live a happier and more stress- free life. We often believe that seeking help is a sign of weakness, and that counseling can be an intimidating prospect. Taking that first step in finding help is scary, but you do not have to struggle alone. Even if you are feeling hopeless and overwhelmed, you can overcome the obstacles that hold you back from success and happiness. Challenges or crises can be opportunities for growth and change.
Jessica Grotke
Pre-Licensed Professional
Verified Verified
1 Endorsed
Boca Raton, FL 33431
Most of my clients are teens and young adults. I have treated an array of issues from mood volatility to body image, self-injurious behaviors to anxiety, phase of life struggles as well as relationship issues. I focus on connecting to the client and helping them feel seen and heard. I do not stress labels and find that the therapeutic relationship itself has the greatest potential for healing, growth and recovery. Most injuries happen in relationship; thus, the curative power of the therapy lies significantly in the experience with the clinician. Give me a call to see if we are a good match!
Most of my clients are teens and young adults. I have treated an array of issues from mood volatility to body image, self-injurious behaviors to anxiety, phase of life struggles as well as relationship issues. I focus on connecting to the client and helping them feel seen and heard. I do not stress labels and find that the therapeutic relationship itself has the greatest potential for healing, growth and recovery. Most injuries happen in relationship; thus, the curative power of the therapy lies significantly in the experience with the clinician. Give me a call to see if we are a good match!
Michael Berger Therapy & Consulting Services
Clinical Social Work/Therapist, MA, MSW, LCSW, QS
Verified Verified
3 Endorsed
Boca Raton, FL 33431
Waitlist for new clients
Vulnerability is hard. The 'easier' choice is just not to talk about it. 'If I just don't think about it, I will be fine.' Sound familiar? It's a common coping strategy. One which consistently backfires as evidenced by the persistent emotional and/or relational problems continuing to appear in your life. What we resists persists. You want to feel heard, seen and understood. I assure you, you will. Remember you cannot heal what you refuse to feel. Reach out for a free consultation call today. You are one decision away from feeling better in your life. I'm here.
Vulnerability is hard. The 'easier' choice is just not to talk about it. 'If I just don't think about it, I will be fine.' Sound familiar? It's a common coping strategy. One which consistently backfires as evidenced by the persistent emotional and/or relational problems continuing to appear in your life. What we resists persists. You want to feel heard, seen and understood. I assure you, you will. Remember you cannot heal what you refuse to feel. Reach out for a free consultation call today. You are one decision away from feeling better in your life. I'm here.
Roxanne Grobbel
Clinical Social Work/Therapist, JD, LCSW, RPT-S
Verified Verified
1 Endorsed
Boca Raton, FL 33433
Does trauma, depression, phobias or relationship issues prevent you from leading a healthy full life? EMDR Intensive therapy can help you get a jump-start on healing. It is cost effective and proven effective. I am an expert in EMDR (Eye Movement Desensitization and Reprocessing), which is a powerful therapeutic method which accelerates the treatment of a wide range of clinical issues. I provide intensive appointments, where we can work on your problem for 2-3 hours over several days allow you to heal and not just cope. Hourly weekly appointments delay your healing. Why wait?
Does trauma, depression, phobias or relationship issues prevent you from leading a healthy full life? EMDR Intensive therapy can help you get a jump-start on healing. It is cost effective and proven effective. I am an expert in EMDR (Eye Movement Desensitization and Reprocessing), which is a powerful therapeutic method which accelerates the treatment of a wide range of clinical issues. I provide intensive appointments, where we can work on your problem for 2-3 hours over several days allow you to heal and not just cope. Hourly weekly appointments delay your healing. Why wait?
Amy Simler
Psychologist, PsyD
Verified Verified
3 Endorsed
Boca Raton, FL 33434 (Online Only)
Do you often feel trapped inside your mind, listening to stories you tell yourself about the way things should be, how you should think and feel, and wondering what you could be doing differently? Does this internal dialogue tend to take you out of the present, further away from what you genuinely value and care about? It is human nature to get stuck in our mind and attempt to get rid of difficult thoughts and feelings. It becomes truly problematic when we spend so much time to “win” the battle of the mind, that we may miss out on truly living. It does not have to be this hard. I am here to help.
Do you often feel trapped inside your mind, listening to stories you tell yourself about the way things should be, how you should think and feel, and wondering what you could be doing differently? Does this internal dialogue tend to take you out of the present, further away from what you genuinely value and care about? It is human nature to get stuck in our mind and attempt to get rid of difficult thoughts and feelings. It becomes truly problematic when we spend so much time to “win” the battle of the mind, that we may miss out on truly living. It does not have to be this hard. I am here to help.
See more therapy options for Boca Raton
How does your Therapist compare?
Number of Therapists in Boca Raton, FL
1,000+
Average cost per session
$175
Therapists in Boca Raton, FL who prioritize treating:
93% | Anxiety |
89% | Depression |
81% | Self Esteem |
80% | Relationship Issues |
73% | Coping Skills |
67% | Stress |
66% | Trauma and PTSD |
Average years in practice
14 Years
Top 3 insurances accepted
78% | Aetna |
73% | UnitedHealthcare UHC | UBH |
70% | Cigna and Evernorth |
How Therapists in Boca Raton, FL see their clients
69% | In Person and Online | |
31% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Boca Raton?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.