Therapists in Portland, ME

View neighborhoods in Portland
Photo of Lisa E Haskins, Counselor in Portland, ME
Lisa E Haskins
Counselor, LCPC
Verified Verified
Portland, ME 04103  (Online Only)
Not accepting new clients
I offer a counseling practice blending clinical mental health theory & practice with a strong holistic perspective. I work with individuals (adults and adolescents age 14 & older), using skill based teaching & mindfulness-based practices to help manage moods, stress and life transitions.
I offer a counseling practice blending clinical mental health theory & practice with a strong holistic perspective. I work with individuals (adults and adolescents age 14 & older), using skill based teaching & mindfulness-based practices to help manage moods, stress and life transitions.
(207) 994-8837 View (207) 994-8837
Photo of Jon Petruschke, Clinical Social Work/Therapist in Portland, ME
Jon Petruschke
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Portland, ME 04101
I specialize in adults and professionals. Life challenges everyone and sometimes we feel stuck. Stuck in sadness, worry, or doubt. Trapped in challenging relationship patterns, old habits or overwhelming stress. I can support you in getting unstuck - overcoming loss, depression, anxiety, trauma, relationship and family challenges, career difficulties, transitions and burnout. We sometimes struggle to find meaning and purpose in our work and personal lives. We sometimes feel broken, different or like we’re not enough. I can help you reconnect to what matters to you, what you love about life, and find a way forward.
I specialize in adults and professionals. Life challenges everyone and sometimes we feel stuck. Stuck in sadness, worry, or doubt. Trapped in challenging relationship patterns, old habits or overwhelming stress. I can support you in getting unstuck - overcoming loss, depression, anxiety, trauma, relationship and family challenges, career difficulties, transitions and burnout. We sometimes struggle to find meaning and purpose in our work and personal lives. We sometimes feel broken, different or like we’re not enough. I can help you reconnect to what matters to you, what you love about life, and find a way forward.
(207) 536-3897 View (207) 536-3897
Photo of Teg Glendon, Clinical Social Work/Therapist in Portland, ME
Teg Glendon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, ME 04101  (Online Only)
Not accepting new clients
We all struggle at times to meet the internal and external challenges inherent in life. We move to manage and cope with problems, unhappiness and bad feelings. Sometimes we get stuck. Other times we move with skill and thoughtfulness, realizing happiness and peace of mind. I work with people to maximize skillfulness and minimize being stuck, using principles of change found in various psychotherapy models. I emphasize accurate understanding, acceptance, and change based on your values and worldview. I am honored that clients share their struggles and successes with me!
We all struggle at times to meet the internal and external challenges inherent in life. We move to manage and cope with problems, unhappiness and bad feelings. Sometimes we get stuck. Other times we move with skill and thoughtfulness, realizing happiness and peace of mind. I work with people to maximize skillfulness and minimize being stuck, using principles of change found in various psychotherapy models. I emphasize accurate understanding, acceptance, and change based on your values and worldview. I am honored that clients share their struggles and successes with me!
(207) 835-3260 View (207) 835-3260
Photo of David Lee, Licensed Master Social Worker in Portland, ME
David Lee
Licensed Master Social Worker, LMSW-cc, MBA
Verified Verified
Portland, ME 04101
I have extensive experience working with people experiencing substance use disorders and mental illness. I specialize in the collaborative treatment of anxiety and depression, the promotion of overall health, happiness and self-worth. I utilize motivational interviewing, cognitive behavioral therapy, and psychodynamic approaches.
I have extensive experience working with people experiencing substance use disorders and mental illness. I specialize in the collaborative treatment of anxiety and depression, the promotion of overall health, happiness and self-worth. I utilize motivational interviewing, cognitive behavioral therapy, and psychodynamic approaches.
(207) 383-1544 View (207) 383-1544
Photo of Fran Rodenburg, Psychologist in Portland, ME
Fran Rodenburg
Psychologist, PhD, LADC, RYT 500
Verified Verified
Portland, ME 04101
You've taken the first step towards your personal healing. Whether you struggle with feeling sad, anxious, "stuck" or generally dissatisfied with life, there is hope. You can learn to cope and connect with your sense of purpose, self-worth, and fulfillment. With supportive, effective psychotherapy, you can discover your inner strengths and resources, and learn to channel them to make improvements in daily living. You will discover ways to make your work life and relationships more satisfying. With compassion and acceptance, you can approach life with new skills to achieve a life of courage, authenticity, and contentment.
You've taken the first step towards your personal healing. Whether you struggle with feeling sad, anxious, "stuck" or generally dissatisfied with life, there is hope. You can learn to cope and connect with your sense of purpose, self-worth, and fulfillment. With supportive, effective psychotherapy, you can discover your inner strengths and resources, and learn to channel them to make improvements in daily living. You will discover ways to make your work life and relationships more satisfying. With compassion and acceptance, you can approach life with new skills to achieve a life of courage, authenticity, and contentment.
(207) 204-3207 View (207) 204-3207
Photo of Patricia Anne Proulx-Lough, Marriage & Family Therapist in Portland, ME
Patricia Anne Proulx-Lough
Marriage & Family Therapist, MS, LMFT, AAMFT, TIRA, FST
Verified Verified
Portland, ME 04102  (Online Only)
I have extensive training and experience treating families who encounter transitional issues, behavioral issues, parenting concerns, couples conflict, and adolescents who are in trouble with the law or who have problem sexual behavior. I also work with individuals who experience anxiety and depressive disorders, disruptive behavioral disorders, trauma and post traumatic stress disorder, grief and loss, and reactive attachment disorder.
I have extensive training and experience treating families who encounter transitional issues, behavioral issues, parenting concerns, couples conflict, and adolescents who are in trouble with the law or who have problem sexual behavior. I also work with individuals who experience anxiety and depressive disorders, disruptive behavioral disorders, trauma and post traumatic stress disorder, grief and loss, and reactive attachment disorder.
(207) 482-0784 View (207) 482-0784
Photo of Kim DeCarlo, Clinical Social Work/Therapist in Portland, ME
Kim DeCarlo
Clinical Social Work/Therapist, LMSW-cc
Verified Verified
1 Endorsed
Portland, ME 04103
Hi there, my name is Kim. In therapy, I create a safe space to learn about yourself while working towards your full potential. I believe you are the expert in your own experiences and my role is to help you access your strengths, resources, and insights to create a positive path forward. We will work together to explore your values and develop skills to move you closer toward your goals for the future.
Hi there, my name is Kim. In therapy, I create a safe space to learn about yourself while working towards your full potential. I believe you are the expert in your own experiences and my role is to help you access your strengths, resources, and insights to create a positive path forward. We will work together to explore your values and develop skills to move you closer toward your goals for the future.
(207) 405-0568 View (207) 405-0568
Photo of Maine Maternal Counseling & Psychotherapy, Counselor in Portland, ME
Maine Maternal Counseling & Psychotherapy
Counselor
Verified Verified
1 Endorsed
Portland, ME 04102
We specialize in all aspects of reproductive and maternal mental health, as well as general women's mental health issues. All of our clinicians have specialty training in pregnancy and postpartum difficulties, miscarriage, traumatic birth experiences, unplanned or teen pregnancy, infertility, abortion, intimacy and other women’s health issues. We also help women struggling with anxiety, depression, stress, toxic family relationships, painful childhood memories, divorce, breakups and all kinds of other general concerns.
We specialize in all aspects of reproductive and maternal mental health, as well as general women's mental health issues. All of our clinicians have specialty training in pregnancy and postpartum difficulties, miscarriage, traumatic birth experiences, unplanned or teen pregnancy, infertility, abortion, intimacy and other women’s health issues. We also help women struggling with anxiety, depression, stress, toxic family relationships, painful childhood memories, divorce, breakups and all kinds of other general concerns.
(207) 222-7160 View (207) 222-7160
Photo of Justin Michaud, Counselor in Portland, ME
Justin Michaud
Counselor, LCPC
Verified Verified
Portland, ME 04101  (Online Only)
Justin Michaud is a Licensed Professional Clinical Counselor (LCPC) with over 7 years of professional experience working with clients of all ages to help them cope with family conflict, couple's issues, PTSD, trauma, depression, stress, and more.
Justin Michaud is a Licensed Professional Clinical Counselor (LCPC) with over 7 years of professional experience working with clients of all ages to help them cope with family conflict, couple's issues, PTSD, trauma, depression, stress, and more.
(207) 203-4076 View (207) 203-4076
Photo of Timothy Vermillion, Clinical Social Work/Therapist in Portland, ME
Timothy Vermillion
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101  (Online Only)
My ideal client is a Veteran or First Responder seeking relief from PTSD, anxiety, or trauma-related challenges, possibly facing sleep issues like nightmares. They are looking specifically for EMDR therapy, valuing its evidence-based approach for emotional healing. They appreciate the flexibility and accessibility of virtual sessions, fitting therapy into their active lifestyle. Their primary goal is to overcome trauma through EMDR, regain emotional stability, and improve their daily life, leveraging the convenience of online therapy.
My ideal client is a Veteran or First Responder seeking relief from PTSD, anxiety, or trauma-related challenges, possibly facing sleep issues like nightmares. They are looking specifically for EMDR therapy, valuing its evidence-based approach for emotional healing. They appreciate the flexibility and accessibility of virtual sessions, fitting therapy into their active lifestyle. Their primary goal is to overcome trauma through EMDR, regain emotional stability, and improve their daily life, leveraging the convenience of online therapy.
(207) 715-3384 View (207) 715-3384
Photo of Sara Levite, Counselor in Portland, ME
Sara Levite
Counselor, MS, LCPC
Verified Verified
Portland, ME 04101
For over 30 years as a psychotherapist and wellness coach I have been committed to helping clients experience more joy in their lives. Whether challenged by anxiety, depression, addiction or stress, it all boils down to finding better ways to cope with life's curveballs. My approach is to work collaboratively with people to achieve their goals. I have extensive experience working with couples and strive to have each person feel heard and understood. In addition to my clinical work I offer virtual workshops and presentations on a regular basis. Feel free to call with any questions..
For over 30 years as a psychotherapist and wellness coach I have been committed to helping clients experience more joy in their lives. Whether challenged by anxiety, depression, addiction or stress, it all boils down to finding better ways to cope with life's curveballs. My approach is to work collaboratively with people to achieve their goals. I have extensive experience working with couples and strive to have each person feel heard and understood. In addition to my clinical work I offer virtual workshops and presentations on a regular basis. Feel free to call with any questions..
(207) 618-6786 View (207) 618-6786
Photo of Danielle Tekut, Clinical Social Work/Therapist in Portland, ME
Danielle Tekut
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101  (Online Only)
In my work with individuals and couples, I engage in each therapeutic relationship with a warm, reflective, and grounding presence. I believe firmly in the worthiness of all to a sense of belonging, dignity, and agency and have witnessed time and again how therapy can be a powerful tool in accessing these needs. Being heard and understood within a supportive therapy environment allows us to both uncover our innate strengths and cultivate the skills and insight necessary to reduce suffering. Regardless of how ingrained and automatic our patterns might be and how stuck we might feel, a more peaceful life is possible for each of us.
In my work with individuals and couples, I engage in each therapeutic relationship with a warm, reflective, and grounding presence. I believe firmly in the worthiness of all to a sense of belonging, dignity, and agency and have witnessed time and again how therapy can be a powerful tool in accessing these needs. Being heard and understood within a supportive therapy environment allows us to both uncover our innate strengths and cultivate the skills and insight necessary to reduce suffering. Regardless of how ingrained and automatic our patterns might be and how stuck we might feel, a more peaceful life is possible for each of us.
View
Photo of Manderson Counseling Services, Drug & Alcohol Counselor in Portland, ME
Manderson Counseling Services
Drug & Alcohol Counselor, LADAC11, NAADAC, CCS, CCTP, DEEP
Verified Verified
Portland, ME 04101
I believe in compassion and will meet you where you are. I understand addiction on a personal level and I know that trauma can separate you from people you love without your permission your heart is broken ; nothing seems to work and you are trying so hard. I hear you . Let me help you unravel the confusion I am a recognized trauma professional and have studied motivational interviewing with Stephen Andrews at the Health and Education Institute where I now practice. We do not have to suffer alone. I can take you into your unique avenue to peace with positive self regard and safety.
I believe in compassion and will meet you where you are. I understand addiction on a personal level and I know that trauma can separate you from people you love without your permission your heart is broken ; nothing seems to work and you are trying so hard. I hear you . Let me help you unravel the confusion I am a recognized trauma professional and have studied motivational interviewing with Stephen Andrews at the Health and Education Institute where I now practice. We do not have to suffer alone. I can take you into your unique avenue to peace with positive self regard and safety.
(207) 218-0191 View (207) 218-0191
Photo of Jennifer M Rent, Counselor in Portland, ME
Jennifer M Rent
Counselor, LCPC, MaDT
Verified Verified
Portland, ME 04101
Waitlist for new clients
People come to me for all reasons: family discord, relationship issues, trauma history, struggles with depression, anxiety, abuse, concerns for a child/teen to name a few. I work hard at connecting with my clients and helping them on their journey of exploring self, history and patterns of behavior. I believe that through understanding our internal parts originating from the past and specific identifications and working with them it is possible to form a pathway toward self discovery, create change, heal from pain & become a happier, healthier person/family. I work with kids, teens, adults, couples & families
People come to me for all reasons: family discord, relationship issues, trauma history, struggles with depression, anxiety, abuse, concerns for a child/teen to name a few. I work hard at connecting with my clients and helping them on their journey of exploring self, history and patterns of behavior. I believe that through understanding our internal parts originating from the past and specific identifications and working with them it is possible to form a pathway toward self discovery, create change, heal from pain & become a happier, healthier person/family. I work with kids, teens, adults, couples & families
(207) 245-1977 View (207) 245-1977
Photo of Mark Butkus, Clinical Social Work/Therapist in Portland, ME
Mark Butkus
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101
Mark Butkus is a Licensed Clinical Social Worker in Maine who has been practicing since 2003. He has completed a Masters In Social Work, post-graduate therapy trainings for advanced licensure and works towards yearly continuing education. Mark has been working as a therapist in a variety of settings since 2003. As a Clinical Instructor at the University of South Carolina School of Medicine Specialty Clinics, in a primary care setting that integrates mental health, as clinical director in therapeutic foster care, in Private practice, and most recently with the Veterans Administration.
Mark Butkus is a Licensed Clinical Social Worker in Maine who has been practicing since 2003. He has completed a Masters In Social Work, post-graduate therapy trainings for advanced licensure and works towards yearly continuing education. Mark has been working as a therapist in a variety of settings since 2003. As a Clinical Instructor at the University of South Carolina School of Medicine Specialty Clinics, in a primary care setting that integrates mental health, as clinical director in therapeutic foster care, in Private practice, and most recently with the Veterans Administration.
(207) 672-2420 View (207) 672-2420
Photo of Ian Whitmore, Clinical Social Work/Therapist in Portland, ME
Ian Whitmore
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04103
Current Pro Bono openings for individuals open to working with a student. Countless young people have reported feeling like their trauma is their fault, that they feel guilty or shameful of having been victimized. If you're experiencing anger, shame, fear, guilt, anxiety, or depression related to an experience out of your control, we can work together to put you back in control of your life. Familial conflict or transitions interfering with your relationship with your teen? Lets work together to figure out how to meet everyone's needs and meet balance.
Current Pro Bono openings for individuals open to working with a student. Countless young people have reported feeling like their trauma is their fault, that they feel guilty or shameful of having been victimized. If you're experiencing anger, shame, fear, guilt, anxiety, or depression related to an experience out of your control, we can work together to put you back in control of your life. Familial conflict or transitions interfering with your relationship with your teen? Lets work together to figure out how to meet everyone's needs and meet balance.
(207) 640-2262 View (207) 640-2262
Rebecca Toner
Counselor, MA, LPC, LCPC
Verified Verified
Portland, ME 04101
Rebecca offers a relational-cultural, intersectional feminist approach with a relational-cultural lens that involves honesty, appropriate self-disclosure, and relational depth. Additionally, Rebecca is an EMDRIA-Certified clinician and EMDRIA-Approved Consultant and trainer. She provides multifaceted EMDR therapy to adults with complex trauma, attachment trauma, and who experience dissociation. Rebecca loves working with people through gender transitions and provides gender-affirming and genital-affirming evaluations and letters for hormone and surgical procedures.
Rebecca offers a relational-cultural, intersectional feminist approach with a relational-cultural lens that involves honesty, appropriate self-disclosure, and relational depth. Additionally, Rebecca is an EMDRIA-Certified clinician and EMDRIA-Approved Consultant and trainer. She provides multifaceted EMDR therapy to adults with complex trauma, attachment trauma, and who experience dissociation. Rebecca loves working with people through gender transitions and provides gender-affirming and genital-affirming evaluations and letters for hormone and surgical procedures.
(207) 263-0849 View (207) 263-0849
Photo of Shelby Chamberlin, Clinical Social Work/Therapist in Portland, ME
Shelby Chamberlin
Clinical Social Work/Therapist, L(I)CSW
Verified Verified
Portland, ME 04101  (Online Only)
Not accepting new clients
I understand that it takes a lot of courage and strength to seek help at any stage of life. I provide a safe and welcoming space for individuals across the lifespan who are interested in improving their mental health and relationships through individual and family therapy. I specialize in working with adolescents, adults, and families who are struggling with life transitions, experiencing anxiety and mood disorders, exploring identity and sexuality, dealing with the effects of grief or past trauma, managing challenging behaviors, or are feeling overwhelmed trying to balance the responsibilities of growing up or parenthood.
I understand that it takes a lot of courage and strength to seek help at any stage of life. I provide a safe and welcoming space for individuals across the lifespan who are interested in improving their mental health and relationships through individual and family therapy. I specialize in working with adolescents, adults, and families who are struggling with life transitions, experiencing anxiety and mood disorders, exploring identity and sexuality, dealing with the effects of grief or past trauma, managing challenging behaviors, or are feeling overwhelmed trying to balance the responsibilities of growing up or parenthood.
(207) 610-7658 View (207) 610-7658
Photo of Jarrid H Jones, Clinical Social Work/Therapist in Portland, ME
Jarrid H Jones
Clinical Social Work/Therapist, LCSW, LADC, CCS
Verified Verified
Portland, ME 04103  (Online Only)
Have your old ways of handling stress stopped working? Do you feel you could use some dedicated time to strengthen, so that you can better handle life's challenges? If you feel that now is the time to seek help, please contact me at 207 241 4123. If you are in crisis, please call the Maine statewide crisis line at 1-888-568-1112. If you are experiencing an emergency, please call 911.
Have your old ways of handling stress stopped working? Do you feel you could use some dedicated time to strengthen, so that you can better handle life's challenges? If you feel that now is the time to seek help, please contact me at 207 241 4123. If you are in crisis, please call the Maine statewide crisis line at 1-888-568-1112. If you are experiencing an emergency, please call 911.
(207) 204-8395 View (207) 204-8395
Photo of Simone Rollins, Counselor in Portland, ME
Simone Rollins
Counselor, MA, LCPC, LCMHC, PMH-C
Verified Verified
1 Endorsed
Portland, ME 04103  (Online Only)
Waitlist for new clients
I believe wholeheartedly that all people possess the innate ability to grow and heal. I see myself as an ally and guide on your personal journey of self-discovery. Life can be overwhelming and uncertain. I offer a place for clients to experience respite from the demands of everyday life, and focus inward. I work with children and adults. My approach is client-centered, trauma-informed, strengths-based, and collaborative. In my work, I draw on Existential Therapy, Depth Psychology, Buddhist Psychology, Cognitive Behavior Therapy, Mindfulness-Based Therapy, and Compassion Focused Therapy.
I believe wholeheartedly that all people possess the innate ability to grow and heal. I see myself as an ally and guide on your personal journey of self-discovery. Life can be overwhelming and uncertain. I offer a place for clients to experience respite from the demands of everyday life, and focus inward. I work with children and adults. My approach is client-centered, trauma-informed, strengths-based, and collaborative. In my work, I draw on Existential Therapy, Depth Psychology, Buddhist Psychology, Cognitive Behavior Therapy, Mindfulness-Based Therapy, and Compassion Focused Therapy.
(207) 506-3027 View (207) 506-3027

How does your Therapist compare?

Number of Therapists in Portland, ME

900+

Average cost per session

$135

Therapists in Portland, ME who prioritize treating:

92% Anxiety
86% Depression
75% Relationship Issues
71% Self Esteem
70% Trauma and PTSD
65% Coping Skills
64% Stress

Average years in practice

13 Years

Top 3 insurances accepted

61% Anthem | Elevance
56% Aetna
56% BlueCross and BlueShield

How Therapists in Portland, ME see their clients

66% In Person and Online
34% Online Only

Gender breakdown

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

How can I find a therapist in Portland?

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.