Therapists in Santa Fe, NM

Photo of Katherine Gotis, Mental Health Counselor in Santa Fe, NM
Katherine Gotis
Mental Health Counselor, MS, LMHC, RN
Verified Verified
1 Endorsed
Santa Fe, NM 87501  (Online Only)
Relationships shape us. The experience of being seen, accepted, and understood by another is a basic human need that when not met can lead to feelings of isolation, loneliness, and other painful emotions. Transformation and healing happen in the moment and in the context of relationships. My approach is open, compassionate, non-pathologizing, relational, & somatic. Rooted in mindfulness, IPNB, & the body/mind connection, our work will also be infused with a healthy dose of humor when appropriate. I support people seeking to heal intergenerational trauma & grief & to weave authentic connections with themselves and with loved ones.
Relationships shape us. The experience of being seen, accepted, and understood by another is a basic human need that when not met can lead to feelings of isolation, loneliness, and other painful emotions. Transformation and healing happen in the moment and in the context of relationships. My approach is open, compassionate, non-pathologizing, relational, & somatic. Rooted in mindfulness, IPNB, & the body/mind connection, our work will also be infused with a healthy dose of humor when appropriate. I support people seeking to heal intergenerational trauma & grief & to weave authentic connections with themselves and with loved ones.
(505) 636-3076 View (505) 636-3076
Photo of Kevin D Larkin, Marriage & Family Therapist in Santa Fe, NM
Kevin D Larkin
Marriage & Family Therapist, RN, MA
Verified Verified
Santa Fe, NM 87508  (Online Only)
I appreciate how difficult the process of choosing a therapist can be. When we are feeling hurt, overwhelmed, and vulnerable finding the right "fit" for therapy is essential. I believe that therapy is a powerful opportunity to exam what is, or is not, working in our lives. We all have the capacity to meet the challenges and struggles life will inevitably bring, but sometimes we need assistance to see what the next right steps are for us to move forward. If you are seeking a compassionate listener who will non-judgmentally assist you in making sense of life, I am the therapist you are looking for.
I appreciate how difficult the process of choosing a therapist can be. When we are feeling hurt, overwhelmed, and vulnerable finding the right "fit" for therapy is essential. I believe that therapy is a powerful opportunity to exam what is, or is not, working in our lives. We all have the capacity to meet the challenges and struggles life will inevitably bring, but sometimes we need assistance to see what the next right steps are for us to move forward. If you are seeking a compassionate listener who will non-judgmentally assist you in making sense of life, I am the therapist you are looking for.
(505) 594-5280 View (505) 594-5280
Photo of Gene Dennehy, Counselor in Santa Fe, NM
Gene Dennehy
Counselor, MA, LPCC, LADAC, EMDR
Verified Verified
Santa Fe, NM 87505
Sometimes life events and experiences interfere with our ability to make sense of the world and find our place in it. We may lose our sense of safety and control and become flooded with overwhelming thoughts and emotions. Whether you’re feeling isolated, lonely, frustrated, fearful or confused, it is possible to emerge courageous and hopeful.
Sometimes life events and experiences interfere with our ability to make sense of the world and find our place in it. We may lose our sense of safety and control and become flooded with overwhelming thoughts and emotions. Whether you’re feeling isolated, lonely, frustrated, fearful or confused, it is possible to emerge courageous and hopeful.
(505) 636-5415 View (505) 636-5415
Photo of Gail Rae Walker, Clinical Social Work/Therapist in Santa Fe, NM
Gail Rae Walker
Clinical Social Work/Therapist, LCSW, MSW, MA
Verified Verified
Santa Fe, NM 87505
I offer deep therapy based on attachment theory and communication skills development, depending on your needs, to engage you (and/or your partner) in a meaningful and heartfelt exploration of your life support needs. Move past limiting thoughts and behaviors and develop deeper connections. Clients have said that they appreciate my non-judgmental, yet direct approach. My response - "I am in your corner, routing for you". It takes courage but once you embark on this journey you will say, "Why didn't I do this sooner"?
I offer deep therapy based on attachment theory and communication skills development, depending on your needs, to engage you (and/or your partner) in a meaningful and heartfelt exploration of your life support needs. Move past limiting thoughts and behaviors and develop deeper connections. Clients have said that they appreciate my non-judgmental, yet direct approach. My response - "I am in your corner, routing for you". It takes courage but once you embark on this journey you will say, "Why didn't I do this sooner"?
(505) 660-8047 View (505) 660-8047
Photo of Erica Westby, Counselor in Santa Fe, NM
Erica Westby
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87505
I am passionate about helping individuals (adults and teens) struggling with emotional/ compulsive/ binge overeating, self-esteem issues, weight loss and anxiety that is created from these issues. I enjoy working with clients who have a desire to work deeply and create lasting change. Through collaboration we create a safe and supportive environment that allows for insight and healing. Then as emotional traumas or wounds that keep you stuck in the past are healed, the ability to be more present in current life and able to deal with uncomfortable emotions and life circumstances is possible.
I am passionate about helping individuals (adults and teens) struggling with emotional/ compulsive/ binge overeating, self-esteem issues, weight loss and anxiety that is created from these issues. I enjoy working with clients who have a desire to work deeply and create lasting change. Through collaboration we create a safe and supportive environment that allows for insight and healing. Then as emotional traumas or wounds that keep you stuck in the past are healed, the ability to be more present in current life and able to deal with uncomfortable emotions and life circumstances is possible.
(505) 207-4982 View (505) 207-4982
Photo of Rosvita Botkin, Counselor in Santa Fe, NM
Rosvita Botkin
Counselor, PhD
Verified Verified
Santa Fe, NM 87501
Life is an ongoing process of aligning with our true authentic self. Without that alignment life can feel barren and meaningless. We feel stuck and unable to realize our visions and dreams. Yet, the capacity of the human spirit for creative and intuitive development is truly unlimited. Most of us however, use only a small fraction of that capacity. Through self-reflection and personal exploration we can gain an understanding of what limits this capacity.
Life is an ongoing process of aligning with our true authentic self. Without that alignment life can feel barren and meaningless. We feel stuck and unable to realize our visions and dreams. Yet, the capacity of the human spirit for creative and intuitive development is truly unlimited. Most of us however, use only a small fraction of that capacity. Through self-reflection and personal exploration we can gain an understanding of what limits this capacity.
(505) 636-5334 View (505) 636-5334
Photo of Nora Gluck, Clinical Social Work/Therapist in Santa Fe, NM
Nora Gluck
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87506  (Online Only)
Waitlist for new clients
For 50 years, I have helped individuals and couples find more pleasure in life through creating satisfying relationships and meaningful work. Therapy at its best is a collaborative process between client and therapist. I have special interest and expertise in couple therapy and psychotherapy and have extensive training and experience in both. I practice trauma-informed therapy, including EMDR and other trauma-clearing techniques. I incorporate yoga, meditation, deep relaxation, visualization and other mind/body techniques. I customize my approach to the unique needs of each client. My work is informed by my own healing journey.
For 50 years, I have helped individuals and couples find more pleasure in life through creating satisfying relationships and meaningful work. Therapy at its best is a collaborative process between client and therapist. I have special interest and expertise in couple therapy and psychotherapy and have extensive training and experience in both. I practice trauma-informed therapy, including EMDR and other trauma-clearing techniques. I incorporate yoga, meditation, deep relaxation, visualization and other mind/body techniques. I customize my approach to the unique needs of each client. My work is informed by my own healing journey.
(505) 210-8660 View (505) 210-8660
Photo of Audra Genduso, Counselor in Santa Fe, NM
Audra Genduso
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Santa Fe, NM 87505
I work with a diversity of adults and couples experiencing relationship issues, anxiety, depression, PTSD, and life transitions. You may get into a pattern of conflict with your partner that feels repetitive. You may be struggling to find a sense of balance or hope, navigating life transition, feeling afraid to engage in activities you once enjoyed. You may be experiencing self-judgment, low self-worth, shame or just seeking change. I view these struggles as normal responses to past wounding, and an opportunity for deeper growth and acceptance. When you feel seen and heard in therapy, deep healing is possible.
I work with a diversity of adults and couples experiencing relationship issues, anxiety, depression, PTSD, and life transitions. You may get into a pattern of conflict with your partner that feels repetitive. You may be struggling to find a sense of balance or hope, navigating life transition, feeling afraid to engage in activities you once enjoyed. You may be experiencing self-judgment, low self-worth, shame or just seeking change. I view these struggles as normal responses to past wounding, and an opportunity for deeper growth and acceptance. When you feel seen and heard in therapy, deep healing is possible.
(505) 539-2019 View (505) 539-2019
Photo of Geena Tommasi Integrative Psychotherapy & Coaching, Clinical Social Work/Therapist in Santa Fe, NM
Geena Tommasi Integrative Psychotherapy & Coaching
Clinical Social Work/Therapist, BFA, MSW, LCSW
Verified Verified
Santa Fe, NM 87502  (Online Only)
Not accepting new clients
Progressive, feminist, creative and kind... With decades of experience in Women's Issues, I offer Integrative Psychotherapy, Coaching and Mastectomy Support Counseling for all. I graduated from the Columbia University School of Social Work (1987) and have rich practice experience in NYC, Providence, & Santa Fe. The work is about what your goals for YOU are, and is collaborative and empowering. Focusing on the idea that there is always meaning to be found in struggle, we work to help you find peace with your past, love and respect for yourself in the present, and take energized action on behalf of your future.
Progressive, feminist, creative and kind... With decades of experience in Women's Issues, I offer Integrative Psychotherapy, Coaching and Mastectomy Support Counseling for all. I graduated from the Columbia University School of Social Work (1987) and have rich practice experience in NYC, Providence, & Santa Fe. The work is about what your goals for YOU are, and is collaborative and empowering. Focusing on the idea that there is always meaning to be found in struggle, we work to help you find peace with your past, love and respect for yourself in the present, and take energized action on behalf of your future.
(505) 207-3959 View (505) 207-3959
Photo of Solutions Treatment Center in Santa Fe, NM
Solutions Treatment Center
MA, LPC, NCC
Not Verified Not Verified
Santa Fe, NM 87505
With locations in Santa Fe and Albuquerque, we offer a wide range of treatment services for those struggling with mental health and addiction issues. Our clients come from various back grounds and everyone is treated with the utmost dignity and respect. Contact us today for a free needs assessment and personalized recovery plan. Day Treatment, Intensive Out Patient, Out Patient programs available in addition to individual and family therapy. For more information, visit our website at www.treatmentsolutions.net or contact us today @ 505-369-2777 or 877-499-1354 or solutionstreatmentcenter@gmail.com
With locations in Santa Fe and Albuquerque, we offer a wide range of treatment services for those struggling with mental health and addiction issues. Our clients come from various back grounds and everyone is treated with the utmost dignity and respect. Contact us today for a free needs assessment and personalized recovery plan. Day Treatment, Intensive Out Patient, Out Patient programs available in addition to individual and family therapy. For more information, visit our website at www.treatmentsolutions.net or contact us today @ 505-369-2777 or 877-499-1354 or solutionstreatmentcenter@gmail.com
(505) 369-2777 View (505) 369-2777
Photo of Rosalie Lipfert, Clinical Social Work/Therapist in Santa Fe, NM
Rosalie Lipfert
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Santa Fe, NM 87508
If you have arrived here, likely your habitual tools that once served you are no longer working. Or perhaps they never were, and you can no longer ignore this reality. You may feel lost, hopeless, helpless, or a combination of challenging emotions. I am here to tell you that you will not feel this way forever. Through an attachment-based, IFS, and trauma-informed lens, I will assist you in addressing the root causes of your suffering. No band-aids here; I believe the only way to live free of trauma, negative self-talk, poor self-esteem, depression, anxiety, or addiction is to face the origin story head-on.
If you have arrived here, likely your habitual tools that once served you are no longer working. Or perhaps they never were, and you can no longer ignore this reality. You may feel lost, hopeless, helpless, or a combination of challenging emotions. I am here to tell you that you will not feel this way forever. Through an attachment-based, IFS, and trauma-informed lens, I will assist you in addressing the root causes of your suffering. No band-aids here; I believe the only way to live free of trauma, negative self-talk, poor self-esteem, depression, anxiety, or addiction is to face the origin story head-on.
View
Photo of Keadron Friar, Counselor in Santa Fe, NM
Keadron Friar
Counselor, LPCC, LPAT, ATR-BC
Verified Verified
Santa Fe, NM 87505
Not accepting new clients
At different parts of our journey we will all encounter challenges - relationship problems, life transitions, grief. Sometimes you need a new perspective and tools to work through the current situation and get you to a new chapter. Having a relationship focused completely on your needs and goals can be invaluable. By working with a counselor you can connect with, you can turn hard times into growth opportunities that help strengthen and make you more into the person you were created to be. This allows you to move forward with wisdom, joy, purpose, and self compassion, affecting your quality of life and the world around you.
At different parts of our journey we will all encounter challenges - relationship problems, life transitions, grief. Sometimes you need a new perspective and tools to work through the current situation and get you to a new chapter. Having a relationship focused completely on your needs and goals can be invaluable. By working with a counselor you can connect with, you can turn hard times into growth opportunities that help strengthen and make you more into the person you were created to be. This allows you to move forward with wisdom, joy, purpose, and self compassion, affecting your quality of life and the world around you.
(505) 591-9433 x505603 View (505) 591-9433 x505603
Photo of Aimée Dale-Lucius, Counselor in Santa Fe, NM
Aimée Dale-Lucius
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87505  (Online Only)
Relationships are a constant in our lives, and the relationship with oneself is central to them all. Relationship dissatisfaction and a desire for positive change is what leads people to my office. I frequently work with individuals and couples who are separating, and/or divorcing and are concerned about the well-being of their children in the midst of significant family change. My clients are often high achievers who are interested in navigating relational changes and co-parenting with skill, integrity and mutuality. I welcome the opportunity to support you in creating the future you desire.
Relationships are a constant in our lives, and the relationship with oneself is central to them all. Relationship dissatisfaction and a desire for positive change is what leads people to my office. I frequently work with individuals and couples who are separating, and/or divorcing and are concerned about the well-being of their children in the midst of significant family change. My clients are often high achievers who are interested in navigating relational changes and co-parenting with skill, integrity and mutuality. I welcome the opportunity to support you in creating the future you desire.
(505) 658-6901 View (505) 658-6901
Photo of Samari Rodriguez Rios, Counselor in Santa Fe, NM
Samari Rodriguez Rios
Counselor, PhD , LMHC
Verified Verified
Santa Fe, NM 87505  (Online Only)
You have become a mom, your child is not older than 3, and you feel lost, sad, alone, rageful, misunderstood or even feel you don't know who you are anymore. Nobody told you that motherhood could be so overwhelming. However, you are certain that you don't want to hurt your child in the same ways you were hurt as a kid. All you want is to become the mother you anticipated to be for your child, but how?
You have become a mom, your child is not older than 3, and you feel lost, sad, alone, rageful, misunderstood or even feel you don't know who you are anymore. Nobody told you that motherhood could be so overwhelming. However, you are certain that you don't want to hurt your child in the same ways you were hurt as a kid. All you want is to become the mother you anticipated to be for your child, but how?
(505) 636-5569 View (505) 636-5569
Photo of Olivia Summa, Psychologist in Santa Fe, NM
Olivia Summa
Psychologist, PsyD
Verified Verified
1 Endorsed
Santa Fe, NM 87507
My goal as a clinician is to deeply understand and be by your side as you explore your life and circumstances. I will always hold compassion for you and help you find it for yourself as you work toward emotional healing and growth. I have a psychodynamic lens and perspective but pull interventions from a wide range of evidence-based practices such as Family Systems Therapy, CBT, ACT, and DBT. My aim as a therapist is to understand where the problems in your life and relationships began, how they are maintained, and from that understanding, how we can make meaningful change.
My goal as a clinician is to deeply understand and be by your side as you explore your life and circumstances. I will always hold compassion for you and help you find it for yourself as you work toward emotional healing and growth. I have a psychodynamic lens and perspective but pull interventions from a wide range of evidence-based practices such as Family Systems Therapy, CBT, ACT, and DBT. My aim as a therapist is to understand where the problems in your life and relationships began, how they are maintained, and from that understanding, how we can make meaningful change.
(505) 605-5371 View (505) 605-5371
Photo of Carol Christianson, Counselor in Santa Fe, NM
Carol Christianson
Counselor, MA, LPC, NBCFH
Verified Verified
3 Endorsed
Santa Fe, NM 87505
My focus is helping you find solutions to difficult problems and to help you reach your goals in as short a period of time as necessary. I work with you collaboratively to help you make the changes you want to make. In addition to being a solution-focused therapist, I have a client-centered approach to therapy. This means that your goals are the important goals. With your permission, I also utilize hypnotherapy processes to help you with what you want help changing. I have the utmost respect for you and your process.
My focus is helping you find solutions to difficult problems and to help you reach your goals in as short a period of time as necessary. I work with you collaboratively to help you make the changes you want to make. In addition to being a solution-focused therapist, I have a client-centered approach to therapy. This means that your goals are the important goals. With your permission, I also utilize hypnotherapy processes to help you with what you want help changing. I have the utmost respect for you and your process.
(505) 273-2906 View (505) 273-2906
Photo of Melissa M. Smith, Counselor in Santa Fe, NM
Melissa M. Smith
Counselor, MA, LMHC
Verified Verified
Santa Fe, NM 87505
Whether you feel you have no idea where to start, pooling at an in-between place, or need a supportive boost to get back on track in your life, I offer a holistic approach to therapy. To let the ups and downs be witnessed and heard is a profound experience. To receive the care you need is to let go of the belief that doing it alone is the only way. We will work with the contained emotions of transition, grief, relationships, or trauma, allowing wholeness and self-compassion to emerge. “Wisdom tells me I am nothing. Love tells me I am everything. And between the two my life flows.” ― Nisargadatta Maharaj
Whether you feel you have no idea where to start, pooling at an in-between place, or need a supportive boost to get back on track in your life, I offer a holistic approach to therapy. To let the ups and downs be witnessed and heard is a profound experience. To receive the care you need is to let go of the belief that doing it alone is the only way. We will work with the contained emotions of transition, grief, relationships, or trauma, allowing wholeness and self-compassion to emerge. “Wisdom tells me I am nothing. Love tells me I am everything. And between the two my life flows.” ― Nisargadatta Maharaj
(505) 309-3325 View (505) 309-3325
Photo of Lin Reams, Counselor in Santa Fe, NM
Lin Reams
Counselor, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87507
Maybe you're facing a life transition, anxiety, stress, grief, depression, or caring for a loved one with dementia or illness. Or maybe you just want to be listened to and discover your deeper truths in this time of your life. I recognize, nurture and support your innate capacity and wisdom to heal.
Maybe you're facing a life transition, anxiety, stress, grief, depression, or caring for a loved one with dementia or illness. Or maybe you just want to be listened to and discover your deeper truths in this time of your life. I recognize, nurture and support your innate capacity and wisdom to heal.
(505) 502-5519 View (505) 502-5519
Photo of Jack Lehman, Counselor in Santa Fe, NM
Jack Lehman
Counselor, MA, MA , LPCC
Verified Verified
Santa Fe, NM 87508
The quality I enjoy most in a client is an intense desire to be free.
The quality I enjoy most in a client is an intense desire to be free.
(505) 539-2269 View (505) 539-2269
Photo of Lisa Marie Paradis, Counselor in Santa Fe, NM
Lisa Marie Paradis
Counselor, LPCC
Verified Verified
Santa Fe, NM 87507  (Online Only)
Healing and learning can only happen when we feel safe, when all parts of ourselves can be seen and are welcome. My goal is to provide the safety to help patients reconnect with parts of themselves that have been rejected. In order for desired changes to occur, a new orientation towards oneself and one's problems is needed. I aim to bring compassionate curiosity in acknowledging and honoring whatever arises for patients and encouraging self-acceptance.
Healing and learning can only happen when we feel safe, when all parts of ourselves can be seen and are welcome. My goal is to provide the safety to help patients reconnect with parts of themselves that have been rejected. In order for desired changes to occur, a new orientation towards oneself and one's problems is needed. I aim to bring compassionate curiosity in acknowledging and honoring whatever arises for patients and encouraging self-acceptance.
(505) 594-3717 View (505) 594-3717

How does your Therapist compare?

Number of Therapists in Santa Fe, NM

500+

Average cost per session

$135

Therapists in Santa Fe, NM who prioritize treating:

90% Anxiety
85% Depression
79% Relationship Issues
76% Trauma and PTSD
76% Self Esteem
71% Grief
64% Stress

Average years in practice

13 Years

Top 3 insurances accepted

74% Presbyterian
72% BlueCross and BlueShield
65% Medicaid

How Therapists in Santa Fe, NM see their clients

62% In Person and Online
38% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Santa Fe?

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.