Photo of Joseph Madrid, PsyD, LCSW, Clinical Social Work/Therapist
Joseph Madrid
Clinical Social Work/Therapist, PsyD, LCSW
Verified Verified
Costa Mesa, CA 92627
Dr. Madrid is a Psychotherapist that believes all people should have the opportunity to reach their full potential, contribute to society, and have a voice. He has worked in a spectrum of services including inpatient/outpatient behavioral health services at St. Joseph Hospital, at-risk youth programs, worker compensation system, and longer-term outpatient treatment settings as well as private practice.
Dr. Madrid is a Psychotherapist that believes all people should have the opportunity to reach their full potential, contribute to society, and have a voice. He has worked in a spectrum of services including inpatient/outpatient behavioral health services at St. Joseph Hospital, at-risk youth programs, worker compensation system, and longer-term outpatient treatment settings as well as private practice.
(657) 300-9876 View (657) 300-9876
Photo of Ylena Shayne, PsyD, Psychologist
Ylena Shayne
Psychologist, PsyD
Verified Verified
2 Endorsed
Costa Mesa, CA 92627  (Online Only)
My primary goal as a therapist is to foster a safe, supportive, accepting and also challenging space that encourages personal growth and healing for each of my clients. To achieve this, I use an integrative treatment approach, grounded in psychodynamic and interpersonal theories, that encourages mindful self-reflection on internal experiences, authentic expression of affect and a benign curiosity about our personal experiences. My experience and training have made me comfortable working with a range of mental health concerns and a diversity of cultural backgrounds.
My primary goal as a therapist is to foster a safe, supportive, accepting and also challenging space that encourages personal growth and healing for each of my clients. To achieve this, I use an integrative treatment approach, grounded in psychodynamic and interpersonal theories, that encourages mindful self-reflection on internal experiences, authentic expression of affect and a benign curiosity about our personal experiences. My experience and training have made me comfortable working with a range of mental health concerns and a diversity of cultural backgrounds.
(949) 529-1450 View (949) 529-1450
Photo of Lindsey Hailston, PsyD, Psychologist
Lindsey Hailston
Psychologist, PsyD
Verified Verified
Costa Mesa, CA 92627  (Online Only)
I believe that people experience their own unique perspectives and ways of dealing with problems that can affect their day-to-day lives in significant ways. Not everyone might understand how hard it can be to move through life with added challenges that result from difficult life circumstancesI prefer to utilize an active approach to therapy; I want to help you reach your goals by understanding the factors that may contribute to you feeling overwhelmed and, at times, helpless.
I believe that people experience their own unique perspectives and ways of dealing with problems that can affect their day-to-day lives in significant ways. Not everyone might understand how hard it can be to move through life with added challenges that result from difficult life circumstancesI prefer to utilize an active approach to therapy; I want to help you reach your goals by understanding the factors that may contribute to you feeling overwhelmed and, at times, helpless.
(949) 806-4196 View (949) 806-4196
Photo of Shawn Hackett, LCSW, Clinical Social Work/Therapist
Shawn Hackett
Clinical Social Work/Therapist, LCSW
Verified Verified
Costa Mesa, CA 92627
My name is Shawn Hackett. I am a Licensed Clinical Social Worker. I have 18-plus years of experience providing mental health services. My treatment approach is to provide support and practical feedback to help you solve current problems and longstanding patterns. With empathy and compassion, I will help you find solutions and effective coping skills. I work with adults ages 18 and older. I specialize in treating depression, anxiety, stress, grief, and trauma.
My name is Shawn Hackett. I am a Licensed Clinical Social Worker. I have 18-plus years of experience providing mental health services. My treatment approach is to provide support and practical feedback to help you solve current problems and longstanding patterns. With empathy and compassion, I will help you find solutions and effective coping skills. I work with adults ages 18 and older. I specialize in treating depression, anxiety, stress, grief, and trauma.
(949) 353-5249 View (949) 353-5249
Photo of Amanda Ferrara, MA, LMFT, Marriage & Family Therapist
Amanda Ferrara
Marriage & Family Therapist, MA, LMFT
Verified Verified
Costa Mesa, CA 92627
When working with clients, I believe the therapeutic alliance is key. I view each client as a unique individual whom should be treated with empathy and compassion. Together we will work to unpack underlying feelings and core beliefs. I enjoy helping clients make sense of their experiences. I believe our childhood experiences can impact our adulthood. When needed, I will provide psychoeducation as well as suggest behavioral modification. I will help you replace unhealthy behaviors and provide alternative options.
When working with clients, I believe the therapeutic alliance is key. I view each client as a unique individual whom should be treated with empathy and compassion. Together we will work to unpack underlying feelings and core beliefs. I enjoy helping clients make sense of their experiences. I believe our childhood experiences can impact our adulthood. When needed, I will provide psychoeducation as well as suggest behavioral modification. I will help you replace unhealthy behaviors and provide alternative options.
(949) 676-8180 View (949) 676-8180
Photo of Jan Gabrielle Galinanes, LMFT, Marriage & Family Therapist
Jan Gabrielle Galinanes
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92627
I am an ATR-BC and Licensed Marriage and Family Therapist and have been licensed for over 5 years and have practiced mostly in California and via telehealth. I have experience working in schools, hospitals, outpatient/ inpatient, residential crisis programs, and fieldwork with many different cultures, seeing adults, children, and families struggling with, mental illness, grief and loss, serious medical/ psychiatric issues, trauma, death/dying, dementia/ Alzheimer’s, personality disorders, and a variety of other issues.
I am an ATR-BC and Licensed Marriage and Family Therapist and have been licensed for over 5 years and have practiced mostly in California and via telehealth. I have experience working in schools, hospitals, outpatient/ inpatient, residential crisis programs, and fieldwork with many different cultures, seeing adults, children, and families struggling with, mental illness, grief and loss, serious medical/ psychiatric issues, trauma, death/dying, dementia/ Alzheimer’s, personality disorders, and a variety of other issues.
(949) 996-0119 View (949) 996-0119
Photo of Marissa Diane Giblin, Intern, Marriage & Family Therapist Associate
Marissa Diane Giblin
Marriage & Family Therapist Associate, Intern
Verified Verified
1 Endorsed
Costa Mesa, CA 92627  (Online Only)
I believe the challenges we face in life can become catalysts for change and opportunities for growth. Struggling through problems alone is painful and can leave you feeling stuck in old patterns and beliefs. Therapy offers a safe space for healing through the power of human connection and the feeling of being understood.
I believe the challenges we face in life can become catalysts for change and opportunities for growth. Struggling through problems alone is painful and can leave you feeling stuck in old patterns and beliefs. Therapy offers a safe space for healing through the power of human connection and the feeling of being understood.
(949) 998-3920 View (949) 998-3920
Photo of Cat Shaw, MA, LMFT, Marriage & Family Therapist
Cat Shaw
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Costa Mesa, CA 92627  (Online Only)
Are you, a partner, a child or a family member struggling with issues related to codependency, relational conflict, communication, life changes, depression or anxiety? There are times when we all need support to help cope with life’s challenges. I have a passion for helping people transform into the best versions of themselves and I would love to come alongside you to inspire you to reach your maximum potential. Life can be overwhelming and even exhausting, but seeking support, understanding the past, gaining new insight, and developing skills through therapy can bring you relief and help you thrive in future relationships and life.
Are you, a partner, a child or a family member struggling with issues related to codependency, relational conflict, communication, life changes, depression or anxiety? There are times when we all need support to help cope with life’s challenges. I have a passion for helping people transform into the best versions of themselves and I would love to come alongside you to inspire you to reach your maximum potential. Life can be overwhelming and even exhausting, but seeking support, understanding the past, gaining new insight, and developing skills through therapy can bring you relief and help you thrive in future relationships and life.
(562) 620-5937 View (562) 620-5937
Photo of Melody Stone, LMFT, ACHT, Marriage & Family Therapist
Melody Stone
Marriage & Family Therapist, LMFT, ACHT
Verified Verified
1 Endorsed
Costa Mesa, CA 92627  (Online Only)
As an LMFT, I have been practicing for over 18-years and traditionally from a psychodynamic approach, however, I have transitioned to a multifaceted approach -incorporating traditional therapy with EMDR, Somatic experiencing, Performance Psychology, Ketamine-Assisted Psychotherapy & Heart-Centered Hypnotherapy (HCH). This integrated approach is a deeper process of psychotherapy and is achieved through a relaxed state of consciousness which embraces the concept of self-determination and the belief that every client contains, deep within their own subconscious mind, the key to their own individual health and healing.
As an LMFT, I have been practicing for over 18-years and traditionally from a psychodynamic approach, however, I have transitioned to a multifaceted approach -incorporating traditional therapy with EMDR, Somatic experiencing, Performance Psychology, Ketamine-Assisted Psychotherapy & Heart-Centered Hypnotherapy (HCH). This integrated approach is a deeper process of psychotherapy and is achieved through a relaxed state of consciousness which embraces the concept of self-determination and the belief that every client contains, deep within their own subconscious mind, the key to their own individual health and healing.
(949) 749-5954 View (949) 749-5954
Photo of Natalie Anderson, LMFT, Marriage & Family Therapist
Natalie Anderson
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Costa Mesa, CA 92627  (Online Only)
Do your thoughts seem overwhelming and you wish you knew ways to cope? You are not alone in wanting to understand your thoughts. Many clients struggle with worries, experience self-doubt, and have challenges figuring out how to handle early adulthood. I can assist you in discovering a path forward and believe there’s great value in collaborating with clients.
Do your thoughts seem overwhelming and you wish you knew ways to cope? You are not alone in wanting to understand your thoughts. Many clients struggle with worries, experience self-doubt, and have challenges figuring out how to handle early adulthood. I can assist you in discovering a path forward and believe there’s great value in collaborating with clients.
(949) 670-9296 View (949) 670-9296
Photo of Nicole Muller, PsyD, Psychologist
Nicole Muller
Psychologist, PsyD
Verified Verified
Costa Mesa, CA 92627
I am a Clinical Psychologist specializing in the treatment of PTSD, substance use/addiction issues, and anxiety. I also work with clients experiencing insomnia, depression, bipolar disorder, panic disorder, chronic pain, and life issues such as personal growth and relationship problems. I take a trauma-informed approach to treatment and believe in treating the whole person rather than simply focusing on symptom management. My commitment to a strength-based approach to treatment guides my work.
I am a Clinical Psychologist specializing in the treatment of PTSD, substance use/addiction issues, and anxiety. I also work with clients experiencing insomnia, depression, bipolar disorder, panic disorder, chronic pain, and life issues such as personal growth and relationship problems. I take a trauma-informed approach to treatment and believe in treating the whole person rather than simply focusing on symptom management. My commitment to a strength-based approach to treatment guides my work.
(949) 996-9446 View (949) 996-9446
Photo of Rachel DeHaan, MSW, LCSW, Clinical Social Work/Therapist
Rachel DeHaan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Costa Mesa, CA 92627
I am a Licensed Clinical Social Worker and have worked as an individual and relationship therapist in community mental health for the past 10 years. I am a certified Cognitive Behavioral Therapist and Emotionally Focused Therapy practitioner specializing in utilizing trauma informed and evidenced based care to help individuals and couples heal and bring expansion and connection to their lives. I strongly believe in the integrative connection between mind and body as well as using complementary and alternative practices including nutrition, stress management, exercise, and supplementation to bolster and empower the healing process.
I am a Licensed Clinical Social Worker and have worked as an individual and relationship therapist in community mental health for the past 10 years. I am a certified Cognitive Behavioral Therapist and Emotionally Focused Therapy practitioner specializing in utilizing trauma informed and evidenced based care to help individuals and couples heal and bring expansion and connection to their lives. I strongly believe in the integrative connection between mind and body as well as using complementary and alternative practices including nutrition, stress management, exercise, and supplementation to bolster and empower the healing process.
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Photo of Dr. Johnathon Neda, PsyD, Psychologist
Dr. Johnathon Neda
Psychologist, PsyD
Verified Verified
1 Endorsed
Costa Mesa, CA 92627
Whether you're seeking personal growth or enduring extensive distress, it can be essential to have a helpful guide along the way. If you're wondering if change or healing is really possible for you, clearing space & time to address your concern about a given issue is key. I'm a Clinical Psychologist & an adult generalist, having worked with many forms of psychological suffering & difficulties in living. With that said, I'm most skilled in working with complex human experiences that arise in the course of life such as Depression, Anxiety, Relational Issues & Personal Growth. We'll work collaboratively towards your self-defined goals.
Whether you're seeking personal growth or enduring extensive distress, it can be essential to have a helpful guide along the way. If you're wondering if change or healing is really possible for you, clearing space & time to address your concern about a given issue is key. I'm a Clinical Psychologist & an adult generalist, having worked with many forms of psychological suffering & difficulties in living. With that said, I'm most skilled in working with complex human experiences that arise in the course of life such as Depression, Anxiety, Relational Issues & Personal Growth. We'll work collaboratively towards your self-defined goals.
(949) 541-2803 View (949) 541-2803
Photo of Mitchell Pohl, LMFT, Marriage & Family Therapist
Mitchell Pohl
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92627
Hello! My name is Mitch Pohl, and I'm a Licensed Marriage and Family Therapist based in Garden Grove and working with clients throughout California via telehealth. I work primarily with adults (18+), and have a broad background of experience working in community mental health, hospital outpatient, and private practice settings to help my clients learn to both cope and thrive no matter what struggles and stressors they are currently encountering.
Hello! My name is Mitch Pohl, and I'm a Licensed Marriage and Family Therapist based in Garden Grove and working with clients throughout California via telehealth. I work primarily with adults (18+), and have a broad background of experience working in community mental health, hospital outpatient, and private practice settings to help my clients learn to both cope and thrive no matter what struggles and stressors they are currently encountering.
(949) 978-0235 View (949) 978-0235
Photo of Dr. Thuy Tran, PsyD, Psychologist
Dr. Thuy Tran
Psychologist, PsyD
Verified Verified
Costa Mesa, CA 92627
Are you having difficulties coping with stress, managing conflicts, and connecting to others? Personal conflicts can elicit emotions, thoughts, and reactions in ourselves that structure our sense of self and our relationships. I can help guide you to a deeper understanding of your feelings about your relationships and personal view of yourself. I exercise compassionate understanding to help you resolve the seeming paradoxes of conflicts within your life to help you achieve an increased sense of harmony and peace.
Are you having difficulties coping with stress, managing conflicts, and connecting to others? Personal conflicts can elicit emotions, thoughts, and reactions in ourselves that structure our sense of self and our relationships. I can help guide you to a deeper understanding of your feelings about your relationships and personal view of yourself. I exercise compassionate understanding to help you resolve the seeming paradoxes of conflicts within your life to help you achieve an increased sense of harmony and peace.
(714) 515-7403 View (714) 515-7403
Photo of Adam Swanson - Sessions Family Therapy, Inc., Adam S, LMFT, Marriage & Family Therapist
Sessions Family Therapy, Inc.
Marriage & Family Therapist, Adam S, LMFT
Verified Verified
Costa Mesa, CA 92627
It can be so discouraging to feel that you have put everything you have into a relationship and still find yourself unhappy on a daily basis. No matter how many different ways you have tried to approach your loved one, there seems to be no improvement. You have heard the full array of promises, excuses and arguments, and begin to believe it is all your fault at the end of the day. Perhaps you have made attempts to get your spouse into couples therapy, or agonized over whether to make your teen to go to therapy or not. Despite your best efforts, the situation continues to deteriorate, and your wellbeing along with it.
It can be so discouraging to feel that you have put everything you have into a relationship and still find yourself unhappy on a daily basis. No matter how many different ways you have tried to approach your loved one, there seems to be no improvement. You have heard the full array of promises, excuses and arguments, and begin to believe it is all your fault at the end of the day. Perhaps you have made attempts to get your spouse into couples therapy, or agonized over whether to make your teen to go to therapy or not. Despite your best efforts, the situation continues to deteriorate, and your wellbeing along with it.
(949) 347-5548 View (949) 347-5548
Photo of Emily Majano, LMFT, Marriage & Family Therapist
Emily Majano
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92627
Emily Majano is a Licensed Marriage and Family Therapist in the state of California. She has 6+ years of experience working with individuals, couples, and families. Emily is passionate about assisting people in uncovering how their past experiences are impacting their present life. She utilizes a traumainformed, psychodynamic, and attachmentbased approach to treating her clients. Emily has a great deal of experience treating mood disorders, traumarelated disorders, substance use disorders and personality disorders. She seeks to create a safe sanctuary for her clients to explore, grow and heal.
Emily Majano is a Licensed Marriage and Family Therapist in the state of California. She has 6+ years of experience working with individuals, couples, and families. Emily is passionate about assisting people in uncovering how their past experiences are impacting their present life. She utilizes a traumainformed, psychodynamic, and attachmentbased approach to treating her clients. Emily has a great deal of experience treating mood disorders, traumarelated disorders, substance use disorders and personality disorders. She seeks to create a safe sanctuary for her clients to explore, grow and heal.
(949) 889-1712 View (949) 889-1712
Photo of Kimberly Morgan, LMFT, Marriage & Family Therapist
Kimberly Morgan
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92627
Kimberly Morgan, (she/her) MA, LMFT is a Licensed Marriage and Family Therapist specializing in working with anxiety, depression, couples, adolescents and parents, families, groups and athletes. She completed her MA in clinical psychology with a specialty in Applied Community Psychology at Antioch University, Los Angeles. Kimberly has worked in community mental health care and intensive outpatient settings with clients experiencing homeless, mental health issues and substance use disorders. She specializes in healing from loss and grief, and using strengths to process and heal from trauma.
Kimberly Morgan, (she/her) MA, LMFT is a Licensed Marriage and Family Therapist specializing in working with anxiety, depression, couples, adolescents and parents, families, groups and athletes. She completed her MA in clinical psychology with a specialty in Applied Community Psychology at Antioch University, Los Angeles. Kimberly has worked in community mental health care and intensive outpatient settings with clients experiencing homeless, mental health issues and substance use disorders. She specializes in healing from loss and grief, and using strengths to process and heal from trauma.
(949) 942-8754 View (949) 942-8754
Matthew Bernarda
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Costa Mesa, CA 92627  (Online Only)
Life is overwhelming and it is so hard to handle all of chaos without the support we need. Life keeps on coming and doesn't care how we feel about it. This doesn't take into account the depression and anxiety caused by unhealthy relationships with others and with us. We get so tired of who we are and where we are in life. This is such a gross feeling, yet we do not know another way. So, we keep lying to ourselves. We lose the ability to believe. We want release by any means. We want the life we want.
Life is overwhelming and it is so hard to handle all of chaos without the support we need. Life keeps on coming and doesn't care how we feel about it. This doesn't take into account the depression and anxiety caused by unhealthy relationships with others and with us. We get so tired of who we are and where we are in life. This is such a gross feeling, yet we do not know another way. So, we keep lying to ourselves. We lose the ability to believe. We want release by any means. We want the life we want.
(949) 919-5448 View (949) 919-5448
Photo of Victoria Rodgers, MA, LMFT, Marriage & Family Therapist
Victoria Rodgers
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Costa Mesa, CA 92627
I strive to help individuals develop a greater relationship with themselves, improve their self confidence, and have an overall happier life. It's a privilege to share space with someone and to hear their story. For the past 10 years, I've worked in several practice settings where I've gained a working knowledge to help meet people where they're at and assist them in healing and finding freedom. I continue to develop my knowledge to assist others in processing trauma, building self esteem, and improving their life styles.
I strive to help individuals develop a greater relationship with themselves, improve their self confidence, and have an overall happier life. It's a privilege to share space with someone and to hear their story. For the past 10 years, I've worked in several practice settings where I've gained a working knowledge to help meet people where they're at and assist them in healing and finding freedom. I continue to develop my knowledge to assist others in processing trauma, building self esteem, and improving their life styles.
(562) 669-2723 View (562) 669-2723

How does your Therapist compare?

Number of Therapists in 92627

200+

Average cost per session

$175

Therapists in 92627 who prioritize treating:

92% Anxiety
86% Depression
79% Relationship Issues
75% Self Esteem
67% Stress
63% Trauma and PTSD
63% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

76% Aetna
69% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in 92627 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92627?

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.