Photo of Jennifer Nicole Mills, LPC, Licensed Professional Counselor
Jennifer Nicole Mills
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
North Plains, OR 97133  (Online Only)
Mental health & Substance Abuse. If you're an individual, or in a relationship, and are tired of the same cycles playing out in your life and are ready for someone to challenge you in a supportive way then we may be a good fit! Therapy is a reciprocal relationship where rapport, safety, boundaries, healthy communication and coping skills are established between us, utilized throughout our work and then implemented into your system outside of session. We work through trauma, barriers and stressors to accomplish your personal, professional or relational goals from an approach that is client-lead, strength-based and solution-focused.
Mental health & Substance Abuse. If you're an individual, or in a relationship, and are tired of the same cycles playing out in your life and are ready for someone to challenge you in a supportive way then we may be a good fit! Therapy is a reciprocal relationship where rapport, safety, boundaries, healthy communication and coping skills are established between us, utilized throughout our work and then implemented into your system outside of session. We work through trauma, barriers and stressors to accomplish your personal, professional or relational goals from an approach that is client-lead, strength-based and solution-focused.
(971) 253-7608 View (971) 253-7608
Photo of Auzadeh Harvey, LPC, CMHC, MS, NCC, Licensed Professional Counselor
Auzadeh Harvey
Licensed Professional Counselor, LPC, CMHC, MS, NCC
Verified Verified
North Plains, OR 97133  (Online Only)
Waitlist for new clients
All of us have bad days, days when we don't feel in control of our emotions or regret our actions. Oftentimes, we struggle to seek therapy because we're fearful of being judged or don't know what the process may entail. I'm a straight forward yet laid back therapist that strives to make a space where you can work on the problems you're facing. I primarily work on trauma, parenting, stressors, and transitions with adult clients. I am trained in numerous modalities including some cutting edge options like Reconsolidation of Traumatic Memories (RTM). If you're seeking a straight forward provider who might cuss, give me a call.
All of us have bad days, days when we don't feel in control of our emotions or regret our actions. Oftentimes, we struggle to seek therapy because we're fearful of being judged or don't know what the process may entail. I'm a straight forward yet laid back therapist that strives to make a space where you can work on the problems you're facing. I primarily work on trauma, parenting, stressors, and transitions with adult clients. I am trained in numerous modalities including some cutting edge options like Reconsolidation of Traumatic Memories (RTM). If you're seeking a straight forward provider who might cuss, give me a call.
(503) 379-0233 View (503) 379-0233
Photo of Angela Kronenberg, MA, LPC, Licensed Professional Counselor
Angela Kronenberg
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
North Plains, OR 97133
*ACCEPTING NEW CLIENTS*IN PERSON AND TELEHEALTH. For over 12 years, I have counseled children, teens and families to navigate the challenges that arise. I approach counseling with a humanistic, strength-based, client centered and collaborative framework. I have been trained in Cognitive Behavioral Therapy, Collaborative Problem Solving, Mindfulness, and Perinatal Mental Health. Over my career I have experience in supporting people to gain insight and skills to overcome their emotional and behavioral challenges. Moreover, helping families move through ruptures that have created difficulties to connection and growth.
*ACCEPTING NEW CLIENTS*IN PERSON AND TELEHEALTH. For over 12 years, I have counseled children, teens and families to navigate the challenges that arise. I approach counseling with a humanistic, strength-based, client centered and collaborative framework. I have been trained in Cognitive Behavioral Therapy, Collaborative Problem Solving, Mindfulness, and Perinatal Mental Health. Over my career I have experience in supporting people to gain insight and skills to overcome their emotional and behavioral challenges. Moreover, helping families move through ruptures that have created difficulties to connection and growth.
(503) 436-6454 View (503) 436-6454
Photo of Brenda Wierschin, LCSW, Clinical Social Work/Therapist
Brenda Wierschin
Clinical Social Work/Therapist, LCSW
Verified Verified
North Plains, OR 97133  (Online Only)
There are many reasons that we can feel anxious, disconnected, or a host of other negative emotions. Know that there's hope that comes from creating a new story that is shaped by your individual values, beliefs, and interests. My practice is dedicated to those who feel overwhelmed by their past and/or present. By understanding your unique life path, we can untangle the impact of your experiences and rebuild your coping toolkit. Together, we can navigate the path to healing and resilience.
There are many reasons that we can feel anxious, disconnected, or a host of other negative emotions. Know that there's hope that comes from creating a new story that is shaped by your individual values, beliefs, and interests. My practice is dedicated to those who feel overwhelmed by their past and/or present. By understanding your unique life path, we can untangle the impact of your experiences and rebuild your coping toolkit. Together, we can navigate the path to healing and resilience.
(503) 738-1247 View (503) 738-1247
Photo of Iliana Henriquez, MSW,  LCSW, Clinical Social Work/Therapist
Iliana Henriquez
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
North Plains, OR 97133
She has a B.S. in Studio Art from the University of California Davis and an M.A. in Professional Counseling from Northwest Christian University. Marla believes that everyone has the capacity to reach an improved state of health. She employs an eclectic approach to counseling, with an emphasis on Cognitive Behavioral and Rational Emotive Behavioral therapy, Trauma informed care, and multiCultural theories and skills, and so importantly the deep listening and attention emphasized in personcentered therapy. In her spare time, Marla enjoys USA/competitive swimming, art, ancient Middle Eastern history, and her Faith.
She has a B.S. in Studio Art from the University of California Davis and an M.A. in Professional Counseling from Northwest Christian University. Marla believes that everyone has the capacity to reach an improved state of health. She employs an eclectic approach to counseling, with an emphasis on Cognitive Behavioral and Rational Emotive Behavioral therapy, Trauma informed care, and multiCultural theories and skills, and so importantly the deep listening and attention emphasized in personcentered therapy. In her spare time, Marla enjoys USA/competitive swimming, art, ancient Middle Eastern history, and her Faith.
(833) 996-1403 View (833) 996-1403
Photo of Steven Vincent, PhD,  PsyD, Psychologist
Steven Vincent
Psychologist, PhD, PsyD
Verified Verified
North Plains, OR 97133
Dr. Steve Vincent utilizes a combination of clinical theory and effective interventions from Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. Each year, 2008 through 2022, Dr. Vincent has received the ACE (ACORN Criteria for Effectiveness) Award signifying the attainment of effective, clinical treatment outcomes with many of his clients. The ACORN organization is a nonprofit organization devoted to the improvement of psychological treatment outcomes through the routine use of consumer selfreport outcome questionnaires.
Dr. Steve Vincent utilizes a combination of clinical theory and effective interventions from Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. Each year, 2008 through 2022, Dr. Vincent has received the ACE (ACORN Criteria for Effectiveness) Award signifying the attainment of effective, clinical treatment outcomes with many of his clients. The ACORN organization is a nonprofit organization devoted to the improvement of psychological treatment outcomes through the routine use of consumer selfreport outcome questionnaires.
(833) 996-1403 View (833) 996-1403
Photo of Aimee Quast, MEd,  LMFT, Marriage & Family Therapist
Aimee Quast
Marriage & Family Therapist, MEd, LMFT
Verified Verified
North Plains, OR 97133
Prior to receiving her master's degree, Aimee worked for 4 years at a domestic violence organization in Eugene, Oregon. She has been Lifestance, Health; formally Western Psychological and Counseling Services since 2013. Before coming to Lifestance, she worked for 6 years as a schoolbased family therapist for a nonprofit working in a middle school and high school in Washington County.
Prior to receiving her master's degree, Aimee worked for 4 years at a domestic violence organization in Eugene, Oregon. She has been Lifestance, Health; formally Western Psychological and Counseling Services since 2013. Before coming to Lifestance, she worked for 6 years as a schoolbased family therapist for a nonprofit working in a middle school and high school in Washington County.
(833) 996-1403 View (833) 996-1403
Photo of Rick Ralston, MSW,  LCSW, Clinical Social Work/Therapist
Rick Ralston
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
North Plains, OR 97133
Rick's framework for counseling is solutionfocused, cognitivebehavioral and systems. Using a strengthsbased and traumainformed approach, he will assist you with looking at real life problems and your present functioning while still understanding and addressing past experiences that might be impacting your everyday life.
Rick's framework for counseling is solutionfocused, cognitivebehavioral and systems. Using a strengthsbased and traumainformed approach, he will assist you with looking at real life problems and your present functioning while still understanding and addressing past experiences that might be impacting your everyday life.
(833) 996-1403 View (833) 996-1403
Photo of Serita Backstrand, PsyD, Psychologist
Serita Backstrand
Psychologist, PsyD
Verified Verified
North Plains, OR 97133
Dr. Backstrand is a clinical psychologist licensed in both Oregon and Washington. She earned her Doctorate of Clinical Psychology (PsyD) from George Fox University (GFU) in 2015, a Masters in Clinical Psychology from GFU in 2012, and a Bachelors of Arts In Psychology, with a minor in Spanish Language & Culture, from Oregon State University in 2010. She has worked as a clinician and evaluator in a variety of settings, including community mental health, private practice, schools, the forensic/court setting, and with law enforcement/public safety agencies.
Dr. Backstrand is a clinical psychologist licensed in both Oregon and Washington. She earned her Doctorate of Clinical Psychology (PsyD) from George Fox University (GFU) in 2015, a Masters in Clinical Psychology from GFU in 2012, and a Bachelors of Arts In Psychology, with a minor in Spanish Language & Culture, from Oregon State University in 2010. She has worked as a clinician and evaluator in a variety of settings, including community mental health, private practice, schools, the forensic/court setting, and with law enforcement/public safety agencies.
(833) 996-1403 View (833) 996-1403
Photo of Madelyn Nawrocki, MSW,  LCSW, Clinical Social Work/Therapist
Madelyn Nawrocki
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
North Plains, OR 97133
Lynn has extensive experience with diverse populations, serving clients with psychological, medical, and psychosocial challenges. She utilizes many modalities including but not limited to CBT, DBT, MI, CPT, and has experience with individual, couples, families, and groups. Lynn’s specialty areas include grief and bereavement, Transgender care, HIV, and terminal care. Outside of work, Lynn enjoys reading, plants, and rescuing kittens and cats.
Lynn has extensive experience with diverse populations, serving clients with psychological, medical, and psychosocial challenges. She utilizes many modalities including but not limited to CBT, DBT, MI, CPT, and has experience with individual, couples, families, and groups. Lynn’s specialty areas include grief and bereavement, Transgender care, HIV, and terminal care. Outside of work, Lynn enjoys reading, plants, and rescuing kittens and cats.
(833) 996-1403 View (833) 996-1403
Photo of Monica Froman-Reid, PhD,  PsyD, Psychologist
Monica Froman-Reid
Psychologist, PhD, PsyD
Verified Verified
North Plains, OR 97133
Monica is a licensed psychologist, who received her Doctorate in counseling psychology from the University of Minnesota. Monica offers individual counseling where she uses Interpersonal, Dialectical Behavioral Therapy, Cognitive Behavioral Therapy and Motivational Interviewing.
Monica is a licensed psychologist, who received her Doctorate in counseling psychology from the University of Minnesota. Monica offers individual counseling where she uses Interpersonal, Dialectical Behavioral Therapy, Cognitive Behavioral Therapy and Motivational Interviewing.
(833) 996-1403 View (833) 996-1403
Photo of Jessica Sifers, MS,  LPC, Licensed Professional Counselor
Jessica Sifers
Licensed Professional Counselor, MS, LPC
Verified Verified
North Plains, OR 97133
Jessi received her Masters in Counseling from Missouri State University in 2007 and a license as a Professional School Counselor from Portland State University in 2013. Jessi has worked in the school setting for the last 5 years. Her clinical supervisor is Sharon Hatrak, LPC. Jessi aims to provide a holistic view in a safe, confidential, and creative space. She is clientcentered and incorporates expressive arts and cognitive behavioral techniques. Goals are set collaboratively and the method for reaching them is unique to each individual.
Jessi received her Masters in Counseling from Missouri State University in 2007 and a license as a Professional School Counselor from Portland State University in 2013. Jessi has worked in the school setting for the last 5 years. Her clinical supervisor is Sharon Hatrak, LPC. Jessi aims to provide a holistic view in a safe, confidential, and creative space. She is clientcentered and incorporates expressive arts and cognitive behavioral techniques. Goals are set collaboratively and the method for reaching them is unique to each individual.
(833) 996-1403 View (833) 996-1403
Photo of Barbara Rye, MA,  LPC, Licensed Professional Counselor
Barbara Rye
Licensed Professional Counselor, MA, LPC
Verified Verified
North Plains, OR 97133
Barbara believes that everyone has an inner wisdom and it is her job is to offer support, feedback and insight to help them find it. She feels the counseling process can help a person to become more strong, wise and integrated. Barbara utilizes an eclectic approach, combining personcentered (a belief that all people are inherently good), cognitivebehavioral (focusing on the thoughtsfeelings connection) and other counseling philosophies to support individuals in finding their way. She is grateful to have the opportunity to work with adults from all walks of life in addressing their healing, transformation and growth.
Barbara believes that everyone has an inner wisdom and it is her job is to offer support, feedback and insight to help them find it. She feels the counseling process can help a person to become more strong, wise and integrated. Barbara utilizes an eclectic approach, combining personcentered (a belief that all people are inherently good), cognitivebehavioral (focusing on the thoughtsfeelings connection) and other counseling philosophies to support individuals in finding their way. She is grateful to have the opportunity to work with adults from all walks of life in addressing their healing, transformation and growth.
(833) 996-1403 View (833) 996-1403
Photo of Benjamin Begley, MC,  LPC, Licensed Professional Counselor
Benjamin Begley
Licensed Professional Counselor, MC, LPC
Verified Verified
North Plains, OR 97133
Ben believes human wellness is built on the need for safety, connection, growth, and finding meaning; when these needs are left unfulfilled, problems may arise in a person’s life. He utilizes Attachment Theory, Polyvagal Theory, Internal Family Systems (IFS), Psychoanalytic Therapy, Depth Psychology, and Emotionally Focused Therapy to help individuals and couples begin to build the life they desire. Ben enjoys spending time with his wife and three boys, fishing, reading, playing video games, going on nature walks, and baking/cooking.
Ben believes human wellness is built on the need for safety, connection, growth, and finding meaning; when these needs are left unfulfilled, problems may arise in a person’s life. He utilizes Attachment Theory, Polyvagal Theory, Internal Family Systems (IFS), Psychoanalytic Therapy, Depth Psychology, and Emotionally Focused Therapy to help individuals and couples begin to build the life they desire. Ben enjoys spending time with his wife and three boys, fishing, reading, playing video games, going on nature walks, and baking/cooking.
(833) 996-1403 View (833) 996-1403
Photo of Jessica Powers, MS,  LPC,  CADC I, Licensed Professional Counselor
Jessica Powers
Licensed Professional Counselor, MS, LPC, CADC I
Verified Verified
North Plains, OR 97133
Jessica has a Master of Science in Clinical Mental Health Counseling and a Bachelor of Science in Psychology. She has over seven years of clinical experience in outpatient and intensive outpatient settings. Services Offered Jessica provides mental health and addictions counseling, education, and relapse prevention planning to adult individuals. Theoretical Orientation Jessica provides mainly cognitivebehavioral therapy (CBT) and dialectical behavioral therapy (DBT). Her approach is humanistic, or personcentered, meaning that she interacts with each client with empathy, genuineness, and positive regard.
Jessica has a Master of Science in Clinical Mental Health Counseling and a Bachelor of Science in Psychology. She has over seven years of clinical experience in outpatient and intensive outpatient settings. Services Offered Jessica provides mental health and addictions counseling, education, and relapse prevention planning to adult individuals. Theoretical Orientation Jessica provides mainly cognitivebehavioral therapy (CBT) and dialectical behavioral therapy (DBT). Her approach is humanistic, or personcentered, meaning that she interacts with each client with empathy, genuineness, and positive regard.
(833) 996-1403 View (833) 996-1403
Photo of Stephanie Twellman, MEd,  LPC, Licensed Professional Counselor
Stephanie Twellman
Licensed Professional Counselor, MEd, LPC
Verified Verified
North Plains, OR 97133
Stephanie believes I believe everyone can reach an optimum state of being, and I have adopted an eclectic approach grounded in identity and behavioral health. Her main areas of focus include anxiety, depression, and trauma. In her spare time, Stephanie enjoys spending time with her family and dogs, and spending time outdoors.
Stephanie believes I believe everyone can reach an optimum state of being, and I have adopted an eclectic approach grounded in identity and behavioral health. Her main areas of focus include anxiety, depression, and trauma. In her spare time, Stephanie enjoys spending time with her family and dogs, and spending time outdoors.
(833) 996-1403 View (833) 996-1403
Photo of Savannah Hamilton, PsyD, Psychologist
Savannah Hamilton
Psychologist, PsyD
Verified Verified
North Plains, OR 97133
Savannah believes the therapeutic relationship between psychologist and client is crucial for transformation, empowerment, and healing to take place. She seeks to continue a cycle of restoration by utilizing her empathy, culturally attuned and relationally oriented style to form authentic alliances with her clients. In her free time, Savannah enjoys going on walks with her dog, exploring new places, reading, running, playing the piano, hiking, gardening and watching comedies.
Savannah believes the therapeutic relationship between psychologist and client is crucial for transformation, empowerment, and healing to take place. She seeks to continue a cycle of restoration by utilizing her empathy, culturally attuned and relationally oriented style to form authentic alliances with her clients. In her free time, Savannah enjoys going on walks with her dog, exploring new places, reading, running, playing the piano, hiking, gardening and watching comedies.
(833) 996-1403 View (833) 996-1403
Photo of Dale Reis, MA, LCSW, Clinical Social Work/Therapist
Dale Reis
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
North Plains, OR 97133
Dale works with individuals who are looking to gain insight into themselves and improve their quality of life. He seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Dale believes that establishing a strong alliance with his clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, he partners with his clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Dale works with individuals who are looking to gain insight into themselves and improve their quality of life. He seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Dale believes that establishing a strong alliance with his clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, he partners with his clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(833) 996-1403 View (833) 996-1403
Photo of Candice Guillory, Pre-Licensed Professional
Candice Guillory
Pre-Licensed Professional
Verified Verified
North Plains, OR 97133
I believe that every person has the ability to work through tough situations and move towards a positive, well balanced life. I believe that clients are the experts in their lives and my role is to listen, learn, and provide support that allows them to problem solve, manage, and heal from their experiences.
I believe that every person has the ability to work through tough situations and move towards a positive, well balanced life. I believe that clients are the experts in their lives and my role is to listen, learn, and provide support that allows them to problem solve, manage, and heal from their experiences.
(775) 977-0276 View (775) 977-0276
Photo of Michelle Turner, MSW,  LCSW, Clinical Social Work/Therapist
Michelle Turner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
North Plains, OR 97133
Michelle holds a master’s degree in social work and is also a Certified Alcohol/ Drug Counselor, level III. She has advanced courses in human development, group dynamics, marriage counseling theories, research methodology, professional orientation and ethics, social and cultural foundations, career counseling, cognitive behavioral therapy, solution focused therapy, counseling and interviewing skills and clinical assessment. Michelle has a diverse experience providing mental health services through both direct clinical care, program management and clinical supervision and training.
Michelle holds a master’s degree in social work and is also a Certified Alcohol/ Drug Counselor, level III. She has advanced courses in human development, group dynamics, marriage counseling theories, research methodology, professional orientation and ethics, social and cultural foundations, career counseling, cognitive behavioral therapy, solution focused therapy, counseling and interviewing skills and clinical assessment. Michelle has a diverse experience providing mental health services through both direct clinical care, program management and clinical supervision and training.
(833) 996-1403 View (833) 996-1403
1

See more therapy options for 97133

How does your Therapist compare?

Number of Therapists in 97133

20+

Average cost per session

$122

Therapists in 97133 who prioritize treating:

100% Depression
100% Anxiety
79% Trauma and PTSD
68% Grief
54% Life Transitions
43% ADHD
36% Family Conflict

Average years in practice

10 Years

Top 3 insurances accepted

96% Cigna and Evernorth
92% Aetna
92% Kaiser (Out-of-Network)

How Therapists in 97133 see their clients

86% In Person and Online
14% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 97133?

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.