Therapists in Newberg, OR

Photo of Ryan D. Thompson, PsyD, LLC, Psychologist
Ryan D. Thompson
Psychologist, PsyD, LLC
Verified Verified
1 Endorsed
Newberg, OR 97132
Parenting a young child is challenging, but it is so much more difficult when your child is oppositional, defiant, and/or aggressive. Many parents blame themselves, feel isolated, and are unsure of what to do. You can be the solution, though! Through a unique approach called Parent-Child Interaction Therapy (PCIT), I coach parents and guardians in developing the necessary tools for promoting a healthy relationship with their children based on mutual love and respect. In return, children feel more secure and are less interested in testing boundaries. PCIT has strong scientific support and is highly effective in person or online!
Parenting a young child is challenging, but it is so much more difficult when your child is oppositional, defiant, and/or aggressive. Many parents blame themselves, feel isolated, and are unsure of what to do. You can be the solution, though! Through a unique approach called Parent-Child Interaction Therapy (PCIT), I coach parents and guardians in developing the necessary tools for promoting a healthy relationship with their children based on mutual love and respect. In return, children feel more secure and are less interested in testing boundaries. PCIT has strong scientific support and is highly effective in person or online!
(503) 461-6209 View (503) 461-6209
Photo of Amy M Kopsa, LMFT, Marriage & Family Therapist
Amy M Kopsa
Marriage & Family Therapist, LMFT
Verified Verified
Newberg, OR 97132  (Online Only)
I am a licensed marriage and family therapist. I see individuals, couples and families. I will do my best to help you find solutions to problems in your life. I have been doing this work for twenty five years and really enjoy it! I want to help you to grow and change in ways that will improve the quality of your life and your relationships.
I am a licensed marriage and family therapist. I see individuals, couples and families. I will do my best to help you find solutions to problems in your life. I have been doing this work for twenty five years and really enjoy it! I want to help you to grow and change in ways that will improve the quality of your life and your relationships.
(971) 236-4001 View (971) 236-4001
Photo of Laura Geczy-Haskins, PsyD, Psychologist
Laura Geczy-Haskins
Psychologist, PsyD
Verified Verified
Newberg, OR 97132
Assessments start by meeting you and talking about what sort of issues you are experiencing, which helps me determine which assessments will target the areas you are struggling with. This first meeting can occur either in person or via telehealth. The second appointment is the longest, and I will have you complete a variety of assessments, depending on what the presenting problem is. I might also have you complete some assessments at home on the computer. After the testing is completed, I will score them and write up the results into a repot. We will then meet for a final time to discuss the results and recommendations.
Assessments start by meeting you and talking about what sort of issues you are experiencing, which helps me determine which assessments will target the areas you are struggling with. This first meeting can occur either in person or via telehealth. The second appointment is the longest, and I will have you complete a variety of assessments, depending on what the presenting problem is. I might also have you complete some assessments at home on the computer. After the testing is completed, I will score them and write up the results into a repot. We will then meet for a final time to discuss the results and recommendations.
(971) 253-7495 View (971) 253-7495
Photo of Barbara Kollmar, LCSW, LLC, Clinical Social Work/Therapist
Barbara Kollmar
Clinical Social Work/Therapist, LCSW, LLC
Verified Verified
Newberg, OR 97132
Waitlist for new clients
Relationships are a key part of our lives. In my work - whether it is with an individual, a couple, or a family - I look at the relationships and other systems which impact the presenting problem. In approaching my work with people in this manner, I am able to see things from a broader point of view which, in turn, increases my ability to be helpful. I believe in the strengths that all people have, and I draw on those strengths as we work together toward the change they seek.
Relationships are a key part of our lives. In my work - whether it is with an individual, a couple, or a family - I look at the relationships and other systems which impact the presenting problem. In approaching my work with people in this manner, I am able to see things from a broader point of view which, in turn, increases my ability to be helpful. I believe in the strengths that all people have, and I draw on those strengths as we work together toward the change they seek.
(503) 446-6271 View (503) 446-6271
Photo of Sarah Theisen, MS, Pre-Licensed Professional
Sarah Theisen
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Newberg, OR 97132
I provide non-judgmental, supportive counseling to individual adolescents ages 15 and up, and adults who might be experiencing symptoms related to anxiety, depression, difficulty with life transitions, stress, and trauma. We all experience both tranquility and turmoil throughout our lives at different times. As we grow and learn through these experiences reaching out for help is a powerful thing that can help you regain control of your life at a time when you might feel lost. With my compassion, active listening skills, and empathetic approach to counseling my goal is that I can help guide you to regain that control.
I provide non-judgmental, supportive counseling to individual adolescents ages 15 and up, and adults who might be experiencing symptoms related to anxiety, depression, difficulty with life transitions, stress, and trauma. We all experience both tranquility and turmoil throughout our lives at different times. As we grow and learn through these experiences reaching out for help is a powerful thing that can help you regain control of your life at a time when you might feel lost. With my compassion, active listening skills, and empathetic approach to counseling my goal is that I can help guide you to regain that control.
(503) 300-5386 View (503) 300-5386
Photo of Joseph Parrish - Joseph Parrish, LPC, MA, LPC, Licensed Professional Counselor
Joseph Parrish, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Newberg, OR 97132
Not accepting new clients
Do you find that small, unforeseeable incidents trigger intense emotions you’re unable to cope with? It may feel like your life is a struggle. You do your best to cope with it all, but you cannot seem to find a balance. What’s more, you’ve experienced a traumatic experience in your life, and you’re not sure how to move forward. As an LGBTQI+ individual, it feels as though you don’t fit anywhere in the world. Living life with a negative outlook can be difficult, and it feels as though every thought spirals into a worse one. Know that you’re not alone.
Do you find that small, unforeseeable incidents trigger intense emotions you’re unable to cope with? It may feel like your life is a struggle. You do your best to cope with it all, but you cannot seem to find a balance. What’s more, you’ve experienced a traumatic experience in your life, and you’re not sure how to move forward. As an LGBTQI+ individual, it feels as though you don’t fit anywhere in the world. Living life with a negative outlook can be difficult, and it feels as though every thought spirals into a worse one. Know that you’re not alone.
(503) 406-4246 View (503) 406-4246
Photo of Mindy Sutton, MA, Marriage & Family Therapist Associate
Mindy Sutton
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Newberg, OR 97132
Waitlist for new clients
I am passionate about helping couples strengthen their bond and feel comfortable & secure sharing their vulnerabilities. I work with couples, individuals, and First Responders experiencing relationship distress, anxiety, depression, or trauma. I have been married for over 30 years to a Lieutenant/Paramedic in the fire service, a mother of two grown children, and have more than thirty years of experience working with teens and adults in medical and Christian-based settings. I understand the impact a stressful career and busy lifestyle have on people, their marriages, and their families.
I am passionate about helping couples strengthen their bond and feel comfortable & secure sharing their vulnerabilities. I work with couples, individuals, and First Responders experiencing relationship distress, anxiety, depression, or trauma. I have been married for over 30 years to a Lieutenant/Paramedic in the fire service, a mother of two grown children, and have more than thirty years of experience working with teens and adults in medical and Christian-based settings. I understand the impact a stressful career and busy lifestyle have on people, their marriages, and their families.
(503) 506-4754 View (503) 506-4754
Photo of Cameron Earle, BS, Pre-Licensed Professional
Cameron Earle
Pre-Licensed Professional, BS
Verified Verified
5 Endorsed
Newberg, OR 97132
Not accepting new clients
From the moment we are born, our experiences and relationships shape the way we value ourselves, others, and the world around us. As we grow, some of what we learn from our experiences may be unresolved, or unprocessed, leaving us feeling stuck, anxious, depressed, angry, and/or confused. I believe that everyone is the expert of their own experience, and as your therapist, I want to help you explore your experiences, dive into strong emotions, and identify patterns in a way that makes sense to you, to help you better understand who you are, where you come from, and where you want to go.
From the moment we are born, our experiences and relationships shape the way we value ourselves, others, and the world around us. As we grow, some of what we learn from our experiences may be unresolved, or unprocessed, leaving us feeling stuck, anxious, depressed, angry, and/or confused. I believe that everyone is the expert of their own experience, and as your therapist, I want to help you explore your experiences, dive into strong emotions, and identify patterns in a way that makes sense to you, to help you better understand who you are, where you come from, and where you want to go.
(503) 536-2304 View (503) 536-2304
Photo of Heather Alison Shea, LPC, Licensed Professional Counselor
Heather Alison Shea
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Newberg, OR 97132
Life can be overwhelming and challenging at times, often leaving us lost or stuck as to how to move forward. My hope is to build a therapeutic relationship to understand your unique needs so that I can best support you in moving towards your desired goals. My job is to help you recognize the negative thinking patterns or behaviors that keep you stuck. Many of these challenges can cause the self-sabotaging behaviors leading to addiction or symptoms that interfere with reaching your goals. Addiction, trauma and shame often go hand in hand increasing the difficulty people have in navigating the challenges of life.
Life can be overwhelming and challenging at times, often leaving us lost or stuck as to how to move forward. My hope is to build a therapeutic relationship to understand your unique needs so that I can best support you in moving towards your desired goals. My job is to help you recognize the negative thinking patterns or behaviors that keep you stuck. Many of these challenges can cause the self-sabotaging behaviors leading to addiction or symptoms that interfere with reaching your goals. Addiction, trauma and shame often go hand in hand increasing the difficulty people have in navigating the challenges of life.
(503) 616-7283 View (503) 616-7283
Photo of Becca M. Flatt, MSW, LCSW, Clinical Social Work/Therapist
Becca M. Flatt
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Newberg, OR 97132
Seeking out mental health treatment is a supreme act of valor. It takes a great deal of courage to acknowledge when depression, anxiety, and PTSD are causing your life to be unmanageable. We all need someone to witness what it means to be human. Thank you for considering me as someone to walk down the path of healing with you.
Seeking out mental health treatment is a supreme act of valor. It takes a great deal of courage to acknowledge when depression, anxiety, and PTSD are causing your life to be unmanageable. We all need someone to witness what it means to be human. Thank you for considering me as someone to walk down the path of healing with you.
(971) 290-2671 View (971) 290-2671
Photo of Lisa A Langstraat - Bridges of Hope Counseling, MA, LPC, Licensed Professional Counselor
Bridges of Hope Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Newberg, OR 97132  (Online Only)
Waitlist for new clients
Do the challenges of life have you feeling overwhelmed, depressed, and confused? Life is difficult, and despite all of our efforts it gets the best of everyone from time to time. Counseling is a unique process that can afford you a valuable opportunity to enrich your relationships, gain greater skills for living, valuable insight, and a sense of direction into your life. As a licensed professional therapist I am specifically trained to help people develop new solutions to life's problems. My goal is to help you live the best life possible.
Do the challenges of life have you feeling overwhelmed, depressed, and confused? Life is difficult, and despite all of our efforts it gets the best of everyone from time to time. Counseling is a unique process that can afford you a valuable opportunity to enrich your relationships, gain greater skills for living, valuable insight, and a sense of direction into your life. As a licensed professional therapist I am specifically trained to help people develop new solutions to life's problems. My goal is to help you live the best life possible.
(503) 966-2616 View (503) 966-2616
Stephanie Billmyre
Clinical Social Work Associate, MSW
Verified Verified
Newberg, OR 97132
Not accepting new clients
I offer an eclectic treatment modality that may include cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), attachment theory, and narrative therapy as well as a holistic and humanistic approach. CBT addresses how our thoughts dictate our behaviors and how to change the thought processes. DBT addresses emotional regulation with deep ties to mindfulness and skill building to learn to regulate emotions. Attachment theory is geared towards assisting the client in understanding their attachment style and building skills to form more healthy or meaningful relationships.
I offer an eclectic treatment modality that may include cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), attachment theory, and narrative therapy as well as a holistic and humanistic approach. CBT addresses how our thoughts dictate our behaviors and how to change the thought processes. DBT addresses emotional regulation with deep ties to mindfulness and skill building to learn to regulate emotions. Attachment theory is geared towards assisting the client in understanding their attachment style and building skills to form more healthy or meaningful relationships.
(503) 980-3033 View (503) 980-3033
Photo of Angela Bixel - White Heart Counseling, MA,  MFT
White Heart Counseling
Professional Counselor Associate , MA, MFT
Verified Verified
Newberg, OR 97132
We all have a story. Let's work together and love the story that is yours. I have strengths in working with children, families, addiction, and medical professionals. Grief, loss, loneliness, and adjusting to life changes can be integrated with support. It takes courage to reach out. Remember, you have strengths as well, let's identify what's working well and meet the challenge of growth! Ask about Walk and Talk Therapy and Playground Therapy!
We all have a story. Let's work together and love the story that is yours. I have strengths in working with children, families, addiction, and medical professionals. Grief, loss, loneliness, and adjusting to life changes can be integrated with support. It takes courage to reach out. Remember, you have strengths as well, let's identify what's working well and meet the challenge of growth! Ask about Walk and Talk Therapy and Playground Therapy!
(503) 277-0714 View (503) 277-0714
Photo of Andrea J Tyler, LPC, LCPC, CADCIII, CIEC, NCC, Licensed Professional Counselor
Andrea J Tyler
Licensed Professional Counselor, LPC, LCPC, CADCIII, CIEC, NCC
Verified Verified
Newberg, OR 97132  (Online Only)
Waitlist for new clients
Do any of these comments sound familiar? “You’re too emotional.” “You’re so dramatic.” “Why can’t you just let it go?” “You’re so sensitive!” Do you struggle to cope without going to extremes? Too many people haven’t been taught how to cope with the struggles of life in healthy, effective ways and instead find any possible way to feel better, as quickly as possible. Dialectical Behavior Therapy (DBT) in particular can help you learn these vital skills to begin building the life you choose. If you’re tired of being stuck in suffering and emotional pain, I’d like to help you find your way through. -Adult clients only at this time.-
Do any of these comments sound familiar? “You’re too emotional.” “You’re so dramatic.” “Why can’t you just let it go?” “You’re so sensitive!” Do you struggle to cope without going to extremes? Too many people haven’t been taught how to cope with the struggles of life in healthy, effective ways and instead find any possible way to feel better, as quickly as possible. Dialectical Behavior Therapy (DBT) in particular can help you learn these vital skills to begin building the life you choose. If you’re tired of being stuck in suffering and emotional pain, I’d like to help you find your way through. -Adult clients only at this time.-
(971) 287-1587 View (971) 287-1587
Photo of Jill Anderson, MFT, Intern, Pre-Licensed Professional
Jill Anderson
Pre-Licensed Professional, MFT, Intern
Verified Verified
2 Endorsed
Newberg, OR 97132
I am accepting new clients! We all need a safe place and an open non-judgmental environment to express needs and work through issues. Therapy can lead to a deeper understanding of the many aspects of yourself, which will allow you to access your strengths, develop new and healthy perspectives, build important skills, experience emotional healing, and enrich your relationships.
I am accepting new clients! We all need a safe place and an open non-judgmental environment to express needs and work through issues. Therapy can lead to a deeper understanding of the many aspects of yourself, which will allow you to access your strengths, develop new and healthy perspectives, build important skills, experience emotional healing, and enrich your relationships.
(503) 299-0127 View (503) 299-0127
Photo of Tarin L Bickford - Bickford Therapy, LLC, LCSW, Clinical Social Work/Therapist
Bickford Therapy, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Newberg, OR 97132  (Online Only)
Thanks for taking the time to read my profile! My name is Tarin Bickford and I've been a clinical social worker for more than two decades. My approach to therapy is multi-faceted and I incorporate many modalities into my work (although I primarily use cognitive behavioral, acceptance and commitment and solution-focused therapy).
Thanks for taking the time to read my profile! My name is Tarin Bickford and I've been a clinical social worker for more than two decades. My approach to therapy is multi-faceted and I incorporate many modalities into my work (although I primarily use cognitive behavioral, acceptance and commitment and solution-focused therapy).
(503) 662-9447 View (503) 662-9447
Photo of Margaret A Fuller - Margaret Fuller Counseling, MA, LMFT, LPC, NCC, RPT, Marriage & Family Therapist
Margaret Fuller Counseling
Marriage & Family Therapist, MA, LMFT, LPC, NCC, RPT
Verified Verified
5 Endorsed
Newberg, OR 97132
Not accepting new clients
I was drawn to work in the helping profession through a deep desire to understand emotional processes and healing as well as my love for relationships. I have a passion for emotional healing that improves our connections with others and the overall quality of daily experiences for each individual and family. This includes helping individuals and families through life challenges such as depression, anxiety, divorce, sibling and relational issues, behavioral issues, ADHD, current and past traumas, adult children of alcoholic issues, attachment, Aspergers Syndrome, chronic illnesses and other issues that rob us of health and joy.
I was drawn to work in the helping profession through a deep desire to understand emotional processes and healing as well as my love for relationships. I have a passion for emotional healing that improves our connections with others and the overall quality of daily experiences for each individual and family. This includes helping individuals and families through life challenges such as depression, anxiety, divorce, sibling and relational issues, behavioral issues, ADHD, current and past traumas, adult children of alcoholic issues, attachment, Aspergers Syndrome, chronic illnesses and other issues that rob us of health and joy.
(971) 266-2185 View (971) 266-2185
Photo of Ali J Toedtemeier, LCSW, CADC-I, Clinical Social Work/Therapist
Ali J Toedtemeier
Clinical Social Work/Therapist, LCSW, CADC-I
Verified Verified
Newberg, OR 97132
Waitlist for new clients
You did it! You made the first step of asking for support, and that is a huge step. If you are stressed, overwhelmed, dealing with change (which we always are), feeling alone, anxious, or struggling with whatever life has thrown at you, please know you don't have the go through it all alone. We are meant to connect with one another and therapy provides a safe, non-judgmental connection that can lead to promising outcomes.
You did it! You made the first step of asking for support, and that is a huge step. If you are stressed, overwhelmed, dealing with change (which we always are), feeling alone, anxious, or struggling with whatever life has thrown at you, please know you don't have the go through it all alone. We are meant to connect with one another and therapy provides a safe, non-judgmental connection that can lead to promising outcomes.
(503) 836-8629 View (503) 836-8629
Photo of Ian Welles Keusink, Pre-Licensed Professional
Ian Welles Keusink
Pre-Licensed Professional
Verified Verified
Newberg, OR 97132
Human beings are incredibly resilient, and we can be even more so with the assistance of a trained counselor. I am a graduate student from Oregon State University’s clinical mental health program, and am happy to be interning at Hopeful Minds in Newberg, Oregon to assist clients in their goals, whether those be related to trauma, anxiety disorders, or life transitions.
Human beings are incredibly resilient, and we can be even more so with the assistance of a trained counselor. I am a graduate student from Oregon State University’s clinical mental health program, and am happy to be interning at Hopeful Minds in Newberg, Oregon to assist clients in their goals, whether those be related to trauma, anxiety disorders, or life transitions.
(971) 365-3818 View (971) 365-3818
Photo of Amanda Stuempges, Pre-Licensed Professional
Amanda Stuempges
Pre-Licensed Professional
Verified Verified
1 Endorsed
Newberg, OR 97132
Now accepting new clients and OHP! As a veteran, Reaching out for support can feel daunting and it takes bravery to step out into the unknown. I work with adults, children and teens struggling with trauma, grief, anxiety, depression and more. As a Professional Counselor Associate, I offer you a space of warmth and safety. Together, we will explore your inner strengths, discover your authentic self, develop skills, and forge meaningful connections as we navigate the terrain of your constantly changing life. I will collaborate with you in a non-judgmental and compassionate manner.
Now accepting new clients and OHP! As a veteran, Reaching out for support can feel daunting and it takes bravery to step out into the unknown. I work with adults, children and teens struggling with trauma, grief, anxiety, depression and more. As a Professional Counselor Associate, I offer you a space of warmth and safety. Together, we will explore your inner strengths, discover your authentic self, develop skills, and forge meaningful connections as we navigate the terrain of your constantly changing life. I will collaborate with you in a non-judgmental and compassionate manner.
(503) 744-6750 View (503) 744-6750
1

How does your Therapist compare?

Number of Therapists in Newberg, OR

90+

Average cost per session

$150

Therapists in Newberg, OR who prioritize treating:

91% Anxiety
89% Depression
79% Relationship Issues
79% Self Esteem
73% Trauma and PTSD
72% Stress
70% Grief

Average years in practice

9 Years

Top 3 insurances accepted

54% PacificSource
52% BlueCross and BlueShield
52% Providence

How Therapists in Newberg, OR see their clients

76% In Person and Online
24% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Newberg?

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.