Therapists in Medford, OR

Photo of Dr. Cathi Stegall, PhD, LCSW, Clinical Social Work/Therapist
Dr. Cathi Stegall
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
20 Endorsed
Medford, OR 97504  (Online Only)
Your Relationship & Sex Therapist (cancellation list available upon request): Business Owners, clinicians, & rescue workers are common clients and have experienced confidence in designing customized result-driven therapy tailored to personalized goals. Perhaps your relationship with your partner(s) feels stuck, you're not talking with each other as you once had, you are arguing more, sex seems detached, if at all, and you can't see how or when things will improve. From managing your stress to building resiliency: if you're looking to target symptoms or cultivate meaningful relationships while restoring peace & hope, let's talk.
Your Relationship & Sex Therapist (cancellation list available upon request): Business Owners, clinicians, & rescue workers are common clients and have experienced confidence in designing customized result-driven therapy tailored to personalized goals. Perhaps your relationship with your partner(s) feels stuck, you're not talking with each other as you once had, you are arguing more, sex seems detached, if at all, and you can't see how or when things will improve. From managing your stress to building resiliency: if you're looking to target symptoms or cultivate meaningful relationships while restoring peace & hope, let's talk.
(541) 612-3221 View (541) 612-3221
Photo of Nooshi Ghasedi, MA, NCC, MBA
Nooshi Ghasedi
Professional Counselor Associate, MA, NCC, MBA
Verified Verified
Medford, OR 97504  (Online Only)
Accepting new clients! My passion is to assist people experiencing the impacts of depression, anxiety, ADHD, trauma and PTSD to heal and flourish in their lives. As a woman of color and second-generation immigrant, I understand the complexity of balancing two sets of cultural norms while trying to define your own identity between them. My primary focus is working with women of color and first- and second-generation immigrants. However, I welcome people of all demographics to collaborate with me to find empowerment and peace.
Accepting new clients! My passion is to assist people experiencing the impacts of depression, anxiety, ADHD, trauma and PTSD to heal and flourish in their lives. As a woman of color and second-generation immigrant, I understand the complexity of balancing two sets of cultural norms while trying to define your own identity between them. My primary focus is working with women of color and first- and second-generation immigrants. However, I welcome people of all demographics to collaborate with me to find empowerment and peace.
(541) 407-3642 View (541) 407-3642
Photo of Shirley Johnson, LCSW, Clinical Social Work/Therapist
Shirley Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Medford, OR 97504  (Online Only)
Sometimes it is helpful to talk to a professional, to gain perspective or hear a different point of view. In my virtual office you can be free to express private thoughts and feelings, in a safe, non-judgemental, confidential manner. With compassion, encouragement and humor, I will help you examine the thoughts, feelings, and behaviors that contribute to the current distress in your life, and to offer suggestions on how to make changes.
Sometimes it is helpful to talk to a professional, to gain perspective or hear a different point of view. In my virtual office you can be free to express private thoughts and feelings, in a safe, non-judgemental, confidential manner. With compassion, encouragement and humor, I will help you examine the thoughts, feelings, and behaviors that contribute to the current distress in your life, and to offer suggestions on how to make changes.
(541) 237-7278 View (541) 237-7278
Photo of Katrina Lee, LCSW, Clinical Social Work/Therapist
Katrina Lee
Clinical Social Work/Therapist, LCSW
Verified Verified
Medford, OR 97504  (Online Only)
Greetings, We all live with moments of transition, exploration and increasing amounts of questions. This often leads to exploration of identity, gender, sexuality, and more. As a queer and affirming therapist, I am honored to have the opportunity to walk beside you and help support you with therapeutic tools, learning new practices, exploring fear and identifying opportunities for growth. We will work together in a collaborative and respectful manner, with you leading the way to your own recovery and goals.
Greetings, We all live with moments of transition, exploration and increasing amounts of questions. This often leads to exploration of identity, gender, sexuality, and more. As a queer and affirming therapist, I am honored to have the opportunity to walk beside you and help support you with therapeutic tools, learning new practices, exploring fear and identifying opportunities for growth. We will work together in a collaborative and respectful manner, with you leading the way to your own recovery and goals.
(458) 217-5146 View (458) 217-5146
Photo of Bayley Putman - Bayley Putman Counseling LLC, LCSW, Clinical Social Work/Therapist
Bayley Putman Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Medford, OR 97504
Are you looking for a counselor who actually hears what you're saying? Someone who is genuinely interested in listening to what you are feeling and experiencing? A person who can help not only make sense of what you are going through, but can offer real-life solutions for managing all that is being thrown at you? I am that counselor. I pride myself on being a down-to-earth provider who meets my clients where they are at. We are all human before we're anything else, and it is with this lens that I approach my work. I hope to be a partner on your path to peace and better wellbeing.
Are you looking for a counselor who actually hears what you're saying? Someone who is genuinely interested in listening to what you are feeling and experiencing? A person who can help not only make sense of what you are going through, but can offer real-life solutions for managing all that is being thrown at you? I am that counselor. I pride myself on being a down-to-earth provider who meets my clients where they are at. We are all human before we're anything else, and it is with this lens that I approach my work. I hope to be a partner on your path to peace and better wellbeing.
(541) 802-7414 View (541) 802-7414
Photo of Jennifer Henderson, DBH, LPC, NCC, QMHP, Licensed Professional Counselor
Jennifer Henderson
Licensed Professional Counselor, DBH, LPC, NCC, QMHP
Verified Verified
3 Endorsed
Medford, OR 97501
Waitlist for new clients
My therapy practice has focused on interventions for complex family systems including co-parenting after divorce, raising special needs children or supporting patients with navigating agency involvement (child welfare, corrections, education). I am a Licensed Professional Counselor (LPC) and Doctor of Behavioral Health (DBH) whose career was founded in Pediatrics. I have a strong commitment to helping families develop secure relationships and additionally offer attachment couples counseling using PACT, EFT and IFS models.
My therapy practice has focused on interventions for complex family systems including co-parenting after divorce, raising special needs children or supporting patients with navigating agency involvement (child welfare, corrections, education). I am a Licensed Professional Counselor (LPC) and Doctor of Behavioral Health (DBH) whose career was founded in Pediatrics. I have a strong commitment to helping families develop secure relationships and additionally offer attachment couples counseling using PACT, EFT and IFS models.
(541) 397-0961 View (541) 397-0961
Photo of Cydne Collins, MPH, MSW, LCSW, Clinical Social Work/Therapist
Cydne Collins
Clinical Social Work/Therapist, MPH, MSW, LCSW
Verified Verified
Medford, OR 97504
Waitlist for new clients
I work with people who are open to making changes to meet life's challenges. I see people experiencing relational trauma, grief, and loss, who are in the midst of life transitions. I prefer to work with adults, including elders, and teenagers. I practice person to person therapy. I believe that each of us has the capacity to heal and that we can be helped to use our inner resources and strengthen the relationships we have with others and with ourselves. I respect and honor all spiritual orientations and religious practice. I have experience with members of the LGBTQIA+ community.
I work with people who are open to making changes to meet life's challenges. I see people experiencing relational trauma, grief, and loss, who are in the midst of life transitions. I prefer to work with adults, including elders, and teenagers. I practice person to person therapy. I believe that each of us has the capacity to heal and that we can be helped to use our inner resources and strengthen the relationships we have with others and with ourselves. I respect and honor all spiritual orientations and religious practice. I have experience with members of the LGBTQIA+ community.
(458) 217-8425 View (458) 217-8425
Photo of Ernie Flores, MA
Ernie Flores
MA
Verified Verified
Medford, OR 97501
My work is grounded in the knowing that we are all spiritual beings and that we are all equipped with everything we need to heal ourselves. My work with people is about supporting them to reconnect with themselves, to remember who they are, and to take steps towards more wholeness.
My work is grounded in the knowing that we are all spiritual beings and that we are all equipped with everything we need to heal ourselves. My work with people is about supporting them to reconnect with themselves, to remember who they are, and to take steps towards more wholeness.
(541) 840-5542 View (541) 840-5542
Photo of Nonie Jarvie, BS, MS, Marriage & Family Therapist Associate
Nonie Jarvie
Marriage & Family Therapist Associate, BS, MS
Verified Verified
2 Endorsed
Medford, OR 97504
If you need to dismantle trauma and rebuild your life, find answers to questions that burden you, save or repair your relationships, or you need fresh skills to manage your emotional state, I can serve you. It is not too late to find what you are looking for by learning new patterns. In fact, it's the perfect time. You can find clarity and create a life that feels peaceful and whole. I'm here to help your life be what you want. I am under supervision and have experience in relational problems, severe conflict, couples, parenting, children, disability, anxiety, sex therapy, and trauma.
If you need to dismantle trauma and rebuild your life, find answers to questions that burden you, save or repair your relationships, or you need fresh skills to manage your emotional state, I can serve you. It is not too late to find what you are looking for by learning new patterns. In fact, it's the perfect time. You can find clarity and create a life that feels peaceful and whole. I'm here to help your life be what you want. I am under supervision and have experience in relational problems, severe conflict, couples, parenting, children, disability, anxiety, sex therapy, and trauma.
(541) 652-8373 View (541) 652-8373
Photo of Jeff James Bilyeu, MA, LPC, Licensed Professional Counselor
Jeff James Bilyeu
Licensed Professional Counselor, MA, LPC
Verified Verified
Medford, OR 97501
I provide therapy for many issues, including anxiety, addictions, men's masculinity and relationship issues, sexual issues, depression, trauma, and challenging life-transitions. Within the container of therapy, you will be pushed beyond your mental and emotional comfort zones. This style of 'depth work' is often the more demanding, but more encompassing and rewarding line of work.
I provide therapy for many issues, including anxiety, addictions, men's masculinity and relationship issues, sexual issues, depression, trauma, and challenging life-transitions. Within the container of therapy, you will be pushed beyond your mental and emotional comfort zones. This style of 'depth work' is often the more demanding, but more encompassing and rewarding line of work.
(541) 644-4748 View (541) 644-4748
Photo of Erik Morrison, MS, LPC, Licensed Professional Counselor
Erik Morrison
Licensed Professional Counselor, MS, LPC
Verified Verified
Medford, OR 97501
Throughout my career, I have worked with countless youth/young adults who have shared with me that their voices have been frequently dismissed or outright ignored. To anyone reading this who shares this feeling, I want you to know I HEAR you! I have devoted the past 8-years to working with youth/young adults, to not only hearing their voices and validating their experiences, but also working alongside them to empower themselves and improve the quality of their lives. Using an existential perspective, I work to help clients find or regain a sense of meaning and purpose that is so crucial for leading a fulfilling, rewarding life.
Throughout my career, I have worked with countless youth/young adults who have shared with me that their voices have been frequently dismissed or outright ignored. To anyone reading this who shares this feeling, I want you to know I HEAR you! I have devoted the past 8-years to working with youth/young adults, to not only hearing their voices and validating their experiences, but also working alongside them to empower themselves and improve the quality of their lives. Using an existential perspective, I work to help clients find or regain a sense of meaning and purpose that is so crucial for leading a fulfilling, rewarding life.
(458) 236-4641 x100 View (458) 236-4641 x100
Photo of Irene Meeker - Inner Peace Counseling Inc, LMFT, Marriage & Family Therapist
Inner Peace Counseling Inc
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Medford, OR 97501
Our mission at Inner Peace Counseling Inc. is to provide compassionate, evidence-based, and holistic mental health care to individuals, families, couples, and communities. We are committed to fostering a safe, non-judgmental, and inclusive environment where individuals can heal, grow, and thrive. We believe in the power of collaboration and interdisciplinary care, working together with clients and their support networks to address their unique mental health needs.
Our mission at Inner Peace Counseling Inc. is to provide compassionate, evidence-based, and holistic mental health care to individuals, families, couples, and communities. We are committed to fostering a safe, non-judgmental, and inclusive environment where individuals can heal, grow, and thrive. We believe in the power of collaboration and interdisciplinary care, working together with clients and their support networks to address their unique mental health needs.
(458) 217-6484 View (458) 217-6484
Photo of Robert L. Nutting, MSW, LCSW, LMT, Clinical Social Work/Therapist
Robert L. Nutting
Clinical Social Work/Therapist, MSW, LCSW, LMT
Verified Verified
Medford, OR 97501
Thanks for your time. I provide support for clients while holding the belief that we experience life in the context of mental, physical, emotional, spiritual and social dimensions that are inseparable; those aspects that makes someone a whole person; the people we are, the product of our personal and social interactions and contributions to them; that which makes you, and that which makes me—we; that we are equal, interconnected and are more alike than different. I think about healthcare from an integrative approach; that historical, contemporary and complimentary/alternative forms of medicine are not mutually exclusive.
Thanks for your time. I provide support for clients while holding the belief that we experience life in the context of mental, physical, emotional, spiritual and social dimensions that are inseparable; those aspects that makes someone a whole person; the people we are, the product of our personal and social interactions and contributions to them; that which makes you, and that which makes me—we; that we are equal, interconnected and are more alike than different. I think about healthcare from an integrative approach; that historical, contemporary and complimentary/alternative forms of medicine are not mutually exclusive.
(458) 203-5011 View (458) 203-5011
Photo of Audrey Valence, MS, Pre-Licensed Professional
Audrey Valence
Pre-Licensed Professional, MS
Verified Verified
Medford, OR 97501
I believe youth have powerful voices and valid, important things to say that often go unheard. My preferred approach to therapy is to build on personal strengths and interests through use of creative functions combined with evidence based interventions and theories of the mind. I like to encourage client self-exploration and personal identification of motivations to change or adjusting challenge areas. I look forward to hearing what’s meaningful to you and what I can do in our work together to help you and your family move toward your desired outcomes.
I believe youth have powerful voices and valid, important things to say that often go unheard. My preferred approach to therapy is to build on personal strengths and interests through use of creative functions combined with evidence based interventions and theories of the mind. I like to encourage client self-exploration and personal identification of motivations to change or adjusting challenge areas. I look forward to hearing what’s meaningful to you and what I can do in our work together to help you and your family move toward your desired outcomes.
(458) 232-3574 x114 View (458) 232-3574 x114
Photo of Matthew Silvasi, MS, Pre-Licensed Professional
Matthew Silvasi
Pre-Licensed Professional, MS
Verified Verified
2 Endorsed
Medford, OR 97504
Now accepting new clients! Has life become a process of just going through the motions? Has the build up of painful memories from the past or the worry about what will happen next keep you from living life to its fullest? The truth is that each one of us will struggle at some point on this "path" we call life. However, as common as this struggle is, likewise is the struggle of working up the courage to reach out and ask for help when we need it. The beauty of counseling is that it reveals this path doesn’t have to be walked alone.
Now accepting new clients! Has life become a process of just going through the motions? Has the build up of painful memories from the past or the worry about what will happen next keep you from living life to its fullest? The truth is that each one of us will struggle at some point on this "path" we call life. However, as common as this struggle is, likewise is the struggle of working up the courage to reach out and ask for help when we need it. The beauty of counseling is that it reveals this path doesn’t have to be walked alone.
(541) 854-3232 View (541) 854-3232
Photo of Kandi Obrist - Inspired Wellness LLC, MA, LPC, Licensed Professional Counselor
Inspired Wellness LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Medford, OR 97501
I fully believe that clients do well if they can! This being said, sometimes life becomes too difficult to manage and maneuver on our own and we need a little support and guidance. The therapeutic process is based on a clients strength, their drive, what coping skills they have, and what they know already works for them. The therapeutic process takes time, it is hard, but given enough support and strength, the process is worth it. My focus is on helping clients, families, and couples create an environment that is positive and healthy all around.
I fully believe that clients do well if they can! This being said, sometimes life becomes too difficult to manage and maneuver on our own and we need a little support and guidance. The therapeutic process is based on a clients strength, their drive, what coping skills they have, and what they know already works for them. The therapeutic process takes time, it is hard, but given enough support and strength, the process is worth it. My focus is on helping clients, families, and couples create an environment that is positive and healthy all around.
(541) 238-9413 View (541) 238-9413
Photo of Richard M Stubbs, MT-BC, LPC, CATP, Licensed Professional Counselor
Richard M Stubbs
Licensed Professional Counselor, MT-BC, LPC, CATP
Verified Verified
1 Endorsed
Medford, OR 97501
Richard Stubbs is one of three board certified music therapists licensed in Southern Oregon. He specializes in experiential therapies such as songwriting and lyric analysis, attachment focused music therapy, and an innovative integration of tabletop role-playing games into group therapy. Group therapy is focused on building interpersonal effectiveness, distress tolerance, and problem solving skills.
Richard Stubbs is one of three board certified music therapists licensed in Southern Oregon. He specializes in experiential therapies such as songwriting and lyric analysis, attachment focused music therapy, and an innovative integration of tabletop role-playing games into group therapy. Group therapy is focused on building interpersonal effectiveness, distress tolerance, and problem solving skills.
(458) 207-2469 View (458) 207-2469
Photo of Dirk Shumway, LCSW, Clinical Social Work/Therapist
Dirk Shumway
Clinical Social Work/Therapist, LCSW
Verified Verified
Medford, OR 97504  (Online Only)
In my 58+ years of life experience and 28+ years of work as a therapist, I have learned that life is hard and at times painful. That we at times endure great suffering, we get stuck, and unable to move forward on our life’s journey or unable to feel the connection to our Source, to life, to our relationships with others, or to find joy. This is common and universal in our life experience. There are things that we do, conditioned physical responses, unhealthy thought patterns and ruminating on story lines which can amplify our suffering, contribute to our being stuck and interfere with our ability to experience the joy of living.
In my 58+ years of life experience and 28+ years of work as a therapist, I have learned that life is hard and at times painful. That we at times endure great suffering, we get stuck, and unable to move forward on our life’s journey or unable to feel the connection to our Source, to life, to our relationships with others, or to find joy. This is common and universal in our life experience. There are things that we do, conditioned physical responses, unhealthy thought patterns and ruminating on story lines which can amplify our suffering, contribute to our being stuck and interfere with our ability to experience the joy of living.
(541) 722-2846 View (541) 722-2846
Photo of Dan Way Harper, MA, PhD, QMHP
Dan Way Harper
MA, PhD, QMHP
Verified Verified
Medford, OR 97504
I help with life issues and personal growth. I provide Psychological Life Coaching based on Acceptance and Commitment Therapy (ACT) ACT is an evidenced based, usually brief form of therapy which focuses on the inherent strengths you already have. I offer a very reasonable sliding scale fee schedule and weekday, evening and weekend appointments are available. I am dedicated to providing high quality therapy for any one who wants it. THERE WILL BE A LIMITED NUMBER OF OPENINGS FOR THE NEW YEAR. Emails are the preferred method of initial contact. All inquiries will be answered.
I help with life issues and personal growth. I provide Psychological Life Coaching based on Acceptance and Commitment Therapy (ACT) ACT is an evidenced based, usually brief form of therapy which focuses on the inherent strengths you already have. I offer a very reasonable sliding scale fee schedule and weekday, evening and weekend appointments are available. I am dedicated to providing high quality therapy for any one who wants it. THERE WILL BE A LIMITED NUMBER OF OPENINGS FOR THE NEW YEAR. Emails are the preferred method of initial contact. All inquiries will be answered.
(541) 319-7694 View (541) 319-7694
Photo of Silvia Stanton, MSW, CSWA, MSEd, Pre-Licensed Professional
Silvia Stanton
Pre-Licensed Professional, MSW, CSWA, MSEd
Verified Verified
2 Endorsed
Medford, OR 97504
My goal is to help others through their "normal" and overcome any life challenges they may be facing at this point in their lives. I am straightforward and non-judgmental in my approach. I will always collaborate and use evidenced-based tools to support my clients growth, but also my own growth. I believe we all struggle in one way or another and it can range from everyday anxiety to long-term compounded trauma. This is where I come in; to help you gain the skills to navigate it with confidence.
My goal is to help others through their "normal" and overcome any life challenges they may be facing at this point in their lives. I am straightforward and non-judgmental in my approach. I will always collaborate and use evidenced-based tools to support my clients growth, but also my own growth. I believe we all struggle in one way or another and it can range from everyday anxiety to long-term compounded trauma. This is where I come in; to help you gain the skills to navigate it with confidence.
(541) 920-0614 View (541) 920-0614
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How does your Therapist compare?

Number of Therapists in Medford, OR

300+

Average cost per session

$150

Therapists in Medford, OR who prioritize treating:

94% Anxiety
88% Depression
80% Self Esteem
78% Relationship Issues
78% Trauma and PTSD
72% Coping Skills
70% Grief

Average years in practice

10 Years

Top 3 insurances accepted

67% Oregon Health Plan (OHP)
59% Other
53% BlueCross and BlueShield

How Therapists in Medford, OR see their clients

71% In Person and Online
29% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Medford?

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.