Therapists in Teller County, CO

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Photo of Amy Stewart, MSW, SWC, CPS II, Clinical Social Work/Therapist
Amy Stewart
Clinical Social Work/Therapist, MSW, SWC, CPS II
Verified Verified
1 Endorsed
Woodland Park, CO 80863
Handling life experiences can be hard! I will meet you where you are and offer a safe space for sorting out your personal challenges stemming from issues like trauma, conflict, grief, and/or worrisome behaviors or diagnoses. Grounded in trauma-informed practices, I use an eclectic blend of modalities including Cognitive Behavior Therapy, Dialectic Behavior Therapy, Play Therapy, and Cognitive Processing Therapy to create a collaborative approach based on your strengths. I specialize in applying evidence-based skills to help foster the development of healthy coping techniques and positive life management skills.
Handling life experiences can be hard! I will meet you where you are and offer a safe space for sorting out your personal challenges stemming from issues like trauma, conflict, grief, and/or worrisome behaviors or diagnoses. Grounded in trauma-informed practices, I use an eclectic blend of modalities including Cognitive Behavior Therapy, Dialectic Behavior Therapy, Play Therapy, and Cognitive Processing Therapy to create a collaborative approach based on your strengths. I specialize in applying evidence-based skills to help foster the development of healthy coping techniques and positive life management skills.
(719) 220-3986 View (719) 220-3986
Photo of Tammy M Pitt, MA, LMFT, Marriage & Family Therapist
Tammy M Pitt
Marriage & Family Therapist, MA, LMFT
Verified Verified
Woodland Park, CO 80863
My passion is to come along side individuals, couples and families to walk the journey of healing, change, recovery, and be present with and actively listen to them in the moment. I truly believe that each one of us has everything we need within us to make desired change. I do realize from my own journey that life can have many twists and turns, obstacles, hurtles and unexpected difficulties. My goal is to make an environment for you to feel comfortable and safe; enabling you to be willing to try to seek support.
My passion is to come along side individuals, couples and families to walk the journey of healing, change, recovery, and be present with and actively listen to them in the moment. I truly believe that each one of us has everything we need within us to make desired change. I do realize from my own journey that life can have many twists and turns, obstacles, hurtles and unexpected difficulties. My goal is to make an environment for you to feel comfortable and safe; enabling you to be willing to try to seek support.
(719) 354-2180 View (719) 354-2180
Photo of Monique Ekker - Outside Rein, LLC, LPC, LAC, CEIP-MH, Licensed Professional Counselor
Outside Rein, LLC
Licensed Professional Counselor, LPC, LAC, CEIP-MH
Verified Verified
Florissant, CO 80816
We are all human, imperfect, and want/need grace. Mental health is a part of our overall health, not separate from it. We cannot disconnect the head from the body. All session are conducted with empathy and compassion, with or without equines. We are currently accepting new clients, as our caseload allows. We accept Medicaid, TriWest, TRICARE, and Aetna insurances, in addition to private pay with a deeply sliding scale. We can also do a single case agreement or supply a superbill for out of network insurance.
We are all human, imperfect, and want/need grace. Mental health is a part of our overall health, not separate from it. We cannot disconnect the head from the body. All session are conducted with empathy and compassion, with or without equines. We are currently accepting new clients, as our caseload allows. We accept Medicaid, TriWest, TRICARE, and Aetna insurances, in addition to private pay with a deeply sliding scale. We can also do a single case agreement or supply a superbill for out of network insurance.
(719) 452-8474 View (719) 452-8474
Photo of Jamie Lynn Peschke, MA, RP, LLC, Registered Psychotherapist
Jamie Lynn Peschke
Registered Psychotherapist, MA, RP, LLC
Verified Verified
Cripple Creek, CO 80813  (Online Only)
Have you experienced trauma, stress or loss in your life? The answer is yes, we all have a different tolerance for the things life throws at us. Everyday we experience adversities that can add up over our lifetime. Unfortunately, we live in a society that too often has a "forget about it and move on" attitude. I want to help you slow down and really look at how your life journey has impacted your overall mental health. My goal is to create a safe place for you or your child to begin understanding how these stressors are impacting your life. I want to normalize the importance of self awareness, communication and self love.
Have you experienced trauma, stress or loss in your life? The answer is yes, we all have a different tolerance for the things life throws at us. Everyday we experience adversities that can add up over our lifetime. Unfortunately, we live in a society that too often has a "forget about it and move on" attitude. I want to help you slow down and really look at how your life journey has impacted your overall mental health. My goal is to create a safe place for you or your child to begin understanding how these stressors are impacting your life. I want to normalize the importance of self awareness, communication and self love.
(720) 712-1590 View (720) 712-1590
Photo of Barbara Wegener, MA, LPC, Licensed Professional Counselor
Barbara Wegener
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Divide, CO 80814
Barbara brings experience, warmth, and humor to the therapeutic environment and creates a welcoming space for client concerns and challenges. She employs Internal Family Systems (IFS) methods to help clients learn to understand their "bad actors" (personality parts that engage in impulsive or harmful behaviors), as well as those that manage the client's life and keep them out of trouble. Barbara facilitates clients' re-discovery of their own vast internal resources and with this, they begin to realize their authentic qualities and strengths. . . . . . Barbara Wegener, LPC, Shadow Lantern Counseling, LLC
Barbara brings experience, warmth, and humor to the therapeutic environment and creates a welcoming space for client concerns and challenges. She employs Internal Family Systems (IFS) methods to help clients learn to understand their "bad actors" (personality parts that engage in impulsive or harmful behaviors), as well as those that manage the client's life and keep them out of trouble. Barbara facilitates clients' re-discovery of their own vast internal resources and with this, they begin to realize their authentic qualities and strengths. . . . . . Barbara Wegener, LPC, Shadow Lantern Counseling, LLC
(719) 888-5409 View (719) 888-5409
Photo of Jennifer Droski, LCSW, Clinical Social Work/Therapist
Jennifer Droski
Clinical Social Work/Therapist, LCSW
Verified Verified
Woodland Park, CO 80863  (Online Only)
I am a licensed clinical social worker committed to working with individuals looking to address depression, anxiety, relationship and intimacy issues. I also have a background in chemical dependency and trauma. I strongly believe that relationships– whether with ourselves or others– greatly impact our life satisfaction.
I am a licensed clinical social worker committed to working with individuals looking to address depression, anxiety, relationship and intimacy issues. I also have a background in chemical dependency and trauma. I strongly believe that relationships– whether with ourselves or others– greatly impact our life satisfaction.
(720) 707-2609 View (720) 707-2609
Photo of Candice Berger, NCC, LPC, Licensed Professional Counselor
Candice Berger
Licensed Professional Counselor, NCC, LPC
Verified Verified
Woodland Park, CO 80863
I have a passion for working with adolescents and young adults, helping them navigate life and helping them to identify and develope lasting skills that will follow them into adulthood. Life can be difficult and sometimes simply having someone to listen, really listen can be instrumental in navigating through those trying times.
I have a passion for working with adolescents and young adults, helping them navigate life and helping them to identify and develope lasting skills that will follow them into adulthood. Life can be difficult and sometimes simply having someone to listen, really listen can be instrumental in navigating through those trying times.
(719) 309-4368 View (719) 309-4368
Photo of Jeri Yingling - Crystal Creek Counseling, MS, LPC, RPT-S, ACS, Licensed Professional Counselor
Crystal Creek Counseling
Licensed Professional Counselor, MS, LPC, RPT-S, ACS
Verified Verified
2 Endorsed
Woodland Park, CO 80863
Not accepting new clients
Children experiencing trauma, anxiety, depression and other challenges communicate with us through their behaviors. I specialize in helping parents and children understand the meaning and purpose behind those behaviors. I help children build the resiliency they need to overcome past challenges and thrive at home, in school and in their communities. I also help parents/caregivers build the skills and strategies necessary to guide children through difficult circumstances and achieve a more positive future.
Children experiencing trauma, anxiety, depression and other challenges communicate with us through their behaviors. I specialize in helping parents and children understand the meaning and purpose behind those behaviors. I help children build the resiliency they need to overcome past challenges and thrive at home, in school and in their communities. I also help parents/caregivers build the skills and strategies necessary to guide children through difficult circumstances and achieve a more positive future.
(719) 888-5737 View (719) 888-5737
Photo of Shari Lightfield, MA, LPC, Licensed Professional Counselor
Shari Lightfield
Licensed Professional Counselor, MA, LPC
Verified Verified
Florissant, CO 80816  (Online Only)
Waitlist for new clients
Life is a roller coaster; full of highs and lows, sometimes we need some help navigating life’s twists and turns. Creating a relationship with a therapist can be daunting and scary; the first step is often one of the hardest. As with life, therapy has ups and downs. My role as a therapist is to provide tools and offer insight. I offer a free 20-minute consultation to provide the opportunity to see if we are a good fit. As I counselor I want each session to feel unique to you. I am trained and certified in may therapeutic modalities in order to provide the most tailored experience.
Life is a roller coaster; full of highs and lows, sometimes we need some help navigating life’s twists and turns. Creating a relationship with a therapist can be daunting and scary; the first step is often one of the hardest. As with life, therapy has ups and downs. My role as a therapist is to provide tools and offer insight. I offer a free 20-minute consultation to provide the opportunity to see if we are a good fit. As I counselor I want each session to feel unique to you. I am trained and certified in may therapeutic modalities in order to provide the most tailored experience.
(719) 751-5803 View (719) 751-5803
Photo of Jason R. Ledlie, MA, LPC, Licensed Professional Counselor
Jason R. Ledlie
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Woodland Park, CO 80863
In my therapeutic work, I endeavor to create an environment that allows my clients to center-out, to breathe, to explore, to undertake, to dare, to dream, to change course, and to reconnect. As a would-be-adventurer with a penchant for curiosities and the unknown, I look forward to embarking on uncharted paths with my clients. In journeying alongside my client, my hope is that upon reaching the trailhead of their path, they're able to look around and exclaim "everything is in its right place."
In my therapeutic work, I endeavor to create an environment that allows my clients to center-out, to breathe, to explore, to undertake, to dare, to dream, to change course, and to reconnect. As a would-be-adventurer with a penchant for curiosities and the unknown, I look forward to embarking on uncharted paths with my clients. In journeying alongside my client, my hope is that upon reaching the trailhead of their path, they're able to look around and exclaim "everything is in its right place."
(719) 922-3494 View (719) 922-3494
Photo of Laura Magnuson, LCSW , CPS II, Clinical Social Work/Therapist
Laura Magnuson
Clinical Social Work/Therapist, LCSW , CPS II
Verified Verified
1 Endorsed
Woodland Park, CO 80863
I was honored to be named Social Worker of the Year in 2024 by the Colorado Chapter of the National Association of Social Workers. In my practice, I provide a safe and nurturing environment for individuals facing various challenges and life transitions. I believe in working collaboratively with my clients and empowering them to make intentional changes in their lives. My approach is rooted in the belief that each individual holds the key to creating the positive changes they seek. My practice is based on a strengths-based, trauma-informed, humanistic, and person-centered approach. I place great value on evidence-based treatment.
I was honored to be named Social Worker of the Year in 2024 by the Colorado Chapter of the National Association of Social Workers. In my practice, I provide a safe and nurturing environment for individuals facing various challenges and life transitions. I believe in working collaboratively with my clients and empowering them to make intentional changes in their lives. My approach is rooted in the belief that each individual holds the key to creating the positive changes they seek. My practice is based on a strengths-based, trauma-informed, humanistic, and person-centered approach. I place great value on evidence-based treatment.
(719) 416-4919 View (719) 416-4919
Photo of Martin Wesley Kaufmann, PhD, LPC-S, Licensed Professional Counselor
Martin Wesley Kaufmann
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
Woodland Park, CO 80863
My ideal client is someone striving to move from their current state to their desired self. They often grapple with issues such as self-doubt, stress, anxiety, depression, and lack of direction and motivation. Their needs include clarity, understanding, support, and practical strategies to overcome obstacles. Their goals are personal growth, achieving a sense of fulfillment, and improving their overall well-being. They seek these changes to live a more meaningful and satisfying life. I aim to facilitate this journey, empowering them to realize their potential and thrive.
My ideal client is someone striving to move from their current state to their desired self. They often grapple with issues such as self-doubt, stress, anxiety, depression, and lack of direction and motivation. Their needs include clarity, understanding, support, and practical strategies to overcome obstacles. Their goals are personal growth, achieving a sense of fulfillment, and improving their overall well-being. They seek these changes to live a more meaningful and satisfying life. I aim to facilitate this journey, empowering them to realize their potential and thrive.
(719) 496-8949 View (719) 496-8949
Photo of Francine Marmor, LCSW, Clinical Social Work/Therapist
Francine Marmor
Clinical Social Work/Therapist, LCSW
Verified Verified
Woodland Park, CO 80863  (Online Only)
I understand that choosing a therapist can be overwhelming. With a positive attitude, sensitivity, and sense of humor, I will work closely with you to get your life or relationship back on track. No issue is too small or too big, and I truly believe that things can improve with hard work. I've helped with depression, anxiety, relationship difficulties, anger, etc. I work with individuals of all ages, as well as couples and families, and those who are skeptical about whether counseling can help are definitely welcome.
I understand that choosing a therapist can be overwhelming. With a positive attitude, sensitivity, and sense of humor, I will work closely with you to get your life or relationship back on track. No issue is too small or too big, and I truly believe that things can improve with hard work. I've helped with depression, anxiety, relationship difficulties, anger, etc. I work with individuals of all ages, as well as couples and families, and those who are skeptical about whether counseling can help are definitely welcome.
(720) 915-4163 View (720) 915-4163
Photo of Laurie (Tara Kim) Warchol, MA, LPC, Licensed Professional Counselor
Laurie (Tara Kim) Warchol
Licensed Professional Counselor, MA, LPC
Verified Verified
Woodland Park, CO 80863  (Online Only)
How satisfied are you with your quality of life? Do you have higher aspirations for yourself? Maybe it’s been difficult for you to get traction in a particular area. Or you’ve tried to put your past behind you, but it keeps popping up and interfering in the present. Perhaps you’re tired of processing the same old stories, and learning coping skills to just get by. You may even have a mind that just won’t quit spinning negative tales, no matter how hard you’ve tried to silence it.
How satisfied are you with your quality of life? Do you have higher aspirations for yourself? Maybe it’s been difficult for you to get traction in a particular area. Or you’ve tried to put your past behind you, but it keeps popping up and interfering in the present. Perhaps you’re tired of processing the same old stories, and learning coping skills to just get by. You may even have a mind that just won’t quit spinning negative tales, no matter how hard you’ve tried to silence it.
(719) 602-7277 View (719) 602-7277
Photo of Calvin Parker, LPC, Licensed Professional Counselor
Calvin Parker
Licensed Professional Counselor, LPC
Verified Verified
Woodland Park, CO 80863  (Online Only)
In my years of doing this work, I have seen the biggest challenge for clients is in making that first appointment. The problems we face in life are difficult. The hurts we feel, impede our ability to problem-solve. I do not proclaim to have all the answers, but I truly love working with clients to find solutions that fit their situation. In my practice I utilize both Cognitive and Dialectical Behavioral Therapy modalities to undergird my client-centered approach. Together we will explore and challenge the thoughts and actions that contribute to problems, along with developing a plan for practicing new ways of thinking.
In my years of doing this work, I have seen the biggest challenge for clients is in making that first appointment. The problems we face in life are difficult. The hurts we feel, impede our ability to problem-solve. I do not proclaim to have all the answers, but I truly love working with clients to find solutions that fit their situation. In my practice I utilize both Cognitive and Dialectical Behavioral Therapy modalities to undergird my client-centered approach. Together we will explore and challenge the thoughts and actions that contribute to problems, along with developing a plan for practicing new ways of thinking.
(720) 738-6164 View (720) 738-6164
Photo of Kristine N Matthews, LPC-A, LPCC
Kristine N Matthews
Licensed Professional Counselor Candidate, LPC-A, LPCC
Verified Verified
Woodland Park, CO 80863
In the past three years, I have worked as a counselor to both children and to victims of domestic violence and sexual assault. As a Licensed Professional Counselor Candidate I use modalities, such as HearthMath, Brainspotting and Trauma Focused-CBT, that help to reduce anxiety, depression, and aids them in finding strength within themselves.
In the past three years, I have worked as a counselor to both children and to victims of domestic violence and sexual assault. As a Licensed Professional Counselor Candidate I use modalities, such as HearthMath, Brainspotting and Trauma Focused-CBT, that help to reduce anxiety, depression, and aids them in finding strength within themselves.
(719) 938-1560 View (719) 938-1560
Photo of Scheila Farnsworth Watson - A Willow Bends, LLC, MA, LPC, LAC, MAC, EMDR
A Willow Bends, LLC
MA, LPC, LAC, MAC, EMDR
Verified Verified
3 Endorsed
Woodland Park, CO 80863
Have you suffered through years of abuse or trauma? Lost a loved one through divorce or death? Maybe, you feel you can't face life anymore. Maybe you struggle with the use of alcohol or drugs. Do you use them to "feel good about yourself?" Maybe, just "to forget for a moment". Maybe because they make you feel "normal". This is the time to seek help. It takes courage to call and yet we are here to walk with you during your trying times and help you find the inner peace, joy, and success you deserve!
Have you suffered through years of abuse or trauma? Lost a loved one through divorce or death? Maybe, you feel you can't face life anymore. Maybe you struggle with the use of alcohol or drugs. Do you use them to "feel good about yourself?" Maybe, just "to forget for a moment". Maybe because they make you feel "normal". This is the time to seek help. It takes courage to call and yet we are here to walk with you during your trying times and help you find the inner peace, joy, and success you deserve!
(719) 624-4782 View (719) 624-4782
Photo of Ryan Kristopher Rhodes - Shift Counseling, MA, LPC, Licensed Professional Counselor
Shift Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Woodland Park, CO 80863
Shift Counseling uses an eclectic model to guide multiple treatment approaches. We work to individualize treatment to best meet the needs of each client. We prefer to walk alongside individuals, rather than push from behind or pull from in-front. It is our goal to meet you where you are and come alongside you to help make the changes you want to make.
Shift Counseling uses an eclectic model to guide multiple treatment approaches. We work to individualize treatment to best meet the needs of each client. We prefer to walk alongside individuals, rather than push from behind or pull from in-front. It is our goal to meet you where you are and come alongside you to help make the changes you want to make.
(719) 417-7894 View (719) 417-7894
Photo of Christina Sladkowski, LPC, Licensed Professional Counselor
Christina Sladkowski
Licensed Professional Counselor, LPC
Verified Verified
Woodland Park, CO 80863  (Online Only)
Christina's passion lies in helping people in a holistic way, addressing not only their mental health concerns but also their physical, emotional, and spiritual well-being. She believes that true healing comes from a combination of evidence-based therapy techniques, self-care practices, and a supportive community. Throughout the years, Christina has worked with people who are struggling with a range of issues such as stress, anxiety, depression, life transitions, and relationship concerns.
Christina's passion lies in helping people in a holistic way, addressing not only their mental health concerns but also their physical, emotional, and spiritual well-being. She believes that true healing comes from a combination of evidence-based therapy techniques, self-care practices, and a supportive community. Throughout the years, Christina has worked with people who are struggling with a range of issues such as stress, anxiety, depression, life transitions, and relationship concerns.
(720) 964-1310 View (720) 964-1310
Photo of Chris Estep - Ute Pass Psychological Evaluation, PsyD, Psychologist
Ute Pass Psychological Evaluation
Psychologist, PsyD
Verified Verified
Woodland Park, CO 80863
Ute Pass Eval focuses on clinical, forensic, and neuropsychological testing and assessments. We offer forensic, education/academic achievement, intelligence, personality, psychodiagnostic, and other specialized psychological assessment services. We are equipped to assess children and adults of all ages and can travel to jails/prisons. Willing to provide Telehealth, meet in my office, or meet the patient where they live.
Ute Pass Eval focuses on clinical, forensic, and neuropsychological testing and assessments. We offer forensic, education/academic achievement, intelligence, personality, psychodiagnostic, and other specialized psychological assessment services. We are equipped to assess children and adults of all ages and can travel to jails/prisons. Willing to provide Telehealth, meet in my office, or meet the patient where they live.
(719) 793-9709 View (719) 793-9709
1

See more therapy options for Teller County

How does your Therapist compare?

Number of Therapists in Teller County, CO

80+

Average cost per session

$119

Therapists in Teller County, CO who prioritize treating:

90% Depression
90% Anxiety
83% Trauma and PTSD
67% Stress
64% Grief
58% Life Transitions
55% Relationship Issues

Average years in practice

15 Years

Top 3 insurances accepted

85% Aetna
80% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Teller County, CO see their clients

57% In Person and Online
43% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Teller County?

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.