Therapists in Utah

View cities and counties in Utah
Photo of Emily Freeze, MA, LMFT, MPH, PMH-C, Marriage & Family Therapist
Emily Freeze
Marriage & Family Therapist, MA, LMFT, MPH, PMH-C
Verified Verified
3 Endorsed
American Fork, UT 84003
Have you been feeling like nothing you do is ever good enough...in your marriage, relationships, as a new parent, or in your life? It is not uncommon that thoughts like this can lead you to feel depressed, anxious, stressed, lonely, and out of control in your life. You may be experiencing some of these challenges and feel you have done all you can to cope, yet find things are not changing or improving. You may feel stuck and not know exactly where to go for help, who the best person would be to talk to, or what to expect from therapy. These are normal questions and concerns. I want to reassure you…You are in the right place!
Have you been feeling like nothing you do is ever good enough...in your marriage, relationships, as a new parent, or in your life? It is not uncommon that thoughts like this can lead you to feel depressed, anxious, stressed, lonely, and out of control in your life. You may be experiencing some of these challenges and feel you have done all you can to cope, yet find things are not changing or improving. You may feel stuck and not know exactly where to go for help, who the best person would be to talk to, or what to expect from therapy. These are normal questions and concerns. I want to reassure you…You are in the right place!
(801) 882-2127 View (801) 882-2127
Photo of Jalynn Porter, LCSW, PMH-C, Clinical Social Work/Therapist
Jalynn Porter
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Logan, UT 84321
Do you feel like your emotions are taking over your life and making it difficult to function? Do you feel a lack of purpose or that life is passing you by? We all encounter pain, hardships, and unmet expectations, but that doesn't mean we have to suffer because of them; there is hope and healing along the way! I believe in a compassionate, collaborative approach to therapy. I believe in you and your ability to make life meaningful. I am here to help provide skills and tools, and to grow your confidence in yourself. We've got this!
Do you feel like your emotions are taking over your life and making it difficult to function? Do you feel a lack of purpose or that life is passing you by? We all encounter pain, hardships, and unmet expectations, but that doesn't mean we have to suffer because of them; there is hope and healing along the way! I believe in a compassionate, collaborative approach to therapy. I believe in you and your ability to make life meaningful. I am here to help provide skills and tools, and to grow your confidence in yourself. We've got this!
(435) 260-4093 View (435) 260-4093
Photo of Tori Vance At Gold Counseling, CSW, Pre-Licensed Professional
Tori Vance At Gold Counseling
Pre-Licensed Professional, CSW
Verified Verified
1 Endorsed
Layton, UT 84041  (Online Only)
Online Telehealth Therapy... I enjoy various approaches to mental health and self-care. I enjoy many pints of ice-cream, bath bombs, a good book, spending time outside, and working out. Most importantly I believe we owe it ourselves, to make sure we are being taken care of and nourished, too, through our own mental health care. My approach to treatment is tailored to fit each person’s specific goals and needs, and I provide a comfortable and safe space for people to express themselves and work through their therapeutic experience.
Online Telehealth Therapy... I enjoy various approaches to mental health and self-care. I enjoy many pints of ice-cream, bath bombs, a good book, spending time outside, and working out. Most importantly I believe we owe it ourselves, to make sure we are being taken care of and nourished, too, through our own mental health care. My approach to treatment is tailored to fit each person’s specific goals and needs, and I provide a comfortable and safe space for people to express themselves and work through their therapeutic experience.
(385) 308-5434 View (385) 308-5434
Photo of Bryan Teuscher At Beacon Therapy Of Utah, LCSW, Clinical Social Work/Therapist
Bryan Teuscher At Beacon Therapy Of Utah
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Taylorsville, UT 84123
Waitlist for new clients
Stress, self-doubt, and worry can be difficult enough to manage on our own when things are "normal," but when you add the impact of the recent events our society is dealing with they can seem overwhelming. Whether a teenager or an adult, stress and trauma can make us question who we are and what's important to us. Negative emotions and thoughts get in the way of our relationships with other people and make us feel like we aren't able to be the person we want to be. Therapy can be a wonderful tool to help you make changes which bring more control and confidence in to your life.
Stress, self-doubt, and worry can be difficult enough to manage on our own when things are "normal," but when you add the impact of the recent events our society is dealing with they can seem overwhelming. Whether a teenager or an adult, stress and trauma can make us question who we are and what's important to us. Negative emotions and thoughts get in the way of our relationships with other people and make us feel like we aren't able to be the person we want to be. Therapy can be a wonderful tool to help you make changes which bring more control and confidence in to your life.
(208) 285-3315 View (208) 285-3315
Photo of Toni Marie Mazzaglia, CMHC
Toni Marie Mazzaglia
Mental Health Counselor, CMHC
Verified Verified
1 Endorsed
Sandy, UT 84093  (Online Only)
Greetings, I am a licensed clinical mental health counselor and parent coach with over twenty years of experience working with a variety of clients. I specialize in treating complex trauma, anxiety, depression and adoption, attachment and family systems issues. I have extensive experience with complex needs and diagnoses and am also trained in brief solution focused approaches, allowing me to support a range of clients. I believe in a holistic, mindfulness-based approach to building wellness and creating a safe space for people to identify needs and goals and work through the process in a guided and supported manner.
Greetings, I am a licensed clinical mental health counselor and parent coach with over twenty years of experience working with a variety of clients. I specialize in treating complex trauma, anxiety, depression and adoption, attachment and family systems issues. I have extensive experience with complex needs and diagnoses and am also trained in brief solution focused approaches, allowing me to support a range of clients. I believe in a holistic, mindfulness-based approach to building wellness and creating a safe space for people to identify needs and goals and work through the process in a guided and supported manner.
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Photo of Tessa Holyoak, CSW, Pre-Licensed Professional
Tessa Holyoak
Pre-Licensed Professional, CSW
Verified Verified
Logan, UT 84341
Not accepting new clients
Therapy is for the good, bad, and in between. Whether you are in a dark, depressing space, engulfed in the trenches of grief, feel you have “lost control” of your life, or simply need to talk to someone, you belong here.
Therapy is for the good, bad, and in between. Whether you are in a dark, depressing space, engulfed in the trenches of grief, feel you have “lost control” of your life, or simply need to talk to someone, you belong here.
(435) 296-7809 View (435) 296-7809
Photo of Danny Sturtevant, MA, LPC, CMHC, Counselor
Danny Sturtevant
Counselor, MA, LPC, CMHC
Verified Verified
1 Endorsed
Orem, UT 84058
I believe we all have within us what it takes to grow, heal, and work towards our goals, and I am honored to be a part of this journey with my clients. If you’re not sure what to expect from counseling, that’s okay! Working with me starts with getting to know your story, what you’re struggling with, and what your goals are. You can ask me questions about my training, experience, and philosophy to help you determine if I could be a good fit for you.
I believe we all have within us what it takes to grow, heal, and work towards our goals, and I am honored to be a part of this journey with my clients. If you’re not sure what to expect from counseling, that’s okay! Working with me starts with getting to know your story, what you’re struggling with, and what your goals are. You can ask me questions about my training, experience, and philosophy to help you determine if I could be a good fit for you.
(385) 899-2618 View (385) 899-2618
Photo of Logan Densley - Veritas Mental Health, LCSW, Clinical Social Work/Therapist
Veritas Mental Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Orem, UT 84097
Veritas Mental Health provides effective alternatives for understanding and treating depression, marriage counseling, substance abuse, addiction, sexual addiction, pornography use, and other addictive behaviors by exposing and addressing the core issues that result addictions, depression, and unhelath relashionships. As our name suggests, Veritas (latin for "pure" and "truth") specializes in shedding light, educating, and providing healthy alternatives to sometimes hopeless and frustrated individuals and couples who desire relief and healing from unmanageable and uncontrolled behaviors. Our successful therapeutic model has evolved both from research and experience in helping thousands of clients reestablish positive control of their unwanted behaviors and regaining healthy, productive and honest relationships.
Veritas Mental Health provides effective alternatives for understanding and treating depression, marriage counseling, substance abuse, addiction, sexual addiction, pornography use, and other addictive behaviors by exposing and addressing the core issues that result addictions, depression, and unhelath relashionships. As our name suggests, Veritas (latin for "pure" and "truth") specializes in shedding light, educating, and providing healthy alternatives to sometimes hopeless and frustrated individuals and couples who desire relief and healing from unmanageable and uncontrolled behaviors. Our successful therapeutic model has evolved both from research and experience in helping thousands of clients reestablish positive control of their unwanted behaviors and regaining healthy, productive and honest relationships.
(801) 436-8676 View (801) 436-8676
Photo of Becky Bowman, LCSW, MAED, Pre-Licensed Professional
Becky Bowman
Pre-Licensed Professional, LCSW, MAED
Verified Verified
2 Endorsed
Alpine, UT 84004
Not accepting new clients
Anxiety can overwhelm us when a situation is important or meaningful. If it wasn't important, then anxiety wouldn't be there at all. When mental health is compromised, what is most important becomes affected, such as relationships, health, and spirituality. Somehow you've be able to push through until now. If you're exhausted, lost, and hopeless, I can help. We will work on gaining insight to understand what's going on in your life, and what to do about it. Often healing occurs along the way. You will use your strengths and gain skills. You CAN overcome what is holding you back. You CAN engage with the important parts of life again.
Anxiety can overwhelm us when a situation is important or meaningful. If it wasn't important, then anxiety wouldn't be there at all. When mental health is compromised, what is most important becomes affected, such as relationships, health, and spirituality. Somehow you've be able to push through until now. If you're exhausted, lost, and hopeless, I can help. We will work on gaining insight to understand what's going on in your life, and what to do about it. Often healing occurs along the way. You will use your strengths and gain skills. You CAN overcome what is holding you back. You CAN engage with the important parts of life again.
(385) 399-1970 View (385) 399-1970
Photo of Christopher ' Chadley ' Tanner, CMHCi, Pre-Licensed Professional
Christopher ' Chadley ' Tanner
Pre-Licensed Professional, CMHCi
Verified Verified
7 Endorsed
Mapleton, UT 84664
I believe therapy is for everyone, and toward that end, I provide an open, safe, and curious space. Together, we will explore what's been bothering you, try to understand it better, and make some plans to get you closer to where you want to be.
I believe therapy is for everyone, and toward that end, I provide an open, safe, and curious space. Together, we will explore what's been bothering you, try to understand it better, and make some plans to get you closer to where you want to be.
(385) 483-3074 View (385) 483-3074
Photo of Nichole Conrad, LCSW, Clinical Social Work/Therapist
Nichole Conrad
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Farmington, UT 84025  (Online Only)
Are you dealing with anxiety or major life transition? My goal in therapy is to help you work through your feelings, understand the "why" behind your behaviors, and identify specific skills that will lead to the change you seek. I want to help you achieve greater self-mastery and an ability to manage your emotions. At the end of the day I want you to feel confident, whole, and prepared to handle whatever comes your way.
Are you dealing with anxiety or major life transition? My goal in therapy is to help you work through your feelings, understand the "why" behind your behaviors, and identify specific skills that will lead to the change you seek. I want to help you achieve greater self-mastery and an ability to manage your emotions. At the end of the day I want you to feel confident, whole, and prepared to handle whatever comes your way.
(385) 381-6275 View (385) 381-6275
Photo of Lauren Hirschi, ACMHC
Lauren Hirschi
Clinical Mental Health Counselor Associate, ACMHC
Verified Verified
1 Endorsed
We all experience moments in life where we feel at a crossroads or overwhelmed by pain, grief, disconnection, and uncertainty. While we may feel terrified or stuck in a dark place, there also might be a part of us that recognizes these moments of suffering as an opportunity to deeply understand ourselves and, by leaning into our own unique strengths, create meaningful change in our lives. My approach is warm, compassionate, and rooted in the belief that each individual holds the power to create a fulfilling and authentic life.
We all experience moments in life where we feel at a crossroads or overwhelmed by pain, grief, disconnection, and uncertainty. While we may feel terrified or stuck in a dark place, there also might be a part of us that recognizes these moments of suffering as an opportunity to deeply understand ourselves and, by leaning into our own unique strengths, create meaningful change in our lives. My approach is warm, compassionate, and rooted in the belief that each individual holds the power to create a fulfilling and authentic life.
(385) 325-8819 View (385) 325-8819
Photo of Audrey South, LCSW, Clinical Social Work/Therapist
Audrey South
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Orem, UT 84097
Every person has value and experiences challenges as part of living. I enjoy working with individuals helping with change and growth in their lives. I am excited to work with people in understanding challenges they face, helping them to work through these challenges in a more productive manner, and using the knowledge and tools I have to benefit their needs. I enjoy using the Cognitive-Behavioral Therapy, Acceptance & Commitment Therapy, Art & Sandtray; as well as Mindfulness techniques. Creating a safe place of trust is priority, a place where the client can open up and address their most sensitive and difficult challenges.
Every person has value and experiences challenges as part of living. I enjoy working with individuals helping with change and growth in their lives. I am excited to work with people in understanding challenges they face, helping them to work through these challenges in a more productive manner, and using the knowledge and tools I have to benefit their needs. I enjoy using the Cognitive-Behavioral Therapy, Acceptance & Commitment Therapy, Art & Sandtray; as well as Mindfulness techniques. Creating a safe place of trust is priority, a place where the client can open up and address their most sensitive and difficult challenges.
(385) 279-5577 View (385) 279-5577
Photo of Delsa Waddell, PhD, CMHC, Counselor
Delsa Waddell
Counselor, PhD, CMHC
Verified Verified
Salt Lake City, UT 84121  (Online Only)
Book with me now by clicking on my website. If you have experienced any kind of trauma in your life (anything that feels overwhelming when you think about it) regular psychotherapy can help you understand what you are experiencing and help you find ways to manage yourself and your life so you can find safety, peace and comfort. You can learn to recognize and move past trauma "triggers" to live your best life. You can learn to enjoy alone time as well as time with others and to feel safe in your own skin.
Book with me now by clicking on my website. If you have experienced any kind of trauma in your life (anything that feels overwhelming when you think about it) regular psychotherapy can help you understand what you are experiencing and help you find ways to manage yourself and your life so you can find safety, peace and comfort. You can learn to recognize and move past trauma "triggers" to live your best life. You can learn to enjoy alone time as well as time with others and to feel safe in your own skin.
(385) 485-8096 View (385) 485-8096
Photo of Gina Francis, LCSW, Clinical Social Work/Therapist
Gina Francis
Clinical Social Work/Therapist, LCSW
Verified Verified
Layton, UT 84041
Starting therapy can be daunting, my goal is to help you feel safe and at ease. Whether you are having relationship issues, issues with sex, exiting a religion, are navigating being queer in a world that makes that difficult, or just feel something is off and don't know why, I can help. With 20 years of experience and a calm and soothing approach, I will help you understand yourself, find direction and identify ways you can live an authentic life that fits you and brings you fulfillment. It takes courage to admit something isn't working and look for help. I feel honored that my clients trust me with their most vulnerable selves.
Starting therapy can be daunting, my goal is to help you feel safe and at ease. Whether you are having relationship issues, issues with sex, exiting a religion, are navigating being queer in a world that makes that difficult, or just feel something is off and don't know why, I can help. With 20 years of experience and a calm and soothing approach, I will help you understand yourself, find direction and identify ways you can live an authentic life that fits you and brings you fulfillment. It takes courage to admit something isn't working and look for help. I feel honored that my clients trust me with their most vulnerable selves.
(208) 960-6030 View (208) 960-6030
Photo of Josie Osborn, MA, LMHC, CMHC, Licensed Professional Counselor
Josie Osborn
Licensed Professional Counselor, MA, LMHC, CMHC
Verified Verified
1 Endorsed
Payson, UT 84651
My primary approach is seeing each client as a unique individual with intrinsic value, and with the capacity for self-healing. I am committed to helping clients feel safe, heard, seen, and valued. I also understand that seeking therapy is a difficult and sometimes scary decision, and I am eager to meet clients wherever they are in their healing process. I believe that every person is the expert in their own life and the role of therapy is to support and build on someone’s personal strengths while providing a safe place to dive deeper into self-understanding and ultimately achieve healing.
My primary approach is seeing each client as a unique individual with intrinsic value, and with the capacity for self-healing. I am committed to helping clients feel safe, heard, seen, and valued. I also understand that seeking therapy is a difficult and sometimes scary decision, and I am eager to meet clients wherever they are in their healing process. I believe that every person is the expert in their own life and the role of therapy is to support and build on someone’s personal strengths while providing a safe place to dive deeper into self-understanding and ultimately achieve healing.
(385) 233-9451 View (385) 233-9451
Photo of Madeline Thompson - Growing With The Seasons Family Practice, MA, LPC, CMHC, LCADC, ACS, Licensed Professional Counselor
Growing With The Seasons Family Practice
Licensed Professional Counselor, MA, LPC, CMHC, LCADC, ACS
Verified Verified
1 Endorsed
Cedar City, UT 84721
Understanding that “life is a school and relationship is a classroom”, Growing With The Seasons is a family of talented and resourceful practitioners who offer unique approaches to living an authentic life. We offer individual, family, couples therapy, and groups to honor the ages and stages and the transitions in our journeys. gwtsfamily.com Growing The Gold !
Understanding that “life is a school and relationship is a classroom”, Growing With The Seasons is a family of talented and resourceful practitioners who offer unique approaches to living an authentic life. We offer individual, family, couples therapy, and groups to honor the ages and stages and the transitions in our journeys. gwtsfamily.com Growing The Gold !
(862) 263-9489 View (862) 263-9489
Photo of Paul Coyne, CSW, Clinical Social Work/Therapist
Paul Coyne
Clinical Social Work/Therapist, CSW
Verified Verified
1 Endorsed
Spanish Fork, UT 84660
Welcome! Taking the step to seek therapy is a significant and courageous decision, and I'm glad you're here. My practice is dedicated to providing a safe, compassionate, and non-judgmental space where you can explore your thoughts, feelings, and challenges. Whether you're dealing with trauma, anxiety, depression, relationship issues, or simply seeking personal growth, my approach is tailored to meet your unique needs. I have experience working with adults, couples and first responders.
Welcome! Taking the step to seek therapy is a significant and courageous decision, and I'm glad you're here. My practice is dedicated to providing a safe, compassionate, and non-judgmental space where you can explore your thoughts, feelings, and challenges. Whether you're dealing with trauma, anxiety, depression, relationship issues, or simply seeking personal growth, my approach is tailored to meet your unique needs. I have experience working with adults, couples and first responders.
(385) 279-5412 View (385) 279-5412
Photo of Alex Ertl, PsyD, Psychologist
Alex Ertl
Psychologist, PsyD
Verified Verified
I view therapy as a place for both the patient and the therapist to be real and authentic. Therapy can be a place where we come together to listen to and honor those parts of ourselves that we cut off. Over time, as we come to acknowledge and accept those parts of self that have been left behind, we can come to feel whole again. In this way, therapy does not eliminate every pain or problem, but it is a chance for reducing unnecessary suffering while being kind to ourselves in the face of the inherent struggles of life.
I view therapy as a place for both the patient and the therapist to be real and authentic. Therapy can be a place where we come together to listen to and honor those parts of ourselves that we cut off. Over time, as we come to acknowledge and accept those parts of self that have been left behind, we can come to feel whole again. In this way, therapy does not eliminate every pain or problem, but it is a chance for reducing unnecessary suffering while being kind to ourselves in the face of the inherent struggles of life.
(801) 336-4490 View (801) 336-4490
Photo of David H Jones, MA, LMFT, CFLE, CEFT, Marriage & Family Therapist
David H Jones
Marriage & Family Therapist, MA, LMFT, CFLE, CEFT
Verified Verified
2 Endorsed
Saint George, UT 84790
You are taking a great first step in health and healing! My therapeutic philosophy focuses on how relationships can be a source of healing and strength. If we can heal relationships, we can create relationships that heal. I am trained in various therapy models and family life education techniques to empower clients with abilities to cope with trials of life and relationships, and to thrive.
You are taking a great first step in health and healing! My therapeutic philosophy focuses on how relationships can be a source of healing and strength. If we can heal relationships, we can create relationships that heal. I am trained in various therapy models and family life education techniques to empower clients with abilities to cope with trials of life and relationships, and to thrive.
(435) 919-5291 View (435) 919-5291

How does your Therapist compare?

Average cost per session

$140

Therapists in Utah who prioritize treating:

91% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
71% Self Esteem
63% Stress
62% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

74% SelectHealth
70% BlueCross and BlueShield
61% EMI Health

How Therapists in Utah see their clients

83% In Person and Online
17% Online Only

Gender breakdown

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

How can I find a therapist in Utah?

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.