Therapists in Fontana, CA

Photo of Madahi Macias, MS, LMFT, Marriage & Family Therapist
Madahi Macias
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Fontana, CA 92336  (Online Only)
Hola, my name is Madahi Macias and I am a first generation Latina therapist. I am passionate about breaking the stigma of mental health in my community helping others break through cycles of generational trauma. I am passionate about working with the first generation Latinx population. I specialize in working with individuals who have experienced trauma. In therapy we collaboratively work through the impacts that trauma has. I also assist individuals in managing depression, anxiety, and life transitions.
Hola, my name is Madahi Macias and I am a first generation Latina therapist. I am passionate about breaking the stigma of mental health in my community helping others break through cycles of generational trauma. I am passionate about working with the first generation Latinx population. I specialize in working with individuals who have experienced trauma. In therapy we collaboratively work through the impacts that trauma has. I also assist individuals in managing depression, anxiety, and life transitions.
(909) 321-6252 View (909) 321-6252
Photo of Carla Hix, LCP, Psychologist
Carla Hix
Psychologist, LCP
Verified Verified
Fontana, CA 92336
My name is Carla Hix, PsyD. I am a clinical psychologist with over 20 years of experience providing psychotherapy. I view therapy as a vital piece of self-care; where one can obtain support, understanding, and engage in effective problem-solving. I specialize in individual therapy with adults. I enjoy working through life’s passages with transitional-age young adults, working through mid-life issues, and working with seniors.
My name is Carla Hix, PsyD. I am a clinical psychologist with over 20 years of experience providing psychotherapy. I view therapy as a vital piece of self-care; where one can obtain support, understanding, and engage in effective problem-solving. I specialize in individual therapy with adults. I enjoy working through life’s passages with transitional-age young adults, working through mid-life issues, and working with seniors.
(909) 359-9897 View (909) 359-9897
Photo of Suzanne Xenakis, LMFT, Marriage & Family Therapist
Suzanne Xenakis
Marriage & Family Therapist, LMFT
Verified Verified
Fontana, CA 92336
My name is Suzanne Xenakis (Zen-uh-kiss). I’m a licensed mental health therapist, (LMFT - licensed marriage & family therapist) in California with a masters in Counseling Psychology. I work with adults of all ages assisting them in making better sense of their lives in an increasingly bewildering world.
My name is Suzanne Xenakis (Zen-uh-kiss). I’m a licensed mental health therapist, (LMFT - licensed marriage & family therapist) in California with a masters in Counseling Psychology. I work with adults of all ages assisting them in making better sense of their lives in an increasingly bewildering world.
(951) 934-7857 View (951) 934-7857
Photo of Manijeh Badiee, PhD, Psychologist
Manijeh Badiee
Psychologist, PhD
Verified Verified
Fontana, CA 92336  (Online Only)
Therapy is not just about mental health but about honoring our multitude of identities. I am an Iranian American, queer, polyamorous, cisgender, woman who has done therapy since 2006. I specialize in clients who are racial/ethnic minorities, queer, transgender, and/or practice consensual non-monogamy/polyamory. I can provide letters for transgender individuals who pursue medical transition. I have worked with a variety of presenting issues such as depression, anxiety, ADHD, and trauma.
Therapy is not just about mental health but about honoring our multitude of identities. I am an Iranian American, queer, polyamorous, cisgender, woman who has done therapy since 2006. I specialize in clients who are racial/ethnic minorities, queer, transgender, and/or practice consensual non-monogamy/polyamory. I can provide letters for transgender individuals who pursue medical transition. I have worked with a variety of presenting issues such as depression, anxiety, ADHD, and trauma.
(909) 244-3145 View (909) 244-3145
Photo of Bradfield Sampica, LMFT, Marriage & Family Therapist
Bradfield Sampica
Marriage & Family Therapist, LMFT
Verified Verified
Fontana, CA 92335
Finding a good therapist can feel a bit like shoe shopping...you may try a few pairs before you find one that fits. I hope to be your pair "that fits." My therapeutic approach is Narrative Therapy. This type of approach, if you are not familiar with it, uses the idea that we are not our problems...Problems are problems. We will explore, discover, and name your problem, identify unique outcomes, and build your preferred identity separate from "problems."
Finding a good therapist can feel a bit like shoe shopping...you may try a few pairs before you find one that fits. I hope to be your pair "that fits." My therapeutic approach is Narrative Therapy. This type of approach, if you are not familiar with it, uses the idea that we are not our problems...Problems are problems. We will explore, discover, and name your problem, identify unique outcomes, and build your preferred identity separate from "problems."
(909) 316-3911 View (909) 316-3911
Photo of Diana Smith, LMFT, Marriage & Family Therapist
Diana Smith
Marriage & Family Therapist, LMFT
Verified Verified
Fontana, CA 92335
Hi! My name is Renee. I am a licensed Marriage and Family Therapist who has worked in the field for over 10 years. I obtained my Master's in Counseling Psychology in 2013 and began working in various clinical settings. I am trained in Cognitive Behavioral Therapy, Trauma Focused CBT, Attachment Therapy, and Systems work. I believe that therapy is a way for a person to open up parts of themselves in order to work on the inner layers of self. My experience includes working with cases involving severe trauma, addictions, family conflict, depression, and anxiety, as well as other stress and adoption/foster care-related issues.
Hi! My name is Renee. I am a licensed Marriage and Family Therapist who has worked in the field for over 10 years. I obtained my Master's in Counseling Psychology in 2013 and began working in various clinical settings. I am trained in Cognitive Behavioral Therapy, Trauma Focused CBT, Attachment Therapy, and Systems work. I believe that therapy is a way for a person to open up parts of themselves in order to work on the inner layers of self. My experience includes working with cases involving severe trauma, addictions, family conflict, depression, and anxiety, as well as other stress and adoption/foster care-related issues.
(951) 456-3917 View (951) 456-3917
Photo of Joyce Diane Harden - Healing Ongoing - Healing Through Change, MA, LMFT, Marriage & Family Therapist
Healing Ongoing - Healing Through Change
Marriage & Family Therapist, MA, LMFT
Verified Verified
Fontana, CA 92336  (Online Only)
Healing comes through change. Our future can be much better than our past with change. I am a Licensed Marriage and Family Therapist with over 18 years experience in the mental health field working with families, adults, children and adolescents. An advocate for children, families in the foster care system, working with Probation, Department of Mental Health and Department of Children and Family Services. Provided services for those in State Hospitals who have severe and persistent mental illness. As a licensed evangelist and Pastor's Wife, Faith Based counseling is available.
Healing comes through change. Our future can be much better than our past with change. I am a Licensed Marriage and Family Therapist with over 18 years experience in the mental health field working with families, adults, children and adolescents. An advocate for children, families in the foster care system, working with Probation, Department of Mental Health and Department of Children and Family Services. Provided services for those in State Hospitals who have severe and persistent mental illness. As a licensed evangelist and Pastor's Wife, Faith Based counseling is available.
(909) 344-5350 View (909) 344-5350
Photo of Joelle Kobliska, LCP, Licensed Professional Counselor
Joelle Kobliska
Licensed Professional Counselor, LCP
Verified Verified
Fontana, CA 92335
Karen Joelle Kobliska, PSY34562. Dr. Joelle Kobliska is a licensed clinical psychologist, specializing in working with teens and the adult population. Dr. Kobliska has over 9 years of direct experience conducting psychotherapy, diagnosing, and psychological assessments. After earning a B.S. degree in Social Work from California State University, Sacramento, and an M.A. in Marriage and Family Counseling from Liberty University, she went on to obtain a Psy.D. in Clinical Psychology from California Southern University. She has been an active clinician in professional counseling settings.
Karen Joelle Kobliska, PSY34562. Dr. Joelle Kobliska is a licensed clinical psychologist, specializing in working with teens and the adult population. Dr. Kobliska has over 9 years of direct experience conducting psychotherapy, diagnosing, and psychological assessments. After earning a B.S. degree in Social Work from California State University, Sacramento, and an M.A. in Marriage and Family Counseling from Liberty University, she went on to obtain a Psy.D. in Clinical Psychology from California Southern University. She has been an active clinician in professional counseling settings.
(909) 248-2325 View (909) 248-2325
Photo of Lunda Gill-Desbrow, LMFT, Marriage & Family Therapist
Lunda Gill-Desbrow
Marriage & Family Therapist, LMFT
Verified Verified
Fontana, CA 92335
Hello, thank you for your time. I have always been curious about what motivates a person. I have had my license for over 30 years and have worked in psychology, education, and business. I am a widow with two teenagers and love working on puzzles and being around animals. Feel free to contact me or leave me a message. I look forward to working with you soon!
Hello, thank you for your time. I have always been curious about what motivates a person. I have had my license for over 30 years and have worked in psychology, education, and business. I am a widow with two teenagers and love working on puzzles and being around animals. Feel free to contact me or leave me a message. I look forward to working with you soon!
(951) 450-0181 View (951) 450-0181
Photo of Mattie DURAN, AMFT, Marriage & Family Therapist Associate
Mattie DURAN
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Fontana, CA 92335
As a dedicated therapist, I bring a wealth of experience and a compassionate approach to my practice, specializing in trauma recovery, PTSD, anger management, parenting, addiction, anxiety, and depression. I have had the privilege of working with diverse populations, including the incarcerated, which has deepened my understanding of their unique challenges and enhanced my skills in facilitating personal growth and rehabilitation.
As a dedicated therapist, I bring a wealth of experience and a compassionate approach to my practice, specializing in trauma recovery, PTSD, anger management, parenting, addiction, anxiety, and depression. I have had the privilege of working with diverse populations, including the incarcerated, which has deepened my understanding of their unique challenges and enhanced my skills in facilitating personal growth and rehabilitation.
(951) 556-6621 View (951) 556-6621
Photo of Carol Rose Adkisson - Healing for Humanity Counseling, Inc., MA, LMFT, Marriage & Family Therapist
Healing for Humanity Counseling, Inc.
Marriage & Family Therapist, MA, LMFT
Verified Verified
10 Endorsed
Fontana, CA 92336  (Online Only)
Are you looking for hope? Whether it is anxiety, depression or addictive behaviors, I have been there and learned practical ways to help speed up the healing process. If you are you a couple that argues or avoids each other, that usually stops in the first 3 sessions. Are you an individual that desperately wants to change and doesn't know how? Through many years of trial and error, education and humor I have created practical ideas to expedite your healing process. My goal is to guide you to a happy and manageable life. If you have a chance watch my video's, see if we are a good fit. Youtube - Carol Rose Adkisson.
Are you looking for hope? Whether it is anxiety, depression or addictive behaviors, I have been there and learned practical ways to help speed up the healing process. If you are you a couple that argues or avoids each other, that usually stops in the first 3 sessions. Are you an individual that desperately wants to change and doesn't know how? Through many years of trial and error, education and humor I have created practical ideas to expedite your healing process. My goal is to guide you to a happy and manageable life. If you have a chance watch my video's, see if we are a good fit. Youtube - Carol Rose Adkisson.
(909) 693-3177 View (909) 693-3177
Photo of Riba Khaleda Eshanzada, LCSW, Clinical Social Work/Therapist
Riba Khaleda Eshanzada
Clinical Social Work/Therapist, LCSW
Verified Verified
Fontana, CA 92336  (Online Only)
Riba Eshanzada focuses on Depression, Life Transitions, Personal Growth and Self-Esteem, General relationship challenges (family, friends, co-workers), and Religion and Spirituality.
Riba Eshanzada focuses on Depression, Life Transitions, Personal Growth and Self-Esteem, General relationship challenges (family, friends, co-workers), and Religion and Spirituality.
(909) 359-6741 View (909) 359-6741
Photo of Daniel James, LMFT, Marriage & Family Therapist
Daniel James
Marriage & Family Therapist, LMFT
Verified Verified
Fontana, CA 92335
My name is Daniel James, and I am a Licensed Marriage and Family Therapist (LMFT) as well as a Licensed Professional Clinical Counselor (LPCC) for 25 years. My approach to psychotherapy is a collaborative and flexible partnership with each client. I believe that trust, respect, non-judgment, genuineness, and compassion form the foundation of a therapeutic relationship. I enjoy working primarily with adults, adolescents, and families. I work with individuals who experience a variety of addictive disorders, relational issues, mood disorders, and those seeking a better understanding of their life and how to make it better.
My name is Daniel James, and I am a Licensed Marriage and Family Therapist (LMFT) as well as a Licensed Professional Clinical Counselor (LPCC) for 25 years. My approach to psychotherapy is a collaborative and flexible partnership with each client. I believe that trust, respect, non-judgment, genuineness, and compassion form the foundation of a therapeutic relationship. I enjoy working primarily with adults, adolescents, and families. I work with individuals who experience a variety of addictive disorders, relational issues, mood disorders, and those seeking a better understanding of their life and how to make it better.
(951) 468-9610 View (951) 468-9610
Photo of Deserae Leanna Quezada, LCSW, Clinical Social Work/Therapist
Deserae Leanna Quezada
Clinical Social Work/Therapist, LCSW
Verified Verified
Fontana, CA 92337  (Online Only)
Are intrusive thoughts taking control? Tired of being to anxious to live your life the way you want? I can provide support, problem solving skills, and enhanced coping strategies for issues such as depression, anxiety, OCD, unresolved childhood issues, grief, chronic illness and stress. As a therapist and licensed clinical social worker, I work with you through self-reflection, empowerment, and support. My approach is to meet each client where they are and to collaboratively develop a treatment plan based off your individual goals.
Are intrusive thoughts taking control? Tired of being to anxious to live your life the way you want? I can provide support, problem solving skills, and enhanced coping strategies for issues such as depression, anxiety, OCD, unresolved childhood issues, grief, chronic illness and stress. As a therapist and licensed clinical social worker, I work with you through self-reflection, empowerment, and support. My approach is to meet each client where they are and to collaboratively develop a treatment plan based off your individual goals.
(951) 420-7301 View (951) 420-7301
Photo of Crystal Carrillo, LMFT, Marriage & Family Therapist
Crystal Carrillo
Marriage & Family Therapist, LMFT
Verified Verified
Fontana, CA 92336
Tired of feeling the way you are feeling and ready to take the first step to heal and change. My name is Crystal Carrillo and I am a Licensed Marriage and Family Therapist. I service diverse populations ranging from children to older adults. My areas of expertise are ADD/ADHD, Co-Occurring Disorders, Depression, Anxiety, Divorce, Parent-Child Relational Issues, Family Relational Issues, Trauma, Victims of Abuse, Women Issues, Career Changes, Grief and Loss, Bullying, Anger Management, and Life Transitions.
Tired of feeling the way you are feeling and ready to take the first step to heal and change. My name is Crystal Carrillo and I am a Licensed Marriage and Family Therapist. I service diverse populations ranging from children to older adults. My areas of expertise are ADD/ADHD, Co-Occurring Disorders, Depression, Anxiety, Divorce, Parent-Child Relational Issues, Family Relational Issues, Trauma, Victims of Abuse, Women Issues, Career Changes, Grief and Loss, Bullying, Anger Management, and Life Transitions.
(909) 639-2490 View (909) 639-2490
Photo of Maureen Ezechukwu, LCSW, Clinical Social Work/Therapist
Maureen Ezechukwu
Clinical Social Work/Therapist, LCSW
Verified Verified
Fontana, CA 92336
My name is Maureen Ezechukwu. I am a Licensed Clinical Social Worker who specializes in providing psychotherapy to individuals who are experiencing challenges with anxiety, depression, life transitions, and other general stressors. I utilize a strength-based approach that combines solution-focused, cognitive-behavioral, DBT skills (mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation) and nontraditional ways of therapy. I am passionate about helping my clients navigate through life as the best version of themselves.
My name is Maureen Ezechukwu. I am a Licensed Clinical Social Worker who specializes in providing psychotherapy to individuals who are experiencing challenges with anxiety, depression, life transitions, and other general stressors. I utilize a strength-based approach that combines solution-focused, cognitive-behavioral, DBT skills (mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation) and nontraditional ways of therapy. I am passionate about helping my clients navigate through life as the best version of themselves.
(909) 256-2641 View (909) 256-2641
Photo of Stephanie Hon, LMFT, Marriage & Family Therapist
Stephanie Hon
Marriage & Family Therapist, LMFT
Verified Verified
Fontana, CA 92336
Hi! My name is Stephanie Hon and I am a Licensed Marriage and Family Therapist and a Licensed Professional Clinical Counselor in the state of California with over 6 years of clinical experience. I enjoy working with young adults and adults dealing with anxiety, stress, and interpersonal relationship issues. I utilize acceptance commitment therapy (ACT), cognitive behavioral therapy (CBT), trauma resiliency model (TRM), and Gottman Method with my clients.
Hi! My name is Stephanie Hon and I am a Licensed Marriage and Family Therapist and a Licensed Professional Clinical Counselor in the state of California with over 6 years of clinical experience. I enjoy working with young adults and adults dealing with anxiety, stress, and interpersonal relationship issues. I utilize acceptance commitment therapy (ACT), cognitive behavioral therapy (CBT), trauma resiliency model (TRM), and Gottman Method with my clients.
(909) 588-2558 View (909) 588-2558
Photo of Brian Mitchell, LCSW, Clinical Social Work/Therapist
Brian Mitchell
Clinical Social Work/Therapist, LCSW
Verified Verified
Fontana, CA 92336
Hello there, I'm Brian Mitchell. I am a Licensed Clinical Social Worker with a client-centered approach to therapy, focusing on trauma and PTSD. I tailor my approach to each client's unique needs and experiences. I am trained in several evidence-based therapies, including CBT, EMDR, and TF-CBT, as well as mindfulness techniques and stress reduction strategies. I work to create a safe and supportive environment for clients to work towards healing and learning coping skills.
Hello there, I'm Brian Mitchell. I am a Licensed Clinical Social Worker with a client-centered approach to therapy, focusing on trauma and PTSD. I tailor my approach to each client's unique needs and experiences. I am trained in several evidence-based therapies, including CBT, EMDR, and TF-CBT, as well as mindfulness techniques and stress reduction strategies. I work to create a safe and supportive environment for clients to work towards healing and learning coping skills.
(951) 357-0795 View (951) 357-0795
Photo of Cynthia Salazar, LMFT, Marriage & Family Therapist
Cynthia Salazar
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Fontana, CA 92335
Cynthia is a Licensed Therapist with experience working with at- risk youth, clients in crisis, offenders, families, and individuals struggling with various challenges. She has diverse experience working with individual’s in-patient and outpatient facilities, and in containment and mandated compacities, and School based. She approaches therapy with humility and respect for individualism and autonomy. Utilizing various tools incorporated from many modalities, therapy is integrated and tailored to her clients’ needs. Personal statement, "The most powerful approach for a person is to meet them where they are".
Cynthia is a Licensed Therapist with experience working with at- risk youth, clients in crisis, offenders, families, and individuals struggling with various challenges. She has diverse experience working with individual’s in-patient and outpatient facilities, and in containment and mandated compacities, and School based. She approaches therapy with humility and respect for individualism and autonomy. Utilizing various tools incorporated from many modalities, therapy is integrated and tailored to her clients’ needs. Personal statement, "The most powerful approach for a person is to meet them where they are".
(626) 876-3845 View (626) 876-3845
Photo of Gabrielle Dillard - Gabrielle Dillard, LCSW, LCSW , Clinical Social Work/Therapist
Gabrielle Dillard, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Fontana, CA 92336  (Online Only)
Teletherapy only in CA and FL. I utilize an eclectic approach to incorporate a combination of evidence-based practices. I understand we all learn in different way, and our journeys are all unique. My treatment approach includes providing a client centered, trauma-informed, strength based therapeutic style. I will work with you to determine which therapy models are best for you in our work together. I take a whole person approach with an emphasis on the mind and body connection to mental health.
Teletherapy only in CA and FL. I utilize an eclectic approach to incorporate a combination of evidence-based practices. I understand we all learn in different way, and our journeys are all unique. My treatment approach includes providing a client centered, trauma-informed, strength based therapeutic style. I will work with you to determine which therapy models are best for you in our work together. I take a whole person approach with an emphasis on the mind and body connection to mental health.
(909) 413-5788 View (909) 413-5788
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How does your Therapist compare?

Number of Therapists in Fontana, CA

200+

Average cost per session

$150

Therapists in Fontana, CA who prioritize treating:

90% Anxiety
85% Depression
72% Coping Skills
72% Self Esteem
66% Relationship Issues
65% Stress
57% Grief

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
83% Cigna and Evernorth
78% UnitedHealthcare UHC | UBH

How Therapists in Fontana, CA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Fontana?

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.