Therapists in Portland, OR
![Photo of Kristin Hajny, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/eea1f048-ff5b-4577-bb55-ddb8208288da/3/320x400.jpeg)
Kristin Hajny
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97219 (Online Only)
If you find your mind racing uncontrollably with thoughts of worry or stress, you feel lost when going through big life changes, or are struggling to find motivation to complete your goals, you don't have to go through it alone. I am an empathic listener who wants to support your growth and healing.
If you find your mind racing uncontrollably with thoughts of worry or stress, you feel lost when going through big life changes, or are struggling to find motivation to complete your goals, you don't have to go through it alone. I am an empathic listener who wants to support your growth and healing.
![Photo of Demir Crone, MA, AMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/42c4f981-5c2b-459b-af6e-01ff15be61b6/1/320x400.jpeg)
Demir Crone
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Portland, OR 97209 (Online Only)
I work with a variety of issues- trauma, attachment issues, sexual challenges, anxiety, depression, mood disorders, life transitions, LGBTQ+, and more. With individuals, I draw primarily on AEDP and ISTDP- two compassionate, deep, and relational psychodynamic approaches designed to create lasting change. I am actively receiving training in both, along with consultations in order to provide high quality therapy to all my clients. I work with couples and have done training in Emotional Focused Therapy for Couples and sex therapy (ATSIP Level 1). I am currently doing trainings in ISTDP for Couples and in the Developmental Model.
I work with a variety of issues- trauma, attachment issues, sexual challenges, anxiety, depression, mood disorders, life transitions, LGBTQ+, and more. With individuals, I draw primarily on AEDP and ISTDP- two compassionate, deep, and relational psychodynamic approaches designed to create lasting change. I am actively receiving training in both, along with consultations in order to provide high quality therapy to all my clients. I work with couples and have done training in Emotional Focused Therapy for Couples and sex therapy (ATSIP Level 1). I am currently doing trainings in ISTDP for Couples and in the Developmental Model.
![Photo of Marni Coletti, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/54425b19-dab5-4de0-8114-531f2de232b9/2/320x400.jpeg)
Marni Coletti
Pre-Licensed Professional, MA
Verified Verified
Portland, OR 97210
Not accepting new clients
There are so many reasons why people seek therapy. It could be a life transition, anxiety, depression, divorce, blended families or tough teenagers. Sometimes in life people lose a sense of who they truly are and seek to find what more accurately reflects them. Overall, most people are looking for a space to process and make meaning of life experiences, behaviors and reactivity. Whatever your reason for seeking therapy, good for you for having the courage to take the first step. My goal is to make the process of finding a therapist authentic and comfortable because I value the meaningful relationship between therapist and client.
There are so many reasons why people seek therapy. It could be a life transition, anxiety, depression, divorce, blended families or tough teenagers. Sometimes in life people lose a sense of who they truly are and seek to find what more accurately reflects them. Overall, most people are looking for a space to process and make meaning of life experiences, behaviors and reactivity. Whatever your reason for seeking therapy, good for you for having the courage to take the first step. My goal is to make the process of finding a therapist authentic and comfortable because I value the meaningful relationship between therapist and client.
![Photo of Katheryn Rose Hayward, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/792eb6d4-7e11-486d-8c27-ce186ceb5d9e/1/320x400.jpeg)
Katheryn Rose Hayward
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97283 (Online Only)
My name is Katheryn. I am a Licensed Clinical Social Worker who has an extensive history of working with children, adults, and older adults in a variety of community, inpatient and outpatient settings. I work under an eclectic framework and primarily support individuals who experience anxiety, phobias, depression, and trauma related symptoms. Using a strengths-based approach, I guide individuals in bringing change to their lives that is positive and constructive. I believe in creating safe, collaborative environments for individuals to take on their journey toward growth and healing. I am licensed in California and Oregon.
My name is Katheryn. I am a Licensed Clinical Social Worker who has an extensive history of working with children, adults, and older adults in a variety of community, inpatient and outpatient settings. I work under an eclectic framework and primarily support individuals who experience anxiety, phobias, depression, and trauma related symptoms. Using a strengths-based approach, I guide individuals in bringing change to their lives that is positive and constructive. I believe in creating safe, collaborative environments for individuals to take on their journey toward growth and healing. I am licensed in California and Oregon.
![Photo of Cam Ericksen, MS , NCC](https://photos.psychologytoday.com/e6a8fe7b-5b50-4df8-9591-c7b660ec4f78/2/320x400.jpeg)
Cam Ericksen
Professional Counselor Associate, MS , NCC
Verified Verified
Portland, OR 97217 (Online Only)
My name is Cam and I am eager to work with people who are ready to dig into their experiences, raise awareness of their processes, and heal past and current wounds. I hold several privileged and marginalized identities that inform the way I support people. Existing in an oppressive system, that at times told me I did not belong, has given me the empathy to support people who have felt othered, unseen, underserved, and underrepresented. My hope is to offer a therapeutic relationship that builds your self supports and bridges environmental supports to communities you are a part of or building.
My name is Cam and I am eager to work with people who are ready to dig into their experiences, raise awareness of their processes, and heal past and current wounds. I hold several privileged and marginalized identities that inform the way I support people. Existing in an oppressive system, that at times told me I did not belong, has given me the empathy to support people who have felt othered, unseen, underserved, and underrepresented. My hope is to offer a therapeutic relationship that builds your self supports and bridges environmental supports to communities you are a part of or building.
![Photo of Nancy Asher, PhD, Psychologist](https://photos.psychologytoday.com/8d027a60-733f-4435-8a3f-c31b1d40f0c7/1/320x400.jpeg)
Do you feel like you’re expending a tremendous amount of energy just trying to keep your life together and often feel like you're falling short? It's time for a change. I work well with clients who are seeking help with stress management, anxiety, procrastination, focus, life transitions, and relationship issues. We will work on empowering you with greater understanding and awareness so you can develop tools and strategies to make positive changes in your life and reach your personal and professional goals.
Do you feel like you’re expending a tremendous amount of energy just trying to keep your life together and often feel like you're falling short? It's time for a change. I work well with clients who are seeking help with stress management, anxiety, procrastination, focus, life transitions, and relationship issues. We will work on empowering you with greater understanding and awareness so you can develop tools and strategies to make positive changes in your life and reach your personal and professional goals.
![Photo of Christina O Rose, LPC, SEP, Licensed Professional Counselor](https://photos.psychologytoday.com/cf111ae8-6f18-41e5-a81a-313ec9042a31/1/320x400.jpeg)
Christina O Rose
Licensed Professional Counselor, LPC, SEP
Verified Verified
1 Endorsed
Portland, OR 97232
Not accepting new clients
I offer Individual Counseling specializing in trauma recovery, grief and loss, relationship issues, and personal empowerment. I am a Certified EMDR (Eye Movement Desensitization and Reprocessing) Therapist. I completed the Somatic Experiencing Practitioner (SEP) training through the Somatic Experiencing Trauma Institute. I assist clients in re-learning to trust their inner compass and embrace their own capacity for growth and wellness. Part of that growth is in building relationship with themselves, and with others, to develop and or enhance intimacy, community, and connection.
I offer Individual Counseling specializing in trauma recovery, grief and loss, relationship issues, and personal empowerment. I am a Certified EMDR (Eye Movement Desensitization and Reprocessing) Therapist. I completed the Somatic Experiencing Practitioner (SEP) training through the Somatic Experiencing Trauma Institute. I assist clients in re-learning to trust their inner compass and embrace their own capacity for growth and wellness. Part of that growth is in building relationship with themselves, and with others, to develop and or enhance intimacy, community, and connection.
![Photo of Jason Feinberg, PhD, Psychologist](https://photos.psychologytoday.com/c60680fd-3346-4b5c-bc74-2cff5af60241/2/320x400.png)
It can be incredibly difficult to live a fulfilling life when your mind seems to be working against you. Most of the people I work with struggle with repetitive and unwanted thoughts, images, and emotions. As a result, their lives have unintentionally become more focused on avoiding certain thoughts or feelings and less focused on connecting with their loved ones, values, and life goals. As a therapist, I find it incredibly rewarding to help people learn and practice effective strategies that get them back to doing more of what gives their lives meaning.
It can be incredibly difficult to live a fulfilling life when your mind seems to be working against you. Most of the people I work with struggle with repetitive and unwanted thoughts, images, and emotions. As a result, their lives have unintentionally become more focused on avoiding certain thoughts or feelings and less focused on connecting with their loved ones, values, and life goals. As a therapist, I find it incredibly rewarding to help people learn and practice effective strategies that get them back to doing more of what gives their lives meaning.
![Photo of Nicole Rose, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/47f23068-b398-43a4-9175-b85ed4526cb0/1/320x400.jpeg)
I know and believe that healing can be achieved as it has in my own life. With this knowledge, I seek to provide a safe and non-judgmental environment for my clients to begin their healing journey.
I know and believe that healing can be achieved as it has in my own life. With this knowledge, I seek to provide a safe and non-judgmental environment for my clients to begin their healing journey.
![Photo of Samantha Tracy, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/b62452d9-4910-402a-b470-05538cb11379/3/320x400.jpeg)
Samantha Tracy
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97202
Are you struggling with stressors causing an emotional or physical response? Or feeling excessive worry and uncertainty creating difficulty to manage it on your own? Have you felt disconnected from the people you care about and it’s creating challenges in your life that have led to relational conflicts? I thrive as a therapist to work with individual adults who are neurodivergent, struggle with anxiety, stressful life transitions, relational issues, exploring sobriety, perimenopause/menopause phases, & childhood trauma.
Are you struggling with stressors causing an emotional or physical response? Or feeling excessive worry and uncertainty creating difficulty to manage it on your own? Have you felt disconnected from the people you care about and it’s creating challenges in your life that have led to relational conflicts? I thrive as a therapist to work with individual adults who are neurodivergent, struggle with anxiety, stressful life transitions, relational issues, exploring sobriety, perimenopause/menopause phases, & childhood trauma.
![Photo of Molz Wirtz-Wold, MS, LMHC, LPC, Counselor](https://photos.psychologytoday.com/353c9080-5fa5-497a-ad46-cfacd3cbee3d/1/320x400.jpeg)
Accepting clients as of 8/20/24. A therapist for 19 years, I am a good fit for people looking for a non-judgmental, open, directive and creative clinician. I support individual adults and couples/relationships from an attachment and relational approach. I am very experienced in supporting transgender, queer, polyamorous and/or sex positive clients. People looking for a safe space to be their authentic selves are welcomed. I am queer, transgender, autistic and have lived experience as a fat bodied person.
Accepting clients as of 8/20/24. A therapist for 19 years, I am a good fit for people looking for a non-judgmental, open, directive and creative clinician. I support individual adults and couples/relationships from an attachment and relational approach. I am very experienced in supporting transgender, queer, polyamorous and/or sex positive clients. People looking for a safe space to be their authentic selves are welcomed. I am queer, transgender, autistic and have lived experience as a fat bodied person.
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![Photo of Dr. Kimberly Christensen, PhD, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/c95a932a-cb97-4f2f-90d0-2566dd1ddbfa/1/320x400.jpeg)
Dr. Kimberly Christensen
Marriage & Family Therapist, PhD, LMFT
Verified Verified
4 Endorsed
Portland, OR 97209
Welcome! If you find yourself navigating through this platform, it's likely because you're seeking a guiding light to illuminate your path toward positive change. With over 12 years of dedicated experience in the field of psychology, I specialize in somatic and depth psychotherapy, emphasizing trauma-informed care. My approach is rooted in the profound belief that your journey to healing should not only be transformative, but deeply attuned to the specificities of your individual experiences.
Welcome! If you find yourself navigating through this platform, it's likely because you're seeking a guiding light to illuminate your path toward positive change. With over 12 years of dedicated experience in the field of psychology, I specialize in somatic and depth psychotherapy, emphasizing trauma-informed care. My approach is rooted in the profound belief that your journey to healing should not only be transformative, but deeply attuned to the specificities of your individual experiences.
![Photo of Hanna Lyon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/500066ae-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Hanna Lyon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97232
Not accepting new clients
I am not accepting new clients and do not keep a waitlist. I specialize in working with adults and teens as they navigate life transitions and stressors. My approach is warm, client centered, strengths based, and relational, with the intent to walk alongside a person during transition and change processes. My work facilitates a deepening understanding of self to support people in accepting who they are and knowing that they matter.
I am not accepting new clients and do not keep a waitlist. I specialize in working with adults and teens as they navigate life transitions and stressors. My approach is warm, client centered, strengths based, and relational, with the intent to walk alongside a person during transition and change processes. My work facilitates a deepening understanding of self to support people in accepting who they are and knowing that they matter.
![Photo of Megan C Lammers, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/469cd3ab-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Megan C Lammers
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97212
Not accepting new clients
As a Mental Health Therapist, Licensed Clinical Social Worker in Oregon and Washington, I believe that we all inherently have the capacity for deep healing within ourselves. I work with a wide range of issues including trauma, anxiety, depression, & eating disorders. I am a Certified Brainspotting Practitioner.
As a Mental Health Therapist, Licensed Clinical Social Worker in Oregon and Washington, I believe that we all inherently have the capacity for deep healing within ourselves. I work with a wide range of issues including trauma, anxiety, depression, & eating disorders. I am a Certified Brainspotting Practitioner.
![Photo of Sabrina LaGood-Robinson, Pre-Licensed Professional](https://photos.psychologytoday.com/538f1361-e7a9-4dc6-b69c-c6d1a5142e08/2/320x400.jpeg)
The world is a beautiful and complex place, and sometimes we need help navigating through the nuance. My goal as a counselor is to provide a safe and supportive space to my clients where they can explore their experiences while I offer warmth, compassion, empathy, and perhaps a touch of humor.
The world is a beautiful and complex place, and sometimes we need help navigating through the nuance. My goal as a counselor is to provide a safe and supportive space to my clients where they can explore their experiences while I offer warmth, compassion, empathy, and perhaps a touch of humor.
![Photo of Blake Locher, MS, CRC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/db98061f-2444-4daa-acef-d8a40b000c07/1/320x400.jpeg)
Blake Locher
Licensed Professional Counselor, MS, CRC, LPC
Verified Verified
1 Endorsed
Portland, OR 97205
Not accepting new clients
As we navigate transitions and answer our inner call for change, we often need additional support. I am an interpersonal-focused therapist that works with you to create an empowering space in which you are free to be yourself, discover blind spots that may be getting in your way, and reclaim ownership of your life and what you want to do with it. My particular areas of work include shame, self-doubt, depression, anxiety, adjusting to life transitions, and adjusting to the effects of disabilities, as well as facilitating self-exploration and authentic identity development.
As we navigate transitions and answer our inner call for change, we often need additional support. I am an interpersonal-focused therapist that works with you to create an empowering space in which you are free to be yourself, discover blind spots that may be getting in your way, and reclaim ownership of your life and what you want to do with it. My particular areas of work include shame, self-doubt, depression, anxiety, adjusting to life transitions, and adjusting to the effects of disabilities, as well as facilitating self-exploration and authentic identity development.
![Photo of Micah Hala, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a9a5aae5-8b39-470f-9576-8a7ad2a7fadd/2/320x400.jpeg)
We can all learn new skills and expand our ability to intentionally and successfully meet challenges. Therapy is a powerful tool to strengthen the process of healing, growth, and transformation. I approach this relational process collaboratively, striving to offer unconditional acceptance, patience and warmth, regardless of what brings you to therapy; holding each person’s specific needs. My aim is to help you fully embrace your authentic self, with confidence and compassion.
We can all learn new skills and expand our ability to intentionally and successfully meet challenges. Therapy is a powerful tool to strengthen the process of healing, growth, and transformation. I approach this relational process collaboratively, striving to offer unconditional acceptance, patience and warmth, regardless of what brings you to therapy; holding each person’s specific needs. My aim is to help you fully embrace your authentic self, with confidence and compassion.
![Photo of Rachel Trytko - RTKO Counseling](https://photos.psychologytoday.com/bc704a90-6f10-48b9-be43-3d0ad64a0129/1/320x400.png)
I help clients gain clarity about what it is that they really want out of life, and then assist them in identifying the way in which they are subconsciously sabotaging their attempts to cultivate a more rewarding and fulfilling existence.
I help clients gain clarity about what it is that they really want out of life, and then assist them in identifying the way in which they are subconsciously sabotaging their attempts to cultivate a more rewarding and fulfilling existence.
![Photo of Kate Raineri, PsyD, Psychologist](https://photos.psychologytoday.com/e3a0d66e-b8d9-40d8-a2ff-5f7059dd9545/3/320x400.jpeg)
Kate Raineri
Psychologist, PsyD
Verified Verified
Portland, OR 97202 (Online Only)
Waitlist for new clients
Welcome! My name is Dr. Kate Raineri and I'm a licensed clinical psychologist in the state of Oregon. I offer individual therapy services for ages across the lifespan. I have over 10 years of experience serving clients in the Willamette Valley and I specialize in the treatment of eating disorders and anxiety. Additionally, I have extensive experience working with mood disorders, perinatal/postnatal concerns, and chronic health conditions (e.g., diabetes).
Welcome! My name is Dr. Kate Raineri and I'm a licensed clinical psychologist in the state of Oregon. I offer individual therapy services for ages across the lifespan. I have over 10 years of experience serving clients in the Willamette Valley and I specialize in the treatment of eating disorders and anxiety. Additionally, I have extensive experience working with mood disorders, perinatal/postnatal concerns, and chronic health conditions (e.g., diabetes).
![Photo of Cherrie Padua, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6b06b449-6e16-44d8-b925-2ba0088b4477/3/320x400.jpeg)
Cherrie Padua
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97214 (Online Only)
Waitlist for new clients
Having the courage to make changes in our lives can be a stressful time. I am here to support you. I believe finding the right therapist is a key part of having a successful and positive therapeutic experience. If you’re looking for strategies to deal with anxiety, depression, stress, or feeling lost or stuck, I am here to provide guidance and space in re-discovering your inner strength and promote healing.
Having the courage to make changes in our lives can be a stressful time. I am here to support you. I believe finding the right therapist is a key part of having a successful and positive therapeutic experience. If you’re looking for strategies to deal with anxiety, depression, stress, or feeling lost or stuck, I am here to provide guidance and space in re-discovering your inner strength and promote healing.
See more therapy options for Portland
How does your Therapist compare?
Number of Therapists in Portland, OR
3,000+
Average cost per session
$160
Therapists in Portland, OR who prioritize treating:
91% | Anxiety |
84% | Depression |
77% | Relationship Issues |
75% | Self Esteem |
74% | Trauma and PTSD |
70% | Stress |
67% | Life Transitions |
Average years in practice
10 Years
Top 3 insurances accepted
52% | PacificSource |
49% | Aetna |
38% | BlueCross and BlueShield |
How Therapists in Portland, OR see their clients
55% | In Person and Online | |
45% | Online Only |
Gender breakdown
74% | Female | |
22% | Male | |
4% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Portland?
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
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.
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.
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.