Therapists in Barnes County, ND

Photo of Tiara F Perkins, LPCC, LPC, CCTP, MS, Counselor
Tiara F Perkins
Counselor, LPCC, LPC, CCTP, MS
Verified Verified
Valley City, ND 58072  (Online Only)
I am a Licensed Professional Clinical Counselor in North Dakota with 7 years of experience. I am also a Certified Clinical Trauma Professional. I have worked with a variety of concerns such as; depression, anxiety, mood regulation, self-harm behaviors, suicidal ideation and symptoms related to psychosis.
I am a Licensed Professional Clinical Counselor in North Dakota with 7 years of experience. I am also a Certified Clinical Trauma Professional. I have worked with a variety of concerns such as; depression, anxiety, mood regulation, self-harm behaviors, suicidal ideation and symptoms related to psychosis.
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Photo of Allen Irish-Zabolotny, MS,  LPC, LPCC, NCC
Allen Irish-Zabolotny
Licensed Professional Clinical Counselor, MS, LPC, LPCC, NCC
Verified Verified
Valley City, ND 58072
My name is Allen and I want to thank you for taking the time to look at my profile. If you are struggling with depression, anxiety, self-esteem, or feeling connected to others I would like to help. Many of my clients come to me because they no longer want to feel the way they do and simply want to feel better, have less anxiety, and to be confident to live the life they want. Some seek me out to utilize EMDR as a way to overcome their struggles. No matter what you may be struggling with, A2Z is here to help you through those struggles. Give me a call and leaving a voicemail will ensure a return call, as I may be with another client.
My name is Allen and I want to thank you for taking the time to look at my profile. If you are struggling with depression, anxiety, self-esteem, or feeling connected to others I would like to help. Many of my clients come to me because they no longer want to feel the way they do and simply want to feel better, have less anxiety, and to be confident to live the life they want. Some seek me out to utilize EMDR as a way to overcome their struggles. No matter what you may be struggling with, A2Z is here to help you through those struggles. Give me a call and leaving a voicemail will ensure a return call, as I may be with another client.
(701) 205-1238 View (701) 205-1238

Online Therapists

Photo of Julie Windahl, MS, LMFT, Marriage & Family Therapist
Julie Windahl
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fargo, ND 58104
Throughout her career, Julie has honed her skills in providing therapeutic support to individuals in various stages of life, cultivating a genuine passion for helping others overcome mental health challenges. Her approach is rooted in collaboration, as she works closely with clients to understand their unique situations and co-create personalized paths forward. If you are someone in need of marriage counseling, couples counseling or individual counseling Julie has over 14 years of experience working in as an outpatient mental health therapist and can help you nagivate interpersonal relationships, family dynamics and personal goals.
Throughout her career, Julie has honed her skills in providing therapeutic support to individuals in various stages of life, cultivating a genuine passion for helping others overcome mental health challenges. Her approach is rooted in collaboration, as she works closely with clients to understand their unique situations and co-create personalized paths forward. If you are someone in need of marriage counseling, couples counseling or individual counseling Julie has over 14 years of experience working in as an outpatient mental health therapist and can help you nagivate interpersonal relationships, family dynamics and personal goals.
(701) 401-0656 View (701) 401-0656
Photo of Sara Quam, PsyD, LP, Psychologist
Sara Quam
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Fargo, ND 58104
Your struggle with depression, anxiety, or other distress is interfering with your life. It has caused problems for you at work or school and has even created tensions or distance in your relationships with friends and family. You are feeling overwhelmed with your current situation and unable to cope with the challenges you face. We offer a range of behavioral health services that can help you meet the challenges and move beyond them.
Your struggle with depression, anxiety, or other distress is interfering with your life. It has caused problems for you at work or school and has even created tensions or distance in your relationships with friends and family. You are feeling overwhelmed with your current situation and unable to cope with the challenges you face. We offer a range of behavioral health services that can help you meet the challenges and move beyond them.
(701) 639-2483 View (701) 639-2483
Photo of Laura Pladson, MEd, LPCC, ACP-EFT, Counselor
Laura Pladson
Counselor, MEd, LPCC, ACP-EFT
Verified Verified
West Fargo, ND 58078
Greetings! I've been a licensed professional counselor for 30 years and I provide a holistic approach to counseling. I believe we are souls having human experiences and to achieve balance and coherence we must address the energetic and spiritual aspects of ourselves in addition to the physical, mental, and emotional. I use cognitive somatic energy practices to shift the stuck energy that can lead to physical, mental, and emotional dis-ease and I offer a listening program designed to re-tune the nervous system.
Greetings! I've been a licensed professional counselor for 30 years and I provide a holistic approach to counseling. I believe we are souls having human experiences and to achieve balance and coherence we must address the energetic and spiritual aspects of ourselves in addition to the physical, mental, and emotional. I use cognitive somatic energy practices to shift the stuck energy that can lead to physical, mental, and emotional dis-ease and I offer a listening program designed to re-tune the nervous system.
(701) 543-6267 View (701) 543-6267
Photo of Jessica Danielson, PhD, LPCC-S, NCC, Counselor
Jessica Danielson
Counselor, PhD, LPCC-S, NCC
Verified Verified
7 Endorsed
Fargo, ND 58102  (Online Only)
I am an experienced Licensed Professional Clinical Counselor (LPCC) in ND. I have been a licensed counselor since 2015 with inpatient, community agency, and college campus clinical experiences. I have worked with individuals and families across the lifespan with a variety of presenting concerns. I specialize in relational growth, self-concept, identity development, and life transitions. You can expect a combination of empathy, support, challenge, and accountability from me. Together, we will embrace discomfort, engage in perspective-taking, and explore options to create a life worth living to you.
I am an experienced Licensed Professional Clinical Counselor (LPCC) in ND. I have been a licensed counselor since 2015 with inpatient, community agency, and college campus clinical experiences. I have worked with individuals and families across the lifespan with a variety of presenting concerns. I specialize in relational growth, self-concept, identity development, and life transitions. You can expect a combination of empathy, support, challenge, and accountability from me. Together, we will embrace discomfort, engage in perspective-taking, and explore options to create a life worth living to you.
(701) 695-4342 View (701) 695-4342
Photo of Alana D Johnston, MSW, LCSW, LICSW, Clinical Social Work/Therapist
Alana D Johnston
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Grand Forks, ND 58201
Alana approaches her work with a trauma-informed focus. She recognizes the prevalence of trauma and its impact on an individual’s overall well-being and strives to understand the whole of the individual who is seeking therapy. Alana focuses on her client’s strengths to empower them to build a strong foundation to fall back on when there are setbacks in life. She values the importance of human relationships, authenticity, self-determination, integrity, and respect, and these values shine through in her work with clients.
Alana approaches her work with a trauma-informed focus. She recognizes the prevalence of trauma and its impact on an individual’s overall well-being and strives to understand the whole of the individual who is seeking therapy. Alana focuses on her client’s strengths to empower them to build a strong foundation to fall back on when there are setbacks in life. She values the importance of human relationships, authenticity, self-determination, integrity, and respect, and these values shine through in her work with clients.
(701) 638-9914 View (701) 638-9914
Photo of Jacki Olson, LMSW, Clinical Social Work/Therapist
Jacki Olson
Clinical Social Work/Therapist, LMSW
Verified Verified
West Fargo, ND 58078
I have experience working with preteens, teens, and adults of all ages who experience a wide range of issues such as depression, anxiety, trauma, stress, suicidal ideation, relationship issues, anger management, and much more.
I have experience working with preteens, teens, and adults of all ages who experience a wide range of issues such as depression, anxiety, trauma, stress, suicidal ideation, relationship issues, anger management, and much more.
(701) 501-7449 View (701) 501-7449
Photo of Abbie Anderson Relieving Old Wounds, LCSW, Clinical Social Work/Therapist
Abbie Anderson Relieving Old Wounds
Clinical Social Work/Therapist, LCSW
Verified Verified
West Fargo, ND 58078  (Online Only)
Have you tried everything but therapy? Are you ready to move past your past? To stop letting your past control your present and future? Are you ready to get unstuck and finally move forward with your life? If you answered yes to any of those questions you probably have had negative, or traumatic experiences and are currently experiencing relationship difficulties, anxiety, depression, or just feel stuck in life because your past is holding you back. Are you wanting to regain control of your life, get to the root of your issues, have healthier relationships? I can help you move forward & achieve your goals with confidence!
Have you tried everything but therapy? Are you ready to move past your past? To stop letting your past control your present and future? Are you ready to get unstuck and finally move forward with your life? If you answered yes to any of those questions you probably have had negative, or traumatic experiences and are currently experiencing relationship difficulties, anxiety, depression, or just feel stuck in life because your past is holding you back. Are you wanting to regain control of your life, get to the root of your issues, have healthier relationships? I can help you move forward & achieve your goals with confidence!
(701) 347-1603 View (701) 347-1603
Photo of Sydney Glende, MS, LPCC, LPC, Counselor
Sydney Glende
Counselor, MS, LPCC, LPC
Verified Verified
Fargo, ND 58103
Waitlist for new clients
I have experience working with people from all walks of life. I enjoy working with adults and couples, typically with issues of anxiety, depression, communication, life transitions, personal growth, relational conflict, self-esteem, sexual difficulties, societal oppression/equity, and trauma. I work with individuals of all backgrounds, abilities, am LGBTQIA+ affirming, am culturally competent and keep up to date (and then some) with all required continuing education credits.
I have experience working with people from all walks of life. I enjoy working with adults and couples, typically with issues of anxiety, depression, communication, life transitions, personal growth, relational conflict, self-esteem, sexual difficulties, societal oppression/equity, and trauma. I work with individuals of all backgrounds, abilities, am LGBTQIA+ affirming, am culturally competent and keep up to date (and then some) with all required continuing education credits.
(701) 380-3814 View (701) 380-3814
Photo of Erin Hagen, PhD, LPCC-S, Counselor
Erin Hagen
Counselor, PhD, LPCC-S
Verified Verified
1 Endorsed
Fargo, ND 58102
Am I right for you? Ask yourself: Are your relationships a source of anxiety for you? Does this time in your life call for deeper reflection and awareness? If you could connect better in key relationships, would your life improve? I provide focused attention to all aspects of your emotional wellbeing, anxiety concerns, and relational health. I offer you a safe and connected approach to counseling. I believe that holding a secure and healthy attachment in the therapy process brings strength, connection, courage, and hope.
Am I right for you? Ask yourself: Are your relationships a source of anxiety for you? Does this time in your life call for deeper reflection and awareness? If you could connect better in key relationships, would your life improve? I provide focused attention to all aspects of your emotional wellbeing, anxiety concerns, and relational health. I offer you a safe and connected approach to counseling. I believe that holding a secure and healthy attachment in the therapy process brings strength, connection, courage, and hope.
(701) 502-6503 View (701) 502-6503
Photo of Katie Allen, LCSW, LICSW, Clinical Social Work/Therapist
Katie Allen
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Grand Forks, ND 58202
Waitlist for new clients
Feeling like everything is too much and you can't keep up? Does past stuff keep coming up and leaving you on edge? Are you finding yourself constantly worrying? Maybe you want deeper relationships and to feel less alone? We all need help sometimes and therapy can teach you new ways of coping, foster healing from painful experiences, and to discover meaning and fulfillment in life. I am passionate about helping others realize their self-worth and to show up fully in their lives. My goal is that, through our work together, you will be able to regain authority over your life and to head down a path towards healing and growth.
Feeling like everything is too much and you can't keep up? Does past stuff keep coming up and leaving you on edge? Are you finding yourself constantly worrying? Maybe you want deeper relationships and to feel less alone? We all need help sometimes and therapy can teach you new ways of coping, foster healing from painful experiences, and to discover meaning and fulfillment in life. I am passionate about helping others realize their self-worth and to show up fully in their lives. My goal is that, through our work together, you will be able to regain authority over your life and to head down a path towards healing and growth.
(701) 490-9790 View (701) 490-9790
Photo of Heidi Tupa, MSW, LCSW, Clinical Social Work/Therapist
Heidi Tupa
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fargo, ND 58103
I am passionate about empowering others to create wellness in their lives. My healing approach is person-centered and affirming; where all parts of you are welcomed and appreciated. My hope for you is to learn your true value, build upon your current skills, and gain a greater understanding of the life you deserve. I have served children, teens, and adults from diverse backgrounds. My clinical focus supports those oppressed and vulnerable populations including high-risk youth, women, Indigenous, people of color, and LGBTQI+. What my clients all have in common is the desire to feel heard, to belong, and find peace within themselves.
I am passionate about empowering others to create wellness in their lives. My healing approach is person-centered and affirming; where all parts of you are welcomed and appreciated. My hope for you is to learn your true value, build upon your current skills, and gain a greater understanding of the life you deserve. I have served children, teens, and adults from diverse backgrounds. My clinical focus supports those oppressed and vulnerable populations including high-risk youth, women, Indigenous, people of color, and LGBTQI+. What my clients all have in common is the desire to feel heard, to belong, and find peace within themselves.
(701) 557-8675 View (701) 557-8675
Photo of Kya Duttenhefer Valley Hope Counseling, LMFT, Marriage & Family Therapist
Kya Duttenhefer Valley Hope Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Fargo, ND 58103
Supporting clients in making progress toward their goals is one of my favorite aspects of my job. I enjoy working with people from a variety of backgrounds and hearing their unique stories. I've worked with individuals, couples, and families with high-risk issues, such as abuse, neglect, and suicide and those in the LGBTQ+ community. I have experience working with clients who have anxiety, depression, and those struggling through life transitions.
Supporting clients in making progress toward their goals is one of my favorite aspects of my job. I enjoy working with people from a variety of backgrounds and hearing their unique stories. I've worked with individuals, couples, and families with high-risk issues, such as abuse, neglect, and suicide and those in the LGBTQ+ community. I have experience working with clients who have anxiety, depression, and those struggling through life transitions.
(701) 642-0901 View (701) 642-0901
Photo of Denise R Leeby - Maven Counseling, Clinical Social Work/Therapist
Maven Counseling
Clinical Social Work/Therapist
Verified Verified
Fargo, ND 58104
My practice is providing mental health counseling as a trauma-focused Clinical Social Worker. I have worked in the mental health field for over twenty years working with diverse populations. I have always prided myself on providing a safe environment for whom I am working with. My desire for entering the helping profession began as a result of my own experience with healing. I specialize in trauma/PTSD and the issues that result from that trauma; anxiety, depression, sleep disorders, avoidance of emotions, relationship issues, etc.
My practice is providing mental health counseling as a trauma-focused Clinical Social Worker. I have worked in the mental health field for over twenty years working with diverse populations. I have always prided myself on providing a safe environment for whom I am working with. My desire for entering the helping profession began as a result of my own experience with healing. I specialize in trauma/PTSD and the issues that result from that trauma; anxiety, depression, sleep disorders, avoidance of emotions, relationship issues, etc.
(701) 394-3898 View (701) 394-3898
Photo of Lucas Wade Mitzel - Dakota Family Services, LCSW, Clinical Social Work/Therapist
Lucas Wade Mitzel - Dakota Family Services
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fargo, ND 58104
I provide therapy for children, adolescents, and young adults. I believe building relationships with clients is the most important piece of successful therapy. I love what I do because it allows me to walk next to people I would never have met had I chosen a different profession, as they work to make amazing life changes. I have the honor of meeting people at their worst, all while watching them grow into the people they’ve always wanted to be.
I provide therapy for children, adolescents, and young adults. I believe building relationships with clients is the most important piece of successful therapy. I love what I do because it allows me to walk next to people I would never have met had I chosen a different profession, as they work to make amazing life changes. I have the honor of meeting people at their worst, all while watching them grow into the people they’ve always wanted to be.
(701) 401-5578 View (701) 401-5578
Photo of Devon Tinney, LAPC, Counselor
Devon Tinney
Counselor, LAPC
Verified Verified
3 Endorsed
Grand Forks, ND 58201
We all have stories to tell. As a therapist, my greatest joy is working with clients on rewriting their story in a way that gives them power over their life. Whether you are struggling to control your thoughts, continue to replay scenes over and over in your mind, or noticing relationships in life being impacted by emotions, I am here to hold space for the stories you hold while offering unconditional positive regard in this journey towards wholeness. I specialize in working with survivors of sexual exploitation, families impacted by foster care, complex trauma, and FASD.
We all have stories to tell. As a therapist, my greatest joy is working with clients on rewriting their story in a way that gives them power over their life. Whether you are struggling to control your thoughts, continue to replay scenes over and over in your mind, or noticing relationships in life being impacted by emotions, I am here to hold space for the stories you hold while offering unconditional positive regard in this journey towards wholeness. I specialize in working with survivors of sexual exploitation, families impacted by foster care, complex trauma, and FASD.
(701) 792-7001 View (701) 792-7001
Photo of Rachel Blumhardt, MEd, LPCC, LPC, NCC, Counselor
Rachel Blumhardt
Counselor, MEd, LPCC, LPC, NCC
Verified Verified
1 Endorsed
Fargo, ND 58104
My overall focus is on helping women be well--physically, emotionally, spiritually, socially. My areas of focus include: trauma, depression, anxiety, work-life balance, grief, self-esteem, and relationship issues. I gravitate towards Cognitive Behavioral and Humanistic therapies in my clinical work. I primarily serve clients individually; however, I am experienced in offering couple's and group therapy. I am passionate about working with those experiencing PTSD and helping improve their quality of life. In addition to seeing clients I provide supervision for ND and MN counselors seeking their LPCCs.
My overall focus is on helping women be well--physically, emotionally, spiritually, socially. My areas of focus include: trauma, depression, anxiety, work-life balance, grief, self-esteem, and relationship issues. I gravitate towards Cognitive Behavioral and Humanistic therapies in my clinical work. I primarily serve clients individually; however, I am experienced in offering couple's and group therapy. I am passionate about working with those experiencing PTSD and helping improve their quality of life. In addition to seeing clients I provide supervision for ND and MN counselors seeking their LPCCs.
(701) 248-8368 View (701) 248-8368
Photo of Dr. Gillian Freeborn - Nova Mental Health, PsyD, Psychologist
Dr. Gillian Freeborn - Nova Mental Health
Psychologist, PsyD
Verified Verified
1 Endorsed
West Fargo, ND 58078
I enjoy working with adolescents and adults across a variety of settings. My goal, with each client, is to provide an inclusive, welcoming atmosphere where you can expect quality care tailored to individual needs. Interventions are practical, wellness-focused, and evidence-based. I have over 10 years of experience providing therapy and assessments in womens health, chronic illness and pain, adjustment to medical illness, pre-surgical evaluations and helping individuals meet their general mental and health behavior goals.
I enjoy working with adolescents and adults across a variety of settings. My goal, with each client, is to provide an inclusive, welcoming atmosphere where you can expect quality care tailored to individual needs. Interventions are practical, wellness-focused, and evidence-based. I have over 10 years of experience providing therapy and assessments in womens health, chronic illness and pain, adjustment to medical illness, pre-surgical evaluations and helping individuals meet their general mental and health behavior goals.
(701) 658-5947 View (701) 658-5947
Photo of Gail L. Nelson, LPC, MEd, Licensed Professional Counselor
Gail L. Nelson
Licensed Professional Counselor, LPC, MEd
Verified Verified
Fargo, ND 58103
I help couples in conflict and those who want to develop their relationship into a stronger alliance. Conflict affects us all in many ways. Mostly, I work with individuals, couples and groups to understand the impact of confusion, upset and misunderstanding on our relationships. Sometimes depression and anxiety are overwhelming and that causes lots of problems in our ability to make our life work. I hear from clients that they felt better after our session because they were able to talk through a problem and understand the situation better.
I help couples in conflict and those who want to develop their relationship into a stronger alliance. Conflict affects us all in many ways. Mostly, I work with individuals, couples and groups to understand the impact of confusion, upset and misunderstanding on our relationships. Sometimes depression and anxiety are overwhelming and that causes lots of problems in our ability to make our life work. I hear from clients that they felt better after our session because they were able to talk through a problem and understand the situation better.
(701) 353-2209 View (701) 353-2209

See more therapy options for Barnes County

How does your Therapist compare?

Number of Therapists in Barnes County, ND

< 10

Therapists in Barnes County, ND who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Behavioral Issues
100% Coping Skills
100% Stress
50% Domestic Abuse

Average years in practice

8 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
50% Aetna
50% Cigna and Evernorth

How Therapists in Barnes County, ND see their clients

50% In Person and Online
50% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Barnes 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.