Therapists in Cape Coral, FL

Photo of Jessica Eastham, LCSW, Clinical Social Work/Therapist
Jessica Eastham
Clinical Social Work/Therapist, LCSW
Verified Verified
Cape Coral, FL 33909
Not accepting new clients
Are you feeling lost and overwhelmed due to a life transition, from a death, or unexpected changes you are trying to cope with? Do you feel alone with trying to cope with your situation and feel stuck? You want to feel a sense of control, relief, learn some new coping skills for how to cope with your situation. and/or just need to be reassured that you are doing all that you can do.
Are you feeling lost and overwhelmed due to a life transition, from a death, or unexpected changes you are trying to cope with? Do you feel alone with trying to cope with your situation and feel stuck? You want to feel a sense of control, relief, learn some new coping skills for how to cope with your situation. and/or just need to be reassured that you are doing all that you can do.
(239) 829-9156 View (239) 829-9156
Photo of Dr. Nicole Edwards, PhD, MA, LMHC
Dr. Nicole Edwards
Mental Health Counselor, PhD, MA, LMHC
Verified Verified
1 Endorsed
Cape Coral, FL 33990  (Online Only)
REMOTE VIDEO SESSIONS NOW AVAILABLE! Everyone thinks you are fine, but you go to work and no one can tell that you’re struggling inside. You feel depressed, anxious, worn down. All you want to do is sleep and shut out the world. The self-contempt, criticism, and doubt are real, and they are relentless. You want to reach out for help but feel guilty, even selfish. By putting everyone else at the top of your list, you’ve neglected and dishonored yourself. What you really want is to feel a sense of worth, like you belong, like you have something to contribute to this vast world.
REMOTE VIDEO SESSIONS NOW AVAILABLE! Everyone thinks you are fine, but you go to work and no one can tell that you’re struggling inside. You feel depressed, anxious, worn down. All you want to do is sleep and shut out the world. The self-contempt, criticism, and doubt are real, and they are relentless. You want to reach out for help but feel guilty, even selfish. By putting everyone else at the top of your list, you’ve neglected and dishonored yourself. What you really want is to feel a sense of worth, like you belong, like you have something to contribute to this vast world.
(786) 244-2865 View (786) 244-2865
Photo of Candice Mitchell, MA, LMHC, CCTP, Counselor
Candice Mitchell
Counselor, MA, LMHC, CCTP
Verified Verified
Cape Coral, FL 33990  (Online Only)
I know that you’ve been carrying a heavy load for far too long, and it’s time to let some of that weight go. You want to feel safe in your own skin, to breathe easily, and to reconnect with the parts of yourself that feel lost. You deserve a space where your experiences are honored, your pain is understood, and your healing is supported. Together, we can work towards finding that peace, helping you to navigate through the shadows and into a life that feels vibrant and whole. You’re not alone, and the journey to healing doesn’t have to be taken alone either.
I know that you’ve been carrying a heavy load for far too long, and it’s time to let some of that weight go. You want to feel safe in your own skin, to breathe easily, and to reconnect with the parts of yourself that feel lost. You deserve a space where your experiences are honored, your pain is understood, and your healing is supported. Together, we can work towards finding that peace, helping you to navigate through the shadows and into a life that feels vibrant and whole. You’re not alone, and the journey to healing doesn’t have to be taken alone either.
(239) 789-0971 View (239) 789-0971
Photo of Amanda Morgan - Lime Counseling, LLC, LCSW, LICSW, Clinical Social Work/Therapist
Lime Counseling, LLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
3 Endorsed
Cape Coral, FL 33990  (Online Only)
Feeling overwhelmed, anxious, or stressed? We are here to support your unique needs. We serve: teens, young adults, adults, aging population/geriatrics. Populations we often work with are: LGBTQ+, adult entertainment industry workers, caregivers, parents, blended families, those feeling stressed/overwhelmed, anxious, trauma/abuse survivors, those with adoption/foster care history, Sensory Process Disorder, and individuals seeking a mental health evaluation to help support their application for immigration. In general, we are here to support you and your individual needs!
Feeling overwhelmed, anxious, or stressed? We are here to support your unique needs. We serve: teens, young adults, adults, aging population/geriatrics. Populations we often work with are: LGBTQ+, adult entertainment industry workers, caregivers, parents, blended families, those feeling stressed/overwhelmed, anxious, trauma/abuse survivors, those with adoption/foster care history, Sensory Process Disorder, and individuals seeking a mental health evaluation to help support their application for immigration. In general, we are here to support you and your individual needs!
(239) 747-7099 View (239) 747-7099
Photo of Kaitlyn Grannemann, MA, CAP, Pre-Licensed Professional
Kaitlyn Grannemann
Pre-Licensed Professional, MA, CAP
Verified Verified
1 Endorsed
Cape Coral, FL 33914  (Online Only)
It is an honor to have the opportunity to work with you throughout your journey. Together, we can explore factors that impact your mental and behavioral health. I use a collaborative treatment approach, which I tailor to you and your goals.
It is an honor to have the opportunity to work with you throughout your journey. Together, we can explore factors that impact your mental and behavioral health. I use a collaborative treatment approach, which I tailor to you and your goals.
(239) 946-5858 View (239) 946-5858
Photo of Diane Munoz, LMHC, Counselor
Diane Munoz
Counselor, LMHC
Verified Verified
2 Endorsed
Cape Coral, FL 33904
Are you overwhelmed with trying to keep up with school, work, or the expectations of your family? Do you put everyone else’s needs and happiness before your own? Are you working so hard that you don’t have any time for friends, hobbies, or fun? Are you tired of pretending that you have your life together? Imagine a future where you are happy, relaxed, and confident. Where you have time for your work, family, friends, and fun. Imagine waking up with energy and looking forward to your day.
Are you overwhelmed with trying to keep up with school, work, or the expectations of your family? Do you put everyone else’s needs and happiness before your own? Are you working so hard that you don’t have any time for friends, hobbies, or fun? Are you tired of pretending that you have your life together? Imagine a future where you are happy, relaxed, and confident. Where you have time for your work, family, friends, and fun. Imagine waking up with energy and looking forward to your day.
(239) 323-1356 View (239) 323-1356
Photo of Danielle Leigh Fous, Pre-Licensed Professional
Danielle Leigh Fous
Pre-Licensed Professional
Verified Verified
Cape Coral, FL 33990
Danielle Fous is a graduate student intern in the Marriage and Family Therapy program at National University. Previously, Danielle has worked as a Special Needs Educator and as a Behavioral Therapist specializing in children with Autism and family dynamics locally in Fort Myers, Fl over the last 13 years. Danielle has a deep understanding and compassion for families, parents and how challenging incorporating new techniques and routines can be within the system. Danielle believes everyone should have a safe and healing place to work through life's difficulties.
Danielle Fous is a graduate student intern in the Marriage and Family Therapy program at National University. Previously, Danielle has worked as a Special Needs Educator and as a Behavioral Therapist specializing in children with Autism and family dynamics locally in Fort Myers, Fl over the last 13 years. Danielle has a deep understanding and compassion for families, parents and how challenging incorporating new techniques and routines can be within the system. Danielle believes everyone should have a safe and healing place to work through life's difficulties.
(239) 388-3571 View (239) 388-3571
Photo of Pamela Osborne, LICSW, Clinical Social Work/Therapist
Pamela Osborne
Clinical Social Work/Therapist, LICSW
Verified Verified
Cape Coral, FL 33914
I understand that reaching out for help can seem overwhelming. You have probably thought about it for a while, hoping things would get better on their own. Reaching out is the first step in your healing, and I am here to help. I have over 30 years of experience working with individuals, families, and couples of all ages. As a Licensed Clinical Social Worker, I have the training to meet you where you are and help you achieve your goals. I use a variety of therapy approaches depending on what feels most comfortable for you. Together, we can figure out the best way for you to heal and move forward.
I understand that reaching out for help can seem overwhelming. You have probably thought about it for a while, hoping things would get better on their own. Reaching out is the first step in your healing, and I am here to help. I have over 30 years of experience working with individuals, families, and couples of all ages. As a Licensed Clinical Social Worker, I have the training to meet you where you are and help you achieve your goals. I use a variety of therapy approaches depending on what feels most comfortable for you. Together, we can figure out the best way for you to heal and move forward.
(941) 265-1647 View (941) 265-1647
Photo of Heather Nghi, MS
Heather Nghi
Licensed Mental Health Counselor, MS
Verified Verified
1 Endorsed
Cape Coral, FL 33904
Navigating the challenges that keep us stuck and off balance can be exhausting and overwhelming. Having support on this journey can make all of the difference! My goal is to provide a comfortable, and safe environment for individuals to identify their struggles and begin to utilize their strengths and positive attributes to overcome them. I believe that when people feel connected, seen and valued they become empowered to move towards wellness and positive change. I consider it a privilege to engage in this process with my clients.
Navigating the challenges that keep us stuck and off balance can be exhausting and overwhelming. Having support on this journey can make all of the difference! My goal is to provide a comfortable, and safe environment for individuals to identify their struggles and begin to utilize their strengths and positive attributes to overcome them. I believe that when people feel connected, seen and valued they become empowered to move towards wellness and positive change. I consider it a privilege to engage in this process with my clients.
(239) 299-7382 View (239) 299-7382
Photo of Nicole Malmquist, LCSW, Clinical Social Work/Therapist
Nicole Malmquist
Clinical Social Work/Therapist, LCSW
Verified Verified
Cape Coral, FL 33914
Nicole Malmquist is a Licensed Clinical Social Worker in Florida who has been practicing since 2016. She has a Masters of Social Work. Nicole aims to help her clients reach their highest potential on their journey of life. Outside of work, Nicole enjoys traveling, video games, reading, and watching TV.
Nicole Malmquist is a Licensed Clinical Social Worker in Florida who has been practicing since 2016. She has a Masters of Social Work. Nicole aims to help her clients reach their highest potential on their journey of life. Outside of work, Nicole enjoys traveling, video games, reading, and watching TV.
(239) 245-9278 View (239) 245-9278
Photo of Constance A Stegall, MS, LMFT, Marriage & Family Therapist
Constance A Stegall
Marriage & Family Therapist, MS, LMFT
Verified Verified
Cape Coral, FL 33904
Many people struggle with issues in their lives and can benefit from meeting with a trained professional. I help my clients identify problems and work toward a solution. Most problems can be solved with proper help and early treatment, which keeps small problems from becoming large ones that then seem unsolvable. I believe that each individual is unique, regardless if the issues are the same they are still different. Because of this belief, I provide an eclectic approach to therapy matching each individual needs with a specific therapuetic approach. If applicable and the client is interested hypno-therapy is available.
Many people struggle with issues in their lives and can benefit from meeting with a trained professional. I help my clients identify problems and work toward a solution. Most problems can be solved with proper help and early treatment, which keeps small problems from becoming large ones that then seem unsolvable. I believe that each individual is unique, regardless if the issues are the same they are still different. Because of this belief, I provide an eclectic approach to therapy matching each individual needs with a specific therapuetic approach. If applicable and the client is interested hypno-therapy is available.
(239) 494-5479 View (239) 494-5479
Photo of Heather Richards - Sex Dr. Heather, LLC, LMFT, MEd, CST, PhD, Marriage & Family Therapist
Sex Dr. Heather, LLC
Marriage & Family Therapist, LMFT, MEd, CST, PhD
Verified Verified
4 Endorsed
Cape Coral, FL 33993  (Online Only)
Congratulations! Taking the steps to improve upon your current life is brave & deserves recognition as this is you taking charge of your future joy. We all have challenges whether past or present but what sets us apart is the ability to recognize what they are & move in a direction of healing. We will assist you with unlearning some of those unwanted behaviors that just won’t stop following you around. In addition, we will help you recognize patterns & explore experiences around emotions that might be troubling for your life. This will allow you to feel more joy & begin to paint new colors in your rainbow. Are You Ready to Grow?
Congratulations! Taking the steps to improve upon your current life is brave & deserves recognition as this is you taking charge of your future joy. We all have challenges whether past or present but what sets us apart is the ability to recognize what they are & move in a direction of healing. We will assist you with unlearning some of those unwanted behaviors that just won’t stop following you around. In addition, we will help you recognize patterns & explore experiences around emotions that might be troubling for your life. This will allow you to feel more joy & begin to paint new colors in your rainbow. Are You Ready to Grow?
(267) 214-5067 View (267) 214-5067
Photo of Dora Cario At Nourish Wellness Center, LCSW, QS, Clinical Social Work/Therapist
Dora Cario At Nourish Wellness Center
Clinical Social Work/Therapist, LCSW, QS
Verified Verified
Cape Coral, FL 33904
I want to take this opportunity to say congratulations for taking the first step towards your mental, emotional, physical, and spiritual well-being. It is a huge commitment, and it is brave of you to want to invest the time and effort in yourself and work towards whole-being healing. You are invited to spend valuable time caring and nurturing yourself. At Nourish Wellness Center the priority will always be ensuring you are working on what is relevant and important to you. You can schedule a free 10 minute Introduction Call at nourishwellnesscenter.com.
I want to take this opportunity to say congratulations for taking the first step towards your mental, emotional, physical, and spiritual well-being. It is a huge commitment, and it is brave of you to want to invest the time and effort in yourself and work towards whole-being healing. You are invited to spend valuable time caring and nurturing yourself. At Nourish Wellness Center the priority will always be ensuring you are working on what is relevant and important to you. You can schedule a free 10 minute Introduction Call at nourishwellnesscenter.com.
(239) 984-1610 View (239) 984-1610
Photo of Kimberly Harter, LMHC, Counselor
Kimberly Harter
Counselor, LMHC
Verified Verified
3 Endorsed
Cape Coral, FL 33904
Let’s do real talk. Life can be hard! Understanding what children are experiencing can be difficult. Best of intentions by parents are often misunderstood. When you are a child, talking to your parents is seemingly impossible sometimes. Kids have big emotions they cannot understand or describe, and they think no one understands. Academic stressors, development, parent and peer relationships and significant or traumatic life events can cause a child or teenager to react in various ways. Some kids need a safe space to learn how to identify, express and cope with their feelings. Processing feelings helps to reduce stress and pressures.
Let’s do real talk. Life can be hard! Understanding what children are experiencing can be difficult. Best of intentions by parents are often misunderstood. When you are a child, talking to your parents is seemingly impossible sometimes. Kids have big emotions they cannot understand or describe, and they think no one understands. Academic stressors, development, parent and peer relationships and significant or traumatic life events can cause a child or teenager to react in various ways. Some kids need a safe space to learn how to identify, express and cope with their feelings. Processing feelings helps to reduce stress and pressures.
(239) 766-5931 View (239) 766-5931
Photo of Shannon Nicolle Parrinello, MS, RMHCI, Pre-Licensed Professional
Shannon Nicolle Parrinello
Pre-Licensed Professional, MS, RMHCI
Verified Verified
5 Endorsed
Cape Coral, FL 33990
If you feel alone or stuck, and want to make a change to improve your mental health, I am here to help you discover the strength already within yourself to get you where you want to be. I am a Registered Mental Health Counselor Intern, and have been working with children and families since 2019. I enjoy helping children, teens, parents, and families navigate their relationships and mental health issues that life may impact.
If you feel alone or stuck, and want to make a change to improve your mental health, I am here to help you discover the strength already within yourself to get you where you want to be. I am a Registered Mental Health Counselor Intern, and have been working with children and families since 2019. I enjoy helping children, teens, parents, and families navigate their relationships and mental health issues that life may impact.
(239) 893-6386 View (239) 893-6386
Photo of Sarah R Ferreira, MSW, ISW, Pre-Licensed Professional
Sarah R Ferreira
Pre-Licensed Professional, MSW, ISW
Verified Verified
Cape Coral, FL 33904  (Online Only)
I am passionate about helping young adults understand and resolve feelings of anxiety and depression that are impacting their quality of life. It’s important to address these issues as early as possible in order to prevent maladaptive behaviors from forming. As a mental health professional, I have had the privilege of helping countless individuals overcome these emotions and get back to living the life they deserve.
I am passionate about helping young adults understand and resolve feelings of anxiety and depression that are impacting their quality of life. It’s important to address these issues as early as possible in order to prevent maladaptive behaviors from forming. As a mental health professional, I have had the privilege of helping countless individuals overcome these emotions and get back to living the life they deserve.
(239) 920-8251 View (239) 920-8251
Photo of Marek Moldawsky, MEd, EdS, LSP
Marek Moldawsky
MEd, EdS, LSP
Verified Verified
Cape Coral, FL 33904
I believe that most of us, at some point in our lives, face various mental health challenges. Fortunately, I also believe that if we commit ourselves to carefully examining our own actions and beliefs we can, ultimately, overcome these challenges and forge a more meaningful and fulfilling existence. This process, however, can be difficult-sometimes even painful.
I believe that most of us, at some point in our lives, face various mental health challenges. Fortunately, I also believe that if we commit ourselves to carefully examining our own actions and beliefs we can, ultimately, overcome these challenges and forge a more meaningful and fulfilling existence. This process, however, can be difficult-sometimes even painful.
(239) 237-3412 View (239) 237-3412
Photo of Lori Brooks, MA, EdS, Pre-Licensed Professional
Lori Brooks
Pre-Licensed Professional, MA, EdS
Verified Verified
Cape Coral, FL 33993  (Online Only)
Are you concerned that you may not be living your most authentic best life? Does struggling with life stressors or past trauma leave you feeling overwhelmed, anxious, worried, sad, or stuck? As a mental health counselor, my mission is to help you identify your strengths so you can unlock your best self to improve your emotional well-being, enhance your personal relationships, and achieve your life goals. Therapy is a process, and we will work towards building trust in order to navigate your challenging life experiences together.
Are you concerned that you may not be living your most authentic best life? Does struggling with life stressors or past trauma leave you feeling overwhelmed, anxious, worried, sad, or stuck? As a mental health counselor, my mission is to help you identify your strengths so you can unlock your best self to improve your emotional well-being, enhance your personal relationships, and achieve your life goals. Therapy is a process, and we will work towards building trust in order to navigate your challenging life experiences together.
(239) 758-9148 View (239) 758-9148
Photo of Ria Ruane - Ria Ruane, All Things New Counseling Services, MA, LMHC, SCD, Licensed Professional Counselor
Ria Ruane, All Things New Counseling Services
Licensed Professional Counselor, MA, LMHC, SCD
Verified Verified
6 Endorsed
Cape Coral, FL 33990
I am sorry that you are hurting. Everyone hurts sometimes, but now things have gotten too much for you to sort out on your own. I am here to serve as a genuine, empathic, unbiased and supportive therapist who can provide non-judgmental guidance. I can help you create changes that lead to a better life for you & your loved ones. When is the last time you considered THE DESIRES OF YOUR HEART? I help clients recognize blessings in hard times & live with purpose and zest. See Video of Ria's Work helping others: http://blog.thegoodmangroup.com/spiritual-care
I am sorry that you are hurting. Everyone hurts sometimes, but now things have gotten too much for you to sort out on your own. I am here to serve as a genuine, empathic, unbiased and supportive therapist who can provide non-judgmental guidance. I can help you create changes that lead to a better life for you & your loved ones. When is the last time you considered THE DESIRES OF YOUR HEART? I help clients recognize blessings in hard times & live with purpose and zest. See Video of Ria's Work helping others: http://blog.thegoodmangroup.com/spiritual-care
(239) 946-6320 View (239) 946-6320
Photo of Joseph Prather, MS, LMHC, CCMHC, Counselor
Joseph Prather
Counselor, MS, LMHC, CCMHC
Verified Verified
Cape Coral, FL 33904
Counseling with little to no wait: Are you a parent of a child/teen who is acting out and you are not sure what to do to help your child? Is your child getting into trouble at home, school, or even legally? You are likely here in search of someone to help you reduce or even stop these behavioral issues. Maybe these behaviors or mental health problems have caused issues within your family and you want things to return to normal? Or maybe you want your child to grow up and be a successful, healthy, and law-abiding adult? We will work as a team to meet your counseling goals and set you and your family up for success moving forward.
Counseling with little to no wait: Are you a parent of a child/teen who is acting out and you are not sure what to do to help your child? Is your child getting into trouble at home, school, or even legally? You are likely here in search of someone to help you reduce or even stop these behavioral issues. Maybe these behaviors or mental health problems have caused issues within your family and you want things to return to normal? Or maybe you want your child to grow up and be a successful, healthy, and law-abiding adult? We will work as a team to meet your counseling goals and set you and your family up for success moving forward.
(904) 875-0695 View (904) 875-0695
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How does your Therapist compare?

Number of Therapists in Cape Coral, FL

100+

Average cost per session

$125

Therapists in Cape Coral, FL who prioritize treating:

93% Anxiety
89% Depression
82% Self Esteem
77% Relationship Issues
77% Coping Skills
71% Trauma and PTSD
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
79% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Cape Coral, FL see their clients

70% In Person and Online
30% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cape Coral?

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.