Therapists in La Mesa, CA

Photo of Cynthia Thayer, LCSW, BCD, Clinical Social Work/Therapist
Cynthia Thayer
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
La Mesa, CA 91942
Challenging times in life offer the greatest opportunities for growth, healing and transformation. During these times it can feel overwhelming to move forward. Your decision to seek professional help is a reflection of your clarity and courage. Are you ready to move from surviving to thriving in your life? Would you like to partner with a seasoned professional to discover what your current situation has to teach you about yourself? Are you curious to discover the power you have within you to transform your life?
Challenging times in life offer the greatest opportunities for growth, healing and transformation. During these times it can feel overwhelming to move forward. Your decision to seek professional help is a reflection of your clarity and courage. Are you ready to move from surviving to thriving in your life? Would you like to partner with a seasoned professional to discover what your current situation has to teach you about yourself? Are you curious to discover the power you have within you to transform your life?
(619) 333-2330 View (619) 333-2330
Photo of Dena Nelson O'Connor, MA, LMFT, EMDR, Marriage & Family Therapist
Dena Nelson O'Connor
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
La Mesa, CA 91942
Hello, My name is Dena and I am a Certified EMDR therapist with over 20 years of experience working with individuals, couples and families. I am trauma informed and use an eclectic approach utilizing Person Centered, Mindfulness, Strength Based, EMDR (rapid eye movement desensitization and reprocessing) and Flash to help with processing trauma. I specialize in working with issues to include: trauma, family of origin issues, early childhood physical/sexual abuse and neglect, PTSD, anxiety, life transitions and relationship issues.
Hello, My name is Dena and I am a Certified EMDR therapist with over 20 years of experience working with individuals, couples and families. I am trauma informed and use an eclectic approach utilizing Person Centered, Mindfulness, Strength Based, EMDR (rapid eye movement desensitization and reprocessing) and Flash to help with processing trauma. I specialize in working with issues to include: trauma, family of origin issues, early childhood physical/sexual abuse and neglect, PTSD, anxiety, life transitions and relationship issues.
(619) 514-1501 View (619) 514-1501
Photo of Hais Lindeman, LMFT, Marriage & Family Therapist
Hais Lindeman
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
La Mesa, CA 91941  (Online Only)
My specializations include individuals, families and relationships with co-occurring and complex mental health, substance use, problem gambling and personality disorders. Additionally, I have a special interest in women and couples who are experiencing a broad spectrum of fertility challenges, pregnancy losses, in-vitro fertilization (IVF) treatments, and postpartum concerns.
My specializations include individuals, families and relationships with co-occurring and complex mental health, substance use, problem gambling and personality disorders. Additionally, I have a special interest in women and couples who are experiencing a broad spectrum of fertility challenges, pregnancy losses, in-vitro fertilization (IVF) treatments, and postpartum concerns.
(619) 480-0245 View (619) 480-0245
Photo of Shirla de Magalhães, LMFT, RPT-S, RSP, Marriage & Family Therapist
Shirla de Magalhães
Marriage & Family Therapist, LMFT, RPT-S, RSP
Verified Verified
9 Endorsed
La Mesa, CA 91942
Would you like to be your authentic Self? I offer a holistic approach to therapy where we can integrate different kinds of expressive arts therapies to help uncover underlying issues at your pace instead of just treating the surface symptoms. Together we'll explore internal stressors, attachment styles and trauma to help alleviate emotional pain, expand consciousness, access inner wisdom and awaken your creativity. I enjoy doing inner child work, parts work, shadow work, and being a support to those going through any sort of life transitions such as grief and loss, aging, menopause, acculturation, empty nesters & transitional youth
Would you like to be your authentic Self? I offer a holistic approach to therapy where we can integrate different kinds of expressive arts therapies to help uncover underlying issues at your pace instead of just treating the surface symptoms. Together we'll explore internal stressors, attachment styles and trauma to help alleviate emotional pain, expand consciousness, access inner wisdom and awaken your creativity. I enjoy doing inner child work, parts work, shadow work, and being a support to those going through any sort of life transitions such as grief and loss, aging, menopause, acculturation, empty nesters & transitional youth
(619) 870-1834 View (619) 870-1834
Photo of Jeffrey Andrew Gordon - Behavioral Health Consultant, MS, ACSW, Admin, Pre-Licensed Professional
Behavioral Health Consultant
Pre-Licensed Professional, MS, ACSW, Admin
Verified Verified
La Mesa, CA 91941
Remember that the change starts with you! Being aware of past issues may lead to unwanted emotions or behaviors that can affect your present life. Instead of letting these past issues affect your self-esteem, try to improve them and see them as "Hero" badges. By taking the time to explore these issues and seeking guidance, you can have more control over your emotions and behaviors. I'm here to support your mind, body, and spirit, so don't hesitate to reach out if you need help.
Remember that the change starts with you! Being aware of past issues may lead to unwanted emotions or behaviors that can affect your present life. Instead of letting these past issues affect your self-esteem, try to improve them and see them as "Hero" badges. By taking the time to explore these issues and seeking guidance, you can have more control over your emotions and behaviors. I'm here to support your mind, body, and spirit, so don't hesitate to reach out if you need help.
(619) 279-5643 View (619) 279-5643
Photo of Melissa Stevenson, MA, LMFT, Marriage & Family Therapist
Melissa Stevenson
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
La Mesa, CA 91942
Your sense of inner peace and healing are the focus of my practice. I am best at helping people discover and embody the best versions of themselves in the midst of challenging circumstances. I do depth work with individuals that have experienced trauma, are struggling with a major life transition or are trying to get over a major heartbreak.
Your sense of inner peace and healing are the focus of my practice. I am best at helping people discover and embody the best versions of themselves in the midst of challenging circumstances. I do depth work with individuals that have experienced trauma, are struggling with a major life transition or are trying to get over a major heartbreak.
(619) 776-3761 View (619) 776-3761
Photo of Whittney Robertson, LMFT, Marriage & Family Therapist
Whittney Robertson
Marriage & Family Therapist, LMFT
Verified Verified
La Mesa, CA 91941  (Online Only)
Life circumstances and relationships can sometimes be difficult to navigate. Whether you are dealing with new stressors, ongoing challenges, seeking clarity in relationship dynamics, or wanting to learn more about yourself, I am here to provide help! My belief is that through a supportive and safe environment, people can work through and process their personal challenges while recognizing their strengths and abilities. My passion is to help others help themselves through addressing both mind and body on the journey of moving from suffering to supportive healing.
Life circumstances and relationships can sometimes be difficult to navigate. Whether you are dealing with new stressors, ongoing challenges, seeking clarity in relationship dynamics, or wanting to learn more about yourself, I am here to provide help! My belief is that through a supportive and safe environment, people can work through and process their personal challenges while recognizing their strengths and abilities. My passion is to help others help themselves through addressing both mind and body on the journey of moving from suffering to supportive healing.
(858) 302-4049 View (858) 302-4049
Photo of Maxine Dumser, LMFT, RPTS, Marriage & Family Therapist
Maxine Dumser
Marriage & Family Therapist, LMFT, RPTS
Verified Verified
1 Endorsed
La Mesa, CA 91942
Not accepting new clients
I provide a safe and supportive environment for clients to share and feel heard. Every client has his or her unique way of relating to others and learning, which impacts what kind of therapy, will be effective. I come alongside my clients to explore, encourage, and support them in the therapeutic process while developing skills to take with them as they continue on their own personal journey. I utilize different theoretical concepts including Cognitive Behavioral (CBT), Acceptance/Commitment (ACT) Solution Focus and Play/Art therapies, while consistently viewing clients through the lens of developmental stages and attachment styles.
I provide a safe and supportive environment for clients to share and feel heard. Every client has his or her unique way of relating to others and learning, which impacts what kind of therapy, will be effective. I come alongside my clients to explore, encourage, and support them in the therapeutic process while developing skills to take with them as they continue on their own personal journey. I utilize different theoretical concepts including Cognitive Behavioral (CBT), Acceptance/Commitment (ACT) Solution Focus and Play/Art therapies, while consistently viewing clients through the lens of developmental stages and attachment styles.
(619) 493-3918 View (619) 493-3918
Photo of Ethan John Messer, MA, Marriage & Family Therapist
Ethan John Messer
Marriage & Family Therapist, MA
Verified Verified
2 Endorsed
La Mesa, CA 91942
Waitlist for new clients
I am currently accepting new clients for in-person counseling. I am able to provide counseling services for couples, families, individuals, children & adolescents. I have experience in helping individuals with depression, anxiety, self-esteem issues, suicidal thoughts and in counseling children who are experiencing negative effects from divorce and have extensive experience in working with children/adolescents in a wide variety of settings.
I am currently accepting new clients for in-person counseling. I am able to provide counseling services for couples, families, individuals, children & adolescents. I have experience in helping individuals with depression, anxiety, self-esteem issues, suicidal thoughts and in counseling children who are experiencing negative effects from divorce and have extensive experience in working with children/adolescents in a wide variety of settings.
(619) 536-0812 View (619) 536-0812
Photo of Sarah Ebert, MA, MFT, Marriage & Family Therapist
Sarah Ebert
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
La Mesa, CA 91942
Are you struggling? Are you feeling as though you have tried everything? I want to help you recognize the strengths and positive aspects you each bring to the table and make those work to overcome the challenges in your life.
Are you struggling? Are you feeling as though you have tried everything? I want to help you recognize the strengths and positive aspects you each bring to the table and make those work to overcome the challenges in your life.
(619) 612-5817 View (619) 612-5817
Photo of Raul Gutierrez, LCSW, Clinical Social Work/Therapist
Raul Gutierrez
Clinical Social Work/Therapist, LCSW
Verified Verified
La Mesa, CA 91942
I have been a practicing therapist for over 5 years now. I have worked with a diverse group of populations dealing with depression/anxiety all the way to psychosis diagnoses. I implement a lot of Trauma Focused CBT and Motivational Interviewing into my practice. My clients have often told me that I bring a genuine and compassionate atmosphere to sessions which helps them feel more at ease. I take a very nonjudgmental "at your own pace" type of approach. I want to ensure you feel comfortable every step of the way through your journey with mental health.
I have been a practicing therapist for over 5 years now. I have worked with a diverse group of populations dealing with depression/anxiety all the way to psychosis diagnoses. I implement a lot of Trauma Focused CBT and Motivational Interviewing into my practice. My clients have often told me that I bring a genuine and compassionate atmosphere to sessions which helps them feel more at ease. I take a very nonjudgmental "at your own pace" type of approach. I want to ensure you feel comfortable every step of the way through your journey with mental health.
(619) 393-9614 View (619) 393-9614
Photo of Craig Bowman, LCSW, Clinical Social Work/Therapist
Craig Bowman
Clinical Social Work/Therapist, LCSW
Verified Verified
La Mesa, CA 91941
I've been working with a diverse population across various roles in the helping profession for approximately 30 years. I value authentic human relationships and have considerable levels of compassion and empathy gained from experience and personal trials. While I draw from many types of psychological theory, I particularly like Acceptance and Commitment Therapy (ACT), Cognitive/Behavioral, and Transpersonal. I create a safe space by valuing clients unconditionally and by guiding them toward improved awareness, self-talk, and self-compassion.
I've been working with a diverse population across various roles in the helping profession for approximately 30 years. I value authentic human relationships and have considerable levels of compassion and empathy gained from experience and personal trials. While I draw from many types of psychological theory, I particularly like Acceptance and Commitment Therapy (ACT), Cognitive/Behavioral, and Transpersonal. I create a safe space by valuing clients unconditionally and by guiding them toward improved awareness, self-talk, and self-compassion.
(619) 815-3863 View (619) 815-3863
Photo of Misty Bonta, LEP, ABSNP , CATP, CCATP
Misty Bonta
LEP, ABSNP , CATP, CCATP
Verified Verified
La Mesa, CA 91942
My clients are children, teen, or adult students who are neurodiverse and struggling with learning, socialization, behavior, and/or mental health symptoms. Primary focus is help improve educational (i.e. academic, social, behavioral) and/or vocational functioning with my clients. As a team; we will work together to identify presenting concerns and co-develop goals in order to create a treatment plan to address those concerns through a strength-based and neuro-informed lens. My clients consistently share the positive impact of my services.
My clients are children, teen, or adult students who are neurodiverse and struggling with learning, socialization, behavior, and/or mental health symptoms. Primary focus is help improve educational (i.e. academic, social, behavioral) and/or vocational functioning with my clients. As a team; we will work together to identify presenting concerns and co-develop goals in order to create a treatment plan to address those concerns through a strength-based and neuro-informed lens. My clients consistently share the positive impact of my services.
(619) 320-6500 View (619) 320-6500
Photo of Pooja Bakshi, MBA, MA, AMFT, APCC, Marriage & Family Therapist Associate
Pooja Bakshi
Marriage & Family Therapist Associate, MBA, MA, AMFT, APCC
Verified Verified
1 Endorsed
La Mesa, CA 91942
My goal is to create a space that is nonjudgmental, where you feel heard, understood, and empowered. Whether it be If you have personal struggles or relationship issues, let's work together to create a positive change. I'm here to help you build resilience, develop effective coping strategies, and find greater fulfillment in life. I believe in the power of therapy to transform lives and I am dedicated to helping you achieve your goals. Feel free to reach out I am available to schedule a session or you can contact me to learn more about my services.
My goal is to create a space that is nonjudgmental, where you feel heard, understood, and empowered. Whether it be If you have personal struggles or relationship issues, let's work together to create a positive change. I'm here to help you build resilience, develop effective coping strategies, and find greater fulfillment in life. I believe in the power of therapy to transform lives and I am dedicated to helping you achieve your goals. Feel free to reach out I am available to schedule a session or you can contact me to learn more about my services.
(619) 257-5313 View (619) 257-5313
Photo of Wesley-Martin Ervin, LMFT, Marriage & Family Therapist
Wesley-Martin Ervin
Marriage & Family Therapist, LMFT
Verified Verified
La Mesa, CA 91942
My name is Wesley Ervin, and I am a Licensed Marriage and Family Therapist living in small town Lemoore, California. I work with adolescents and adults, specializing in anxiety, stress, depression, and queer identity. I work with queer therapy, geek therapy, and an eclectic approach including CCT, CBT, and EFT. I enjoy working with all sorts of clients but tend to be a better fit for queer clients and those who enjoy nerdy interests. I have experience working with a variety of identities withing the LGBTQ+ community, and especially enjoy working with my gender expansive siblings to help them with their transitions.
My name is Wesley Ervin, and I am a Licensed Marriage and Family Therapist living in small town Lemoore, California. I work with adolescents and adults, specializing in anxiety, stress, depression, and queer identity. I work with queer therapy, geek therapy, and an eclectic approach including CCT, CBT, and EFT. I enjoy working with all sorts of clients but tend to be a better fit for queer clients and those who enjoy nerdy interests. I have experience working with a variety of identities withing the LGBTQ+ community, and especially enjoy working with my gender expansive siblings to help them with their transitions.
(858) 758-2342 View (858) 758-2342
Photo of Niamh ( Neeve) Martin, LMFT, Marriage & Family Therapist
Niamh ( Neeve) Martin
Marriage & Family Therapist, LMFT
Verified Verified
La Mesa, CA 91941  (Online Only)
Are you feeling stuck in life? Do you wake up with a knot in your stomach ? Or get on a train of thought to the worst case scenario ? Are you worried about what others think and does this drive your life instead of you?
Are you feeling stuck in life? Do you wake up with a knot in your stomach ? Or get on a train of thought to the worst case scenario ? Are you worried about what others think and does this drive your life instead of you?
(619) 273-0344 View (619) 273-0344
Photo of Christina Vlasis, MA, LMFT, Marriage & Family Therapist
Christina Vlasis
Marriage & Family Therapist, MA, LMFT
Verified Verified
La Mesa, CA 91942
I am accepting new clients in my La Mesa office and Rancho Bernardo office. I work with adults. I believe that everyone has the answers within themselves and just need someone to sit with them as they explore possibilities. I will collaboratively help clients build a client plan using MAPS goals for measuring gains for the purpose of helping clients reach their goals and improve their mental health and wellbeing.
I am accepting new clients in my La Mesa office and Rancho Bernardo office. I work with adults. I believe that everyone has the answers within themselves and just need someone to sit with them as they explore possibilities. I will collaboratively help clients build a client plan using MAPS goals for measuring gains for the purpose of helping clients reach their goals and improve their mental health and wellbeing.
(619) 393-4516 View (619) 393-4516
Photo of Rachel Pittsley - Grow Through Life Counseling La Mesa, LMFT, PMH-C, Marriage & Family Therapist
Grow Through Life Counseling La Mesa
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
1 Endorsed
La Mesa, CA 91942
Hello and welcome! Grow Through Life Counseling is a group private practice welcoming both in person clients in La Mesa, CA and via Telehealth in CA. We have immediate openings and are accepting new clients. Our Mission is to provide quality counseling for all ages throughout life. We provide culturally sensitive and inclusive care for all children, teens, adults, couples and families. We respect each family member's unique identities, perspectives and experiences in life. With effective and creative psychotherapeutic interventions, we support emotional growth and development during the various stages of life to be healthier.
Hello and welcome! Grow Through Life Counseling is a group private practice welcoming both in person clients in La Mesa, CA and via Telehealth in CA. We have immediate openings and are accepting new clients. Our Mission is to provide quality counseling for all ages throughout life. We provide culturally sensitive and inclusive care for all children, teens, adults, couples and families. We respect each family member's unique identities, perspectives and experiences in life. With effective and creative psychotherapeutic interventions, we support emotional growth and development during the various stages of life to be healthier.
(619) 541-6011 View (619) 541-6011
Photo of Virgina (Ginny) Powell, MSW, LCSW, BCD, Clinical Social Work/Therapist
Virgina (Ginny) Powell
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
La Mesa, CA 91942  (Online Only)
After 30 years of practice, I remain excited about new clients, new treatment approaches, and the joy of a client leaving my office with a smile and thank-you. I believe in being in the moment, being present, creating true and authentic contact, and facilitating opportunities for my clients to develop deeper understandings and practical skills. I work with a wide range of human problems, and enjoy the diversity that my practice has deliberately maintained. I work in an eclectic manner. I think meditation, laughter and play, are great for what ails us.
After 30 years of practice, I remain excited about new clients, new treatment approaches, and the joy of a client leaving my office with a smile and thank-you. I believe in being in the moment, being present, creating true and authentic contact, and facilitating opportunities for my clients to develop deeper understandings and practical skills. I work with a wide range of human problems, and enjoy the diversity that my practice has deliberately maintained. I work in an eclectic manner. I think meditation, laughter and play, are great for what ails us.
(619) 377-8842 View (619) 377-8842
Photo of Cassie Deacon, LCSW, Clinical Social Work/Therapist
Cassie Deacon
Clinical Social Work/Therapist, LCSW
Verified Verified
La Mesa, CA 91942
Cassie Deacon is a Licensed Clinical Social Worker, who has been practicing since 2015. She graduated from San Diego State University with a master's degree in Social Work. Cassie believes in compassionate and supportive therapeutic care to assist clients to explore and achieve their mental health goals. Cassie specializes in working with PTSD, Complex PTSD, youth/adolescents, mood disorders and the stressors associated with caregiving. Cassie is trained in Eye Movement Desensitization Reprocessing (EMDR), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Cognitive Behavioral Therapy and Dialectical Behavioral Therapy.
Cassie Deacon is a Licensed Clinical Social Worker, who has been practicing since 2015. She graduated from San Diego State University with a master's degree in Social Work. Cassie believes in compassionate and supportive therapeutic care to assist clients to explore and achieve their mental health goals. Cassie specializes in working with PTSD, Complex PTSD, youth/adolescents, mood disorders and the stressors associated with caregiving. Cassie is trained in Eye Movement Desensitization Reprocessing (EMDR), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Cognitive Behavioral Therapy and Dialectical Behavioral Therapy.
(858) 567-2431 View (858) 567-2431
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How does your Therapist compare?

Number of Therapists in La Mesa, CA

200+

Average cost per session

$150

Therapists in La Mesa, CA who prioritize treating:

91% Anxiety
87% Depression
70% Relationship Issues
68% Trauma and PTSD
68% Self Esteem
66% Coping Skills
63% Stress

Average years in practice

12 Years

Top 3 insurances accepted

81% Aetna
75% Cigna and Evernorth
65% UnitedHealthcare UHC | UBH

How Therapists in La Mesa, CA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in La Mesa?

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.