Therapists in Nebraska

View cities and counties in Nebraska
Kathy Dombrowski
Counselor, LIMFT, LIMHP, LMHP, LPC
Verified Verified
Lincoln, NE 68516
I'm experienced in working through issues related to aging and life changes. I've helped many clients work through times of grief and isolation. I've worked in medical and hospital settings and I understand the interplay between physical and emotional problems. I'd welcome the opportunity to work with you.
I'm experienced in working through issues related to aging and life changes. I've helped many clients work through times of grief and isolation. I've worked in medical and hospital settings and I understand the interplay between physical and emotional problems. I'd welcome the opportunity to work with you.
(402) 784-1081 View (402) 784-1081
Photo of Kristin Sukraw, MA, LMHP, Counselor
Kristin Sukraw
Counselor, MA, LMHP
Verified Verified
Lincoln, NE 68503
Not accepting new clients
Do you want help making sense of your life's journey? Are you struggling with fear, depression or desire healing from a traumatic event? Do you want your relationships to be healthier and happier? Life can be full of pain and often our responses to pain can push us deeper into despair. When we have hope, we are able to move forward through anything, but oftentimes we find that hope dashed. We live in a world that is full of loneliness and I would be honored to walk alongside you as you learn to hope again.
Do you want help making sense of your life's journey? Are you struggling with fear, depression or desire healing from a traumatic event? Do you want your relationships to be healthier and happier? Life can be full of pain and often our responses to pain can push us deeper into despair. When we have hope, we are able to move forward through anything, but oftentimes we find that hope dashed. We live in a world that is full of loneliness and I would be honored to walk alongside you as you learn to hope again.
(402) 685-9051 View (402) 685-9051
Photo of Lisa Merz, LMHC, Counselor
Lisa Merz
Counselor, LMHC
Verified Verified
Omaha, NE 68144
Are you a child, teen, or adult dealing with stress, life transitions, trauma or fertility struggles? I'm a therapist helping individuals through issues like anxiety, depression, divorce, abuse, and adoption. My training includes Trauma Focused Cognitive Behavioral Therapy, Child Parent Psychotherapy, Child and Family Traumatic Stress Intervention, and I'm certified in Brainspotting and Adoption therapy. My therapy approach offers a safe space for you to share and work through your past towards stronger hope and healing.
Are you a child, teen, or adult dealing with stress, life transitions, trauma or fertility struggles? I'm a therapist helping individuals through issues like anxiety, depression, divorce, abuse, and adoption. My training includes Trauma Focused Cognitive Behavioral Therapy, Child Parent Psychotherapy, Child and Family Traumatic Stress Intervention, and I'm certified in Brainspotting and Adoption therapy. My therapy approach offers a safe space for you to share and work through your past towards stronger hope and healing.
(402) 824-2816 View (402) 824-2816
Photo of Kitty Betty Johnson, MA, LIMHP, LADC, Counselor
Kitty Betty Johnson
Counselor, MA, LIMHP, LADC
Verified Verified
Gothenburg, NE 69138
At times, everyone needs a refuge from the storm, a comforting and safe place to unload, and inspiration to move ahead. I empathize with you, as I have faced and overcome many of the same battles as you. Many of us struggle with traumatic events in our lives that are overwhelming. Many of us have addictions that cause chaos and destruction. We want to rise above these issues and find peace. We can do this, together. Cada persona, tarde o temprano, necesita un refugio, un lugar seguro donde se puede desahogarse. Aqui esta el lugar, conmigo. Yo entiendo sus batallas porque yo he luchado y superado muchos de los mismos problemas.
At times, everyone needs a refuge from the storm, a comforting and safe place to unload, and inspiration to move ahead. I empathize with you, as I have faced and overcome many of the same battles as you. Many of us struggle with traumatic events in our lives that are overwhelming. Many of us have addictions that cause chaos and destruction. We want to rise above these issues and find peace. We can do this, together. Cada persona, tarde o temprano, necesita un refugio, un lugar seguro donde se puede desahogarse. Aqui esta el lugar, conmigo. Yo entiendo sus batallas porque yo he luchado y superado muchos de los mismos problemas.
(308) 270-6374 View (308) 270-6374
Photo of Alexis Kyra Kuhn, PLMHP, PCMSW, Counselor
Alexis Kyra Kuhn
Counselor, PLMHP, PCMSW
Verified Verified
Omaha, NE 68144
Lexie finds strengths in working with teens and adults under age 40, those wishing to work on interpersonal relationships, people who identify as LGBTQ+, and individuals who are neuro-divergent. Lexie will help her clients identify patterns in their thoughts, feelings, and behaviors. In some cases, Lexie may help her clients uncover past traumas or underlying issues that may be contributing to current challenges. Lexie will encourage her clients to reflect on their experiences and explore the underlying emotions, beliefs, and meanings associated with their experiences.
Lexie finds strengths in working with teens and adults under age 40, those wishing to work on interpersonal relationships, people who identify as LGBTQ+, and individuals who are neuro-divergent. Lexie will help her clients identify patterns in their thoughts, feelings, and behaviors. In some cases, Lexie may help her clients uncover past traumas or underlying issues that may be contributing to current challenges. Lexie will encourage her clients to reflect on their experiences and explore the underlying emotions, beliefs, and meanings associated with their experiences.
(402) 809-9888 View (402) 809-9888
Photo of Jessica Lowe, LIMHP, LISW
Jessica Lowe
LIMHP, LISW
Verified Verified
1 Endorsed
Omaha, NE 68144
Life can bring unexpected changes and events that can take us off the path we expected. Anxiety, depression, stress, trouble regulating emotions, behavioral difficulties, and other symptoms can create challenges in getting through each day. I believe my role as a therapist is to support you in living your best life - whatever that may be. My goal is to provide a supportive and empowering environment for children, teens, parents and adults to address their mental health needs and enhance their overall well-being. I would be honored to walk with you on this journey towards your best life.
Life can bring unexpected changes and events that can take us off the path we expected. Anxiety, depression, stress, trouble regulating emotions, behavioral difficulties, and other symptoms can create challenges in getting through each day. I believe my role as a therapist is to support you in living your best life - whatever that may be. My goal is to provide a supportive and empowering environment for children, teens, parents and adults to address their mental health needs and enhance their overall well-being. I would be honored to walk with you on this journey towards your best life.
(402) 382-9143 View (402) 382-9143
Photo of Stefanie Bezduch, MS, PLMHP
Stefanie Bezduch
Provisional Mental Health Practitioner, MS, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68144
Therapy doesn't have to be intimidating. In fact, let's make it your time to shine! After all, this is all about you and achieving your personal vision! If you're looking for a safe space to address traumatic experiences, anxiety, depression, etc. or are just looking to talk through day-to-day stress, you've come to the right place.
Therapy doesn't have to be intimidating. In fact, let's make it your time to shine! After all, this is all about you and achieving your personal vision! If you're looking for a safe space to address traumatic experiences, anxiety, depression, etc. or are just looking to talk through day-to-day stress, you've come to the right place.
(402) 389-3832 View (402) 389-3832
Photo of Lindsay Stayton, MSW, LIMHP , LCSW, Clinical Social Work/Therapist
Lindsay Stayton
Clinical Social Work/Therapist, MSW, LIMHP , LCSW
Verified Verified
3 Endorsed
Gretna, NE 68028
I provide individual therapy services to individuals with a primary focus on treating adolescents, young adults and adults struggling with life transitions and challenges. In addition to the stressors and challenges of life changes, I have significant experience working with individuals who experienced trauma in childhood. The primary treatment methods I use in my practice include Cognitive Behavioral Therapy, Solution Focused Brief Therapy, EMDR, Trauma Focused Therapies and more. I will work with you to develop a treatment plan that meets your needs.
I provide individual therapy services to individuals with a primary focus on treating adolescents, young adults and adults struggling with life transitions and challenges. In addition to the stressors and challenges of life changes, I have significant experience working with individuals who experienced trauma in childhood. The primary treatment methods I use in my practice include Cognitive Behavioral Therapy, Solution Focused Brief Therapy, EMDR, Trauma Focused Therapies and more. I will work with you to develop a treatment plan that meets your needs.
(402) 735-5634 View (402) 735-5634
Photo of Erin Polacek, MSEd, LIMHP, CPC, Counselor
Erin Polacek
Counselor, MSEd, LIMHP, CPC
Verified Verified
1 Endorsed
Lincoln, NE 68510  (Online Only)
I hope to create a space for authentic connection, safety and trust, in which we can work together to develop strategies for reaching your goals. It takes courage and vulnerability to face life’s stresses, and I would feel grateful to walk together with you in that process. I want to empower you to find tools for improving your relationship with yourself, your family, and others around you!
I hope to create a space for authentic connection, safety and trust, in which we can work together to develop strategies for reaching your goals. It takes courage and vulnerability to face life’s stresses, and I would feel grateful to walk together with you in that process. I want to empower you to find tools for improving your relationship with yourself, your family, and others around you!
(402) 302-1126 View (402) 302-1126
Photo of Brian Shaw - Brian Shaw Psychotherapy, MSW, LIMHP, LISW, LICSW, CST, Clinical Social Work/Therapist
Brian Shaw Psychotherapy
Clinical Social Work/Therapist, MSW, LIMHP, LISW, LICSW, CST
Verified Verified
1 Endorsed
Omaha, NE 68102
As a psychotherapist, I can assist you in unlocking your innate potential. In our busy lives we tend to lose perspective and neglect caring for the body, mind and inner self. In psychotherapy, you are assessed in a holistic manner using a biopsychosocial approach and together we work on areas of your life that are in need of examination and healing. You will feel safe and supported on your journey and will never be judged for being who you are. I enjoy working with clients from a diverse background and embrace diversity in my practice. I'm open-minded, compassionate, experienced (but not stuffy), and have a sense of humor.
As a psychotherapist, I can assist you in unlocking your innate potential. In our busy lives we tend to lose perspective and neglect caring for the body, mind and inner self. In psychotherapy, you are assessed in a holistic manner using a biopsychosocial approach and together we work on areas of your life that are in need of examination and healing. You will feel safe and supported on your journey and will never be judged for being who you are. I enjoy working with clients from a diverse background and embrace diversity in my practice. I'm open-minded, compassionate, experienced (but not stuffy), and have a sense of humor.
(402) 552-8525 View (402) 552-8525
Photo of Tenora Bannister, LIMHP, NCC, LPC, Counselor
Tenora Bannister
Counselor, LIMHP, NCC, LPC
Verified Verified
3 Endorsed
Omaha, NE 68144
Life is a journey and at times can be lonely and I am a firm believer that having an outside perspective to offer support, guidance and unconditional acceptance can be of extreme value and importance. Whether it be relationship issues, low self-esteem, challenges with communicating, struggles with work, difficulties making decisions, frustrations with teens or even with parents, divorce, eating disorders and just general life coaching, having a compassionate support can make all the difference a person needs to live a successful and HAPPY life! Call today and take the first step towards change!
Life is a journey and at times can be lonely and I am a firm believer that having an outside perspective to offer support, guidance and unconditional acceptance can be of extreme value and importance. Whether it be relationship issues, low self-esteem, challenges with communicating, struggles with work, difficulties making decisions, frustrations with teens or even with parents, divorce, eating disorders and just general life coaching, having a compassionate support can make all the difference a person needs to live a successful and HAPPY life! Call today and take the first step towards change!
(402) 795-1636 View (402) 795-1636
Photo of Stan Carlson - Carlson Counseling Services, MDiv, LIMHP, LADC, NCAC II, SAP, Drug & Alcohol Counselor
Carlson Counseling Services
Drug & Alcohol Counselor, MDiv, LIMHP, LADC, NCAC II, SAP
Verified Verified
Arlington, NE 68002  (Online Only)
Carlson Counseling Services provides professional counseling for individuals, couples and families having issues with relationships, mental health and drug and alcohol addictions. Stan is committed to providing superior counseling solutions that provide help, hope and healing. You receive guidance every step of the way as you walk the path to recovery. Stan Carlson's experience and and educational background is evidenced by his reputation as being one who is in demand. Contact Stan at 402-620-6842.
Carlson Counseling Services provides professional counseling for individuals, couples and families having issues with relationships, mental health and drug and alcohol addictions. Stan is committed to providing superior counseling solutions that provide help, hope and healing. You receive guidance every step of the way as you walk the path to recovery. Stan Carlson's experience and and educational background is evidenced by his reputation as being one who is in demand. Contact Stan at 402-620-6842.
(402) 620-6842 View (402) 620-6842
Photo of Mary Hepburn, LMSW, PLMHP, Clinical Social Work/Therapist
Mary Hepburn
Clinical Social Work/Therapist, LMSW, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68132
Is pain from the past inhibiting you from living the life you envisioned for yourself? Does it feel like you've been through so much that it's hard to even conceive of such an "envisioning?" Save that stuff for once you're out of survival mode, right? The fact is, trauma alone is not uncommon- it's part of being a human being. But for some of us, these traumas have been so severe that we can struggle to bounce back, feeling adrift and alone. Like journeying across the ocean when a storm cracks your mast, emotional trauma can leave us feeling lost, confused, and even desperate without a sail. How do we get back to dry land?
Is pain from the past inhibiting you from living the life you envisioned for yourself? Does it feel like you've been through so much that it's hard to even conceive of such an "envisioning?" Save that stuff for once you're out of survival mode, right? The fact is, trauma alone is not uncommon- it's part of being a human being. But for some of us, these traumas have been so severe that we can struggle to bounce back, feeling adrift and alone. Like journeying across the ocean when a storm cracks your mast, emotional trauma can leave us feeling lost, confused, and even desperate without a sail. How do we get back to dry land?
(402) 542-5204 View (402) 542-5204
Photo of Natalia Wagner - Omaha Insomnia and Psychiatric Services, Counselor
Omaha Insomnia and Psychiatric Services
Counselor
Verified Verified
Omaha, NE 68144
Our compassionate team of mental health professionals is here to support individuals of all ages. From children to adults and seniors, we offer comprehensive services tailored to your needs. Our diverse team includes psychiatrists, a neurologist, a psychologist, nurse practitioners, physician assistants, therapists, and interns. With this multidisciplinary approach, we provide personalized care that considers your specific goals and preferences. We prioritize holistic wellness and recognize the connection between mental health and overall wellbeing. Our dedicated team is committed to helping you achieve optimal mental health.
Our compassionate team of mental health professionals is here to support individuals of all ages. From children to adults and seniors, we offer comprehensive services tailored to your needs. Our diverse team includes psychiatrists, a neurologist, a psychologist, nurse practitioners, physician assistants, therapists, and interns. With this multidisciplinary approach, we provide personalized care that considers your specific goals and preferences. We prioritize holistic wellness and recognize the connection between mental health and overall wellbeing. Our dedicated team is committed to helping you achieve optimal mental health.
(402) 991-9630 View (402) 991-9630
Photo of Theresa Pickering, MA, PLMHP, Counselor
Theresa Pickering
Counselor, MA, PLMHP
Verified Verified
2 Endorsed
Lincoln, NE 68506
The ache and overwhelm of unresolved attachment trauma is not something anyone is meant to move through alone. If you're struggling to make sense of a partner's infidelity, the loss of a loved one through death or separation, or how you and your partner ended up not only turning away from each other but turning against each other, know you can not only survive this season, but find purpose, healing, and peace again. My training in Gottman Method Couples Therapy, EMDR, and DBT allows me to provide compassionate, evidence-based care to those looking to stop merely coping and start truly living.
The ache and overwhelm of unresolved attachment trauma is not something anyone is meant to move through alone. If you're struggling to make sense of a partner's infidelity, the loss of a loved one through death or separation, or how you and your partner ended up not only turning away from each other but turning against each other, know you can not only survive this season, but find purpose, healing, and peace again. My training in Gottman Method Couples Therapy, EMDR, and DBT allows me to provide compassionate, evidence-based care to those looking to stop merely coping and start truly living.
(402) 685-9224 View (402) 685-9224
Photo of Kaitlyn Smith - Kaitlyn Smith Therapy, LLC, MS, LIMHP, PLADC, CCTP, Counselor
Kaitlyn Smith Therapy, LLC
Counselor, MS, LIMHP, PLADC, CCTP
Verified Verified
Omaha, NE 68154
I’m here to listen to your whole story while learning more about you as an individual, help guide you through your present and future, as well as learning about your past. Life does not always provide you with easy steps along the way. There are things that truly cause scars which can affect us on a daily routine. I am here to remind you, you are not alone. I will be here as a support through every season of your life, one step at a time.
I’m here to listen to your whole story while learning more about you as an individual, help guide you through your present and future, as well as learning about your past. Life does not always provide you with easy steps along the way. There are things that truly cause scars which can affect us on a daily routine. I am here to remind you, you are not alone. I will be here as a support through every season of your life, one step at a time.
(402) 526-5435 View (402) 526-5435
Photo of Marie Gotthardt, LIMHP, CPC, NCC
Marie Gotthardt
Independent Mental Health Practitioner, LIMHP, CPC, NCC
Verified Verified
Omaha, NE 68154
Not accepting new clients
My name is Marie Gotthardt and I support each of my clients to work toward finding hope, healing, growth, and in building healthy relationships. I work with children, adolescents, and adults with a range of challenges, such as anxiety, depression, grief, and trauma. I have training in TAC, TF-CBT, EMDR, DBT, and Gottman Method Couples Therapy. I have experience working with victims of sexual abuse, physical abuse, and neglect, conducting child and adolescent counseling, couples counseling, and Christian counseling.
My name is Marie Gotthardt and I support each of my clients to work toward finding hope, healing, growth, and in building healthy relationships. I work with children, adolescents, and adults with a range of challenges, such as anxiety, depression, grief, and trauma. I have training in TAC, TF-CBT, EMDR, DBT, and Gottman Method Couples Therapy. I have experience working with victims of sexual abuse, physical abuse, and neglect, conducting child and adolescent counseling, couples counseling, and Christian counseling.
(402) 749-8384 View (402) 749-8384
Photo of Leslie Jane Deal, LIMHP
Leslie Jane Deal
Independent Mental Health Practitioner, LIMHP
Verified Verified
York, NE 68467
Life can be challenging and difficult. I am deeply passionate about helping others through those challenges. I have many years of counseling experience and have worked with many demographics of people including: couples, singles, parents, children, and adolescents. I am intensely strength based and believe in identifying the strengths of individuals to help them find solutions to their problems.
Life can be challenging and difficult. I am deeply passionate about helping others through those challenges. I have many years of counseling experience and have worked with many demographics of people including: couples, singles, parents, children, and adolescents. I am intensely strength based and believe in identifying the strengths of individuals to help them find solutions to their problems.
(402) 621-5253 View (402) 621-5253
Photo of Annie Bertsch, MA, PLMHP, Counselor
Annie Bertsch
Counselor, MA, PLMHP
Verified Verified
Omaha, NE 68154
Annie has experience with diverse populations, and has supported all ages through crisis and self-harm. She has excelled in working with grief and loss, mood disorders, self-esteem, depression and anxiety. Annie is trained in Dialectical Behavioral Therapy (DBT) and utilizes Art Related Therapy, Narrative Therapy and more to best meet clients unique needs.
Annie has experience with diverse populations, and has supported all ages through crisis and self-harm. She has excelled in working with grief and loss, mood disorders, self-esteem, depression and anxiety. Annie is trained in Dialectical Behavioral Therapy (DBT) and utilizes Art Related Therapy, Narrative Therapy and more to best meet clients unique needs.
(402) 687-3536 View (402) 687-3536
Photo of Morgan Earley, Counselor
Morgan Earley
Counselor
Verified Verified
Grand Island, NE 68801  (Online Only)
Are you looking for a unbiased space to decompress and process through life's tough stuff? Are you seeking tools and tips for when things just feel too messy? When we are experiencing anxiety, depression, or any other intolerable feeling, it can be difficult to manage on our own. I offer a comfortable, non-assuming space to sort through any of life's complexities you or your family is experiencing. I work with teens and adults who present with many concerns to include anxiety, PTSD, depression, parenting concerns, attachment concerns and general life transitions.
Are you looking for a unbiased space to decompress and process through life's tough stuff? Are you seeking tools and tips for when things just feel too messy? When we are experiencing anxiety, depression, or any other intolerable feeling, it can be difficult to manage on our own. I offer a comfortable, non-assuming space to sort through any of life's complexities you or your family is experiencing. I work with teens and adults who present with many concerns to include anxiety, PTSD, depression, parenting concerns, attachment concerns and general life transitions.
(308) 300-4070 View (308) 300-4070
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How does your Therapist compare?

Average cost per session

$150

Therapists in Nebraska who prioritize treating:

92% Anxiety
89% Depression
74% Trauma and PTSD
73% Self Esteem
72% Relationship Issues
69% Coping Skills
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
72% UnitedHealthcare UHC | UBH
71% Aetna

How Therapists in Nebraska see their clients

84% In Person and Online
16% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Nebraska?

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.