Therapists in Republic, WA

Photo of Aisha N Charles, JD, LICSW, Clinical Social Work/Therapist
Aisha N Charles
Clinical Social Work/Therapist, JD, LICSW
Verified Verified
1 Endorsed
Republic, WA 99166  (Online Only)
I accept out of network benefits and offer a sliding scale. Do you find yourself feeling anxious, unmotivated, sad? Are you experiencing uncertainty, sadness, nightmares or flashbacks as a result of trauma or difficult life experiences? If you are trying to heal from a difficult childhood, past traumas, postpartum or your fertility journey, now is the time to reach out to a therapist that can help. Let us work together to help you navigate these life's challenges and hurts.
I accept out of network benefits and offer a sliding scale. Do you find yourself feeling anxious, unmotivated, sad? Are you experiencing uncertainty, sadness, nightmares or flashbacks as a result of trauma or difficult life experiences? If you are trying to heal from a difficult childhood, past traumas, postpartum or your fertility journey, now is the time to reach out to a therapist that can help. Let us work together to help you navigate these life's challenges and hurts.
(509) 287-4358 View (509) 287-4358
Photo of Jo Nell R Amburgey - Jo Nell R Amburgey LICSW, LICSW, Clinical Social Work/Therapist
Jo Nell R Amburgey LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Republic, WA 99166
Everyone has problems coping at times. Are you going through a stressful time, struggling or feeling stuck? This could be many situations such as leaving a job or losing a loved one, experiencing a life transition, or relationship difficulties. Frequently there are accompanying problems such as depression, anxiety or anger issues as welI that are pushing you down or holding you back. I have experience in working with people with these problems. You and I will work together in therapy to help you stop struggling and get you to where you want to be.
Everyone has problems coping at times. Are you going through a stressful time, struggling or feeling stuck? This could be many situations such as leaving a job or losing a loved one, experiencing a life transition, or relationship difficulties. Frequently there are accompanying problems such as depression, anxiety or anger issues as welI that are pushing you down or holding you back. I have experience in working with people with these problems. You and I will work together in therapy to help you stop struggling and get you to where you want to be.
(509) 774-5501 View (509) 774-5501
Photo of Sharon DEPAULO - Roots on the Road, MSW, LICSWA
Roots on the Road
Social Worker Associate, MSW, LICSWA
Verified Verified
Republic, WA 99166
My practice motto is: “We build by rebuilding”. By this I mean that one deserves a sense of security and stability in their life and sometimes it takes a “rebuild” in certain areas to achieve those aspects of security and stability. I look forward to learning more about how I can support you in this journey. I am an Associate Licensed Clinical Social Worker, specializing in Perinatal/Maternal Mental Health and Family Systems Supports. My work focuses on guiding you through your psycho-social & emotional discomfort to include depression and life’s challenges you may face.
My practice motto is: “We build by rebuilding”. By this I mean that one deserves a sense of security and stability in their life and sometimes it takes a “rebuild” in certain areas to achieve those aspects of security and stability. I look forward to learning more about how I can support you in this journey. I am an Associate Licensed Clinical Social Worker, specializing in Perinatal/Maternal Mental Health and Family Systems Supports. My work focuses on guiding you through your psycho-social & emotional discomfort to include depression and life’s challenges you may face.
(509) 519-1476 View (509) 519-1476
Photo of Christopher Hooker, MSW, LMHC, Counselor
Christopher Hooker
Counselor, MSW, LMHC
Verified Verified
Republic, WA 99166  (Online Only)
Are you feeling lost? Hopeless? Defeated? Would you like to be able to be unshackled from things like guilt, shame, trauma and feelings of being overwhelmed? You've come to the right place - I'm here to support you by rekindling your hope and finding your inner strength to break the shackles. Learn more about me at honorboundcounseling.com
Are you feeling lost? Hopeless? Defeated? Would you like to be able to be unshackled from things like guilt, shame, trauma and feelings of being overwhelmed? You've come to the right place - I'm here to support you by rekindling your hope and finding your inner strength to break the shackles. Learn more about me at honorboundcounseling.com
(509) 257-4668 View (509) 257-4668

Online Therapists

Photo of Angela Pham - Angela Pham Coaching, MS, LMHC, P-MHC, RDN, CD, Counselor
Angela Pham Coaching
Counselor, MS, LMHC, P-MHC, RDN, CD
Verified Verified
3 Endorsed
Spokane, WA 99204
I believe every troubled relationship has a repetitive pattern with roots of this pattern caused by attachment wounds. My approach looks at how the role we played in our childhood, influences our current relationships, especially as a parent or spouse. I enjoy working with married couples who are experiencing conflict, especially while raising their children. I am also a certified perinatal therapist and enjoy supporting women in postpartum. Contact me if you want to live a more attuned and meaningful life and you want to see sustainable changes.
I believe every troubled relationship has a repetitive pattern with roots of this pattern caused by attachment wounds. My approach looks at how the role we played in our childhood, influences our current relationships, especially as a parent or spouse. I enjoy working with married couples who are experiencing conflict, especially while raising their children. I am also a certified perinatal therapist and enjoy supporting women in postpartum. Contact me if you want to live a more attuned and meaningful life and you want to see sustainable changes.
(206) 429-4704 View (206) 429-4704
Photo of Rikki Gruen - Restoring Hope Counseling, MA, LMHC, NCC, CCTP, Counselor
Restoring Hope Counseling
Counselor, MA, LMHC, NCC, CCTP
Verified Verified
Spokane, WA 99218
I have been practicing for over 25 years. I have had the privilege to positively treat patients in a variety of settings including churches, hospitals, schools, and agencies. I am trained in EMDR therapy to help reduce the effects of trauma. My experience is varied across age spans as well in diverse populations both culturally and economically. My heart is to serve clients who are looking for holistic healing and are longing for breakthrough in their lives. My gift is to come alongside people in a compassionate and motivating way to give tools for them to find healing and wholeness so that freedom is a reality for each person.
I have been practicing for over 25 years. I have had the privilege to positively treat patients in a variety of settings including churches, hospitals, schools, and agencies. I am trained in EMDR therapy to help reduce the effects of trauma. My experience is varied across age spans as well in diverse populations both culturally and economically. My heart is to serve clients who are looking for holistic healing and are longing for breakthrough in their lives. My gift is to come alongside people in a compassionate and motivating way to give tools for them to find healing and wholeness so that freedom is a reality for each person.
(509) 412-3729 View (509) 412-3729
Photo of Stacey Durland, MA, LMHC, NCC, Counselor
Stacey Durland
Counselor, MA, LMHC, NCC
Verified Verified
Spokane, WA 99204
Do you want to be happier? Does your life feel unbalanced? I can help you with a variety of issues including anxiety, depression, grief and loss, relationship issues, and trauma. Together, we can work to identify the issues that are holding you back, work through them, and help you to start leading a happier, healthier life. During your therapy, I will use cognitive behavioral therapy, EMDR, and other approaches tailored to meet your needs.
Do you want to be happier? Does your life feel unbalanced? I can help you with a variety of issues including anxiety, depression, grief and loss, relationship issues, and trauma. Together, we can work to identify the issues that are holding you back, work through them, and help you to start leading a happier, healthier life. During your therapy, I will use cognitive behavioral therapy, EMDR, and other approaches tailored to meet your needs.
(509) 822-6553 View (509) 822-6553
Photo of Teresa M. Eggleston, MA, LMFTA, Marriage & Family Therapist Associate
Teresa M. Eggleston
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
2 Endorsed
Spokane, WA 99207
Are you wanting to reclaim your authentic self? You want to be more in control of your anger and emotions, not be taken for a ride again and again. You "know better" yet are frustrated that you keep doing the same thing. Or maybe you're in a relationship that's disconnected and you want to revive the love and intimacy? These can be challenging issues to face alone. Unfortunately, many people learn to tune-out or dissociate in these situations, which can cause more difficulty and lead to feeling stuck or hopeless. I focus on integrative practices that address your mind, body, spirit and emotions - it's not all in your head.
Are you wanting to reclaim your authentic self? You want to be more in control of your anger and emotions, not be taken for a ride again and again. You "know better" yet are frustrated that you keep doing the same thing. Or maybe you're in a relationship that's disconnected and you want to revive the love and intimacy? These can be challenging issues to face alone. Unfortunately, many people learn to tune-out or dissociate in these situations, which can cause more difficulty and lead to feeling stuck or hopeless. I focus on integrative practices that address your mind, body, spirit and emotions - it's not all in your head.
(509) 902-6234 View (509) 902-6234
Photo of Nicole Crebillo, MA, LPCC, MFTA, Marriage & Family Therapist Associate
Nicole Crebillo
Marriage & Family Therapist Associate, MA, LPCC, MFTA
Verified Verified
Spokane, WA 99201  (Online Only)
Mabuhay and Welcome! Are you looking into taking the first step into a new journey? For some it may look more like an unknown or uncharted territory. Everyone’s path can look different and I am here to work with you during this new experience. I intend to create a safe, non-judgmental and empathetic space for people to express their emotions and struggles freely.
Mabuhay and Welcome! Are you looking into taking the first step into a new journey? For some it may look more like an unknown or uncharted territory. Everyone’s path can look different and I am here to work with you during this new experience. I intend to create a safe, non-judgmental and empathetic space for people to express their emotions and struggles freely.
(509) 800-5889 View (509) 800-5889
Photo of Cece Ann Crowe, MS, LMFT, Marriage & Family Therapist
Cece Ann Crowe
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Spokane Valley, WA 99037
"I’m tired of feeling this way. I want help. I want something to change." I hear you, I see you, and I want to sit with you in these moments. You want to feel comfortable in your life, in your relationships, and with yourself. You want to feel sure of yourself and content, with coping skills and new ways of engaging in life and with others. Let’s work together to learn new ways of behaving, and grow in your understanding of yourself and family. My strength as a therapist is to get to know you, relate to you and offer another perspective.
"I’m tired of feeling this way. I want help. I want something to change." I hear you, I see you, and I want to sit with you in these moments. You want to feel comfortable in your life, in your relationships, and with yourself. You want to feel sure of yourself and content, with coping skills and new ways of engaging in life and with others. Let’s work together to learn new ways of behaving, and grow in your understanding of yourself and family. My strength as a therapist is to get to know you, relate to you and offer another perspective.
(509) 233-4817 View (509) 233-4817
Photo of (Not Accepting New Clients) Srae Christensen, MA, LMHC, Counselor
(Not Accepting New Clients) Srae Christensen
Counselor, MA, LMHC
Verified Verified
Spokane Valley, WA 99206  (Online Only)
I believe each of us has an innate desire to belong, to love, to be loved, and to find self-fulfillment — to reach our potential. Sometimes we are faced with challenges such as those brought about by anxiety or depression which can be distressing. My goal is to help my clients learn how to address and cope with stressors that may be blocking their growth and well-being. Through a person-centered counseling approach using trauma-informed cognitive behavioral therapy (CBT) techniques, I help my clients find ways to adjust their feelings and behaviors to improve self-awareness and to work toward self-directed change.
I believe each of us has an innate desire to belong, to love, to be loved, and to find self-fulfillment — to reach our potential. Sometimes we are faced with challenges such as those brought about by anxiety or depression which can be distressing. My goal is to help my clients learn how to address and cope with stressors that may be blocking their growth and well-being. Through a person-centered counseling approach using trauma-informed cognitive behavioral therapy (CBT) techniques, I help my clients find ways to adjust their feelings and behaviors to improve self-awareness and to work toward self-directed change.
(509) 233-4386 View (509) 233-4386
Photo of Jen Adams, LMHC, CFMHE, MHP, Counselor
Jen Adams
Counselor, LMHC, CFMHE, MHP
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
My mission is to help clients realign and improve their mental, emotional, and physical health by choosing healthy change. With a mix of practical skills and a sense of humor, I help clients explore current concerns while considering past difficulties and negative patterns. I believe the client has the power to change their thoughts and behaviors. My counseling techniques serve to support and guide those changes.
My mission is to help clients realign and improve their mental, emotional, and physical health by choosing healthy change. With a mix of practical skills and a sense of humor, I help clients explore current concerns while considering past difficulties and negative patterns. I believe the client has the power to change their thoughts and behaviors. My counseling techniques serve to support and guide those changes.
(425) 629-0560 View (425) 629-0560
Photo of Gracie Klontz, MA, LMHCA, NBCC, Counselor
Gracie Klontz
Counselor, MA, LMHCA, NBCC
Verified Verified
Spokane Valley, WA 99206
It is a great privilege to be entrusted with the sacred work of helping individuals navigate life's issues. The therapeutic relationship is unlike any relationship one will experience anywhere because, in the therapy room, they are unconditionally valued and empathically listened to with their best interests in mind, free from hidden agendas, discrimination, or personal gain. In this safe environment, clients are encouraged to develop compassionate curiosity toward the pieces of their life story, which grants insight into their present functioning and is an essential part of their growth journey.
It is a great privilege to be entrusted with the sacred work of helping individuals navigate life's issues. The therapeutic relationship is unlike any relationship one will experience anywhere because, in the therapy room, they are unconditionally valued and empathically listened to with their best interests in mind, free from hidden agendas, discrimination, or personal gain. In this safe environment, clients are encouraged to develop compassionate curiosity toward the pieces of their life story, which grants insight into their present functioning and is an essential part of their growth journey.
(509) 486-7962 View (509) 486-7962
Photo of Gina Romero - Wandering Pine Wellness, LICSW, LCSW, Clinical Social Work/Therapist
Wandering Pine Wellness
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
4 Endorsed
Spokane, WA 99201
You wake up in the mornings and don’t feel rested. You're feeling irritable and you've been arguing with your kids or partner. You struggle to stay present, and you’re having a hard time focusing on household tasks, work, and parenting. Anxiety and overwhelm weigh heavy on you, but you’re holding it all in so you can prioritize your family's needs. You're struggling, and you feel burned out. Putting your own needs on hold and not prioritizing yourself feels like a good temporary solution, but it only makes you feel worse in the long run. It’s time to put yourself first.
You wake up in the mornings and don’t feel rested. You're feeling irritable and you've been arguing with your kids or partner. You struggle to stay present, and you’re having a hard time focusing on household tasks, work, and parenting. Anxiety and overwhelm weigh heavy on you, but you’re holding it all in so you can prioritize your family's needs. You're struggling, and you feel burned out. Putting your own needs on hold and not prioritizing yourself feels like a good temporary solution, but it only makes you feel worse in the long run. It’s time to put yourself first.
(702) 935-1473 View (702) 935-1473
Photo of Dana Cram, MA, LMHC, MHP, Counselor
Dana Cram
Counselor, MA, LMHC, MHP
Verified Verified
1 Endorsed
Spokane, WA 99205  (Online Only)
You're ready for change. You're tired of how things have been, and not just the last two years. If you're looking for an authentic, empathic individual to help guide you along the way, I may be the right therapist for you. I love helping young adults and people early in their careers navigate college stress, peer relationships, and dating, as well as those with established careers, contemplating a change. Anxiety, depression, trauma, PTSD, ADHD, stress management, relationship issues, grief/loss, and postpartum concerns are all welcome. You're ready: let's get started.
You're ready for change. You're tired of how things have been, and not just the last two years. If you're looking for an authentic, empathic individual to help guide you along the way, I may be the right therapist for you. I love helping young adults and people early in their careers navigate college stress, peer relationships, and dating, as well as those with established careers, contemplating a change. Anxiety, depression, trauma, PTSD, ADHD, stress management, relationship issues, grief/loss, and postpartum concerns are all welcome. You're ready: let's get started.
(509) 239-7874 View (509) 239-7874
Photo of Emily Fisher, MA, LMFTA, Marriage & Family Therapist Associate
Emily Fisher
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
2 Endorsed
Spokane, WA 99218
Are you experiencing difficulties within your relationship? Are you a loved one of a family member struggling with addiction trying to find your place? I work with individuals and couples looking for a place to grow individually or to connect more in their relationships. I help clients identify negative patterns, aiming to foster a relationship to help them feel less alone, lost, or frustrated with their current issues. My work is highly attachment-based, a framework that focuses on the impact of early relationships on an individual's emotional and psychological well-being and how that shows up in the present.
Are you experiencing difficulties within your relationship? Are you a loved one of a family member struggling with addiction trying to find your place? I work with individuals and couples looking for a place to grow individually or to connect more in their relationships. I help clients identify negative patterns, aiming to foster a relationship to help them feel less alone, lost, or frustrated with their current issues. My work is highly attachment-based, a framework that focuses on the impact of early relationships on an individual's emotional and psychological well-being and how that shows up in the present.
(509) 408-3374 View (509) 408-3374
Photo of Victoria Kinner, LMHC, SUDP, MHP
Victoria Kinner
Mental Health Counselor, LMHC, SUDP, MHP
Verified Verified
Spokane, WA 99201
There have been many times in my life when I have needed a counselor. Whether it was to help in figuring out my next step in school, what track I needed to take in college, or even talking about my own personal struggles, counselors have played a role in my life and have helped me achieve many of my goals. I came to appreciate the role of a counselor and the hard work and dedication it takes to walk alongside clients and their journey. Therapy is hard work, and it is a task that many don’t want to face alone.
There have been many times in my life when I have needed a counselor. Whether it was to help in figuring out my next step in school, what track I needed to take in college, or even talking about my own personal struggles, counselors have played a role in my life and have helped me achieve many of my goals. I came to appreciate the role of a counselor and the hard work and dedication it takes to walk alongside clients and their journey. Therapy is hard work, and it is a task that many don’t want to face alone.
(509) 612-7564 View (509) 612-7564
Photo of Caitlynn Vogl, MA, LMHC, CASDCS, Counselor
Caitlynn Vogl
Counselor, MA, LMHC, CASDCS
Verified Verified
Spokane, WA 99201  (Online Only)
Waitlist for new clients
If you are a parent or caregiver who is having a difficult time finding support for your children or teens during this time, I want you to know I am here to help. I provide a warm and caring relationship where children and families can express themselves, grow independently, adjust to life's difficult circumstances and find a way to navigate relationships both in and out of the family. I specialize in trauma-focused cognitive behavioral therapy, EMDR, and ego state therapy in my practice but am experienced in a variety of therapies and want to ensure children and their families feel supported in whatever therapy model is chosen.
If you are a parent or caregiver who is having a difficult time finding support for your children or teens during this time, I want you to know I am here to help. I provide a warm and caring relationship where children and families can express themselves, grow independently, adjust to life's difficult circumstances and find a way to navigate relationships both in and out of the family. I specialize in trauma-focused cognitive behavioral therapy, EMDR, and ego state therapy in my practice but am experienced in a variety of therapies and want to ensure children and their families feel supported in whatever therapy model is chosen.
(509) 210-6675 View (509) 210-6675
Photo of Dr. Erma B Henry, PhD, LMHCA, SUDPT, CFMS, Counselor
Dr. Erma B Henry
Counselor, PhD, LMHCA, SUDPT, CFMS
Verified Verified
Spokane, WA 99203  (Online Only)
I am accepting a sliding scale fee for no insurance, no insurance means insurances not on my list, or out-of-network insurances typically will be at a lessor rate, just let me know what you can afford to pay.
I am accepting a sliding scale fee for no insurance, no insurance means insurances not on my list, or out-of-network insurances typically will be at a lessor rate, just let me know what you can afford to pay.
(509) 423-7036 View (509) 423-7036
Photo of Christopher Reichert, MS, LMHCA, NCC, Pre-Licensed Professional
Christopher Reichert
Pre-Licensed Professional, MS, LMHCA, NCC
Verified Verified
Spokane, WA 99204
Forrest Gump may have compared life to a box of chocolates, but I find it's more like a box of IKEA furniture: You open the thing up, only to find you're missing three bolts and the instructions. The good news is you already have the most important thing necessary to take on life - you! If you think therapy might be a good option for you, you've come to the right place. If you don't know if therapy is a good option for you, you've still come to the right place!
Forrest Gump may have compared life to a box of chocolates, but I find it's more like a box of IKEA furniture: You open the thing up, only to find you're missing three bolts and the instructions. The good news is you already have the most important thing necessary to take on life - you! If you think therapy might be a good option for you, you've come to the right place. If you don't know if therapy is a good option for you, you've still come to the right place!
(208) 352-6195 View (208) 352-6195

Nearby Searches for Republic

See More Therapists

How does your Therapist compare?

Number of Therapists in Republic, WA

< 10

Therapists in Republic, WA who prioritize treating:

100% Anxiety
100% Trauma and PTSD
75% Depression
75% Grief
75% Coping Skills
75% Veterans
75% Life Transitions

Average years in practice

4 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% UnitedHealthcare UHC | UBH

How Therapists in Republic, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Republic?

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.