Therapists in San Marcos, CA

Photo of Rickey Maxwell, Marriage & Family Therapist in San Marcos, CA
Rickey Maxwell
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92069
Rickey Maxwell is a Licensed Marriage and Family Therapist, who has been practicing since 2005. He graduated from Chapman University, with an M. A. degree in Counseling Psychology. Rickey believes in a Solution Focused approach, involving drawing out people's strengths, helping them to bypass personal barriers and limits in order to achieve their goals and personal bests. His main areas of focus include working with individual adults, and couples. In his spare time, Rickey enjoys reading, playing guitar, and quality time with his family.
Rickey Maxwell is a Licensed Marriage and Family Therapist, who has been practicing since 2005. He graduated from Chapman University, with an M. A. degree in Counseling Psychology. Rickey believes in a Solution Focused approach, involving drawing out people's strengths, helping them to bypass personal barriers and limits in order to achieve their goals and personal bests. His main areas of focus include working with individual adults, and couples. In his spare time, Rickey enjoys reading, playing guitar, and quality time with his family.
(760) 824-3715 View (760) 824-3715
Emilia Ramirez
Psychologist, PsyD
Verified Verified
San Marcos, CA 92069
Dr. Emilia Ramirez is both from Texas and California, loves what she does and considers it her calling. She has worked in the field of social services for approximately 25 years and began her training as a therapist in 2015. Dr. Ramirez completed her Clinical Psychology doctorate in 2011 in Dallas, Texas. Prior to this, she obtained a Masters in Clinical Psychology in 2009 in Dallas Texas and graduated as a fourth-generation Longhorn from the University of Texas at Austin with a Bachelor of Arts in Psychology in 2001, After completing graduate school, she moved back to California and is here to stay.
Dr. Emilia Ramirez is both from Texas and California, loves what she does and considers it her calling. She has worked in the field of social services for approximately 25 years and began her training as a therapist in 2015. Dr. Ramirez completed her Clinical Psychology doctorate in 2011 in Dallas, Texas. Prior to this, she obtained a Masters in Clinical Psychology in 2009 in Dallas Texas and graduated as a fourth-generation Longhorn from the University of Texas at Austin with a Bachelor of Arts in Psychology in 2001, After completing graduate school, she moved back to California and is here to stay.
(760) 970-8658 View (760) 970-8658
Photo of Patricia Rodriguez, Marriage & Family Therapist in San Marcos, CA
Patricia Rodriguez
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92078
My name is Patricia Rodriguez and I'm a Licensed Marriage and Family Therapist. I have worked in the mental health field for over 17 years. My experience has been working with children, teens, adolescents, adults, and families who suffer from anxiety, depression, trauma, and relationship/family issues. My personal experience has been many years of trauma, by family dysfunction and grief/loss.
My name is Patricia Rodriguez and I'm a Licensed Marriage and Family Therapist. I have worked in the mental health field for over 17 years. My experience has been working with children, teens, adolescents, adults, and families who suffer from anxiety, depression, trauma, and relationship/family issues. My personal experience has been many years of trauma, by family dysfunction and grief/loss.
(760) 317-4517 View (760) 317-4517
Photo of Shannon Thomason, Clinical Social Work/Therapist in San Marcos, CA
Shannon Thomason
Clinical Social Work/Therapist, LCSW, SUDCCIV
Verified Verified
San Marcos, CA 92078
Have you ever felt overwhelmed with life circumstances or approaching changes? Have you ever felt unsure of where to find help, or hesitant to reach out for support? Oftentimes life throws us curveballs and facing these challenges alone can be scary. I strive to provide a safe, therapeutic and trauma-informed environment based on holding hope and discovering the strengths within you. I enjoy working teens, transitional aged youth (18-25), adults, and older adults, specifically individuals living with severe and long-term mental illness and substance abuse disorders.
Have you ever felt overwhelmed with life circumstances or approaching changes? Have you ever felt unsure of where to find help, or hesitant to reach out for support? Oftentimes life throws us curveballs and facing these challenges alone can be scary. I strive to provide a safe, therapeutic and trauma-informed environment based on holding hope and discovering the strengths within you. I enjoy working teens, transitional aged youth (18-25), adults, and older adults, specifically individuals living with severe and long-term mental illness and substance abuse disorders.
(442) 241-0419 View (442) 241-0419
Photo of Beth Kolakoski, Marriage & Family Therapist in San Marcos, CA
Beth Kolakoski
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92078
My name is Beth Leigh Kolakoski and I am a licensed Marriage and Family Therapist (LMFT) in Marin County, California. In a supportive and empathetic environment, issues such as grief and loss, sadness/depression, anxiety, life transitions, personal growth, low self-esteem, trauma, chronic pain, ADHD difficulties, as well as parent struggles, can be addressed through a strength-based and solution-oriented approach. I specialize in working with adults who are struggling with anxiety, sadness/depression, grief and loss, major life transitions, shame, neurodivergent differences, trauma, PTSD, chronic pain, and parent struggles.
My name is Beth Leigh Kolakoski and I am a licensed Marriage and Family Therapist (LMFT) in Marin County, California. In a supportive and empathetic environment, issues such as grief and loss, sadness/depression, anxiety, life transitions, personal growth, low self-esteem, trauma, chronic pain, ADHD difficulties, as well as parent struggles, can be addressed through a strength-based and solution-oriented approach. I specialize in working with adults who are struggling with anxiety, sadness/depression, grief and loss, major life transitions, shame, neurodivergent differences, trauma, PTSD, chronic pain, and parent struggles.
(760) 389-1626 View (760) 389-1626
Photo of Jeff A Kleinberg, Marriage & Family Therapist in San Marcos, CA
Jeff A Kleinberg
Marriage & Family Therapist, PhD, LMFT
Verified Verified
San Marcos, CA 92078  (Online Only)
At some point, and sometimes all at once, we all encounter challenges. In part, therapy helps us gain insight into core, possibly long-standing problems or can be a space for you to freely talk about your difficulties. I'll listen to your needs, help you navigate & find perspective. My hope is for you to find self-understanding, develop skills and use insights leading you toward improved life satisfaction and personal leadership.
At some point, and sometimes all at once, we all encounter challenges. In part, therapy helps us gain insight into core, possibly long-standing problems or can be a space for you to freely talk about your difficulties. I'll listen to your needs, help you navigate & find perspective. My hope is for you to find self-understanding, develop skills and use insights leading you toward improved life satisfaction and personal leadership.
(858) 266-9937 View (858) 266-9937
Photo of Lenny Hughley, Clinical Social Work/Therapist in San Marcos, CA
Lenny Hughley
Clinical Social Work/Therapist, LCSW
Verified Verified
San Marcos, CA 92069
Hi, my name is Lenny Hughley, California license 112845. I like to create a space that is warm and nonjudgmental where individuals can freely talk about whatever they choose. My specialties include depression, anxiety, and stress management. Through therapy, I learned how to manage depression, anger, anxiety, and overcome low self-esteem. Through my practice I find it rewarding to help clients do the same.
Hi, my name is Lenny Hughley, California license 112845. I like to create a space that is warm and nonjudgmental where individuals can freely talk about whatever they choose. My specialties include depression, anxiety, and stress management. Through therapy, I learned how to manage depression, anger, anxiety, and overcome low self-esteem. Through my practice I find it rewarding to help clients do the same.
(760) 527-2253 View (760) 527-2253
Photo of Gina Bongiorno, Marriage & Family Therapist in San Marcos, CA
Gina Bongiorno
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92078
You've been thinking about finding a therapist but haven't had a chance to prioritize your self-care. You may have noticed excuses getting in the way of making a change. Perhaps you feel out of control with food, relationships or behaviors. Disordered eating, anxiety, addictions and other difficult to manage behaviors are common side effects of unresolved pain, complicated grief and invalidated emotions. Together we will explore how to move away from unhealthy patterns and into a more fulfilling, meaningful life.
You've been thinking about finding a therapist but haven't had a chance to prioritize your self-care. You may have noticed excuses getting in the way of making a change. Perhaps you feel out of control with food, relationships or behaviors. Disordered eating, anxiety, addictions and other difficult to manage behaviors are common side effects of unresolved pain, complicated grief and invalidated emotions. Together we will explore how to move away from unhealthy patterns and into a more fulfilling, meaningful life.
(760) 387-8622 View (760) 387-8622
Photo of Jessica Robinson, Marriage & Family Therapist in San Marcos, CA
Jessica Robinson
Marriage & Family Therapist, MA, LMFT
Verified Verified
8 Endorsed
San Marcos, CA 92069
Waitlist for new clients
As a Marriage and Family Therapist, I work with individuals, couples, and families to improve relationships and well-being. I treat a wide variety of psychological issues, including anxiety, depression, career/ school stress, grief/ loss, and maternal mental health. In therapy, I believe the most important factor is the relationship between therapist and client. Therefore, I work from a collaborative, empathic, and nonjudgmental approach to assist you with gaining insight and finding solutions for the challenges you are facing.
As a Marriage and Family Therapist, I work with individuals, couples, and families to improve relationships and well-being. I treat a wide variety of psychological issues, including anxiety, depression, career/ school stress, grief/ loss, and maternal mental health. In therapy, I believe the most important factor is the relationship between therapist and client. Therefore, I work from a collaborative, empathic, and nonjudgmental approach to assist you with gaining insight and finding solutions for the challenges you are facing.
(760) 354-8820 View (760) 354-8820
Photo of Alexandra Donnelly Lcsw Dcsw, Clinical Social Work/Therapist in San Marcos, CA
Alexandra Donnelly Lcsw Dcsw
Clinical Social Work/Therapist, LCSW, DCSW
Verified Verified
1 Endorsed
San Marcos, CA 92078  (Online Only)
My style involves working collaboratively to help my clients improve the quality of their lives in their work, their relationships and their interests. My approach brings to light how past experiences affect the choices that we make in our current lives, both positively and negatively, and how we can alter destructive patterns by learning new healthy coping skills.
My style involves working collaboratively to help my clients improve the quality of their lives in their work, their relationships and their interests. My approach brings to light how past experiences affect the choices that we make in our current lives, both positively and negatively, and how we can alter destructive patterns by learning new healthy coping skills.
(760) 561-5697 View (760) 561-5697
Photo of Galina Storozhenko LMFT Accepting New Clients !!, Clinical Social Work/Therapist in San Marcos, CA
Galina Storozhenko LMFT Accepting New Clients !!
Clinical Social Work/Therapist, LMFT
Verified Verified
1 Endorsed
San Marcos, CA 92069
My goal is to provide a comfortable and safe therapeutic space for you to be vulnerable and open using a combination of therapeutic approaches including Cognitive Behavioral Therapy and Dialectical Behavioral Therapy. I also use a holistic approach and look at how the mind, body and spirt support our emotional and physical healing. Our bodies are amazing in telling us what we need to tend to. My goal is to provide a comfortable and safe therapeutic space for you to be vulnerable and open using a combination of traditional and holistic therapeutic approaches. I treat children, teens and adults alike!
My goal is to provide a comfortable and safe therapeutic space for you to be vulnerable and open using a combination of therapeutic approaches including Cognitive Behavioral Therapy and Dialectical Behavioral Therapy. I also use a holistic approach and look at how the mind, body and spirt support our emotional and physical healing. Our bodies are amazing in telling us what we need to tend to. My goal is to provide a comfortable and safe therapeutic space for you to be vulnerable and open using a combination of traditional and holistic therapeutic approaches. I treat children, teens and adults alike!
(760) 919-4514 View (760) 919-4514
Photo of Kelli Larose, Marriage & Family Therapist in San Marcos, CA
Kelli Larose
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
1 Endorsed
San Marcos, CA 92069  (Online Only)
As a compassionate and dedicated therapist, I am committed to providing a safe and supportive environment where people can explore their thoughts, feelings, and behaviors. With over 20 years of experience in the field, I specialize in helping individuals overcome anxiety, depression, trauma, and relationship issues. Life is hard. If you would like to learn how to achieve your goals, overcome the challenges that life has thrown at you, and desire to live a more fulfilling and meaningful life, then I am here to help you get started.
As a compassionate and dedicated therapist, I am committed to providing a safe and supportive environment where people can explore their thoughts, feelings, and behaviors. With over 20 years of experience in the field, I specialize in helping individuals overcome anxiety, depression, trauma, and relationship issues. Life is hard. If you would like to learn how to achieve your goals, overcome the challenges that life has thrown at you, and desire to live a more fulfilling and meaningful life, then I am here to help you get started.
(442) 313-2615 View (442) 313-2615
Photo of Lindsey Schmidt Counseling, Inc., Marriage & Family Therapist in San Marcos, CA
Lindsey Schmidt Counseling, Inc.
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Marcos, CA 92078  (Online Only)
I am a collaborative, creative, and empathetic therapist. I believe that in order to effectively meet your goals; sessions should be personalized based on your individual needs. I believe that the key to personal growth and success is to find balance and inner happiness within ourselves. As a therapist, my role is to provide a nurturing environment allowing the opportunity for self-exploration and growth. My style is holistic as I belief that the mind, body, and emotions are all interconnected. If this approach aligns with your goals for therapy, I would love to connect with you and help you along your journey to better health.
I am a collaborative, creative, and empathetic therapist. I believe that in order to effectively meet your goals; sessions should be personalized based on your individual needs. I believe that the key to personal growth and success is to find balance and inner happiness within ourselves. As a therapist, my role is to provide a nurturing environment allowing the opportunity for self-exploration and growth. My style is holistic as I belief that the mind, body, and emotions are all interconnected. If this approach aligns with your goals for therapy, I would love to connect with you and help you along your journey to better health.
(619) 916-4983 View (619) 916-4983
Photo of Sarah McDonald, Clinical Social Work/Therapist in San Marcos, CA
Sarah McDonald
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
San Marcos, CA 92078  (Online Only)
You’ve worked hard to live a balanced and happy life, but it doesn’t always feel like you thought it would. Despite your achievements, there are aspects of your life that don’t feel quite right and you are struggling to navigate a way forward. Perhaps you feel uncertainty around your career, relationships, or family or are struggling to process a new life transition. You may have even tried therapy before but still struggle with anxious or negative thoughts and feelings. You want to overcome these challenges, and make meaningful change. I'm here to help you make this transition by providing informed, and individualized care.
You’ve worked hard to live a balanced and happy life, but it doesn’t always feel like you thought it would. Despite your achievements, there are aspects of your life that don’t feel quite right and you are struggling to navigate a way forward. Perhaps you feel uncertainty around your career, relationships, or family or are struggling to process a new life transition. You may have even tried therapy before but still struggle with anxious or negative thoughts and feelings. You want to overcome these challenges, and make meaningful change. I'm here to help you make this transition by providing informed, and individualized care.
(619) 771-0161 View (619) 771-0161
Photo of Dr. Cheryl MacDonald, Psychologist in San Marcos, CA
Dr. Cheryl MacDonald
Psychologist, PsyD
Verified Verified
San Marcos, CA 92069
Cheryl has over 25 years of experience in the healthcare field and helps people achieve goals and maintain overall wellness.
Cheryl has over 25 years of experience in the healthcare field and helps people achieve goals and maintain overall wellness.
(760) 840-2068 View (760) 840-2068
Photo of Cheryl Raymond, Marriage & Family Therapist in San Marcos, CA
Cheryl Raymond
Marriage & Family Therapist, LMFT
Verified Verified
San Marcos, CA 92078
Hello. My name is Cheryl Raymond, and I am a Licensed Marriage and Family Therapist. My goal is to guide you through a process of self-exploration to recognize how your own negative thoughts are keeping you from finding the happiness you deserve. I use a variety of modalities in my therapeutic approach which lends to my eclectic style. I incorporate different techniques from Cognitive-Behavioral Therapy, Client-Centered Therapy, Positive Psychology, Narrative Therapy, Mindfulness, Cognitive Therapy, among others.
Hello. My name is Cheryl Raymond, and I am a Licensed Marriage and Family Therapist. My goal is to guide you through a process of self-exploration to recognize how your own negative thoughts are keeping you from finding the happiness you deserve. I use a variety of modalities in my therapeutic approach which lends to my eclectic style. I incorporate different techniques from Cognitive-Behavioral Therapy, Client-Centered Therapy, Positive Psychology, Narrative Therapy, Mindfulness, Cognitive Therapy, among others.
(760) 527-2906 View (760) 527-2906
Photo of Kim Lottes, Marriage & Family Therapist in San Marcos, CA
Kim Lottes
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Marcos, CA 92078  (Online Only)
I take people on a journey of initiation and reclamation to remember their true essence. My own path has involved listening within and following my heart's guidance. This allows me to offer a unique perspective aimed at healing and stepping into your wholeness. I received my master's degree in Counseling Psychology from University of San Francisco and have over ten years of experience working with anxiety, depression, trauma, substance abuse issues, and life transitions.
I take people on a journey of initiation and reclamation to remember their true essence. My own path has involved listening within and following my heart's guidance. This allows me to offer a unique perspective aimed at healing and stepping into your wholeness. I received my master's degree in Counseling Psychology from University of San Francisco and have over ten years of experience working with anxiety, depression, trauma, substance abuse issues, and life transitions.
(760) 993-3678 View (760) 993-3678
Photo of Kelly M. Kaitson, Clinical Social Work/Therapist in San Marcos, CA
Kelly M. Kaitson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Marcos, CA 92078
Now Accepting New Clients! Do you feel you are not the best version of yourself? Are you feeling confused, scared, disconnected and lost? I am here to help. If you are being triggered by emotions and behaviors and it's making other problems in your life worse, I hope you will consider contacting me today. Supporting you at this time is my sincere desire and I'm here to tell you that there can be change, success and growth to bring forward your best version. I will equip you with tools and support so you not only get by but actually thrive. I look forward to speaking with you!
Now Accepting New Clients! Do you feel you are not the best version of yourself? Are you feeling confused, scared, disconnected and lost? I am here to help. If you are being triggered by emotions and behaviors and it's making other problems in your life worse, I hope you will consider contacting me today. Supporting you at this time is my sincere desire and I'm here to tell you that there can be change, success and growth to bring forward your best version. I will equip you with tools and support so you not only get by but actually thrive. I look forward to speaking with you!
(760) 415-0085 View (760) 415-0085
Photo of Tami Earnhart - Art Therapist, Marriage & Family Therapist in San Marcos, CA
Tami Earnhart - Art Therapist
Marriage & Family Therapist, MA, LMFT, ATR
Verified Verified
2 Endorsed
San Marcos, CA 92078
You’re worried about your child. You wonder if they need therapy and it’s weighing on you. You’ve tried talking to them, reasoning why their fear doesn’t make sense, but it never seems to make a difference. I help anxious kids & worried parents feel safe and at ease. I get that you just want your child to feel more carefree and express themselves more confidently. Today, you’re searching for a child therapist because you know if you don’t get help, nothing is going to change for your child. And something has got to change. I understand.
You’re worried about your child. You wonder if they need therapy and it’s weighing on you. You’ve tried talking to them, reasoning why their fear doesn’t make sense, but it never seems to make a difference. I help anxious kids & worried parents feel safe and at ease. I get that you just want your child to feel more carefree and express themselves more confidently. Today, you’re searching for a child therapist because you know if you don’t get help, nothing is going to change for your child. And something has got to change. I understand.
(760) 840-5477 View (760) 840-5477
Photo of Marsi Walker, Marriage & Family Therapist in San Marcos, CA
Marsi Walker
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Marcos, CA 92069
Waitlist for new clients
Are you feeling overwhelmed with how to best care for your child and their needs? Are you ready to make a change in your child's life to help them learn the tools that they need to decrease their anxiety, manage their depression, process trauma, or work through their challenging behaviors? Then I am here to help.
Are you feeling overwhelmed with how to best care for your child and their needs? Are you ready to make a change in your child's life to help them learn the tools that they need to decrease their anxiety, manage their depression, process trauma, or work through their challenging behaviors? Then I am here to help.
(760) 496-5624 View (760) 496-5624

How does your Therapist compare?

Number of Therapists in San Marcos, CA

200+

Average cost per session

$160

Therapists in San Marcos, CA who prioritize treating:

94% Anxiety
91% Depression
67% Relationship Issues
67% Coping Skills
67% Life Transitions
66% Trauma and PTSD
64% Self Esteem

Average years in practice

14 Years

Top 3 insurances accepted

78% Aetna
77% UnitedHealthcare UHC | UBH
73% Cigna and Evernorth

How Therapists in San Marcos, CA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Marcos?

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.