Therapists in 41001

Photo of MaryClare Donaldson, Clinical Social Work/Therapist, MSW, CSW
MaryClare Donaldson
Clinical Social Work/Therapist, MSW, CSW
Serves Area
Are you or your teen feeling stuck in past trauma, self-doubt, or unhealthy patterns—wanting change but unsure where to begin? I work with women and teen girls navigating anxiety, life transitions, identity and self-worth challenges, addiction, and relationships that no longer feel healthy. My approach is compassionate and collaborative, offering a safe, judgment-free space to feel seen and supported. I also understand neurodivergence and honor the unique ways you experience the world. Together, we’ll uncover strengths, build resilience, and create a new story—one where you grow and truly thrive.
Are you or your teen feeling stuck in past trauma, self-doubt, or unhealthy patterns—wanting change but unsure where to begin? I work with women and teen girls navigating anxiety, life transitions, identity and self-worth challenges, addiction, and relationships that no longer feel healthy. My approach is compassionate and collaborative, offering a safe, judgment-free space to feel seen and supported. I also understand neurodivergence and honor the unique ways you experience the world. Together, we’ll uncover strengths, build resilience, and create a new story—one where you grow and truly thrive.
(859) 605-3694 View (859) 605-3694
Photo of Kelsey Miller, Clinical Social Work/Therapist, LCSW-S
Kelsey Miller
Clinical Social Work/Therapist, LCSW-S
1 Endorsed
Serves Area
I’m a Licensed Clinical Social Worker who is passionate about supporting people as they work toward meaningful goals in their lives. I believe every individual brings unique strengths, experiences, and hopes into therapy, and that growth can look different for everyone, from finding small moments of joy to navigating life’s most difficult losses. My goal is to help you reconnect with yourself, recognize your potential, and move forward with greater clarity and compassion. Even in challenging seasons, I believe there is always space for hope, healing, and possibility.
I’m a Licensed Clinical Social Worker who is passionate about supporting people as they work toward meaningful goals in their lives. I believe every individual brings unique strengths, experiences, and hopes into therapy, and that growth can look different for everyone, from finding small moments of joy to navigating life’s most difficult losses. My goal is to help you reconnect with yourself, recognize your potential, and move forward with greater clarity and compassion. Even in challenging seasons, I believe there is always space for hope, healing, and possibility.
(859) 328-1239 View (859) 328-1239
Photo of Tammy Siry Horton, Counselor, LPCC-S, MTIC
Tammy Siry Horton
Counselor, LPCC-S, MTIC
2 Endorsed
Serves Area
As a Licensed Professional Clinical Counselor and Supervisor with specialized training and certification in trauma-informed care. I provide a safe, empathetic, and collaborative environment for healing and growth. My counseling approach is goal-oriented, active, and rooted in honesty and respect. I strive to ensure every client feels safe, empowered, and valued—treated as a whole person, not just a set of symptoms.
As a Licensed Professional Clinical Counselor and Supervisor with specialized training and certification in trauma-informed care. I provide a safe, empathetic, and collaborative environment for healing and growth. My counseling approach is goal-oriented, active, and rooted in honesty and respect. I strive to ensure every client feels safe, empowered, and valued—treated as a whole person, not just a set of symptoms.
(859) 903-1201 View (859) 903-1201
Photo of Scott M Banford, Clinical Social Work/Therapist, LCSW
Scott M Banford
Clinical Social Work/Therapist, LCSW
Online Only
Life holds challenges for us all; some you can manage on your own, but sometimes things get complicated or overwhelming. Sometimes your relationships can bog down in misunderstandings and recurring arguments. To many people right now, the state of our nation seems dire, and there is a lot of anxiety and uncertainty about the future.
Life holds challenges for us all; some you can manage on your own, but sometimes things get complicated or overwhelming. Sometimes your relationships can bog down in misunderstandings and recurring arguments. To many people right now, the state of our nation seems dire, and there is a lot of anxiety and uncertainty about the future.
(551) 239-1531 View (551) 239-1531
Photo of Jennifer DeVore, Clinical Social Work/Therapist, LCSW
Jennifer DeVore
Clinical Social Work/Therapist, LCSW
Online Only
My name is Jennifer DeVore and I’m a Licensed Clinical Social Worker (LCSW) based in Kentucky providing tele-therapy. I primarily work with women and specialize in neurodivergent populations using a combination of Cognitive Behavioral Therapy, mindfulness, strengths-based and narrative therapy. Using a framework that honors neurodiversity, my approach will always vary by client according to needs and goals. We begin by talking about self-care and what that means to you so you can feel better right away. Then we look at barriers that are keeping you from feeling good.
My name is Jennifer DeVore and I’m a Licensed Clinical Social Worker (LCSW) based in Kentucky providing tele-therapy. I primarily work with women and specialize in neurodivergent populations using a combination of Cognitive Behavioral Therapy, mindfulness, strengths-based and narrative therapy. Using a framework that honors neurodiversity, my approach will always vary by client according to needs and goals. We begin by talking about self-care and what that means to you so you can feel better right away. Then we look at barriers that are keeping you from feeling good.
(502) 281-0884 View (502) 281-0884
Photo of Chandra Dixon, Counselor, MEd, LPCC
Chandra Dixon
Counselor, MEd, LPCC
4 Endorsed
Online Only
Accepting New Clients! (Usually waitlist) I am a licensed clinical counselor. My counseling approach is warm and empathetic with humor mixed in to help my clients feel safe, supported, and understood. I specialize in adults and adolescents with anxiety, depression, grief, trauma related concerns and gender therapy (I am EMDR trained) . I have been an educator for 27 years and specialize in working with tweens and teens who are having difficulty in school and with relationships. I prefer to work with adolescents and adults.
Accepting New Clients! (Usually waitlist) I am a licensed clinical counselor. My counseling approach is warm and empathetic with humor mixed in to help my clients feel safe, supported, and understood. I specialize in adults and adolescents with anxiety, depression, grief, trauma related concerns and gender therapy (I am EMDR trained) . I have been an educator for 27 years and specialize in working with tweens and teens who are having difficulty in school and with relationships. I prefer to work with adolescents and adults.
(859) 449-7144 View (859) 449-7144
Photo of Alayna Hunt, Clinical Social Work/Therapist, LCSW
Alayna Hunt
Clinical Social Work/Therapist, LCSW
Online Only
You made it here so you are one step closer to getting the help you deserve. Congratulations! I am a LCSW based out of Southern, Kentucky but originally from Middle Tennessee. I made my way to the beloved Commonwealth of Kentucky to complete my undergraduate degree, Applied Human Sciences with a focus on family and child studies, at Western Kentucky University (WKU). Go Tops! I liked WKU enough that I stuck around for another two years where I completed my Masters in Social Work.
You made it here so you are one step closer to getting the help you deserve. Congratulations! I am a LCSW based out of Southern, Kentucky but originally from Middle Tennessee. I made my way to the beloved Commonwealth of Kentucky to complete my undergraduate degree, Applied Human Sciences with a focus on family and child studies, at Western Kentucky University (WKU). Go Tops! I liked WKU enough that I stuck around for another two years where I completed my Masters in Social Work.
View
Photo of Sharekia Tunstull, Marriage & Family Therapist, LMFT
Sharekia Tunstull
Marriage & Family Therapist, LMFT
Online Only
Hello! My name is Sharekia Tunstull and I love engaging with others. My sole goal is to help! I have always wanted to make a difference in the lives of others and it excites me when I see them progress! I love to help others conquer life's transitions, and sort through obstacles that may get in the way of their goals. I love to watch people succeed!
Hello! My name is Sharekia Tunstull and I love engaging with others. My sole goal is to help! I have always wanted to make a difference in the lives of others and it excites me when I see them progress! I love to help others conquer life's transitions, and sort through obstacles that may get in the way of their goals. I love to watch people succeed!
(859) 765-1147 View (859) 765-1147
Photo of Margaret Ruanto, Clinical Social Work/Therapist, LCSW
Margaret Ruanto
Clinical Social Work/Therapist, LCSW
Online Only
Hello! My name is Margaret “Stephanie” Ruanto and I am an LCSW practicing statewide and online in KY. I believe in matching my therapy styles to the individual needs of my clients with a blend of person- centered therapy, cognitive-behavioral therapy, and solution-focused therapy. I have over 35 years of clinical experience and enjoy working with adults of all ages. I have a broad clinical background and have had experience with a wide range of psychiatric illnesses.
Hello! My name is Margaret “Stephanie” Ruanto and I am an LCSW practicing statewide and online in KY. I believe in matching my therapy styles to the individual needs of my clients with a blend of person- centered therapy, cognitive-behavioral therapy, and solution-focused therapy. I have over 35 years of clinical experience and enjoy working with adults of all ages. I have a broad clinical background and have had experience with a wide range of psychiatric illnesses.
(502) 427-1817 View (502) 427-1817

More Therapists Nearby

Photo of Brian M. Mills, Clinical Social Work/Therapist, LSW, LCDCIII
Brian M. Mills
Clinical Social Work/Therapist, LSW, LCDCIII
1 Endorsed
Serves Area
I help clients work through challenges compounded by the stress of everyday life and recognize that life transitions can be inevitable and so difficult. My experience with addiction counseling informs a compassionate approach for those that find addiction related behaviors resurfacing with the stress of parenthood. I work with fathers navigating the exciting and equally demanding roles of caregiver and partner in the parental relationship. My work with couples aims to enhance relationship satisfaction and bolster conflict resolution through effective communication, negotiation skills, and meeting/supporting one another's needs.
I help clients work through challenges compounded by the stress of everyday life and recognize that life transitions can be inevitable and so difficult. My experience with addiction counseling informs a compassionate approach for those that find addiction related behaviors resurfacing with the stress of parenthood. I work with fathers navigating the exciting and equally demanding roles of caregiver and partner in the parental relationship. My work with couples aims to enhance relationship satisfaction and bolster conflict resolution through effective communication, negotiation skills, and meeting/supporting one another's needs.
(513) 995-8755 View (513) 995-8755
Photo of Colby Cohen-Archer, Psychologist, PhD, PMH-C
Colby Cohen-Archer
Psychologist, PhD, PMH-C
6 Endorsed
Serves Area
I believe in the healing power of a caring safe relationship. We create a safe space where you can feel your feelings without worrying about how they will affect others, where you can learn skills for coping with painful emotions and hard circumstances, and where together we make a plan so you can feel like yourself again. While I tailor what I do in counseling to your needs and goals, my goal is for you to feel more capable of living the life you want as a result of our time together.
I believe in the healing power of a caring safe relationship. We create a safe space where you can feel your feelings without worrying about how they will affect others, where you can learn skills for coping with painful emotions and hard circumstances, and where together we make a plan so you can feel like yourself again. While I tailor what I do in counseling to your needs and goals, my goal is for you to feel more capable of living the life you want as a result of our time together.
(859) 212-3265 View (859) 212-3265
Photo of Aaron Benjamin Krick, Licensed Professional Counselor Associate, LPCA
Aaron Benjamin Krick
Licensed Professional Counselor Associate, LPCA
Florence, KY 41042
Life can be truly challenging. Anxiety, depression, and grief can be so constant that they seem like a part of us. When we are mired by these struggles, relationships and obligations can feel like too much pressure to handle. Despite this, I truly believe that we can find peace and strength even in the most trying times. I am reaching out to clients that want to take that bold first step towards a better tomorrow. I believe that the best answers to your problems will come from within. All anyone really needs is an ally and some new tools to help break through those issues that for so long have seemed insurmountable.
Life can be truly challenging. Anxiety, depression, and grief can be so constant that they seem like a part of us. When we are mired by these struggles, relationships and obligations can feel like too much pressure to handle. Despite this, I truly believe that we can find peace and strength even in the most trying times. I am reaching out to clients that want to take that bold first step towards a better tomorrow. I believe that the best answers to your problems will come from within. All anyone really needs is an ally and some new tools to help break through those issues that for so long have seemed insurmountable.
(859) 903-0335 View (859) 903-0335
Photo of Ryan Hall, Clinical Social Work/Therapist, LISW, LCSW
Ryan Hall
Clinical Social Work/Therapist, LISW, LCSW
Serves Area
As a therapist, my goal is to help you answer the "why can't I..." questions. "Why can't I seem to get a handle on my anxiety or depression?", "why can't I seem to get out of these cycles of relationships, jobs, friendships?", "why can't I seem to get rid of these negative thoughts?". A lot of times these questions can feel like running in circles. But what if it wasn't a circle, but a labyrinth where you hit a few dead ends and need some help getting back on track? If those questions keep you up at night, my aim is to create a supportive and engaging space where we can explore these together.
As a therapist, my goal is to help you answer the "why can't I..." questions. "Why can't I seem to get a handle on my anxiety or depression?", "why can't I seem to get out of these cycles of relationships, jobs, friendships?", "why can't I seem to get rid of these negative thoughts?". A lot of times these questions can feel like running in circles. But what if it wasn't a circle, but a labyrinth where you hit a few dead ends and need some help getting back on track? If those questions keep you up at night, my aim is to create a supportive and engaging space where we can explore these together.
(513) 643-1583 View (513) 643-1583
Photo of Alessandra Rhinehart, Licensed Professional Counselor Associate, PhD, LPCA
Alessandra Rhinehart
Licensed Professional Counselor Associate, PhD, LPCA
2 Endorsed
Fort Thomas, KY 41075
I work with children, adolescents, adults, families, and couples. I am an Adlerian therapist, meaning I see value in belonging and meaning-making. I also integrate neuroscience. This is especially useful when helping clients work through developmental and relational issues, trauma, and grief. Situations and experiences do not define us. Instead, with insight and support, we have the opportunity to define who we are and what we might contribute to the world. I also integrate spirituality as a source of hope and connectedness to culture and community, as requested. The cornerstone of my approach lies in encouragement and empowerment.
I work with children, adolescents, adults, families, and couples. I am an Adlerian therapist, meaning I see value in belonging and meaning-making. I also integrate neuroscience. This is especially useful when helping clients work through developmental and relational issues, trauma, and grief. Situations and experiences do not define us. Instead, with insight and support, we have the opportunity to define who we are and what we might contribute to the world. I also integrate spirituality as a source of hope and connectedness to culture and community, as requested. The cornerstone of my approach lies in encouragement and empowerment.
(859) 374-3642 View (859) 374-3642
Photo of Nick Rogell, Licensed Professional Clinical Counselor, MA, LPCC, CMPC
Nick Rogell
Licensed Professional Clinical Counselor, MA, LPCC, CMPC
1 Endorsed
Fort Thomas, KY 41075
Finding the right therapist isn't a one-size-fits-all process. It's important to find someone who you feel connected with. For that reason I do not charge for the first session if, for any reason, you decide not to schedule a second session. (Only after a second session will I charge for both the first and second sessions.) My goal is to make this process as stress-free as possible for you. I work with a variety of client issues, but specialize heavily in coping with symptoms of anxiety, burnout, relationship issues, and depression. You're likely used to performing at a high level but lately things have felt much heavier.
Finding the right therapist isn't a one-size-fits-all process. It's important to find someone who you feel connected with. For that reason I do not charge for the first session if, for any reason, you decide not to schedule a second session. (Only after a second session will I charge for both the first and second sessions.) My goal is to make this process as stress-free as possible for you. I work with a variety of client issues, but specialize heavily in coping with symptoms of anxiety, burnout, relationship issues, and depression. You're likely used to performing at a high level but lately things have felt much heavier.
(502) 735-1992 View (502) 735-1992
Photo of Melanie R Shannon, Licensed Professional Clinical Counselor, MA, LPCC-S
Melanie R Shannon
Licensed Professional Clinical Counselor, MA, LPCC-S
3 Endorsed
Florence, KY 41042
Welcome to my page! My name is Mel Shannon and I am a Licensed Professional Clinical Counselor. My counseling style is kind, empathetic, client-centered, and solution focused. My number one goal as a therapist is to help my clients feel safe talking about whatever is going on in their lives and to help them move forward and reach their goals. I believe in being genuine and open with my clients and moving at whatever pace they need to feel safe, comfortable, and understood. I believe that everyone has great potential to make improvements in their lives and with the right relationship and help, it can be achieved!
Welcome to my page! My name is Mel Shannon and I am a Licensed Professional Clinical Counselor. My counseling style is kind, empathetic, client-centered, and solution focused. My number one goal as a therapist is to help my clients feel safe talking about whatever is going on in their lives and to help them move forward and reach their goals. I believe in being genuine and open with my clients and moving at whatever pace they need to feel safe, comfortable, and understood. I believe that everyone has great potential to make improvements in their lives and with the right relationship and help, it can be achieved!
(859) 681-8113 View (859) 681-8113
Photo of Deandra Ross, Licensed Professional Clinical Counselor, MA, LPCC
Deandra Ross
Licensed Professional Clinical Counselor, MA, LPCC
Florence, KY 41042
I have worked with a variety of clients ages ranging from 6 to young adulthood. I work well with clients seeking help for anxiety, depression, OCD, behavioral issues and ADHD. I have experience in a variety of settings such as inpatient, outpatient, school-based, and the psychiatric emergency department.
I have worked with a variety of clients ages ranging from 6 to young adulthood. I work well with clients seeking help for anxiety, depression, OCD, behavioral issues and ADHD. I have experience in a variety of settings such as inpatient, outpatient, school-based, and the psychiatric emergency department.
(859) 605-3095 View (859) 605-3095
Photo of Christina Facemire - Emerge Counseling Services, LLC, Counselor, MS, LPCC-S, LPC, NCC
Emerge Counseling Services, LLC
Counselor, MS, LPCC-S, LPC, NCC
2 Endorsed
Florence, KY 41042
Do you feel like you've lost your sense of you? Anxiety can often keep us from enjoying or even participating in our lives. Do you feel like you are existing but not living? Is avoidance your best friend? Maybe intrusive thoughts are increasing the anxiety. Maybe, a disturbing thought crosses your mind and you think, "Why would I have a thought like that? This is not who I am." Maybe you can't sleep, you're exhausted, and you miss yourself... the real you. I want to remind you, the most important relationship you will ever have is with yourself. It's time to nurture the relationship, grow, and evolve.
Do you feel like you've lost your sense of you? Anxiety can often keep us from enjoying or even participating in our lives. Do you feel like you are existing but not living? Is avoidance your best friend? Maybe intrusive thoughts are increasing the anxiety. Maybe, a disturbing thought crosses your mind and you think, "Why would I have a thought like that? This is not who I am." Maybe you can't sleep, you're exhausted, and you miss yourself... the real you. I want to remind you, the most important relationship you will ever have is with yourself. It's time to nurture the relationship, grow, and evolve.
(859) 340-8446 View (859) 340-8446
Photo of Diana Wallace, Clinical Social Work/Therapist, MSW, LCSW, LISW
Diana Wallace
Clinical Social Work/Therapist, MSW, LCSW, LISW
1 Endorsed
Covington, KY 41011
There are times when life feels heavier or more confusing than usual, and having support can make all the difference. Therapy is a place to slow down, understand yourself more deeply, and find a clearer path forward. As a clinical social worker with over twenty years of experience, I truly admire the courage people bring to this process. My approach is warm, collaborative, and rooted in empathy. Together, we’ll explore your thoughts, feelings, and experiences so you can trust your own inner voice and make the changes you’re hoping for.
There are times when life feels heavier or more confusing than usual, and having support can make all the difference. Therapy is a place to slow down, understand yourself more deeply, and find a clearer path forward. As a clinical social worker with over twenty years of experience, I truly admire the courage people bring to this process. My approach is warm, collaborative, and rooted in empathy. Together, we’ll explore your thoughts, feelings, and experiences so you can trust your own inner voice and make the changes you’re hoping for.
(859) 374-7604 View (859) 374-7604
Photo of Tony Fryer, Marriage & Family Therapist, IMFT, FTAI, EAP
Tony Fryer
Marriage & Family Therapist, IMFT, FTAI, EAP
1 Endorsed
Serves Area
The bulk of my clients are couples. I work with a range of issues including Enhancing communication, Infidelity, Sexual Dysfunction, Blended Family issues, etc. The sessions will be very focused on clearly established client goals. Homework is given to couples every session. I am a very straight forward therapist and try help clients to tap into their own reserves to find better ways to live while also sharing the huge wealth of knowledge I have from my long experience. My web site is very informative and contains a link to my Blog. This will help you get to know me more!
The bulk of my clients are couples. I work with a range of issues including Enhancing communication, Infidelity, Sexual Dysfunction, Blended Family issues, etc. The sessions will be very focused on clearly established client goals. Homework is given to couples every session. I am a very straight forward therapist and try help clients to tap into their own reserves to find better ways to live while also sharing the huge wealth of knowledge I have from my long experience. My web site is very informative and contains a link to my Blog. This will help you get to know me more!
(513) 436-0525 View (513) 436-0525

See more therapy options for 41001

How does your Therapist compare?

Number of Therapists in 41001

< 10

Therapists in 41001 who prioritize treating:

100% Depression
89% Anxiety
89% Self Esteem
67% Trauma and PTSD
67% Women's Issues
67% Stress
56% Grief

Average years in practice

31 Years

Top 3 insurances accepted

100% Aetna
88% BlueCross and BlueShield
88% Anthem

How Therapists in 41001 see their clients

67% Online Only
33% In Person and Online

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 41001?

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.