Therapists in 41143

Photo of Peter B Smith, Licensed Professional Clinical Counselor, LPCC
Peter B Smith
Licensed Professional Clinical Counselor, LPCC
1 Endorsed
Grayson, KY 41143
If you are on this page you’re likely “shopping” therapists. If you're looking for an EMDR therapist look no further. If you are an adult or teen struggling with the stress and pressure of life, difficulty with depression or anxiety, a veteran, or perhaps suffering with PTSD, then I might be able to help. Perhaps you struggle with body image issues, maybe life is just overwhelming, people reach out to me for a vast amount of reasons and I don't know if it's a good fit until you reach out. So why would you want to contact me?
If you are on this page you’re likely “shopping” therapists. If you're looking for an EMDR therapist look no further. If you are an adult or teen struggling with the stress and pressure of life, difficulty with depression or anxiety, a veteran, or perhaps suffering with PTSD, then I might be able to help. Perhaps you struggle with body image issues, maybe life is just overwhelming, people reach out to me for a vast amount of reasons and I don't know if it's a good fit until you reach out. So why would you want to contact me?
(606) 315-8822 View (606) 315-8822
Photo of April Dawn Frazier, Licensed Professional Clinical Counselor, LPCC
April Dawn Frazier
Licensed Professional Clinical Counselor, LPCC
Grayson, KY 41143
You may be feeling overwhelmed by a life transition, carrying the weight of past experiences, or struggling to feel grounded and understood. Perhaps anxiety, trauma, or relationship challenges are making it hard to move forward, and you’re looking for support that feels thoughtful, respectful, and steady. You want a space where you can slow down, make sense of what you’re experiencing, and reconnect with your strengths—so you can heal, grow, and live with greater clarity and purpose.
You may be feeling overwhelmed by a life transition, carrying the weight of past experiences, or struggling to feel grounded and understood. Perhaps anxiety, trauma, or relationship challenges are making it hard to move forward, and you’re looking for support that feels thoughtful, respectful, and steady. You want a space where you can slow down, make sense of what you’re experiencing, and reconnect with your strengths—so you can heal, grow, and live with greater clarity and purpose.
(606) 518-0761 View (606) 518-0761
Photo of Lorena Lynn Ginn, Licensed Professional Clinical Counselor, MEd, LPCC
Lorena Lynn Ginn
Licensed Professional Clinical Counselor, MEd, LPCC
Serves Area
My name is Lorena Ginn and I am a Licensed Professional Clinical Counselor LPCC-S based in KY. I received my master's at Lindsey Wilson College of Professional Counseling. I have been in practice for 7 years. Life can be hard at times. We have challenges and experiences that seem impossible to deal with or get through. I want to help you navigate and make it through these difficult times.
My name is Lorena Ginn and I am a Licensed Professional Clinical Counselor LPCC-S based in KY. I received my master's at Lindsey Wilson College of Professional Counseling. I have been in practice for 7 years. Life can be hard at times. We have challenges and experiences that seem impossible to deal with or get through. I want to help you navigate and make it through these difficult times.
(606) 530-0933 View (606) 530-0933
Photo of Ruby Paige, Licensed Professional Counselor Associate, LPC
Ruby Paige
Licensed Professional Counselor Associate, LPC
1 Endorsed
Serves Area
I provide a supportive, down-to-earth space where both children and adults can feel understood, respected, and empowered to grow. Whether you’re navigating anxiety, ADHD, behavioral challenges, life transitions, or relationship stress, I work collaboratively with you to create meaningful and lasting change. With children and adolescents, I focus on building trust, improving emotional regulation, and strengthening communication skills in ways that feel engaging and age-appropriate. I also partner closely with parents and caregivers to provide practical strategies that support progress at home and in school.
I provide a supportive, down-to-earth space where both children and adults can feel understood, respected, and empowered to grow. Whether you’re navigating anxiety, ADHD, behavioral challenges, life transitions, or relationship stress, I work collaboratively with you to create meaningful and lasting change. With children and adolescents, I focus on building trust, improving emotional regulation, and strengthening communication skills in ways that feel engaging and age-appropriate. I also partner closely with parents and caregivers to provide practical strategies that support progress at home and in school.
(859) 695-2803 View (859) 695-2803
Photo of Donnah Clark, Licensed Professional Clinical Counselor, LPCC
Donnah Clark
Licensed Professional Clinical Counselor, LPCC
Online Only
Hi there! I am glad you are here! I'm Donnah. A little information about me. I have diverse experience working in community mental health, and I particularly enjoy working with adolescents, young adults, and their families. I strive to be the type of helper and ally that I would have benefited from as a teen. Transitioning to adulthood can be challenging, and I am passionate about supporting this population. Whether it's dealing with school challenges, choosing a career, facing emerging mental health issues, or navigating parental or relational difficulties, I am eager to help.
Hi there! I am glad you are here! I'm Donnah. A little information about me. I have diverse experience working in community mental health, and I particularly enjoy working with adolescents, young adults, and their families. I strive to be the type of helper and ally that I would have benefited from as a teen. Transitioning to adulthood can be challenging, and I am passionate about supporting this population. Whether it's dealing with school challenges, choosing a career, facing emerging mental health issues, or navigating parental or relational difficulties, I am eager to help.
(606) 532-1625 View (606) 532-1625
Photo of Donnah Clark-Miller, Licensed Professional Clinical Counselor , LPCC
Donnah Clark-Miller
Licensed Professional Clinical Counselor , LPCC
1 Endorsed
Online Only
Hello and welcome! I am Donnah Clark, a Licensed Professional Clinical Counselor and supervisor (LPCC-S) and a Certified Clinical Mental Health Counselor (CCMHC). I love meeting new people and helping them reach their goals. My approach to counseling is collaborative, straightforward, friendly, and nonjudgmental so that we can work together to create a holistic plan of action. I use a variety of techniques from different theoretical frameworks to find an individualized approach to meet a specific need or goal.
Hello and welcome! I am Donnah Clark, a Licensed Professional Clinical Counselor and supervisor (LPCC-S) and a Certified Clinical Mental Health Counselor (CCMHC). I love meeting new people and helping them reach their goals. My approach to counseling is collaborative, straightforward, friendly, and nonjudgmental so that we can work together to create a holistic plan of action. I use a variety of techniques from different theoretical frameworks to find an individualized approach to meet a specific need or goal.
(859) 648-2832 View (859) 648-2832
Photo of Jessica D McGlone, Licensed Professional Clinical Counselor, MEd, LPCC-S, NCC
Jessica D McGlone
Licensed Professional Clinical Counselor, MEd, LPCC-S, NCC
1 Endorsed
Online Only
Scheduling Monday, Tuesday and Wednesday appointments. Silence only strengthens shame, feeding the internal critic, tangled thoughts, and past trauma. This struggle overwhelms your life, keeping you stuck in the past and preventing peace. Relentless thoughts and unwelcome emotions surface, making it hard to move forward. Mistakes echo, fueling shame, and leaving you questioning how your life became so chaotic and weighed down by pressure. You're not alone in this. Healing is possible, and it's time to reclaim control and find relief from this internal turmoil. Let’s work through this together.
Scheduling Monday, Tuesday and Wednesday appointments. Silence only strengthens shame, feeding the internal critic, tangled thoughts, and past trauma. This struggle overwhelms your life, keeping you stuck in the past and preventing peace. Relentless thoughts and unwelcome emotions surface, making it hard to move forward. Mistakes echo, fueling shame, and leaving you questioning how your life became so chaotic and weighed down by pressure. You're not alone in this. Healing is possible, and it's time to reclaim control and find relief from this internal turmoil. Let’s work through this together.
(606) 268-6697 View (606) 268-6697

More Therapists Nearby

Photo of Melissa Newsom, Social Worker, MSW, LCSW
Melissa Newsom
Social Worker, MSW, LCSW
1 Endorsed
Serves Area
Hello, I’m Melissa Newsom, a Licensed Clinical Social Worker and Mental Health Therapist based in Maysville, Kentucky. I support individuals experiencing anxiety, depression, isolation, and the effects of trauma by providing holistic, culturally sensitive, and person-centered care that recognizes the unique experiences shaping each person’s well-being. I offer a safe, nonjudgmental space where clients feel heard, supported, and empowered to build self-awareness, strengthen self-esteem, and develop healthy coping skills.
Hello, I’m Melissa Newsom, a Licensed Clinical Social Worker and Mental Health Therapist based in Maysville, Kentucky. I support individuals experiencing anxiety, depression, isolation, and the effects of trauma by providing holistic, culturally sensitive, and person-centered care that recognizes the unique experiences shaping each person’s well-being. I offer a safe, nonjudgmental space where clients feel heard, supported, and empowered to build self-awareness, strengthen self-esteem, and develop healthy coping skills.
(606) 220-6139 View (606) 220-6139
Photo of Lorena Ginn, Licensed Professional Clinical Counselor, LPCC
Lorena Ginn
Licensed Professional Clinical Counselor, LPCC
Vanceburg, KY 41179
My name is Lorena Ginn and I am a Licensed Professional Clinical Counselor LPCC-S based in KY. I received my master's at Lindsey Wilson College of Professional Counseling. I have been in practice for 6 years. Life can be hard at times. We have challenges and experiences that seem impossible to deal with or get through. I want to help you navigate and make it through these difficult times. It is truly rewarding to see my clients grow and learn to love themselves.
My name is Lorena Ginn and I am a Licensed Professional Clinical Counselor LPCC-S based in KY. I received my master's at Lindsey Wilson College of Professional Counseling. I have been in practice for 6 years. Life can be hard at times. We have challenges and experiences that seem impossible to deal with or get through. I want to help you navigate and make it through these difficult times. It is truly rewarding to see my clients grow and learn to love themselves.
(606) 617-1727 View (606) 617-1727
Photo of James A Quandt, Clinical Social Work/Therapist, LCSW, MSW
James A Quandt
Clinical Social Work/Therapist, LCSW, MSW
Serves Area
Marriage counseling. I Help Couples Restore Selfless Loving in Marriage! Sometimes there simply is so much pain. But when those first love feelings can be remembered and desired, and when some selflessness begins to return, it can become a gift that keeps on giving. For marrieds coming to me, in my most-used approach the focus is not on complaining about problems, but on learning new ways to listen and think: I coach, you two talk together. Often this brings hope! If your situation is not in my areas of expertise, I will offer referrals, like any good counselor should do. Perhaps your situation can improve! Give me a call!
Marriage counseling. I Help Couples Restore Selfless Loving in Marriage! Sometimes there simply is so much pain. But when those first love feelings can be remembered and desired, and when some selflessness begins to return, it can become a gift that keeps on giving. For marrieds coming to me, in my most-used approach the focus is not on complaining about problems, but on learning new ways to listen and think: I coach, you two talk together. Often this brings hope! If your situation is not in my areas of expertise, I will offer referrals, like any good counselor should do. Perhaps your situation can improve! Give me a call!
(606) 698-0769 View (606) 698-0769
Photo of Emily Aust, Licensed Professional Clinical Counselor, LPCC
Emily Aust
Licensed Professional Clinical Counselor, LPCC
Ashland, KY 41101
My name is Emily Aust and I am currently a Licensed Professional Counselor with over 4 years of experience in the field of addiction and trauma. I have worked with individuals struggling to maintain a life they want. Working in addictions has allowed me the opportunity to work with a range of mental health struggles including depression, anxiety, self-worth, ADHD, and more.
My name is Emily Aust and I am currently a Licensed Professional Counselor with over 4 years of experience in the field of addiction and trauma. I have worked with individuals struggling to maintain a life they want. Working in addictions has allowed me the opportunity to work with a range of mental health struggles including depression, anxiety, self-worth, ADHD, and more.
(859) 955-5528 View (859) 955-5528
Photo of Marshall Stevens, Counselor, MEd, LPCC-S
Marshall Stevens
Counselor, MEd, LPCC-S
1 Endorsed
Serves Area
At times, we find ourselves feeling overwhelmed, lost, or even trapped within our own thoughts. Challenges, uncertainty, and emotional pain can weigh heavily—leaving us anxious about the future or disconnected from the present. But amidst the struggle, life also offers moments of beauty, growth, and hope—if we give ourselves the space to see and experience them. With over a decade of experience in the mental health field, I am here to support you through that journey. My door is open. When you're ready, let's begin the conversation.
At times, we find ourselves feeling overwhelmed, lost, or even trapped within our own thoughts. Challenges, uncertainty, and emotional pain can weigh heavily—leaving us anxious about the future or disconnected from the present. But amidst the struggle, life also offers moments of beauty, growth, and hope—if we give ourselves the space to see and experience them. With over a decade of experience in the mental health field, I am here to support you through that journey. My door is open. When you're ready, let's begin the conversation.
(859) 340-8609 View (859) 340-8609
Photo of Christopher N Conley - Big Picture Mental Health, Clinical Social Work/Therapist, LCSW, LICSW-S, LISW
Big Picture Mental Health
Clinical Social Work/Therapist, LCSW, LICSW-S, LISW
Ashland, KY 41102
My ideal clients are people who feel like their world has been thrown off balance. They may be going through a divorce, breakup, relationship conflict, family stress, anxiety, depression, or another major life transition that has left them overwhelmed, hurt, uncertain, and struggling to find solid ground. Many want more than just a place to talk—they want support that helps them stabilize, gain clarity, and move forward. I provide supportive, structured, goal-oriented therapy to help clients understand patterns, manage stress, and rebuild with direction.
My ideal clients are people who feel like their world has been thrown off balance. They may be going through a divorce, breakup, relationship conflict, family stress, anxiety, depression, or another major life transition that has left them overwhelmed, hurt, uncertain, and struggling to find solid ground. Many want more than just a place to talk—they want support that helps them stabilize, gain clarity, and move forward. I provide supportive, structured, goal-oriented therapy to help clients understand patterns, manage stress, and rebuild with direction.
(606) 331-6396 View (606) 331-6396
Photo of Kristi J. Reeves, Clinical Social Work/Therapist, MSW, LISW, LCSW
Kristi J. Reeves
Clinical Social Work/Therapist, MSW, LISW, LCSW
2 Endorsed
Serves Area
At Balanced Life Counseling, I know that when things are out of balance, life can leave you feeling depressed, anxious, and overwhelmed. As an LISW with over ten years of experience, I'm a compassionate counselor and a good listener. With that being said, my approach to therapy is active and highly individualized. Using an eclectic approach, I will often weave together different modalities like DBT, CBT with Schema therapy, and IFS, to help you achieve your therapy goals, whether that is to set boundaries with others or to manage your own internal world. Whatever has led you here, I'm glad you're reaching out!
At Balanced Life Counseling, I know that when things are out of balance, life can leave you feeling depressed, anxious, and overwhelmed. As an LISW with over ten years of experience, I'm a compassionate counselor and a good listener. With that being said, my approach to therapy is active and highly individualized. Using an eclectic approach, I will often weave together different modalities like DBT, CBT with Schema therapy, and IFS, to help you achieve your therapy goals, whether that is to set boundaries with others or to manage your own internal world. Whatever has led you here, I'm glad you're reaching out!
(740) 276-3392 View (740) 276-3392
Photo of Misty Lynn Walter, Clinical Social Work/Therapist, LCSW
Misty Lynn Walter
Clinical Social Work/Therapist, LCSW
Ashland, KY 41101
I’ve always believed the human heart is both deeper than we realize and tougher than we give it credit for. As a counselor, I get to sit with people who are ready to face whatever life’s throwing at them—anxiety that won’t let up, depression that dims the days, relationships that feel like a puzzle, or big changes that turn everything upside down. If you’re feeling stuck, overwhelmed, or just unsure how to reach the parts of yourself that need a little care, I’d love to help. It’s not about grand fixes—it’s about finding your footing, together.
I’ve always believed the human heart is both deeper than we realize and tougher than we give it credit for. As a counselor, I get to sit with people who are ready to face whatever life’s throwing at them—anxiety that won’t let up, depression that dims the days, relationships that feel like a puzzle, or big changes that turn everything upside down. If you’re feeling stuck, overwhelmed, or just unsure how to reach the parts of yourself that need a little care, I’d love to help. It’s not about grand fixes—it’s about finding your footing, together.
(606) 268-2382 View (606) 268-2382
Photo of Tiffany Richards, Clinical Social Work/Therapist, LCSW , CADC
Tiffany Richards
Clinical Social Work/Therapist, LCSW , CADC
1 Endorsed
Ashland, KY 41102
You don’t have to keep feeling stuck, overwhelmed, or weighed down by the past. Whether you’re struggling with anxiety, depression, trauma, grief, or the stress of everyday life, therapy can be a place to find relief, clarity, and hope.
You don’t have to keep feeling stuck, overwhelmed, or weighed down by the past. Whether you’re struggling with anxiety, depression, trauma, grief, or the stress of everyday life, therapy can be a place to find relief, clarity, and hope.
(606) 712-1716 View (606) 712-1716
Photo of Ashley Church, Licensed Professional Clinical Counselor, LPCC-S
Ashley Church
Licensed Professional Clinical Counselor, LPCC-S
Ashland, KY 41101
I am a LPCC-S in the state of Kentucky. I’ve spent over 15 years helping people move through some of their most difficult moments. My background includes everything from family systems work to psychiatric hospitalization-from adolescents and families navigating conflict, to couples working through complex dynamics, to individuals managing depression, anxiety, trauma, and personality disorders, which means I’m comfortable holding space for complexity, crisis, and change. I aim to create a space that supports honesty, healing, and lasting change. If you're ready to do the work, I'm here to help guide the process.
I am a LPCC-S in the state of Kentucky. I’ve spent over 15 years helping people move through some of their most difficult moments. My background includes everything from family systems work to psychiatric hospitalization-from adolescents and families navigating conflict, to couples working through complex dynamics, to individuals managing depression, anxiety, trauma, and personality disorders, which means I’m comfortable holding space for complexity, crisis, and change. I aim to create a space that supports honesty, healing, and lasting change. If you're ready to do the work, I'm here to help guide the process.
(606) 722-0124 View (606) 722-0124
Photo of Cierra Tygart-Reed, Licensed Professional Clinical Counselor, MA, LPCC
Cierra Tygart-Reed
Licensed Professional Clinical Counselor, MA, LPCC
Ashland, KY 41101
Healing begins when you feel truly seen, accepted, and free to be yourself. You may be carrying the weight of anxiety, depression, trauma, OCD, ADHD, relationship challenges, or life transitions. Together, we’ll work to break down the defense mechanisms that once kept you safe, but no longer serve you, so you can begin to heal and grow.
Healing begins when you feel truly seen, accepted, and free to be yourself. You may be carrying the weight of anxiety, depression, trauma, OCD, ADHD, relationship challenges, or life transitions. Together, we’ll work to break down the defense mechanisms that once kept you safe, but no longer serve you, so you can begin to heal and grow.
(606) 268-2449 View (606) 268-2449
Photo of Shawn Foster, Licensed Professional Clinical Counselor, MA, LPCC
Shawn Foster
Licensed Professional Clinical Counselor, MA, LPCC
2 Endorsed
Ashland, KY 41101
Life can feel like an uphill climb when trauma, anxiety, or depression keep you in survival mode. You may find yourself withdrawing, overwhelmed by negative thoughts, or just trying to get through the day. These patterns aren’t weakness—they’re understandable responses to stress and emotional pain. In therapy, you don’t have to carry it alone. Together, we can create space for healing, connection, and a steadier sense of self.
Life can feel like an uphill climb when trauma, anxiety, or depression keep you in survival mode. You may find yourself withdrawing, overwhelmed by negative thoughts, or just trying to get through the day. These patterns aren’t weakness—they’re understandable responses to stress and emotional pain. In therapy, you don’t have to carry it alone. Together, we can create space for healing, connection, and a steadier sense of self.
(606) 595-5805 View (606) 595-5805
Photo of Steven T Tackett, Licensed Professional Clinical Counselor, MEd, LPCC
Steven T Tackett
Licensed Professional Clinical Counselor, MEd, LPCC
Ashland, KY 41101
As therapists, our goal is to help you uncover your potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. We look forward to working with you to achieve your goals.
As therapists, our goal is to help you uncover your potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life. We look forward to working with you to achieve your goals.
(606) 263-1490 View (606) 263-1490

How does your Therapist compare?

Number of Therapists in 41143

< 10

Therapists in 41143 who prioritize treating:

86% Anxiety
86% Trauma and PTSD
86% Social Anxiety
86% Complex PTSD
86% Health Anxiety
86% Medical Trauma
86% Driving Anxiety

Average years in practice

8 Years

Top 3 insurances accepted

86% Cigna and Evernorth
71% Aetna
71% BlueCross and BlueShield

How Therapists in 41143 see their clients

57% In Person and Online
43% Online Only

Gender breakdown

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

How can I find a therapist in 41143?

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.