Photo of David E. Dich, Licensed Professional Counselor in 53081, WI
David E. Dich
Licensed Professional Counselor, MS, LPC
Verified Verified
Sheboygan, WI 53081
My approach is both collaborative and engaging working 'with' you and not just silently observing. Having worked with a wide range of clients from diverse backgrounds, I've learned to customize my approach to best meet 'your' needs and not force you to fit a predetermined modality.
My approach is both collaborative and engaging working 'with' you and not just silently observing. Having worked with a wide range of clients from diverse backgrounds, I've learned to customize my approach to best meet 'your' needs and not force you to fit a predetermined modality.
(262) 287-9873 View (262) 287-9873
Photo of William (Bill) H Hoffman III, Licensed Professional Counselor in 53081, WI
William (Bill) H Hoffman III
Licensed Professional Counselor, MA, LPC, LPCC, LADC
Verified Verified
Sheboygan, WI 53081
Not accepting new clients
I provide counseling services to individuals (15+) and couples seeking to address challenges they are facing and have a desire to make changes in order to enhance and improve their mental, emotional, and physical health and wellness.
I provide counseling services to individuals (15+) and couples seeking to address challenges they are facing and have a desire to make changes in order to enhance and improve their mental, emotional, and physical health and wellness.
(262) 600-3356 View (262) 600-3356
Photo of Donna Schelfhout, Licensed Professional Counselor in 53081, WI
Donna Schelfhout
Licensed Professional Counselor, MAC, LPC
Verified Verified
Sheboygan, WI 53081
Donna has 25 years of experience working with teens & married couples. She is trained in EMDR & is very diverse in specialties. Her passion is seeing clients find their own internal strengths while desensitizing past trauma. She utilizes various modalities to empower clients to make great strides in the therapy process. Donna offers Christian counseling, & is well versed in Solutions Focused therapy. She offers marriage & family therapy, grief therapy, & behavioral therapy. She has taught parenting classes, provides psycho-education about diagnosis, & has trauma training. She comes from a military-family background.
Donna has 25 years of experience working with teens & married couples. She is trained in EMDR & is very diverse in specialties. Her passion is seeing clients find their own internal strengths while desensitizing past trauma. She utilizes various modalities to empower clients to make great strides in the therapy process. Donna offers Christian counseling, & is well versed in Solutions Focused therapy. She offers marriage & family therapy, grief therapy, & behavioral therapy. She has taught parenting classes, provides psycho-education about diagnosis, & has trauma training. She comes from a military-family background.
(262) 288-2446 View (262) 288-2446
Photo of Amanda Francisco, Clinical Social Work/Therapist in 53081, WI
Amanda Francisco
Clinical Social Work/Therapist, LCSW
Verified Verified
Sheboygan, WI 53081  (Online Only)
Immediate Openings! Are you feeling stuck and not sure where to go from here? Maybe you are wanting to improve your relationships with others, or even yourself. I aim to create an open, welcoming, and warm space where people can come to talk about the difficult aspects of life. Navigating life is hard enough, you don't have to do it alone.
Immediate Openings! Are you feeling stuck and not sure where to go from here? Maybe you are wanting to improve your relationships with others, or even yourself. I aim to create an open, welcoming, and warm space where people can come to talk about the difficult aspects of life. Navigating life is hard enough, you don't have to do it alone.
(920) 690-9833 View (920) 690-9833
Photo of Dione M Gisch, Licensed Professional Counselor in 53081, WI
Dione M Gisch
Licensed Professional Counselor, MA, LPC, CCATP, NCC
Verified Verified
5 Endorsed
Sheboygan, WI 53081
I am a firm believer in the value of personal growth and the unlimited benefits it encompasses. I work collaboratively with my clients in setting and reaching their goals, while providing a safe, genuine, therapeutic relationship. I am a psychotherapist in private practice with a graduate degree from Marquette University in Counseling, with a Community Counseling emphasis. The majority of my life has been spent serving young adult, adult, and senior members of my community. My experiences include work with physical medicine & rehab, chronic pain, survivors of sexual abuse, grief/loss, cancer survivors, and homeless women and their children.
I am a firm believer in the value of personal growth and the unlimited benefits it encompasses. I work collaboratively with my clients in setting and reaching their goals, while providing a safe, genuine, therapeutic relationship. I am a psychotherapist in private practice with a graduate degree from Marquette University in Counseling, with a Community Counseling emphasis. The majority of my life has been spent serving young adult, adult, and senior members of my community. My experiences include work with physical medicine & rehab, chronic pain, survivors of sexual abuse, grief/loss, cancer survivors, and homeless women and their children.
(414) 616-7310 View (414) 616-7310
Photo of Elizabeth K Riehl, Counselor in 53081, WI
Elizabeth K Riehl
Counselor, MS, LPC-IT, NCC
Verified Verified
1 Endorsed
Sheboygan, WI 53081
My approach to therapy is focused in providing compassion and understanding, while also providing my clients with skills that can be tailored in real time. I walk this journey with my clients, managing stress, life changes, trauma, anxiety, depression, and more. I believe everyone can benefit from therapy for the myriad of challenges that life provides.
My approach to therapy is focused in providing compassion and understanding, while also providing my clients with skills that can be tailored in real time. I walk this journey with my clients, managing stress, life changes, trauma, anxiety, depression, and more. I believe everyone can benefit from therapy for the myriad of challenges that life provides.
(920) 781-1219 View (920) 781-1219
Photo of Kathy A Herzog, Licensed Professional Counselor in 53081, WI
Kathy A Herzog
Licensed Professional Counselor, MA, LPC
Verified Verified
Sheboygan, WI 53081
I am a licensed professional counselor who provides psychotherapy to children, adolescents and adults. My specialty is working with individuals that have challenges with anxiety, depression; or grief. My experience is gained from both a clinical setting as well as providing services within schools. I collaborated with school staff and parents to provide students with quality therapy in their schools. My approach to therapy is based on cognitive behavioral therapy along with a very person-centered feel for what my clients need. I would be happy to talk with you about your therapy journey to better mental health and well-being.
I am a licensed professional counselor who provides psychotherapy to children, adolescents and adults. My specialty is working with individuals that have challenges with anxiety, depression; or grief. My experience is gained from both a clinical setting as well as providing services within schools. I collaborated with school staff and parents to provide students with quality therapy in their schools. My approach to therapy is based on cognitive behavioral therapy along with a very person-centered feel for what my clients need. I would be happy to talk with you about your therapy journey to better mental health and well-being.
(920) 250-9266 View (920) 250-9266
Photo of Janice Merten, Clinical Social Work/Therapist in 53081, WI
Janice Merten
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Sheboygan, WI 53081
Not accepting new clients
During my years as a therapist, I've treated many clients who coped successfully with life's endless challenges until something happened that turned their lives upside down. Death, relationship conflicts and other upsetting experiences cause feelings of anxiety, depression, confusion or loneliness. To strengthen people who come to me, I provide a safe, nonjudgmental relationship that frees them to express their feelings and gain a sense of direction. They know that I'll listen carefully, take them seriously and help them regain emotional stability and peace. I am only accepting clients I've worked with in the past.
During my years as a therapist, I've treated many clients who coped successfully with life's endless challenges until something happened that turned their lives upside down. Death, relationship conflicts and other upsetting experiences cause feelings of anxiety, depression, confusion or loneliness. To strengthen people who come to me, I provide a safe, nonjudgmental relationship that frees them to express their feelings and gain a sense of direction. They know that I'll listen carefully, take them seriously and help them regain emotional stability and peace. I am only accepting clients I've worked with in the past.
(773) 770-8626 View (773) 770-8626
Photo of Kerry Howard, Licensed Professional Counselor in 53081, WI
Kerry Howard
Licensed Professional Counselor, LPC, MA
Verified Verified
2 Endorsed
Sheboygan, WI 53081
It's a quickly changing world and that can make life very difficult at times. The opportunity to relate and learn helpful tools in a confidential, non-judgmental environment is an amazing healing and pro-active experience. I have over 10 years in practice and have worked with children, teens, families and couples in multiple areas including anxiety, depression, trauma and better communication. I am also fortunate enough to work within the LGBTQ+ and poly communities. I do not accept insurance at this time but will work diligently to help with any financial concerns.
It's a quickly changing world and that can make life very difficult at times. The opportunity to relate and learn helpful tools in a confidential, non-judgmental environment is an amazing healing and pro-active experience. I have over 10 years in practice and have worked with children, teens, families and couples in multiple areas including anxiety, depression, trauma and better communication. I am also fortunate enough to work within the LGBTQ+ and poly communities. I do not accept insurance at this time but will work diligently to help with any financial concerns.
(920) 798-5568 View (920) 798-5568
Photo of Lana L Roever, Licensed Professional Counselor in 53081, WI
Lana L Roever
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Sheboygan, WI 53081
I have learned throughout my career that being a compassionate listener is a very powerful tool to use, as I walk along side my clients on their life path. In a safe therapeutic environment, I feel that many painful experiences have the potential to be transformed into good, through the amazingly restorative power of body, mind, and spirit. I am a psychotherapist working in private practice with a Master of Science degree in Professional Counseling from Concordia University Wisconsin, located in Mequon, WI.
I have learned throughout my career that being a compassionate listener is a very powerful tool to use, as I walk along side my clients on their life path. In a safe therapeutic environment, I feel that many painful experiences have the potential to be transformed into good, through the amazingly restorative power of body, mind, and spirit. I am a psychotherapist working in private practice with a Master of Science degree in Professional Counseling from Concordia University Wisconsin, located in Mequon, WI.
(920) 476-1217 View (920) 476-1217
Photo of Laurie Lawrenz, Clinical Social Work/Therapist in 53081, WI
Laurie Lawrenz
Clinical Social Work/Therapist, LPC, LSW, CDVTS, CSOTS
Verified Verified
2 Endorsed
Sheboygan, WI 53081
I believe that there is something positive to find in all situations. Therapy should be a positive step to change in life and I believe all clients have the power of change within them. I will help you or your loved one to find that power within and make positive changes in your life. I am a Substance Abuse Professional and I am certified to perform DOT assessments for positive alcohol and drug tests. I provide counseling for any type of addiction (heroin, alcohol, sex, Internet) in a non-judgmental manner.
I believe that there is something positive to find in all situations. Therapy should be a positive step to change in life and I believe all clients have the power of change within them. I will help you or your loved one to find that power within and make positive changes in your life. I am a Substance Abuse Professional and I am certified to perform DOT assessments for positive alcohol and drug tests. I provide counseling for any type of addiction (heroin, alcohol, sex, Internet) in a non-judgmental manner.
(920) 482-6529 View (920) 482-6529
Photo of Leah Hibl, Licensed Professional Counselor in 53081, WI
Leah Hibl
Licensed Professional Counselor, MA, LPC
Verified Verified
Sheboygan, WI 53081  (Online Only)
A therapist has three jobs: to listen, to teach and to instill hope. I'd be grateful for the opportunity to do those things for you. I consider myself a "guardian of potential"-I see people beyond the problems that bring them to my office and for who they really are. I have the ability to "reach the unreachable". You may be nervous about trying therapy for the first time, or you may have had bad experiences in the past, but I believe in the power of human connection and I believe you no longer have to live in the pain or circumstances you've been in. The time for change has arrived!
A therapist has three jobs: to listen, to teach and to instill hope. I'd be grateful for the opportunity to do those things for you. I consider myself a "guardian of potential"-I see people beyond the problems that bring them to my office and for who they really are. I have the ability to "reach the unreachable". You may be nervous about trying therapy for the first time, or you may have had bad experiences in the past, but I believe in the power of human connection and I believe you no longer have to live in the pain or circumstances you've been in. The time for change has arrived!
(262) 205-6608 View (262) 205-6608
Photo of Laura Roth, Licensed Professional Counselor in 53081, WI
Laura Roth
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Sheboygan, WI 53081
I believe that everyone has their own journey that they are struggling with, and that often this journey is misunderstood and unidentified. I aim to help my clients understand their inner world, in order to help them understand how to help live a fulfilling and engaging life. I enjoy helping my clients understand the neurological basis of their actions, and help them change their response through a variety of interventions. I enjoy working with clients who recognize that their pain does not have to be their story, but can be the blocks on which they begin to recognize how to build a future that brings them joy.
I believe that everyone has their own journey that they are struggling with, and that often this journey is misunderstood and unidentified. I aim to help my clients understand their inner world, in order to help them understand how to help live a fulfilling and engaging life. I enjoy helping my clients understand the neurological basis of their actions, and help them change their response through a variety of interventions. I enjoy working with clients who recognize that their pain does not have to be their story, but can be the blocks on which they begin to recognize how to build a future that brings them joy.
(920) 689-8907 View (920) 689-8907
Photo of Vista Care Wisconsin - GROW Clinic, Clinical Social Work/Therapist in 53081, WI
Vista Care Wisconsin - GROW Clinic
Clinical Social Work/Therapist, LCSW, SAC, CCTP
Verified Verified
Sheboygan, WI 53081
We work with those struggling with anxiety, depression, trauma, stress-related disorders, relationship difficulties, self-esteem issues, or life transitions. These challenges may be causing significant distress and impacting various areas of your life, including work, relationships, and daily functioning. We provide a safe and supportive space where you can explore thoughts, emotions, and experiences without fear of judgment. We provide compassionate and evidence-based care tailored to your unique needs and circumstances. Allowing you to feel seen, heard, and supported on your journey to mental and emotional wellness.
We work with those struggling with anxiety, depression, trauma, stress-related disorders, relationship difficulties, self-esteem issues, or life transitions. These challenges may be causing significant distress and impacting various areas of your life, including work, relationships, and daily functioning. We provide a safe and supportive space where you can explore thoughts, emotions, and experiences without fear of judgment. We provide compassionate and evidence-based care tailored to your unique needs and circumstances. Allowing you to feel seen, heard, and supported on your journey to mental and emotional wellness.
(920) 689-8340 View (920) 689-8340
Photo of Daniel Louis Huber, Clinical Social Work/Therapist in 53081, WI
Daniel Louis Huber
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Sheboygan, WI 53081
My therapeutic focus is helping my clients of all ages gain a deeper appreciation of who they are on all levels of their being: body,mind and spirit. To that extent, I incorporate a variety of clinical tools including Emotional Freedom Technique(EFT),Mindfullness based meditation ,Transpersonal vision Quest/journey work,sensory motor soothing methods, Internal Family Systems ,and Heart Centered Hypnotheray. I also offer the MARI(Mandala Assessment Research Instrument), a powerful tool to help clients understand,explore and expand consciousnessl. My ideal client would be willing to learn these tools to live life more joyfully.
My therapeutic focus is helping my clients of all ages gain a deeper appreciation of who they are on all levels of their being: body,mind and spirit. To that extent, I incorporate a variety of clinical tools including Emotional Freedom Technique(EFT),Mindfullness based meditation ,Transpersonal vision Quest/journey work,sensory motor soothing methods, Internal Family Systems ,and Heart Centered Hypnotheray. I also offer the MARI(Mandala Assessment Research Instrument), a powerful tool to help clients understand,explore and expand consciousnessl. My ideal client would be willing to learn these tools to live life more joyfully.
(414) 877-5897 View (414) 877-5897
Photo of Molly Longwell, Licensed Professional Counselor in 53081, WI
Molly Longwell
Licensed Professional Counselor, LPC, LAC
Verified Verified
4 Endorsed
Sheboygan, WI 53081  (Online Only)
Low self-esteem, anxiety, addiction, and depression impact how we show up in our work and relationships, inhibiting our ability to reach our fullest potential. Sometimes we can feel too vulnerable talking to our friends and family about feelings of shame and guilt. Therapy is not only a safe, nonjudgemental space for expressing your concerns, but also an alliance that fosters positive change. Through unpacking the words of your inner critics, you have the opportunity to find your true self and experience self forgiveness, confidence, love, and acceptance.
Low self-esteem, anxiety, addiction, and depression impact how we show up in our work and relationships, inhibiting our ability to reach our fullest potential. Sometimes we can feel too vulnerable talking to our friends and family about feelings of shame and guilt. Therapy is not only a safe, nonjudgemental space for expressing your concerns, but also an alliance that fosters positive change. Through unpacking the words of your inner critics, you have the opportunity to find your true self and experience self forgiveness, confidence, love, and acceptance.
(720) 734-4480 View (720) 734-4480
Photo of Cynthia J Carlson, Licensed Professional Counselor in 53081, WI
Cynthia J Carlson
Licensed Professional Counselor, MA, MFT, LPC
Verified Verified
2 Endorsed
Sheboygan, WI 53081
I have over 20 years of experience in working with children, adolescents (and their families) with behavioral challenges in the Treatment Foster System and private practice. I believe that a systemic approach to healing provides the most lasting benefits to the entire family. I also use a client centered approach to promote self-acceptance, improve self-esteem and increase confidence in relationships through positive communication skills. I believe in taking a collaborative approach with clients and using their strengths to encourage change and overcome difficulties.
I have over 20 years of experience in working with children, adolescents (and their families) with behavioral challenges in the Treatment Foster System and private practice. I believe that a systemic approach to healing provides the most lasting benefits to the entire family. I also use a client centered approach to promote self-acceptance, improve self-esteem and increase confidence in relationships through positive communication skills. I believe in taking a collaborative approach with clients and using their strengths to encourage change and overcome difficulties.
(920) 264-0087 View (920) 264-0087
Photo of Angela Bins, Licensed Professional Counselor in 53081, WI
Angela Bins
Licensed Professional Counselor, MS, LPC
Verified Verified
Sheboygan, WI 53081  (Online Only)
Does your family story include infertility, grief, loss, a difficult pregnancy, birth trauma, a NICU stay, and/or parenting a child with disabilities? Are you having rapid thoughts, frequent crying, and/or difficulty falling/staying asleep? If you're struggling with any aspect of family building or parenting, now might be time to connect with a therapist who understands and can help. There are many emotions like depression, anxiety, anger, guilt & stress about how things are “supposed to look”. Let us work together to develop a plan to meet your emotional & physical needs. Continue reading to learn more about the support I offer.
Does your family story include infertility, grief, loss, a difficult pregnancy, birth trauma, a NICU stay, and/or parenting a child with disabilities? Are you having rapid thoughts, frequent crying, and/or difficulty falling/staying asleep? If you're struggling with any aspect of family building or parenting, now might be time to connect with a therapist who understands and can help. There are many emotions like depression, anxiety, anger, guilt & stress about how things are “supposed to look”. Let us work together to develop a plan to meet your emotional & physical needs. Continue reading to learn more about the support I offer.
(920) 415-0505 View (920) 415-0505
Photo of Tina Gray-Siebers, Licensed Professional Counselor in 53081, WI
Tina Gray-Siebers
Licensed Professional Counselor, PhD, LPC, CCATP
Verified Verified
Sheboygan, WI 53081
Anxiety, stress and trauma are among the most common mental health issues but are also treatable. When left untreated, the symptoms can become debilitating. Your relationships at home, work and with friends are impacted and life can seem impossible. Reaching out for help may be difficult, but it is NOT a weakness- It is a sign of strength! I have tools, resources and the genuine desire to help you move from viewing your life in grayscale to living in full color.
Anxiety, stress and trauma are among the most common mental health issues but are also treatable. When left untreated, the symptoms can become debilitating. Your relationships at home, work and with friends are impacted and life can seem impossible. Reaching out for help may be difficult, but it is NOT a weakness- It is a sign of strength! I have tools, resources and the genuine desire to help you move from viewing your life in grayscale to living in full color.
(844) 722-0106 View (844) 722-0106
Photo of Wendy Yurk, Licensed Professional Counselor in 53081, WI
Wendy Yurk
Licensed Professional Counselor, MS, LPC
Verified Verified
Sheboygan, WI 53081  (Online Only)
To help achieve the goals you have in mind, whether you wish to improve the quality of your life or better cope with life's difficulties, I offer many years of experience and a collaborative, non-judgmental approach. My orientation is wholistic-mind, body, and spirit-in order to help you with the areas in which you want to focus. I use a variety of therapeutic techniques, especially those of cognitive-behavioral origin.
To help achieve the goals you have in mind, whether you wish to improve the quality of your life or better cope with life's difficulties, I offer many years of experience and a collaborative, non-judgmental approach. My orientation is wholistic-mind, body, and spirit-in order to help you with the areas in which you want to focus. I use a variety of therapeutic techniques, especially those of cognitive-behavioral origin.
(920) 473-2175 View (920) 473-2175

How does your Therapist compare?

Number of Therapists in 53081

30+

Average cost per session

$130

Therapists in 53081 who prioritize treating:

93% Anxiety
90% Depression
83% Self Esteem
80% Stress
77% Grief
70% Relationship Issues
70% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

91% UnitedHealthcare UHC | UBH
86% Aetna
82% UMR

How Therapists in 53081 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 53081?

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.