Photo of George Lough, PhD, SEP, NARM, Psychologist
George Lough
Psychologist, PhD, SEP, NARM
Verified Verified
La Crosse, WI 54601  (Online Only)
For over forty years I've helped individuals and couples heal their emotional wounds. If you grew up in a dysfunctional family, the traumatic effects of that environment, such as anxiety, depression, anger, and relationship problems, are with you to this day. To have the fully functioning life you want, it is essential to recover from the neglect, abuse, and lack of parental attunement from which you may have suffered in your early years. I'll collaborate with you to help you understand how your past affects your present, and how you can make the changes you need to improve your life and relationships.
For over forty years I've helped individuals and couples heal their emotional wounds. If you grew up in a dysfunctional family, the traumatic effects of that environment, such as anxiety, depression, anger, and relationship problems, are with you to this day. To have the fully functioning life you want, it is essential to recover from the neglect, abuse, and lack of parental attunement from which you may have suffered in your early years. I'll collaborate with you to help you understand how your past affects your present, and how you can make the changes you need to improve your life and relationships.
(608) 523-9041 View (608) 523-9041
Photo of undefined - Peaceful Journey Counseling Services, MS,  LPC, NCC, Licensed Professional Counselor
Peaceful Journey Counseling Services
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
La Crosse, WI 54601
Every one of us is on a very personal journey through life and we all face unexpected challenges from time to time. Your road ahead may seem impossible to navigate and may even feel overwhelming. In these moments it's good to have help available and accessible. It's never easy to ask for assistance but that is the first and most important step in getting back what now seems lost and out of reach.
Every one of us is on a very personal journey through life and we all face unexpected challenges from time to time. Your road ahead may seem impossible to navigate and may even feel overwhelming. In these moments it's good to have help available and accessible. It's never easy to ask for assistance but that is the first and most important step in getting back what now seems lost and out of reach.
(608) 433-9741 View (608) 433-9741
Photo of Gregg Scharf, MS, LPC, CSAC, Licensed Professional Counselor
Gregg Scharf
Licensed Professional Counselor, MS, LPC, CSAC
Verified Verified
1 Endorsed
La Crosse, WI 54601
I am accepting new clients. I have experience working in a variety of clinical settings treating both mental health and addiction issues simultaneously or separately. I offer court-ordered alcohol and drug assessments, DOT assessments as a certified Substance Abuse Professional (SAP), as well as attorney-ordered assessments. What makes my approach unique, is my ability to adapt treatment to fit your specific needs thereby making a complicated process a little more manageable. When the client can wrap their mind around the problem in a way they've never considered is the beginning point for effective and meaningful therapy.
I am accepting new clients. I have experience working in a variety of clinical settings treating both mental health and addiction issues simultaneously or separately. I offer court-ordered alcohol and drug assessments, DOT assessments as a certified Substance Abuse Professional (SAP), as well as attorney-ordered assessments. What makes my approach unique, is my ability to adapt treatment to fit your specific needs thereby making a complicated process a little more manageable. When the client can wrap their mind around the problem in a way they've never considered is the beginning point for effective and meaningful therapy.
(608) 466-4762 View (608) 466-4762
Photo of Jennifer L Burelbach, MSSA, LCSW, DCSW, Clinical Social Work/Therapist
Jennifer L Burelbach
Clinical Social Work/Therapist, MSSA, LCSW, DCSW
Verified Verified
La Crosse, WI 54601
I cannot think of a single person who hasn't hit a bump in the road of life. We all have this happen- you know, times when we go a bit off track. Maybe, it is difficulty at home or couples constantly arguing. Maybe parents and children are not getting along. Perhaps it is more personal: you are just not feeling quite right, are feeling down and depressed, or are anxious and disorganized. Maybe you are struggling with past hurts or trauma. I am here to help.
I cannot think of a single person who hasn't hit a bump in the road of life. We all have this happen- you know, times when we go a bit off track. Maybe, it is difficulty at home or couples constantly arguing. Maybe parents and children are not getting along. Perhaps it is more personal: you are just not feeling quite right, are feeling down and depressed, or are anxious and disorganized. Maybe you are struggling with past hurts or trauma. I am here to help.
(608) 530-0694 View (608) 530-0694
Photo of Tara Farmer, LPC, CSW, Licensed Professional Counselor
Tara Farmer
Licensed Professional Counselor, LPC, CSW
Verified Verified
La Crosse, WI 54601
Are you tired of your ANXIETY or OCD ruining your life? Has the constant worry, doubt or intrusive thoughts made it difficult to work, parent, focus or just exist? You are here because you need effective strategies that create lasting change so that these chronic, and sometimes debilitating symptoms do not dictate your day. I can help you create ways to cope and respond differently to your anxiety or OCD so that you can be present in your life and work towards your values without the negative impact from anxiety. Imagine what it would be like if your anxiety was not so powerful? What would be different? What would you get back?
Are you tired of your ANXIETY or OCD ruining your life? Has the constant worry, doubt or intrusive thoughts made it difficult to work, parent, focus or just exist? You are here because you need effective strategies that create lasting change so that these chronic, and sometimes debilitating symptoms do not dictate your day. I can help you create ways to cope and respond differently to your anxiety or OCD so that you can be present in your life and work towards your values without the negative impact from anxiety. Imagine what it would be like if your anxiety was not so powerful? What would be different? What would you get back?
(608) 200-2683 View (608) 200-2683
Photo of April Dawn Lincoln, MSW, LCSW, SAP, MAC, CEAP, Clinical Social Work/Therapist
April Dawn Lincoln
Clinical Social Work/Therapist, MSW, LCSW, SAP, MAC, CEAP
Verified Verified
1 Endorsed
La Crosse, WI 54601
I have been 8 years of clinical experience and specialize in forensic social work and extensive experience working with clients who have issues with addictions, depression, anxiety, and bipolar.
I have been 8 years of clinical experience and specialize in forensic social work and extensive experience working with clients who have issues with addictions, depression, anxiety, and bipolar.
(608) 567-3040 View (608) 567-3040
Photo of undefined - Holistic Me Counseling   , MS, LPC, Licensed Professional Counselor
Holistic Me Counseling
Licensed Professional Counselor, MS, LPC
Verified Verified
La Crosse, WI 54601  (Online Only)
Waitlist for new clients
I specialize in providing care to people from diverse backgrounds with unique needs and struggles seeking Individual Counseling ages 18 +. I look forward to helping those who are struggling with symptoms of anxiety, depression, stress, adult development, relationship issues, and career and life adjustment issues related to grief, loss, and life changes. I would be honored to join you on your journey towards change as we work together to help you find the holistic balance and wellness you desire. I will work to empower you to gain insight into your thoughts, feelings, and behaviors, as you gain awareness, help, hope, and healing.
I specialize in providing care to people from diverse backgrounds with unique needs and struggles seeking Individual Counseling ages 18 +. I look forward to helping those who are struggling with symptoms of anxiety, depression, stress, adult development, relationship issues, and career and life adjustment issues related to grief, loss, and life changes. I would be honored to join you on your journey towards change as we work together to help you find the holistic balance and wellness you desire. I will work to empower you to gain insight into your thoughts, feelings, and behaviors, as you gain awareness, help, hope, and healing.
(608) 889-2303 View (608) 889-2303
Photo of Kenzie L Fox, MS, LPC, Licensed Professional Counselor
Kenzie L Fox
Licensed Professional Counselor, MS, LPC
Verified Verified
La Crosse, WI 54601
Not accepting new clients
Many people start therapy with me because of anxiety, depression, trauma, and/or relationship conflicts. Once we get started, more often than not, it becomes a self-growth journey! I believe you are the expert in your own life. I can simply serve as a guide, walking along next to you, to help you become who you want to be. You have what you need inside of you - you might just need a mirror to really see it. I believe in the power of validation. Everyone wants to be seen, heard, and understood. Clients are most successful when they are ready to put in the work, and when they know what they want to get out of the therapy process.
Many people start therapy with me because of anxiety, depression, trauma, and/or relationship conflicts. Once we get started, more often than not, it becomes a self-growth journey! I believe you are the expert in your own life. I can simply serve as a guide, walking along next to you, to help you become who you want to be. You have what you need inside of you - you might just need a mirror to really see it. I believe in the power of validation. Everyone wants to be seen, heard, and understood. Clients are most successful when they are ready to put in the work, and when they know what they want to get out of the therapy process.
(608) 406-4676 View (608) 406-4676
Photo of Kendra A Holzer, PhD, LP, Psychologist
Kendra A Holzer
Psychologist, PhD, LP
Verified Verified
La Crosse, WI 54601
I'm delighted you have arrived here, after noticing something in you or your life is asking for your attention & care. A willingness to look into your inner self & experience reflects hope in the possibility of transformation. For many, this journey begins with a feeling that something is unbalanced, unresolved, or unreachable. Perhaps you've experienced concern about your emotional & mental well-being for awhile and now sense a readiness to open to your suffering as a pathway to healing. Or something unexpected has compromised your usual way of coping, and you believe uncovering your resilience will move you through the adversity.
I'm delighted you have arrived here, after noticing something in you or your life is asking for your attention & care. A willingness to look into your inner self & experience reflects hope in the possibility of transformation. For many, this journey begins with a feeling that something is unbalanced, unresolved, or unreachable. Perhaps you've experienced concern about your emotional & mental well-being for awhile and now sense a readiness to open to your suffering as a pathway to healing. Or something unexpected has compromised your usual way of coping, and you believe uncovering your resilience will move you through the adversity.
(608) 200-2416 View (608) 200-2416
Photo of Amanda Burrows, LPC, Licensed Professional Counselor
Amanda Burrows
Licensed Professional Counselor, LPC
Verified Verified
La Crosse, WI 54601
Everyone has struggles in their lives at one point or another, I want to be able to help people navigate those struggles to live the best life they want to live. I have experience working with a variety of needs from ADHD, anxiety, depression, parenting stress and difficulties, personality disorders, foster care, trauma and family conflict. I have been working within the field for the last 15 + years in some capacity and will provide a space that will allow you to be authentic in whatever it is you are struggling with.
Everyone has struggles in their lives at one point or another, I want to be able to help people navigate those struggles to live the best life they want to live. I have experience working with a variety of needs from ADHD, anxiety, depression, parenting stress and difficulties, personality disorders, foster care, trauma and family conflict. I have been working within the field for the last 15 + years in some capacity and will provide a space that will allow you to be authentic in whatever it is you are struggling with.
(608) 600-0738 x245 View (608) 600-0738 x245
Photo of Brittany Massengale Houin, PhD, LPC, RPT, Counselor
Brittany Massengale Houin
Counselor, PhD, LPC, RPT
Verified Verified
La Crosse, WI 54601  (Online Only)
Hello there. In this space, you're seen and heard, just as you are. If you're navigating life's complexities and seeking a deeper understanding of yourself, this is a place for you. Here, we'll walk together in a journey of self-discovery, where your feelings and experiences are not only acknowledged but valued. It's not about fixing you; it's about meeting you where you are and accompanying you towards your own growth and fulfillment. If you're ready to explore your true self in a genuine, empathetic environment, I'm here to support you on this journey. Let's connect with openness and curiosity.
Hello there. In this space, you're seen and heard, just as you are. If you're navigating life's complexities and seeking a deeper understanding of yourself, this is a place for you. Here, we'll walk together in a journey of self-discovery, where your feelings and experiences are not only acknowledged but valued. It's not about fixing you; it's about meeting you where you are and accompanying you towards your own growth and fulfillment. If you're ready to explore your true self in a genuine, empathetic environment, I'm here to support you on this journey. Let's connect with openness and curiosity.
(608) 602-2176 View (608) 602-2176
Photo of April Volk, MSE, LPC, Licensed Professional Counselor
April Volk
Licensed Professional Counselor, MSE, LPC
Verified Verified
1 Endorsed
La Crosse, WI 54601
Waitlist for new clients
A Licensed Professional Counselor with over 10 years in the behavioral and mental health field, I have experience providing behavior modification and mental health therapy services in a variety of settings including day treatment and residential treatment programs for at-risk youth, a non-profit community agency serving individuals with physical disabilities, and an outpatient mental health clinic serving children, adolescents, adults, and seniors. Additionally, I have had the opportunity to experience working with a diverse population of clients due to my work in various parts of the state including La Crosse, Green Bay, Janesville, Beloit, and Madison.
A Licensed Professional Counselor with over 10 years in the behavioral and mental health field, I have experience providing behavior modification and mental health therapy services in a variety of settings including day treatment and residential treatment programs for at-risk youth, a non-profit community agency serving individuals with physical disabilities, and an outpatient mental health clinic serving children, adolescents, adults, and seniors. Additionally, I have had the opportunity to experience working with a diverse population of clients due to my work in various parts of the state including La Crosse, Green Bay, Janesville, Beloit, and Madison.
(608) 352-6631 View (608) 352-6631
Photo of Karen D Corrigan, PhD, LCSW, MPH, Clinical Social Work/Therapist
Karen D Corrigan
Clinical Social Work/Therapist, PhD, LCSW, MPH
Verified Verified
La Crosse, WI 54601
Psychotherapy can improve many aspects of one’s life. It can improve our relationship with ourselves, our family, and others. Psychotherapy can also improve our quality of life by addressing past and current situations and by learning new skills for the future.
Psychotherapy can improve many aspects of one’s life. It can improve our relationship with ourselves, our family, and others. Psychotherapy can also improve our quality of life by addressing past and current situations and by learning new skills for the future.
(608) 200-2304 x7 View (608) 200-2304 x7
Photo of Jay Clark, LPC, LPCC, Licensed Professional Counselor
Jay Clark
Licensed Professional Counselor, LPC, LPCC
Verified Verified
La Crosse, WI 54601
I believe that most people are naturally inclined toward growth and healing. People move toward self-actualization when life circumstances are right. I work with my clients to identify personal strengths and situational barriers for the purpose of maximizing potential. I have over 15 years of experience in the counseling field. I have worked with children, adolescents, and adults on a variety of personal and interpersonal issues. Feel free to contact me if you would like to make an appointment or if you have questions of any kind.
I believe that most people are naturally inclined toward growth and healing. People move toward self-actualization when life circumstances are right. I work with my clients to identify personal strengths and situational barriers for the purpose of maximizing potential. I have over 15 years of experience in the counseling field. I have worked with children, adolescents, and adults on a variety of personal and interpersonal issues. Feel free to contact me if you would like to make an appointment or if you have questions of any kind.
(608) 302-6917 View (608) 302-6917
Photo of Samuel Mahr, MS, LPCC, LPC, Licensed Professional Counselor
Samuel Mahr
Licensed Professional Counselor, MS, LPCC, LPC
Verified Verified
La Crosse, WI 54601
As a Licensed Professional Counselor, I specialize in working with children, adolescents, and young adults age 12 through adulthood. My clinical experience is working in a community based setting to provide individual, family, and group therapy to teenagers and young adults. As a therapist, I have had worked with clients experiencing depression, anxiety, grief, suicidality, trauma, and much more.
As a Licensed Professional Counselor, I specialize in working with children, adolescents, and young adults age 12 through adulthood. My clinical experience is working in a community based setting to provide individual, family, and group therapy to teenagers and young adults. As a therapist, I have had worked with clients experiencing depression, anxiety, grief, suicidality, trauma, and much more.
Photo of Alex Diciaula, MS, LPC, Licensed Professional Counselor
Alex Diciaula
Licensed Professional Counselor, MS, LPC
Verified Verified
La Crosse, WI 54601
Welcome! Thank you for being here. I am Alex, and I'm here to be your "professional friend." It's my goal to meet you where you're at, hold space, and open doors for you; it's up to you to walk through them. Whether you do or don't, I'm here regardless with empowerment and enthusiasm to be here with you. Whether you're anxious, bored, confused, depressed, stressed, struggling with trauma, or just want to learn general coping skills, I am here and ready to serve you with compassionate optimism and unconditional acceptance.
Welcome! Thank you for being here. I am Alex, and I'm here to be your "professional friend." It's my goal to meet you where you're at, hold space, and open doors for you; it's up to you to walk through them. Whether you do or don't, I'm here regardless with empowerment and enthusiasm to be here with you. Whether you're anxious, bored, confused, depressed, stressed, struggling with trauma, or just want to learn general coping skills, I am here and ready to serve you with compassionate optimism and unconditional acceptance.
(608) 979-7238 View (608) 979-7238
Photo of Melissa Fannin, MA, LPC, ATR, Counselor
Melissa Fannin
Counselor, MA, LPC, ATR
Verified Verified
La Crosse, WI 54601
If you are suffering from anxiety or depression, I can help you become a participant in your own change. If you've experienced grief or trauma, I offer a safe space in which to unpack it. I believe in letting you know exactly what is going on through the entire therapeutic process, so you will never be in the dark about my intentions or the direction you are going. I am especially effective at helping you deconstruct and examine your role in existing issues. We will develop practical, everyday skills to help make you a more mindful, self-aware person.
If you are suffering from anxiety or depression, I can help you become a participant in your own change. If you've experienced grief or trauma, I offer a safe space in which to unpack it. I believe in letting you know exactly what is going on through the entire therapeutic process, so you will never be in the dark about my intentions or the direction you are going. I am especially effective at helping you deconstruct and examine your role in existing issues. We will develop practical, everyday skills to help make you a more mindful, self-aware person.
(608) 480-1676 View (608) 480-1676
Photo of Lana Buchner, MS, LPC, Counselor
Lana Buchner
Counselor, MS, LPC
Verified Verified
La Crosse, WI 54601
Waitlist for new clients
Life can be complicated, wrought with difficult challenges, unexpected events, and seemingly impossible choices. Everyone encounters unique experiences that shape who we are. Some of those experiences can be painful and cause us to question, doubt ourselves, or live with emotional pain. Sometimes, we need someone to talk to and unload our burdens. I will help you to gain insight into what may be keeping you feeling like you cannot move forward and help you to find healing within. I will customize the best plan for you and together we will journey to discover your strengths and accessing your inner power. I am here for you.
Life can be complicated, wrought with difficult challenges, unexpected events, and seemingly impossible choices. Everyone encounters unique experiences that shape who we are. Some of those experiences can be painful and cause us to question, doubt ourselves, or live with emotional pain. Sometimes, we need someone to talk to and unload our burdens. I will help you to gain insight into what may be keeping you feeling like you cannot move forward and help you to find healing within. I will customize the best plan for you and together we will journey to discover your strengths and accessing your inner power. I am here for you.
(608) 470-6292 View (608) 470-6292
Photo of undefined - Coulee Psychological Services, LLC, PhD, LP, NCSP, Psychologist
Coulee Psychological Services, LLC
Psychologist, PhD, LP, NCSP
Verified Verified
La Crosse, WI 54601
My ideal client would be anyone in elementary, middle school, high school or post-secondary or early employment. When asked or when I introduced myself, I would label myself as a "school doctor" (rather than a medical doctor) who specializes in all things related to school including, but not limited to academic expectations or challenges; getting along with others through social connections or behavior choices, emotional adjustment or coping with stressors. Usually there is a gap between where you are and where you would like to be and it is our job to work together and move towards reducing that gap.
My ideal client would be anyone in elementary, middle school, high school or post-secondary or early employment. When asked or when I introduced myself, I would label myself as a "school doctor" (rather than a medical doctor) who specializes in all things related to school including, but not limited to academic expectations or challenges; getting along with others through social connections or behavior choices, emotional adjustment or coping with stressors. Usually there is a gap between where you are and where you would like to be and it is our job to work together and move towards reducing that gap.
(608) 465-4714 View (608) 465-4714
Photo of Chris Newton, PhD, Psychologist
Chris Newton
Psychologist, PhD
Verified Verified
La Crosse, WI 54601
Waitlist for new clients
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
Over the course of an individual's life, new events can lead to a disruption in the ability to effectively cope with stressors that may have once been handled effectively. As such, my professional focus is on helping clients who have been through a traumatic/stressful event heal more effectively so that they may resume their lives in a healthier and happier manner. I work primarily from a Cognitive-Behavioral and Strength-based approach, and specific mental health concerns I specialize in include, but are not limited to, Relationship Difficulties, Parenting, Addiction, Depression/Anxiety, Trauma/PTSD, and Grief.
(608) 530-0575 View (608) 530-0575

How does your Therapist compare?

Number of Therapists in 54601

70+

Average cost per session

$150

Therapists in 54601 who prioritize treating:

93% Anxiety
86% Relationship Issues
86% Depression
77% Coping Skills
72% Self Esteem
72% Stress
65% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% BlueCross and BlueShield
69% UnitedHealthcare UHC | UBH
67% Optum

How Therapists in 54601 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

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

How can I find a therapist in 54601?

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.