Therapists in 55024

Photo of Kendelle Harper - Soul Guided Equine Therapy, Counselor, LPCC
Soul Guided Equine Therapy
Counselor, LPCC
Farmington, MN 55024
Here at Soul Guided Equine Therapy, you will find either traditional psychotherapy provided through telehealth or in person. You will also find access to a specially designed program using equine assisted psychotherapy to begin your healing journey and follow the guided path back home to you - your authentic self. It is Soul Guided's mission to aid in healing previous traumas through a new lens and scope of practice. Equine assisted psychotherapy is a nature based practice that allows for real connection and exploration of new relationships to yourself and others.
Here at Soul Guided Equine Therapy, you will find either traditional psychotherapy provided through telehealth or in person. You will also find access to a specially designed program using equine assisted psychotherapy to begin your healing journey and follow the guided path back home to you - your authentic self. It is Soul Guided's mission to aid in healing previous traumas through a new lens and scope of practice. Equine assisted psychotherapy is a nature based practice that allows for real connection and exploration of new relationships to yourself and others.
(651) 401-4904 View (651) 401-4904
Photo of Marilee Sonnen, Pre-Licensed Professional, MA, LPC-R
Marilee Sonnen
Pre-Licensed Professional, MA, LPC-R
3 Endorsed
Farmington, MN 55024
Welcome! Are you or your child facing struggles that leave you feeling anxious, hopeless, or alone? Perhaps you're unsure of the next steps, but know you need to feel better. Everyone deserves support for navigating life's challenges, and I recognize your courage in being here today. Together, we can explore your needs and goals, find meaning, and discover new paths. With empathy and positivity, I promote dignity while providing you with knowledge and resources that will build on your strengths and improve your overall well-being.
Welcome! Are you or your child facing struggles that leave you feeling anxious, hopeless, or alone? Perhaps you're unsure of the next steps, but know you need to feel better. Everyone deserves support for navigating life's challenges, and I recognize your courage in being here today. Together, we can explore your needs and goals, find meaning, and discover new paths. With empathy and positivity, I promote dignity while providing you with knowledge and resources that will build on your strengths and improve your overall well-being.
(612) 688-7243 View (612) 688-7243
Photo of Hanah Sicinski, Clinical Social Work/Therapist, MSW, LGSW
Hanah Sicinski
Clinical Social Work/Therapist, MSW, LGSW
Farmington, MN 55024
Hanah has experience in social work, case management, foster care, youth mental health facilities, and non-profit organizations. She supports those with a variety of concerns including those with anxiety, depression, childhood trauma, eating disorders, OCD, PTSD, substance use challenges, suicidal ideation/self-harm, and many more. Hanah is especially drawn to working with individuals who have experienced trauma. Her background includes, but is not limited to, working with those who have endured domestic violence, sexual abuse, and religious trauma.
Hanah has experience in social work, case management, foster care, youth mental health facilities, and non-profit organizations. She supports those with a variety of concerns including those with anxiety, depression, childhood trauma, eating disorders, OCD, PTSD, substance use challenges, suicidal ideation/self-harm, and many more. Hanah is especially drawn to working with individuals who have experienced trauma. Her background includes, but is not limited to, working with those who have endured domestic violence, sexual abuse, and religious trauma.
(952) 299-6770 View (952) 299-6770
Photo of Katie deRegnier, Counselor, MEd, LPCC
Katie deRegnier
Counselor, MEd, LPCC
2 Endorsed
Farmington, MN 55024
If you are feeling overwhelmed, depressed, or unable to feel control over your life, you are not alone. I believe most people at some time in their life are in need of support and guidance through difficult periods. Throughout the therapeutic process, it is important to me to establish a good foundation and relationship with my clients in order to share a bond of trust and acceptance. Throughout our journey, I incorporate skills which help my clients to understand themselves better, as well as give them coping strategies for relief along the way.
If you are feeling overwhelmed, depressed, or unable to feel control over your life, you are not alone. I believe most people at some time in their life are in need of support and guidance through difficult periods. Throughout the therapeutic process, it is important to me to establish a good foundation and relationship with my clients in order to share a bond of trust and acceptance. Throughout our journey, I incorporate skills which help my clients to understand themselves better, as well as give them coping strategies for relief along the way.
(952) 955-9212 View (952) 955-9212
Photo of Haley Raifsnider - Secure Base Counseling Center: DBT Services, Counselor, MS, LPCC
Ever feel like your emotions are running the show? Maybe you struggle with intense anger, overwhelming sadness, or crippling anxiety. Perhaps past experiences from your childhood are influencing how you show up in your relationships with friends, family, and partners. You've been in therapy before, and while it sometimes feels helpful to talk to someone, you still feel like life is a constant battle. If this sounds familiar, you're not alone! Many people experience emotional dysregulation and don't find the relief they are looking for in traditional therapy alone. The good news is, there IS hope, and there are more options!
Ever feel like your emotions are running the show? Maybe you struggle with intense anger, overwhelming sadness, or crippling anxiety. Perhaps past experiences from your childhood are influencing how you show up in your relationships with friends, family, and partners. You've been in therapy before, and while it sometimes feels helpful to talk to someone, you still feel like life is a constant battle. If this sounds familiar, you're not alone! Many people experience emotional dysregulation and don't find the relief they are looking for in traditional therapy alone. The good news is, there IS hope, and there are more options!
(507) 442-2296 View (507) 442-2296
Photo of Rachel Dowling, Marriage & Family Therapist, MA, LMFT
Rachel Dowling
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Farmington, MN 55024
Is your child struggling to manage overwhelming emotions that seem to dominate their day, leaving you uncertain about how to help? Perhaps you’ve noticed a persistent cloud of stress or emotional dysregulation that makes even the simplest tasks feel like an impossible burden. As adults, we are not immune to these same challenges. Daily responsibilities, unresolved trauma, or chronic stress can accumulate until even routine decisions feel exhausting. You may find yourself constantly on edge, scanning for threats, or unable to access a sense of calm in your own body. All this can leave you feeling disconnected from the life you want.
Is your child struggling to manage overwhelming emotions that seem to dominate their day, leaving you uncertain about how to help? Perhaps you’ve noticed a persistent cloud of stress or emotional dysregulation that makes even the simplest tasks feel like an impossible burden. As adults, we are not immune to these same challenges. Daily responsibilities, unresolved trauma, or chronic stress can accumulate until even routine decisions feel exhausting. You may find yourself constantly on edge, scanning for threats, or unable to access a sense of calm in your own body. All this can leave you feeling disconnected from the life you want.
(651) 401-8423 View (651) 401-8423
Photo of Mike A Arieta, Clinical Social Work/Therapist, MSW, LICSW, LCSW, LISW, PACC
Mike A Arieta
Clinical Social Work/Therapist, MSW, LICSW, LCSW, LISW, PACC
Serves Area
My partner Kristin Lindgren and I started New Path Counseling LLC to provide clinical social work services and educational assistance. I provide the clinical social work services focusing on work with adults, young adults, teens and others. I provide services based on a trauma informed approach and focus on adjustment disorder, depression, shame and guilt along with life transitions. I also provide Employee Assistance Program Services, Life Coaching and career counseling. You can also connect with me at: https://www.betterhelp.com/michael-arieta/
My partner Kristin Lindgren and I started New Path Counseling LLC to provide clinical social work services and educational assistance. I provide the clinical social work services focusing on work with adults, young adults, teens and others. I provide services based on a trauma informed approach and focus on adjustment disorder, depression, shame and guilt along with life transitions. I also provide Employee Assistance Program Services, Life Coaching and career counseling. You can also connect with me at: https://www.betterhelp.com/michael-arieta/
(612) 294-9896 View (612) 294-9896
Photo of Kirstina Quast, Clinical Social Work/Therapist, LICSW
Kirstina Quast
Clinical Social Work/Therapist, LICSW
Serves Area
Hi there, I'm Kirstina! Starting therapy is a courageous step, and I’m here to support you in creating meaningful, lasting change. I work with individuals, children, and families experiencing a wide range of challenges—including trauma, grief, life transitions, and relational stress. This includes support through foster care, adoption, divorce, separation, and post-decree concerns. My approach is strengths-based, creative, and collaborative—centered on your goals, your story, and what healing looks like for you. Whenever you're ready, I welcome you to reach out and begin this journey toward greater connection, resilience.
Hi there, I'm Kirstina! Starting therapy is a courageous step, and I’m here to support you in creating meaningful, lasting change. I work with individuals, children, and families experiencing a wide range of challenges—including trauma, grief, life transitions, and relational stress. This includes support through foster care, adoption, divorce, separation, and post-decree concerns. My approach is strengths-based, creative, and collaborative—centered on your goals, your story, and what healing looks like for you. Whenever you're ready, I welcome you to reach out and begin this journey toward greater connection, resilience.
(218) 387-8572 View (218) 387-8572
Photo of Sarah Christiansen, Pre-Licensed Professional, MA
Sarah Christiansen
Pre-Licensed Professional, MA
Serves Area
I work with adolescents and young adults who may be struggling with anxiety, depression, emotional regulation, or the stress that often comes with major life transitions. Many of my clients feel overwhelmed, stuck, or unsure of themselves—whether they’re adjusting to increased independence, navigating academic/work pressure, or trying to figure out who they are and what they want moving forward. I recognize that many of us struggle with vulnerability and openness, therefore my goal is to create a safe and nonjudgmental space. Together, we can build a trusting therapeutic relationship that encourages you to express yourself freely.
I work with adolescents and young adults who may be struggling with anxiety, depression, emotional regulation, or the stress that often comes with major life transitions. Many of my clients feel overwhelmed, stuck, or unsure of themselves—whether they’re adjusting to increased independence, navigating academic/work pressure, or trying to figure out who they are and what they want moving forward. I recognize that many of us struggle with vulnerability and openness, therefore my goal is to create a safe and nonjudgmental space. Together, we can build a trusting therapeutic relationship that encourages you to express yourself freely.
(952) 592-0686 View (952) 592-0686
Photo of Heather O'Neil, Marriage & Family Therapist, M.A., LMFT
Heather O'Neil
Marriage & Family Therapist, M.A., LMFT
3 Endorsed
Serves Area
Knowing people come into the therapeutic space at their most vulnerable time, I strive to create a down-to-earth, welcoming presence for clients to explore their inner world. I work with individuals (ages 16+), couples, and families in the pursuit of creating strong relationships and meaningful lives. My ideal client may be experiencing relationship distress, life transitions, unhealed traumas, anxiety, depression, obsessive-compulsive disorder, or may just feel stuck. My goal is to mix empathy and expertise to build a strong, trusting therapeutic relationship and help clients create the peace that they long for.
Knowing people come into the therapeutic space at their most vulnerable time, I strive to create a down-to-earth, welcoming presence for clients to explore their inner world. I work with individuals (ages 16+), couples, and families in the pursuit of creating strong relationships and meaningful lives. My ideal client may be experiencing relationship distress, life transitions, unhealed traumas, anxiety, depression, obsessive-compulsive disorder, or may just feel stuck. My goal is to mix empathy and expertise to build a strong, trusting therapeutic relationship and help clients create the peace that they long for.
(952) 248-7797 View (952) 248-7797
Photo of Cari Libby, Pre-Licensed Professional
Cari Libby
Pre-Licensed Professional
2 Endorsed
Serves Area
Hi, I am an Art Therapist Intern at Creative Connections. I am in a master’s level dual licensure program at Adler Graduate School for mental health counseling and art therapy. I am good at listening and just being with people wherever they are. I also believe that laughter can be good medicine. I take a person-centered humanistic (empathetic, compassionate, and nonjudgmental) approach to therapy.
Hi, I am an Art Therapist Intern at Creative Connections. I am in a master’s level dual licensure program at Adler Graduate School for mental health counseling and art therapy. I am good at listening and just being with people wherever they are. I also believe that laughter can be good medicine. I take a person-centered humanistic (empathetic, compassionate, and nonjudgmental) approach to therapy.
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Photo of Stephanie Gindorff, Pre-Licensed Professional, C-AAIS
Stephanie Gindorff
Pre-Licensed Professional, C-AAIS
Serves Area
My ideal clients are children, teens, and adults who feel stuck, anxious, or overwhelmed by life’s hurdles. I work with parents who face the challenge of getting a hesitant child or teen to step foot into a therapy office. Together with my certified therapy dog, Griffey, we help clients feel instantly grounded, safe, and emotionally regulated. With or without Griffey present (it is totally up to you), we focus on managing anxiety and navigating tough transitions. Backed by expert supervision, I provide fresh, evidence-based care tailored entirely to your unique pace.
My ideal clients are children, teens, and adults who feel stuck, anxious, or overwhelmed by life’s hurdles. I work with parents who face the challenge of getting a hesitant child or teen to step foot into a therapy office. Together with my certified therapy dog, Griffey, we help clients feel instantly grounded, safe, and emotionally regulated. With or without Griffey present (it is totally up to you), we focus on managing anxiety and navigating tough transitions. Backed by expert supervision, I provide fresh, evidence-based care tailored entirely to your unique pace.
(952) 260-9729 View (952) 260-9729
Photo of Faduma Mohamed, Clinical Social Work/Therapist, LGSW
Faduma Mohamed
Clinical Social Work/Therapist, LGSW
Serves Area
Providing a safe space to explore and express emotions is important for the client’s development and course of treatment. I meet the clients where they are at and utilize therapeutic art, toys, and games. The modalities I use are Cognitive Behavioral therapy (CBT), strengths-based interventions, and mindfulness. It is important to tailor interventions to the client’s goals and to develop skills to become empowered to continue on a journey towards healing and creating positive changes.
Providing a safe space to explore and express emotions is important for the client’s development and course of treatment. I meet the clients where they are at and utilize therapeutic art, toys, and games. The modalities I use are Cognitive Behavioral therapy (CBT), strengths-based interventions, and mindfulness. It is important to tailor interventions to the client’s goals and to develop skills to become empowered to continue on a journey towards healing and creating positive changes.
(952) 254-4847 View (952) 254-4847
Photo of Kari Prestemon, Clinical Social Work/Therapist, MSSW, LICSW
Kari Prestemon
Clinical Social Work/Therapist, MSSW, LICSW
Serves Area
Hello, my name is Kari (Car-ee)! I have been a dedicated therapist and social worker for the past 37 years, working in a variety of settings such as mental health agencies, schools/colleges, and in private practice. I enjoy working with individuals of all ages and have the depth of experience that allows me to meet you where you are at. As a therapist, I see myself as a guide, supporter, and confidant to help with struggles of self-esteem, anxiety, depression, ADHD, anger management, trauma, and life transitions to name a few.
Hello, my name is Kari (Car-ee)! I have been a dedicated therapist and social worker for the past 37 years, working in a variety of settings such as mental health agencies, schools/colleges, and in private practice. I enjoy working with individuals of all ages and have the depth of experience that allows me to meet you where you are at. As a therapist, I see myself as a guide, supporter, and confidant to help with struggles of self-esteem, anxiety, depression, ADHD, anger management, trauma, and life transitions to name a few.
(507) 476-9375 View (507) 476-9375
Photo of Meghan Keating, Clinical Social Work/Therapist, MSW, LICSW
Meghan Keating
Clinical Social Work/Therapist, MSW, LICSW
3 Endorsed
Serves Area
Healing isn't just about alleviating symptoms; it's about fostering growth, resilience, and a renewed sense of purpose. My practice primarily focuses on providing therapy to individuals who are facing symptoms of anxiety, depression, ADHD, grief and loss, stress, and trauma. I provide support to adolescents and adults struggling with self-esteem, family and peer relationship issues, co-dependency, family conflict, and life transitions. Additionally, I am fully trained EMDR (Eye Movement Desensitization and Reprocessing) to support clients in healing symptoms of trauma.
Healing isn't just about alleviating symptoms; it's about fostering growth, resilience, and a renewed sense of purpose. My practice primarily focuses on providing therapy to individuals who are facing symptoms of anxiety, depression, ADHD, grief and loss, stress, and trauma. I provide support to adolescents and adults struggling with self-esteem, family and peer relationship issues, co-dependency, family conflict, and life transitions. Additionally, I am fully trained EMDR (Eye Movement Desensitization and Reprocessing) to support clients in healing symptoms of trauma.
(952) 522-2056 View (952) 522-2056
Photo of Tito Oca Catuncan, Clinical Social Work/Therapist, MSW, LICSW
Tito Oca Catuncan
Clinical Social Work/Therapist, MSW, LICSW
2 Endorsed
Serves Area
Immediate openings this summer, schedule online now! Do you feel lost struggling with depression or anxiety, exploring your identity and sexuality, building healthy relationships, dealing with stressful life transitions, coping with social/political stressors, managing cultural differences, avoiding burnout, or how to survive/thrive amidst uncertainty in this world? As a gay Filipino and Asian American, clients come to me to explore identities, navigate complex relationships, build more secure attachment, better cope with anxiety and depression, and thrive amidst effects of systemic oppression, discrimination, and trauma.
Immediate openings this summer, schedule online now! Do you feel lost struggling with depression or anxiety, exploring your identity and sexuality, building healthy relationships, dealing with stressful life transitions, coping with social/political stressors, managing cultural differences, avoiding burnout, or how to survive/thrive amidst uncertainty in this world? As a gay Filipino and Asian American, clients come to me to explore identities, navigate complex relationships, build more secure attachment, better cope with anxiety and depression, and thrive amidst effects of systemic oppression, discrimination, and trauma.
(612) 255-6685 View (612) 255-6685
Photo of Emerald Yeshidagne, Licensed Professional Clinical Counselor, MA, LPCC
Emerald Yeshidagne
Licensed Professional Clinical Counselor, MA, LPCC
3 Endorsed
Serves Area
If you've had a stressful or traumatic event occur and you just can't get past it, you have been in talk therapy and it's helped but there is still something holding you back, or you've never gone to therapy, it's time to reach out and try something different. Are you struggling to move forward without anxiety, fear or shame? I often hear people say, "I'm not good enough" or "I did something wrong," even if they know logically this is untrue. I use EMDR, a type of therapy that is very effective for trauma, stress, anxiety and depression. Send a message today to learn more about how EMDR might be a good fit for your goals!
If you've had a stressful or traumatic event occur and you just can't get past it, you have been in talk therapy and it's helped but there is still something holding you back, or you've never gone to therapy, it's time to reach out and try something different. Are you struggling to move forward without anxiety, fear or shame? I often hear people say, "I'm not good enough" or "I did something wrong," even if they know logically this is untrue. I use EMDR, a type of therapy that is very effective for trauma, stress, anxiety and depression. Send a message today to learn more about how EMDR might be a good fit for your goals!
(952) 243-2133 View (952) 243-2133
Photo of Dominique Jackson, Pre-Licensed Professional, MA
Dominique Jackson
Pre-Licensed Professional, MA
Serves Area
I am a firm believer of the client being behind the wheel on their therapeutic journey while I am there, passenger side, as the navigator providing guidance. I meet my patients where they are at and build off of their strengths to increase their self-esteem, knowledge, and well-being. The client-counselor relationship is very important to me, and I do my best to create a space where guards can be let down and vulnerability is welcomed through a person-centered approach.
I am a firm believer of the client being behind the wheel on their therapeutic journey while I am there, passenger side, as the navigator providing guidance. I meet my patients where they are at and build off of their strengths to increase their self-esteem, knowledge, and well-being. The client-counselor relationship is very important to me, and I do my best to create a space where guards can be let down and vulnerability is welcomed through a person-centered approach.
(952) 395-7712 View (952) 395-7712
Photo of Mary Margaret Gales-Wenz, Clinical Social Work/Therapist, LICSW
Mary Margaret Gales-Wenz
Clinical Social Work/Therapist, LICSW
Serves Area
My clients have sought therapy because they are experiencing a significant challenge in their lives and are looking for ways to cope with these .
My clients have sought therapy because they are experiencing a significant challenge in their lives and are looking for ways to cope with these .
(952) 900-5309 View (952) 900-5309
Photo of Audrey Brickley, Marriage & Family Therapist, LMFT
Audrey Brickley
Marriage & Family Therapist, LMFT
Serves Area
I work from a person centered approach, which means you are the driving force for your own therapy. I believe you have the power to heal and grow. I believe in authenticity and being your full self, and I try to bring myself into the therapy room as well. I look forward to working with you to explore and meet your goals.
I work from a person centered approach, which means you are the driving force for your own therapy. I believe you have the power to heal and grow. I believe in authenticity and being your full self, and I try to bring myself into the therapy room as well. I look forward to working with you to explore and meet your goals.
(952) 260-0126 View (952) 260-0126

See more therapy options for 55024

How does your Therapist compare?

Number of Therapists in 55024

30+

Average cost per session

$175

Therapists in 55024 who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
90% Depression
81% Self Esteem
71% Relationship Issues

Average years in practice

8 Years

Top 3 insurances accepted

86% Aetna
82% Cigna and Evernorth
75% BlueCross and BlueShield

How Therapists in 55024 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

93% Female
7% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 55024?

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.