Therapists in 55569

Photo of Jennifer R Tagg, Marriage & Family Therapist, MA, LMFT
Jennifer R Tagg
Marriage & Family Therapist, MA, LMFT
Serves Area
I believe people possess remarkable strengths and resiliency. My work centers on collaborating with clients to find the balance and change they are seeking. My approach focuses on developing a supportive and respectful relationship with clients while finding creative strategies to help clients move toward growth and personal empowerment. We are all part of a larger system, and I focus on these relationships in my work with individuals, couples, families and across ages. By addressing and challenging maladaptive themes and patterns in our lives, we are able to define and move toward our greatest potential.
I believe people possess remarkable strengths and resiliency. My work centers on collaborating with clients to find the balance and change they are seeking. My approach focuses on developing a supportive and respectful relationship with clients while finding creative strategies to help clients move toward growth and personal empowerment. We are all part of a larger system, and I focus on these relationships in my work with individuals, couples, families and across ages. By addressing and challenging maladaptive themes and patterns in our lives, we are able to define and move toward our greatest potential.
(763) 600-8120 View (763) 600-8120
Photo of Alex Aune, Licensed Professional Clinical Counselor, MA, LPCC
Alex Aune
Licensed Professional Clinical Counselor, MA, LPCC
Serves Area
I am passionate about empowering young adults as they face the challenges of establishing boundaries and identifying patterns in their lives and relationships that they wish to change. I also works with adolescents starting at age 13, helping them navigate difficulties with peers, school, and family dynamics. To enhance the effectiveness and enjoyment of my sessions with teenagers, I often incorporate engaging activities. My mission is to help clients discover their own insights and create a strong sense of self-worth, enabling them to live more fulfilling lives.
I am passionate about empowering young adults as they face the challenges of establishing boundaries and identifying patterns in their lives and relationships that they wish to change. I also works with adolescents starting at age 13, helping them navigate difficulties with peers, school, and family dynamics. To enhance the effectiveness and enjoyment of my sessions with teenagers, I often incorporate engaging activities. My mission is to help clients discover their own insights and create a strong sense of self-worth, enabling them to live more fulfilling lives.
(763) 363-7677 View (763) 363-7677
Photo of Rachel Surratt, Counselor, MA, LPCC
Rachel Surratt
Counselor, MA, LPCC
Serves Area
Spring/ Summer 2026: Accepting Clients to Waitlist — Do you struggle with anxiety, trauma, or are having difficulty in your interpersonal relationships? Has your sense of self been rocked by the recent years of hardship and strife? I want to help you carry the load of existing and healing with supportive tools and empathy. I work closely with folks that are actively interested in understanding themselves and the others in their lives. All I ask is that you come to therapy with a drive to improve and are ready to take a holistic look at your life!
Spring/ Summer 2026: Accepting Clients to Waitlist — Do you struggle with anxiety, trauma, or are having difficulty in your interpersonal relationships? Has your sense of self been rocked by the recent years of hardship and strife? I want to help you carry the load of existing and healing with supportive tools and empathy. I work closely with folks that are actively interested in understanding themselves and the others in their lives. All I ask is that you come to therapy with a drive to improve and are ready to take a holistic look at your life!
(651) 410-1822 View (651) 410-1822
Photo of Gwen Olson, Marriage & Family Therapist, LMFT
Gwen Olson
Marriage & Family Therapist, LMFT
6 Endorsed
Serves Area
Do you feel like anxiety is taking over your life? Do you find yourself running through all the "what ifs," worst case scenarios and overthinking? Does thinking about new experiences create an excessive amount of stress and worry? Or does this sound like your child? Have you recently experienced a change in life that is greatly impacting you and your family? If you answered 'yes' to any of these questions, I'm guessing that you are ready for some relief from these concerns interfering with your day-to-day life.
Do you feel like anxiety is taking over your life? Do you find yourself running through all the "what ifs," worst case scenarios and overthinking? Does thinking about new experiences create an excessive amount of stress and worry? Or does this sound like your child? Have you recently experienced a change in life that is greatly impacting you and your family? If you answered 'yes' to any of these questions, I'm guessing that you are ready for some relief from these concerns interfering with your day-to-day life.
(763) 200-7646 View (763) 200-7646
Photo of Loren Bergstedt, Counselor, LPCC, LADC
Loren Bergstedt
Counselor, LPCC, LADC
Serves Area
Fear, doubt, and pain can sometimes keep us from realizing our potential and achieving our goals. Although we may sometimes need a little help to access the tools we need during a challenging time, each of us has the ability to overcome these obstacles. With courage, hope, patience, and a new perspective, we can get moving in the right direction again. Loren's clients value his authentic, supportive, and humorous style. Meetings are characterized as encouraging, engaging, and insightful as he creates a positive and safe environment to make lasting changes.
Fear, doubt, and pain can sometimes keep us from realizing our potential and achieving our goals. Although we may sometimes need a little help to access the tools we need during a challenging time, each of us has the ability to overcome these obstacles. With courage, hope, patience, and a new perspective, we can get moving in the right direction again. Loren's clients value his authentic, supportive, and humorous style. Meetings are characterized as encouraging, engaging, and insightful as he creates a positive and safe environment to make lasting changes.
(612) 255-9536 View (612) 255-9536
Photo of Tai Miller, Pre-Licensed Professional, MS
Tai Miller
Pre-Licensed Professional, MS
2 Endorsed
Serves Area
I have experience working with a culturally diverse population of individuals. My clients range from age 6 to age 65. Most of my experience is working with children, teens, young adults, adults, and families. I believe the greatest success is to accompany the client on their journey and to be the guide to navigate through the challenges of life. I regard the client to be the expert in their lives and it is important for them to discuss their goals and their expectations. My clients who experience the greatest success are motivated and ready to work, open-minded, flexible, introspective, honest, and trusting.
I have experience working with a culturally diverse population of individuals. My clients range from age 6 to age 65. Most of my experience is working with children, teens, young adults, adults, and families. I believe the greatest success is to accompany the client on their journey and to be the guide to navigate through the challenges of life. I regard the client to be the expert in their lives and it is important for them to discuss their goals and their expectations. My clients who experience the greatest success are motivated and ready to work, open-minded, flexible, introspective, honest, and trusting.
(763) 343-7942 View (763) 343-7942
Photo of Trisha McKeever, Marriage & Family Therapist, MA, LMFT
Trisha McKeever
Marriage & Family Therapist, MA, LMFT
6 Endorsed
Serves Area
Are you wondering how you ended up here? The bomb of an affair or the years of slowly growing apart can happen easier than we like to admit, and then we are stuck asking the foggy questions about what happened to our relationship. Hold hope in the possibility of experiencing one another freshly and finding safety in one another again! I also offer Christian counseling for those who desire it.
Are you wondering how you ended up here? The bomb of an affair or the years of slowly growing apart can happen easier than we like to admit, and then we are stuck asking the foggy questions about what happened to our relationship. Hold hope in the possibility of experiencing one another freshly and finding safety in one another again! I also offer Christian counseling for those who desire it.
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Photo of Mary Elizabeth Siusta, Licensed Professional Clinical Counselor, MA, LPCC
Mary Elizabeth Siusta
Licensed Professional Clinical Counselor, MA, LPCC
Serves Area
A mirror allows us to see ourselves; however, sometimes that mirror becomes distorted through chronic stress or repeated life experiences that overwhelm our ability to cope. Over time, this can shape how we see ourselves, how we handle stress, and how we show up in relationships. I believe therapy can help create a clearer, more accurate reflection—one that supports real, sustainable change and a healthier, more balanced life.
A mirror allows us to see ourselves; however, sometimes that mirror becomes distorted through chronic stress or repeated life experiences that overwhelm our ability to cope. Over time, this can shape how we see ourselves, how we handle stress, and how we show up in relationships. I believe therapy can help create a clearer, more accurate reflection—one that supports real, sustainable change and a healthier, more balanced life.
(651) 758-7960 View (651) 758-7960
Photo of Heather Brown, Marriage & Family Therapist, LMFT
Heather Brown
Marriage & Family Therapist, LMFT
3 Endorsed
Serves Area
I provide trauma-informed therapy for adults in Maple Grove, Plymouth, & the West Metro who are navigating medical trauma, cancer, chronic illness, grief, anxiety, & relationship stress. I work with people impacted by life-changing events, including cancer diagnoses & medical trauma. These experiences can turn your world upside down. One day life felt normal, & now everything feels different. You may not trust your body, fear doctor’s visits, feel stuck in painful memories, or feel exhausted from pretending you are okay. You may struggle to explain to loved ones why you are not “over it.” You want to move forward, but you can't.
I provide trauma-informed therapy for adults in Maple Grove, Plymouth, & the West Metro who are navigating medical trauma, cancer, chronic illness, grief, anxiety, & relationship stress. I work with people impacted by life-changing events, including cancer diagnoses & medical trauma. These experiences can turn your world upside down. One day life felt normal, & now everything feels different. You may not trust your body, fear doctor’s visits, feel stuck in painful memories, or feel exhausted from pretending you are okay. You may struggle to explain to loved ones why you are not “over it.” You want to move forward, but you can't.
(763) 343-7543 View (763) 343-7543
Photo of Liz Wright, Pre-Licensed Professional, MA
Liz Wright
Pre-Licensed Professional, MA
2 Endorsed
Serves Area
I am passionate about supporting kids, teens, and young adults as they navigate the challenges and strengths that come with autism, ADHD, OCD, anxiety, and depression. I work with clients facing life transitions, teenage stressors, social dynamics, school avoidance, and executive dysfunctions. I also enjoy working with caregivers of neurodivergent children. Affirming of neurodiversity, gender, sexuality, and culture, my goal is to foster an inclusive and respectful environment where all experiences are welcomed.
I am passionate about supporting kids, teens, and young adults as they navigate the challenges and strengths that come with autism, ADHD, OCD, anxiety, and depression. I work with clients facing life transitions, teenage stressors, social dynamics, school avoidance, and executive dysfunctions. I also enjoy working with caregivers of neurodivergent children. Affirming of neurodiversity, gender, sexuality, and culture, my goal is to foster an inclusive and respectful environment where all experiences are welcomed.
(651) 384-3681 View (651) 384-3681

More Therapists Nearby

Photo of Andrea Lane, Counselor, LADC, LPCC
Andrea Lane
Counselor, LADC, LPCC
Saint Paul, MN 55104
Dealing with the day-to-day stress of mental health symptoms can feel isolating and at times impossible. Stress, anxiety, depression, substance use, and trauma can feel like it is getting in the way of personal growth and living life to the fullest. My aim as a therapist is to aid you in finding personal strengths to guide you through making changes that are positive for your lifestyle. I specialize in providing mental health and substance use therapy to adults. I enjoy utilizing different approaches when working with clients including cognitive behavioral therapy, motivational interviewing.
Dealing with the day-to-day stress of mental health symptoms can feel isolating and at times impossible. Stress, anxiety, depression, substance use, and trauma can feel like it is getting in the way of personal growth and living life to the fullest. My aim as a therapist is to aid you in finding personal strengths to guide you through making changes that are positive for your lifestyle. I specialize in providing mental health and substance use therapy to adults. I enjoy utilizing different approaches when working with clients including cognitive behavioral therapy, motivational interviewing.
(651) 615-6114 x333 View (651) 615-6114 x333
Photo of Jocelyn Keller - Novo Behavioral Health, Licensed Professional Counselor, MA, LPCC
Novo Behavioral Health
Licensed Professional Counselor, MA, LPCC
1 Endorsed
Minneapolis, MN 55426
Jocelyn has worked in higher education as a collegiate coach, educator and mentor for over a decade at universities across the nation. Additionally, she trained with sports psychologist, Dr. Christina Heilman (Driggs, ID). She sees mental health as functioning on a continuum and believes that looking at the whole person/system is crucial to healing; a process that comes from within and can be enhanced with a therapeutic relationship. Her areas of interest include: anxiety related to social and school pressures, as well as work/social life balance and transition. She is also interested in therapy for trauma related to loss and major life transitions.
Jocelyn has worked in higher education as a collegiate coach, educator and mentor for over a decade at universities across the nation. Additionally, she trained with sports psychologist, Dr. Christina Heilman (Driggs, ID). She sees mental health as functioning on a continuum and believes that looking at the whole person/system is crucial to healing; a process that comes from within and can be enhanced with a therapeutic relationship. Her areas of interest include: anxiety related to social and school pressures, as well as work/social life balance and transition. She is also interested in therapy for trauma related to loss and major life transitions.
(651) 413-6508 View (651) 413-6508
Photo of Deborah L Anderson - Anderson Psychological Services, LLC, Psychologist, PsyD, LP
Anderson Psychological Services, LLC
Psychologist, PsyD, LP
Woodbury, MN 55125
My approach to therapy has been informed by my work with individuals, couples and families who have experienced varied and unique challenges. Despite these differences, there are common themes and desires: a sense of security and personal growth, resolving conflict, and building love and respect in marriages or other intimate relationships. Parents seek to manage modern pressures, multiple demands, and opportunities for their children. For those parents with scheduled parenting time, they seek a shared vision of their children's best interest - and shared goals in preparing their kids to meet life's obstacles with determination and resilience.
My approach to therapy has been informed by my work with individuals, couples and families who have experienced varied and unique challenges. Despite these differences, there are common themes and desires: a sense of security and personal growth, resolving conflict, and building love and respect in marriages or other intimate relationships. Parents seek to manage modern pressures, multiple demands, and opportunities for their children. For those parents with scheduled parenting time, they seek a shared vision of their children's best interest - and shared goals in preparing their kids to meet life's obstacles with determination and resilience.
(612) 260-4351 View (612) 260-4351
Photo of Brooke Anderson, Psychologist, PsyD, LP
Brooke Anderson
Psychologist, PsyD, LP
2 Endorsed
Minneapolis, MN 55419
Whether clients are looking for support and encouragement to maximize strengths or need assistance in dealing with a wide variety of psychological issues, effective therapy begins with the formation of a relationship. I place an emphasis on meeting patients where they are, which includes taking into account environmental factors, culture, ethnicity, and family/interpersonal history. Then, collaborating together to understand goals, assets, and challenges in order to create a plan to solve problems and increase understanding. By integrating various theoretical approaches and utilizing current research from psychology and neuroscience, my goal is to provide effective individualized treatment.
Whether clients are looking for support and encouragement to maximize strengths or need assistance in dealing with a wide variety of psychological issues, effective therapy begins with the formation of a relationship. I place an emphasis on meeting patients where they are, which includes taking into account environmental factors, culture, ethnicity, and family/interpersonal history. Then, collaborating together to understand goals, assets, and challenges in order to create a plan to solve problems and increase understanding. By integrating various theoretical approaches and utilizing current research from psychology and neuroscience, my goal is to provide effective individualized treatment.
(612) 979-1449 View (612) 979-1449
Photo of Libby Felling, Marriage & Family Therapist, MA, LMFT
Libby Felling
Marriage & Family Therapist, MA, LMFT
Saint Paul, MN 55104
Although good therapy is serious business it does not have to be grim! I'm very creative and flexible in my approach and view the therapeutic process as a series of hypotheses we explore together. I offer warmth, humor, and sharp analysis of the big picture as well as the details to help you identify what's holding you back and how to move forward differently in a clear, practicable way. In my office we will laugh a lot but we will also work very hard. More than just a psychological travel agent I strive to be a tour guide leader. Your journey is not my journey but I walk with you, in the muck with you, as you determine where to go.
Although good therapy is serious business it does not have to be grim! I'm very creative and flexible in my approach and view the therapeutic process as a series of hypotheses we explore together. I offer warmth, humor, and sharp analysis of the big picture as well as the details to help you identify what's holding you back and how to move forward differently in a clear, practicable way. In my office we will laugh a lot but we will also work very hard. More than just a psychological travel agent I strive to be a tour guide leader. Your journey is not my journey but I walk with you, in the muck with you, as you determine where to go.
(612) 688-7320 View (612) 688-7320
Photo of Kendra Bostick, Pre-Licensed Professional, MSW, LGSW
Kendra Bostick
Pre-Licensed Professional, MSW, LGSW
1 Endorsed
Minneapolis, MN 55408
Coming to therapy can feel overwhelming, I prioritize a warm, somatic-based approach with the understanding that healing happens at the rate of trust. The development of a therapeutic relationship is deep work, I am honored to join clients in unpacking stuck parts, heavy experiences, and successes. I support clients in holding themselves with tenderness and power. I draw from Attachment Theory, Internal Family Systems (IFS), Dialectical Behavioral Therapy (DBT), Human Development, and Mindfulness to support clients by integrating body and mind in processing trauma.
Coming to therapy can feel overwhelming, I prioritize a warm, somatic-based approach with the understanding that healing happens at the rate of trust. The development of a therapeutic relationship is deep work, I am honored to join clients in unpacking stuck parts, heavy experiences, and successes. I support clients in holding themselves with tenderness and power. I draw from Attachment Theory, Internal Family Systems (IFS), Dialectical Behavioral Therapy (DBT), Human Development, and Mindfulness to support clients by integrating body and mind in processing trauma.
(952) 800-5437 View (952) 800-5437
Photo of Dan Hoffman, Counselor, LPCC
Dan Hoffman
Counselor, LPCC
Minneapolis, MN 55401
I am fascinated by the infinite variety of ways people can get themselves in and out of trouble. I work with adults to overcome roadblocks, better understand themselves, and otherwise self-actualize. My clinical interests include depression, anxiety, anger, trauma, self-esteem, unwanted substance and behavioral patterns, lifespan growth, among others. I value empowerment highly in the therapeutic process and work well with motivated clients.
I am fascinated by the infinite variety of ways people can get themselves in and out of trouble. I work with adults to overcome roadblocks, better understand themselves, and otherwise self-actualize. My clinical interests include depression, anxiety, anger, trauma, self-esteem, unwanted substance and behavioral patterns, lifespan growth, among others. I value empowerment highly in the therapeutic process and work well with motivated clients.
(763) 314-4587 View (763) 314-4587
Photo of Kristin Dahl - Healthwise Behavioral Health & Wellness, Psychologist, PsyD
At Healthwise, we firmly believe that reflecting on your experiences and being open about your challenges is a testament to your inner strength. It is not a sign of weakness or failure; it's a courageous step towards personal growth and well-being.
At Healthwise, we firmly believe that reflecting on your experiences and being open about your challenges is a testament to your inner strength. It is not a sign of weakness or failure; it's a courageous step towards personal growth and well-being.
(763) 363-5542 View (763) 363-5542
Photo of Matthew R Syzdek, Psychologist, PhD, LP, MBA
Matthew R Syzdek
Psychologist, PhD, LP, MBA
6 Endorsed
Lakeville, MN 55044
I've built a small, boutique practice that gives each client the time and access they need to a psychologist. You won't be one of 35 clients seen in a week, which is typical in most practices. Instead you will have a dedicated, compassionate psychologist provide you evidence-based psychological therapy, coaching, or consultation. This practice is ideal for busy professionals, executives, attorneys, tech leaders, and high schoolers and college students with complex issues. I cap my panel to 21 clients a week so each client gets what they need and deserve. I currently can practice telepsychology across the country in 40 states.
I've built a small, boutique practice that gives each client the time and access they need to a psychologist. You won't be one of 35 clients seen in a week, which is typical in most practices. Instead you will have a dedicated, compassionate psychologist provide you evidence-based psychological therapy, coaching, or consultation. This practice is ideal for busy professionals, executives, attorneys, tech leaders, and high schoolers and college students with complex issues. I cap my panel to 21 clients a week so each client gets what they need and deserve. I currently can practice telepsychology across the country in 40 states.
(651) 571-9871 View (651) 571-9871
Photo of Megan A Lauinger, Marriage & Family Therapist, LMFT
Megan A Lauinger
Marriage & Family Therapist, LMFT
2 Endorsed
Saint Louis Park, MN 55426
My experience includes work with families, children, adolescents, and adults from a variety of cultural and familial backgrounds. Blended families, families in conflict, couples in any stage from pre-marital to divorcing, and individuals longing to be heard are just a few of the populations with which I enjoy working. I join my clients through the challenges and transitions life presents, in a collaborative manner and without judgement. It is through humor, compassion, and setting attainable goals with my clients that I work.
My experience includes work with families, children, adolescents, and adults from a variety of cultural and familial backgrounds. Blended families, families in conflict, couples in any stage from pre-marital to divorcing, and individuals longing to be heard are just a few of the populations with which I enjoy working. I join my clients through the challenges and transitions life presents, in a collaborative manner and without judgement. It is through humor, compassion, and setting attainable goals with my clients that I work.
(952) 900-6960 x114 View (952) 900-6960 x114

See more therapy options for 55569

How does your Therapist compare?

Number of Therapists in 55569

10+

Average cost per session

$155

Therapists in 55569 who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
90% Family Conflict
90% Stress
80% Relationship Issues
70% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

89% HealthPartners of MN and WI
78% Aetna
67% BlueCross and BlueShield

How Therapists in 55569 see their clients

100% In Person and Online

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 55569?

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.