Photo of Rikki Fulmer, Clinical Social Work/Therapist
Rikki Fulmer
Clinical Social Work/Therapist
Verified Verified
Online Only
Our own mental health has historically been the last task on our long to-do lists. Even on our best of days, we don’t have the tools we need in our box to regulate, validate and manage our emotions. Therapy is the place where we can identify those tricky emotions, learn where they come from and how to work through them. Through our therapeutic process it is my hope that you will end up on a path to living your best, most authentic life. My journey to becoming a therapist has been anything but a direct path. I graduated from Southern Illinois University of Edwardsville in 2010, obtaining my Clinical Licenses (LCSW) in 2013.
Our own mental health has historically been the last task on our long to-do lists. Even on our best of days, we don’t have the tools we need in our box to regulate, validate and manage our emotions. Therapy is the place where we can identify those tricky emotions, learn where they come from and how to work through them. Through our therapeutic process it is my hope that you will end up on a path to living your best, most authentic life. My journey to becoming a therapist has been anything but a direct path. I graduated from Southern Illinois University of Edwardsville in 2010, obtaining my Clinical Licenses (LCSW) in 2013.
(417) 665-5950 View (417) 665-5950
Photo of Cathleen Burks, Licensed Professional Counselor
Cathleen Burks
Licensed Professional Counselor
Verified Verified
Online Only
Hello, I'm Cathi. After working for many years in various jobs that left me feeling unfulfilled and insignificant, I found myself stuck in a depressive rut. In 2011, I made a life-changing decision to pursue my dream of becoming a counselor. Today, I am living that dream, working with others to help them find joy, peace, and happiness in their lives. With over seven years of experience in the mental health field, I have had the privilege of serving both adults and adolescents, and I truly love what I do. My passion for my career, combined with my love for people, inspires me to be the best counselor I can be for all of my clients.
Hello, I'm Cathi. After working for many years in various jobs that left me feeling unfulfilled and insignificant, I found myself stuck in a depressive rut. In 2011, I made a life-changing decision to pursue my dream of becoming a counselor. Today, I am living that dream, working with others to help them find joy, peace, and happiness in their lives. With over seven years of experience in the mental health field, I have had the privilege of serving both adults and adolescents, and I truly love what I do. My passion for my career, combined with my love for people, inspires me to be the best counselor I can be for all of my clients.
(314) 949-5218 View (314) 949-5218
Photo of Gary Chadwick, Licensed Professional Counselor
Gary Chadwick
Licensed Professional Counselor
Verified Verified
Online Only
Hello, I'm Gary Chadwick, and I'm a licensed professional counselor (LPC) in the state of Missouri. With a master's degree from Missouri State University and certification as a K-12 school counselor, I am passionate about supporting both children and adults on their journeys towards emotional well-being. My counseling career began in 2010, and since then, I've had the privilege of working with a diverse range of clients in various settings, including private practice, community mental health, residential treatment, and education.
Hello, I'm Gary Chadwick, and I'm a licensed professional counselor (LPC) in the state of Missouri. With a master's degree from Missouri State University and certification as a K-12 school counselor, I am passionate about supporting both children and adults on their journeys towards emotional well-being. My counseling career began in 2010, and since then, I've had the privilege of working with a diverse range of clients in various settings, including private practice, community mental health, residential treatment, and education.
(314) 949-7292 View (314) 949-7292
Photo of Ryan Jouett, Licensed Professional Counselor, MA, LPC
Ryan Jouett
Licensed Professional Counselor, MA, LPC
Verified Verified
Maryland Heights, MO 63043
Ryan Jouett, LPC, is a dedicated therapist practicing in Missouri who provides compassionate and tailored care to clients across the lifespan. Ryan works with children, adolescents, adults, and seniors, offering individual, couples, and family therapy. His approach fosters a collaborative and supportive environment where clients feel empowered to address challenges and achieve meaningful growth. Ryan specializes in treating ADHD, anxiety, and depression, utilizing evidencebased approaches such as Cognitive Behavioral Therapy CBT and Dialectical Behavior Therapy DBT.
Ryan Jouett, LPC, is a dedicated therapist practicing in Missouri who provides compassionate and tailored care to clients across the lifespan. Ryan works with children, adolescents, adults, and seniors, offering individual, couples, and family therapy. His approach fosters a collaborative and supportive environment where clients feel empowered to address challenges and achieve meaningful growth. Ryan specializes in treating ADHD, anxiety, and depression, utilizing evidencebased approaches such as Cognitive Behavioral Therapy CBT and Dialectical Behavior Therapy DBT.
(314) 907-3631 View (314) 907-3631
Photo of Elizabeth Clark, Licensed Professional Counselor
Elizabeth Clark
Licensed Professional Counselor
Verified Verified
Online Only
Hello! I'm Elizabeth, and I've been dedicated to the behavioral health field for over 17 years. My journey has equipped me with extensive experience in acute mental health treatment and substance abuse. I specialize in grief and bereavement, trauma, anxiety, and stress management, and my main focus is helping clients identify their stressors and learn different methods of coping.
Hello! I'm Elizabeth, and I've been dedicated to the behavioral health field for over 17 years. My journey has equipped me with extensive experience in acute mental health treatment and substance abuse. I specialize in grief and bereavement, trauma, anxiety, and stress management, and my main focus is helping clients identify their stressors and learn different methods of coping.
(314) 916-4813 View (314) 916-4813
LifeStance Health
Licensed Professional Counselor, LPC
Verified Verified
Maryland Heights, MO 63043
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(314) 936-2428 View (314) 936-2428
Photo of Virginia Eldridge, Licensed Professional Counselor, MA, LPC
Virginia Eldridge
Licensed Professional Counselor, MA, LPC
Verified Verified
Maryland Heights, MO 63043
Struggling with stress, sadness or hopelessness even grief? Feeling like your best isn't good enough, tired and beat down? You are not alone, I am here to help. As a therapist, you'll find I'm empathetic, non-judgmental and provide a safe place where adults can lay their heart and soul. As a client you will experience the butterfly effect. Which involves you acknowledging what needs to change, accepting you're a part of the change and taking ownership of your power to change. Together we will navigate through the difficult times creating balance and defining your purpose.
Struggling with stress, sadness or hopelessness even grief? Feeling like your best isn't good enough, tired and beat down? You are not alone, I am here to help. As a therapist, you'll find I'm empathetic, non-judgmental and provide a safe place where adults can lay their heart and soul. As a client you will experience the butterfly effect. Which involves you acknowledging what needs to change, accepting you're a part of the change and taking ownership of your power to change. Together we will navigate through the difficult times creating balance and defining your purpose.
(314) 230-9430 View (314) 230-9430
Photo of Lindsey Parton, Clinical Social Work/Therapist
Lindsey Parton
Clinical Social Work/Therapist
Verified Verified
Online Only
I am a Licensed Clinical Social Worker who believes that the foundation to a successful outcome in therapy begins with a strong rapport between the client and the therapist. Once that foundation is laid, I will work with the client to use one of several therapeutic modalities. These modalities may include Cognitive Behavioral Therapy, Solution Focused Therapy, Play Therapy, Art Therapy, Mindfulness and Client-Centered Therapy. I am trained in EMDR and working on my certification.
I am a Licensed Clinical Social Worker who believes that the foundation to a successful outcome in therapy begins with a strong rapport between the client and the therapist. Once that foundation is laid, I will work with the client to use one of several therapeutic modalities. These modalities may include Cognitive Behavioral Therapy, Solution Focused Therapy, Play Therapy, Art Therapy, Mindfulness and Client-Centered Therapy. I am trained in EMDR and working on my certification.
(417) 345-3367 View (417) 345-3367
Photo of Dru-Anne Hall, Clinical Social Work/Therapist
Dru-Anne Hall
Clinical Social Work/Therapist
Verified Verified
Online Only
I’m Dru. I am a LCSW practicing as a therapist in Missouri with 14 years of professional work experience. I am here to listen, help create a plan and help set goals with you. I have experience in helping clients increase motivation, manage anxiety, cope with grief and loss, & decrease depression symptoms. I enjoy using evidence based tools and interventions. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs.
I’m Dru. I am a LCSW practicing as a therapist in Missouri with 14 years of professional work experience. I am here to listen, help create a plan and help set goals with you. I have experience in helping clients increase motivation, manage anxiety, cope with grief and loss, & decrease depression symptoms. I enjoy using evidence based tools and interventions. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs.
(314) 912-2562 View (314) 912-2562
Photo of Charise Baker, Licensed Professional Counselor
Charise Baker
Licensed Professional Counselor
Verified Verified
Online Only
Hello, I'm Charise. Situations and feelings develop that sometimes cause challenges in our everyday lives. These situations and feelings can leave us questioning how we can navigate these challenges in order to feel better and move forward. In our work together, I can assist you by guiding you with your values to focus on what is important in your life. I do this by teaching new skills to help you manage your stressors. A little bit about my background: I graduated from the University of Kentucky with a Master's in Counseling. I have been licensed as a professional counselor for eleven years.
Hello, I'm Charise. Situations and feelings develop that sometimes cause challenges in our everyday lives. These situations and feelings can leave us questioning how we can navigate these challenges in order to feel better and move forward. In our work together, I can assist you by guiding you with your values to focus on what is important in your life. I do this by teaching new skills to help you manage your stressors. A little bit about my background: I graduated from the University of Kentucky with a Master's in Counseling. I have been licensed as a professional counselor for eleven years.
(314) 948-4612 View (314) 948-4612
Photo of Victoria Schleeper, Licensed Professional Counselor, MA, LPC
Victoria Schleeper
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Life can be hard sometimes! Whether you are dealing with anxiety, depression, or simply feeling stuck and frustrated, we can work on solutions. My focus is to help you move forward in your life with a better ability to navigate the difficult situations. As we move through the process together the goal is to assist you in finding meaning and growth, as well as symptom relief to improve your overall well-being.
Life can be hard sometimes! Whether you are dealing with anxiety, depression, or simply feeling stuck and frustrated, we can work on solutions. My focus is to help you move forward in your life with a better ability to navigate the difficult situations. As we move through the process together the goal is to assist you in finding meaning and growth, as well as symptom relief to improve your overall well-being.
(314) 200-0336 View (314) 200-0336
Photo of Michael Jerome Williams - Williams Consulting Services Llc, Licensed Professional Counselor, MA, LPC
Williams Consulting Services Llc
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Not accepting new clients
My name is Michael Williams, and I am dually licensed as a Professional Counselor, and a Massage Therapist. I have worked as a Professional Counselor in St. Louis, MO since 1989, and as a Massage Therapist in St. Louis, Mo.beginning in 2003; and Denver,CO beginning in 2010. I utilize a holistic approach to treatment that involves healing the Mind, Body, and Spirit. The goal of educating, guiding, and motivating children and adults toward achieving their greatest potential of human growth remains my mission and purpose.
My name is Michael Williams, and I am dually licensed as a Professional Counselor, and a Massage Therapist. I have worked as a Professional Counselor in St. Louis, MO since 1989, and as a Massage Therapist in St. Louis, Mo.beginning in 2003; and Denver,CO beginning in 2010. I utilize a holistic approach to treatment that involves healing the Mind, Body, and Spirit. The goal of educating, guiding, and motivating children and adults toward achieving their greatest potential of human growth remains my mission and purpose.
(314) 470-9413 View (314) 470-9413
Photo of Annie Cole-School, Clinical Social Work/Therapist
Annie Cole-School
Clinical Social Work/Therapist
Verified Verified
Online Only
Hello, I'm Annie. I am committed to providing professional, quality counseling to all individuals and assisting them to feel their best physically, mentally, psychologically, and spiritually. Having faced obstacles in my own life, I have gained insight, understanding, compassion, and empathy for others. These qualities, along with my schooling, have equipped me with the knowledge and skills to make a holistic impact on those seeking counseling. I am dedicated to giving my all to help individuals understand and manage what is standing in their way of becoming their authentic, best self.
Hello, I'm Annie. I am committed to providing professional, quality counseling to all individuals and assisting them to feel their best physically, mentally, psychologically, and spiritually. Having faced obstacles in my own life, I have gained insight, understanding, compassion, and empathy for others. These qualities, along with my schooling, have equipped me with the knowledge and skills to make a holistic impact on those seeking counseling. I am dedicated to giving my all to help individuals understand and manage what is standing in their way of becoming their authentic, best self.
(314) 557-3637 View (314) 557-3637
Photo of Emmogene Chepely, Licensed Professional Counselor
Emmogene Chepely
Licensed Professional Counselor
Verified Verified
Online Only
Hello, I'm Emmogene. Life can be difficult to manage at times, whether due to daily life stressors, more major events, or ongoing mental health issues, and sometimes the tools we already have aren't enough. These things can impact our well-being, and we need someone to help us learn new ways to deal more effectively with these stressors and the overwhelming feelings they can cause. I can provide a safe space where I can guide you through coping with difficult experiences and managing life's challenges.
Hello, I'm Emmogene. Life can be difficult to manage at times, whether due to daily life stressors, more major events, or ongoing mental health issues, and sometimes the tools we already have aren't enough. These things can impact our well-being, and we need someone to help us learn new ways to deal more effectively with these stressors and the overwhelming feelings they can cause. I can provide a safe space where I can guide you through coping with difficult experiences and managing life's challenges.
(314) 947-5766 View (314) 947-5766
Photo of Sara Nielsen, Licensed Professional Counselor
Sara Nielsen
Licensed Professional Counselor
Verified Verified
Online Only
Hello, I'm Sara, a Licensed Professional Counselor with over 15 years of experience. I am licensed in Alabama, Missouri, and Kansas, and have spent around 16 years working as a psychotherapist. Throughout my career, I've had the privilege of helping clients navigate a wide range of concerns including depression, anxiety, trauma, eating disorders, self-esteem, OCD, ADHD, and more. My experience spans diverse settings such as residential treatment, inpatient hospitalization,
Hello, I'm Sara, a Licensed Professional Counselor with over 15 years of experience. I am licensed in Alabama, Missouri, and Kansas, and have spent around 16 years working as a psychotherapist. Throughout my career, I've had the privilege of helping clients navigate a wide range of concerns including depression, anxiety, trauma, eating disorders, self-esteem, OCD, ADHD, and more. My experience spans diverse settings such as residential treatment, inpatient hospitalization,
(314) 931-4410 View (314) 931-4410
Photo of Linda Peterson, Licensed Professional Counselor, PhD, LPC, NCC
Linda Peterson
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
1 Endorsed
Maryland Heights, MO 63043
Are you stressed and tired of doing the same thing and getting the same result? Life gets hard and we need to change our quest in life to meet the changes that occur. I am a Individual, marriage and family Psychotherapist. I work with clients dealing with anxiety, depression, stress, marriage concerns,parenting issues and multicultural issues. Asking for help is hard and can be really difficult for most. Change will not happen without action. I provide a safe space for confidential and stressful issues to be discussed. I am a Licensed Professional Counselor and a Licensed School Guidance Counselor.
Are you stressed and tired of doing the same thing and getting the same result? Life gets hard and we need to change our quest in life to meet the changes that occur. I am a Individual, marriage and family Psychotherapist. I work with clients dealing with anxiety, depression, stress, marriage concerns,parenting issues and multicultural issues. Asking for help is hard and can be really difficult for most. Change will not happen without action. I provide a safe space for confidential and stressful issues to be discussed. I am a Licensed Professional Counselor and a Licensed School Guidance Counselor.
(314) 266-5153 View (314) 266-5153
Photo of Jamell Jacobs, Licensed Professional Counselor
Jamell Jacobs
Licensed Professional Counselor
Verified Verified
Online Only
Jamell Jacobs is a licensed professional counselor(LPC) and nationally certified counselor(NCC). She views her role as therapist, as being a supportive partner in her clients' journey to becoming their best self, which is a daily process. She meets them where they are and supports the process of achieving their goals to thrive in life. She has experience helping individuals and families struggling with anxiety, anger management, depression, grief and loss, low self-esteem, occupational stress, parenting, communication and relationship issues, trauma and addiction recovery.
Jamell Jacobs is a licensed professional counselor(LPC) and nationally certified counselor(NCC). She views her role as therapist, as being a supportive partner in her clients' journey to becoming their best self, which is a daily process. She meets them where they are and supports the process of achieving their goals to thrive in life. She has experience helping individuals and families struggling with anxiety, anger management, depression, grief and loss, low self-esteem, occupational stress, parenting, communication and relationship issues, trauma and addiction recovery.
(573) 685-3803 View (573) 685-3803
Photo of LaTasha Flowers, Licensed Professional Counselor
LaTasha Flowers
Licensed Professional Counselor
Verified Verified
Online Only
Hello, I'm LaTasha, a Licensed Professional Counselor in Missouri with three years of experience as a sexual trauma therapist. Currently, I'm also a second-year doctoral student in Counseling, Education, and Supervision at Walden University. My training includes EMDR, play therapy, and sand tray therapy, which allows me to offer a variety of therapeutic techniques tailored to your unique needs. I specialize in working with individuals facing sexual trauma, anxiety, depression, PTSD, cognitive distortions, and dissociation. Additionally, I have experience working with youth who exhibit sexual behaviors.
Hello, I'm LaTasha, a Licensed Professional Counselor in Missouri with three years of experience as a sexual trauma therapist. Currently, I'm also a second-year doctoral student in Counseling, Education, and Supervision at Walden University. My training includes EMDR, play therapy, and sand tray therapy, which allows me to offer a variety of therapeutic techniques tailored to your unique needs. I specialize in working with individuals facing sexual trauma, anxiety, depression, PTSD, cognitive distortions, and dissociation. Additionally, I have experience working with youth who exhibit sexual behaviors.
(314) 912-1727 View (314) 912-1727
Photo of Nancy Lubowitz, Clinical Social Work/Therapist, MSW, LCSW
Nancy Lubowitz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Maryland Heights, MO 63043
Nancy Lubowitz graduated with her master’s degree in social work from Washington University and is a Licensed Clinical Social Worker. Nancy has over 20 years experiencing working with Adults, individually and in a group setting. She has a special interest in the psychodynamics of relationships with significant others and assists her patients in establishing and enforcing boundaries with positive results in building self-esteem and improvement of overall functioning.
Nancy Lubowitz graduated with her master’s degree in social work from Washington University and is a Licensed Clinical Social Worker. Nancy has over 20 years experiencing working with Adults, individually and in a group setting. She has a special interest in the psychodynamics of relationships with significant others and assists her patients in establishing and enforcing boundaries with positive results in building self-esteem and improvement of overall functioning.
(314) 804-7640 View (314) 804-7640
Photo of Grace Stegall, Licensed Professional Counselor
Grace Stegall
Licensed Professional Counselor
Verified Verified
Online Only
Hello, I'm Grace. My focus is on trauma recovery, and I provide therapy to individuals aged 14 and above. I am trained in Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR), and I incorporate Cognitive Behavioral Therapy (CBT) and mindfulness practice into my work. In therapy, I bring compassion, empowerment, and resilience to the forefront, believing wholeheartedly in your innate strength to heal and transform. Together, we'll navigate from 'pain to empowerment,' and my mission is to inspire hope and guide you in rediscovering your inner strength as you heal and flourish.
Hello, I'm Grace. My focus is on trauma recovery, and I provide therapy to individuals aged 14 and above. I am trained in Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR), and I incorporate Cognitive Behavioral Therapy (CBT) and mindfulness practice into my work. In therapy, I bring compassion, empowerment, and resilience to the forefront, believing wholeheartedly in your innate strength to heal and transform. Together, we'll navigate from 'pain to empowerment,' and my mission is to inspire hope and guide you in rediscovering your inner strength as you heal and flourish.
(314) 557-4347 View (314) 557-4347
1

See more therapy options for 63043

How does your Therapist compare?

Number of Therapists in 63043

100+

Average cost per session

$100

Therapists in 63043 who prioritize treating:

94% Anxiety
86% Depression
69% Trauma and PTSD
66% Stress
64% Grief
62% Life Transitions
56% Relationship Issues

Average years in practice

16 Years

Top 3 insurances accepted

90% Cigna and Evernorth
86% Aetna
86% UnitedHealthcare UHC | UBH

How Therapists in 63043 see their clients

56% In Person and Online
44% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 63043?

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.