Therapists in 63109

Photo of Jenny Scott, Clinical Social Work/Therapist, MSW, LCSW
Jenny Scott
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Saint Louis, MO 63109
I know that reaching out for help can be one of the hardest things any of us do. That’s why I aim to make your experience with help-seeking and mental health as approachable and, dare I say, as fun as possible. I believe that counseling and therapy should be an experience that challenges us in different ways and pushes us to grow through our problems. That’s why, in addition to traditional one-on-one therapy, I offer different approaches such as animal-assisted therapy and support services for those dealing with hereditary cancers.
I know that reaching out for help can be one of the hardest things any of us do. That’s why I aim to make your experience with help-seeking and mental health as approachable and, dare I say, as fun as possible. I believe that counseling and therapy should be an experience that challenges us in different ways and pushes us to grow through our problems. That’s why, in addition to traditional one-on-one therapy, I offer different approaches such as animal-assisted therapy and support services for those dealing with hereditary cancers.
(314) 207-3372 View (314) 207-3372
Photo of Karen Ramos, Clinical Social Work/Therapist, LCSW
Karen Ramos
Clinical Social Work/Therapist, LCSW
Saint Louis, MO 63109
I work with people who think a lot, feel a lot, and sometimes feel stuck in their own heads. This might look like perfectionism, self-doubt, burnout, or frustrating relationship loops. They’re looking for a space to sort it out, make sense of the patterns, and leave feeling a little lighter, a little clearer, and a lot more understood.
I work with people who think a lot, feel a lot, and sometimes feel stuck in their own heads. This might look like perfectionism, self-doubt, burnout, or frustrating relationship loops. They’re looking for a space to sort it out, make sense of the patterns, and leave feeling a little lighter, a little clearer, and a lot more understood.
(314) 370-2379 View (314) 370-2379
Photo of Ilia (Eye-Lee-Uh) Silverman Esrig, Clinical Social Work/Therapist, LCSW
Ilia (Eye-Lee-Uh) Silverman Esrig
Clinical Social Work/Therapist, LCSW
2 Endorsed
Saint Louis, MO 63109
Noticing and shifting age-old unhelpful emotional and behavioral patterns can be overwhelming to do on your own. I take a collaborative and non-judgmental approach to support you to cultivate meaning, resilience, and change, even when doing so feels impossible. Together, we can strengthen your executive functioning skills, explore gender or sexual identity, process trauma, or practice self-compassion in an often invalidating world. We'll identify effective ways to move through life's most difficult moments - the past can't be changed, but we can shape how it influences our present and future.
Noticing and shifting age-old unhelpful emotional and behavioral patterns can be overwhelming to do on your own. I take a collaborative and non-judgmental approach to support you to cultivate meaning, resilience, and change, even when doing so feels impossible. Together, we can strengthen your executive functioning skills, explore gender or sexual identity, process trauma, or practice self-compassion in an often invalidating world. We'll identify effective ways to move through life's most difficult moments - the past can't be changed, but we can shape how it influences our present and future.
(314) 748-1722 View (314) 748-1722
Photo of Chris Scarberry, Licensed Professional Counselor, LPC
Chris Scarberry
Licensed Professional Counselor, LPC
2 Endorsed
Saint Louis, MO 63109
I am a Licensed Professional Counselor with 24 years of experience who co-owns Healing Reflections Therapy with my partner. I work with a diverse range of individuals and couples and and have done years of community-based crisis intervention. I help clients focusing upon their strengths and past successes and build on their current level of insight. I believe therapy is a cooperative endeavor to help the client in discovering his/her/their own abilities and coping strategies. I utilize evidence-based interventions such as Mindfulness, CBT and DBT. I speak at conferences on HIV/AIDS, work with LGBTQIA+ clients, and other topics.
I am a Licensed Professional Counselor with 24 years of experience who co-owns Healing Reflections Therapy with my partner. I work with a diverse range of individuals and couples and and have done years of community-based crisis intervention. I help clients focusing upon their strengths and past successes and build on their current level of insight. I believe therapy is a cooperative endeavor to help the client in discovering his/her/their own abilities and coping strategies. I utilize evidence-based interventions such as Mindfulness, CBT and DBT. I speak at conferences on HIV/AIDS, work with LGBTQIA+ clients, and other topics.
(314) 877-8381 View (314) 877-8381
Photo of Kerri Gallen, Clinical Social Work/Therapist, MSW, LCSW
Kerri Gallen
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Saint Louis, MO 63109
You're doing everything "right" - but still feel on edge, anxious, disconnected, or overwhelmed. You feel like things should be different. You want a place where you don't have to perform, explain, or be strong. You just want real talk, real support. Let me help. I create a warm, safe environment for my clients to explore what's happening around them. I use a person-centered approach, partnering with my clients on their healing journey. Each person I work with has a unique experience, catered to what they need, and feeling the support they crave on their journey to feeling like their best selves.
You're doing everything "right" - but still feel on edge, anxious, disconnected, or overwhelmed. You feel like things should be different. You want a place where you don't have to perform, explain, or be strong. You just want real talk, real support. Let me help. I create a warm, safe environment for my clients to explore what's happening around them. I use a person-centered approach, partnering with my clients on their healing journey. Each person I work with has a unique experience, catered to what they need, and feeling the support they crave on their journey to feeling like their best selves.
(314) 949-5841 View (314) 949-5841
Photo of Carolyn Crews Forden, Marriage & Family Therapist, MS, LMFT
Carolyn Crews Forden
Marriage & Family Therapist, MS, LMFT
Online Only
Currently accepting new clients, telehealth only. Using warmth and positive regard, I will establish an environment conducive to trust and willingness to lean into change. My approach will balance listening alongside gentle and transparent challenging of unproductive patterns of thinking and acting. There is powerful scientific evidence that therapy works. I can teach you better ways to relate to friends and family, approach conflict, identify and prioritize steps toward your life goals, or change patterns that keep you stuck. Cheers to you for taking your first step toward the changes you seek.
Currently accepting new clients, telehealth only. Using warmth and positive regard, I will establish an environment conducive to trust and willingness to lean into change. My approach will balance listening alongside gentle and transparent challenging of unproductive patterns of thinking and acting. There is powerful scientific evidence that therapy works. I can teach you better ways to relate to friends and family, approach conflict, identify and prioritize steps toward your life goals, or change patterns that keep you stuck. Cheers to you for taking your first step toward the changes you seek.
(401) 375-5628 View (401) 375-5628
Photo of Lori E Kiefer, Licensed Professional Counselor, MA, LPC
Lori E Kiefer
Licensed Professional Counselor, MA, LPC
Saint Louis, MO 63109
I have 30+ years experience working with individual adults, and couples, on a wide range of issues including depression, anxiety, trauma, relationship issues, grief and loss, self esteem and other challenges to well being. My desire as a therapist is to provide a place of safety in which these issues can be addressed. I utilize a combination of Cognitive-Behavioral Therapy and Psychodynamic Psychotherapy.
I have 30+ years experience working with individual adults, and couples, on a wide range of issues including depression, anxiety, trauma, relationship issues, grief and loss, self esteem and other challenges to well being. My desire as a therapist is to provide a place of safety in which these issues can be addressed. I utilize a combination of Cognitive-Behavioral Therapy and Psychodynamic Psychotherapy.
(314) 277-0118 View (314) 277-0118
Photo of Edward F Allen, Clinical Social Work/Therapist, LCSW
Edward F Allen
Clinical Social Work/Therapist, LCSW
Saint Louis, MO 63109
Do you want to live a happier and healthier life? Talking to an experienced, qualified therapist can help. I treat adults, teens, couples, and families seeking relief from depression, anxiety, grief, addiction,and mood disorders. We all work strive towards happiness, but we sometimes get stuck in pattern from the past and live with anxiety about the future. You don't have to suffer alone.
Do you want to live a happier and healthier life? Talking to an experienced, qualified therapist can help. I treat adults, teens, couples, and families seeking relief from depression, anxiety, grief, addiction,and mood disorders. We all work strive towards happiness, but we sometimes get stuck in pattern from the past and live with anxiety about the future. You don't have to suffer alone.
(314) 756-0838 View (314) 756-0838
Photo of Jordan Langley, Pre-Licensed Professional, BS, MA, PLMFT
Jordan Langley
Pre-Licensed Professional, BS, MA, PLMFT
1 Endorsed
Saint Louis, MO 63109
Starting therapy is no small task. It is hard to come to terms with needing help but you deserve to feel better. I strive to make clients feel welcomed, heard and understood in their thoughts and feelings. I provide a safe and affirming space for self-exploration and commitment to providing the best possible resources and interventions to make positive change and help to meet personal goals.
Starting therapy is no small task. It is hard to come to terms with needing help but you deserve to feel better. I strive to make clients feel welcomed, heard and understood in their thoughts and feelings. I provide a safe and affirming space for self-exploration and commitment to providing the best possible resources and interventions to make positive change and help to meet personal goals.
(314) 350-7482 View (314) 350-7482
Photo of Tiffany Nicole Shurtz - Dynamic Counseling & Consultation Services, Clinical Social Work/Therapist, MSW, LCSW
Dynamic Counseling & Consultation Services
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Saint Louis, MO 63109
I have a diverse background in social work and have worked in multifaceted settings. I love meeting people from all walks of life. My end goal is always to have people discover love for themselves and a healthy path to their journey!
I have a diverse background in social work and have worked in multifaceted settings. I love meeting people from all walks of life. My end goal is always to have people discover love for themselves and a healthy path to their journey!
(314) 710-2804 View (314) 710-2804
Photo of McKayla Robinson, Pre-Licensed Professional, MS, PLMFT
McKayla Robinson
Pre-Licensed Professional, MS, PLMFT
2 Endorsed
Saint Louis, MO 63109
The therapeutic relationship is one of healing and hope. Facilitating that relationship is very important because I understand the value of working with someone, not pushing an agenda onto your situation. Someone outside our problems who has no investment in how we handle those problems can offer limitless perspective and an abundance of compassion. In addition to being a listening ear, therapists have many resources and tools to help us navigate whatever challenges and changes life throws at us. This is the type of therapist I strive to be.
The therapeutic relationship is one of healing and hope. Facilitating that relationship is very important because I understand the value of working with someone, not pushing an agenda onto your situation. Someone outside our problems who has no investment in how we handle those problems can offer limitless perspective and an abundance of compassion. In addition to being a listening ear, therapists have many resources and tools to help us navigate whatever challenges and changes life throws at us. This is the type of therapist I strive to be.
(314) 207-9904 View (314) 207-9904
Photo of Anjali Vaswani, Clinical Social Work/Therapist, LMSW
Anjali Vaswani
Clinical Social Work/Therapist, LMSW
2 Endorsed
Saint Louis, MO 63109
Hi there! I’m Anjali (pronounced "Un-jah-lee"), and I'm a therapist who supports those facing anxiety, depression, and relationship challenges, with a special passion for working with LGBTQIA+ and neurodiverse folx. More specifically, if you're seeking healing from sexual trauma, have questions about identity formulation, or are simply curious about your sexuality, we may be a great fit! I find particular joy in helping clients identify accessible coping mechanisms for challenges including but not limited to: -emotion dysregulation -interpersonal conflict -thought rumination -suicidal ideation -mindfulness -dissociation
Hi there! I’m Anjali (pronounced "Un-jah-lee"), and I'm a therapist who supports those facing anxiety, depression, and relationship challenges, with a special passion for working with LGBTQIA+ and neurodiverse folx. More specifically, if you're seeking healing from sexual trauma, have questions about identity formulation, or are simply curious about your sexuality, we may be a great fit! I find particular joy in helping clients identify accessible coping mechanisms for challenges including but not limited to: -emotion dysregulation -interpersonal conflict -thought rumination -suicidal ideation -mindfulness -dissociation
(314) 470-9183 View (314) 470-9183
Photo of Mitch Edmondson, Licensed Professional Counselor, MA, LPC
Mitch Edmondson
Licensed Professional Counselor, MA, LPC
1 Endorsed
Saint Louis, MO 63109
If you are exploring the option of therapy, you may have already made attempts to improve your situation on your own. You may feel depressed, anxious or lack assertiveness. Though you desire to make a change, you may be skeptical about the idea of counseling. You may also feel that finding a therapist who listens without judgment and who balances honest feedback with empathy, is a confusing and difficult task. If this describes your situation, I hope that I might have the opportunity to speak with you about a practical strategy to bring about the change you desire.
If you are exploring the option of therapy, you may have already made attempts to improve your situation on your own. You may feel depressed, anxious or lack assertiveness. Though you desire to make a change, you may be skeptical about the idea of counseling. You may also feel that finding a therapist who listens without judgment and who balances honest feedback with empathy, is a confusing and difficult task. If this describes your situation, I hope that I might have the opportunity to speak with you about a practical strategy to bring about the change you desire.
(314) 222-2756 View (314) 222-2756
Photo of Rachel Gaglio, Licensed Professional Counselor, MEd, LPC, NCC
Rachel Gaglio
Licensed Professional Counselor, MEd, LPC, NCC
Saint Louis, MO 63109
Hello and a warm welcome to you. I provide in-person and Telehealth psychotherapy for adults and couples who have experienced trauma, crisis, grief, and loss using eye movement desensitization and reprocessing (EMDR), relational cultural therapy (RCT), and Gottman Method approaches in my clinical work.
Hello and a warm welcome to you. I provide in-person and Telehealth psychotherapy for adults and couples who have experienced trauma, crisis, grief, and loss using eye movement desensitization and reprocessing (EMDR), relational cultural therapy (RCT), and Gottman Method approaches in my clinical work.
(314) 949-7288 View (314) 949-7288
Photo of Kirstie Williams, Clinical Social Work/Therapist, MSW, LCSW
Kirstie Williams
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
Many women carry emotional pressure quietly while managing work, family, relationships, and the expectations placed on them. You may feel overwhelmed, anxious, exhausted, or unsure of how to regain the steadiness you once had. Whether you are adjusting to life as a new mother, navigating a major transition, or struggling with persistent anxiety or depression, you deserve a space where your feelings are taken seriously and where your story is heard with compassion. I provide warm, evidence-based, and faith-informed therapy for women who want meaningful change and a renewed sense of peace, confidence, and emotional clarity.
Many women carry emotional pressure quietly while managing work, family, relationships, and the expectations placed on them. You may feel overwhelmed, anxious, exhausted, or unsure of how to regain the steadiness you once had. Whether you are adjusting to life as a new mother, navigating a major transition, or struggling with persistent anxiety or depression, you deserve a space where your feelings are taken seriously and where your story is heard with compassion. I provide warm, evidence-based, and faith-informed therapy for women who want meaningful change and a renewed sense of peace, confidence, and emotional clarity.
(636) 264-9730 View (636) 264-9730
Photo of Dana Steinham, Provisional Licensed Professional Counselor
Dana Steinham
Provisional Licensed Professional Counselor
2 Endorsed
Serves Area
Feeling stuck? Like work or school just wasn't made for people like you? Perhaps you're wondering if you actually have ADHD, or if it's all in your head? And who is this "you" supposed to be, anyway? I specialize in helping neurodivergent adolescents and adults of all stripes understand and navigate the challenges of everyday life. This can (and often does) include addressing co-occurring struggles with depression, school/work stress, past trauma, identity crisis, and self-esteem issues. Even if you do not have a formal diagnosis, if this sounds like you our your child, please reach out.
Feeling stuck? Like work or school just wasn't made for people like you? Perhaps you're wondering if you actually have ADHD, or if it's all in your head? And who is this "you" supposed to be, anyway? I specialize in helping neurodivergent adolescents and adults of all stripes understand and navigate the challenges of everyday life. This can (and often does) include addressing co-occurring struggles with depression, school/work stress, past trauma, identity crisis, and self-esteem issues. Even if you do not have a formal diagnosis, if this sounds like you our your child, please reach out.
View
Photo of Mekeya Jama, Clinical Social Work/Therapist, MSW, LCSW
Mekeya Jama
Clinical Social Work/Therapist, MSW, LCSW
6 Endorsed
Serves Area
Seeking mental health support is a brave and empowering step. True growth often comes through embracing our vulnerabilities. Conditions like depression, anxiety, and trauma can feel overwhelming, making it hard to imagine ever feeling okay again. You might feel like you've tried everything but still struggle with persistent anxiety and depression. Despite your desire to overcome these challenging times, you may feel stuck. Finding the right therapist can be daunting, especially if you're uncertain about the potential benefits of therapy. You deserve a therapist who meets you where you are and guides you through your healing journey
Seeking mental health support is a brave and empowering step. True growth often comes through embracing our vulnerabilities. Conditions like depression, anxiety, and trauma can feel overwhelming, making it hard to imagine ever feeling okay again. You might feel like you've tried everything but still struggle with persistent anxiety and depression. Despite your desire to overcome these challenging times, you may feel stuck. Finding the right therapist can be daunting, especially if you're uncertain about the potential benefits of therapy. You deserve a therapist who meets you where you are and guides you through your healing journey
(314) 551-9390 View (314) 551-9390
Photo of Kathleen Godefroid, Licensed Professional Counselor, LPC
Kathleen Godefroid
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
I create space for women. I invite women to slow down and push pause on the busyness of their modern lives, long enough to consider what it is that they want. With so much constantly grasping at our attention—from careers, family, church, school, to social media—it can be difficult to find the space to connect with ourselves. When we cannot connect to ourselves, we live on autopilot, allowing all these external forces to guide our lives, which often leads to burnout and confusion. But it is the inner wisdom of a woman that is the true guide that creates energy and clarity—the very antithesis of burnout and confusion.
I create space for women. I invite women to slow down and push pause on the busyness of their modern lives, long enough to consider what it is that they want. With so much constantly grasping at our attention—from careers, family, church, school, to social media—it can be difficult to find the space to connect with ourselves. When we cannot connect to ourselves, we live on autopilot, allowing all these external forces to guide our lives, which often leads to burnout and confusion. But it is the inner wisdom of a woman that is the true guide that creates energy and clarity—the very antithesis of burnout and confusion.
(314) 564-8626 View (314) 564-8626
Photo of Amy L. Miller, Clinical Social Work/Therapist, MSW, LCSW
Amy L. Miller
Clinical Social Work/Therapist, MSW, LCSW
3 Endorsed
Serves Area
Being a person is hard af. That's the first thing to acknowledge when you consider reaching out for support; I promise you: everyone is struggling in some way or another, despite what their social media might suggest. Sorting through your shit and figuring out what to toss and what to keep is a journey, and you may need different things at different times. If you're at point where what you need is less "and how does that make you feel" and more "wow that sucks have you tried this other thing" - I might just be the right fit for you. I like people who want to really dig in and see what's underneath the layers you may be avoiding.
Being a person is hard af. That's the first thing to acknowledge when you consider reaching out for support; I promise you: everyone is struggling in some way or another, despite what their social media might suggest. Sorting through your shit and figuring out what to toss and what to keep is a journey, and you may need different things at different times. If you're at point where what you need is less "and how does that make you feel" and more "wow that sucks have you tried this other thing" - I might just be the right fit for you. I like people who want to really dig in and see what's underneath the layers you may be avoiding.
(314) 470-3666 View (314) 470-3666
Photo of Tonya Winingar, Licensed Professional Counselor, LPC
Tonya Winingar
Licensed Professional Counselor, LPC
2 Endorsed
Serves Area
Feeling overwhelmed and anxious, like you’re constantly juggling too many things but never really getting anything done? Your mind never stops, making it hard to focus at work and you’re falling behind. The mental load is overwhelming. At home, you find yourself snapping at your kids or withdrawing from your partner, leaving you feeling guilty and disconnected. Even when you’re around others, it can feel like you’re not really there—like you're just going through the motions. It’s exhausting to keep up appearances while inside you’re struggling with stress, anxiety, or past trauma that just won't let go.
Feeling overwhelmed and anxious, like you’re constantly juggling too many things but never really getting anything done? Your mind never stops, making it hard to focus at work and you’re falling behind. The mental load is overwhelming. At home, you find yourself snapping at your kids or withdrawing from your partner, leaving you feeling guilty and disconnected. Even when you’re around others, it can feel like you’re not really there—like you're just going through the motions. It’s exhausting to keep up appearances while inside you’re struggling with stress, anxiety, or past trauma that just won't let go.
(314) 310-5882 View (314) 310-5882

See more therapy options for 63109

How does your Therapist compare?

Number of Therapists in 63109

80+

Average cost per session

$140

Therapists in 63109 who prioritize treating:

90% Anxiety
82% Depression
76% Relationship Issues
71% Stress
70% Trauma and PTSD
70% Coping Skills
68% Self Esteem

Average years in practice

13 Years

Top 3 insurances accepted

85% UnitedHealthcare UHC | UBH
82% Aetna
74% Cigna and Evernorth

How Therapists in 63109 see their clients

54% In Person and Online
46% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63109?

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.