Photo of Rachel Wethers, LCSW, Clinical Social Work/Therapist
Rachel Wethers
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63111  (Online Only)
A few early afternoon openings ONLY at this time. Providing telehealth therapy or coaching to clients in the states of Illinois, Michigan, or Missouri. Therapy wise, utilizing trauma or anxiety work with EMDR, IFS parts work, ACT/Mindfulness, Narrative and Nurturing/Relational approaches. Also available, coaching for executive function and accommodations for neurodivergent professionals or parent coaching for neurodivergence or trauma education and support.
A few early afternoon openings ONLY at this time. Providing telehealth therapy or coaching to clients in the states of Illinois, Michigan, or Missouri. Therapy wise, utilizing trauma or anxiety work with EMDR, IFS parts work, ACT/Mindfulness, Narrative and Nurturing/Relational approaches. Also available, coaching for executive function and accommodations for neurodivergent professionals or parent coaching for neurodivergence or trauma education and support.
(314) 441-7189 View (314) 441-7189
Photo of Kyle Brandt-Lubart, LCSW, Clinical Social Work/Therapist
Kyle Brandt-Lubart
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63111
Not accepting new clients
Therapy has the power to facilitate a relationship with the self that is tender, introspective, and vibrant. My goal is to support you in nurturing this relationship. In therapy we will always work as collaborators. I specialize in trauma therapy and integrating expressive arts approaches, but have experience working with a wide variety of clients.
Therapy has the power to facilitate a relationship with the self that is tender, introspective, and vibrant. My goal is to support you in nurturing this relationship. In therapy we will always work as collaborators. I specialize in trauma therapy and integrating expressive arts approaches, but have experience working with a wide variety of clients.
(314) 463-4563 View (314) 463-4563
Photo of Susan Matheis, MSEd, LPC, Licensed Professional Counselor
Susan Matheis
Licensed Professional Counselor, MSEd, LPC
Verified Verified
Saint Louis, MO 63111
Waitlist for new clients
Hi there! Thanks for taking the time to reach out for support. I know it's not easy. I’d love to connect with you to help you learn to manage your emotions and identify coping skills that work for you. I’m an unbiased space that gives your room to explore, process emotions and challenges. Together we can figure out what’s not working and what can help you feel better. I want to see you improve and help you feel like yourself again. I treat therapy as a conversation and discussion regarding your anxieties, worries, stress and other topics. This can help to untangle, reorganize and make sense of your thoughts.
Hi there! Thanks for taking the time to reach out for support. I know it's not easy. I’d love to connect with you to help you learn to manage your emotions and identify coping skills that work for you. I’m an unbiased space that gives your room to explore, process emotions and challenges. Together we can figure out what’s not working and what can help you feel better. I want to see you improve and help you feel like yourself again. I treat therapy as a conversation and discussion regarding your anxieties, worries, stress and other topics. This can help to untangle, reorganize and make sense of your thoughts.
(314) 582-0364 View (314) 582-0364
Photo of Kerry Hogan, M Ed, LPC, NCC, Licensed Professional Counselor
Kerry Hogan
Licensed Professional Counselor, M Ed, LPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63111
Not accepting new clients
Hello! As someone who values sincerity, I feel as though the best work happens when clients feel very deeply seen, heard, and known. Authenticity and vulnerability are the cornerstones of my practice. I believe that the ultimate driving factor in life is secure attachment. I also believe in building a therapeutic practice that mirrors my own principles. Therefore, you can expect warmth, informality, passion, and a playful spirit permeating throughout my work.
Hello! As someone who values sincerity, I feel as though the best work happens when clients feel very deeply seen, heard, and known. Authenticity and vulnerability are the cornerstones of my practice. I believe that the ultimate driving factor in life is secure attachment. I also believe in building a therapeutic practice that mirrors my own principles. Therefore, you can expect warmth, informality, passion, and a playful spirit permeating throughout my work.
(314) 396-8918 View (314) 396-8918
Photo of David R Robb, LPC, Licensed Professional Counselor
David R Robb
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63111
In our counseling journey, I see you as someone really brave and ready to explore your life. You’re not just looking for quick fixes but aiming for a deep understanding of yourself and tools for lasting change. Your goals go beyond overcoming challenges – you want to get to the root of things, build resilience, and form deeper connections. You’re not just here for advice; you’re an active part of your own empowerment. You believe in your ability to change, and seeking support is a strong step toward a more fulfilling life. Together, we’ll navigate your emotions, uncover your strengths, and move toward a future that fits your values.
In our counseling journey, I see you as someone really brave and ready to explore your life. You’re not just looking for quick fixes but aiming for a deep understanding of yourself and tools for lasting change. Your goals go beyond overcoming challenges – you want to get to the root of things, build resilience, and form deeper connections. You’re not just here for advice; you’re an active part of your own empowerment. You believe in your ability to change, and seeking support is a strong step toward a more fulfilling life. Together, we’ll navigate your emotions, uncover your strengths, and move toward a future that fits your values.
(573) 880-4661 View (573) 880-4661
Photo of Sarah Middleton, LPC, Licensed Professional Counselor
Sarah Middleton
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63111  (Online Only)
I offer Telehealth services for youth and adults throughout the state of Missouri. I am trained in several modalities, with specific competency training in working with queer and transgender individuals, neurodivergence and autism, disability, trauma and acute crisis, as well as caregivers wanting to better support their children. I am passionate about working with young adults going through transitions as well as supporting families in times of need.
I offer Telehealth services for youth and adults throughout the state of Missouri. I am trained in several modalities, with specific competency training in working with queer and transgender individuals, neurodivergence and autism, disability, trauma and acute crisis, as well as caregivers wanting to better support their children. I am passionate about working with young adults going through transitions as well as supporting families in times of need.
View

More Therapists Nearby

Photo of Alyssa Reynolds, MA, CIT, Pre-Licensed Professional
Alyssa Reynolds
Pre-Licensed Professional, MA, CIT
Verified Verified
Saint Louis, MO 63116
Are you looking for a safe place to explore the challenges that come up in life? A place to prioritize you? Starting therapy can often time feel scary. I hope to provide a place where people can feel they can talk about the stressful, overwhelming, or disappointing things in their lives. A place where you will be comfortable to cry, laugh, learn, and grow.
Are you looking for a safe place to explore the challenges that come up in life? A place to prioritize you? Starting therapy can often time feel scary. I hope to provide a place where people can feel they can talk about the stressful, overwhelming, or disappointing things in their lives. A place where you will be comfortable to cry, laugh, learn, and grow.
(314) 557-5778 View (314) 557-5778
Photo of Taylor J Scott, MA, LPC, Licensed Professional Counselor
Taylor J Scott
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Saint Louis, MO 63116  (Online Only)
I provide a unique and practical approach to therapy that focuses on integrating the spiritual, physical, and emotional parts of a person. This union reduces anxiety and increases confidence along with creativity. We deserve to live from the little fire in our souls, creating the life we not only deeply desire but the one we desperately need. I would love to journey alongside you as you take back your personal power!
I provide a unique and practical approach to therapy that focuses on integrating the spiritual, physical, and emotional parts of a person. This union reduces anxiety and increases confidence along with creativity. We deserve to live from the little fire in our souls, creating the life we not only deeply desire but the one we desperately need. I would love to journey alongside you as you take back your personal power!
(314) 501-9092 View (314) 501-9092
Photo of Bill Michalski, MEd, LPC, Licensed Professional Counselor
Bill Michalski
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63116
Why is it that you’re doing everything “right” and still don’t feel happy? How do you remain true to your heartfelt work in a world that doesn’t seem to appreciate it? Is all this stress accomplishing anything meaningful for you or your loved ones? Why do fears and anxieties keep you isolated from people you might like to know? These are just a few of the questions we can tackle together in therapy. If there is one place in the world where you should be allowed to be your genuine self, I believe it is the therapy room.
Why is it that you’re doing everything “right” and still don’t feel happy? How do you remain true to your heartfelt work in a world that doesn’t seem to appreciate it? Is all this stress accomplishing anything meaningful for you or your loved ones? Why do fears and anxieties keep you isolated from people you might like to know? These are just a few of the questions we can tackle together in therapy. If there is one place in the world where you should be allowed to be your genuine self, I believe it is the therapy room.
(314) 463-4801 View (314) 463-4801
Photo of Ida Duplantier, Pre-Licensed Professional
Ida Duplantier
Pre-Licensed Professional
Verified Verified
Saint Louis, MO 63116
When working with clients, I promote mental health through empowerment and collaboration, exploring their individual concerns through a biopsychosocial model. I work with adult clients of all backgrounds in the St. Louis area.
When working with clients, I promote mental health through empowerment and collaboration, exploring their individual concerns through a biopsychosocial model. I work with adult clients of all backgrounds in the St. Louis area.
(314) 949-7699 View (314) 949-7699
Photo of Jordan Ferguson, LCSW, She/Her, Clinical Social Work/Therapist
Jordan Ferguson
Clinical Social Work/Therapist, LCSW, She/Her
Verified Verified
2 Endorsed
Saint Louis, MO 63116
Struggling with anxiety, irritability, depression, or navigating a life transition? Are your relationships feeling the impact? Living in a society that minimizes self-compassion, slowing down, and tuning into our bodies makes it hard to feel connected to ourselves and those around us. Add in traumatic life experiences and the world can easily become overwhelming leading our nervous systems to shift into states of survival. I work to create a non-judgmental space to explore these themes and strengthen the connection within yourself, your relationships, and the world around you.
Struggling with anxiety, irritability, depression, or navigating a life transition? Are your relationships feeling the impact? Living in a society that minimizes self-compassion, slowing down, and tuning into our bodies makes it hard to feel connected to ourselves and those around us. Add in traumatic life experiences and the world can easily become overwhelming leading our nervous systems to shift into states of survival. I work to create a non-judgmental space to explore these themes and strengthen the connection within yourself, your relationships, and the world around you.
(314) 789-3834 View (314) 789-3834
Photo of Jason Duchinsky, MA, LPC, Licensed Professional Counselor
Jason Duchinsky
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63116
It is my belief that as many paths to wholeness exist as were, are, or will be, people on this planet. Walking our individual paths in pursuit of meaning and purpose is a universal goal. Sometimes life presents us with vexing challenges just when we are determined to accomplish personally and or collectively valuable goals. Or our growth is impeded by painful events that happen to us during the course of living. The path & or goal becomes unclear. And so, my role in the therapeutic process is akin to a guide. Recommending, encouraging, questioning, witnessing you seek to find the best possible expression of your unique wholeness.
It is my belief that as many paths to wholeness exist as were, are, or will be, people on this planet. Walking our individual paths in pursuit of meaning and purpose is a universal goal. Sometimes life presents us with vexing challenges just when we are determined to accomplish personally and or collectively valuable goals. Or our growth is impeded by painful events that happen to us during the course of living. The path & or goal becomes unclear. And so, my role in the therapeutic process is akin to a guide. Recommending, encouraging, questioning, witnessing you seek to find the best possible expression of your unique wholeness.
(314) 310-2808 View (314) 310-2808
Photo of Joanna Mikhail, MAC, LPC, Licensed Professional Counselor
Joanna Mikhail
Licensed Professional Counselor, MAC, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63116  (Online Only)
Hey, there's hope! I'm here to hold hope with you, no matter how dark things feel right now. You are in the right place if you're exhausted trying to hold it all together. If your body's under constant stress, always on alert. If you avoid reminders of past trauma, or feel stuck in unproductive patterns. If your relationships are causing you distress, and if are struggling with chronic illness or pain, depression, anxiety or PTSD or other mental illnesses. Get in touch if you want to feel more like yourself and live more fully!
Hey, there's hope! I'm here to hold hope with you, no matter how dark things feel right now. You are in the right place if you're exhausted trying to hold it all together. If your body's under constant stress, always on alert. If you avoid reminders of past trauma, or feel stuck in unproductive patterns. If your relationships are causing you distress, and if are struggling with chronic illness or pain, depression, anxiety or PTSD or other mental illnesses. Get in touch if you want to feel more like yourself and live more fully!
(314) 370-2788 View (314) 370-2788
Photo of Brittni Johnson - Empowered Movement, LPC, NCC, Licensed Professional Counselor
Empowered Movement
Licensed Professional Counselor, LPC, NCC
Verified Verified
3 Endorsed
Saint Louis, MO 63116  (Online Only)
Life is beautiful but often/sometimes challenging. Some days we feel confident and happy while other days we may feel alone or overwhelmed. The clients I work with are seeking new tools, skills, techniques and interventions to help them feel better, more in control and empowered on a daily basis. I work with adolescents, young adults, adults and elders experiencing life transitions, anxiety, depression, trauma, relationship issues, low self-esteem and more. Everyone deserves to have a safe space, with unconditional support that allows them to be authentically themselves, always.
Life is beautiful but often/sometimes challenging. Some days we feel confident and happy while other days we may feel alone or overwhelmed. The clients I work with are seeking new tools, skills, techniques and interventions to help them feel better, more in control and empowered on a daily basis. I work with adolescents, young adults, adults and elders experiencing life transitions, anxiety, depression, trauma, relationship issues, low self-esteem and more. Everyone deserves to have a safe space, with unconditional support that allows them to be authentically themselves, always.
(314) 701-8184 View (314) 701-8184
Photo of Cortney Dollens, MA, LPC, Licensed Professional Counselor
Cortney Dollens
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63116
In a world riddled with sadness and struggle, I strive to provide a safe haven for my clients to find support and hope, recognizing that all too often these vital components for living just can't be found anywhere else. My hope is to be source of grounding as you face your struggle, and ultimately, yourself. Counseling can be a transformative and life-changing experience if we are brave enough to engage it with earnestness and sincerity. I'll be with you along the way.
In a world riddled with sadness and struggle, I strive to provide a safe haven for my clients to find support and hope, recognizing that all too often these vital components for living just can't be found anywhere else. My hope is to be source of grounding as you face your struggle, and ultimately, yourself. Counseling can be a transformative and life-changing experience if we are brave enough to engage it with earnestness and sincerity. I'll be with you along the way.
(314) 270-1492 View (314) 270-1492
Photo of Jo Neuharth, MEd, LPC, Licensed Professional Counselor
Jo Neuharth
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63116  (Online Only)
Sometimes life gets overwhelming and it can be hard to get through the days. Sometimes we can feel like there is no end in sight or things we used to be able to handle with ease suddenly seem insurmountable. And sometimes we experience unique things that those around us just don't understand or know how to help us with. It can be hard to reach out and find someone to help, and when you do it may take a while to get an appointment. The whole process can be daunting and overwhelming.
Sometimes life gets overwhelming and it can be hard to get through the days. Sometimes we can feel like there is no end in sight or things we used to be able to handle with ease suddenly seem insurmountable. And sometimes we experience unique things that those around us just don't understand or know how to help us with. It can be hard to reach out and find someone to help, and when you do it may take a while to get an appointment. The whole process can be daunting and overwhelming.
(314) 350-7202 View (314) 350-7202
Photo of Rebecca Mercurio, MSW, LCSW, Clinical Social Work/Therapist
Rebecca Mercurio
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
6 Endorsed
Saint Louis, MO 63116  (Online Only)
You've always done everything right, and yet your world's just been turned upside down. You've been completely walloped by a death, a health diagnosis, a crumbling marriage, or a shattered dream. Your life no longer looks like how you thought it would. Waves of hard feelings keep coming at you, and your best efforts to deal with them aren't helping nearly enough. But you're normally the one who has it all together, and so everyone thinks you're doing so much better than you really are. You tell yourself everyone's doing their best to support you, but – let’s face it – their best kinda sucks, and so you're left feeling all alone.
You've always done everything right, and yet your world's just been turned upside down. You've been completely walloped by a death, a health diagnosis, a crumbling marriage, or a shattered dream. Your life no longer looks like how you thought it would. Waves of hard feelings keep coming at you, and your best efforts to deal with them aren't helping nearly enough. But you're normally the one who has it all together, and so everyone thinks you're doing so much better than you really are. You tell yourself everyone's doing their best to support you, but – let’s face it – their best kinda sucks, and so you're left feeling all alone.
View
Photo of L. Charlie Janski-Ogunfidodo, LCSW, Clinical Social Work/Therapist
L. Charlie Janski-Ogunfidodo
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Saint Louis, MO 63118  (Online Only)
During my career, I have worked with both individual and group settings, including adults with people living with HIV, veterans, incarcerated people and transgender/gender variant individuals. These populations included people with depression, bi-polar disorder, personality disorders, anxiety, PTSD and depression. I co-facilitated a group for trans youth and co-coordinated it for 6 years. As a proud bisexual, trans man, I love to work with my LGBT communities. I celebrate kinky and poly people. I strive to be an imperfect ally to non-binary trans people and people of color. I take private pay/in person through findingnormalstl.com
During my career, I have worked with both individual and group settings, including adults with people living with HIV, veterans, incarcerated people and transgender/gender variant individuals. These populations included people with depression, bi-polar disorder, personality disorders, anxiety, PTSD and depression. I co-facilitated a group for trans youth and co-coordinated it for 6 years. As a proud bisexual, trans man, I love to work with my LGBT communities. I celebrate kinky and poly people. I strive to be an imperfect ally to non-binary trans people and people of color. I take private pay/in person through findingnormalstl.com
(314) 350-4422 View (314) 350-4422
Photo of Cindy Betz - LGBTQ+ Counseling St. Louis, LCSW, Clinical Social Work/Therapist
LGBTQ+ Counseling St. Louis
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63116
While I provide individual and relationship counseling for all people, my special interest is to support marginalized populations. My primary expertise is providing counseling and supportive services for the LGBTQ+ constituency. As human beings, we all struggle with feelings of not being good enough, important enough, lovable or able to love. These feelings embed themselves very early in life producing defense mechanisms, although no longer needed, continue to operate below the surface, wreaking havoc on life, relationships and success. The battle is often a daily one; sometimes minute by minute. Don't suffer alone.
While I provide individual and relationship counseling for all people, my special interest is to support marginalized populations. My primary expertise is providing counseling and supportive services for the LGBTQ+ constituency. As human beings, we all struggle with feelings of not being good enough, important enough, lovable or able to love. These feelings embed themselves very early in life producing defense mechanisms, although no longer needed, continue to operate below the surface, wreaking havoc on life, relationships and success. The battle is often a daily one; sometimes minute by minute. Don't suffer alone.
(314) 270-1852 View (314) 270-1852
Photo of Tristan Connor, LCSW, CADC, CCM, Clinical Social Work/Therapist
Tristan Connor
Clinical Social Work/Therapist, LCSW, CADC, CCM
Verified Verified
Saint Louis, MO 63116  (Online Only)
As a transgender therapist, one of my passions is working with clients who identify as part of the LGBTQIA+ population. I enjoy collaborating with individuals who are exploring their gender and/or sexual identities and hope to offer guidance and compassion as they let go of any residual societal expectations. I have undergone the entire process of hormones, top surgery, and bottom surgeries, and I am open with my clients about my experiences as we work to decrease their gender dysphoria and move toward the eventual goal of gender euphoria.
As a transgender therapist, one of my passions is working with clients who identify as part of the LGBTQIA+ population. I enjoy collaborating with individuals who are exploring their gender and/or sexual identities and hope to offer guidance and compassion as they let go of any residual societal expectations. I have undergone the entire process of hormones, top surgery, and bottom surgeries, and I am open with my clients about my experiences as we work to decrease their gender dysphoria and move toward the eventual goal of gender euphoria.
(314) 501-6096 View (314) 501-6096

See more therapy options for 63111

How does your Therapist compare?

Number of Therapists in 63111

< 10

Therapists in 63111 who prioritize treating:

100% Anxiety
83% Depression
83% Trauma and PTSD
83% Coping Skills
83% Self Esteem
83% Stress
67% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

67% Aetna
67% Cigna and Evernorth
50% BlueCross and BlueShield

How Therapists in 63111 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

67% Female
17% Male
16% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63111?

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.