Therapists in 63126

Photo of Kurt Kleinschmidt, Licensed Professional Counselor, MA, LPC
Kurt Kleinschmidt
Licensed Professional Counselor, MA, LPC
1 Endorsed
Saint Louis, MO 63126
You have reached a stage in life where you want to enjoy your time, but anxiety or past experiences keep getting in the way. Whether you are navigating retirement, health changes, or simply feeling "stuck," it is difficult to find peace when the past interferes with the present. I specialize in helping adults over 50 navigate these transitions. I provide a judgment-free, safe space for people of all backgrounds, with specific expertise in supporting members of the LGBTQ+ community. My goal is to help you resolve the root of your distress so you can thrive in this next chapter.
You have reached a stage in life where you want to enjoy your time, but anxiety or past experiences keep getting in the way. Whether you are navigating retirement, health changes, or simply feeling "stuck," it is difficult to find peace when the past interferes with the present. I specialize in helping adults over 50 navigate these transitions. I provide a judgment-free, safe space for people of all backgrounds, with specific expertise in supporting members of the LGBTQ+ community. My goal is to help you resolve the root of your distress so you can thrive in this next chapter.
(314) 350-6809 View (314) 350-6809
Photo of Nicki Fabick, Pre-Licensed Professional, PLPC, MEd
Nicki Fabick
Pre-Licensed Professional, PLPC, MEd
4 Endorsed
Saint Louis, MO 63126
Are you feeling overwhelmed by anxiety, navigating a big life transition, struggling in your relationships, or carrying the weight of unresolved trauma? You’re not alone—and you don’t have to figure it out alone either. I’m a trauma-informed, person-centered therapist offering compassionate support for individuals and couples navigating anxiety, depression, trauma, work stress, relationship concerns, identity shifts, and reproductive health. I also integrate Internal Family Systems (IFS) therapy to help clients explore parts of themselves—like the inner child, protective parts, or anxious parts—with curiosity and care.
Are you feeling overwhelmed by anxiety, navigating a big life transition, struggling in your relationships, or carrying the weight of unresolved trauma? You’re not alone—and you don’t have to figure it out alone either. I’m a trauma-informed, person-centered therapist offering compassionate support for individuals and couples navigating anxiety, depression, trauma, work stress, relationship concerns, identity shifts, and reproductive health. I also integrate Internal Family Systems (IFS) therapy to help clients explore parts of themselves—like the inner child, protective parts, or anxious parts—with curiosity and care.
(314) 948-3530 View (314) 948-3530
Photo of Meghan Moore, Licensed Professional Counselor, MA , LPC
Meghan Moore
Licensed Professional Counselor, MA , LPC
Saint Louis, MO 63126
Life’s challenges can bring up a wide range of emotions, and it’s not always clear how to manage them. Many people hope they’ll feel better once circumstances change, only to find themselves still feeling stuck. I provide a supportive, non-judgmental space where you can sort through overwhelming emotions and begin to find relief. Together, we’ll explore strategies that fit your needs, strengthen your ability to cope, and help you reconnect with yourself so you can move forward with greater clarity and ease.
Life’s challenges can bring up a wide range of emotions, and it’s not always clear how to manage them. Many people hope they’ll feel better once circumstances change, only to find themselves still feeling stuck. I provide a supportive, non-judgmental space where you can sort through overwhelming emotions and begin to find relief. Together, we’ll explore strategies that fit your needs, strengthen your ability to cope, and help you reconnect with yourself so you can move forward with greater clarity and ease.
(314) 310-3168 View (314) 310-3168
Photo of Tammi L Galloway, MA, PLPC
Tammi L Galloway
Verified Verified
1 Endorsed
Saint Louis, MO 63126
I’m passionate about helping children and adults navigate life’s challenges with compassion and practical tools. I support kids with ADHD, ASD, and emotional regulation struggles, as well as adults working through trauma, grief, or seeking guidance with personal growth. I create a safe, supportive space where clients can reach their potential through building skills, and reconnect with their strengths—so they can move forward with confidence and hope.
I’m passionate about helping children and adults navigate life’s challenges with compassion and practical tools. I support kids with ADHD, ASD, and emotional regulation struggles, as well as adults working through trauma, grief, or seeking guidance with personal growth. I create a safe, supportive space where clients can reach their potential through building skills, and reconnect with their strengths—so they can move forward with confidence and hope.
(314) 876-8129 View (314) 876-8129
Photo of Liz Wooten, Licensed Professional Counselor, MA, LPC
Liz Wooten
Licensed Professional Counselor, MA, LPC
2 Endorsed
Saint Louis, MO 63126
Let's cut the crap. You're here because you feel like you're failing at a game you never signed up to play. The constant chorus of "just try harder" is ringing in your ears, and you're exhausted from pretending it works. As an AuDHD therapist who has lived this, I get it. This isn't a deficit in you. This is you reacting perfectly to a world built on a foundation of BS—a world that demands you shrink to fit. You don't need to be fixed. You need a co-conspirator.
Let's cut the crap. You're here because you feel like you're failing at a game you never signed up to play. The constant chorus of "just try harder" is ringing in your ears, and you're exhausted from pretending it works. As an AuDHD therapist who has lived this, I get it. This isn't a deficit in you. This is you reacting perfectly to a world built on a foundation of BS—a world that demands you shrink to fit. You don't need to be fixed. You need a co-conspirator.
(314) 246-0480 View (314) 246-0480
Photo of Sarah McCartney, Clinical Social Work/Therapist, MSW, LMSW
Sarah McCartney
Clinical Social Work/Therapist, MSW, LMSW
1 Endorsed
Saint Louis, MO 63126
I enjoy empowering young women (late teens through thirties) to take charge of their lives. Think of me as your biggest "hype girl," but one who prioritizes honesty and transparency above all else. My goal is to help you make sustainable changes so that you can live authentically. Because every client is unique, I rely on a client-centered and strengths-based approach. I strongly believe the therapeutic relationship is integral to good therapy, which is why I remain nonjudgmental and use humor and warmth to genuinely connect with you.
I enjoy empowering young women (late teens through thirties) to take charge of their lives. Think of me as your biggest "hype girl," but one who prioritizes honesty and transparency above all else. My goal is to help you make sustainable changes so that you can live authentically. Because every client is unique, I rely on a client-centered and strengths-based approach. I strongly believe the therapeutic relationship is integral to good therapy, which is why I remain nonjudgmental and use humor and warmth to genuinely connect with you.
(314) 200-0744 View (314) 200-0744
Photo of Eris Barron, Licensed Professional Counselor, MA, LPC
Eris Barron
Licensed Professional Counselor, MA, LPC
1 Endorsed
Saint Louis, MO 63126
Exhausted, defeated, stuck, need to process? Where do you turn when life is too overwhelming to manage alone? The world is an uncertain place and I provide a safe, crash out approved, validating space. My name is Eris and I am passionate about helping you reach your goals through compassion, empathy, and a down-to-Earth approach. I am passionate about working with youth and young adults, especially those in the LGBTQIA2S+ community. I am here to help guide you toward the next step in life toward becoming your ideal self.
Exhausted, defeated, stuck, need to process? Where do you turn when life is too overwhelming to manage alone? The world is an uncertain place and I provide a safe, crash out approved, validating space. My name is Eris and I am passionate about helping you reach your goals through compassion, empathy, and a down-to-Earth approach. I am passionate about working with youth and young adults, especially those in the LGBTQIA2S+ community. I am here to help guide you toward the next step in life toward becoming your ideal self.
(314) 886-6156 View (314) 886-6156
Photo of Michael Glover, Licensed Professional Counselor, MA, LPC
Michael Glover
Licensed Professional Counselor, MA, LPC
Saint Louis, MO 63126
You lay awake staring at the ceiling; wondering how you can feel so alone next to the person you love. When things are great - they're great! Lately, however, the good days are few and far between. Communication is at a standstill, widening the space that is growing between you. Silence is the theme that looms over the house. You're simply coexisting, longing for intimacy, but unable to navigate the chasm that separates you. You ask, “Is this what our future looks like?” Throwing yourself into hobbies, sneaking glances at one another behind your phone screen from across the room. You both need more than this, but where do you begin?
You lay awake staring at the ceiling; wondering how you can feel so alone next to the person you love. When things are great - they're great! Lately, however, the good days are few and far between. Communication is at a standstill, widening the space that is growing between you. Silence is the theme that looms over the house. You're simply coexisting, longing for intimacy, but unable to navigate the chasm that separates you. You ask, “Is this what our future looks like?” Throwing yourself into hobbies, sneaking glances at one another behind your phone screen from across the room. You both need more than this, but where do you begin?
(314) 470-8296 View (314) 470-8296
Photo of Ashley N Smith, Clinical Social Work/Therapist, LCSW
Ashley N Smith
Clinical Social Work/Therapist, LCSW
Saint Louis, MO 63126
As the Clinical Director at Valor Harbor, my mission is to ensure that Veterans and their families have access to quality therapy services that are free from financial barriers. Veterans, along with their self-identified family members, can receive these services without the stress of payment or eligibility concerns. Valor Harbor is grant-funded, independent of any government agency, and does not require participants to have insurance coverage. All you need is your DD-214 or other proof of service documentation.
As the Clinical Director at Valor Harbor, my mission is to ensure that Veterans and their families have access to quality therapy services that are free from financial barriers. Veterans, along with their self-identified family members, can receive these services without the stress of payment or eligibility concerns. Valor Harbor is grant-funded, independent of any government agency, and does not require participants to have insurance coverage. All you need is your DD-214 or other proof of service documentation.
(314) 948-4903 View (314) 948-4903
Photo of Tricia Merlo, Clinical Social Work/Therapist, LCSW
Tricia Merlo
Clinical Social Work/Therapist, LCSW
Saint Louis, MO 63126
Congratulations on taking a positive step toward a healthier and happier life! My name is Tricia Merlo-Follmer. I am a mental health therapist who practices in the South County area. I work with many people who experience issues such as Anxiety Disorders, Depression, Grief/Loss, Trauma and relationship issues. I offer various treatment modalities including Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). If you need to take control of your life and your emotions, please call for an appointment. I have helped many people gain a sense of confidence and self-worth. I would love to help you do the same.
Congratulations on taking a positive step toward a healthier and happier life! My name is Tricia Merlo-Follmer. I am a mental health therapist who practices in the South County area. I work with many people who experience issues such as Anxiety Disorders, Depression, Grief/Loss, Trauma and relationship issues. I offer various treatment modalities including Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). If you need to take control of your life and your emotions, please call for an appointment. I have helped many people gain a sense of confidence and self-worth. I would love to help you do the same.
(314) 254-9238 View (314) 254-9238
Photo of Patrick Dieter, Pre-Licensed Professional, MA, PLPC
Patrick Dieter
Pre-Licensed Professional, MA, PLPC
7 Endorsed
Saint Louis, MO 63126
My ideal client is someone wanting to grow, no matter where they are at in their healing journey. I believe in a collaborative approach, where connection leads to trust, understanding, and healing. Through support, empathy, compassion, and care I can help you to achieve your short and long term goals. I like to increase awareness using a range of therapeutic modalities to serve the client's needs.
My ideal client is someone wanting to grow, no matter where they are at in their healing journey. I believe in a collaborative approach, where connection leads to trust, understanding, and healing. Through support, empathy, compassion, and care I can help you to achieve your short and long term goals. I like to increase awareness using a range of therapeutic modalities to serve the client's needs.
(314) 912-4656 View (314) 912-4656
Photo of Stephanie Green, Counselor, LPC
Stephanie Green
Counselor, LPC
Saint Louis, MO 63126
I aim to help clients ease their suffering and move towards an improved sense of wellbeing. I do not use “toxic positivity” as this can diminish a person’s experience.
I aim to help clients ease their suffering and move towards an improved sense of wellbeing. I do not use “toxic positivity” as this can diminish a person’s experience.
(314) 480-6328 View (314) 480-6328
Photo of Trista Cheyenne Heavin, Provisional Licensed Professional Counselor, PLPC
Trista Cheyenne Heavin
Provisional Licensed Professional Counselor, PLPC
Saint Louis, MO 63126
Feeling overwhelmed by the pressure, expectations, and stressors of everyday life can make it difficult to feel confident, grounded, and connected to yourself. Many people find themselves caught in cycles of worry, self-doubt, perfectionism, or negative self-talk while navigating life’s challenges. I believe every person has inherent worth, and I enjoy helping clients challenge unhelpful thoughts, gain a deeper understanding of themselves, and recognize the strengths they already possess. I am passionate about supporting clients as they build confidence, navigate change, and move toward living more authentically.
Feeling overwhelmed by the pressure, expectations, and stressors of everyday life can make it difficult to feel confident, grounded, and connected to yourself. Many people find themselves caught in cycles of worry, self-doubt, perfectionism, or negative self-talk while navigating life’s challenges. I believe every person has inherent worth, and I enjoy helping clients challenge unhelpful thoughts, gain a deeper understanding of themselves, and recognize the strengths they already possess. I am passionate about supporting clients as they build confidence, navigate change, and move toward living more authentically.
(314) 789-1319 View (314) 789-1319
Photo of Jessica Harvath - River Rock Behavioral Health, Psychologist, PhD
River Rock Behavioral Health
Psychologist, PhD
Saint Louis, MO 63126
We offer a streamlined intake process with a direct line to the best fit for you. Looking for a male therapist with a specialization in working with health and aging? Kurt is your guy. Are you a teenager or young adult who wants to improve self-esteem and relationships? Sarah M. or Jordan will help you find your voice. Interested in managing executive functioning challenges associated with ADHD? Jessica can help with that. We won't place you with just anyone. Our administrative team will take the time to get to know you and what's bringing you in. Let us worry about the match so that you can focus on healing.
We offer a streamlined intake process with a direct line to the best fit for you. Looking for a male therapist with a specialization in working with health and aging? Kurt is your guy. Are you a teenager or young adult who wants to improve self-esteem and relationships? Sarah M. or Jordan will help you find your voice. Interested in managing executive functioning challenges associated with ADHD? Jessica can help with that. We won't place you with just anyone. Our administrative team will take the time to get to know you and what's bringing you in. Let us worry about the match so that you can focus on healing.
(314) 470-9470 View (314) 470-9470
Photo of Sara Loftis, Clinical Social Work/Therapist, LCSW
Sara Loftis
Clinical Social Work/Therapist, LCSW
Saint Louis, MO 63126
I have 15 years of experience working with families, couples and adolescents/teenagers who have endured trauma. Many I have helped struggled with self-harm, suicidal thoughts/attempts, anxiety, being bullied, peer pressure and peer conflicts, self-esteem, school performance, and/or school behaviors. I have also worked with many women over the years. Woman I have helped came to me due to weight management issues, grief, divorce, relationship issues/infidelity, finding purpose, the life-change cycle and stress/anxiety related to work/career challenges/changes. I enjoy helping clients find their inner self-confidence and strength.
I have 15 years of experience working with families, couples and adolescents/teenagers who have endured trauma. Many I have helped struggled with self-harm, suicidal thoughts/attempts, anxiety, being bullied, peer pressure and peer conflicts, self-esteem, school performance, and/or school behaviors. I have also worked with many women over the years. Woman I have helped came to me due to weight management issues, grief, divorce, relationship issues/infidelity, finding purpose, the life-change cycle and stress/anxiety related to work/career challenges/changes. I enjoy helping clients find their inner self-confidence and strength.
(314) 620-8291 View (314) 620-8291
Photo of Glenda Sullentrup, Licensed Professional Counselor, MA, LPC, MCC, HTCP
Glenda Sullentrup
Licensed Professional Counselor, MA, LPC, MCC, HTCP
Saint Louis, MO 63126
Are you getting everything you want out of life? Maybe you're (still) looking for what you want to be when you grow up. Perhaps you've just been fired or laid off, or the writing's on the wall and you don't know what to do next. Or worse, you have to drag yourself out of bed every day. Maybe you're dealing with an unexpected crisis, or you just want life to have more meaning.
Are you getting everything you want out of life? Maybe you're (still) looking for what you want to be when you grow up. Perhaps you've just been fired or laid off, or the writing's on the wall and you don't know what to do next. Or worse, you have to drag yourself out of bed every day. Maybe you're dealing with an unexpected crisis, or you just want life to have more meaning.
(314) 272-4314 View (314) 272-4314
Photo of Jill Storm, Licensed Professional Counselor, MEd, LPC
Jill Storm
Licensed Professional Counselor, MEd, LPC
Saint Louis, MO 63126
We spend a lot of our lives trying to be who others want us to be or who we imagine ourselves to be. But if we put aside those expectations, who are we? Who can we become? I consider it a great privilege to sit with clients and help them peel back the layers of themselves. This can be a painful process. It can also lead to a more enriching present and future.
We spend a lot of our lives trying to be who others want us to be or who we imagine ourselves to be. But if we put aside those expectations, who are we? Who can we become? I consider it a great privilege to sit with clients and help them peel back the layers of themselves. This can be a painful process. It can also lead to a more enriching present and future.
(636) 242-6301 View (636) 242-6301
Photo of Amanda Umlah, Clinical Social Work/Therapist, LCSW, CRAADC, SEP
Amanda Umlah
Clinical Social Work/Therapist, LCSW, CRAADC, SEP
7 Endorsed
Saint Louis, MO 63126
Sometimes you can feel like you are all alone in life. Like no one can understand the deep internal pain you are feeling and you don’t know what to do. You may feel hopeless, stuck, thinking life will never get better… ​ This is a common theme among many of the clients who walk through my door. There is a great need for a place where they can feel safe, secure, and validated. I believe I am able to provide this for my clients. A place where you can truly feel understood, a haven where you don’t have to feel so alone. My top priority is providing individualistic compassionate care.
Sometimes you can feel like you are all alone in life. Like no one can understand the deep internal pain you are feeling and you don’t know what to do. You may feel hopeless, stuck, thinking life will never get better… ​ This is a common theme among many of the clients who walk through my door. There is a great need for a place where they can feel safe, secure, and validated. I believe I am able to provide this for my clients. A place where you can truly feel understood, a haven where you don’t have to feel so alone. My top priority is providing individualistic compassionate care.
(314) 266-6952 View (314) 266-6952
Photo of Katie M. Hurley, Licensed Professional Counselor, LPC, NCC
Katie M. Hurley
Licensed Professional Counselor, LPC, NCC
1 Endorsed
Saint Louis, MO 63126
Katie Hurley is a Licensed Professional Counselor (LPC), a Nationally Certified Counselor (NCC), and has additional certifications in EMDR and Trauma Focused Cognitive Behavioral Therapy (TF-CBT). As a clinician, she is trained to treat PTSD/complex trauma, depression, low self worth, anxiety, shame, and life transitions. She utilizes many treatment modalities including: EMDR, TF-CBT, Dialectical Behavior Therapy (DBT), Motivational Interviewing (MI), Cognitive Behavior Therapy (CBT), Prolonged Exposure Therapy (PET), and Internal Family Systems (IFS).
Katie Hurley is a Licensed Professional Counselor (LPC), a Nationally Certified Counselor (NCC), and has additional certifications in EMDR and Trauma Focused Cognitive Behavioral Therapy (TF-CBT). As a clinician, she is trained to treat PTSD/complex trauma, depression, low self worth, anxiety, shame, and life transitions. She utilizes many treatment modalities including: EMDR, TF-CBT, Dialectical Behavior Therapy (DBT), Motivational Interviewing (MI), Cognitive Behavior Therapy (CBT), Prolonged Exposure Therapy (PET), and Internal Family Systems (IFS).
(314) 690-1667 View (314) 690-1667
Photo of Michelle Steeg, Licensed Professional Counselor, MA, LPC, NCC
Michelle Steeg
Licensed Professional Counselor, MA, LPC, NCC
Saint Louis, MO 63126
Have you ever asked yourself, "Is this it? Is this all there is for the rest of my life? What about me? This is not what I thought my life would look like at this point. I want more! But how do I get it? I'm not even sure what 'more' means, but I know something is missing in my life. I just want to feel fulfilled." If you are nodding along with this, you are not alone. Nearly every woman, whether she's 22 or 52, is saying the same thing: "I want more out of my life!"
Have you ever asked yourself, "Is this it? Is this all there is for the rest of my life? What about me? This is not what I thought my life would look like at this point. I want more! But how do I get it? I'm not even sure what 'more' means, but I know something is missing in my life. I just want to feel fulfilled." If you are nodding along with this, you are not alone. Nearly every woman, whether she's 22 or 52, is saying the same thing: "I want more out of my life!"
(314) 309-2499 View (314) 309-2499

How does your Therapist compare?

Number of Therapists in 63126

40+

Average cost per session

$135

Therapists in 63126 who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
82% Depression
78% Self Esteem
71% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

80% Aetna
74% UnitedHealthcare UHC | UBH
63% Cigna and Evernorth

How Therapists in 63126 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 63126?

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.