Photo of Kristen Cook, MEd, MA , LPC, NCC, Licensed Professional Counselor
Kristen Cook
Licensed Professional Counselor, MEd, MA , LPC, NCC
Verified Verified
1 Endorsed
Kansas City, MO 64110
You are mighty as hell – you don’t feel it right now, but it’s in you. Life has thrown some heavy challenges your way, and this sense of overwhelm never seems to relent. Whether you are experiencing loss, relationship struggles, depression, anxiety or a combination of it all – I’m here for it. You deserve to feel whole and mentally well. Through a warm and supportive relationship, I will help you explore your experiences and complex emotions - and get you to a place of confidence where you are free to authentically pursue connection and fulfillment.
You are mighty as hell – you don’t feel it right now, but it’s in you. Life has thrown some heavy challenges your way, and this sense of overwhelm never seems to relent. Whether you are experiencing loss, relationship struggles, depression, anxiety or a combination of it all – I’m here for it. You deserve to feel whole and mentally well. Through a warm and supportive relationship, I will help you explore your experiences and complex emotions - and get you to a place of confidence where you are free to authentically pursue connection and fulfillment.
(816) 203-1448 View (816) 203-1448
Photo of Kathryn Orr, MSW, LSCSW, LCSW, Clinical Social Work/Therapist
Kathryn Orr
Clinical Social Work/Therapist, MSW, LSCSW, LCSW
Verified Verified
Kansas City, MO 64110
I am so glad you are here. The journey of motherhood is certainly beautiful, but it can be profoundly lonely and loaded with pressure to mother perfectly. Your fear, sadness, rage, and even regret make sense. You don't feel like yourself. You might also be having thoughts that scare you. Being seen and heard as you persist through these hard things will open up space for you to befriend your truest self and expand your capacity to cope. My desire is to guide your exploration of who you are, what you have been through, and what you truly want...even beyond your role as mom.
I am so glad you are here. The journey of motherhood is certainly beautiful, but it can be profoundly lonely and loaded with pressure to mother perfectly. Your fear, sadness, rage, and even regret make sense. You don't feel like yourself. You might also be having thoughts that scare you. Being seen and heard as you persist through these hard things will open up space for you to befriend your truest self and expand your capacity to cope. My desire is to guide your exploration of who you are, what you have been through, and what you truly want...even beyond your role as mom.
(816) 327-1489 View (816) 327-1489
Photo of Nate Allen, MS, LCMFT, LMFT, Marriage & Family Therapist
Nate Allen
Marriage & Family Therapist, MS, LCMFT, LMFT
Verified Verified
1 Endorsed
Kansas City, MO 64110
Perhaps you’re tired of feeling stuck. You want a different perspective and some help moving forward. That’s where I come in. I’m particularly adept at seeing things differently and helping make connections, creating something fresh and new. I know what it feels like to start over, reinvent yourself, and be an outsider trying to figure out where you belong. My specialty is working with adults who are in a difficult season, dealing with creative or emotional blocks, struggling with a non-substance-based addiction, or suffering the effects of abuse or trauma.
Perhaps you’re tired of feeling stuck. You want a different perspective and some help moving forward. That’s where I come in. I’m particularly adept at seeing things differently and helping make connections, creating something fresh and new. I know what it feels like to start over, reinvent yourself, and be an outsider trying to figure out where you belong. My specialty is working with adults who are in a difficult season, dealing with creative or emotional blocks, struggling with a non-substance-based addiction, or suffering the effects of abuse or trauma.
(816) 370-5468 View (816) 370-5468
Photo of Gary Wolf, MA, LPC, LCPC, LMHC, CFT™
Gary Wolf
MA, LPC, LCPC, LMHC, CFT™
Verified Verified
2 Endorsed
Kansas City, MO 64110
Money is a leading cause of emotional pain and family conflict. From income discrepancies between partners to intractable sibling conflict, finances are often a point of contention. Money is also the leading cause of stress in the US, and it takes courage to address it because it usually triggers underlying issues. In a changing cultural environment, managing these issues can seem overwhelming and isolating, particularly for men. As a licensed psychotherapist shaped by an extensive career in finance, I offer a unique set of skills to help clients change unhealthy patterns from money and family life —and bring relief to the table.
Money is a leading cause of emotional pain and family conflict. From income discrepancies between partners to intractable sibling conflict, finances are often a point of contention. Money is also the leading cause of stress in the US, and it takes courage to address it because it usually triggers underlying issues. In a changing cultural environment, managing these issues can seem overwhelming and isolating, particularly for men. As a licensed psychotherapist shaped by an extensive career in finance, I offer a unique set of skills to help clients change unhealthy patterns from money and family life —and bring relief to the table.
(816) 327-2297 View (816) 327-2297
Photo of Dexter J Jefferson, LCSW, Clinical Social Work/Therapist
Dexter J Jefferson
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Yesterday’s experiences can influence today’s thoughts, and your current thoughts will dictate how you behave and feel. Are you in an uncertain place in life and find yourself desiring peace and happiness? Do you fear the unknown or constantly worry? Do you experience bouts of sadness or anger that appear to be intensifying? Have you tried everything to fix these things, but nothing has worked? Well, there is hope. Regardless of your struggles, the right therapist can help you begin the healing process. I believe that I am the right therapist for you. I specialize in treating anxiety and depression and I am here to help.
Yesterday’s experiences can influence today’s thoughts, and your current thoughts will dictate how you behave and feel. Are you in an uncertain place in life and find yourself desiring peace and happiness? Do you fear the unknown or constantly worry? Do you experience bouts of sadness or anger that appear to be intensifying? Have you tried everything to fix these things, but nothing has worked? Well, there is hope. Regardless of your struggles, the right therapist can help you begin the healing process. I believe that I am the right therapist for you. I specialize in treating anxiety and depression and I am here to help.
(816) 203-1202 View (816) 203-1202
Photo of Valerie Dubois, MA, LPC, Licensed Professional Counselor
Valerie Dubois
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Kansas City, MO 64110
Not accepting new clients
I believe that understanding, accepting, and committing to our values is an integral part of recovery and creating a meaningful life. I aim to provide tools and support to allow individuals to resolve their past and thrive in the present. My professional experience and training focuses on providing advocacy and guidance for adolescents and adults seeking management and relief from PTSD, mood and anxiety disorders, eating disorders, personality disorders, phase of life problems, interpersonal relationship issues, and navigating through career and identity development.
I believe that understanding, accepting, and committing to our values is an integral part of recovery and creating a meaningful life. I aim to provide tools and support to allow individuals to resolve their past and thrive in the present. My professional experience and training focuses on providing advocacy and guidance for adolescents and adults seeking management and relief from PTSD, mood and anxiety disorders, eating disorders, personality disorders, phase of life problems, interpersonal relationship issues, and navigating through career and identity development.
(816) 327-2784 View (816) 327-2784
Photo of Charles Quinn, Licensed Professional Counselor
Charles Quinn
Licensed Professional Counselor
Verified Verified
1 Endorsed
Online Only
Hi, my name is Dr. Charles Quinn. I am a retired military soldier and a Licensed Professional Counselor. I served in the military for 25 years and have been in the field of counseling for over fifteen years. I have had great opportunities working with clients with a wide range of concerns, including anxiety, depression, relationship concerns, grief, and loss, past traumatic experiences, conflict resolution, self-injury, bullying, and others issues. The modalities that I incorporate within my sessions are Cognitive-Behavioral, and Emotion Focused Interventions.
Hi, my name is Dr. Charles Quinn. I am a retired military soldier and a Licensed Professional Counselor. I served in the military for 25 years and have been in the field of counseling for over fifteen years. I have had great opportunities working with clients with a wide range of concerns, including anxiety, depression, relationship concerns, grief, and loss, past traumatic experiences, conflict resolution, self-injury, bullying, and others issues. The modalities that I incorporate within my sessions are Cognitive-Behavioral, and Emotion Focused Interventions.
(314) 350-4273 View (314) 350-4273
Photo of Mara Colbert, MA, LPC, Licensed Professional Counselor
Mara Colbert
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Kansas City, MO 64110
I am an EMDR certified therapist, counselor, and yoga teacher specializing in mindfulness-based interventions for healing anxiety, depression, and trauma. I began my counseling career with a background of nearly 20 years teaching yoga, meditation, and mindfulness to groups and individuals. I integrate the tools and techniques of yoga practice and theory with more traditional cognitive-behavioral therapy, DBT, EMDR, and IFS in order to treat people holistically - physically, mentally, emotionally, and spiritually.
I am an EMDR certified therapist, counselor, and yoga teacher specializing in mindfulness-based interventions for healing anxiety, depression, and trauma. I began my counseling career with a background of nearly 20 years teaching yoga, meditation, and mindfulness to groups and individuals. I integrate the tools and techniques of yoga practice and theory with more traditional cognitive-behavioral therapy, DBT, EMDR, and IFS in order to treat people holistically - physically, mentally, emotionally, and spiritually.
(816) 307-2952 View (816) 307-2952
Photo of Molly Stewart, MSW, LCSW, Clinical Social Work/Therapist
Molly Stewart
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Kansas City, MO 64110
Whether you're going through a life transition, encountering relationship issues, grieving a significant loss, or struggling to find connection and meaning in your life, psychotherapy can offer solutions. I use a mindfulness-based and trauma-informed approach, and can help you find insight into your life patterns. Together we can create an individualized treatment plan so you can live more fully and intentionally.
Whether you're going through a life transition, encountering relationship issues, grieving a significant loss, or struggling to find connection and meaning in your life, psychotherapy can offer solutions. I use a mindfulness-based and trauma-informed approach, and can help you find insight into your life patterns. Together we can create an individualized treatment plan so you can live more fully and intentionally.
(816) 409-1795 View (816) 409-1795
Photo of Abhishek Dutt, MSCP, LPC, PLPC, Licensed Professional Counselor
Abhishek Dutt
Licensed Professional Counselor, MSCP, LPC, PLPC
Verified Verified
2 Endorsed
Kansas City, MO 64110
I believe that we are innately whole and have the resources to heal and live authentically. Our wounding comes from generational and personal trauma and systems that oppress. The prolonged experience of feeling unsafe and unseen keeps us stuck in a protective pattern of surviving not thriving. The symptoms, if not annihilating, leave us disconnected, discouraged, drained. With compassion, curiosity, and connection I can guide you through the process of deep healing to transform your experience and relationships.
I believe that we are innately whole and have the resources to heal and live authentically. Our wounding comes from generational and personal trauma and systems that oppress. The prolonged experience of feeling unsafe and unseen keeps us stuck in a protective pattern of surviving not thriving. The symptoms, if not annihilating, leave us disconnected, discouraged, drained. With compassion, curiosity, and connection I can guide you through the process of deep healing to transform your experience and relationships.
(816) 677-6795 View (816) 677-6795
Photo of Dallas Gipson, MS, LPC, Licensed Professional Counselor
Dallas Gipson
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Kansas City, MO 64110
When I began my Clinical Psychology degree, I was all about the research, the brain science and the data behind the practice. I still nerd out over the "brain stuff," but in my years of practice, I have come to appreciate the more human side, the things that we just can't measure. I believe that one of the most important aspects of the work is helping people navigate the pain and uncertainty of being a human, the longing to fit in, to feel safe, understood and to love and be loved. Unpacking our trauma and shame can be a lifelong project and I am honored to join my clients on their journey.
When I began my Clinical Psychology degree, I was all about the research, the brain science and the data behind the practice. I still nerd out over the "brain stuff," but in my years of practice, I have come to appreciate the more human side, the things that we just can't measure. I believe that one of the most important aspects of the work is helping people navigate the pain and uncertainty of being a human, the longing to fit in, to feel safe, understood and to love and be loved. Unpacking our trauma and shame can be a lifelong project and I am honored to join my clients on their journey.
(816) 227-6035 View (816) 227-6035
Photo of Alice Kroh, MEd, MS, PLPC, Pre-Licensed Professional
Alice Kroh
Pre-Licensed Professional, MEd, MS, PLPC
Verified Verified
Kansas City, MO 64110
Life can be full of joy, even with all the stress of the day to day. Working towards building skills to support a life worth living is the main goal I have for my clients. I love working with couples who are trying hard to make things work and keep experiencing conflict. Using the Gottman method, I help to give specific skills to apply to their relationship and end the gridlock. I also really enjoy teens who are struggling with finding their way. They hold a special place in my heart and I love seeing them grow and feel more confident in who they are.
Life can be full of joy, even with all the stress of the day to day. Working towards building skills to support a life worth living is the main goal I have for my clients. I love working with couples who are trying hard to make things work and keep experiencing conflict. Using the Gottman method, I help to give specific skills to apply to their relationship and end the gridlock. I also really enjoy teens who are struggling with finding their way. They hold a special place in my heart and I love seeing them grow and feel more confident in who they are.
(816) 722-3329 View (816) 722-3329
Photo of Mackenzie Sainz, LPC, LCPC, ATR, Licensed Professional Counselor
Mackenzie Sainz
Licensed Professional Counselor, LPC, LCPC, ATR
Verified Verified
Kansas City, MO 64110
Accepting new clients - Are you experiencing anxiety and avoidance in everyday situations, or find yourself overwhelmed and distracted by memories of past events? Do you find it challenging to establish boundaries and communicate your needs? I get that. You want to be more fully present with your friends, family, or at work, and live a full life where you are able to tolerate distressing emotions in stride. I have extensive experience helping people navigate these struggles.
Accepting new clients - Are you experiencing anxiety and avoidance in everyday situations, or find yourself overwhelmed and distracted by memories of past events? Do you find it challenging to establish boundaries and communicate your needs? I get that. You want to be more fully present with your friends, family, or at work, and live a full life where you are able to tolerate distressing emotions in stride. I have extensive experience helping people navigate these struggles.
(816) 323-5198 View (816) 323-5198
Photo of Nikki Snyder, LCPC, Counselor
Nikki Snyder
Counselor, LCPC
Verified Verified
Kansas City, MO 64110
Going through tough experiences is hard enough. Going through tough experiences while feeling alone and unconnected can be even more daunting. I take a person focused approach to therapy in which I will walk with you and your child through your journey. I integrate play with the therapeutic alliance while treating several disorders including depression and anxiety, and trauma related disorders. Walk through this tough journey with someone on your team.
Going through tough experiences is hard enough. Going through tough experiences while feeling alone and unconnected can be even more daunting. I take a person focused approach to therapy in which I will walk with you and your child through your journey. I integrate play with the therapeutic alliance while treating several disorders including depression and anxiety, and trauma related disorders. Walk through this tough journey with someone on your team.
(316) 535-7346 View (316) 535-7346
Photo of Thressa Newell, LPC, Licensed Professional Counselor
Thressa Newell
Licensed Professional Counselor, LPC
Verified Verified
Kansas City, MO 64110
Did you feel neglected and unloved when you were a child? Did you feel lonely and ostracized if you tried to tell your parents or other adults about your feelings or if you tried to ask them questions about life? In your adult life, do you have difficulty relating to others? Do you feel depressed and alienated from others? Do you have difficulty knowing your own feelings or how you feel in your own body? Are you afraid to trust yourself, to be yourself? I've worked for 20 years with adults abused, traumatized, and/or neglected in childhood. .
Did you feel neglected and unloved when you were a child? Did you feel lonely and ostracized if you tried to tell your parents or other adults about your feelings or if you tried to ask them questions about life? In your adult life, do you have difficulty relating to others? Do you feel depressed and alienated from others? Do you have difficulty knowing your own feelings or how you feel in your own body? Are you afraid to trust yourself, to be yourself? I've worked for 20 years with adults abused, traumatized, and/or neglected in childhood. .
(816) 368-8243 View (816) 368-8243
Photo of Matthew L Baker, MA, LPC, Licensed Professional Counselor
Matthew L Baker
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Kansas City, MO 64110
Change is possible. Just because you've done the same thing over and over, doesn't mean today can't be different. Most of us know what change that we'd like to make. However, our instincts are to cling to what gets us through the day and avoid meaningful change. The good news is that we can learn to act effectively to welcome change instead of push it away. At times, we need help to face the places where we need to improve. Positive change does not happen overnight. My goal is to find what what works. I focus on evidence-based and practical strategies to help my clients improve their lives and emotional well-being.
Change is possible. Just because you've done the same thing over and over, doesn't mean today can't be different. Most of us know what change that we'd like to make. However, our instincts are to cling to what gets us through the day and avoid meaningful change. The good news is that we can learn to act effectively to welcome change instead of push it away. At times, we need help to face the places where we need to improve. Positive change does not happen overnight. My goal is to find what what works. I focus on evidence-based and practical strategies to help my clients improve their lives and emotional well-being.
(816) 720-5250 View (816) 720-5250
Photo of Jen Lympus, LCSW, LSCSW, Clinical Social Work/Therapist
Jen Lympus
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
Kansas City, MO 64110
We all experience intense emotions, and it has always been by goal to help clients find the essential tools to decrease suffering and build a quality-of-life worth living. I am a clinical social worker in MO and KS with nearly 20 years of experience in the mental health field. My professional experience and training have primary focused on treating children starting at age 12, adolescents, families and adults who struggle with mood and anxiety disorders, depression, trauma, personality disorders, and interpersonal conflict.
We all experience intense emotions, and it has always been by goal to help clients find the essential tools to decrease suffering and build a quality-of-life worth living. I am a clinical social worker in MO and KS with nearly 20 years of experience in the mental health field. My professional experience and training have primary focused on treating children starting at age 12, adolescents, families and adults who struggle with mood and anxiety disorders, depression, trauma, personality disorders, and interpersonal conflict.
(816) 549-1941 View (816) 549-1941
Photo of Morgan Brueseke, MEd, PLPC, NCC, Pre-Licensed Professional
Morgan Brueseke
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
2 Endorsed
Kansas City, MO 64110
Life is unpredictable, it's messy. Life is about learning skills that can help us tackle the big obstacles when they are thrown our way. It's important to have someone to lean on as we grow through personal struggles, and that is where I can help. Primarily, I work with female identifying clients 18+ who struggle with anxiety, depression, self-esteem issues, grief, trauma, and overall life stressors.
Life is unpredictable, it's messy. Life is about learning skills that can help us tackle the big obstacles when they are thrown our way. It's important to have someone to lean on as we grow through personal struggles, and that is where I can help. Primarily, I work with female identifying clients 18+ who struggle with anxiety, depression, self-esteem issues, grief, trauma, and overall life stressors.
(816) 852-8063 View (816) 852-8063
Photo of Sarah Dettmer, MSEd, MS, LPC, LCPC, Licensed Professional Counselor
Sarah Dettmer
Licensed Professional Counselor, MSEd, MS, LPC, LCPC
Verified Verified
Kansas City, MO 64110
Change is an inevitable part of life. Transitions are as natural as night and day. In nature we observe times when things move slowly without visable change - and then suddenly acceleration occurs followed by a transformation. I am a therapist/professional counselor who works with individuals ranging from childhood through late adulthood, couples, and families to assist them in finding personal growth, and work confidently through the natural transitions life brings. I recognize each client as unique and direct my counseling to the whole person; which attends to the body, mind, and spirit of each.
Change is an inevitable part of life. Transitions are as natural as night and day. In nature we observe times when things move slowly without visable change - and then suddenly acceleration occurs followed by a transformation. I am a therapist/professional counselor who works with individuals ranging from childhood through late adulthood, couples, and families to assist them in finding personal growth, and work confidently through the natural transitions life brings. I recognize each client as unique and direct my counseling to the whole person; which attends to the body, mind, and spirit of each.
(913) 667-7134 View (913) 667-7134
Photo of Elizabeth Goslinga, LCPC, LPC, Licensed Professional Counselor
Elizabeth Goslinga
Licensed Professional Counselor, LCPC, LPC
Verified Verified
Kansas City, MO 64110
My goal is for each client to feel safe, accepted and understood. I want to help you grow to meet your true potential. I will work with you to help alleviate stress and work through the challenges you are facing.
My goal is for each client to feel safe, accepted and understood. I want to help you grow to meet your true potential. I will work with you to help alleviate stress and work through the challenges you are facing.
(816) 327-2672 View (816) 327-2672
1

How does your Therapist compare?

Number of Therapists in 64110

90+

Average cost per session

$140

Therapists in 64110 who prioritize treating:

95% Anxiety
89% Trauma and PTSD
84% Depression
74% Self Esteem
70% Relationship Issues
68% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

71% UnitedHealthcare UHC | UBH
65% Aetna
60% Cigna and Evernorth

How Therapists in 64110 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 64110?

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.