Photo of Anne Marie Frost, MS, LPC, Licensed Professional Counselor
Anne Marie Frost
Licensed Professional Counselor, MS, LPC
Verified Verified
Serves Area
Waitlist for new clients
Depression, anxiety and addiction are often compatriots. They feed off each other and create a sense of hopelessness. Your struggle may be with substances (drugs/food), compulsive acts or obsessive thinking. However, they are often slightly different-shaped pieces to the same puzzle. Additionally, if you experienced trauma in your lifetime, you are even more susceptible to these disorders. Gratefully, there is hope and recovery for them! It is often not easy or quick, but it is doable. "God grant me the courage not to give up what I think is right even though I think it is hopeless." -- Chester Nimitz, WWII Fleet Admiral.
Depression, anxiety and addiction are often compatriots. They feed off each other and create a sense of hopelessness. Your struggle may be with substances (drugs/food), compulsive acts or obsessive thinking. However, they are often slightly different-shaped pieces to the same puzzle. Additionally, if you experienced trauma in your lifetime, you are even more susceptible to these disorders. Gratefully, there is hope and recovery for them! It is often not easy or quick, but it is doable. "God grant me the courage not to give up what I think is right even though I think it is hopeless." -- Chester Nimitz, WWII Fleet Admiral.
(417) 409-2253 View (417) 409-2253
Photo of Christopher L Chiarino - Pursuing Peace Mental Health & Wellness Inc, LPC, Counselor
Pursuing Peace Mental Health & Wellness Inc
Counselor, LPC
Verified Verified
Serves Area
Pursuing Peace is a non-profit that exist to help people find quality mental health treatment available to help clients deal with stress, anxiety, relationship issues, family conflicts, & intimacy related issues. I have worked in social work and ministry as well as tradition therapy, and all these have helped me grow and learn how to better serve my clients. It has been my experience that collaborating with clients to help facilitate healing and growth is empowering and transformative for them. It takes courage to seek out a more fulfilling and peace-filled life and look forward to walking beside you on that journey.
Pursuing Peace is a non-profit that exist to help people find quality mental health treatment available to help clients deal with stress, anxiety, relationship issues, family conflicts, & intimacy related issues. I have worked in social work and ministry as well as tradition therapy, and all these have helped me grow and learn how to better serve my clients. It has been my experience that collaborating with clients to help facilitate healing and growth is empowering and transformative for them. It takes courage to seek out a more fulfilling and peace-filled life and look forward to walking beside you on that journey.
(417) 547-1156 View (417) 547-1156
Photo of Olivia Niesen, MS, PLPC, Pre-Licensed Professional
Olivia Niesen
Pre-Licensed Professional, MS, PLPC
Verified Verified
2 Endorsed
Serves Area
Life is hard. We all hit rough patches and we don’t always know where to turn. Whether we are experiencing anxiety, life changes, relationship problems, postpartum mental health changes, or just life happening, we all need someone. That’s where I come in. I aim to help adults ranging from young adults to those that are in their golden years to find their calm and focus on growth and healing. Through focusing on person-centered individual or couples counseling my goal is to help you to navigate the rough waters of life, to find peace in the chaos, and to find hope in the heartache.
Life is hard. We all hit rough patches and we don’t always know where to turn. Whether we are experiencing anxiety, life changes, relationship problems, postpartum mental health changes, or just life happening, we all need someone. That’s where I come in. I aim to help adults ranging from young adults to those that are in their golden years to find their calm and focus on growth and healing. Through focusing on person-centered individual or couples counseling my goal is to help you to navigate the rough waters of life, to find peace in the chaos, and to find hope in the heartache.
(417) 387-2916 View (417) 387-2916
Photo of Heather Freeman- -Counseling Beyond The Couch, MA, LPC, CSTS, CCTP, Licensed Professional Counselor
Heather Freeman- -Counseling Beyond The Couch
Licensed Professional Counselor, MA, LPC, CSTS, CCTP
Verified Verified
3 Endorsed
Serves Area
Stepping out to ask for help can be incredibly intimidating and uncomfortable. I know how hard it is to ask for help, but the simple fact that you are looking for help makes you a step closer to healing than you were yesterday. Effective therapy is one that is based on a strong therapeutic relationship built on a mutual goal of healthy living. When emotions become overwhelming, we will work together to overcome struggles. You will never have to go through it alone. Whatever the obstacle ahead of us, as your counselor I will be right by your side every step of the way matching you step for step.
Stepping out to ask for help can be incredibly intimidating and uncomfortable. I know how hard it is to ask for help, but the simple fact that you are looking for help makes you a step closer to healing than you were yesterday. Effective therapy is one that is based on a strong therapeutic relationship built on a mutual goal of healthy living. When emotions become overwhelming, we will work together to overcome struggles. You will never have to go through it alone. Whatever the obstacle ahead of us, as your counselor I will be right by your side every step of the way matching you step for step.
(417) 275-6988 View (417) 275-6988

More Therapists Nearby

Photo of Brooke Nicole Watson, MS, PLPC, Pre-Licensed Professional
Brooke Nicole Watson
Pre-Licensed Professional, MS, PLPC
Verified Verified
3 Endorsed
Springfield, MO 65804
Do you struggle to connect and communicate with your partner which affects the ability to live the life you desire? Do you feel overwhelmed, frustrated, and exhausted by the thought there is no light at the end of the tunnel? Do you wonder if your relationship could be better? Now more than ever, many couples, are feeling hopeless about attaining the relationship they desire. Real solutions, focused treatments, and hope for the future are what I work to provide for each and every client. No two people have walked the same path in life. I will feel honored to hear your story.
Do you struggle to connect and communicate with your partner which affects the ability to live the life you desire? Do you feel overwhelmed, frustrated, and exhausted by the thought there is no light at the end of the tunnel? Do you wonder if your relationship could be better? Now more than ever, many couples, are feeling hopeless about attaining the relationship they desire. Real solutions, focused treatments, and hope for the future are what I work to provide for each and every client. No two people have walked the same path in life. I will feel honored to hear your story.
(417) 557-3374 View (417) 557-3374
Photo of Christa Rupar, MA, LPC, Counselor
Christa Rupar
Counselor, MA, LPC
Verified Verified
Online Only
As a licensed professional counselor in Missouri, I specialize in helping couples who are experiencing distress, whether due to conflict, betrayal, or emotional distance. My approach focuses on helping couples understand and change the patterns that contribute to disconnection and poor communication. In our first few sessions, we’ll work to uncover relational dynamics and explore the history and behaviors that may be contributing to current struggles. I guide clients toward deeper self-awareness and a more profound understanding of their relationship, ultimately fostering healthier connections.
As a licensed professional counselor in Missouri, I specialize in helping couples who are experiencing distress, whether due to conflict, betrayal, or emotional distance. My approach focuses on helping couples understand and change the patterns that contribute to disconnection and poor communication. In our first few sessions, we’ll work to uncover relational dynamics and explore the history and behaviors that may be contributing to current struggles. I guide clients toward deeper self-awareness and a more profound understanding of their relationship, ultimately fostering healthier connections.
(417) 244-2410 View (417) 244-2410
Photo of Lisa Spore, MA, LPC, BSP, EMDR, Licensed Professional Counselor
Lisa Spore
Licensed Professional Counselor, MA, LPC, BSP, EMDR
Verified Verified
Springfield, MO 65804
I am a trained Brainspotting (BSP) therapist. Sessions are self-pay only. I offer professional supervision for Provisionally Licensed Professional Counselors. I received the 2021 Healthcare Champions Counselor of the Year award presented by the Springfield Business Journal.
I am a trained Brainspotting (BSP) therapist. Sessions are self-pay only. I offer professional supervision for Provisionally Licensed Professional Counselors. I received the 2021 Healthcare Champions Counselor of the Year award presented by the Springfield Business Journal.
(417) 370-0151 View (417) 370-0151
Photo of Sarah Landers, Clinical Social Work/Therapist
Sarah Landers
Clinical Social Work/Therapist
Verified Verified
Online Only
Sarah Landers received her Bachelors in Social Work from Southeast Missouri State University in Dec 2010. She then went on to receive her Masters in Social Work from University of Missouri-St. Louis in May 2014. Her social work license was obtained in 2019. Sarah has been working in the mental health field since 2010, in various types of settings. She has worked with all ages of patients, but the majority of her career has been working with school aged children to adults. Sarah specializes in anxiety, depression, trauma, relationship issues, grief, life transitions, faith-based counseling, and parenting. She utilizes solution
Sarah Landers received her Bachelors in Social Work from Southeast Missouri State University in Dec 2010. She then went on to receive her Masters in Social Work from University of Missouri-St. Louis in May 2014. Her social work license was obtained in 2019. Sarah has been working in the mental health field since 2010, in various types of settings. She has worked with all ages of patients, but the majority of her career has been working with school aged children to adults. Sarah specializes in anxiety, depression, trauma, relationship issues, grief, life transitions, faith-based counseling, and parenting. She utilizes solution
(417) 670-2009 View (417) 670-2009
Photo of Melody Pantuso, PLPC, Pre-Licensed Professional
Melody Pantuso
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Springfield, MO 65807
I consider it an honor to partner with you on this journey toward healing. I understand that sharing your struggles with someone or asking for help can be difficult and overwhelming. My goal is to provide a safe and accepting place for you to share difficult experiences and provide the support you need.
I consider it an honor to partner with you on this journey toward healing. I understand that sharing your struggles with someone or asking for help can be difficult and overwhelming. My goal is to provide a safe and accepting place for you to share difficult experiences and provide the support you need.
(417) 785-3207 View (417) 785-3207
Photo of Dr. Heather K Wadeson, PhD, Psychologist
Dr. Heather K Wadeson
Psychologist, PhD
Verified Verified
3 Endorsed
Springfield, MO 65804
Are you anxious or stressed due to work, family, or health issues? Have you had trouble setting boundaries or saying no to others? Do you ever wonder how your mental health could be affecting your physical health? If so, I would love to help you grow and learn new ways to cope. I provide a safe space for people who would like to make meaningful changes in their lives. Together, we can find the right tools for your toolbox and develop a deeper understanding of your reactions to personal experiences. I enjoy working with professionals, healers, and highly sensitive people who are looking to find balance and confidence.
Are you anxious or stressed due to work, family, or health issues? Have you had trouble setting boundaries or saying no to others? Do you ever wonder how your mental health could be affecting your physical health? If so, I would love to help you grow and learn new ways to cope. I provide a safe space for people who would like to make meaningful changes in their lives. Together, we can find the right tools for your toolbox and develop a deeper understanding of your reactions to personal experiences. I enjoy working with professionals, healers, and highly sensitive people who are looking to find balance and confidence.
(417) 551-6002 View (417) 551-6002
Photo of Mary Kay Houck, LCSW, Clinical Social Work/Therapist
Mary Kay Houck
Clinical Social Work/Therapist, LCSW
Verified Verified
Buffalo, MO 65622
I provide individual, family and group outpatient counseling for people of all ages. I work with people who may be struggling with relationship issues, anxiety issues, substance abuse and addiction and behavioral addictions, bullying, conflict resolution, grief loss issues, trauma and PTSD, anger management, adult and childhood ADHD, depression, bipolar disorder and other mood disorders. I also assist children and families with parent-child relational issues and behavior modification skill development. I have worked within the school system, inpatient and outpatient settings, in homes, and emergency rooms. I have trained youth to help peers on a local suicide hotline.
I provide individual, family and group outpatient counseling for people of all ages. I work with people who may be struggling with relationship issues, anxiety issues, substance abuse and addiction and behavioral addictions, bullying, conflict resolution, grief loss issues, trauma and PTSD, anger management, adult and childhood ADHD, depression, bipolar disorder and other mood disorders. I also assist children and families with parent-child relational issues and behavior modification skill development. I have worked within the school system, inpatient and outpatient settings, in homes, and emergency rooms. I have trained youth to help peers on a local suicide hotline.
(417) 424-5782 View (417) 424-5782
Photo of LaBryon Williams - Counseling Group of the Ozarks, MA, LPC, Clinical Social Work/Therapist
Counseling Group of the Ozarks
Clinical Social Work/Therapist, MA, LPC
Verified Verified
1 Endorsed
Springfield, MO 65804
Waitlist for new clients
You even checking out this site shows how much strength and bravery you have. Just know that you don’t have to go through things alone. We believe people seek out help when the things they do to deal with life no longer work. A lot of people think counseling is only for those who need “professional help,” but it’s really about talking to someone who is safe and not biased about what you should think or feel. You make think “there must be better out there,” — a better life, a way to feel less stressed, a happier marriage, a job you love… but you are just trying to survive this day.
You even checking out this site shows how much strength and bravery you have. Just know that you don’t have to go through things alone. We believe people seek out help when the things they do to deal with life no longer work. A lot of people think counseling is only for those who need “professional help,” but it’s really about talking to someone who is safe and not biased about what you should think or feel. You make think “there must be better out there,” — a better life, a way to feel less stressed, a happier marriage, a job you love… but you are just trying to survive this day.
(417) 212-5724 View (417) 212-5724
Photo of Deborah Hansel, MS, PLPC, NCC, Pre-Licensed Professional
Deborah Hansel
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
4 Endorsed
Springfield, MO 65804
Do you feel invisible? Are you wanting closer relationships where you feel seen and heard? You may work hard to care for and nurture others while putting your own needs or emotions aside. I believe that what you want and need matter, that you deserve love, joy, and compassion! Whether individually or with your partner, I can help you process what you've been through and where you want to go. It would be an honor to work with you!
Do you feel invisible? Are you wanting closer relationships where you feel seen and heard? You may work hard to care for and nurture others while putting your own needs or emotions aside. I believe that what you want and need matter, that you deserve love, joy, and compassion! Whether individually or with your partner, I can help you process what you've been through and where you want to go. It would be an honor to work with you!
(417) 660-2685 View (417) 660-2685
Photo of Carmen R McIntyre, MS, LPC, Licensed Professional Counselor
Carmen R McIntyre
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Nixa, MO 65714
Hi, I absolutely love being a therapist and believe in assisting people find their pops of joy and enjoy the journey to becoming the best version of themselves. I look forward to chatting with you and embarking on an adventure together.
Hi, I absolutely love being a therapist and believe in assisting people find their pops of joy and enjoy the journey to becoming the best version of themselves. I look forward to chatting with you and embarking on an adventure together.
(417) 981-2472 View (417) 981-2472
Photo of Amanda DiMartini, MA, LPC, Licensed Professional Counselor
Amanda DiMartini
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Springfield, MO 65806
Anxiety Specialist: Anxiety Relief: Free yourself from racing thoughts, worry, fear, and restlessness. Anxiety can decrease your self- esteem and create difficulty with decision making. There are life-changing strategies I will teach and support you through. Learn to utilize your strengths and overcome debilitating stress responses. Ketamine-Assisted Psychotherapy support and integration sessions available: Program is multidisciplinary and possible with collaboration with a medical doctor. Emotional and behavioral support offered as you transform your life and overcome your challenges.
Anxiety Specialist: Anxiety Relief: Free yourself from racing thoughts, worry, fear, and restlessness. Anxiety can decrease your self- esteem and create difficulty with decision making. There are life-changing strategies I will teach and support you through. Learn to utilize your strengths and overcome debilitating stress responses. Ketamine-Assisted Psychotherapy support and integration sessions available: Program is multidisciplinary and possible with collaboration with a medical doctor. Emotional and behavioral support offered as you transform your life and overcome your challenges.
(417) 595-0166 View (417) 595-0166
Photo of Vanessa L Irons, MA, LPC, Counselor
Vanessa L Irons
Counselor, MA, LPC
Verified Verified
Springfield, MO 65802
Not accepting new clients
Carl Rogers, the father of Person-centered therapy, once stated, "The curious paradox is when I accept myself just as I am, then I can change." I love to work with those people who have decided they are tired of "being tired" and have intention to make positive changes in their life. Whether it be dealing with anxiety, depression, past traumas or current stresses, my passion is to provide counsel, encouragement and empower people toward wellness.
Carl Rogers, the father of Person-centered therapy, once stated, "The curious paradox is when I accept myself just as I am, then I can change." I love to work with those people who have decided they are tired of "being tired" and have intention to make positive changes in their life. Whether it be dealing with anxiety, depression, past traumas or current stresses, my passion is to provide counsel, encouragement and empower people toward wellness.
(417) 310-1307 View (417) 310-1307
Photo of Magda Hayton, MS, NCC, PLPC, CTP, CCC
Magda Hayton
MS, NCC, PLPC, CTP, CCC
Verified Verified
Springfield, MO 65802
Maybe you're feeling overwhelmed by stress, depression, anxiety, or a disturbing experience. Maybe there's a part of you that is questioning your self-worth or feeling trapped in old patterns. Whatever it is, you're feeling that you want to take a deep-dive and grow toward increased peace and a more authentic you. Change is possible and you don't have to keep feeling stuck. Therapy is a collaborative process that offers a confidential, safe space to do this work.
Maybe you're feeling overwhelmed by stress, depression, anxiety, or a disturbing experience. Maybe there's a part of you that is questioning your self-worth or feeling trapped in old patterns. Whatever it is, you're feeling that you want to take a deep-dive and grow toward increased peace and a more authentic you. Change is possible and you don't have to keep feeling stuck. Therapy is a collaborative process that offers a confidential, safe space to do this work.
(417) 939-2093 View (417) 939-2093
Photo of Jennifer Roach Sansone, LCSW, Clinical Social Work/Therapist
Jennifer Roach Sansone
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I have experience working with adolescents through the older adult populations on many symptoms/diagnoses. Primarily those I work with have had issues relating to depression, anxiety, and trauma. Everyone has it inside of themselves to manage symptoms relating to these issues in addition to medication (when needed). What I have found helpful is talking to someone with empathy, who is nonjudgmental, and willing to listen, as well as having/providing information that will help the individual through these difficult times.
I have experience working with adolescents through the older adult populations on many symptoms/diagnoses. Primarily those I work with have had issues relating to depression, anxiety, and trauma. Everyone has it inside of themselves to manage symptoms relating to these issues in addition to medication (when needed). What I have found helpful is talking to someone with empathy, who is nonjudgmental, and willing to listen, as well as having/providing information that will help the individual through these difficult times.
(636) 689-0057 View (636) 689-0057
Photo of Margaret M Dunn, LPC, FMHC, CLC, Licensed Professional Counselor
Margaret M Dunn
Licensed Professional Counselor, LPC, FMHC, CLC
Verified Verified
Online Only
I'm Margaret Dunn, a 15-year experienced Therapist, specializing in helping high-achieving individuals conquer emotional eating & other life challenges. Join me on a transformative journey to reclaim your freedom, health, success & happiness. I work with individuals who want freedom from self-defeating thoughts & attitudes, those old hurtful emotions that STILL influence the decisions they make today & help them achieve the health, success and happiness they desire so they can live their best life EVER!
I'm Margaret Dunn, a 15-year experienced Therapist, specializing in helping high-achieving individuals conquer emotional eating & other life challenges. Join me on a transformative journey to reclaim your freedom, health, success & happiness. I work with individuals who want freedom from self-defeating thoughts & attitudes, those old hurtful emotions that STILL influence the decisions they make today & help them achieve the health, success and happiness they desire so they can live their best life EVER!
(636) 306-4392 View (636) 306-4392
Photo of Nicholas Jordan, MA, LPC, Licensed Professional Counselor
Nicholas Jordan
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Serves Area
My areas of expertise are trauma and ptsd, chronic illness and physical disabilities, stress, substance use or addiction, and mood disorders (depression, anxiety, bipolar, etc.). I am a secular therapist and provide telehealth services throughout Missouri and in person services in Kansas City, MO. Additionally, I have experience in working with chronic pain, burnout, existential, identity, and career concerns. I also have extensive experience working with other helping or health professionals including other therapists, nurses, social workers, among a variety of other clinicians.
My areas of expertise are trauma and ptsd, chronic illness and physical disabilities, stress, substance use or addiction, and mood disorders (depression, anxiety, bipolar, etc.). I am a secular therapist and provide telehealth services throughout Missouri and in person services in Kansas City, MO. Additionally, I have experience in working with chronic pain, burnout, existential, identity, and career concerns. I also have extensive experience working with other helping or health professionals including other therapists, nurses, social workers, among a variety of other clinicians.
(816) 319-0784 View (816) 319-0784

See more therapy options for 65781

How does your Therapist compare?

Number of Therapists in 65781

< 10

Therapists in 65781 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Coping Skills
100% Stress
75% Spirituality
75% Anger Management

Average years in practice

14 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
75% Cigna and Evernorth
75% Medicaid

How Therapists in 65781 see their clients

100% In Person and Online

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 65781?

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.