Photo of Emily Slough, Clinical Social Work/Therapist, LCSW, C-DBT, MA, BA
Emily Slough
Clinical Social Work/Therapist, LCSW, C-DBT, MA, BA
Verified Verified
Online Only
You may appear to have it all together to those around you, but internally you are struggling not to fall apart. You have a hard time balancing everything that is going on in your life and feel overwhelmed. Depression and anxiety are normal for you, but recently you feel they have been controlling your day to day. You're noticing patterns that you can't seem to break out of on your own. You know that it can get better, what you’ve been doing isn’t working. You’re tired of feeling stuck and you are motivated to learn how to love yourself, how to cope with daily struggles, and how to unlearn and change what you experienced growing up.
You may appear to have it all together to those around you, but internally you are struggling not to fall apart. You have a hard time balancing everything that is going on in your life and feel overwhelmed. Depression and anxiety are normal for you, but recently you feel they have been controlling your day to day. You're noticing patterns that you can't seem to break out of on your own. You know that it can get better, what you’ve been doing isn’t working. You’re tired of feeling stuck and you are motivated to learn how to love yourself, how to cope with daily struggles, and how to unlearn and change what you experienced growing up.
(719) 625-3573 View (719) 625-3573
Photo of Jamie Wieck, Licensed Professional Counselor Candidate, LPCC
Jamie Wieck
Licensed Professional Counselor Candidate, LPCC
Verified Verified
1 Endorsed
Denver, CO 80238
Waitlist for new clients
I am a compassionate, client-centered, and trauma informed counselor dedicated to helping individuals navigate life’s challenges and achieve personal growth. With over 10 years of experience in mental health, I provide safe, supportive spaces where clients can explore their feelings, build resilience, and develop meaningful solutions to their concerns. I believe that healing and growth are deeply personal journeys, and I strive to empower my clients with the tools and insights they need to thrive. My goal is to foster a collaborative and trusting therapeutic relationship where clients feel heard, understood, and valued.
I am a compassionate, client-centered, and trauma informed counselor dedicated to helping individuals navigate life’s challenges and achieve personal growth. With over 10 years of experience in mental health, I provide safe, supportive spaces where clients can explore their feelings, build resilience, and develop meaningful solutions to their concerns. I believe that healing and growth are deeply personal journeys, and I strive to empower my clients with the tools and insights they need to thrive. My goal is to foster a collaborative and trusting therapeutic relationship where clients feel heard, understood, and valued.
(888) 823-1549 View (888) 823-1549
Photo of Blaine Hummel, Licensed Professional Counselor, LPC
Blaine Hummel
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I'm aware things suck right now, otherwise you wouldn't be here looking for a therapist. Wading through 1000 profiles of counselors waxing on about themselves isn't helping much. So, I'm here to simplify things. The most important part of successful therapy is having a strong connection with your counselor. This generally means you share a similar vibe or interests. I like dad jokes. I dig art and all things creative. I collect tattoos. I love house music and was a club DJ in my younger days. I understand stress/anxiety (I'm also an attorney), divorce (been there, done that, got the t-shirts), parenting and existential angst.
I'm aware things suck right now, otherwise you wouldn't be here looking for a therapist. Wading through 1000 profiles of counselors waxing on about themselves isn't helping much. So, I'm here to simplify things. The most important part of successful therapy is having a strong connection with your counselor. This generally means you share a similar vibe or interests. I like dad jokes. I dig art and all things creative. I collect tattoos. I love house music and was a club DJ in my younger days. I understand stress/anxiety (I'm also an attorney), divorce (been there, done that, got the t-shirts), parenting and existential angst.
(720) 513-9964 View (720) 513-9964
Photo of Karina Dach, Counselor, MS, LMHC, LPC, NCC
Karina Dach
Counselor, MS, LMHC, LPC, NCC
Verified Verified
Denver, CO 80238
When we experience anxiety and stress it is not uncommon to feel like our lives are unraveling and we are no longer in control. My passion is to bring healing and change to people who experience excessive worry and fear, anxiety and stress. I guide my clients to find a healthier perspective of themselves, others, and the world around them. I help them strengthen their relationships so they begin to feel more capable and safe with who they are and what they do.
When we experience anxiety and stress it is not uncommon to feel like our lives are unraveling and we are no longer in control. My passion is to bring healing and change to people who experience excessive worry and fear, anxiety and stress. I guide my clients to find a healthier perspective of themselves, others, and the world around them. I help them strengthen their relationships so they begin to feel more capable and safe with who they are and what they do.
(720) 538-9994 View (720) 538-9994
Photo of Bethany Shipps, Clinical Social Work/Therapist, LCSW
Bethany Shipps
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I believe that everyone could benefit from therapy and a deeper understanding of themselves. My goal is for therapy to be a space where you feel empowered to create the change and healing you want in your life, not only learn how to cope with the present issue.
I believe that everyone could benefit from therapy and a deeper understanding of themselves. My goal is for therapy to be a space where you feel empowered to create the change and healing you want in your life, not only learn how to cope with the present issue.
(720) 927-9624 View (720) 927-9624
Photo of Melani Dawson-Lear - Life Raft Parent Coaching, MSW, MA, PCI, Parent, Coach®
Life Raft Parent Coaching
MSW, MA, PCI, Parent, Coach®
Verified Verified
1 Endorsed
Online Only
Parenting is hard stuff! If you are overwhelmed with the challenges of parenting, you are not alone. My practice is built on helping parents find more joy and connection in their family life. Together, we examine any current parenting dilemmas and then utilize your family's strengths and your superpowers as a parent to get what you want. During our time together, you can expect the following: compassionate listening that reflects your strengths, clarity on your goals for your family, alignment of your parenting strategies with your core values, and creativity to overcome any parenting challenge. Expect to laugh and grow!
Parenting is hard stuff! If you are overwhelmed with the challenges of parenting, you are not alone. My practice is built on helping parents find more joy and connection in their family life. Together, we examine any current parenting dilemmas and then utilize your family's strengths and your superpowers as a parent to get what you want. During our time together, you can expect the following: compassionate listening that reflects your strengths, clarity on your goals for your family, alignment of your parenting strategies with your core values, and creativity to overcome any parenting challenge. Expect to laugh and grow!
(720) 806-7656 View (720) 806-7656
Photo of Dr. Felicia Greher, Psychologist, PhD, PSYPACT
Dr. Felicia Greher
Psychologist, PhD, PSYPACT
Verified Verified
Online Only
Have you been feeling sad or lonely, overwhelmed with worry or self-doubt, depleted, stressed, or burned out? Maybe you feel disconnected from others, yourself, or even your own emotions. Are you grieving the loss of a loved one or the loss of how you expected something to turn out? Are you facing a significant life transition or stress in relationships, work, parenting, relocation, aging, medical issues, etc.? Are your tried-and-true ways of coping no longer working? Do you feel like you are languishing or lacking meaningful fulfillment and you desire personal growth or greater self-awareness?
Have you been feeling sad or lonely, overwhelmed with worry or self-doubt, depleted, stressed, or burned out? Maybe you feel disconnected from others, yourself, or even your own emotions. Are you grieving the loss of a loved one or the loss of how you expected something to turn out? Are you facing a significant life transition or stress in relationships, work, parenting, relocation, aging, medical issues, etc.? Are your tried-and-true ways of coping no longer working? Do you feel like you are languishing or lacking meaningful fulfillment and you desire personal growth or greater self-awareness?
(720) 707-3012 View (720) 707-3012
Photo of Jessica Reyka - Grass Roots Healing, LLC, Psychologist, PsyD
Grass Roots Healing, LLC
Psychologist, PsyD
Verified Verified
Online Only
Dr. Jessica Reyka, Psy.D., the founder and owner of Grass Roots Healing, LLC, is a firm believer that in order to reconnect and heal, we must first go back to the "root" of the problem or concern, which often stems far back into one's life, and then work towards healing from an inward-out approach. "The stronger our roots are, the more beautiful the leaves that come from the tree"; similar to the process of therapy where we rebuild the foundation from which you view the world and create a life/beliefs/behaviors that are more in alignment with your true values and authentic self.
Dr. Jessica Reyka, Psy.D., the founder and owner of Grass Roots Healing, LLC, is a firm believer that in order to reconnect and heal, we must first go back to the "root" of the problem or concern, which often stems far back into one's life, and then work towards healing from an inward-out approach. "The stronger our roots are, the more beautiful the leaves that come from the tree"; similar to the process of therapy where we rebuild the foundation from which you view the world and create a life/beliefs/behaviors that are more in alignment with your true values and authentic self.
(716) 301-2694 View (716) 301-2694
Photo of Brenda Messer, Clinical Social Work/Therapist, LCSW
Brenda Messer
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am Brenda Messer, a Licensed Clinical Social Worker (LCSW), specializing in supporting children, adolescents, families, and adults who are coping with trauma, anxiety, depression, and behavioral or adjustment difficulties. I focus on enhancing self-awareness through mindfulness techniques and cognitive behavioral therapy.
I am Brenda Messer, a Licensed Clinical Social Worker (LCSW), specializing in supporting children, adolescents, families, and adults who are coping with trauma, anxiety, depression, and behavioral or adjustment difficulties. I focus on enhancing self-awareness through mindfulness techniques and cognitive behavioral therapy.
(855) 905-2450 View (855) 905-2450
Photo of Jenna Mamorsky, Licensed Professional Counselor, MA, LPC
Jenna Mamorsky
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Denver, CO 80238
Do you feel stuck in patterns of anxiety, self-judgement, perfectionism and overwhelm when what you long for is a sense of ease, and excitement in your life? Do you feel lost in big areas of your life such as your relationships and career? Perhaps you don’t know how to talk to your friends and family about this because their advice doesn’t help, leaving you back in the cycle of feeling alone and stuck. I know you're tired of feeling trapped in these patterns, unable to feel that things can change. Let's reclaim your power. I will help guide you to heal these negative patterns so you can experience emotional and mental freedom.
Do you feel stuck in patterns of anxiety, self-judgement, perfectionism and overwhelm when what you long for is a sense of ease, and excitement in your life? Do you feel lost in big areas of your life such as your relationships and career? Perhaps you don’t know how to talk to your friends and family about this because their advice doesn’t help, leaving you back in the cycle of feeling alone and stuck. I know you're tired of feeling trapped in these patterns, unable to feel that things can change. Let's reclaim your power. I will help guide you to heal these negative patterns so you can experience emotional and mental freedom.
(888) 433-4915 View (888) 433-4915
Photo of Jim Winges, PhD, CMPC, MS, BA, BAA
Jim Winges
PhD, CMPC, MS, BA, BAA
Verified Verified
Denver, CO 80238
Dr. Jim is a Performance Consultant & Mental Conditioning Coach who provides performance enhancement & counseling to athletes of all ages and levels, teams, organizations, businesses, military & governing bodies. He works in these sectors to improve performance both on & off the field of play, welling-being & mental health while reducing stress and anxiety. He has worked with pro teams and athletes, and he has worked with & trained thousands of athletes, coaches & parents over the past 24 years. He also works with performing arts, business professionals, military, and law enforcement as an performance coach and consultant.
Dr. Jim is a Performance Consultant & Mental Conditioning Coach who provides performance enhancement & counseling to athletes of all ages and levels, teams, organizations, businesses, military & governing bodies. He works in these sectors to improve performance both on & off the field of play, welling-being & mental health while reducing stress and anxiety. He has worked with pro teams and athletes, and he has worked with & trained thousands of athletes, coaches & parents over the past 24 years. He also works with performing arts, business professionals, military, and law enforcement as an performance coach and consultant.
(720) 782-8562 View (720) 782-8562
Photo of Christine Worrell, Licensed Professional Counselor, MA, LPC
Christine Worrell
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Denver, CO 80238
Waitlist for new clients
If you are a person who is struggling with anxiety, stress, life in general...I'd love to work with you. It's my mission to help others learn to stay connected to the moment in front of them, reduce the interference experienced from the chattering voice in their head (we all have one!), gain insight into their life which will help guide future decision making, and learn effective skills needed to take meaningful risk as they move forward pursuing their goals. Let's find more joy and fulfillment in your life based on your values as well as release painful experiences by learning to live presently with intention and purpose.
If you are a person who is struggling with anxiety, stress, life in general...I'd love to work with you. It's my mission to help others learn to stay connected to the moment in front of them, reduce the interference experienced from the chattering voice in their head (we all have one!), gain insight into their life which will help guide future decision making, and learn effective skills needed to take meaningful risk as they move forward pursuing their goals. Let's find more joy and fulfillment in your life based on your values as well as release painful experiences by learning to live presently with intention and purpose.
(720) 966-1092 View (720) 966-1092
Photo of Sarah Avery, Marriage & Family Therapist, MA, LMFT
Sarah Avery
Marriage & Family Therapist, MA, LMFT
Verified Verified
Denver, CO 80238
I'm warm, easy to talk to, a straight-shooter, and a creative problem-solver. I know effective therapy has room for laughter AND tears. Using your strengths as a guide, I'll help you identify and implement new strategies and tools to relieve your relational strain, overwhelm, burnout, complex decisions, and big life transitions.
I'm warm, easy to talk to, a straight-shooter, and a creative problem-solver. I know effective therapy has room for laughter AND tears. Using your strengths as a guide, I'll help you identify and implement new strategies and tools to relieve your relational strain, overwhelm, burnout, complex decisions, and big life transitions.
(805) 722-5367 View (805) 722-5367
Photo of Jonathan Hawkins, Licensed Professional Counselor, MA
Jonathan Hawkins
Licensed Professional Counselor, MA
Verified Verified
4 Endorsed
Online Only
Finding a therapist who is the right fit for you is a stressful undertaking but worth the time and effort. I really enjoy working with individuals who are introspective, resilient, and want to make the most out of their time in sessions. While working in a training institute I have supervised many new therapists starting their careers and the most common complaint I have heard is that the therapist is "nice" or "supportive" but does not help the client make changes. Balancing support and validation with the push people need to live the life they want to be living is the true testament of the therapist's skill.
Finding a therapist who is the right fit for you is a stressful undertaking but worth the time and effort. I really enjoy working with individuals who are introspective, resilient, and want to make the most out of their time in sessions. While working in a training institute I have supervised many new therapists starting their careers and the most common complaint I have heard is that the therapist is "nice" or "supportive" but does not help the client make changes. Balancing support and validation with the push people need to live the life they want to be living is the true testament of the therapist's skill.
(720) 712-3507 View (720) 712-3507
Photo of Casey Shank, Licensed Professional Counselor, MEd, LPC
Casey Shank
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Online Only
With a combination of education, personal experience, and compassion, I help navigate the ups and downs of life with my clients. I believe in existing in the present moment as much as possible, self-advocacy, and joy. I am passionate about building resilience and being creative. My care is individualized according to your needs and goals. I am intentional about my own self-care by spending time with my loved ones and participating in adventures that include travel and trying new things which push me to go beyond my perceived abilities. I would love to be part of your mental wellness journey and am ready to support you.
With a combination of education, personal experience, and compassion, I help navigate the ups and downs of life with my clients. I believe in existing in the present moment as much as possible, self-advocacy, and joy. I am passionate about building resilience and being creative. My care is individualized according to your needs and goals. I am intentional about my own self-care by spending time with my loved ones and participating in adventures that include travel and trying new things which push me to go beyond my perceived abilities. I would love to be part of your mental wellness journey and am ready to support you.
(720) 815-4728 View (720) 815-4728
Photo of Lisa Brownstone, Psychologist, PhD
Lisa Brownstone
Psychologist, PhD
Verified Verified
Online Only
My therapy approach is open and honest. I show up as both a human and psychologist, and do not emphasize a professional power hierarchy. I am an advocate for racial justice, LGBTQ+ equality and rights, and human rights more broadly. I am not value neutral on such topics. It is important for my clients to know that my full-time job is as an Assistant Professor of Practice at University of Denver’s Counseling Psychology Program where I teach and supervise students learning to be therapists. Therefore, my private practice is part-time and I have limited flexibility for scheduling.
My therapy approach is open and honest. I show up as both a human and psychologist, and do not emphasize a professional power hierarchy. I am an advocate for racial justice, LGBTQ+ equality and rights, and human rights more broadly. I am not value neutral on such topics. It is important for my clients to know that my full-time job is as an Assistant Professor of Practice at University of Denver’s Counseling Psychology Program where I teach and supervise students learning to be therapists. Therefore, my private practice is part-time and I have limited flexibility for scheduling.
(833) 945-2655 View (833) 945-2655
Photo of Melita L Quance, Marriage & Family Therapist, MA, LMFT
Melita L Quance
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Denver, CO 80238
YES, I am accepting new clients! Are you tired of having the same argument over and over again in your relationship or wondering how to make a scary change? Are you questioning your sexual orientation, gender identity, or considering non-monogamy? Do you want a therapist who gets it? Are you struggling with your relationship after recently giving birth or adopting a child? Does it not seem like the rosy picture everyone painted for you? I can help! I am a queer, sex-positive therapist, professor, and supervisor. Let me help you brave this time of life.
YES, I am accepting new clients! Are you tired of having the same argument over and over again in your relationship or wondering how to make a scary change? Are you questioning your sexual orientation, gender identity, or considering non-monogamy? Do you want a therapist who gets it? Are you struggling with your relationship after recently giving birth or adopting a child? Does it not seem like the rosy picture everyone painted for you? I can help! I am a queer, sex-positive therapist, professor, and supervisor. Let me help you brave this time of life.
(720) 500-6690 View (720) 500-6690
Photo of Jeremy Magin, Counselor, LPCC, MCMHC
Jeremy Magin
Counselor, LPCC, MCMHC
Verified Verified
Denver, CO 80238
Accepting new clients for in-person and Telehealth sessions. You are seeking guidance and I respect you for that! Together, we will work toward you achieving the unique level of healing and personal growth you are seeking. I offer a welcoming, non-judgmental space for our time together. Your counseling sessions will be collaborative efforts to process your experiences, create attainable goals, develop critical skills, and work toward positive outcomes.
Accepting new clients for in-person and Telehealth sessions. You are seeking guidance and I respect you for that! Together, we will work toward you achieving the unique level of healing and personal growth you are seeking. I offer a welcoming, non-judgmental space for our time together. Your counseling sessions will be collaborative efforts to process your experiences, create attainable goals, develop critical skills, and work toward positive outcomes.
(720) 783-7949 View (720) 783-7949
Photo of Eldridge Greer, Psychologist, PhD
Eldridge Greer
Psychologist, PhD
Verified Verified
Online Only
The past few years have been a period of unprecedented upheaval. A polarizing national election season, continued racial reckoning, declines in mental health well-being, challenges to women's reproductive health and financial uncertainty. These times make many of us feel uncertain about the present and future. Through a lens of cultural humility, I hope to work with you to provide an environment where your strengths can be realized and your goals for yourself and the people you care about can be met. Only by harnessing our strengths can we be whole people.
The past few years have been a period of unprecedented upheaval. A polarizing national election season, continued racial reckoning, declines in mental health well-being, challenges to women's reproductive health and financial uncertainty. These times make many of us feel uncertain about the present and future. Through a lens of cultural humility, I hope to work with you to provide an environment where your strengths can be realized and your goals for yourself and the people you care about can be met. Only by harnessing our strengths can we be whole people.
(720) 310-1996 View (720) 310-1996
Photo of Dr. Kaily Clark - Positive Psychology: Therapy and Consulting, Psychologist
Positive Psychology: Therapy and Consulting
Psychologist
Verified Verified
Online Only
Life brings about normal ups and downs. Through connection with a professional, clarity and relief can be found. Whether it be intrinsic indicators (mind/body) or external forces that have led to seeking support, (work/transitions) your time and energy are worth it. Through our work, we will focus on your goals to meet your personal and/or professional needs.
Life brings about normal ups and downs. Through connection with a professional, clarity and relief can be found. Whether it be intrinsic indicators (mind/body) or external forces that have led to seeking support, (work/transitions) your time and energy are worth it. Through our work, we will focus on your goals to meet your personal and/or professional needs.
(833) 436-5049 View (833) 436-5049
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See more therapy options for 80238

How does your Therapist compare?

Number of Therapists in 80238

200+

Average cost per session

$160

Therapists in 80238 who prioritize treating:

95% Anxiety
86% Depression
80% Relationship Issues
76% Trauma and PTSD
75% Self Esteem
75% Stress
72% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
68% Cigna and Evernorth
62% UnitedHealthcare UHC | UBH

How Therapists in 80238 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

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

How can I find a therapist in 80238?

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.