Therapists in 89129

Photo of Amanda Beechem, Pre-Licensed Professional, APCC
Amanda Beechem
Pre-Licensed Professional, APCC
1 Endorsed
Las Vegas, NV 89129
I work with children, teens, and adults navigating anxiety, depression, emotional regulation challenges, behavioral concerns, trauma, life transitions, and developmental or neurodiverse needs. Many clients come to therapy feeling overwhelmed, misunderstood, or stuck. My approach is compassionate, person-centered, and collaborative. I help clients build practical coping skills, improve emotional awareness, strengthen relationships, and create meaningful progress in their daily lives while feeling supported every step of the way.
I work with children, teens, and adults navigating anxiety, depression, emotional regulation challenges, behavioral concerns, trauma, life transitions, and developmental or neurodiverse needs. Many clients come to therapy feeling overwhelmed, misunderstood, or stuck. My approach is compassionate, person-centered, and collaborative. I help clients build practical coping skills, improve emotional awareness, strengthen relationships, and create meaningful progress in their daily lives while feeling supported every step of the way.
(702) 825-7191 View (702) 825-7191
Photo of Su Cho, Pre-Licensed Professional, CPC-I, MA
Su Cho
Pre-Licensed Professional, CPC-I, MA
1 Endorsed
Las Vegas, NV 89129
Hi there! As a CPC-I, I work with children, adults, and couples to explore challenges related to self-identity, communication, relationships, and emotion regulation. Together, we’ll work to uncover and challenge unhealthy core beliefs, strengthen your authentic self, and work together towards cultivating resilience and self-compassion to gain clarity and confidence as you write your life story. With children and teens, I incorporate play therapy and sand tray techniques to help them express emotions, process experiences, and build emotion regulation and coping strategies that they can carry into adulthood.
Hi there! As a CPC-I, I work with children, adults, and couples to explore challenges related to self-identity, communication, relationships, and emotion regulation. Together, we’ll work to uncover and challenge unhealthy core beliefs, strengthen your authentic self, and work together towards cultivating resilience and self-compassion to gain clarity and confidence as you write your life story. With children and teens, I incorporate play therapy and sand tray techniques to help them express emotions, process experiences, and build emotion regulation and coping strategies that they can carry into adulthood.
(702) 930-3205 View (702) 930-3205
Photo of Haley White, LPC Intern, CPC-I, MA
Haley White
LPC Intern, CPC-I, MA
15 Endorsed
Las Vegas, NV 89129
No matter how much money you make, money still controls your life. You replay past decisions, second guess yourself, fixate on what could go wrong, and struggle to let go of loses and missed opportunities. The stress isn't just financial. It's emotional. But the problem isn't you. The issue isn't a lack of intelligence or discipline. It's a pattern. And patterns can change. I help adults and couples like you identify what's keeping you stuck, break free from old financial cycles, and take control of your money instead of letting money control you.
No matter how much money you make, money still controls your life. You replay past decisions, second guess yourself, fixate on what could go wrong, and struggle to let go of loses and missed opportunities. The stress isn't just financial. It's emotional. But the problem isn't you. The issue isn't a lack of intelligence or discipline. It's a pattern. And patterns can change. I help adults and couples like you identify what's keeping you stuck, break free from old financial cycles, and take control of your money instead of letting money control you.
(725) 567-9743 View (725) 567-9743
Photo of Patricia Hill, Marriage & Family Therapist Intern, MFT-I, EMDR, MS
Patricia Hill
Marriage & Family Therapist Intern, MFT-I, EMDR, MS
1 Endorsed
Las Vegas, NV 89129
Deciding to come to therapy is the first step to your healing journey. Everyone hits rough patches in their lives and coming to therapy is a courageous step to tranquility and happiness. I have a great passion for working with adults who are ready to take the next steps of healing from their past traumas. I specialize in using Eye Movement Desensitization and Reprocessing (EMDR) Therapy to help you heal from your past. As your therapist, I will support and empower you to create sustainable change. You deserve to be happy. The first step on any journey is the hardest, let me help you heal from your past to have a happier tomorrow.
Deciding to come to therapy is the first step to your healing journey. Everyone hits rough patches in their lives and coming to therapy is a courageous step to tranquility and happiness. I have a great passion for working with adults who are ready to take the next steps of healing from their past traumas. I specialize in using Eye Movement Desensitization and Reprocessing (EMDR) Therapy to help you heal from your past. As your therapist, I will support and empower you to create sustainable change. You deserve to be happy. The first step on any journey is the hardest, let me help you heal from your past to have a happier tomorrow.
(702) 820-4103 View (702) 820-4103
Photo of Seema Anwar, Marriage & Family Therapist Intern, MS, MFT-I
Seema Anwar
Marriage & Family Therapist Intern, MS, MFT-I
2 Endorsed
Las Vegas, NV 89129
I meet my clients where they are and use the best approach to fit their needs. I value the use of empathy, warmth, and having a non-judgmental stance to build trust and elicit change! I use an Experiential lens to guide my work by emphasizing emotions, authenticity, genuineness, and having unconditional positive regard. I also integrate Attachment work, Motivational Interviewing, and Cognitive Behavioral Therapy.
I meet my clients where they are and use the best approach to fit their needs. I value the use of empathy, warmth, and having a non-judgmental stance to build trust and elicit change! I use an Experiential lens to guide my work by emphasizing emotions, authenticity, genuineness, and having unconditional positive regard. I also integrate Attachment work, Motivational Interviewing, and Cognitive Behavioral Therapy.
(702) 842-1271 View (702) 842-1271
Photo of Eden Thiess, Marriage & Family Therapist Intern, MS
Eden Thiess
Marriage & Family Therapist Intern, MS
6 Endorsed
Las Vegas, NV 89129
Welcome! I’m so glad you’re here. If you're feeling overwhelmed by constant worry, intrusive thoughts, or the weight of past trauma, please know that you're not alone. I deeply understand how overwhelming this can be, and I hold your experiences near and dear to my heart. I specialize in treating OCD, anxiety, panic attacks, and repeated trauma. In order to provide the best help for you, my approach involves more than just talking. We’ll use practical and action-based techniques to help you make significant changes both in and out of session. Even if you feel lost or hopeless, please allow me to offer my hope and belief in you.
Welcome! I’m so glad you’re here. If you're feeling overwhelmed by constant worry, intrusive thoughts, or the weight of past trauma, please know that you're not alone. I deeply understand how overwhelming this can be, and I hold your experiences near and dear to my heart. I specialize in treating OCD, anxiety, panic attacks, and repeated trauma. In order to provide the best help for you, my approach involves more than just talking. We’ll use practical and action-based techniques to help you make significant changes both in and out of session. Even if you feel lost or hopeless, please allow me to offer my hope and belief in you.
(725) 527-7096 View (725) 527-7096
Photo of Jason Kershner, Pre-Licensed Professional, MSEd, CPCC
Jason Kershner
Pre-Licensed Professional, MSEd, CPCC
5 Endorsed
Las Vegas, NV 89129
Life’s challenges can feel overwhelming, whether you’re navigating relationship struggles, trauma, anxiety, or feeling stuck. I believe therapy is a collaborative journey where you are the expert in your own life, and together we can create meaningful change. I provide individual therapy, couples counseling, and family therapy in a warm, nonjudgmental space where you can safely explore your thoughts and emotions. Whether you’re dealing with anxiety, depression, trauma, or relationship challenges, I’m committed to helping you develop the tools needed to navigate life with greater confidence.
Life’s challenges can feel overwhelming, whether you’re navigating relationship struggles, trauma, anxiety, or feeling stuck. I believe therapy is a collaborative journey where you are the expert in your own life, and together we can create meaningful change. I provide individual therapy, couples counseling, and family therapy in a warm, nonjudgmental space where you can safely explore your thoughts and emotions. Whether you’re dealing with anxiety, depression, trauma, or relationship challenges, I’m committed to helping you develop the tools needed to navigate life with greater confidence.
(702) 710-0969 View (702) 710-0969
Photo of Brittany Steinberg, Pre-Licensed Professional
Brittany Steinberg
Pre-Licensed Professional
2 Endorsed
Las Vegas, NV 89129
My ideal client feels stuck, anxious, or disconnected from self, weighed down by inner criticism or past trauma. They want clarity, connection, and relief from patterns that hold them back. Together, we explore and integrate their inner parts, tune into mind-body awareness, and uncover meaning and self-compassion; supporting a life that feels more peaceful, authentic, and aligned with what matters most.
My ideal client feels stuck, anxious, or disconnected from self, weighed down by inner criticism or past trauma. They want clarity, connection, and relief from patterns that hold them back. Together, we explore and integrate their inner parts, tune into mind-body awareness, and uncover meaning and self-compassion; supporting a life that feels more peaceful, authentic, and aligned with what matters most.
(702) 981-6518 View (702) 981-6518
Photo of Sam Richardson - Las Vegas Therapy, Marriage & Family Therapist
Las Vegas Therapy
Marriage & Family Therapist
1 Endorsed
Las Vegas, NV 89129
At Las Vegas Therapy, we support individuals facing relationship issues, trauma, depression, and anxiety. Our ideal clients seek understanding, healing, and growth. They need a safe space, empathetic listening, and actionable coping strategies. They aim for healthier relationships and emotional well-being. We offer affordable, personalized treatment focused on transformation and resilience.
At Las Vegas Therapy, we support individuals facing relationship issues, trauma, depression, and anxiety. Our ideal clients seek understanding, healing, and growth. They need a safe space, empathetic listening, and actionable coping strategies. They aim for healthier relationships and emotional well-being. We offer affordable, personalized treatment focused on transformation and resilience.
(702) 899-2367 View (702) 899-2367
Photo of Isabelle Parker - Beyond Therapy, Marriage & Family Therapist, MS, MFT, Emdr
Beyond Therapy
Marriage & Family Therapist, MS, MFT, Emdr
2 Endorsed
Las Vegas, NV 89129
Sometimes we catch our selves in the midst of chaos and often times we don't even know how we got there! It does not matter what situation you are in, your don't have to stay there, things can get better and you can come out of your present situation better and stronger. We have a variety of well trained, supervised and/or experienced therapists that can help you.
Sometimes we catch our selves in the midst of chaos and often times we don't even know how we got there! It does not matter what situation you are in, your don't have to stay there, things can get better and you can come out of your present situation better and stronger. We have a variety of well trained, supervised and/or experienced therapists that can help you.
(702) 904-8226 View (702) 904-8226
Photo of Deise Borghetti, Marriage & Family Therapist Intern, MFT-I
Deise Borghetti
Marriage & Family Therapist Intern, MFT-I
10 Endorsed
Las Vegas, NV 89129
You may feel anxious—on edge, overwhelmed, or unable to relax even when things seem “fine.” You might overthink decisions, struggle with self-doubt, feel emotionally shut down, or notice tension in your body that never fully goes away. Perhaps you’re exhausted from holding everything together, stuck in patterns you can’t seem to break, or feeling lost and disconnected from yourself. In your relationship, you may find yourselves repeating the same arguments, shutting down, or feeling unheard, misunderstood, or emotionally distant—longing for safety, clarity, and deeper connection.
You may feel anxious—on edge, overwhelmed, or unable to relax even when things seem “fine.” You might overthink decisions, struggle with self-doubt, feel emotionally shut down, or notice tension in your body that never fully goes away. Perhaps you’re exhausted from holding everything together, stuck in patterns you can’t seem to break, or feeling lost and disconnected from yourself. In your relationship, you may find yourselves repeating the same arguments, shutting down, or feeling unheard, misunderstood, or emotionally distant—longing for safety, clarity, and deeper connection.
(725) 527-7337 View (725) 527-7337
Photo of Isabelle Parker, Marriage & Family Therapist, MFT, MA, EMDR
Isabelle Parker
Marriage & Family Therapist, MFT, MA, EMDR
Las Vegas, NV 89129
I love working with clients who value a holistic approach. I believe the greatest hope to heal our brains and therefore heal our mental health is to work on our mind, body and spirit. I integrate this to create hope with my individual clients, families and couples. It is imperative to me that hope, grace, and positivity is used to help clients heal. I enjoy working with conflicted couples, and individuals looking to heal and become empowered to be the best version of themselves.
I love working with clients who value a holistic approach. I believe the greatest hope to heal our brains and therefore heal our mental health is to work on our mind, body and spirit. I integrate this to create hope with my individual clients, families and couples. It is imperative to me that hope, grace, and positivity is used to help clients heal. I enjoy working with conflicted couples, and individuals looking to heal and become empowered to be the best version of themselves.
(702) 840-5193 View (702) 840-5193
Photo of Eboni Taylor, Marriage & Family Therapist Intern
Eboni Taylor
Marriage & Family Therapist Intern
Las Vegas, NV 89129
Now Accepting New Clients — Telehealth & In-Person Therapy in Nevada Life can feel overwhelming, and you do not have to navigate it alone. I provide compassionate, client-centered therapy for children, adolescents, individuals, couples, and families through secure telehealth across Nevada and in-person sessions. I support children and teens with anxiety, emotional regulation, school stress, behavioral concerns, and self-esteem, while also helping individuals manage stress, burnout, life transitions, anxiety, and relationship challenges in a warm, supportive environment.
Now Accepting New Clients — Telehealth & In-Person Therapy in Nevada Life can feel overwhelming, and you do not have to navigate it alone. I provide compassionate, client-centered therapy for children, adolescents, individuals, couples, and families through secure telehealth across Nevada and in-person sessions. I support children and teens with anxiety, emotional regulation, school stress, behavioral concerns, and self-esteem, while also helping individuals manage stress, burnout, life transitions, anxiety, and relationship challenges in a warm, supportive environment.
(725) 239-1817 View (725) 239-1817
Photo of Carmynn Bradley, LPC Intern, MAT, MS, CPC-I
Carmynn Bradley
LPC Intern, MAT, MS, CPC-I
1 Endorsed
Las Vegas, NV 89129
Are you struggling with depression, anxiety, childhood trauma, adult trauma, or mood issues? Do you have low self-esteem, chronic fatigue, or a general feeling of unwellness? Are you having problems maintaining relationships, or are you struggling to identify what it is you want to do with your life? Do you struggle with delusions, hallucinations, paranoid thoughts, personality disorders, or identity problems?
Are you struggling with depression, anxiety, childhood trauma, adult trauma, or mood issues? Do you have low self-esteem, chronic fatigue, or a general feeling of unwellness? Are you having problems maintaining relationships, or are you struggling to identify what it is you want to do with your life? Do you struggle with delusions, hallucinations, paranoid thoughts, personality disorders, or identity problems?
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Photo of Jaclyn Costello, Rev, MFA
Jaclyn Costello
Verified Verified
Las Vegas, NV 89129
Many people who reach out to me are navigating periods of profound transition: existential questioning, challenges in intimate partnership, identity shifts, or the feeling that the life they’ve been living no longer fully fits who they are becoming. Others come seeking deeper presence, clarity, and awareness about themselves, their relationships, and the nature of reality itself. My work integrates psychological grounding, contemplative practice, existential inquiry, meditation, and ceremony within a compassionate space.
Many people who reach out to me are navigating periods of profound transition: existential questioning, challenges in intimate partnership, identity shifts, or the feeling that the life they’ve been living no longer fully fits who they are becoming. Others come seeking deeper presence, clarity, and awareness about themselves, their relationships, and the nature of reality itself. My work integrates psychological grounding, contemplative practice, existential inquiry, meditation, and ceremony within a compassionate space.
(702) 619-6219 View (702) 619-6219
Photo of Sung J Cho, Psychologist, PsyD
Sung J Cho
Psychologist, PsyD
Las Vegas, NV 89129
After many years of seeing clients, I have come to understand that a therapist's role is to encourage action by fostering one's belief in self, others, and the world; courage; and realistic goals. Through these actions, I've come to believe that clients will eventually free themselves of the handcuffs that affect their mental well-being. My goal is to be a catalyst for change.
After many years of seeing clients, I have come to understand that a therapist's role is to encourage action by fostering one's belief in self, others, and the world; courage; and realistic goals. Through these actions, I've come to believe that clients will eventually free themselves of the handcuffs that affect their mental well-being. My goal is to be a catalyst for change.
(702) 842-2257 View (702) 842-2257
Photo of Dr. Andre Wielemaker, Psychologist, PhD, HSP
Dr. Andre Wielemaker
Psychologist, PhD, HSP
1 Endorsed
Las Vegas, NV 89129
Hi, I’m Dr. Andre, a Licensed Clinical Psychologist seeing clients in Nevada, Tennessee, and Utah. I specialize in helping adult males and couples manage dysfunctional life patterns and relationship challenges. My approach is collaborative, and tailored to you, drawing from CBT, DBT, MI, SFBT, and psychodynamic therapy. I provide a non-judgmental space where you can feel heard, supported, and empowered. Convenient Telehealth sessions make it easy to get started, wherever you are, whenever you’re ready.
Hi, I’m Dr. Andre, a Licensed Clinical Psychologist seeing clients in Nevada, Tennessee, and Utah. I specialize in helping adult males and couples manage dysfunctional life patterns and relationship challenges. My approach is collaborative, and tailored to you, drawing from CBT, DBT, MI, SFBT, and psychodynamic therapy. I provide a non-judgmental space where you can feel heard, supported, and empowered. Convenient Telehealth sessions make it easy to get started, wherever you are, whenever you’re ready.
(615) 437-2064 View (615) 437-2064
Photo of Jennifer May, Marriage & Family Therapist Intern, MFT-I
Jennifer May
Marriage & Family Therapist Intern, MFT-I
1 Endorsed
Las Vegas, NV 89129
I am a dedicated and compassionate therapist providing individual and couples therapy for adults navigating life transitions, emotional distress, and relationship challenges. I empower individuals and couples to manage life’s changes and build more fulfilling lives by using practical, evidence-based strategies to address stress, anxiety, depression, ADHD, and relationship issues. My goal is to help clients break free from unhelpful patterns and develop healthier ways of relating to themselves and others.
I am a dedicated and compassionate therapist providing individual and couples therapy for adults navigating life transitions, emotional distress, and relationship challenges. I empower individuals and couples to manage life’s changes and build more fulfilling lives by using practical, evidence-based strategies to address stress, anxiety, depression, ADHD, and relationship issues. My goal is to help clients break free from unhelpful patterns and develop healthier ways of relating to themselves and others.
(725) 777-4954 View (725) 777-4954
Photo of Sam Richardson, Marriage & Family Therapist, MS, LMFT
Sam Richardson
Marriage & Family Therapist, MS, LMFT
10 Endorsed
Las Vegas, NV 89129
Are you dealing with trauma, anxiety, depression, or relationship issues? I’m Sam Richardson, a Licensed Marriage and Family Therapist with extensive experience in trauma recovery and couples counseling. I have extensive training in Emotionally Focused Therapy for Couples which has helped me work with a wide variety of issues, especially with infidelity. As a certified EMDR therapist, I specialize in Eye Movement Desensitization and Reprocessing (EMDR) to help individuals heal from traumatic experiences and reduce emotional distress caused by physical, emotional, and relational trauma.
Are you dealing with trauma, anxiety, depression, or relationship issues? I’m Sam Richardson, a Licensed Marriage and Family Therapist with extensive experience in trauma recovery and couples counseling. I have extensive training in Emotionally Focused Therapy for Couples which has helped me work with a wide variety of issues, especially with infidelity. As a certified EMDR therapist, I specialize in Eye Movement Desensitization and Reprocessing (EMDR) to help individuals heal from traumatic experiences and reduce emotional distress caused by physical, emotional, and relational trauma.
(702) 919-5907 View (702) 919-5907
Photo of Tisha Gray, Marriage & Family Therapist, MA, LMFT, E-RYT
Tisha Gray
Marriage & Family Therapist, MA, LMFT, E-RYT
Las Vegas, NV 89129
Sex therapy and relationship therapy in Las Vegas for individuals and couples navigating shifts in desire, intimacy, and connection, including the impact of sexual trauma. I work with clients who are often thoughtful, high-functioning, and self-aware, yet find that something in their intimate life no longer feels the way it once did. My approach integrates sex therapy, relational work, and somatic awareness to understand what’s underneath these changes and support a more grounded, responsive experience of intimacy.
Sex therapy and relationship therapy in Las Vegas for individuals and couples navigating shifts in desire, intimacy, and connection, including the impact of sexual trauma. I work with clients who are often thoughtful, high-functioning, and self-aware, yet find that something in their intimate life no longer feels the way it once did. My approach integrates sex therapy, relational work, and somatic awareness to understand what’s underneath these changes and support a more grounded, responsive experience of intimacy.
(702) 857-6635 View (702) 857-6635

See more therapy options for 89129

How does your Therapist compare?

Number of Therapists in 89129

100+

Average cost per session

$125

Therapists in 89129 who prioritize treating:

92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
89% Depression
77% Relationship Issues
77% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

76% Aetna
64% Cigna and Evernorth
61% BlueCross and BlueShield

How Therapists in 89129 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

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

How can I find a therapist in 89129?

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.