Therapists in Birmingham, AL

Photo of The Healing Space, LLC, LPC Intern in Birmingham, AL
The Healing Space, LLC
LPC Intern, PhD, ALC
Verified Verified
1 Endorsed
Birmingham, AL 35223  (Online Only)
You find yourself stuck in the same negative cycles. You trust the wrong people and get into relationships that only leave you feeling manipulated, abused, and unsafe. They’ve taken away your power, your voice, and the weight of trauma has left you questioning your worth. You’ve tried reaching out to loved ones, connecting to your faith, and other means to address your concerns, but all those choices have failed. Your needs are not met, and you desperately desire support to make consistent, positive changes to succeed mentally, spiritually, and emotionally.
You find yourself stuck in the same negative cycles. You trust the wrong people and get into relationships that only leave you feeling manipulated, abused, and unsafe. They’ve taken away your power, your voice, and the weight of trauma has left you questioning your worth. You’ve tried reaching out to loved ones, connecting to your faith, and other means to address your concerns, but all those choices have failed. Your needs are not met, and you desperately desire support to make consistent, positive changes to succeed mentally, spiritually, and emotionally.
(205) 551-9162 View (205) 551-9162
Photo of Cheyenne H Harrison, Counselor in Birmingham, AL
Cheyenne H Harrison
Counselor, ALC, NBC-HWC
Verified Verified
Birmingham, AL 35226
Are you having a tough time navigating life changes or finding a way to your ideal wellness? As a certified health and wellness coach and counselor I am here to support and provide you with the necessary tools to reach your wellness goals and to help you build the confidence in your strengths. The approach I take to counseling is to meet people where they are in their journey to then walk with them down the path of achieving their goals.
Are you having a tough time navigating life changes or finding a way to your ideal wellness? As a certified health and wellness coach and counselor I am here to support and provide you with the necessary tools to reach your wellness goals and to help you build the confidence in your strengths. The approach I take to counseling is to meet people where they are in their journey to then walk with them down the path of achieving their goals.
(205) 236-0189 View (205) 236-0189
Photo of Paige Wilson, Clinical Social Work/Therapist in Birmingham, AL
Paige Wilson
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Birmingham, AL 35205
Not accepting new clients
I believe all humans have the potential to heal from difficulties they experience. We all exhibit a toughness and can recover from difficult life experiences including anxiety, depression, and trauma. We already have that power within ourselves, we just have to learn how to unlock it. Through therapy, we can unlock this potential.
I believe all humans have the potential to heal from difficulties they experience. We all exhibit a toughness and can recover from difficult life experiences including anxiety, depression, and trauma. We already have that power within ourselves, we just have to learn how to unlock it. Through therapy, we can unlock this potential.
(205) 273-5187 View (205) 273-5187
Photo of Laura Westbrook, Licensed Professional Counselor in Birmingham, AL
Laura Westbrook
Licensed Professional Counselor, MEd, EdS, LPC
Verified Verified
1 Endorsed
Birmingham, AL 35244  (Online Only)
My favorite part about being a counselor is getting to know someone and hear their story. It takes a lot of vulnerability to be able to open up to someone else and I am always grateful that my clients trust me with the most intimate parts of their self. I work with a wide array of clients; from LGBTQ+ community members, survivors of trauma, those struggling with addiction and many other issues that affect an individuals quality of life. The ideal client for me is any individual willing to explore the therapeutic process in order to work towards building the life they desire.
My favorite part about being a counselor is getting to know someone and hear their story. It takes a lot of vulnerability to be able to open up to someone else and I am always grateful that my clients trust me with the most intimate parts of their self. I work with a wide array of clients; from LGBTQ+ community members, survivors of trauma, those struggling with addiction and many other issues that affect an individuals quality of life. The ideal client for me is any individual willing to explore the therapeutic process in order to work towards building the life they desire.
(205) 318-2587 View (205) 318-2587
Photo of Ashlyn Alves, Counselor in Birmingham, AL
Ashlyn Alves
Counselor, MS, ALC
Verified Verified
Birmingham, AL 35244
To me, counseling is not just a way to address a certain feeling or behavior but rather a way to get to know ourselves better so that we may feel more comfortable and confident in the world around us. As a counselor, I believe the most important part of therapy is trusting in the therapeutic relationship so that you are able to uncover ideas about your personality, experiences, and values and how they can help you overcome your concerns and achieve your goals.
To me, counseling is not just a way to address a certain feeling or behavior but rather a way to get to know ourselves better so that we may feel more comfortable and confident in the world around us. As a counselor, I believe the most important part of therapy is trusting in the therapeutic relationship so that you are able to uncover ideas about your personality, experiences, and values and how they can help you overcome your concerns and achieve your goals.
(205) 736-8115 View (205) 736-8115
Photo of Jane Johnson, Clinical Social Work/Therapist in Birmingham, AL
Jane Johnson
Clinical Social Work/Therapist, LICSW, CEDS
Verified Verified
4 Endorsed
Birmingham, AL 35226
Though vulnerability is often uncomfortable, nothing is as painful as feeling disconnected from the life you want to lead. I am a Certified Daring Way (TM) Facilitator and often integrate Brene Brown's work on shame-resiliency, vulnerability, belonging, self-compassion, and courage into therapy sessions. I am also a Certified Eating Disorder Specialist and have significant experience helping individuals and families work toward recovery from an eating disorder (and related issues).
Though vulnerability is often uncomfortable, nothing is as painful as feeling disconnected from the life you want to lead. I am a Certified Daring Way (TM) Facilitator and often integrate Brene Brown's work on shame-resiliency, vulnerability, belonging, self-compassion, and courage into therapy sessions. I am also a Certified Eating Disorder Specialist and have significant experience helping individuals and families work toward recovery from an eating disorder (and related issues).
(205) 201-1556 View (205) 201-1556
Photo of Miranda Marcano, Counselor in Birmingham, AL
Miranda Marcano
Counselor, MEd, ALC, NCC
Verified Verified
Birmingham, AL 35242
I am an associate licensed counselor (ALC) under the supervision of Dr. James Jackson, LPC. I am also pursuing my Registered Play Therapist credential. I earned my M.Ed. in counseling from The University of Montevallo. I enjoy working with clients of all ages. My goal as a counselor is to align myself as a companion to you in whatever circumstance you are needing support. Some of the challenges my clients have struggled with are anxiety, depression, loneliness, and grief.
I am an associate licensed counselor (ALC) under the supervision of Dr. James Jackson, LPC. I am also pursuing my Registered Play Therapist credential. I earned my M.Ed. in counseling from The University of Montevallo. I enjoy working with clients of all ages. My goal as a counselor is to align myself as a companion to you in whatever circumstance you are needing support. Some of the challenges my clients have struggled with are anxiety, depression, loneliness, and grief.
(205) 772-5743 View (205) 772-5743
Photo of Storeyhouse Counseling & Consulting-Tiffany Storey, Licensed Professional Counselor in Birmingham, AL
Storeyhouse Counseling & Consulting-Tiffany Storey
Licensed Professional Counselor, MS, LPC-S, NCC
Verified Verified
Birmingham, AL 35206
Congratulations for taking steps toward a better and more fulfilling future! We're excited to work alongside you and helping you to achieve the goals and aspirations you desire. This experience will focus on helping you to create and follow a personalized blueprint for reaching meaningful change.
Congratulations for taking steps toward a better and more fulfilling future! We're excited to work alongside you and helping you to achieve the goals and aspirations you desire. This experience will focus on helping you to create and follow a personalized blueprint for reaching meaningful change.
(205) 855-6650 View (205) 855-6650
Photo of McKenzie Counseling, Licensed Professional Counselor in Birmingham, AL
McKenzie Counseling
Licensed Professional Counselor, MS, LPC
Verified Verified
Birmingham, AL 35209
I am a Licensed Professional Counselor, based in Birmingham, Al servicing children 5-18 and families in need of therapeutic guidance. As a therapist it is my role to create a safe space for individuals and families to compassionately explore their journeys and assist them in reaching their full potential. I believe gaining insight into ones core self and accepting our past experiences as guided lessons lead us down the path to find the specific aspects of ourselves that makes us so unique. I support the notion that we don't need to be "broken" to need healing, yet we may simply desire the evolution of self. ​
I am a Licensed Professional Counselor, based in Birmingham, Al servicing children 5-18 and families in need of therapeutic guidance. As a therapist it is my role to create a safe space for individuals and families to compassionately explore their journeys and assist them in reaching their full potential. I believe gaining insight into ones core self and accepting our past experiences as guided lessons lead us down the path to find the specific aspects of ourselves that makes us so unique. I support the notion that we don't need to be "broken" to need healing, yet we may simply desire the evolution of self. ​
(205) 964-7854 View (205) 964-7854
Photo of Mary Roberts, Clinical Social Work/Therapist in Birmingham, AL
Mary Roberts
Clinical Social Work/Therapist, LICSW
Verified Verified
Birmingham, AL 35226  (Online Only)
Everyone needs help sometimes; it's one of the many things that connects us as humans. I am a Licensed Independent Clinical Social Worker and Certified Telemental Health Provider providing therapy to adults and adolescents who are seeking support for a wide array of issues, including: anxiety, depression, eating disorders, grief, trauma, and life transitions. My practice is currently 100% online, so clients can attend our sessions from any space that is convenient for them!
Everyone needs help sometimes; it's one of the many things that connects us as humans. I am a Licensed Independent Clinical Social Worker and Certified Telemental Health Provider providing therapy to adults and adolescents who are seeking support for a wide array of issues, including: anxiety, depression, eating disorders, grief, trauma, and life transitions. My practice is currently 100% online, so clients can attend our sessions from any space that is convenient for them!
(205) 270-5740 View (205) 270-5740
Photo of Jalana Johnson, Licensed Professional Counselor in Birmingham, AL
Jalana Johnson
Licensed Professional Counselor, MEd, LPC, JSOCC
Verified Verified
Birmingham, AL 35235
We all have to deal with a concept called LIFE! It is impossible to escape, but you have the ability to maneuver through it in a positive, safe, and healthy manner. It is my passion to equip clients with the tools to overcome circumstances that life has dealt them. I enjoy working with a myriad of age groups and concerns. I specialize in Cognitive Behavioral Therapy. I collaborate with clients to develop achievable/realistic goals that will improve their current life circumstances. I take a relatable approach in therapy creating an environment that invites clients to safely share. I have been practicing counseling for 8 years.
We all have to deal with a concept called LIFE! It is impossible to escape, but you have the ability to maneuver through it in a positive, safe, and healthy manner. It is my passion to equip clients with the tools to overcome circumstances that life has dealt them. I enjoy working with a myriad of age groups and concerns. I specialize in Cognitive Behavioral Therapy. I collaborate with clients to develop achievable/realistic goals that will improve their current life circumstances. I take a relatable approach in therapy creating an environment that invites clients to safely share. I have been practicing counseling for 8 years.
(205) 270-5547 View (205) 270-5547
Photo of Whitney Knox McDaniel, Licensed Professional Counselor in Birmingham, AL
Whitney Knox McDaniel
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Birmingham, AL 35205
Are you a new parent? Have you recently become the caregiver for a young child, maybe as a result of things beyond your control? Are you the parent or caregiver for a toddler, or a child with a developmental delay or disorder, or a child who has experienced trauma or other disruptive or challenging circumstances? Maybe your family is going through life changes and transitions. Or maybe you are experiencing post partum depression or anxiety (this happens to mothers AND fathers!) Maybe you are a teacher or childcare professional trying to support kids and families. You need support and compassion; a place to be real and just breathe
Are you a new parent? Have you recently become the caregiver for a young child, maybe as a result of things beyond your control? Are you the parent or caregiver for a toddler, or a child with a developmental delay or disorder, or a child who has experienced trauma or other disruptive or challenging circumstances? Maybe your family is going through life changes and transitions. Or maybe you are experiencing post partum depression or anxiety (this happens to mothers AND fathers!) Maybe you are a teacher or childcare professional trying to support kids and families. You need support and compassion; a place to be real and just breathe
(205) 614-5849 View (205) 614-5849
Photo of Harper's Heart Counseling, Licensed Professional Counselor in Birmingham, AL
Harper's Heart Counseling
Licensed Professional Counselor, LPC, NCC, CATP, C-DBT
Verified Verified
1 Endorsed
Birmingham, AL 35211  (Online Only)
Do you want to feel heard and appreciated? If so, I specialize in helping others overcome daily life stressors such as depression and anxiety, family conflicts, and or general emotional distress. Allow me to assist with breaking down various psychological barriers.
Do you want to feel heard and appreciated? If so, I specialize in helping others overcome daily life stressors such as depression and anxiety, family conflicts, and or general emotional distress. Allow me to assist with breaking down various psychological barriers.
(205) 270-4091 View (205) 270-4091
Photo of Joí Iman Gresham, Clinical Social Work/Therapist in Birmingham, AL
Joí Iman Gresham
Clinical Social Work/Therapist, LICSW-S
Verified Verified
Birmingham, AL 35209
REVIVE 3•23 is a holistic mental wellness practice addressing women’s issues across her lifespan. We serve women as they experience life transitions, including pregnancy and the postpartum period. We journey with you through life changing transitions, creating realistic solutions to help you cope and conquer stressors related to adjustment to motherhood, work-life balance, and/or identity and more.
REVIVE 3•23 is a holistic mental wellness practice addressing women’s issues across her lifespan. We serve women as they experience life transitions, including pregnancy and the postpartum period. We journey with you through life changing transitions, creating realistic solutions to help you cope and conquer stressors related to adjustment to motherhood, work-life balance, and/or identity and more.
(205) 984-4033 View (205) 984-4033
Photo of Vital Life Family Counseling, Licensed Professional Counselor in Birmingham, AL
Vital Life Family Counseling
Licensed Professional Counselor, LPC, NCC
Verified Verified
Birmingham, AL 35203
When you're going through seasons of difficulty, day to day life stressors or just need somebody to talk to and process with; that search can seem so difficult! You want to unpack with someone who you can trust, someone who won't judge, someone who truly cares about what you're saying and how you feel and someone that's relatable and will talk back when needed and just hear you in other times. We will work together to set goals and get you to what you feel that you need. Welcome to a fresh start! Let's unpack.
When you're going through seasons of difficulty, day to day life stressors or just need somebody to talk to and process with; that search can seem so difficult! You want to unpack with someone who you can trust, someone who won't judge, someone who truly cares about what you're saying and how you feel and someone that's relatable and will talk back when needed and just hear you in other times. We will work together to set goals and get you to what you feel that you need. Welcome to a fresh start! Let's unpack.
(205) 619-0762 View (205) 619-0762
Photo of Deidra Dickey Keener, Licensed Professional Counselor in Birmingham, AL
Deidra Dickey Keener
Licensed Professional Counselor, MA, LPC-S, NCC
Verified Verified
Birmingham, AL 35235
Waitlist for new clients
Life is difficult to navigate even in the best of circumstances. For those dealing with trauma, relationship issues, depression, anxiety or other disorders, it can feel unbearable. My mission is to help others live the life they envisioned before the hurt and to cope with everyday stressors in a healthy way. I've witnessed even the smallest change improve a person's quality of life. I am a passionate clinician excited to offer the tools, support and guidance needed to help you be your best self now. Services are provided in a professional, safe and comfortable environment.
Life is difficult to navigate even in the best of circumstances. For those dealing with trauma, relationship issues, depression, anxiety or other disorders, it can feel unbearable. My mission is to help others live the life they envisioned before the hurt and to cope with everyday stressors in a healthy way. I've witnessed even the smallest change improve a person's quality of life. I am a passionate clinician excited to offer the tools, support and guidance needed to help you be your best self now. Services are provided in a professional, safe and comfortable environment.
(205) 519-3972 View (205) 519-3972
Photo of Fran Sumner Jones, Clinical Social Work/Therapist in Birmingham, AL
Fran Sumner Jones
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Birmingham, AL 35233
Waitlist for new clients
As a Licensed Independent Clinical Social Worker, my goal is to collaborate with clients in an empathetic and non-judgmental space. My approch is to use a combination of clinical training and real world experience to help clients better connect with themselves and with others. I have experience working with depression, anxiety, self esteem, grief, relationship issues, perinatal issues, life transitions, and most extensively with people who have experienced trauma in their lives including childhood trauma, sexual assault, abusive relationships, and marginalized identities. I believe therapy can be a powerful tool to access change.
As a Licensed Independent Clinical Social Worker, my goal is to collaborate with clients in an empathetic and non-judgmental space. My approch is to use a combination of clinical training and real world experience to help clients better connect with themselves and with others. I have experience working with depression, anxiety, self esteem, grief, relationship issues, perinatal issues, life transitions, and most extensively with people who have experienced trauma in their lives including childhood trauma, sexual assault, abusive relationships, and marginalized identities. I believe therapy can be a powerful tool to access change.
(205) 927-3074 View (205) 927-3074
Photo of Adrienne S Cooper, Licensed Professional Counselor in Birmingham, AL
Adrienne S Cooper
Licensed Professional Counselor, LPC-S
Verified Verified
Birmingham, AL 35243
Not accepting new clients
Lotus Counseling Services started with a vision and a passion to help girls develop into strong, confident, fearless, healthy women. The lotus flower grows from deep mud, through murky water, to produce a beautiful blossom; the more adversity the more beautiful a transformation. My role as a counselor is to provide support and guidance along that journey. Everyone is an individual and therefore there is no one approach that works for everyone. I pride myself on being genuine with my clients and utilizing counseling methods that are most effective for her as an individual.
Lotus Counseling Services started with a vision and a passion to help girls develop into strong, confident, fearless, healthy women. The lotus flower grows from deep mud, through murky water, to produce a beautiful blossom; the more adversity the more beautiful a transformation. My role as a counselor is to provide support and guidance along that journey. Everyone is an individual and therefore there is no one approach that works for everyone. I pride myself on being genuine with my clients and utilizing counseling methods that are most effective for her as an individual.
(205) 236-7298 View (205) 236-7298
Photo of Savannah Donahoe, Licensed Professional Counselor in Birmingham, AL
Savannah Donahoe
Licensed Professional Counselor, LPC
Verified Verified
Birmingham, AL 35223
Savannah Donahoe is a Licensed Professional Counselor (LPC) with a background in trauma, crisis response, LGBTQIA+ issues, gender-affirming care, PTSD, depression and anxiety, self-esteem, gender identity-related issues, sexual identity,-related issues, grief, and loss. Savannah is passionate about providing support to folks of all ages through the unique challenges that they face. She values the importance of diversity, self-identity, and multicultural competency. Savannah completed her Master's degree in Counseling at the University of Montevallo. She has experience in trauma and crisis response, as well as gender-affirming care.
Savannah Donahoe is a Licensed Professional Counselor (LPC) with a background in trauma, crisis response, LGBTQIA+ issues, gender-affirming care, PTSD, depression and anxiety, self-esteem, gender identity-related issues, sexual identity,-related issues, grief, and loss. Savannah is passionate about providing support to folks of all ages through the unique challenges that they face. She values the importance of diversity, self-identity, and multicultural competency. Savannah completed her Master's degree in Counseling at the University of Montevallo. She has experience in trauma and crisis response, as well as gender-affirming care.
(205) 839-5404 View (205) 839-5404
Photo of Ashleigh Farren-Jones, Clinical Social Work/Therapist in Birmingham, AL
Ashleigh Farren-Jones
Clinical Social Work/Therapist, MSW, LICSW-S
Verified Verified
1 Endorsed
Birmingham, AL 35244
Are you becoming who you want to be? Are you overwhelmed by anxiety, negative thoughts, or self-doubt? Do you feel your emotions are controlling you? Are you struggling with the unknowns surrounding becoming financially independent, beginning, or ending a relationship, starting a career or making other major life decisions? Are you ready to heal from unhealthy relationships? You may remember a time when negative thoughts, strained relationships, and feeling overwhelmed weren’t the “norm”…but those days seems like a distant memory. Don’t you wish you had the tools to change that?
Are you becoming who you want to be? Are you overwhelmed by anxiety, negative thoughts, or self-doubt? Do you feel your emotions are controlling you? Are you struggling with the unknowns surrounding becoming financially independent, beginning, or ending a relationship, starting a career or making other major life decisions? Are you ready to heal from unhealthy relationships? You may remember a time when negative thoughts, strained relationships, and feeling overwhelmed weren’t the “norm”…but those days seems like a distant memory. Don’t you wish you had the tools to change that?
(205) 635-2697 View (205) 635-2697

How does your Therapist compare?

Number of Therapists in Birmingham, AL

600+

Average cost per session

$137

Therapists in Birmingham, AL who prioritize treating:

91% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
76% Coping Skills
72% Stress
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
51% New Directions | Lucet
44% Cigna and Evernorth

How Therapists in Birmingham, AL see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Birmingham?

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.