Therapists in Walker County, AL

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Judith Graham
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Jasper, AL 35503  (Online Only)
Judith assists and encourage individuals to be open to a new sense of self while building confidence in the management of their challenges. Focus is placed on building interpersonal relationships, boundaries, communication and development of a positive core self-belief system.
Judith assists and encourage individuals to be open to a new sense of self while building confidence in the management of their challenges. Focus is placed on building interpersonal relationships, boundaries, communication and development of a positive core self-belief system.
(205) 784-2603 View (205) 784-2603
Photo of Gina Baxter Helms, MA, LPC, NCC, CCTP-II, Counselor
Gina Baxter Helms
Counselor, MA, LPC, NCC, CCTP-II
Verified Verified
Sumiton, AL 35148  (Online Only)
Asking for help is hard and it can be scary. My goal is to create a safe environment and cultivate a relationship based on trust that will allow my clients the freedom to be who they are without fear of judgment or criticism. This is the environment where healing can begin. I view treatment from the perspective of attachment theory. This refers to the quality of the relationships with others in our lives, including our original caregivers. Many issues that people are currently struggling with are rooted in our early relationships. My goal is to treat not only the current symptoms but also the underlying causes.
Asking for help is hard and it can be scary. My goal is to create a safe environment and cultivate a relationship based on trust that will allow my clients the freedom to be who they are without fear of judgment or criticism. This is the environment where healing can begin. I view treatment from the perspective of attachment theory. This refers to the quality of the relationships with others in our lives, including our original caregivers. Many issues that people are currently struggling with are rooted in our early relationships. My goal is to treat not only the current symptoms but also the underlying causes.
(205) 273-0186 View (205) 273-0186
Photo of Calie Holloway, LICSW, Clinical Social Work/Therapist
Calie Holloway
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Jasper, AL 35504
Life can be hard, but we aren’t meant to go through it alone. It takes a village to raise a child. By seeking help for your child, your child learns to ask for help when they need it. If you’re reading this, you’ve taken the first step in reaching out for help. Learning to navigate through life as a child or teenager is difficult. Parenting can be stressful and overwhelming. I want to help you and your child learn to navigate life together. Your family may be going through a difficult change or your child may be struggling with stress from everyday life. Whatever it may be, we are here to help you.
Life can be hard, but we aren’t meant to go through it alone. It takes a village to raise a child. By seeking help for your child, your child learns to ask for help when they need it. If you’re reading this, you’ve taken the first step in reaching out for help. Learning to navigate through life as a child or teenager is difficult. Parenting can be stressful and overwhelming. I want to help you and your child learn to navigate life together. Your family may be going through a difficult change or your child may be struggling with stress from everyday life. Whatever it may be, we are here to help you.
(205) 797-3192 View (205) 797-3192
Photo of Isaiah Kindrick Martin, ALC, Counselor
Isaiah Kindrick Martin
Counselor, ALC
Verified Verified
Jasper, AL 35501
Isaiah K Martin ALC specializes in providing therapy for clients with depression, anxiety, post traumatic stress, adjustment problems, and grief. He also provides christian and pastoral counseling services.
Isaiah K Martin ALC specializes in providing therapy for clients with depression, anxiety, post traumatic stress, adjustment problems, and grief. He also provides christian and pastoral counseling services.
(205) 654-1415 View (205) 654-1415
Photo of Hartt Counseling - HARTT of Walker County, LPC, Licensed Professional Counselor
HARTT of Walker County
Licensed Professional Counselor, LPC
Verified Verified
Jasper, AL 35501
In today's world, mental health demands and crises are widespread. The number of people with symptoms of mental health conditions such as depression and anxiety is at an all-time high, and you deserve a level of treatment which can help change or usher your life into the right direction. With the right foundation to build upon,  you will  develop more meaningful connections with your family, community, and yourself.  You will have the knowledge and skills  to navigate life's challenges by addressing root causes of stress and difficult emotions, learn and practice new healthier methods of coping, to help you take better care of you.
In today's world, mental health demands and crises are widespread. The number of people with symptoms of mental health conditions such as depression and anxiety is at an all-time high, and you deserve a level of treatment which can help change or usher your life into the right direction. With the right foundation to build upon,  you will  develop more meaningful connections with your family, community, and yourself.  You will have the knowledge and skills  to navigate life's challenges by addressing root causes of stress and difficult emotions, learn and practice new healthier methods of coping, to help you take better care of you.
(205) 843-1737 View (205) 843-1737
Photo of Joann Pickett, LMSW, Clinical Social Work/Therapist
Joann Pickett
Clinical Social Work/Therapist, LMSW
Verified Verified
Jasper, AL 35504
Waitlist for new clients
Has life been feeling extremely difficult? Are you suffering from persistent negative self-talk and needing help to cope? I applaud you for taking steps to reach out for help. I have worked with individuals who struggled with a wide range of issues. I view therapy as a collaborative and interactive process striving for positive changes in troubled areas. I provide a safe, non-judgmental place where you can be heard and work towards the path of your healing and personal growth. My expertise includes sexual abuse, depression, anxiety, self-harm, addiction, psychosis, abandonment and the obstacles children face from foster care.
Has life been feeling extremely difficult? Are you suffering from persistent negative self-talk and needing help to cope? I applaud you for taking steps to reach out for help. I have worked with individuals who struggled with a wide range of issues. I view therapy as a collaborative and interactive process striving for positive changes in troubled areas. I provide a safe, non-judgmental place where you can be heard and work towards the path of your healing and personal growth. My expertise includes sexual abuse, depression, anxiety, self-harm, addiction, psychosis, abandonment and the obstacles children face from foster care.
(205) 927-6243 View (205) 927-6243
Photo of Melissa Sue Sutton, MA, LPC, Counselor
Melissa Sue Sutton
Counselor, MA, LPC
Verified Verified
2 Endorsed
Jasper, AL 35501
Have you ever felt like getting out of bed or taking care of even the most basic of things just feels like too much work? Do you toss and turn all night, your brain constantly bouncing from one terrible thing to the next? Do you feel like you don't have the energy to breathe? If the answer to these questions is yes - then I invite you to contact me. You can find the motivation to do the things you used to enjoy. It is possible to quiet your brain enough so you can get enough rest. I have spent my career helping people to combat issues just like these. Call or email me today and let me help you get back to being who you want to be.
Have you ever felt like getting out of bed or taking care of even the most basic of things just feels like too much work? Do you toss and turn all night, your brain constantly bouncing from one terrible thing to the next? Do you feel like you don't have the energy to breathe? If the answer to these questions is yes - then I invite you to contact me. You can find the motivation to do the things you used to enjoy. It is possible to quiet your brain enough so you can get enough rest. I have spent my career helping people to combat issues just like these. Call or email me today and let me help you get back to being who you want to be.
(205) 206-7538 View (205) 206-7538
Photo of Pamela D Robinson, MS, MPH, LPC, NCC, Counselor
Pamela D Robinson
Counselor, MS, MPH, LPC, NCC
Verified Verified
1 Endorsed
Jasper, AL 35501
Perhaps you've been waiting or even praying for a long time for change, and it looks like it just won't come. The complication and stress of your situation has left you bitter, confused, or frustrated. I am here to encourage you, listen to you, and tell you not to give up or give in to those negative thoughts and feelings. Continue to wait until your change comes, and while you are waiting let me assist you until you begin to feel stronger, wiser, and better. I am looking forward to speaking with you.
Perhaps you've been waiting or even praying for a long time for change, and it looks like it just won't come. The complication and stress of your situation has left you bitter, confused, or frustrated. I am here to encourage you, listen to you, and tell you not to give up or give in to those negative thoughts and feelings. Continue to wait until your change comes, and while you are waiting let me assist you until you begin to feel stronger, wiser, and better. I am looking forward to speaking with you.
(205) 892-5168 View (205) 892-5168
Photo of Romalyn Seriosa Aaron, LPC, NCC, ADC, ICADC, CTAPSB, Counselor
Romalyn Seriosa Aaron
Counselor, LPC, NCC, ADC, ICADC, CTAPSB
Verified Verified
Jasper, AL 35501
I have over ten years of mental health therapy experience working with a wide age range group with mental health defieciencies due to stress, crisis, trauma and trauma stress including natural disasters. I work closely with clients experiencing schizophrenia, bipolar, personality disorders as well as substance abuse, problematic behaviors, and problematic sexual behaviors. I provide services to individuals and families with relationship issues, famliy separations, and grief.
I have over ten years of mental health therapy experience working with a wide age range group with mental health defieciencies due to stress, crisis, trauma and trauma stress including natural disasters. I work closely with clients experiencing schizophrenia, bipolar, personality disorders as well as substance abuse, problematic behaviors, and problematic sexual behaviors. I provide services to individuals and families with relationship issues, famliy separations, and grief.
(205) 273-6848 View (205) 273-6848
Photo of Kyla Holly Vines, MS, LPC, Counselor
Kyla Holly Vines
Counselor, MS, LPC
Verified Verified
1 Endorsed
Jasper, AL 35501
My name is Kyla Holly Vines. I am an Licensed Professional Counselor in Alabama and an Army Veteran. I look forward to seeing you at my Jasper Alabama location. If I can't see you then I guarantee you we will match you with a therapist who you will be pleased with. At my practice we have day time therapist, night and weekend therapists available to you. Don't let not having health insurance get in the way. We offer sessions based on a a sliding scale. Call today for your free consultation!
My name is Kyla Holly Vines. I am an Licensed Professional Counselor in Alabama and an Army Veteran. I look forward to seeing you at my Jasper Alabama location. If I can't see you then I guarantee you we will match you with a therapist who you will be pleased with. At my practice we have day time therapist, night and weekend therapists available to you. Don't let not having health insurance get in the way. We offer sessions based on a a sliding scale. Call today for your free consultation!
(205) 858-9111 View (205) 858-9111
Gaining Perspectives & Solutions, LLC
Clinical Social Work/Therapist
Verified Verified
Jasper, AL 35504
Find Your Path to Wellness with Our Counseling Services! Are you feeling overwhelmed, stressed, or stuck in life's challenges? Take the first step towards healing and personal growth with our expert counseling services at GPS Gaining Perspectives & Solutions, LLC. Our team of licensed therapists is dedicated to providing compassionate and effective support tailored to your unique needs. Our counseling sessions offer a safe and non-judgmental space for you to explore your thoughts, feelings, and goals. No matter your struggle, we are here to help. We offer a wide array of services for children, adults, families, and couples.
Find Your Path to Wellness with Our Counseling Services! Are you feeling overwhelmed, stressed, or stuck in life's challenges? Take the first step towards healing and personal growth with our expert counseling services at GPS Gaining Perspectives & Solutions, LLC. Our team of licensed therapists is dedicated to providing compassionate and effective support tailored to your unique needs. Our counseling sessions offer a safe and non-judgmental space for you to explore your thoughts, feelings, and goals. No matter your struggle, we are here to help. We offer a wide array of services for children, adults, families, and couples.
(659) 200-4296 View (659) 200-4296
Photo of Ashley Garrett - Garrett Counseling, PhD, LPCS, RPTS, Licensed Professional Counselor
Garrett Counseling
Licensed Professional Counselor, PhD, LPCS, RPTS
Verified Verified
Jasper, AL 35501
You are on journey of growth and change. We know this journey can be stressful, and we are here to help you gain control and thrive.
You are on journey of growth and change. We know this journey can be stressful, and we are here to help you gain control and thrive.
(205) 628-8990 x2 View (205) 628-8990 x2
Photo of Stephanie Bales, EdS, LPC, NCC    , Licensed Professional Counselor
Stephanie Bales
Licensed Professional Counselor, EdS, LPC, NCC
Verified Verified
1 Endorsed
Jasper, AL 35504
Is your child having difficulties controlling their behavior? Did a terrible thing happen? Are you struggling to determine what is bothering your child? Behaviors serve a purpose and I want to work with you and your child to find the words to explain those "BIG" feelings so the family can live its best life. Whether your child has experienced a traumatic event or is just struggling with daily transitions, we are here to help your child along the journey to wellness.
Is your child having difficulties controlling their behavior? Did a terrible thing happen? Are you struggling to determine what is bothering your child? Behaviors serve a purpose and I want to work with you and your child to find the words to explain those "BIG" feelings so the family can live its best life. Whether your child has experienced a traumatic event or is just struggling with daily transitions, we are here to help your child along the journey to wellness.
(205) 751-1920 View (205) 751-1920
Photo of Cameron Meredith Bishop, LMSW, MPH, Counselor
Cameron Meredith Bishop
Counselor, LMSW, MPH
Verified Verified
1 Endorsed
Jasper, AL 35504
Life today can be stressful, even for the strongest of us. Do you feel overwhelmed by daily tasks? Do you wonder if it will ever get better? Are you stuck reliving traumas of the past, wondering how to proceed? Do you want to be able to access the inner strength you possess to find new ways to understand, cope, and live a more positive life? If so, then take the first step and reach out for help. You are not meant to fight your battles alone - and that is where I come in.
Life today can be stressful, even for the strongest of us. Do you feel overwhelmed by daily tasks? Do you wonder if it will ever get better? Are you stuck reliving traumas of the past, wondering how to proceed? Do you want to be able to access the inner strength you possess to find new ways to understand, cope, and live a more positive life? If so, then take the first step and reach out for help. You are not meant to fight your battles alone - and that is where I come in.
(205) 740-1338 View (205) 740-1338
Photo of William Olin Higgs Jr., MEd, Licensed Professional Counselor
William Olin Higgs Jr.
Licensed Professional Counselor, MEd
Verified Verified
1 Endorsed
Jasper, AL 35501
I am a Licensed Professional Counselor (Alabama) with over 30 years experience as a counselor, and 28 years as a Licensed Professional Counselor. My practice includes individual therapy for depression, anxiety, grief, addictions, daily coping. I also offer family/couples counseling. My background and perspective are informed primarily by person-centered and cognitive behavioral practice. I believe in valuing each person for who they are, and helping each person identify and challenge the unhealthy and irrational thought and belief patterns that lead to emotional distress.
I am a Licensed Professional Counselor (Alabama) with over 30 years experience as a counselor, and 28 years as a Licensed Professional Counselor. My practice includes individual therapy for depression, anxiety, grief, addictions, daily coping. I also offer family/couples counseling. My background and perspective are informed primarily by person-centered and cognitive behavioral practice. I believe in valuing each person for who they are, and helping each person identify and challenge the unhealthy and irrational thought and belief patterns that lead to emotional distress.
(205) 512-9932 View (205) 512-9932
Photo of Caitlin Powell, MEd, LPC, Licensed Professional Counselor
Caitlin Powell
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Jasper, AL 35504  (Online Only)
I believe that we all have struggles in our day to day life. At times, we could use a little extra help with addressing those struggles. I believe therapy is the perfect place to help others address needs in their life that they feel are out of their control. My passion is to work with people of all ages and from all walks of life. I strive everyday to create a calm, safe environment that allows my clients to explore themselves in a new light. I have a history of working with children as young as 2 years old all the way to adults into their later years.
I believe that we all have struggles in our day to day life. At times, we could use a little extra help with addressing those struggles. I believe therapy is the perfect place to help others address needs in their life that they feel are out of their control. My passion is to work with people of all ages and from all walks of life. I strive everyday to create a calm, safe environment that allows my clients to explore themselves in a new light. I have a history of working with children as young as 2 years old all the way to adults into their later years.
(205) 843-6987 View (205) 843-6987
Photo of Tanya S. Walker - Sacred Serenity Counseling LLC, LPC, NCC, CAC, CTP, EMDR, Licensed Professional Counselor
Sacred Serenity Counseling LLC
Licensed Professional Counselor, LPC, NCC, CAC, CTP, EMDR
Verified Verified
Sumiton, AL 35148
If you are someone who is searching for wholeness from the struggles of life, regardless of your appearance or your personal belief system, Sacred Serenity Counseling LLC welcomes you. Those struggles of life you are facing may include trauma, grief, anxiety, depression, addiction, and other life issues. At Sacred Serenity Counseling LLC you will find a safe space to share your experiences, explore your emotions, and a judgment-free space where you can be your authentic self. All are welcome at Sacred Serenity Counseling LLC.
If you are someone who is searching for wholeness from the struggles of life, regardless of your appearance or your personal belief system, Sacred Serenity Counseling LLC welcomes you. Those struggles of life you are facing may include trauma, grief, anxiety, depression, addiction, and other life issues. At Sacred Serenity Counseling LLC you will find a safe space to share your experiences, explore your emotions, and a judgment-free space where you can be your authentic self. All are welcome at Sacred Serenity Counseling LLC.
(256) 634-6729 View (256) 634-6729
Photo of Misty Smith - Mind, Body & Heart Wellness Clinic, PhD, LPC, CST, Licensed Professional Counselor
Mind, Body & Heart Wellness Clinic
Licensed Professional Counselor, PhD, LPC, CST
Verified Verified
5 Endorsed
Jasper, AL 35501
At Mind, Body & Heart Wellness Clinic our shared goal is to provide an integrative approach to counseling that assists you in finding your optimal mental, emotional, spiritual, and sexual health. MBH Wellness is comprised of multiple licensed therapists who specialize in and are passionate about a wide range of mental health concerns. We addresses the relational, cognitive, emotional, sexual, physical, cultural, and socio-economic factors impacting your wellbeing. When you are paired with a therapist that fits your unique needs, positive change is a logical consequence!
At Mind, Body & Heart Wellness Clinic our shared goal is to provide an integrative approach to counseling that assists you in finding your optimal mental, emotional, spiritual, and sexual health. MBH Wellness is comprised of multiple licensed therapists who specialize in and are passionate about a wide range of mental health concerns. We addresses the relational, cognitive, emotional, sexual, physical, cultural, and socio-economic factors impacting your wellbeing. When you are paired with a therapist that fits your unique needs, positive change is a logical consequence!
(205) 509-1811 View (205) 509-1811
Photo of Errica Williams, MPH, LMSW, Clinical Social Work/Therapist
Errica Williams
Clinical Social Work/Therapist, MPH, LMSW
Verified Verified
Jasper, AL 35504
Summer's ending. Is it a new season for you too? Feeling anxious? Nervous? Overwhelmed? Sad? Stuck? Betrayed? Has there been a new life change, marriage, relationship or other issues? Therapy may help. Here's a little info about me. I work with individuals & couples who seek therapy to process the "hard stuff"- tragedy, trauma, life transitions or change in professional & personal trajectories. I won't give you advice or tell you what to do. However, you will gain healthy coping tools & skills to navigate your journey to wellness. We will collaborate to develop your treatment plan, processing your concerns & goals at your own pace.
Summer's ending. Is it a new season for you too? Feeling anxious? Nervous? Overwhelmed? Sad? Stuck? Betrayed? Has there been a new life change, marriage, relationship or other issues? Therapy may help. Here's a little info about me. I work with individuals & couples who seek therapy to process the "hard stuff"- tragedy, trauma, life transitions or change in professional & personal trajectories. I won't give you advice or tell you what to do. However, you will gain healthy coping tools & skills to navigate your journey to wellness. We will collaborate to develop your treatment plan, processing your concerns & goals at your own pace.
(205) 430-9190 View (205) 430-9190
Photo of Chernell D. Bizzell-Barnett - Magic City Counseling, LLC, LPC, CCTP, CCM, Licensed Professional Counselor
Magic City Counseling, LLC
Licensed Professional Counselor, LPC, CCTP, CCM
Verified Verified
1 Endorsed
Jasper, AL 35501
Life can be very challenging. It's not if, we will be faced with challenges, the question is, when? Are you or someone you love feeling "stuck" and are not sure which direction to take? Allow me to utilize my counseling skills to walk alongside you to help to find personal direction. In addition to counseling, I pride myself on being supportive, encouraging and non-judgmental so that I am able to effectively assist you during your difficult time. Let me join your team, team you, to help you work through the unpredictability of life, and all the challenges life brings.
Life can be very challenging. It's not if, we will be faced with challenges, the question is, when? Are you or someone you love feeling "stuck" and are not sure which direction to take? Allow me to utilize my counseling skills to walk alongside you to help to find personal direction. In addition to counseling, I pride myself on being supportive, encouraging and non-judgmental so that I am able to effectively assist you during your difficult time. Let me join your team, team you, to help you work through the unpredictability of life, and all the challenges life brings.
(205) 236-3208 View (205) 236-3208
1

See more therapy options for Walker County

How does your Therapist compare?

Number of Therapists in Walker County, AL

20+

Average cost per session

$150

Therapists in Walker County, AL who prioritize treating:

86% Depression
86% Anxiety
71% Trauma and PTSD
71% Self Esteem
67% Relationship Issues
67% Coping Skills
62% Parenting

Average years in practice

9 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
68% New Directions | Lucet
63% BHS | Behavioral Health Systems

How Therapists in Walker County, AL see their clients

91% In Person and Online
9% Online Only

Gender breakdown

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

How can I find a therapist in Walker County?

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.