Therapists in Kirkwood, MO

Photo of David Chism, Licensed Professional Counselor in Kirkwood, MO
David Chism
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122
Not accepting new clients
Are you struggling with feeling numb, cut off from your emotions, isolating yourself from others, stuck in a depression that never seems to go away, struggling to stay present or even to have the energy to get out of bed in the morning? Or how about the opposite, feeling too much, dominated by anxiety and panic, constantly on edge around reminders of your trauma, struggling to keep it together and control your emotions? Or do you find yourself going back and forth between these feeling numb and feeling too much states? If so, I would love to help you work with both your brain and nervous system to help you resolve your trauma.
Are you struggling with feeling numb, cut off from your emotions, isolating yourself from others, stuck in a depression that never seems to go away, struggling to stay present or even to have the energy to get out of bed in the morning? Or how about the opposite, feeling too much, dominated by anxiety and panic, constantly on edge around reminders of your trauma, struggling to keep it together and control your emotions? Or do you find yourself going back and forth between these feeling numb and feeling too much states? If so, I would love to help you work with both your brain and nervous system to help you resolve your trauma.
(314) 907-0729 View (314) 907-0729
Photo of M. Kathleen Blanchard, Licensed Professional Counselor in Kirkwood, MO
M. Kathleen Blanchard
Licensed Professional Counselor, MA, LPC
Verified Verified
9 Endorsed
Kirkwood, MO 63122
I specialize in mental health issues including depression, anxiety, ADHD, PTSD, learning disabilities, physical disabilities (including sudden onset), hearing loss, stress management, divorce and employment-related issues, including career changes and job loss.
I specialize in mental health issues including depression, anxiety, ADHD, PTSD, learning disabilities, physical disabilities (including sudden onset), hearing loss, stress management, divorce and employment-related issues, including career changes and job loss.
(314) 328-0216 View (314) 328-0216
Photo of Christina Lynn Howrey, Counselor in Kirkwood, MO
Christina Lynn Howrey
Counselor, MA, LPC, CRC
Verified Verified
Kirkwood, MO 63122
Accepting New Clients! I work with adults and adolescents to overcome a variety of issues including anxiety, depression, stress, and concerns with social skills. I have over 20 years of experience working with individuals with mental health issues, Autism, ADHD, and learning and intellectual disabilities. I use a person centered, strengths based approach to help you achieve your goals and feel better!
Accepting New Clients! I work with adults and adolescents to overcome a variety of issues including anxiety, depression, stress, and concerns with social skills. I have over 20 years of experience working with individuals with mental health issues, Autism, ADHD, and learning and intellectual disabilities. I use a person centered, strengths based approach to help you achieve your goals and feel better!
(314) 408-6088 View (314) 408-6088
Photo of Paula Heller, Licensed Professional Counselor in Kirkwood, MO
Paula Heller
Licensed Professional Counselor, MA , LPC, RDT
Verified Verified
Kirkwood, MO 63122  (Online Only)
I believe change is possible! I help people just like you improve their relationships and build healthy interpersonal and family interactions by highlighting your strengths and resources, and helping you develop new coping strategies. I help families in crisis due to school issues, relationship issues and economic issues. I work with grief and specializes in issues related to pregnancy loss, infertility, life transitions for women including career issues, relationships, child birth, adoption, empty nesting, divorce and menopause.
I believe change is possible! I help people just like you improve their relationships and build healthy interpersonal and family interactions by highlighting your strengths and resources, and helping you develop new coping strategies. I help families in crisis due to school issues, relationship issues and economic issues. I work with grief and specializes in issues related to pregnancy loss, infertility, life transitions for women including career issues, relationships, child birth, adoption, empty nesting, divorce and menopause.
(314) 347-3580 View (314) 347-3580
Photo of Nancy Albus, Licensed Professional Counselor in Kirkwood, MO
Nancy Albus
Licensed Professional Counselor, LPC , NCC, CEDS-S
Verified Verified
Kirkwood, MO 63122
My general approach with working with clients for over 20 years is highly individualized, relational and strengthen based. I believe most clients simply need an environment to communicate, process feelings and gain insight in order to create a more fulfilling and meaningful life. I offer individual therapy for adolescents, adults and family therapy. My passion has always been treating eating disorders and the underlying causes such as depression and anxiety. Another clinical passion and area of focus has been assisting women and mothers with identity development and navigating life transitions.
My general approach with working with clients for over 20 years is highly individualized, relational and strengthen based. I believe most clients simply need an environment to communicate, process feelings and gain insight in order to create a more fulfilling and meaningful life. I offer individual therapy for adolescents, adults and family therapy. My passion has always been treating eating disorders and the underlying causes such as depression and anxiety. Another clinical passion and area of focus has been assisting women and mothers with identity development and navigating life transitions.
(314) 526-2550 View (314) 526-2550
Photo of Peter Bogart, Licensed Professional Counselor in Kirkwood, MO
Peter Bogart
Licensed Professional Counselor, LPC, NCC, CCMHC, BC-TMH
Verified Verified
3 Endorsed
Kirkwood, MO 63122
Specializing in adolescent, adult, and family therapy, my mission is to help you and your family live your best lives—to close the gap between your "real self" and your "ideal self". To reduce conflict. To overcome negative behavioral patterns. To gain self-awareness, emotional insights, and regulation. To help you live in alignment with your values. Whatever your goals, I'm here to help you reach them—fully, presently, and with 100% commitment to you and this process.
Specializing in adolescent, adult, and family therapy, my mission is to help you and your family live your best lives—to close the gap between your "real self" and your "ideal self". To reduce conflict. To overcome negative behavioral patterns. To gain self-awareness, emotional insights, and regulation. To help you live in alignment with your values. Whatever your goals, I'm here to help you reach them—fully, presently, and with 100% commitment to you and this process.
(314) 926-9063 View (314) 926-9063
Photo of Katherine J F Oko, Pre-Licensed Professional in Kirkwood, MO
Katherine J F Oko
Pre-Licensed Professional, PLPC, LPC(IL)
Verified Verified
Kirkwood, MO 63122
Hello and welcome! The decision to find support through a mental health professional is not always easy. By being here, it shows you possess the courage necessary to look inward and heal. As a clinician, I have the privilege to walk alongside clients during trying times.  I have a compassionate and direct approach. My commitment is to understand your needs and meet you where you are on your journey to wellness.  I am a trauma-informed therapist who helps clients who are struggling with eating disorders, anxiety, depression, substance use, and trauma/PTSD.
Hello and welcome! The decision to find support through a mental health professional is not always easy. By being here, it shows you possess the courage necessary to look inward and heal. As a clinician, I have the privilege to walk alongside clients during trying times.  I have a compassionate and direct approach. My commitment is to understand your needs and meet you where you are on your journey to wellness.  I am a trauma-informed therapist who helps clients who are struggling with eating disorders, anxiety, depression, substance use, and trauma/PTSD.
(314) 526-3152 View (314) 526-3152
Photo of Jeff Creamer, Pre-Licensed Professional in Kirkwood, MO
Jeff Creamer
Pre-Licensed Professional, MA, PLPC, NCC
Verified Verified
Kirkwood, MO 63122  (Online Only)
As a counselor my primary focus is on you, the client. I understand that seeking therapy can be a courageous step towards personal growth and healing. My goal is to provide a safe and empathetic space where you can explore your thoughts, emotions, and challenges without judgment. With a background in both inpatient and outpatient counseling settings, I have gained valuable experience in helping individuals facing a wide range of mental health issues. I am passionate about tailoring my approach to meet your unique needs and goals.
As a counselor my primary focus is on you, the client. I understand that seeking therapy can be a courageous step towards personal growth and healing. My goal is to provide a safe and empathetic space where you can explore your thoughts, emotions, and challenges without judgment. With a background in both inpatient and outpatient counseling settings, I have gained valuable experience in helping individuals facing a wide range of mental health issues. I am passionate about tailoring my approach to meet your unique needs and goals.
(314) 300-7930 View (314) 300-7930
Photo of Amy Camp Ryan, Licensed Professional Counselor in Kirkwood, MO
Amy Camp Ryan
Licensed Professional Counselor, MA, LPC
Verified Verified
12 Endorsed
Kirkwood, MO 63122
For as long as you can remember, you’ve been singularly focused on your goals. Yet, no matter how much you achieve, it’s never enough. You always want more success and recognition. And, until now, you’ve been able to get it without much thought. But recently, you’ve been noticing how much you’ve been ignoring. Without even realizing it, you’ve sacrificed every other aspect of your life in favor of success. Friends have stopped calling because they know how busy you always are. Self-care has gone out the window – you eat poorly, don’t sleep, and never exercise. You are overcome with guilt and worry.
For as long as you can remember, you’ve been singularly focused on your goals. Yet, no matter how much you achieve, it’s never enough. You always want more success and recognition. And, until now, you’ve been able to get it without much thought. But recently, you’ve been noticing how much you’ve been ignoring. Without even realizing it, you’ve sacrificed every other aspect of your life in favor of success. Friends have stopped calling because they know how busy you always are. Self-care has gone out the window – you eat poorly, don’t sleep, and never exercise. You are overcome with guilt and worry.
(314) 912-1714 View (314) 912-1714
Photo of Beth Brawley, Licensed Professional Counselor in Kirkwood, MO
Beth Brawley
Licensed Professional Counselor, MA, LPC
Verified Verified
6 Endorsed
Kirkwood, MO 63122
Waitlist for new clients
If you've learned anything about your anxiety, it's that it is absolutely, unrelentingly ruthless. You wonder why you can't just go about your day and not think so much. Your worries seem to pop up out of nowhere, but no matter what you do, nothing helps. They just keep coming back, over and over, even stronger and more persistent. You're worried that it's totally out of control at this point, because you're so sick of worrying, and yet it also feels like you HAVE to worry. It’s exhausting. You're exhausted.
If you've learned anything about your anxiety, it's that it is absolutely, unrelentingly ruthless. You wonder why you can't just go about your day and not think so much. Your worries seem to pop up out of nowhere, but no matter what you do, nothing helps. They just keep coming back, over and over, even stronger and more persistent. You're worried that it's totally out of control at this point, because you're so sick of worrying, and yet it also feels like you HAVE to worry. It’s exhausting. You're exhausted.
(314) 736-3272 View (314) 736-3272
Photo of Rebecca Ehrke, Psychologist in Kirkwood, MO
Rebecca Ehrke
Psychologist, PsyD, SEP
Verified Verified
2 Endorsed
Kirkwood, MO 63122
My name is Rebecca Ehrke and I am a Licensed Clinical Psychologist, Somatic Experiencing Practitioner, Certified EMDR therapist and practice owner of Lifestream Integrative Healing Center. I chose the name, "Lifestream", from the concept of the "stream of life" that Peter Levine refers to in Somatic Experiencing. When someone experiences a traumatic event, it can disrupt the flow of their life path. Lifestream Integrative Healing Center offers holistic trauma treatment that helps individuals heal and return to the lives they were innately meant to have.
My name is Rebecca Ehrke and I am a Licensed Clinical Psychologist, Somatic Experiencing Practitioner, Certified EMDR therapist and practice owner of Lifestream Integrative Healing Center. I chose the name, "Lifestream", from the concept of the "stream of life" that Peter Levine refers to in Somatic Experiencing. When someone experiences a traumatic event, it can disrupt the flow of their life path. Lifestream Integrative Healing Center offers holistic trauma treatment that helps individuals heal and return to the lives they were innately meant to have.
(314) 804-1441 View (314) 804-1441
Photo of Melissa Koch, Licensed Professional Counselor in Kirkwood, MO
Melissa Koch
Licensed Professional Counselor, MA, LPC, SEP
Verified Verified
10 Endorsed
Kirkwood, MO 63122
Do you struggle with knowing what you want out of life? Do you have a hard time in and out of relationships? I help people to form a meaningful relationship with themself and others. My specialties include women’s concerns, relational and attachment concerns, and disordered eating. Feeling lost in life, the on the edge feeling of anxiety, the weighted down feelings of depression, and preoccupation with weight and food do not need to define you and be a part of your daily life. I have seen clients begin the journey of healing and achieve the healthy and happy life they want.
Do you struggle with knowing what you want out of life? Do you have a hard time in and out of relationships? I help people to form a meaningful relationship with themself and others. My specialties include women’s concerns, relational and attachment concerns, and disordered eating. Feeling lost in life, the on the edge feeling of anxiety, the weighted down feelings of depression, and preoccupation with weight and food do not need to define you and be a part of your daily life. I have seen clients begin the journey of healing and achieve the healthy and happy life they want.
(314) 300-0313 View (314) 300-0313
Photo of Heiser Counseling and Healing Arts, Licensed Professional Counselor in Kirkwood, MO
Heiser Counseling and Healing Arts
Licensed Professional Counselor, ATR, LPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122
I enjoy helping people become self-aware, accepting, heal and improve their quality of life and relationships. I use a variety of approaches, including client centered, strengthbased, focused on goals set with client. I enjoy helping people grow, and become self and spiritually aware. I work with children, (6 -19), and adults dealing with PTSD, trauma, anxiety, attachments issues, relationships, addictions, and mortality. I enjoy working with individuals, partners, couples and families. I believe in the power of focused healing, increased awareness, acceptence, hope and love.
I enjoy helping people become self-aware, accepting, heal and improve their quality of life and relationships. I use a variety of approaches, including client centered, strengthbased, focused on goals set with client. I enjoy helping people grow, and become self and spiritually aware. I work with children, (6 -19), and adults dealing with PTSD, trauma, anxiety, attachments issues, relationships, addictions, and mortality. I enjoy working with individuals, partners, couples and families. I believe in the power of focused healing, increased awareness, acceptence, hope and love.
(618) 712-0291 View (618) 712-0291
Photo of Joan Sievert, Clinical Social Work/Therapist in Kirkwood, MO
Joan Sievert
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Kirkwood, MO 63122
*Accepting New Clients* Often life events and personal stress can lead us to a point of pain, feeling that we have no control over the course of our lives or meaningful ways to cope. I would love to assist you with identifying personal strengths that will increase your ability to negotiate difficult emotions, stressors and life events. I will encourage you to grow, develop resilience and explore new ways of experiencing the world with a curious, thoughtful mindset. This curiosity leads to an increasing awareness of yourself, your needs and solutions for challenging issues.
*Accepting New Clients* Often life events and personal stress can lead us to a point of pain, feeling that we have no control over the course of our lives or meaningful ways to cope. I would love to assist you with identifying personal strengths that will increase your ability to negotiate difficult emotions, stressors and life events. I will encourage you to grow, develop resilience and explore new ways of experiencing the world with a curious, thoughtful mindset. This curiosity leads to an increasing awareness of yourself, your needs and solutions for challenging issues.
(314) 370-1763 View (314) 370-1763
Photo of Liz Davis Goldman, Psychologist in Kirkwood, MO
Liz Davis Goldman
Psychologist, PhD
Verified Verified
Kirkwood, MO 63122  (Online Only)
Waitlist for new clients
I am glad to provide care to clients with a variety of presenting issues. I particularly value providing affirmative care to members of diverse communities, including the LGBTQIA+ community and people of color. My hope as a therapist is to help clients connect with their love and respect for themselves, as well as find new strategies for coping.
I am glad to provide care to clients with a variety of presenting issues. I particularly value providing affirmative care to members of diverse communities, including the LGBTQIA+ community and people of color. My hope as a therapist is to help clients connect with their love and respect for themselves, as well as find new strategies for coping.
(314) 671-0541 View (314) 671-0541
Photo of Chelsea Albus Rice, Clinical Social Work/Therapist in Kirkwood, MO
Chelsea Albus Rice
Clinical Social Work/Therapist, LCSW
Verified Verified
Kirkwood, MO 63122
I work with individuals who are navigating grief and loss, eating disorders, anxiety, depression, life transitions and identity development. In therapy, I balance addressing symptoms and looking beyond the surface to address the underlying emotions driving behavioral and interpersonal patterns. By learning new adaptive coping strategies and gaining insight into the early development of current emotional wounds or maladaptive behaviors, clients can feel empowered to create positive change.
I work with individuals who are navigating grief and loss, eating disorders, anxiety, depression, life transitions and identity development. In therapy, I balance addressing symptoms and looking beyond the surface to address the underlying emotions driving behavioral and interpersonal patterns. By learning new adaptive coping strategies and gaining insight into the early development of current emotional wounds or maladaptive behaviors, clients can feel empowered to create positive change.
(833) 325-0157 View (833) 325-0157
Photo of Alyssa Edwards, Counselor in Kirkwood, MO
Alyssa Edwards
Counselor, MA, LPC
Verified Verified
3 Endorsed
Kirkwood, MO 63122
As a counselor, my goal is to provide my clients the space and support which help them feel safe and comfortable to feel, think, change, grow and explore. I utilize a warm, empathetic, motivational and encouraging style of communication with my clients in order to help them seek changes and growth they desire for they lives. I utilize many theories and techniques from multiple types of therapy in order to find the best fit for each individual client. I also utilize humor (when appropriate) when you need someone to share joy with. Please see below for my specializations.
As a counselor, my goal is to provide my clients the space and support which help them feel safe and comfortable to feel, think, change, grow and explore. I utilize a warm, empathetic, motivational and encouraging style of communication with my clients in order to help them seek changes and growth they desire for they lives. I utilize many theories and techniques from multiple types of therapy in order to find the best fit for each individual client. I also utilize humor (when appropriate) when you need someone to share joy with. Please see below for my specializations.
(314) 582-0449 View (314) 582-0449
Photo of Sarah Perry, Clinical Social Work/Therapist in Kirkwood, MO
Sarah Perry
Clinical Social Work/Therapist, MSW, LCSW, SEP, BCN
Verified Verified
2 Endorsed
Kirkwood, MO 63122
Not accepting new clients
Hi! I'm Sarah, a therapist serving clients with attachment and developmental struggles, eating disorders/disordered eating, trauma/PTSD, personality disorders, and mood disorders. I believe (and research shows) that a strong, safe therapeutic relationship is the most important factor in healing. My goal is for you to feel heard, seen, and understood as I walk alongside you in your healing process. No matter your story or lived experience, we will work together to create a safe and supportive space to help you feel empowered and to help you connect authentically with yourself and with others.
Hi! I'm Sarah, a therapist serving clients with attachment and developmental struggles, eating disorders/disordered eating, trauma/PTSD, personality disorders, and mood disorders. I believe (and research shows) that a strong, safe therapeutic relationship is the most important factor in healing. My goal is for you to feel heard, seen, and understood as I walk alongside you in your healing process. No matter your story or lived experience, we will work together to create a safe and supportive space to help you feel empowered and to help you connect authentically with yourself and with others.
(314) 527-2325 View (314) 527-2325
Photo of Paul Joseph Dohearty, Pre-Licensed Professional in Kirkwood, MO
Paul Joseph Dohearty
Pre-Licensed Professional, PLPC, MA
Verified Verified
1 Endorsed
Kirkwood, MO 63122
Throughout my career, I've worked with many people in difficult or painful situations. Many clients have dealt with issues like grief, anxiety, stress, relationship issues, job problems, life decisions, suicidal thoughts, and recovering from trauma. I have experience with folks who are curious or working through their gender identity, sexual orientation, fetishes, kinks, swinging, alternative sexuality, polyamory, ethical non monogamy, and lifestyle situations. I've also helped clients with out of control sexual behavior issues. I have worked with individual clients, couples clients, and polycules.
Throughout my career, I've worked with many people in difficult or painful situations. Many clients have dealt with issues like grief, anxiety, stress, relationship issues, job problems, life decisions, suicidal thoughts, and recovering from trauma. I have experience with folks who are curious or working through their gender identity, sexual orientation, fetishes, kinks, swinging, alternative sexuality, polyamory, ethical non monogamy, and lifestyle situations. I've also helped clients with out of control sexual behavior issues. I have worked with individual clients, couples clients, and polycules.
(314) 936-2791 View (314) 936-2791
Photo of Heather Hewitt, Clinical Social Work/Therapist in Kirkwood, MO
Heather Hewitt
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kirkwood, MO 63122
Welcome! My definition of therapy is simple: it is the decision to live consciously and with intention. By choosing therapy you are choosing to LEVEL-UP your life!
Welcome! My definition of therapy is simple: it is the decision to live consciously and with intention. By choosing therapy you are choosing to LEVEL-UP your life!
(314) 936-4076 View (314) 936-4076

How does your Therapist compare?

Number of Therapists in Kirkwood, MO

200+

Average cost per session

$130

Therapists in Kirkwood, MO who prioritize treating:

95% Anxiety
90% Depression
80% Relationship Issues
80% Self Esteem
69% Stress
68% Coping Skills
67% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

75% UnitedHealthcare UHC | UBH
64% Aetna
62% Cigna and Evernorth

How Therapists in Kirkwood, MO see their clients

88% In Person and Online
12% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Kirkwood?

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.