Therapists in O Fallon, MO

Photo of Ariel Swoboda, Pre-Licensed Professional in O Fallon, MO
Ariel Swoboda
Pre-Licensed Professional, MA, PLPC, ATR
Verified Verified
O Fallon, MO 63368  (Online Only)
As an Art Therapist (ATR), I support the mental health needs of my clients through a balance of traditional therapeutic techniques (such as Cognitive Behavioral, Dialectical Behavior, Internal Family Systems, and Person-Centered therapies) and the creative, collaborative, and intuitive approach of Art Therapy. I work with clients from childhood through adulthood. Some people may be surprised to hear that you can do Art Therapy via telehealth, but I've found that being able to engage in therapy from the comfort and safety of your own home can be as healing (if not more) than being in person.
As an Art Therapist (ATR), I support the mental health needs of my clients through a balance of traditional therapeutic techniques (such as Cognitive Behavioral, Dialectical Behavior, Internal Family Systems, and Person-Centered therapies) and the creative, collaborative, and intuitive approach of Art Therapy. I work with clients from childhood through adulthood. Some people may be surprised to hear that you can do Art Therapy via telehealth, but I've found that being able to engage in therapy from the comfort and safety of your own home can be as healing (if not more) than being in person.
(636) 745-4929 View (636) 745-4929
Photo of Nathan E Lundin, Licensed Professional Counselor in O Fallon, MO
Nathan E Lundin
Licensed Professional Counselor, MA, NCC, LPC, CSAT-S, EMDR-II
Verified Verified
2 Endorsed
O Fallon, MO 63366
If you've tried stopping unwanted sexual behaviors but continue despite the costs, then you're not alone - you're among a growing number of people seeking help. This type of therapy utilizes tasks focused on quickly establishing a stable and robust recovery. In the end, you'll be free from the secrecy and shame of living with an addiction.
If you've tried stopping unwanted sexual behaviors but continue despite the costs, then you're not alone - you're among a growing number of people seeking help. This type of therapy utilizes tasks focused on quickly establishing a stable and robust recovery. In the end, you'll be free from the secrecy and shame of living with an addiction.
(636) 329-4293 View (636) 329-4293
Photo of Mia A Mauss, Pre-Licensed Professional in O Fallon, MO
Mia A Mauss
Pre-Licensed Professional, PLPC
Verified Verified
2 Endorsed
O Fallon, MO 63366
Hello! My name is Melanie, but everyone calls me Mia. I know how disorienting life can feel in the aftermath of betrayal, loss and trauma. I also know that therapy can be a powerful tool to help people recover their sense of purpose and safety. As a therapist, I draw from a variety of approaches to help clients learn to treat themselves with compassion, grieve their losses, and move ahead with a restored sense of direction. You can expect me to show up as a sensitive, challenging and collaborative partner on this journey.
Hello! My name is Melanie, but everyone calls me Mia. I know how disorienting life can feel in the aftermath of betrayal, loss and trauma. I also know that therapy can be a powerful tool to help people recover their sense of purpose and safety. As a therapist, I draw from a variety of approaches to help clients learn to treat themselves with compassion, grieve their losses, and move ahead with a restored sense of direction. You can expect me to show up as a sensitive, challenging and collaborative partner on this journey.
(314) 789-7296 View (314) 789-7296
Photo of Rebecca Lazalier, Licensed Professional Counselor in O Fallon, MO
Rebecca Lazalier
Licensed Professional Counselor, MA, LPC, NCC, RPT
Verified Verified
O Fallon, MO 63366
I know that asking for help can be a difficult process especially when it comes to the mental health of your child. We have all had times in our lives when we and/or our kids needed extra support to be healthier. I am a Private Practice Therapist and a Registered Play Therapist (aka: I have a lot of training and experience counseling kids). I enjoy helping kids who struggle with attachment issues and/or have experienced trauma which is why I am trained in the two evidenced based trauma therapy treatments (TFCBT and EMDR) and in Theraplay Level 1 to grow relational attachment. Many of my clients are foster care or adopted kids.
I know that asking for help can be a difficult process especially when it comes to the mental health of your child. We have all had times in our lives when we and/or our kids needed extra support to be healthier. I am a Private Practice Therapist and a Registered Play Therapist (aka: I have a lot of training and experience counseling kids). I enjoy helping kids who struggle with attachment issues and/or have experienced trauma which is why I am trained in the two evidenced based trauma therapy treatments (TFCBT and EMDR) and in Theraplay Level 1 to grow relational attachment. Many of my clients are foster care or adopted kids.
(833) 970-1422 View (833) 970-1422
Photo of Sandhill Counseling & Consultation, Marriage & Family Therapist in O Fallon, MO
Sandhill Counseling & Consultation
Marriage & Family Therapist, LCSW, LPC, LMFT
Verified Verified
O Fallon, MO 63366
We are a diverse group of licensed professionals. We are compassionate, knowledgable and honored to work with individuals, couples, and families. We support our clients to discover their own personal grace and agility, their ability to express themselves with integrity and conviction and most importantly to restore their faith in themselves and in their relationships.
We are a diverse group of licensed professionals. We are compassionate, knowledgable and honored to work with individuals, couples, and families. We support our clients to discover their own personal grace and agility, their ability to express themselves with integrity and conviction and most importantly to restore their faith in themselves and in their relationships.
(636) 336-1364 View (636) 336-1364
Photo of Kevin Jones, Pre-Licensed Professional in O Fallon, MO
Kevin Jones
Pre-Licensed Professional, MAC, PLPC, NCC
Verified Verified
4 Endorsed
O Fallon, MO 63366
In the diverse landscape of therapeutic support, my practice stands out for its commitment to fostering growth and healing across life's spectrum. I am dedicated to helping both individuals and couples as they face a range of challenges, ensuring that each aspect of my work—from navigating relationship dynamics to addressing personal issues like OCD, anxiety, and boundary-setting—is approached with equal focus and expertise. I also love to work with people struggling with Spiritual Abuse and journeys of doubt within their faith.
In the diverse landscape of therapeutic support, my practice stands out for its commitment to fostering growth and healing across life's spectrum. I am dedicated to helping both individuals and couples as they face a range of challenges, ensuring that each aspect of my work—from navigating relationship dynamics to addressing personal issues like OCD, anxiety, and boundary-setting—is approached with equal focus and expertise. I also love to work with people struggling with Spiritual Abuse and journeys of doubt within their faith.
(314) 375-4816 View (314) 375-4816
Photo of Jessica A. Morris, Licensed Professional Counselor in O Fallon, MO
Jessica A. Morris
Licensed Professional Counselor, MA, LPC, NCC, STH
Verified Verified
1 Endorsed
O Fallon, MO 63366
Waitlist for new clients
If you are reading this, then I imagine you are going through a difficult time - past issues are not improving or current issues have become overwhelming. Or perhaps you're looking for some help to change direction in your life, or you would like to understand yourself better.
If you are reading this, then I imagine you are going through a difficult time - past issues are not improving or current issues have become overwhelming. Or perhaps you're looking for some help to change direction in your life, or you would like to understand yourself better.
(636) 337-3237 View (636) 337-3237
Photo of Kathleen Patrick, Licensed Professional Counselor in O Fallon, MO
Kathleen Patrick
Licensed Professional Counselor, MA, LPC
Verified Verified
O Fallon, MO 63368  (Online Only)
Kathleen is a Pediatric Psychotherapist with 23 years experience in the mental health field. She began her career in residential treatment, spent nearly a decade in school-based crisis counseling, and has now been in private practice since 2013. She works with kiddos as young as 5 up through college-age. Although her methodology behind the scenes is very clinical, her in-office style is very approachable, positive, promotes resiliency, and provides very practical coping strategies and tools to help combat the struggles of mental health. She absolutely adores her home within the fabulous team of O’Fallon Pediatrics!
Kathleen is a Pediatric Psychotherapist with 23 years experience in the mental health field. She began her career in residential treatment, spent nearly a decade in school-based crisis counseling, and has now been in private practice since 2013. She works with kiddos as young as 5 up through college-age. Although her methodology behind the scenes is very clinical, her in-office style is very approachable, positive, promotes resiliency, and provides very practical coping strategies and tools to help combat the struggles of mental health. She absolutely adores her home within the fabulous team of O’Fallon Pediatrics!
(636) 344-3333 View (636) 344-3333
Photo of Julia Sandhaus, Licensed Professional Counselor in O Fallon, MO
Julia Sandhaus
Licensed Professional Counselor, LPC
Verified Verified
O Fallon, MO 63366  (Online Only)
I help distant couples, frustrated parents, unhappy kids, those of us experiencing depression or anxiety and just about anyone else who has lost their way. Mood swings can dramatically affect every aspect of our lives from work to relationships. Modern life is so chaotic that these problems often get shoved aside only to resurface later with severe consequences.
I help distant couples, frustrated parents, unhappy kids, those of us experiencing depression or anxiety and just about anyone else who has lost their way. Mood swings can dramatically affect every aspect of our lives from work to relationships. Modern life is so chaotic that these problems often get shoved aside only to resurface later with severe consequences.
(636) 782-4036 View (636) 782-4036
Photo of Leah E Schlag, Licensed Professional Counselor in O Fallon, MO
Leah E Schlag
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
O Fallon, MO 63368
Are you an over-stressed college student? A twenty-something trying to figure out your life path? Dealing with depression and anxiety? Reaching out for help is a brave act. I am here to help. I specialize in working with millennial and gen z specific issues but I welcome all 18 and up on the therapeutic journey with me. I am also passionate about helping people process through past trauma to reclaim their lives. I tailor my approach based upon client needs and utilize EMDR, Brainspotting, Internal Family Systems, Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and more. I accept several insurances.
Are you an over-stressed college student? A twenty-something trying to figure out your life path? Dealing with depression and anxiety? Reaching out for help is a brave act. I am here to help. I specialize in working with millennial and gen z specific issues but I welcome all 18 and up on the therapeutic journey with me. I am also passionate about helping people process through past trauma to reclaim their lives. I tailor my approach based upon client needs and utilize EMDR, Brainspotting, Internal Family Systems, Acceptance and Commitment Therapy (ACT), Dialectical Behavioral Therapy (DBT), and more. I accept several insurances.
(636) 238-5912 View (636) 238-5912
Photo of New Horizons Counseling - Sharon Bass, Licensed Professional Counselor in O Fallon, MO
New Horizons Counseling - Sharon Bass
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
O Fallon, MO 63366
Waitlist for new clients
Life can bring many changes, obstacles and difficulties, and it is my passion to help others navigate these challenges. I enjoy working with people of all ages, and specialize in indivdual, child/adolescent-focused, marital and family therapies. Counseling can be beneficial in addressing the following issues: anxiety; depression; ADHD; developmental and learning disabilities; substance abuse; marriage and pre-marital concerns; difficulties experienced in relationship to divorce, remarriage and blended families; career concerns; financial difficulties; loss and grief; trauma; abuse; and women's issues.
Life can bring many changes, obstacles and difficulties, and it is my passion to help others navigate these challenges. I enjoy working with people of all ages, and specialize in indivdual, child/adolescent-focused, marital and family therapies. Counseling can be beneficial in addressing the following issues: anxiety; depression; ADHD; developmental and learning disabilities; substance abuse; marriage and pre-marital concerns; difficulties experienced in relationship to divorce, remarriage and blended families; career concerns; financial difficulties; loss and grief; trauma; abuse; and women's issues.
(636) 249-1527 View (636) 249-1527
Photo of Gwenda Plummer, Licensed Professional Counselor in O Fallon, MO
Gwenda Plummer
Licensed Professional Counselor, MA, DMin, LPC
Verified Verified
O Fallon, MO 63368
Dr. Gwenda Plummer helps individuals, couples, and families develop healthy relationships, identify and change problem behaviors, overcome challenges, find healing from past pain, and discover tools for an overcoming and enriched life. After the initial intake, each session is designed to achieve the client's goals in a safe and welcoming atmosphere. Change and a fulfilled life are possible! Schedule with Gwenda today to begin your journey toward the healthy life you desire!
Dr. Gwenda Plummer helps individuals, couples, and families develop healthy relationships, identify and change problem behaviors, overcome challenges, find healing from past pain, and discover tools for an overcoming and enriched life. After the initial intake, each session is designed to achieve the client's goals in a safe and welcoming atmosphere. Change and a fulfilled life are possible! Schedule with Gwenda today to begin your journey toward the healthy life you desire!
(417) 651-5743 View (417) 651-5743
Photo of Alexander John Haushalter, Licensed Professional Counselor in O Fallon, MO
Alexander John Haushalter
Licensed Professional Counselor, LPC, MEd, NBCCH
Verified Verified
O Fallon, MO 63366
The ideal client who desire to be equipped and enabled to handle their issues independently. The client has the ability to solve their life's puzzle. My role is to assist the client to anchor the KEY piece(s) and help to develop their own coping skills . I have been helping people all of my life as a teacher, school counselor, and licensed professional counselor and hypnotherapist . Working with individuals, couples and families are areas in which I excel. Many practicing counselors do not blend traditional counseling practices with hypnotherapy. Using both approaches allows the client's mind to be "totally engaged."
The ideal client who desire to be equipped and enabled to handle their issues independently. The client has the ability to solve their life's puzzle. My role is to assist the client to anchor the KEY piece(s) and help to develop their own coping skills . I have been helping people all of my life as a teacher, school counselor, and licensed professional counselor and hypnotherapist . Working with individuals, couples and families are areas in which I excel. Many practicing counselors do not blend traditional counseling practices with hypnotherapy. Using both approaches allows the client's mind to be "totally engaged."
(314) 582-3396 View (314) 582-3396
Photo of Sara Carter-Jameson, Clinical Social Work/Therapist in O Fallon, MO
Sara Carter-Jameson
Clinical Social Work/Therapist, BSW, MSW, LCSW
Verified Verified
O Fallon, MO 63366  (Online Only)
I specialize in working with young and older adults, both in individual and family therapy. I have taken special interest in working with end of life issues, times of transition such as grief and loss, relationship changes, and those who may be experiencing a terminal medical diagnosis. I also specialize in working with those who have been diagnosed with a dual diagnosis, mood, depressive, and anxiety disorders. For several years, I worked in in-patient acute healthcare settings. I have extensive experience working with elderly and their caregivers especially those diagnosed with Dementia.
I specialize in working with young and older adults, both in individual and family therapy. I have taken special interest in working with end of life issues, times of transition such as grief and loss, relationship changes, and those who may be experiencing a terminal medical diagnosis. I also specialize in working with those who have been diagnosed with a dual diagnosis, mood, depressive, and anxiety disorders. For several years, I worked in in-patient acute healthcare settings. I have extensive experience working with elderly and their caregivers especially those diagnosed with Dementia.
(636) 735-7066 View (636) 735-7066
Photo of Leah Tucker - Sandhill Counseling, Marriage & Family Therapist Associate in O Fallon, MO
Leah Tucker - Sandhill Counseling
Marriage & Family Therapist Associate, MA, PLMFT
Verified Verified
1 Endorsed
O Fallon, MO 63366
You’re having problems in your relationships with others. You want to be able to express yourself and communicate effectively, but you’re feeling misunderstood and keep having the same disagreements. You know this cycle needs to break, but you need help. Whether you’re a teenager having problems with your parents and peers, or you’ve been thinking about therapy for you and your partner of decades, I want to help you learn and utilize coping skills, cultivate peace, and build sustainable, long lasting change.
You’re having problems in your relationships with others. You want to be able to express yourself and communicate effectively, but you’re feeling misunderstood and keep having the same disagreements. You know this cycle needs to break, but you need help. Whether you’re a teenager having problems with your parents and peers, or you’ve been thinking about therapy for you and your partner of decades, I want to help you learn and utilize coping skills, cultivate peace, and build sustainable, long lasting change.
(636) 352-2629 View (636) 352-2629
Photo of Jean M Harmon, Licensed Professional Counselor in O Fallon, MO
Jean M Harmon
Licensed Professional Counselor, LPC
Verified Verified
O Fallon, MO 63366
Waitlist for new clients
My goal is to provide a safe, supportive, and encouraging environment that allows you to explore your pain or other symptoms which bring you to therapy. I feel privileged to be able to assist you in your journey through life's transitions. My strengths are helping clients manage stress, anxiety and depression, process issues related to sexual/gender orientation, and recover from grief and loss. My style is informed by Psychodynamic Theory, Client-Centered Therapy, Mindfulness-Based Cognitive Therapy, and Jungian Psychology. In addition, I have recently completed Somatic Experiencing beginning level training.
My goal is to provide a safe, supportive, and encouraging environment that allows you to explore your pain or other symptoms which bring you to therapy. I feel privileged to be able to assist you in your journey through life's transitions. My strengths are helping clients manage stress, anxiety and depression, process issues related to sexual/gender orientation, and recover from grief and loss. My style is informed by Psychodynamic Theory, Client-Centered Therapy, Mindfulness-Based Cognitive Therapy, and Jungian Psychology. In addition, I have recently completed Somatic Experiencing beginning level training.
(314) 200-4719 View (314) 200-4719
Photo of Curtis Denham, Licensed Professional Counselor in O Fallon, MO
Curtis Denham
Licensed Professional Counselor, LPC
Verified Verified
O Fallon, MO 63366  (Online Only)
I am a Licensed Professional Counselor licensed in Missouri. I have been working with clients for 17+ years. I have a varied background including working with those that suffer from substance use disorders, depression, anxiety, bipolar disorder, schizophrenia, life adjustment issues such as disability and retirement. I've also worked with many clients over the years that have suffered trauma related to abuse.
I am a Licensed Professional Counselor licensed in Missouri. I have been working with clients for 17+ years. I have a varied background including working with those that suffer from substance use disorders, depression, anxiety, bipolar disorder, schizophrenia, life adjustment issues such as disability and retirement. I've also worked with many clients over the years that have suffered trauma related to abuse.
(636) 638-0225 View (636) 638-0225
Photo of Clare Bishop, Clinical Social Work/Therapist in O Fallon, MO
Clare Bishop
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
O Fallon, MO 63366
I have experience and enjoy working with children, teens and adults on a variety of issues. I am a part of Side by Side Wellness LLC, which strives to provide individuals at any stage of life the opportunity to achieve their goals through holistic support and services.  Whether you need in depth support to face some of life's toughest challenges, or just need a safe space to share, I am here to help! I believe with the right support and a little hope, everyone has the capacity to heal and move forward in a positive direction in their life.
I have experience and enjoy working with children, teens and adults on a variety of issues. I am a part of Side by Side Wellness LLC, which strives to provide individuals at any stage of life the opportunity to achieve their goals through holistic support and services.  Whether you need in depth support to face some of life's toughest challenges, or just need a safe space to share, I am here to help! I believe with the right support and a little hope, everyone has the capacity to heal and move forward in a positive direction in their life.
(636) 242-5733 View (636) 242-5733
Photo of Kelly M. Wever, Clinical Social Work/Therapist in O Fallon, MO
Kelly M. Wever
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
O Fallon, MO 63366
Waitlist for new clients
Is it hard to make it through the day? Feeling stuck? Anxiety, depression, illness, grief, and loss can impact every aspect of our lives - relationships, finances, goals, employment, our independence, and the list goes on and on. It can feel like everything is out of our control and our quality of life is not where we desire it to be. The undesired changes and losses we endure require new coping skills and new mindsets.
Is it hard to make it through the day? Feeling stuck? Anxiety, depression, illness, grief, and loss can impact every aspect of our lives - relationships, finances, goals, employment, our independence, and the list goes on and on. It can feel like everything is out of our control and our quality of life is not where we desire it to be. The undesired changes and losses we endure require new coping skills and new mindsets.
(636) 948-6618 View (636) 948-6618
Photo of Kevin Tennill Therapy LLC, Licensed Professional Counselor in O Fallon, MO
Kevin Tennill Therapy LLC
Licensed Professional Counselor, MA, LPC, CCATP
Verified Verified
O Fallon, MO 63366
Are you an adult (or young adult) struggling with anxiety, depression, or trauma? Are you managing your stress with alcohol or drugs? Just out of rehab? I can help.
Are you an adult (or young adult) struggling with anxiety, depression, or trauma? Are you managing your stress with alcohol or drugs? Just out of rehab? I can help.
(636) 352-1882 View (636) 352-1882

How does your Therapist compare?

Number of Therapists in O Fallon, MO

100+

Average cost per session

$120

Therapists in O Fallon, MO who prioritize treating:

92% Anxiety
86% Depression
75% Relationship Issues
70% Grief
68% Coping Skills
67% Self Esteem
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

84% UnitedHealthcare UHC | UBH
80% Cigna and Evernorth
76% Aetna

How Therapists in O Fallon, MO see their clients

85% In Person and Online
15% Online Only

Gender breakdown

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

How can I find a therapist in O Fallon?

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.