Therapists in Cortez, CO

Photo of Russ Patten Of Mind-Body Connections Counseling, MA, CMHC, LPC, EMDR, Licensed Professional Counselor
Russ Patten Of Mind-Body Connections Counseling
Licensed Professional Counselor, MA, CMHC, LPC, EMDR
Verified Verified
Cortez, CO 81321
I work with adults and couples. I specialize in EMDR therapy, trauma recovery and mood disorders. I have significant experience working with grief and loss. I work with a variety of modalities that include CBT and mindfulness, as well as somatic and psychodynamic principles. Solution Focused counseling and Motivational Interviewing can also be helpful to client seeking more short term, immediate solutions. I am a person-centered therapist with a strength in acknowledging, supporting and respecting the unique view points and perspectives of each individual client.
I work with adults and couples. I specialize in EMDR therapy, trauma recovery and mood disorders. I have significant experience working with grief and loss. I work with a variety of modalities that include CBT and mindfulness, as well as somatic and psychodynamic principles. Solution Focused counseling and Motivational Interviewing can also be helpful to client seeking more short term, immediate solutions. I am a person-centered therapist with a strength in acknowledging, supporting and respecting the unique view points and perspectives of each individual client.
(970) 516-7070 View (970) 516-7070
Photo of Danielle DiPiro, LPCC, Pre-Licensed Professional
Danielle DiPiro
Pre-Licensed Professional, LPCC
Verified Verified
1 Endorsed
Cortez, CO 81321
Thank you for reaching out. I'm Danielle, and I'm sincerely delighted that you've taken this step towards seeking support. My objective is to cultivate a nurturing environment where you can openly explore and navigate life's challenges. I aim to understand you as the unique individual you are, fostering a collaborative journey towards relief and empowerment. This space is dedicated to your comfort and security, where you're encouraged to express yourself authentically. Whether you're grappling with anxiety, depression, low self-esteem, grief, substance use, life transitions, relationship dynamics, or mood swings, I'm here to assist.
Thank you for reaching out. I'm Danielle, and I'm sincerely delighted that you've taken this step towards seeking support. My objective is to cultivate a nurturing environment where you can openly explore and navigate life's challenges. I aim to understand you as the unique individual you are, fostering a collaborative journey towards relief and empowerment. This space is dedicated to your comfort and security, where you're encouraged to express yourself authentically. Whether you're grappling with anxiety, depression, low self-esteem, grief, substance use, life transitions, relationship dynamics, or mood swings, I'm here to assist.
(970) 403-5486 View (970) 403-5486
Photo of Sarah Sticha, MA, LPC, NCC, LPC-S, Licensed Professional Counselor
Sarah Sticha
Licensed Professional Counselor, MA, LPC, NCC, LPC-S
Verified Verified
Cortez, CO 81321  (Online Only)
My ideal clients are adults experiencing burnout in helping professions, or who are at a transitional time in life. You know there is more out there, but you are stuck in a routine of your own making that doesn’t match what you know is possible. My clients are most often highly intelligent, self aware, and marginalized people who have a history of trauma and have struggled with perfectionism and over-achieving their entire lives. You may people please, feel overly empathetic and drained by others’ problems and emotions, or wonder why others don’t notice the larger, systemic issues at work or in society that seem so obvious to you.
My ideal clients are adults experiencing burnout in helping professions, or who are at a transitional time in life. You know there is more out there, but you are stuck in a routine of your own making that doesn’t match what you know is possible. My clients are most often highly intelligent, self aware, and marginalized people who have a history of trauma and have struggled with perfectionism and over-achieving their entire lives. You may people please, feel overly empathetic and drained by others’ problems and emotions, or wonder why others don’t notice the larger, systemic issues at work or in society that seem so obvious to you.
(970) 233-4817 View (970) 233-4817
Photo of Monte Yukio Pescador, LPCC, ACMHC, Counselor
Monte Yukio Pescador
Counselor, LPCC, ACMHC
Verified Verified
Cortez, CO 81321
I have never liked the thought of the "ideal client" because I always like a challenge and, even more than that, a good story. I like listening to people's stories and helping them to look at them from different angles to get a more total, meaningful, and healthy view of themselves and their experiences. In that sense, I guess my ideal client is one ready to do such a deep exploration of themselves and their experiences with the goal of giving even the worst circumstances meaning and gaining the best of their lives.
I have never liked the thought of the "ideal client" because I always like a challenge and, even more than that, a good story. I like listening to people's stories and helping them to look at them from different angles to get a more total, meaningful, and healthy view of themselves and their experiences. In that sense, I guess my ideal client is one ready to do such a deep exploration of themselves and their experiences with the goal of giving even the worst circumstances meaning and gaining the best of their lives.
(970) 585-8268 View (970) 585-8268
Photo of Kris Abrams, LPC, MS, MA, Licensed Professional Counselor
Kris Abrams
Licensed Professional Counselor, LPC, MS, MA
Verified Verified
Cortez, CO 81321
Each one of us is capable of living a life of authenticity, connection, meaning, and joy. Yet so much can get in the way. Early on, we're taught to believe that something is wrong with us - we're the wrong size, the wrong gender/sexuality/race, have the wrong talents/goals. We're taught to strive for a limited vision of success. On top of these cultural pressures, many of us experience trauma such as emotional/physical abuse. Is it any wonder that so many people suffer from unhappiness, depression, anxiety, self-criticism, and disempowerment?
Each one of us is capable of living a life of authenticity, connection, meaning, and joy. Yet so much can get in the way. Early on, we're taught to believe that something is wrong with us - we're the wrong size, the wrong gender/sexuality/race, have the wrong talents/goals. We're taught to strive for a limited vision of success. On top of these cultural pressures, many of us experience trauma such as emotional/physical abuse. Is it any wonder that so many people suffer from unhappiness, depression, anxiety, self-criticism, and disempowerment?
(720) 580-6382 View (720) 580-6382
Photo of J Lewis, MSW, LCSW, Clinical Social Work/Therapist
J J Lewis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cortez, CO 81321  (Online Only)
I work with adults and couples, specializing in Major Depression, Bipolar Disorder, Thought Disorders, Anxiety, Trauma, and PTSD. I practice online and provide a free introductory session. I've been a fully licensed therapist for more than 20 years and am excited to help.
I work with adults and couples, specializing in Major Depression, Bipolar Disorder, Thought Disorders, Anxiety, Trauma, and PTSD. I practice online and provide a free introductory session. I've been a fully licensed therapist for more than 20 years and am excited to help.
(970) 239-8496 View (970) 239-8496
Photo of Renee A Podunovich - Renee Podunovich Mind-Body Connections Counseling, LPC, CMHC, EMDR, Licensed Professional Counselor
Renee Podunovich Mind-Body Connections Counseling
Licensed Professional Counselor, LPC, CMHC, EMDR
Verified Verified
Cortez, CO 81321
I am licensed in CO and UT. I work with women and specialize in trauma recovery, EMDR therapy, somatic modalities and creative processes that help build a capacity to meet challenges as an opportunity for growth. I offer caring, compassionate support and focused guidance to help people trust their own inner wisdom and self-healing abilities and make lasting changes in their lives.
I am licensed in CO and UT. I work with women and specialize in trauma recovery, EMDR therapy, somatic modalities and creative processes that help build a capacity to meet challenges as an opportunity for growth. I offer caring, compassionate support and focused guidance to help people trust their own inner wisdom and self-healing abilities and make lasting changes in their lives.
(385) 232-3671 View (385) 232-3671
Photo of Mark Dickmann, MSW, LCSW, LLC, Clinical Social Work/Therapist
Mark Dickmann
Clinical Social Work/Therapist, MSW, LCSW, LLC
Verified Verified
1 Endorsed
Cortez, CO 81321
Thank you for your interest in how I work. I derive a lot of meaning and personal satisfaction from helping people live with greater peace, joy, and fulfillment. I work with adults of all ages, including couples. I assist people in clearing away unnecessary negative layers that get in the way of living a more fulfilling and enjoyable life. A lot of my clients struggle with everyday problems that affect many of us, but I specifically treat depression, anxiety, grief, and trauma, using Cognitive-Behavioral Therapy, EMDR, and a variety of approaches to talk therapy.
Thank you for your interest in how I work. I derive a lot of meaning and personal satisfaction from helping people live with greater peace, joy, and fulfillment. I work with adults of all ages, including couples. I assist people in clearing away unnecessary negative layers that get in the way of living a more fulfilling and enjoyable life. A lot of my clients struggle with everyday problems that affect many of us, but I specifically treat depression, anxiety, grief, and trauma, using Cognitive-Behavioral Therapy, EMDR, and a variety of approaches to talk therapy.
(970) 737-4209 View (970) 737-4209
Photo of David Cole Awdish, MA, LPC, Licensed Professional Counselor
David Cole Awdish
Licensed Professional Counselor, MA, LPC
Verified Verified
Cortez, CO 81321
You've heard of PTSD. You think you might have it. You don't know what to do about it. Your sleep is an issue because you have nightmares. Even when you don't have nightmares, you don't feel rested in the morning. You avoid pieces and parts of your life because you fear being triggered by past trauma. When the stress increases in your life, you notice higher anxiety and scarier thoughts. You want to let go of the abuse and trauma of the past. Maybe you've heard about EMDR, but you don't know where to start. When you're ready to deal with trauma, you want to start as soon as possible.
You've heard of PTSD. You think you might have it. You don't know what to do about it. Your sleep is an issue because you have nightmares. Even when you don't have nightmares, you don't feel rested in the morning. You avoid pieces and parts of your life because you fear being triggered by past trauma. When the stress increases in your life, you notice higher anxiety and scarier thoughts. You want to let go of the abuse and trauma of the past. Maybe you've heard about EMDR, but you don't know where to start. When you're ready to deal with trauma, you want to start as soon as possible.
(970) 426-0283 View (970) 426-0283
Photo of Shelley L Nielsen, LCSW, RYT200, Clinical Social Work/Therapist
Shelley L Nielsen
Clinical Social Work/Therapist, LCSW, RYT200
Verified Verified
Cortez, CO 81321
I believe we have everything we need to heal inside each one of us. I believe we all have the inherent strength and ability to thrive and will do so if given the right venue and treatment. The times when stress and traumas overwhelm us, we can forget our strengths, skills, and insight. We all deserve to have support to cultivate a safe and trusting space to reconnect with that innate inner wisdom. I seek to support individuals who have become overwhelmed in life and want to learn how to get unstuck, heal past pain, and embody their purpose to live an authentic, thriving life.
I believe we have everything we need to heal inside each one of us. I believe we all have the inherent strength and ability to thrive and will do so if given the right venue and treatment. The times when stress and traumas overwhelm us, we can forget our strengths, skills, and insight. We all deserve to have support to cultivate a safe and trusting space to reconnect with that innate inner wisdom. I seek to support individuals who have become overwhelmed in life and want to learn how to get unstuck, heal past pain, and embody their purpose to live an authentic, thriving life.
(970) 718-9515 View (970) 718-9515
Photo of Nicola Dehlinger, ND
Nicola Dehlinger
ND
Verified Verified
Cortez, CO 81321
As a registered Naturopathic Doctor, I am interested in treating the whole person and discovering the underlying cause of imbalance or dis-ease. I address not only mental-emotional wellness, but the physical body as well. I provide safe, effective alternatives to medications for people who do not want to be on them or when they no longer work. If you have been through the medical model and are tired of not feeling heard or being offered treatments that don't work, there is a solution. I will customize a treatment plan to meet all of your individualized needs.
As a registered Naturopathic Doctor, I am interested in treating the whole person and discovering the underlying cause of imbalance or dis-ease. I address not only mental-emotional wellness, but the physical body as well. I provide safe, effective alternatives to medications for people who do not want to be on them or when they no longer work. If you have been through the medical model and are tired of not feeling heard or being offered treatments that don't work, there is a solution. I will customize a treatment plan to meet all of your individualized needs.
(970) 704-8495 View (970) 704-8495
Photo of Rowan Blaisdell, LCSW, Clinical Social Work/Therapist
Rowan Blaisdell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cortez, CO 81321
Most of my clients were either not sure about therapy, or they had already had a bad experience with therapy in the past. I pride myself on giving a different kind of experience. I’m real, I show up fully, (I tend to swear a lot unless you tell me not to) I will never talk down to you or presume what is best for you. You’re in charge. My job is to listen, give feedback, and help you towards the goals that you set. Making that first call can be nerve-wracking, but that's generally the hardest part. (you can text me, if that's easier 970-903-3893) You can learn more about me at www.durangopsychotherapy.com
Most of my clients were either not sure about therapy, or they had already had a bad experience with therapy in the past. I pride myself on giving a different kind of experience. I’m real, I show up fully, (I tend to swear a lot unless you tell me not to) I will never talk down to you or presume what is best for you. You’re in charge. My job is to listen, give feedback, and help you towards the goals that you set. Making that first call can be nerve-wracking, but that's generally the hardest part. (you can text me, if that's easier 970-903-3893) You can learn more about me at www.durangopsychotherapy.com
(970) 644-6404 View (970) 644-6404
Photo of Campbell Ferraro, LAC, SWC, Drug & Alcohol Counselor
Campbell Ferraro
Drug & Alcohol Counselor, LAC, SWC
Verified Verified
2 Endorsed
Cortez, CO 81321
Not accepting new clients
You may be here because you're looking to take the next step forward on your journey of healing or change. I work with adults of all ages with substance use, mental health, and relationship/interpersonal challenges. We can meet in person in Mancos and over tele-health throughout the western slope.
You may be here because you're looking to take the next step forward on your journey of healing or change. I work with adults of all ages with substance use, mental health, and relationship/interpersonal challenges. We can meet in person in Mancos and over tele-health throughout the western slope.
(970) 432-4716 View (970) 432-4716
Photo of Robert T. DeMoss, PsyD, Psychologist
Robert T. DeMoss
Psychologist, PsyD
Verified Verified
Cortez, CO 81321
Psychotherapy is much more than the removal of symptoms. I help individuals embrace their lives! I work with adults whose lives have been impacted by trauma. I also specialize in working with "seniors" experiencing the changes and challenges that often occur in later life. Finally, with four and a half decades in the mental health field, along with years of advanced education, I have gained an understanding of the unique challenges faced by individuals who experience issues relating to gender and substance abuse.
Psychotherapy is much more than the removal of symptoms. I help individuals embrace their lives! I work with adults whose lives have been impacted by trauma. I also specialize in working with "seniors" experiencing the changes and challenges that often occur in later life. Finally, with four and a half decades in the mental health field, along with years of advanced education, I have gained an understanding of the unique challenges faced by individuals who experience issues relating to gender and substance abuse.
(720) 608-5937 View (720) 608-5937
Photo of Sierra Williamsen, LPC, Licensed Professional Counselor
Sierra Williamsen
Licensed Professional Counselor, LPC
Verified Verified
Cortez, CO 81321
Life can be hard, can’t it?! If life feels hard and you'd like a little more support, I may be a good fit for you. Whether your challenges are due to unexpected life challenges or transitions, anxiety, depression, self esteem, relationship issues, or substance abuse issues, I can help you work through that. My goal as a therapist is to support my clients in whatever life’s difficulty may be and to challenge them to grow and become a better and healthier version of themselves. I seek to understand what my client's individual goals and needs are and work together to feel better.
Life can be hard, can’t it?! If life feels hard and you'd like a little more support, I may be a good fit for you. Whether your challenges are due to unexpected life challenges or transitions, anxiety, depression, self esteem, relationship issues, or substance abuse issues, I can help you work through that. My goal as a therapist is to support my clients in whatever life’s difficulty may be and to challenge them to grow and become a better and healthier version of themselves. I seek to understand what my client's individual goals and needs are and work together to feel better.
(970) 805-0037 View (970) 805-0037
Photo of Abby Kubicek, LCSW, CST, LAC, Clinical Social Work/Therapist
Abby Kubicek
Clinical Social Work/Therapist, LCSW, CST, LAC
Verified Verified
1 Endorsed
Cortez, CO 81321
I have always been pulled towards topics that many in society do not want to talk about – sex, death, money, religion, addiction, and many others. I have seen what happens to individuals when they are left to struggle with these topics alone. Some feel guilt, fear, anxiety, depression, or just an overall sense that they are not allowed to be who they really are. My goal in therapy is to provide a safe space for individuals or those in relationship to talk about these topics and feelings. I work with them to develop the tools to grow into being confident, unashamed, and authentically themselves.
I have always been pulled towards topics that many in society do not want to talk about – sex, death, money, religion, addiction, and many others. I have seen what happens to individuals when they are left to struggle with these topics alone. Some feel guilt, fear, anxiety, depression, or just an overall sense that they are not allowed to be who they really are. My goal in therapy is to provide a safe space for individuals or those in relationship to talk about these topics and feelings. I work with them to develop the tools to grow into being confident, unashamed, and authentically themselves.
(970) 414-4477 View (970) 414-4477
Photo of Jennifer Santopietro - KidStuff Child And Family Counseling, PC, Licensed Professional Counselor
KidStuff Child And Family Counseling, PC
Licensed Professional Counselor
Verified Verified
Cortez, CO 81321
KidStuff Child & Family Counseling, P.C. specializes in helping kids, families and adults navigate life's challenges and improve overall wellness. LifeStuff, HardStuff, AdultStuff: whatever your reasons for seeking therapy, our therapists will collaborate with you to create a therapeutic experience to meet your needs. Our therapists are open and welcoming while supporting clients through their healing process. If you have Medicaid health insurance, commercial insurance, or are looking for a reasonably affordable cash-pay option, we have options for in-office and telehealth services.
KidStuff Child & Family Counseling, P.C. specializes in helping kids, families and adults navigate life's challenges and improve overall wellness. LifeStuff, HardStuff, AdultStuff: whatever your reasons for seeking therapy, our therapists will collaborate with you to create a therapeutic experience to meet your needs. Our therapists are open and welcoming while supporting clients through their healing process. If you have Medicaid health insurance, commercial insurance, or are looking for a reasonably affordable cash-pay option, we have options for in-office and telehealth services.
(970) 329-7741 View (970) 329-7741
Photo of Katie Lundvall, MS, LPC, Licensed Professional Counselor
Katie Lundvall
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Cortez, CO 81321
I'm glad you're here. I believe that success in therapy is all about trust and connection between the therapist and the individual. I work from a collaborative, strength-based approach; assisting and supporting teens and adults to be the author of their own lives.
I'm glad you're here. I believe that success in therapy is all about trust and connection between the therapist and the individual. I work from a collaborative, strength-based approach; assisting and supporting teens and adults to be the author of their own lives.
(970) 514-9714 View (970) 514-9714
Photo of Michael Sparks, LCSW, Clinical Social Work/Therapist
Michael Sparks
Clinical Social Work/Therapist, LCSW
Verified Verified
Cortez, CO 81321
Let's be honest, asking for therapy can be awkward, scary, and often intimidating. However, when it comes to finding the support we need to better our lives, it's the first step we have to take. I'm here to guide you along the way and make your healing process as achievable as possible. ​
Let's be honest, asking for therapy can be awkward, scary, and often intimidating. However, when it comes to finding the support we need to better our lives, it's the first step we have to take. I'm here to guide you along the way and make your healing process as achievable as possible. ​
(970) 659-6898 View (970) 659-6898
Photo of Caitlin Morris, LCSW, Clinical Social Work/Therapist
Caitlin Morris
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cortez, CO 81321  (Online Only)
I believe an excellent therapist meets every client where they’re at. Navigating this world with presence and grace is more accessible and meaningful with someone to help process your experiences. We all need someone to talk to sometimes, and I strive to create an integrated and unique safe space for each client to unfold their narratives, fears, hopes and discover their untapped resources. Many people grapple with traumatic stress. It can interfere with our lives, relationships, and overall well-being. Ignoring or suppressing it may be tempting but will only make it worse.
I believe an excellent therapist meets every client where they’re at. Navigating this world with presence and grace is more accessible and meaningful with someone to help process your experiences. We all need someone to talk to sometimes, and I strive to create an integrated and unique safe space for each client to unfold their narratives, fears, hopes and discover their untapped resources. Many people grapple with traumatic stress. It can interfere with our lives, relationships, and overall well-being. Ignoring or suppressing it may be tempting but will only make it worse.
(970) 406-4772 View (970) 406-4772
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How does your Therapist compare?

Number of Therapists in Cortez, CO

20+

Average cost per session

$125

Therapists in Cortez, CO who prioritize treating:

92% Relationship Issues
92% Anxiety
92% Trauma and PTSD
85% Depression
73% Coping Skills
73% Self Esteem
73% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

80% Aetna
70% UnitedHealthcare UHC | UBH
65% BlueCross and BlueShield

How Therapists in Cortez, CO see their clients

89% In Person and Online
11% Online Only

Gender breakdown

61% Female
39% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Cortez?

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.