Therapists in Keystone, CO

Photo of Crystal River Counseling, LLC, Clinical Social Work/Therapist in Keystone, CO
Crystal River Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
Keystone, CO 80435  (Online Only)
Life transitions are hard. Love and loss and life trials affect us all in differing ways. Many of us are seeking clarity and a clear path forward. At Crystal River Counseling I strive to be real with my patients and to be honest and transparent with my techniques. I work consistently to ensure my patients have the tools they need to find the clarity they seek. You will find my practice reflects a down to earth approach and I am a firm believer in the power of humor. I believe it is always important to create a strong relationship between the patient and therapist to achieve overall success. Most importantly I care a great deal.
Life transitions are hard. Love and loss and life trials affect us all in differing ways. Many of us are seeking clarity and a clear path forward. At Crystal River Counseling I strive to be real with my patients and to be honest and transparent with my techniques. I work consistently to ensure my patients have the tools they need to find the clarity they seek. You will find my practice reflects a down to earth approach and I am a firm believer in the power of humor. I believe it is always important to create a strong relationship between the patient and therapist to achieve overall success. Most importantly I care a great deal.
(303) 900-7897 View (303) 900-7897
Photo of Mamie Tisue, Clinical Social Work/Therapist in Keystone, CO
Mamie Tisue
Clinical Social Work/Therapist, LCSW, SEP
Verified
Keystone, CO 80435  (Online Only)
I am a somatic psychotherapist specializing in anxiety, depression, PTSD and complex and developmental trauma. I work with people experiencing a wide range of symptoms including anxiety, fear, depression, isolation, hyper vigilance, somatic symptoms, and the feeling that it's impossible to relax or 'turn off'. My ideal clients are open to a somatic approach to therapy and appreciate challenging questions asked from a place of utmost compassion. I am experienced in providing therapy to therapists as well as people seeking therapy for the first time.
I am a somatic psychotherapist specializing in anxiety, depression, PTSD and complex and developmental trauma. I work with people experiencing a wide range of symptoms including anxiety, fear, depression, isolation, hyper vigilance, somatic symptoms, and the feeling that it's impossible to relax or 'turn off'. My ideal clients are open to a somatic approach to therapy and appreciate challenging questions asked from a place of utmost compassion. I am experienced in providing therapy to therapists as well as people seeking therapy for the first time.
(720) 792-7490 View (720) 792-7490
Photo of Zachary Rothwell in Keystone, CO
Zachary Rothwell
PMHNP
Verified
Keystone, CO 80435
I work with adults struggling with relationship issues, addiction, depression, anxiety, and PTSD. Many of my clients have become very successful despite difficult childhoods and are curious how therapy can help to reduce their suffering, heal from past traumas, and learn healthier ways of attachment. I use elements of EMDR therapy in my approach. I am kink allied and sex positive. I invite you to come as you are. I will respect, support, and encourage you during our time in therapy.
I work with adults struggling with relationship issues, addiction, depression, anxiety, and PTSD. Many of my clients have become very successful despite difficult childhoods and are curious how therapy can help to reduce their suffering, heal from past traumas, and learn healthier ways of attachment. I use elements of EMDR therapy in my approach. I am kink allied and sex positive. I invite you to come as you are. I will respect, support, and encourage you during our time in therapy.
(720) 706-7041 View (720) 706-7041

More Therapists Nearby

Photo of Marzo Counseling, LLC., Licensed Professional Counselor in Keystone, CO
Marzo Counseling, LLC.
Licensed Professional Counselor, MA, LPC, LAC
Verified
4 Endorsed
Frisco, CO 80443
Taking New Clients. Please call for a consult so we can make sure I fit your needs! Telehealth or in person. Research shows the relationship with your therapist is the most effective therapy tool. I strive to create a compassionate, collaborative, validating environment to allow a person to explore their lives, learn and thrive.
Taking New Clients. Please call for a consult so we can make sure I fit your needs! Telehealth or in person. Research shows the relationship with your therapist is the most effective therapy tool. I strive to create a compassionate, collaborative, validating environment to allow a person to explore their lives, learn and thrive.
(970) 497-3107 View (970) 497-3107
Photo of Lindsey Distler, Licensed Professional Counselor in Keystone, CO
Lindsey Distler
Licensed Professional Counselor, LPC, LAC
Verified
Frisco, CO 80443
I’ve made it my mission to be a catalyst for positive change in the lives of my clients. Through extensive experience working with trauma, substance use, anxiety, life transitions, and the LGBTQIA+ communities, I’ve witnessed the power of connection and shared growth. With a kaleidoscope of backgrounds and stories, the adults I work with are the heart of my practice. Every individual is unique, which is why I tailor my approach to suit your specific needs.
I’ve made it my mission to be a catalyst for positive change in the lives of my clients. Through extensive experience working with trauma, substance use, anxiety, life transitions, and the LGBTQIA+ communities, I’ve witnessed the power of connection and shared growth. With a kaleidoscope of backgrounds and stories, the adults I work with are the heart of my practice. Every individual is unique, which is why I tailor my approach to suit your specific needs.
(970) 432-3213 View (970) 432-3213
Photo of Matthew Brenner in Keystone, CO
Matthew Brenner
LPC, NCC
Frisco, CO 80443
As a therapist I want to help you achieve the goals that you set. To accomplish this we will work together from a holistic perspective to get your mind, body, and spirit to the place you want them to be. I have a generalist practice and I feel comfortable with many different types of clients. I have ten years of experience in the helping professions. My experience includes but is not limited to adolescents, addictions, men and boys, and sports psychology. I am a nationally certified counselor and registered with the state of Colorado as a Psychotherapist.
As a therapist I want to help you achieve the goals that you set. To accomplish this we will work together from a holistic perspective to get your mind, body, and spirit to the place you want them to be. I have a generalist practice and I feel comfortable with many different types of clients. I have ten years of experience in the helping professions. My experience includes but is not limited to adolescents, addictions, men and boys, and sports psychology. I am a nationally certified counselor and registered with the state of Colorado as a Psychotherapist.
(970) 279-1903 View (970) 279-1903
Photo of Lillie Lee, Clinical Social Work/Therapist in Keystone, CO
Lillie Lee
Clinical Social Work/Therapist, LCSW
Verified
Frisco, CO 80443
I have over 30 years of experience and training. I provide a safe, non-judgmental place to heal, grow, learn and move through your challenges. I help you listen to your body and your heart. I enjoy and consider it a privilege to do this work. My philosophy is that the journey toward wholeness is sometimes hard but nevertheless worthwhile. To be truly alive one must learn to feel it all. We need to know how to respond to our pain and figure out what we need.
I have over 30 years of experience and training. I provide a safe, non-judgmental place to heal, grow, learn and move through your challenges. I help you listen to your body and your heart. I enjoy and consider it a privilege to do this work. My philosophy is that the journey toward wholeness is sometimes hard but nevertheless worthwhile. To be truly alive one must learn to feel it all. We need to know how to respond to our pain and figure out what we need.
(970) 668-1440 View (970) 668-1440
Photo of Hannah Buzzo, Licensed Professional Counselor in Keystone, CO
Hannah Buzzo
Licensed Professional Counselor, MA, LPC, LAC
Verified
Dillon, CO 80435
Do you find yourself repeating the same patterns and behaviors despite how hard you try to change? Do you feel like the way you are living is holding you back from your happiest, most joyful life? Perhaps you worry that you don't deserve it, or you don't have what it takes to make lasting change. But deep down, you just want to feel better, stop struggling, and start living. You can imagine your life not being ruled by relationship issues, low self-worth, addiction, trauma, or self-destructive patterns. A life where you can reach your full potential and learn to love yourself in the process - this is available to you and I can help.
Do you find yourself repeating the same patterns and behaviors despite how hard you try to change? Do you feel like the way you are living is holding you back from your happiest, most joyful life? Perhaps you worry that you don't deserve it, or you don't have what it takes to make lasting change. But deep down, you just want to feel better, stop struggling, and start living. You can imagine your life not being ruled by relationship issues, low self-worth, addiction, trauma, or self-destructive patterns. A life where you can reach your full potential and learn to love yourself in the process - this is available to you and I can help.
(720) 669-9866 View (720) 669-9866
Photo of Sophia Koh, Clinical Social Work/Therapist in Keystone, CO
Sophia Koh
Clinical Social Work/Therapist, LCSW
Verified
Dillon, CO 80435  (Online Only)
Waitlist for new clients
The healing journey often feels isolating or overwhelming; my goal is to compassionately accompany you through your process, meeting you where you are. Together we will co-create an affirming space for you to delicately dive inwards, to identify and unravel the beliefs that no longer serve you, and embrace your whole self. We will explore emotions, thoughts, and experiences from a place of care and curiosity. Through this process, we will help you connect with the roots of your true self, and identify what supports can be put in place for you to grow and thrive.
The healing journey often feels isolating or overwhelming; my goal is to compassionately accompany you through your process, meeting you where you are. Together we will co-create an affirming space for you to delicately dive inwards, to identify and unravel the beliefs that no longer serve you, and embrace your whole self. We will explore emotions, thoughts, and experiences from a place of care and curiosity. Through this process, we will help you connect with the roots of your true self, and identify what supports can be put in place for you to grow and thrive.
(720) 796-4467 View (720) 796-4467
Photo of Casey Donohoe, Clinical Social Work/Therapist in Keystone, CO
Casey Donohoe
Clinical Social Work/Therapist, Casey , Donohoe, LCSW, LAC
Verified
Frisco, CO 80443
Waitlist for new clients
I enjoy working with teens and adults who are struggling with any range of life stressors; both internally and externally. As a licensed clinical social worker, I am trained in a variety of modalities and specialties and I have an extreme passion for helping my community. I am a Licensed Addiction Counselor and very much enjoy working with folks looking to re-evaluate their relationship with substances. I am currently trained in Basic EMDR counseling and love working with folks from a trauma informed lens within this unique framework.
I enjoy working with teens and adults who are struggling with any range of life stressors; both internally and externally. As a licensed clinical social worker, I am trained in a variety of modalities and specialties and I have an extreme passion for helping my community. I am a Licensed Addiction Counselor and very much enjoy working with folks looking to re-evaluate their relationship with substances. I am currently trained in Basic EMDR counseling and love working with folks from a trauma informed lens within this unique framework.
(970) 620-9587 View (970) 620-9587
Photo of Katie Schmidt, Licensed Professional Counselor in Keystone, CO
Katie Schmidt
Licensed Professional Counselor, MA, LPC
Verified
Frisco, CO 80443
I support women, adolescents, and children that are managing emotional distress and lack of behavioral control brought on by trauma, anxiety, depression or other mental health issues.
I support women, adolescents, and children that are managing emotional distress and lack of behavioral control brought on by trauma, anxiety, depression or other mental health issues.
(970) 239-8979 View (970) 239-8979
Photo of Jake Sivinski, Pre-Licensed Professional in Keystone, CO
Jake Sivinski
Pre-Licensed Professional, LPCC, MA
Verified
2 Endorsed
Dillon, CO 80435
As a psychotherapist I specialize in working with men, athletes, and adolescents as well as people suffering from anxiety, trauma, and depression . I believe that for change to occur, there must be a strong foundation of trust, safety, and openness to experience in the therapeutic relationship. I aim to cultivate healing relationships with my clients in which they can grow from these pillars to experiment with new ways of being. I view change as arising from increased awareness of our physical and emotional experience and I strive to help others develop these areas through the cultivation of mindfulness, authenticity, and openness.
As a psychotherapist I specialize in working with men, athletes, and adolescents as well as people suffering from anxiety, trauma, and depression . I believe that for change to occur, there must be a strong foundation of trust, safety, and openness to experience in the therapeutic relationship. I aim to cultivate healing relationships with my clients in which they can grow from these pillars to experiment with new ways of being. I view change as arising from increased awareness of our physical and emotional experience and I strive to help others develop these areas through the cultivation of mindfulness, authenticity, and openness.
(720) 928-2499 View (720) 928-2499
Photo of Hypnosis to Heal (Rena Derezin, MA, LPC, NCC), Licensed Professional Counselor in Keystone, CO
Hypnosis to Heal (Rena Derezin, MA, LPC, NCC)
Licensed Professional Counselor, MA, LPC, NCC
Verified
3 Endorsed
Frisco, CO 80443  (Online Only)
Not accepting new clients
Is Hypnosis MAGIC? No. Transforming the subconscious root of your pattern... can SEEM LIKE magic. Clinical Hypnosis, when provided by a licensed healthcare provider, is a safe, natural and deeply relaxing way to alter "stuck" behaviors, thoughts and feelings. It silences brain parts that interfere with change. YOU are always in control. Clinical hypnosis is routinely validated in professional journals for fears, sleep, pain, habit breaking, confidence building and performance enhancement. Virtually everyone can experience hypnotic relaxation.
Is Hypnosis MAGIC? No. Transforming the subconscious root of your pattern... can SEEM LIKE magic. Clinical Hypnosis, when provided by a licensed healthcare provider, is a safe, natural and deeply relaxing way to alter "stuck" behaviors, thoughts and feelings. It silences brain parts that interfere with change. YOU are always in control. Clinical hypnosis is routinely validated in professional journals for fears, sleep, pain, habit breaking, confidence building and performance enhancement. Virtually everyone can experience hypnotic relaxation.
(720) 650-8407 View (720) 650-8407
Photo of Samantha (Stuber) Johnson, Counselor in Keystone, CO
Samantha (Stuber) Johnson
Counselor, MA, LPCC, ADDC
Verified
3 Endorsed
Frisco, CO 80443
I believe mental health is all about finding a baseline of awareness that allows you to live authentically & in a state of balance in all areas of your life. As a clinician, I avoid telling you what your mental health & wellness will look like. You will lead each session, and I tailor my approach and methods accordingly, based on whatever is showing up in the moment. I help empower you to find your ideal balance based on your experiences, observations, and needs so that you can cultivate ideal outcomes, habits, and lifestyles that help you thrive.
I believe mental health is all about finding a baseline of awareness that allows you to live authentically & in a state of balance in all areas of your life. As a clinician, I avoid telling you what your mental health & wellness will look like. You will lead each session, and I tailor my approach and methods accordingly, based on whatever is showing up in the moment. I help empower you to find your ideal balance based on your experiences, observations, and needs so that you can cultivate ideal outcomes, habits, and lifestyles that help you thrive.
(970) 714-3415 View (970) 714-3415
Photo of Ryan E. Vigh in Keystone, CO
Ryan E. Vigh
Mentor, Therapy, MAEd
Verified
Frisco, CO 80443
Ryan, aka "Coach Vigh" or "Vigh", takes an integrative approach to Therapeutic Mentoring by utilizing multiple theoretical models, in addition to educational strategies, to best fit an individual client's needs. "My approach emerged from my formal instruction in Cognitive Psychology and Educational Psychology, my experience working in the field for 15 years, as well as my desire to instill positive changes in someone such as those that my mentor was able to foster in me."
Ryan, aka "Coach Vigh" or "Vigh", takes an integrative approach to Therapeutic Mentoring by utilizing multiple theoretical models, in addition to educational strategies, to best fit an individual client's needs. "My approach emerged from my formal instruction in Cognitive Psychology and Educational Psychology, my experience working in the field for 15 years, as well as my desire to instill positive changes in someone such as those that my mentor was able to foster in me."
(508) 507-8444 View (508) 507-8444
Photo of Kathleen Lorch LPC, Licensed Professional Counselor in Keystone, CO
Kathleen Lorch LPC
Licensed Professional Counselor, MS, LPC, RPT, EMDR II
Verified
2 Endorsed
Frisco, CO 80443
I work with people of all ages to deal with the difficult challenges that life can bring. I specialize in play and family therapy, individuals and couples. We work together to resolve issues of divorce, trauma, physical and sexual abuse, grief and loss, misbehavior, school performance, sensory integration issues, ADHD/ADD, blended families and transitions. We can heighten your insight and awareness about how to shift into healthier, more satisfying patterns and highlight your strengths, talents and passions to create the life you desire. It takes courage to seek counseling support to make changes in your life. I respect your journey and sincere effort.
I work with people of all ages to deal with the difficult challenges that life can bring. I specialize in play and family therapy, individuals and couples. We work together to resolve issues of divorce, trauma, physical and sexual abuse, grief and loss, misbehavior, school performance, sensory integration issues, ADHD/ADD, blended families and transitions. We can heighten your insight and awareness about how to shift into healthier, more satisfying patterns and highlight your strengths, talents and passions to create the life you desire. It takes courage to seek counseling support to make changes in your life. I respect your journey and sincere effort.
(970) 680-4562 View (970) 680-4562
Photo of Jane Fineberg, Clinical Social Work/Therapist in Keystone, CO
Jane Fineberg
Clinical Social Work/Therapist, MSW, LCSW
Verified
5 Endorsed
Frisco, CO 80443
Not accepting new clients
I provide services to individuals, couples, and families. I practice a relationship-based psychodynamic approach to therapy. I am certified in EMDR and trained in Emotion Focused Therapy (EFT). I also offer clinical supervision and EMDR  consultation services for practitioners. From a range of evidence-based practices, I tailor therapy sessions to the needs of individual clients, finding creative solutions to match a client's unique challenges. I have been working in the mental health field since 2002, in wilderness therapy settings, community mental health systems, hospitals, palliative care, and private practice.
I provide services to individuals, couples, and families. I practice a relationship-based psychodynamic approach to therapy. I am certified in EMDR and trained in Emotion Focused Therapy (EFT). I also offer clinical supervision and EMDR  consultation services for practitioners. From a range of evidence-based practices, I tailor therapy sessions to the needs of individual clients, finding creative solutions to match a client's unique challenges. I have been working in the mental health field since 2002, in wilderness therapy settings, community mental health systems, hospitals, palliative care, and private practice.
(970) 519-5116 View (970) 519-5116
Photo of Jasa Stone - Affordable Therapy, Pre-Licensed Professional in Keystone, CO
Jasa Stone - Affordable Therapy
Pre-Licensed Professional
Verified
Frisco, CO 80443
I recognize that personal growth and healing can be challenging. I am passionate about helping individuals embark on this journey, and I take my role in creating a safe and supportive space very seriously. My intention with each client is to build a strong therapeutic relationship, where you feel heard, seen, and understood.
I recognize that personal growth and healing can be challenging. I am passionate about helping individuals embark on this journey, and I take my role in creating a safe and supportive space very seriously. My intention with each client is to build a strong therapeutic relationship, where you feel heard, seen, and understood.
(970) 965-0526 View (970) 965-0526
Photo of Rachel Miller, Clinical Social Work/Therapist in Keystone, CO
Rachel Miller
Clinical Social Work/Therapist, MSW, LCSW
Verified
Frisco, CO 80443
Waitlist for new clients
I am a Summit County native, born and raised in Frisco, CO. I value the unique experience that each client brings to the therapeutic relationship and utilize an eclectic mix of modalities based on the goals of that client. I earned both a Bachelors of Social Work and a Bachelors of Arts in Spanish from Azusa Pacific University in Los Angeles, CA.  From the University of Denver, I earned a Masters of Social Work with a concentration in Children and Youth Resiliency and a certificate in Social Work with Latinos/as. I offer bilingual services in Spanish and English.
I am a Summit County native, born and raised in Frisco, CO. I value the unique experience that each client brings to the therapeutic relationship and utilize an eclectic mix of modalities based on the goals of that client. I earned both a Bachelors of Social Work and a Bachelors of Arts in Spanish from Azusa Pacific University in Los Angeles, CA.  From the University of Denver, I earned a Masters of Social Work with a concentration in Children and Youth Resiliency and a certificate in Social Work with Latinos/as. I offer bilingual services in Spanish and English.
(970) 517-4490 View (970) 517-4490
Photo of Malina Pauline, Clinical Social Work/Therapist in Keystone, CO
Malina Pauline
Clinical Social Work/Therapist, LCSW
Verified
Frisco, CO 80443  (Online Only)
Malina provides services to adolescents, adults, families, and couples. Her therapeutic approach leans heavily on psychodynamic theory while using other modalities based on the unique and specific needs of her clients. She engages through elements of EFT (Emotionally Focused Therapy), EMDR (Eye Movement Desensitization and Reprocessing), CBT (Cognitive Behavioral Therapy) and Family Systems Therapy, among others.
Malina provides services to adolescents, adults, families, and couples. Her therapeutic approach leans heavily on psychodynamic theory while using other modalities based on the unique and specific needs of her clients. She engages through elements of EFT (Emotionally Focused Therapy), EMDR (Eye Movement Desensitization and Reprocessing), CBT (Cognitive Behavioral Therapy) and Family Systems Therapy, among others.
(970) 710-3733 View (970) 710-3733

See more therapy options for Keystone

How does your Therapist compare?

Number of Therapists in Keystone, CO

< 10

Therapists in Keystone, CO who prioritize treating:

100% Depression
100% Anxiety
67% Relationship Issues
67% Trauma and PTSD
67% Anger Management
67% Family Conflict
67% Self Esteem

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Anthem | Elevance

How Therapists in Keystone, CO see their clients

66% Online Only
34% In Person and Online

Gender breakdown

66% Male
34% Female

FAQs - About Therapy and Counseling

How can I find a therapist in Keystone?

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.