Therapists in Pueblo West, CO

Photo of Geri Wagner, Licensed Professional Counselor, LPC
Geri Wagner
Licensed Professional Counselor, LPC
Pueblo West, CO 81007
The search for the right counselor is important and deeply personal. It can also feel overwhelming and stressful with so many mental health professionals to choose from. Whether you are haunted by traumatic memories, struggling with anxiety or panic, overcome with grief, or experiencing a range of other life challenges, making the decision to reach out for help and commit to counseling takes courage and can offer profound benefits. I strive to create a genuine, comfortable, and safe environment where we work together to achieve your goals.
The search for the right counselor is important and deeply personal. It can also feel overwhelming and stressful with so many mental health professionals to choose from. Whether you are haunted by traumatic memories, struggling with anxiety or panic, overcome with grief, or experiencing a range of other life challenges, making the decision to reach out for help and commit to counseling takes courage and can offer profound benefits. I strive to create a genuine, comfortable, and safe environment where we work together to achieve your goals.
(719) 309-4005 View (719) 309-4005
Photo of Chrissy Selfridge, Pre-Licensed Professional, LPCC
Chrissy Selfridge
Pre-Licensed Professional, LPCC
Online Only
I believe everyone deserves a place where they feel seen, accepted, and supported. My goal is to create a warm, welcoming, and judgment-free space where you can be yourself. I proudly welcome individuals from all backgrounds, including the LGBTQIA+ community. Whether you're navigating anxiety, depression, trauma, life transitions, relationship challenges, or simply feeling stuck, I'm here to meet you with compassion, curiosity, and respect. Together, we'll work toward healing, growth, and creating a life that feels more balanced and meaningful.
I believe everyone deserves a place where they feel seen, accepted, and supported. My goal is to create a warm, welcoming, and judgment-free space where you can be yourself. I proudly welcome individuals from all backgrounds, including the LGBTQIA+ community. Whether you're navigating anxiety, depression, trauma, life transitions, relationship challenges, or simply feeling stuck, I'm here to meet you with compassion, curiosity, and respect. Together, we'll work toward healing, growth, and creating a life that feels more balanced and meaningful.
(719) 504-6359 View (719) 504-6359
Photo of Nichole Pritchett Hilliard, Licensed Professional Counselor Candidate, MS, LPCC
Nichole Pritchett Hilliard
Licensed Professional Counselor Candidate, MS, LPCC
Online Only
I work with individuals who are feeling emotionally overwhelmed, stuck, disconnected from themselves, or navigating significant life transitions. Many of my clients struggle with anxiety, depression, burnout, self-esteem, identity concerns, and emotional stress while trying to balance the demands of everyday life. My approach is integrative, supportive, and empowerment-focused, helping clients to build resilience, self-awareness, confidence, and healthier ways of coping and connecting with themselves. Therapy with me is not perfection; it's about reconnection and regulation.
I work with individuals who are feeling emotionally overwhelmed, stuck, disconnected from themselves, or navigating significant life transitions. Many of my clients struggle with anxiety, depression, burnout, self-esteem, identity concerns, and emotional stress while trying to balance the demands of everyday life. My approach is integrative, supportive, and empowerment-focused, helping clients to build resilience, self-awareness, confidence, and healthier ways of coping and connecting with themselves. Therapy with me is not perfection; it's about reconnection and regulation.
(719) 454-8943 View (719) 454-8943
Photo of Clive Hallam - My Therapy Matters, LLC, Marriage & Family Therapist, LMFT, MBA
My Therapy Matters, LLC
Marriage & Family Therapist, LMFT, MBA
1 Endorsed
Pueblo West, CO 81007
Life is meant to be enjoyed not just endured. Clive and his team of skilled and compassionate therapists believe that people matter, what they do matters and that with the right support they can be powerful change agents in their own lives. Our philosophy is that people are stronger than the problems they face. We strive to create a collaborative and empowering therapeutic environment to help you become successful. Therapy is more than managing symptoms or tolerating distress; it's an opportunity create a life this is filled with joy, peace, strength and the ability to be the best version of yourself.
Life is meant to be enjoyed not just endured. Clive and his team of skilled and compassionate therapists believe that people matter, what they do matters and that with the right support they can be powerful change agents in their own lives. Our philosophy is that people are stronger than the problems they face. We strive to create a collaborative and empowering therapeutic environment to help you become successful. Therapy is more than managing symptoms or tolerating distress; it's an opportunity create a life this is filled with joy, peace, strength and the ability to be the best version of yourself.
(719) 569-8735 View (719) 569-8735
Photo of Dr. Michelle D Morrissey, Marriage & Family Therapist, PhD, LMFT
Dr. Michelle D Morrissey
Marriage & Family Therapist, PhD, LMFT
3 Endorsed
Online Only
Parents can be imperfect, children can be cruel, and life can be unfair. The resulting trauma can make us feel like we are living life without the directions or making choices without conscious control, doomed to repeat bad decisions and poor choices; believing that we are not worthy or deserving of anything better. Sometimes we do not know why we are doing what we are doing and for the life of us, we cannot let it go and reinvent ourselves or change our future. If you have been struggling with please call our team for help.
Parents can be imperfect, children can be cruel, and life can be unfair. The resulting trauma can make us feel like we are living life without the directions or making choices without conscious control, doomed to repeat bad decisions and poor choices; believing that we are not worthy or deserving of anything better. Sometimes we do not know why we are doing what we are doing and for the life of us, we cannot let it go and reinvent ourselves or change our future. If you have been struggling with please call our team for help.
(719) 249-6890 View (719) 249-6890
Photo of Melissa Muggli, Licensed Professional Counselor, LPC
Melissa Muggli
Licensed Professional Counselor, LPC
Online Only
I hope that, together, we can identify and move beyond the patterns or experiences that may keep you feeling stuck, and work intentionally toward the goals and life changes that matter most to you. Through collaboration, reflection, and practical skill-building, I aim to support you in creating meaningful progress and lasting growth.
I hope that, together, we can identify and move beyond the patterns or experiences that may keep you feeling stuck, and work intentionally toward the goals and life changes that matter most to you. Through collaboration, reflection, and practical skill-building, I aim to support you in creating meaningful progress and lasting growth.
(719) 652-5266 View (719) 652-5266
Photo of Melissa Muggli, Licensed Professional Counselor, LPC
Melissa Muggli
Licensed Professional Counselor, LPC
Online Only
I practice through the lenses of DBT, CBT, and existential therapy. I believe clients have the capacity to develop their own solutions and that, through a collaborative therapeutic relationship, meaningful movement toward a desired quality of life is possible. My therapeutic style is straightforward and direct, and I invite open communication about clients’ experiences in therapy throughout the process. I most often work with individuals who have experienced trauma, and through partnership, my goal is to help clients move from surviving to thriving.
I practice through the lenses of DBT, CBT, and existential therapy. I believe clients have the capacity to develop their own solutions and that, through a collaborative therapeutic relationship, meaningful movement toward a desired quality of life is possible. My therapeutic style is straightforward and direct, and I invite open communication about clients’ experiences in therapy throughout the process. I most often work with individuals who have experienced trauma, and through partnership, my goal is to help clients move from surviving to thriving.
(719) 767-1438 View (719) 767-1438
Photo of Christina Ortiz-Marquez, Licensed Professional Counselor, LPC
Christina Ortiz-Marquez
Licensed Professional Counselor, LPC
Online Only
Welcome! I understand that starting a therapy journey can feel a bit overwhelming, and finding a therapist that you can connect with and develop trust with can be difficult. I am so excited to introduce myself to you! I'm Christina, A Colorado-based licensed counselor with over 20 years of experience helping people, and I have a passion for this work! I utilize a client-centered approach. I have expertise in multiple theoretical and clinical orientations and specialize in implementing a tailored plan to approach your individualized needs and goals. I am flexible and dedicated to supporting my clients as they find peace, healing.
Welcome! I understand that starting a therapy journey can feel a bit overwhelming, and finding a therapist that you can connect with and develop trust with can be difficult. I am so excited to introduce myself to you! I'm Christina, A Colorado-based licensed counselor with over 20 years of experience helping people, and I have a passion for this work! I utilize a client-centered approach. I have expertise in multiple theoretical and clinical orientations and specialize in implementing a tailored plan to approach your individualized needs and goals. I am flexible and dedicated to supporting my clients as they find peace, healing.
(720) 759-2959 View (720) 759-2959
Photo of Renee D Brown, Licensed Professional Counselor, MA, LPC, CCTP
Renee D Brown
Licensed Professional Counselor, MA, LPC, CCTP
Pueblo West, CO 81007
Starting therapy can feel like a big step, whether you’re new to counseling or returning after past experiences. Maybe you already know your goals, or perhaps you just know something needs to change. You might be facing relationship challenges, stress, or uncertainty about what comes next. Therapy is a safe space to slow down, sort through what feels overwhelming, and gain clarity. Together, we’ll explore your needs and create a plan that helps you move toward greater confidence, healthier connections, and a more fulfilling life. I provide a warm, nonjudgmental environment where you can speak openly and feel truly heard. In session
Starting therapy can feel like a big step, whether you’re new to counseling or returning after past experiences. Maybe you already know your goals, or perhaps you just know something needs to change. You might be facing relationship challenges, stress, or uncertainty about what comes next. Therapy is a safe space to slow down, sort through what feels overwhelming, and gain clarity. Together, we’ll explore your needs and create a plan that helps you move toward greater confidence, healthier connections, and a more fulfilling life. I provide a warm, nonjudgmental environment where you can speak openly and feel truly heard. In session
(720) 893-8771 View (720) 893-8771
Photo of Holly Grasso, Clinical Social Work/Therapist, LCSW
Holly Grasso
Clinical Social Work/Therapist, LCSW
Online Only
My work with clients tends to feel like walking alongside them and destigmatizing their thoughts, feelings, and reactions with the science behind the experiences they are having. This perspective shift allows them to switch from feeling broken and stuck to resilent and empowered. My degrees are in Psychology, Sociology, and Social Work allowing me a broad perspective of mental health. I have a background in treatment of trauma, addiction, personality disorders, and mood disorders with people from all backgrounds. I am sex positive and love working with LGBTQ folks and people who live alternative lifestyles.
My work with clients tends to feel like walking alongside them and destigmatizing their thoughts, feelings, and reactions with the science behind the experiences they are having. This perspective shift allows them to switch from feeling broken and stuck to resilent and empowered. My degrees are in Psychology, Sociology, and Social Work allowing me a broad perspective of mental health. I have a background in treatment of trauma, addiction, personality disorders, and mood disorders with people from all backgrounds. I am sex positive and love working with LGBTQ folks and people who live alternative lifestyles.
(719) 759-8833 View (719) 759-8833
Photo of Bonnie Lou Sommer, Licensed Professional Counselor, MS, LPC, NCC
Bonnie Lou Sommer
Licensed Professional Counselor, MS, LPC, NCC
1 Endorsed
Pueblo West, CO 81007
I am Bonnie Sommer, a licensed professional counselor in the state of Colorado since 2016. If you feel stuck or unsure of the next steps, I am dedicated to helping you process grief, heal old trauma, improve communication skills, and better manage anxiety or depression. I’ve found that the only way for a person to bring change to their life is if they make the ultimate decision to do so. Choice by Choice offers you a safe place, without judgement, to grow and discover strategies that will help you create a more fulfilling life.
I am Bonnie Sommer, a licensed professional counselor in the state of Colorado since 2016. If you feel stuck or unsure of the next steps, I am dedicated to helping you process grief, heal old trauma, improve communication skills, and better manage anxiety or depression. I’ve found that the only way for a person to bring change to their life is if they make the ultimate decision to do so. Choice by Choice offers you a safe place, without judgement, to grow and discover strategies that will help you create a more fulfilling life.
(719) 349-3357 View (719) 349-3357
Photo of Kira K Molina, Clinical Social Work/Therapist, LCSW, LAC
Kira K Molina
Clinical Social Work/Therapist, LCSW, LAC
Online Only
Not accepting new clients
I am a Licensed Clinical Social Worker and Licensed Addiction Counselor in the state of Colorado with 6 years of professional work experience. I am experienced in working with adults ages 18 and over, as well as with men and women alike. I have experience in working with depression, PTSD, Bipolar Disorder, Personality Disorders, stress and anxiety, coping with addictions, trauma and abuse, gender-specific women's issues & coping with grief and loss. I am EMDR and Trauma certified.
I am a Licensed Clinical Social Worker and Licensed Addiction Counselor in the state of Colorado with 6 years of professional work experience. I am experienced in working with adults ages 18 and over, as well as with men and women alike. I have experience in working with depression, PTSD, Bipolar Disorder, Personality Disorders, stress and anxiety, coping with addictions, trauma and abuse, gender-specific women's issues & coping with grief and loss. I am EMDR and Trauma certified.
(719) 416-5229 View (719) 416-5229
Photo of Janice Gonzales, Psychologist, PhD, MA
Janice Gonzales
Psychologist, PhD, MA
Online Only
Not accepting new clients
I'm Dr. Janice Gonzales, a licensed psychologist practicing in Colorado. I have been in the mental health field for 15 years. I have experience working with both adults and adolescents in a variety of settings and with a number of theoretical approaches but my preference is solution-focused, interpersonally centered therapy and Positive Psychology. I tend to have a more direct approach to therapy that encourages you as the client to help make connections between your thoughts, feelings, choices, and outcomes. I hope to be a support and guide in your personal journey!
I'm Dr. Janice Gonzales, a licensed psychologist practicing in Colorado. I have been in the mental health field for 15 years. I have experience working with both adults and adolescents in a variety of settings and with a number of theoretical approaches but my preference is solution-focused, interpersonally centered therapy and Positive Psychology. I tend to have a more direct approach to therapy that encourages you as the client to help make connections between your thoughts, feelings, choices, and outcomes. I hope to be a support and guide in your personal journey!
View
Photo of Lauren Hornbeck, Licensed Professional Counselor, LPC, NCC, CCTP-II, CSTFP, CIMHP
Lauren Hornbeck
Licensed Professional Counselor, LPC, NCC, CCTP-II, CSTFP, CIMHP
Pueblo West, CO 81007
When you are in that constant battle between your head and your heart, and feeling stuck it can be difficult to create change for yourself. Learning how to identify, map out, and integrate what your heart and body is needing with what your brain is saying is where I specialize. My unique approach is to identify and re-establish connections between the body and brain, so we can address any behaviors or loops no longer serving you. I am passionate about providing methods in my practice to better reorganize your experiences and find cohesion between your thoughts and feelings. Together, I can assist you to fill your wellness toolbox!
When you are in that constant battle between your head and your heart, and feeling stuck it can be difficult to create change for yourself. Learning how to identify, map out, and integrate what your heart and body is needing with what your brain is saying is where I specialize. My unique approach is to identify and re-establish connections between the body and brain, so we can address any behaviors or loops no longer serving you. I am passionate about providing methods in my practice to better reorganize your experiences and find cohesion between your thoughts and feelings. Together, I can assist you to fill your wellness toolbox!
(303) 552-2875 View (303) 552-2875
Photo of Steven Davis, Clinical Social Work/Therapist, LCSW
Steven Davis
Clinical Social Work/Therapist, LCSW
9 Endorsed
Pueblo West, CO 81007
Now welcoming new patients. Call our office or visit our website to schedule. I offer a supportive, respectful space where you can feel heard and understood. Whether you are facing anxiety, depression, relationship concerns, or major life changes, I help you gain clarity and direction. Together we will explore what you are experiencing and create a thoughtful plan to support emotional balance, confidence, and well being in daily life.
Now welcoming new patients. Call our office or visit our website to schedule. I offer a supportive, respectful space where you can feel heard and understood. Whether you are facing anxiety, depression, relationship concerns, or major life changes, I help you gain clarity and direction. Together we will explore what you are experiencing and create a thoughtful plan to support emotional balance, confidence, and well being in daily life.
(719) 496-4749 View (719) 496-4749
Photo of Scott Lownsdale, Counselor, LCPC, EdD, LPC
Scott Lownsdale
Counselor, LCPC, EdD, LPC
Pueblo West, CO 81007
I am a doctoral level therapist with over 20 years experience. I treat depression, anxiety, anger, trauma, and troubled marriages especially in Christians and spiritual seekers. My services include free 1) written materials, 2) text message access, and 3) weekly exercises to help you achieve your counseling goals with minimal cost in time and expense.
I am a doctoral level therapist with over 20 years experience. I treat depression, anxiety, anger, trauma, and troubled marriages especially in Christians and spiritual seekers. My services include free 1) written materials, 2) text message access, and 3) weekly exercises to help you achieve your counseling goals with minimal cost in time and expense.
(815) 828-4236 View (815) 828-4236
Photo of Abigail Bensko, Licensed Professional Counselor, LPC, ADS, EMDR
Abigail Bensko
Licensed Professional Counselor, LPC, ADS, EMDR
2 Endorsed
Pueblo West, CO 81007
Waitlist for new clients
I believe that every individual is unique and deserves to be treated individually based on their unique experiences, beliefs, and goals. We all have a desire to be heard, emotionally validated, and guided towards our own unique vision of happiness. Through emotional exploration, healing, and skill-building we can collaborate to guide you towards a path of happiness and enlightenment while learning how to overcome life's challenges and obstacles.
I believe that every individual is unique and deserves to be treated individually based on their unique experiences, beliefs, and goals. We all have a desire to be heard, emotionally validated, and guided towards our own unique vision of happiness. Through emotional exploration, healing, and skill-building we can collaborate to guide you towards a path of happiness and enlightenment while learning how to overcome life's challenges and obstacles.
(719) 716-8716 View (719) 716-8716
Photo of Joseph S Jackson, Marriage & Family Therapist, MA, LMFT
Joseph S Jackson
Marriage & Family Therapist, MA, LMFT
Online Only
You may find yourself caught in an anxious loop—ruminating, fortune-telling, and feeling stuck in patterns you can’t quite shift. My clients are adults who struggle with chronic anxiety, low self-esteem, self-doubt, and relationship wounds. They feel pressure in their bodies, racing thoughts in their minds, and a sense that something important is missing. Many of the people I work with want to slow down and be more present—but without guilt or the weight of feeling responsible for everyone else’s emotions. They’re seeking not just relief, but a deeper, more grounded connection to themselves and their lives.
You may find yourself caught in an anxious loop—ruminating, fortune-telling, and feeling stuck in patterns you can’t quite shift. My clients are adults who struggle with chronic anxiety, low self-esteem, self-doubt, and relationship wounds. They feel pressure in their bodies, racing thoughts in their minds, and a sense that something important is missing. Many of the people I work with want to slow down and be more present—but without guilt or the weight of feeling responsible for everyone else’s emotions. They’re seeking not just relief, but a deeper, more grounded connection to themselves and their lives.
(970) 408-3007 View (970) 408-3007
Photo of Angela Sillas-Green, Licensed Professional Counselor, LPC
Angela Sillas-Green
Licensed Professional Counselor, LPC
4 Endorsed
Online Only
Are you tired of holding it all together and being the "strong one"? You've done everything you were supposed to, yet here you are. Between work, family, & other demands on your attention, you've given so much of yourself that you're not sure what you want or need anymore. You desire relief from anxiety, depression, loneliness, overthinking, guilt, or second-guessing yourself. Together, we will build calm & security, confidence in your decisions, & deeper connection with others, so you can be present & enjoy your life, even while navigating relationship issues, cultural or family expectations, career struggles, or health concerns.
Are you tired of holding it all together and being the "strong one"? You've done everything you were supposed to, yet here you are. Between work, family, & other demands on your attention, you've given so much of yourself that you're not sure what you want or need anymore. You desire relief from anxiety, depression, loneliness, overthinking, guilt, or second-guessing yourself. Together, we will build calm & security, confidence in your decisions, & deeper connection with others, so you can be present & enjoy your life, even while navigating relationship issues, cultural or family expectations, career struggles, or health concerns.
(719) 824-1610 View (719) 824-1610
Photo of Brianna Bourne, Clinical Social Work/Therapist, LCSW, LAC
Brianna Bourne
Clinical Social Work/Therapist, LCSW, LAC
2 Endorsed
Online Only
Lonely, depressed, anxious? Many people feel unseen and often struggle alone. This doesn't have to be the case. Let's work together. With over 10 years of experience in the behavioral health field, I am familiar with common struggles people face. Working together, you will learn how to manage and grow through what is holding you back.
Lonely, depressed, anxious? Many people feel unseen and often struggle alone. This doesn't have to be the case. Let's work together. With over 10 years of experience in the behavioral health field, I am familiar with common struggles people face. Working together, you will learn how to manage and grow through what is holding you back.
(719) 851-5692 View (719) 851-5692

See more therapy options for Pueblo West

How does your Therapist compare?

Number of Therapists in Pueblo West, CO

30+

Average cost per session

$125

Therapists in Pueblo West, CO who prioritize treating:

95% Anxiety
95% Social Anxiety
95% Health Anxiety
95% Driving Anxiety
84% Depression
84% Trauma and PTSD
84% Stress

Average years in practice

12 Years

Top 3 insurances accepted

97% Aetna
94% Cigna and Evernorth
73% BlueCross and BlueShield

How Therapists in Pueblo West, CO see their clients

57% In Person and Online
43% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Pueblo West?

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.