Therapists in O Fallon, IL

Photo of Krista Barber, Licensed Professional Counselor in O Fallon, IL
Krista Barber
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
O Fallon, IL 62269  (Online Only)
What would you like your life to look like after you have emotionally healed? Maybe you're unsure of what you need, but you know that you want things to be different. I want to assure you that in all of the overwhelming chaos, the challenges that may cause you to feel stuck, broken and defeated, healing is possible. I believe one of the strongest things you can do, is begin to understand your own story, while working towards the life that you desire.
What would you like your life to look like after you have emotionally healed? Maybe you're unsure of what you need, but you know that you want things to be different. I want to assure you that in all of the overwhelming chaos, the challenges that may cause you to feel stuck, broken and defeated, healing is possible. I believe one of the strongest things you can do, is begin to understand your own story, while working towards the life that you desire.
(618) 617-6276 View (618) 617-6276
Photo of Renewing Minds Therapy, PC, Clinical Social Work/Therapist in O Fallon, IL
Renewing Minds Therapy, PC
Clinical Social Work/Therapist, LCSW
Verified Verified
O Fallon, IL 62269
Do you have a history of trauma or abuse, anxiety or depression? Are you struggling to live out life in your family that you know that God has for you? We strongly believe that God has a "good, pleasing, and perfect will" (Romans 12:2) for your life. We believe that God has called us to "be continually renewed in the spirit of your mind" (Ephesians 4:23), and at Renewing Minds Therapy, we would be honored to walk with you on your journey of freedom, healing, and wholeness from a Christian counseling worldview.
Do you have a history of trauma or abuse, anxiety or depression? Are you struggling to live out life in your family that you know that God has for you? We strongly believe that God has a "good, pleasing, and perfect will" (Romans 12:2) for your life. We believe that God has called us to "be continually renewed in the spirit of your mind" (Ephesians 4:23), and at Renewing Minds Therapy, we would be honored to walk with you on your journey of freedom, healing, and wholeness from a Christian counseling worldview.
(618) 591-1135 View (618) 591-1135
Photo of Lori A McAllister, Licensed Clinical Professional Counselor in O Fallon, IL
Lori A McAllister
Licensed Clinical Professional Counselor, MAPC, LCPC
Verified Verified
O Fallon, IL 62269
Not accepting new clients
Life is not about waiting for the storms to pass... It's about learning how to dance in the rain. - Vivian Green........... Sometimes you just need someone to listen and validate your feelings. Sometimes you need someone who's been there done that. Sometimes you just need a place to go to help get you back on track. I'm that someone and I've many life experiences as well as extensive training to help you. Licensed as a Licensed Clinical Professional Counselor with extensive training in childhood complex trauma. Let me help you learn to dance in the rain!
Life is not about waiting for the storms to pass... It's about learning how to dance in the rain. - Vivian Green........... Sometimes you just need someone to listen and validate your feelings. Sometimes you need someone who's been there done that. Sometimes you just need a place to go to help get you back on track. I'm that someone and I've many life experiences as well as extensive training to help you. Licensed as a Licensed Clinical Professional Counselor with extensive training in childhood complex trauma. Let me help you learn to dance in the rain!
(618) 627-7817 View (618) 627-7817
Photo of Janel Morey-Sassano, Clinical Social Work/Therapist in O Fallon, IL
Janel Morey-Sassano
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
O Fallon, IL 62269  (Online Only)
March openings availabIe! EMDR certified, women centered therapist who specializes in maternal mental health and post-traumatic stress disorder. I teach women to take care of themselves first so they can better care for others. Trained during my work at The Postpartum Stress Center, I treat women who struggle with trauma, postpartum adjustment, infertility, birth trauma, infant loss/miscarriage and adoption struggles. We strengthen the relationship to self, build a sense of emotional safety with others. We will shift the lens on the mommy myths, cultural expectations and perfectionistic standards which can cause overwhelm/shame.
March openings availabIe! EMDR certified, women centered therapist who specializes in maternal mental health and post-traumatic stress disorder. I teach women to take care of themselves first so they can better care for others. Trained during my work at The Postpartum Stress Center, I treat women who struggle with trauma, postpartum adjustment, infertility, birth trauma, infant loss/miscarriage and adoption struggles. We strengthen the relationship to self, build a sense of emotional safety with others. We will shift the lens on the mommy myths, cultural expectations and perfectionistic standards which can cause overwhelm/shame.
(618) 437-8487 View (618) 437-8487
Photo of Ameniah V Bernard-Riveria, Drug & Alcohol Counselor in O Fallon, IL
Ameniah V Bernard-Riveria
Drug & Alcohol Counselor, MPA, CADC
Verified Verified
O Fallon, IL 62269
Certified Substance Abuse Counselor providing services for: Individual Counseling, Family Counseling and Group Counseling for adults, youth, families, organizational youth groups, Private Schools and Churches located in the state of Illinois.
Certified Substance Abuse Counselor providing services for: Individual Counseling, Family Counseling and Group Counseling for adults, youth, families, organizational youth groups, Private Schools and Churches located in the state of Illinois.
(618) 589-0157 View (618) 589-0157
Photo of Mary Jo Brunhaver, MA, LCPC, Counselor in O Fallon, IL
Mary Jo Brunhaver, MA, LCPC
Counselor, MA, LCPC
Verified Verified
1 Endorsed
O Fallon, IL 62269  (Online Only)
I am licensed clinical professional counselor with years of experience working in community counseling mental health facilities and in private practice. I have an extensive background working with clients who are living with mental illnesses, such as: mood disorders, anxiety disorders, attention deficit disorders, personality disorders, clients with mood dysregulation issues, problematic thought processes, and behavioral issues. I have also worked with clients that are merely going through a difficult transition in life.
I am licensed clinical professional counselor with years of experience working in community counseling mental health facilities and in private practice. I have an extensive background working with clients who are living with mental illnesses, such as: mood disorders, anxiety disorders, attention deficit disorders, personality disorders, clients with mood dysregulation issues, problematic thought processes, and behavioral issues. I have also worked with clients that are merely going through a difficult transition in life.
(618) 710-4033 View (618) 710-4033
Photo of Stephanie Thomas, Counselor in O Fallon, IL
Stephanie Thomas
Counselor, MA, LCPC
Verified Verified
2 Endorsed
O Fallon, IL 62269
I help adults and adolescents who experience anxiety, depression, and challenges with communication reduce symptoms by improving upon current strengths and coping skills to build insight into symptoms experienced. My specialty areas include anxiety, PTSD, depression, grief, communication issues, and work-life balance. I offer openness and collaboration to those I work with and believe that a collaborative effort has a direct impact on benefits gained from counseling services.
I help adults and adolescents who experience anxiety, depression, and challenges with communication reduce symptoms by improving upon current strengths and coping skills to build insight into symptoms experienced. My specialty areas include anxiety, PTSD, depression, grief, communication issues, and work-life balance. I offer openness and collaboration to those I work with and believe that a collaborative effort has a direct impact on benefits gained from counseling services.
(833) 922-1518 View (833) 922-1518
Photo of Mysti Westhoff, Licensed Professional Counselor in O Fallon, IL
Mysti Westhoff
Licensed Professional Counselor, MA, LCPC
Verified Verified
O Fallon, IL 62269
Hello, I am the founder of Wevolve Wellness and Counseling. I have a strong passion for working with teens, young adults, and women who struggle with various life challenges such as anxiety, depression, trauma, ADHD, family issues, self-harm, low self-esteem, and grief. It's important to me to foster a non-judgmental and safe space for you to explore your feelings and the impact that feelings and emotions have on you. It is my hope that we can work together as a team to help you heal, grow, and evolve.
Hello, I am the founder of Wevolve Wellness and Counseling. I have a strong passion for working with teens, young adults, and women who struggle with various life challenges such as anxiety, depression, trauma, ADHD, family issues, self-harm, low self-esteem, and grief. It's important to me to foster a non-judgmental and safe space for you to explore your feelings and the impact that feelings and emotions have on you. It is my hope that we can work together as a team to help you heal, grow, and evolve.
(618) 745-2632 View (618) 745-2632
Photo of Amy Vallem, Clinical Social Work/Therapist in O Fallon, IL
Amy Vallem
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
2 Endorsed
O Fallon, IL 62269
Not accepting new clients
A positive and empathetic relationship between therapist and client is essential in resolving mental health concerns. I work well with clients ready to change but who are also fearful of that change. I will be your biggest cheerleader but I will also challenge you to reframe anxious thinking, learn to deal with uncomfortable feelings; use EMDR to treat trauma, and help you to accept yourself in a more compassionate way.
A positive and empathetic relationship between therapist and client is essential in resolving mental health concerns. I work well with clients ready to change but who are also fearful of that change. I will be your biggest cheerleader but I will also challenge you to reframe anxious thinking, learn to deal with uncomfortable feelings; use EMDR to treat trauma, and help you to accept yourself in a more compassionate way.
(618) 699-4106 View (618) 699-4106
Photo of Angela Smith, Licensed Professional Counselor in O Fallon, IL
Angela Smith
Licensed Professional Counselor, MA, LPC
Verified Verified
O Fallon, IL 62269
Navigating life's challenges can be tough for anyone. Significant life changes rarely come one at a time, giving us enough to process, plan and adapt. A loss of a job, divorce, chronic illness of our own or a loved one, and other life stressors can have experiencing shifting roles, responsibilities and routines, which can be uncomfortable and distressing. If you are also experiencing anxiety and/or depression, these are also the times we notice significant worsening of our symptoms. The good news is that you don't have to face these moments in life alone.
Navigating life's challenges can be tough for anyone. Significant life changes rarely come one at a time, giving us enough to process, plan and adapt. A loss of a job, divorce, chronic illness of our own or a loved one, and other life stressors can have experiencing shifting roles, responsibilities and routines, which can be uncomfortable and distressing. If you are also experiencing anxiety and/or depression, these are also the times we notice significant worsening of our symptoms. The good news is that you don't have to face these moments in life alone.
(618) 617-6641 View (618) 617-6641
Photo of Christianne M Judy, Clinical Social Work/Therapist in O Fallon, IL
Christianne M Judy
Clinical Social Work/Therapist, LCSW, CGT, CST
Verified Verified
O Fallon, IL 62269
Waitlist for new clients
I am a Certified Gottman Therapist using research based interventions with couples that really work! If you are having difficulties in your life with relationships or your marriage I will help you gain knowledge that can transform your relationships into what you would like them to be. It is only through self knowledge that change can take place. While helping with your relationship, I can also help with your sex life as well as a Certified AASECT Sex Therapist. This is an area of our life that we are taught to keep private and quiet. But, don't suffer in silence.
I am a Certified Gottman Therapist using research based interventions with couples that really work! If you are having difficulties in your life with relationships or your marriage I will help you gain knowledge that can transform your relationships into what you would like them to be. It is only through self knowledge that change can take place. While helping with your relationship, I can also help with your sex life as well as a Certified AASECT Sex Therapist. This is an area of our life that we are taught to keep private and quiet. But, don't suffer in silence.
(618) 509-9613 View (618) 509-9613
Photo of Finding The Forest Counseling LLC, Licensed Clinical Professional Counselor in O Fallon, IL
Finding The Forest Counseling LLC
Licensed Clinical Professional Counselor, LCPC
Verified Verified
O Fallon, IL 62269
Are you experiencing stress, anxiety, feeling down, depressed or feeling like you don't have anyone to talk to? Counseling offers you a time and place to reassess and restore balance to your life. With compassion, empathy and understanding, I will work to encourage and walk with you in order to help aid you with finding balance in your life. I believe one of the most important aspects of therapy is the therapeutic relationship, as it allows you to experience trust and to feel comfortable exploring your life.
Are you experiencing stress, anxiety, feeling down, depressed or feeling like you don't have anyone to talk to? Counseling offers you a time and place to reassess and restore balance to your life. With compassion, empathy and understanding, I will work to encourage and walk with you in order to help aid you with finding balance in your life. I believe one of the most important aspects of therapy is the therapeutic relationship, as it allows you to experience trust and to feel comfortable exploring your life.
(618) 749-6598 View (618) 749-6598
Photo of Ella M Duncan, Clinical Social Work/Therapist in O Fallon, IL
Ella M Duncan
Clinical Social Work/Therapist, PhD, BCD, LCSW, RPT-S
Verified Verified
O Fallon, IL 62269
Not accepting new clients
I specialize in healthy couples, child, and family relationships; separation/divorce; parenting/behavioral issues; anxiety and depression; and trauma/PTSD. I am a Registered Play Therapist with a fully-equipped play therapy room. I also have extensive Sandtray therapy training which I utilize with school-age children, teens, adults, and families. Additionally, I have 27 years of experience working with military members, retirees, and their families. My approach is collaborative, client-centered, strengths-oriented, and solution-focused as I strive to assist you in making the journey toward achieving your goals to improve your life, marriage, and/or family.
I specialize in healthy couples, child, and family relationships; separation/divorce; parenting/behavioral issues; anxiety and depression; and trauma/PTSD. I am a Registered Play Therapist with a fully-equipped play therapy room. I also have extensive Sandtray therapy training which I utilize with school-age children, teens, adults, and families. Additionally, I have 27 years of experience working with military members, retirees, and their families. My approach is collaborative, client-centered, strengths-oriented, and solution-focused as I strive to assist you in making the journey toward achieving your goals to improve your life, marriage, and/or family.
(618) 421-4025 View (618) 421-4025
Photo of Rachel Hines, Licensed Professional Counselor in O Fallon, IL
Rachel Hines
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
O Fallon, IL 62269
Not accepting new clients
It can be daunting to seek outside help for something that might be deeply personal. But sometimes, life can overwhelm us, and we might decide that something is not working for us or that it’s time to pursue a change. In these moments, I want to walk with you through your struggles and help you find your way to healing and contentment. In the therapy process, I value the insight you bring about your life and experience, and the work we do together will be, first and foremost, a collaborative effort.
It can be daunting to seek outside help for something that might be deeply personal. But sometimes, life can overwhelm us, and we might decide that something is not working for us or that it’s time to pursue a change. In these moments, I want to walk with you through your struggles and help you find your way to healing and contentment. In the therapy process, I value the insight you bring about your life and experience, and the work we do together will be, first and foremost, a collaborative effort.
(618) 448-5015 View (618) 448-5015
Photo of Dominique Wilson, Clinical Professional Counselor in O Fallon, IL
Dominique Wilson
Clinical Professional Counselor, MA, LCPC
Verified Verified
4 Endorsed
O Fallon, IL 62269
Have you tried everything to feel “normal” and still feel wounded, damaged, or out of control? If this is you, it’s time to step out of the solitary confinement of your mind and allow a healer to guide you. After all, being with a therapist is a relationship that can go beyond any other. For your therapist may know every secret and dark thought you've had, and hold trust that you've never gifted to anyone. When you ask for help, you’re expecting skills, processing, for "it" not to hurt so bad. Being gifted to heal people from their trauma creates a sense of owing the world my best effort at the work I love.
Have you tried everything to feel “normal” and still feel wounded, damaged, or out of control? If this is you, it’s time to step out of the solitary confinement of your mind and allow a healer to guide you. After all, being with a therapist is a relationship that can go beyond any other. For your therapist may know every secret and dark thought you've had, and hold trust that you've never gifted to anyone. When you ask for help, you’re expecting skills, processing, for "it" not to hurt so bad. Being gifted to heal people from their trauma creates a sense of owing the world my best effort at the work I love.
(618) 762-3343 View (618) 762-3343
Photo of Shelby Reece, Counselor in O Fallon, IL
Shelby Reece
Counselor, MA, LCPC
Verified Verified
O Fallon, IL 62269
You can’t pour from an empty cup.” That’s why I help people do the important work of refilling their owns cups, reclaiming their lives, and healing with a renewed sense of purpose.
You can’t pour from an empty cup.” That’s why I help people do the important work of refilling their owns cups, reclaiming their lives, and healing with a renewed sense of purpose.
(618) 226-4865 View (618) 226-4865
Photo of Kevin S. Bunten, Counselor in O Fallon, IL
Kevin S. Bunten
Counselor, LCPC, MSEd, MDiv, CADC
Verified Verified
1 Endorsed
O Fallon, IL 62269
I believe that people need to be heard, and can find and articulate their own truth, their own path to health with compassion, empathy, and time-to tell their story, feel appreciated, to heal, and to change. I have worked to include spirituality, creativity, and the ability to accompany someone on their journey-so that our brief connections can have impact through the week, and through life. I value family input and involvement, social supports, and evidence-based methods, but more so I value my client's individual personal journey. I am a Licensed Clinical Professional Counselor, and Certified Alcohol and Drug Abuse Counselor.
I believe that people need to be heard, and can find and articulate their own truth, their own path to health with compassion, empathy, and time-to tell their story, feel appreciated, to heal, and to change. I have worked to include spirituality, creativity, and the ability to accompany someone on their journey-so that our brief connections can have impact through the week, and through life. I value family input and involvement, social supports, and evidence-based methods, but more so I value my client's individual personal journey. I am a Licensed Clinical Professional Counselor, and Certified Alcohol and Drug Abuse Counselor.
(314) 736-3301 View (314) 736-3301
Photo of Krista McDonald, Clinical Social Work/Therapist in O Fallon, IL
Krista McDonald
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
6 Endorsed
O Fallon, IL 62269  (Online Only)
Are you feeling like you're lost in a maze of love and relationships? Whether you're in the early stages of dating, going through a tough breakup, dealing with the ups and downs of a long-term partnership, or coping with the aftermath of an affair, I get that each relationship journey is unique and challenging in its own way. It's normal to feel frustrated, hurt, betrayed, or confused, especially when trust, communication, and intimacy issues come into play. But no matter how stuck you feel, or how much you're doubting your own emotions, I'm here to tell you that you're not alone in this journey. I'm here to walk alongside you.
Are you feeling like you're lost in a maze of love and relationships? Whether you're in the early stages of dating, going through a tough breakup, dealing with the ups and downs of a long-term partnership, or coping with the aftermath of an affair, I get that each relationship journey is unique and challenging in its own way. It's normal to feel frustrated, hurt, betrayed, or confused, especially when trust, communication, and intimacy issues come into play. But no matter how stuck you feel, or how much you're doubting your own emotions, I'm here to tell you that you're not alone in this journey. I'm here to walk alongside you.
(618) 319-6872 View (618) 319-6872
Photo of Dr. Leslie Davis, Counselor in O Fallon, IL
Dr. Leslie Davis
Counselor, PhD, LCPC, NCC
Verified Verified
1 Endorsed
O Fallon, IL 62269
Do you constantly find yourself in toxic relationships? Have your relationships caused you anxiety or depression? It’s time for a change. As a Relationship Therapist, my goal is to help you thrive in healthy relationships with your romantic partner, friend, or family member. My ideal clients are teens, young adults, college students, and couples who may struggle with developing and maintaining healthy connections. Using an emotion-focused approach I will empower you with tools to improve your relationships and your self-esteem. My promise is to never sugarcoat the truth, so grab a cup of coffee/tea and come sit with me.
Do you constantly find yourself in toxic relationships? Have your relationships caused you anxiety or depression? It’s time for a change. As a Relationship Therapist, my goal is to help you thrive in healthy relationships with your romantic partner, friend, or family member. My ideal clients are teens, young adults, college students, and couples who may struggle with developing and maintaining healthy connections. Using an emotion-focused approach I will empower you with tools to improve your relationships and your self-esteem. My promise is to never sugarcoat the truth, so grab a cup of coffee/tea and come sit with me.
(708) 295-3412 View (708) 295-3412
Photo of Jennifer Plante, Pre-Licensed Professional in O Fallon, IL
Jennifer Plante
Pre-Licensed Professional, M Ed, PLPC, NCC
Verified Verified
O Fallon, IL 62269
Not accepting new clients
"I'm not currently accepting new clients." In my practice, sometimes a helpful, non-judgmental guide can be beneficial to gaining back emotional wellness - I’m here to help!! I offer a space for you to share thoughts, feelings, personal experiences and problems in a safe environment.
"I'm not currently accepting new clients." In my practice, sometimes a helpful, non-judgmental guide can be beneficial to gaining back emotional wellness - I’m here to help!! I offer a space for you to share thoughts, feelings, personal experiences and problems in a safe environment.
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How does your Therapist compare?

Number of Therapists in O Fallon, IL

80+

Average cost per session

$125

Therapists in O Fallon, IL who prioritize treating:

90% Anxiety
83% Depression
75% Coping Skills
74% Self Esteem
72% Stress
68% Relationship Issues
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
79% Aetna
74% Cigna and Evernorth

How Therapists in O Fallon, IL see their clients

87% In Person and Online
13% Online Only

Gender breakdown

86% Female
14% 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.