Therapists in Fort Collins, CO

Photo of Glenn Permar II, Counselor in Fort Collins, CO
Glenn Permar II
Counselor, LPCC, NCC
Verified Verified
4 Endorsed
Fort Collins, CO 80521  (Online Only)
Are you experiencing symptoms resulting from a traumatic incident? Are you struggling with anxiety or depression? I am passionate about working with all populations including LGBTQIA2S+ and BIPOC communities, teenagers, and adults. I have worked as a Middle School Counselor, Social-Emotional Learning Specialist, Crisis Support Hotline volunteer in the Far East, Training Director, Consultant, ESL Teacher Overseas, Instructor, and am a Military Veteran with combat theater experience.
Are you experiencing symptoms resulting from a traumatic incident? Are you struggling with anxiety or depression? I am passionate about working with all populations including LGBTQIA2S+ and BIPOC communities, teenagers, and adults. I have worked as a Middle School Counselor, Social-Emotional Learning Specialist, Crisis Support Hotline volunteer in the Far East, Training Director, Consultant, ESL Teacher Overseas, Instructor, and am a Military Veteran with combat theater experience.
(720) 477-2556 View (720) 477-2556
Photo of Erandi Herndon, Marriage & Family Therapist in Fort Collins, CO
Erandi Herndon
Marriage & Family Therapist, LMFT, MS
Verified Verified
Fort Collins, CO 80521
Hola! My name is Erandi. I identify as a multiracial, bilingual (Spanish-English) cisgender female. I am a Licensed Marriage and Family Therapist and work towards supporting individuals, youth and their families find their voice, heal, and repair relationships. Additionally, I provide services that uplift and empower my Spanish-speaking and BIPOC communities. As your therapist, we will work collaboratively to build trust and safety in our relationship, which will serve as a foundation for deep healing work. My approach is generally informal, direct, and transparent in hopes of demystifying the therapeutic process.
Hola! My name is Erandi. I identify as a multiracial, bilingual (Spanish-English) cisgender female. I am a Licensed Marriage and Family Therapist and work towards supporting individuals, youth and their families find their voice, heal, and repair relationships. Additionally, I provide services that uplift and empower my Spanish-speaking and BIPOC communities. As your therapist, we will work collaboratively to build trust and safety in our relationship, which will serve as a foundation for deep healing work. My approach is generally informal, direct, and transparent in hopes of demystifying the therapeutic process.
(970) 299-8038 View (970) 299-8038
Photo of Lyss (Alyssa) de la Torre, Licensed Professional Counselor in Fort Collins, CO
Lyss (Alyssa) de la Torre
Licensed Professional Counselor, LPC, LPCC
Verified Verified
1 Endorsed
Fort Collins, CO 80527  (Online Only)
Hello! I'm Lyss and so glad you're here! Before you read any further, please visit my website: www.lyssdelatorre.com. As your counselor, I will work to create a space for you to feel welcomed, protected and cared for. You will find the freedom to bring your truest self: all of your joys, shame and pain. Here we will walk together-at your pace-towards a deeper understanding of yourself in order to build an authentic life. I have found my passion in working with teens and adults who find themselves in painful places, whether from traumatic experiences or from the inner voices of shame, and working together towards healing and peace.
Hello! I'm Lyss and so glad you're here! Before you read any further, please visit my website: www.lyssdelatorre.com. As your counselor, I will work to create a space for you to feel welcomed, protected and cared for. You will find the freedom to bring your truest self: all of your joys, shame and pain. Here we will walk together-at your pace-towards a deeper understanding of yourself in order to build an authentic life. I have found my passion in working with teens and adults who find themselves in painful places, whether from traumatic experiences or from the inner voices of shame, and working together towards healing and peace.
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Photo of Shane Grae LeMaster, Registered Psychotherapist in Fort Collins, CO
Shane Grae LeMaster
Registered Psychotherapist, MA, PhD(c), LAC, CMPC
Verified Verified
Fort Collins, CO 80524
Here at Mind-Ops we focus on one overarching life concept - O.ptimal ... P.erformance... S.olutions. We offer a wide range of services, most of which are delivered at our Ft. Collins office, through teletherapy, or at sites that are most conducive to the individualized change process of each client. Whether you are an individual, a team, or a business, we at Mind-Ops can help you attain your greatest potential. We can all be better and that's where our staff come in. Here at Mind-Ops, we also offer self-paced online educational courses through our Mind-Ops Online University
Here at Mind-Ops we focus on one overarching life concept - O.ptimal ... P.erformance... S.olutions. We offer a wide range of services, most of which are delivered at our Ft. Collins office, through teletherapy, or at sites that are most conducive to the individualized change process of each client. Whether you are an individual, a team, or a business, we at Mind-Ops can help you attain your greatest potential. We can all be better and that's where our staff come in. Here at Mind-Ops, we also offer self-paced online educational courses through our Mind-Ops Online University
(720) 233-8022 View (720) 233-8022
Photo of Thomas Vnuk MA LPC, Licensed Professional Counselor in Fort Collins, CO
Thomas Vnuk MA LPC
Licensed Professional Counselor, MA, LPC, CO #237
Verified Verified
Fort Collins, CO 80524
I have been providing direct psychological counseling sessions for more than thirty years. I have provided these services in Private Practice, Psychiatric Inpatient and Outpatient settings, Neuro-Rehabilitation and Mental Health Agency Settings. Please count on my dedication to providing an effective and high quality therapeutic experience delivered in a compassionate and respectful way. I work particularly well with adolescents and adults wanting assistance with Anxiety, Anxiety Disorders, Depression, Bipolar Disorder, Trauma and PTSD recovery and stress related medical issues including Somatic and Chronic Pain Conditions.
I have been providing direct psychological counseling sessions for more than thirty years. I have provided these services in Private Practice, Psychiatric Inpatient and Outpatient settings, Neuro-Rehabilitation and Mental Health Agency Settings. Please count on my dedication to providing an effective and high quality therapeutic experience delivered in a compassionate and respectful way. I work particularly well with adolescents and adults wanting assistance with Anxiety, Anxiety Disorders, Depression, Bipolar Disorder, Trauma and PTSD recovery and stress related medical issues including Somatic and Chronic Pain Conditions.
(970) 818-5670 View (970) 818-5670
Photo of Carolyn Bartlett, Clinical Social Work/Therapist in Fort Collins, CO
Carolyn Bartlett
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Collins, CO 80524
I enjoy providing consultation and therapy to other psychotherapists. Culturally unique, therapists are usually self-reflective and often grew up in milieus that inspire a desire to help! Therapy happens in the context of relationship. When transference and countertransference blind spots arise it gets complicated and very interesting. Examining what is happening in the sticky moments can open doors to insight, personal growth and better treatment outcomes. Therapists tend to be life-long learners and fortunately our work affords us the opportunity to cultivate the models and techniques we are attracted to.
I enjoy providing consultation and therapy to other psychotherapists. Culturally unique, therapists are usually self-reflective and often grew up in milieus that inspire a desire to help! Therapy happens in the context of relationship. When transference and countertransference blind spots arise it gets complicated and very interesting. Examining what is happening in the sticky moments can open doors to insight, personal growth and better treatment outcomes. Therapists tend to be life-long learners and fortunately our work affords us the opportunity to cultivate the models and techniques we are attracted to.
(970) 676-6597 View (970) 676-6597
Photo of Andrew R Tidrick, Clinical Social Work/Therapist in Fort Collins, CO
Andrew R Tidrick
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fort Collins, CO 80524
I enjoy my work and clients a great deal. I take pleasure in life and am determined to bring a positive and supportive approach to our sessions while compassionately encouraging you to address the challenges you are facing. I am comfortable with a diverse array of clients and look forward to learning from you and your experiences. He proveido terapia en espanol desde 1997. Sientese libre contactarme para mas informacion.
I enjoy my work and clients a great deal. I take pleasure in life and am determined to bring a positive and supportive approach to our sessions while compassionately encouraging you to address the challenges you are facing. I am comfortable with a diverse array of clients and look forward to learning from you and your experiences. He proveido terapia en espanol desde 1997. Sientese libre contactarme para mas informacion.
(970) 366-4214 x2 View (970) 366-4214 x2
Photo of Stacie Scheich, Counselor in Fort Collins, CO
Stacie Scheich
Counselor, MEd, LPC, EMDR, II
Verified Verified
2 Endorsed
Fort Collins, CO 80521
Choosing the right therapist can be challenging! I provide a free 30-min consultation for anyone interested in my services. I have experience handling many issues. I join in your process and help find the personal solutions that work best for you. I appreciate open clients as well as clients who may be ambivalent about change and need a nonjudgmental person to help sort options out to create positive, lasting changes. The therapeutic relationship is the essential building block for your success and my goal is to empower and challenge you to find your true, happy self.
Choosing the right therapist can be challenging! I provide a free 30-min consultation for anyone interested in my services. I have experience handling many issues. I join in your process and help find the personal solutions that work best for you. I appreciate open clients as well as clients who may be ambivalent about change and need a nonjudgmental person to help sort options out to create positive, lasting changes. The therapeutic relationship is the essential building block for your success and my goal is to empower and challenge you to find your true, happy self.
(970) 279-4428 View (970) 279-4428
Photo of Kaylei Kazuko Ernster, Pre-Licensed Professional in Fort Collins, CO
Kaylei Kazuko Ernster
Pre-Licensed Professional
Verified Verified
1 Endorsed
Fort Collins, CO 80526
"I want to stop these cycles from ruining my relationships" ... "I feel disconnected from myself or others" ... "I can’t stop these thoughts from taking over my headspace" ... I believe you. How can I help?
"I want to stop these cycles from ruining my relationships" ... "I feel disconnected from myself or others" ... "I can’t stop these thoughts from taking over my headspace" ... I believe you. How can I help?
(970) 404-4667 View (970) 404-4667
Photo of Gary A Emery, Licensed Professional Counselor in Fort Collins, CO
Gary A Emery
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Fort Collins, CO 80524
I welcome men struggling with issues such as anger, pornography addiction, leadership and husband/father roles. In addition, I specialize in any Marriage issue from roles, conflict, communication, affair recovery and transitions. I am a faith-based individual and willing to deal with "spiritual" issues when the opportunity arises, but will always do so in a "non-preachy" fashion.
I welcome men struggling with issues such as anger, pornography addiction, leadership and husband/father roles. In addition, I specialize in any Marriage issue from roles, conflict, communication, affair recovery and transitions. I am a faith-based individual and willing to deal with "spiritual" issues when the opportunity arises, but will always do so in a "non-preachy" fashion.
(970) 368-4659 View (970) 368-4659
Photo of Allison Woods, Licensed Professional Counselor in Fort Collins, CO
Allison Woods
Licensed Professional Counselor, MA, LPC
Verified Verified
Fort Collins, CO 80524
I love working with a diversity of clients, from young adults to senior adults. People enter therapy for a variety of reasons; usually, a common factor is that they want some kind of growth, change, or relief from emotional pain. I enjoy working with clients who are willing to engage in the therapeutic process with as much commitment and honesty as they can. From there, we can clarify goals, glean important information from our own therapeutic relationship, and enjoy this deeply human process of questioning and relating with each other.
I love working with a diversity of clients, from young adults to senior adults. People enter therapy for a variety of reasons; usually, a common factor is that they want some kind of growth, change, or relief from emotional pain. I enjoy working with clients who are willing to engage in the therapeutic process with as much commitment and honesty as they can. From there, we can clarify goals, glean important information from our own therapeutic relationship, and enjoy this deeply human process of questioning and relating with each other.
(970) 441-9052 View (970) 441-9052
Photo of Blakely Sjostedt Williams, Clinical Social Work/Therapist in Fort Collins, CO
Blakely Sjostedt Williams
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Fort Collins, CO 80525
In order to heal, I believe we need a nonjudgmental space to look at the hard stuff that's not working, recognize how it has worked in the past, and identify changes. My role is to encourage and empower you to make these meaningful changes in your life so you can move from surviving to thriving. If you’re a dog person, Luna, my cattle dog mix can join your sessions as she is undergoing animal assisted therapy training. Luna welcomes everyone with enthusiastic tail wags!
In order to heal, I believe we need a nonjudgmental space to look at the hard stuff that's not working, recognize how it has worked in the past, and identify changes. My role is to encourage and empower you to make these meaningful changes in your life so you can move from surviving to thriving. If you’re a dog person, Luna, my cattle dog mix can join your sessions as she is undergoing animal assisted therapy training. Luna welcomes everyone with enthusiastic tail wags!
(970) 236-7857 View (970) 236-7857
Photo of Michelle Landon, Clinical Social Work/Therapist in Fort Collins, CO
Michelle Landon
Clinical Social Work/Therapist, LCSW, CAS, EMDR II, EMDR
Verified Verified
1 Endorsed
Fort Collins, CO 80526
Not accepting new clients
Not accepting new clients at this time. I have 20 years' experience in the mental health field providing counseling to treat depression, anxiety, trauma, substance abuse, life transitions, personal growth, and prenatal and postpartum difficulties. We all possess an innate healing wisdom and I approach therapy as a way of empowering each client to remember and uncover who they truly are. When we remember our basic goodness we can heal past wounds and liberate ourselves to live life more fully.
Not accepting new clients at this time. I have 20 years' experience in the mental health field providing counseling to treat depression, anxiety, trauma, substance abuse, life transitions, personal growth, and prenatal and postpartum difficulties. We all possess an innate healing wisdom and I approach therapy as a way of empowering each client to remember and uncover who they truly are. When we remember our basic goodness we can heal past wounds and liberate ourselves to live life more fully.
(970) 286-8892 View (970) 286-8892
Photo of Jennifer Kristine Hahn, Licensed Professional Counselor in Fort Collins, CO
Jennifer Kristine Hahn
Licensed Professional Counselor, LPC
Verified Verified
Fort Collins, CO 80528
By their nature, addiction and mental health issues can be so isolating. The reality though, is that you are not alone. I would love to come alongside and help you in your healing process.
By their nature, addiction and mental health issues can be so isolating. The reality though, is that you are not alone. I would love to come alongside and help you in your healing process.
(970) 825-0257 View (970) 825-0257
Photo of Dylan Beach, Licensed Professional Counselor in Fort Collins, CO
Dylan Beach
Licensed Professional Counselor, LPC
Verified Verified
Fort Collins, CO 80521
With acceptance and sincerity, Dylan invites you into a secure and welcoming environment where you can experience collaboration, trust, and growth. You'll feel heard and cared for as you work towards healing. You'll be empowered with tools and insights that promote coping and relief of everyday life stressors, as well as longstanding psychological distress. When appropriate, you'll enjoy a fair share of laughter to accompany difficult sessions and breakthroughs.
With acceptance and sincerity, Dylan invites you into a secure and welcoming environment where you can experience collaboration, trust, and growth. You'll feel heard and cared for as you work towards healing. You'll be empowered with tools and insights that promote coping and relief of everyday life stressors, as well as longstanding psychological distress. When appropriate, you'll enjoy a fair share of laughter to accompany difficult sessions and breakthroughs.
(970) 594-7822 View (970) 594-7822
Photo of Brady Neely, Licensed Professional Counselor in Fort Collins, CO
Brady Neely
Licensed Professional Counselor, MA, LPC
Verified Verified
Fort Collins, CO 80524
My approach is to create a warm, validating, and safe place in which we can explore your life’s challenges. We will work together to find ways to help you manage difficulties, calm your system, understand your patterns, improve your communication and relationships, and make more conscious choices. I will meet you where you are, and we will work on figuring out where you want to go and how to get there.
My approach is to create a warm, validating, and safe place in which we can explore your life’s challenges. We will work together to find ways to help you manage difficulties, calm your system, understand your patterns, improve your communication and relationships, and make more conscious choices. I will meet you where you are, and we will work on figuring out where you want to go and how to get there.
(970) 438-5750 View (970) 438-5750
Photo of Spencer Anderson, Clinical Social Work/Therapist in Fort Collins, CO
Spencer Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Collins, CO 80526
Empowering parent's and caregiver's ability to connect with their child in a deep and meaningful way is the central focus of Spencer’s approach to overcoming challenges. This begins when parents/caregivers are able to resolve any challenges in the relationship that may be a barrier to therapy. Once this occurs, caregivers and their child can begin, in a safe and therapeutic environment, to explore the trauma, abuse, neglect, abandonment and loss which are the emotional source to behavioral struggles.
Empowering parent's and caregiver's ability to connect with their child in a deep and meaningful way is the central focus of Spencer’s approach to overcoming challenges. This begins when parents/caregivers are able to resolve any challenges in the relationship that may be a barrier to therapy. Once this occurs, caregivers and their child can begin, in a safe and therapeutic environment, to explore the trauma, abuse, neglect, abandonment and loss which are the emotional source to behavioral struggles.
(970) 507-8834 View (970) 507-8834
Photo of Ben Lotstein, Marriage & Family Therapist in Fort Collins, CO
Ben Lotstein
Marriage & Family Therapist, MS, LMFT
Verified Verified
10 Endorsed
Fort Collins, CO 80524
Life’s struggles can leave us feeling lost or confused. Difficulties in relationships can make us feel trapped, hurt, or scared. However, even when things feel hopeless, we all have the potential to grow and find a new direction— individually and in our relationships. I work with individuals and couples seeking to overcome stress, anxiety, and depression in order to get something more out of life. I’ll help you tap into your natural ability to move through challenges to a more balanced and fulfilling way of living.
Life’s struggles can leave us feeling lost or confused. Difficulties in relationships can make us feel trapped, hurt, or scared. However, even when things feel hopeless, we all have the potential to grow and find a new direction— individually and in our relationships. I work with individuals and couples seeking to overcome stress, anxiety, and depression in order to get something more out of life. I’ll help you tap into your natural ability to move through challenges to a more balanced and fulfilling way of living.
(970) 239-8765 View (970) 239-8765
Photo of Jenna Raymond, Clinical Social Work/Therapist in Fort Collins, CO
Jenna Raymond
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
Fort Collins, CO 80526
Welcome. I am currently not accepting new clients, but have several colleagues at Poudre Psychotherapy Partners that are accepting new clients with openings in the next 2-3 weeks. I am honored to walk along side you in your journey, and understand how hard it is to take the first step. I believe all people have the innate capacity to change. I come from a holistic lens where I view you as so much more than the challenges that you are facing. I use compassion, respect, humor (when appropriate), and a direct approach to work with you to accomplish goals.
Welcome. I am currently not accepting new clients, but have several colleagues at Poudre Psychotherapy Partners that are accepting new clients with openings in the next 2-3 weeks. I am honored to walk along side you in your journey, and understand how hard it is to take the first step. I believe all people have the innate capacity to change. I come from a holistic lens where I view you as so much more than the challenges that you are facing. I use compassion, respect, humor (when appropriate), and a direct approach to work with you to accomplish goals.
(970) 410-3542 View (970) 410-3542
Photo of Sean Lawlor, Licensed Professional Counselor Candidate in Fort Collins, CO
Sean Lawlor
Licensed Professional Counselor Candidate, LPCC, MA, MFA
Verified Verified
1 Endorsed
Fort Collins, CO 80524
Life can be overwhelming, and Western culture does not readily offer the tools to help us navigate the impact. We end up carrying stress, anxiety, trauma, and depression in our bodies, and if the the cycle continues, we can end up burnt out. In the confusion, we may turn toward substances, behaviors, and other strategies to cope, which ultimately leave us more burdened than before. As hopeless as things can seem, there are always opportunities to change your inner and outer patterns. Over time, these small changes can redirect your life toward alignment, fulfillment, and ease grounded in the present moment.
Life can be overwhelming, and Western culture does not readily offer the tools to help us navigate the impact. We end up carrying stress, anxiety, trauma, and depression in our bodies, and if the the cycle continues, we can end up burnt out. In the confusion, we may turn toward substances, behaviors, and other strategies to cope, which ultimately leave us more burdened than before. As hopeless as things can seem, there are always opportunities to change your inner and outer patterns. Over time, these small changes can redirect your life toward alignment, fulfillment, and ease grounded in the present moment.
(970) 465-8330 View (970) 465-8330

See more therapy options for Fort Collins

How does your Therapist compare?

Number of Therapists in Fort Collins, CO

1,000+

Average cost per session

$140

Therapists in Fort Collins, CO who prioritize treating:

93% Anxiety
88% Depression
80% Relationship Issues
79% Trauma and PTSD
76% Self Esteem
67% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

82% Aetna
75% UnitedHealthcare UHC | UBH
73% Cigna and Evernorth

How Therapists in Fort Collins, CO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fort Collins?

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.