Therapists in Amelia Island, FL

Photo of Ken and Michele Johnson, Counselor in Amelia Island, FL
Ken and Michele Johnson
Counselor, PsyD, MH, CAP, ATSA
Verified
Amelia Island, FL 32034
I am a practicing clinical psychologist beginning in March of 1987. I primarily use brief solution focused therapy with NLP and an adjunct of cognitive behavioral input. We can assist with faith-based spiritual counseling. Additionally, if you're interested in overcoming addictions, trauma and other mental health concerns with the use of CBT, hypnosis, or other creative therapies I am your therapist or Coach. If long-term therapy is needed, techniques will vary from Rogerian,Gestalt and Existential approaches on an individualized basis.
I am a practicing clinical psychologist beginning in March of 1987. I primarily use brief solution focused therapy with NLP and an adjunct of cognitive behavioral input. We can assist with faith-based spiritual counseling. Additionally, if you're interested in overcoming addictions, trauma and other mental health concerns with the use of CBT, hypnosis, or other creative therapies I am your therapist or Coach. If long-term therapy is needed, techniques will vary from Rogerian,Gestalt and Existential approaches on an individualized basis.
(386) 530-6396 View (386) 530-6396
Photo of Dr. Amaris A. Avellan, Pre-Licensed Professional in Amelia Island, FL
Dr. Amaris A. Avellan
Pre-Licensed Professional, PhD
Verified
Amelia Island, FL 32034
Hi! In a world where so many of us regularly get the message that we are flawed, I think it is important to start by saying something that we might not hear so regularly, which is, that it is okay to be you. But if I’m being honest, being yourself is not always an easy thing to do. As a therapist, I place priority in creating a therapy environment where clients feel safe to share the most authentic versions of themselves without fear of judgement. In addition to a safe therapeutic space, my goal is to assist clients on their paths towards self-expression and self-acceptance no matter where they are in their journey.
Hi! In a world where so many of us regularly get the message that we are flawed, I think it is important to start by saying something that we might not hear so regularly, which is, that it is okay to be you. But if I’m being honest, being yourself is not always an easy thing to do. As a therapist, I place priority in creating a therapy environment where clients feel safe to share the most authentic versions of themselves without fear of judgement. In addition to a safe therapeutic space, my goal is to assist clients on their paths towards self-expression and self-acceptance no matter where they are in their journey.
(904) 780-2259 View (904) 780-2259
Photo of John Lindbeck, Clinical Social Work/Therapist in Amelia Island, FL
John Lindbeck
Clinical Social Work/Therapist, MSW, M Div
Amelia Island, FL 32034  (Online Only)
For the last 30 years of my 40 years in practice, I have had a special interest and focus on conflict management. I have worked closely with colleagues in the private sector and the courts to develop programs and relationships that effectively assist those having difficulty managing their behavior in their interactions with others. Out of this has come my current focus on individual and couples counseling, anger management, and my commitment to change-oriented treatment techniques associated with Cognitive Behavioral Therapy (CBT). My approach is low on pretense; high on listening, feedback and direction.
For the last 30 years of my 40 years in practice, I have had a special interest and focus on conflict management. I have worked closely with colleagues in the private sector and the courts to develop programs and relationships that effectively assist those having difficulty managing their behavior in their interactions with others. Out of this has come my current focus on individual and couples counseling, anger management, and my commitment to change-oriented treatment techniques associated with Cognitive Behavioral Therapy (CBT). My approach is low on pretense; high on listening, feedback and direction.
(904) 966-4129 View (904) 966-4129
Photo of Joanne Oestmann, Counselor in Amelia Island, FL
Joanne Oestmann
Counselor, EdD, LMHC, LPC, LPCS
Verified
Amelia Island, FL 32034
Want to learn new ways to strengthen your life skills and relationships? Bring more meaning to your life? You can begin a coaching journey to help you develop mindfulness, deepen relationships, strengthen communications, build parenting skills, and become a better you.
Want to learn new ways to strengthen your life skills and relationships? Bring more meaning to your life? You can begin a coaching journey to help you develop mindfulness, deepen relationships, strengthen communications, build parenting skills, and become a better you.
(904) 639-5548 View (904) 639-5548
Photo of Gershom Theophilus Lazarus, Psychologist in Amelia Island, FL
Gershom Theophilus Lazarus
Psychologist, PhD
Verified
Amelia Island, FL 32034  (Online Only)
Waitlist for new clients
Do you want to utilize this time to maximize your potential? An understanding of the relationship between brain functioning and behavior can help provide you insight into how you process information, and help select strategies that optimize your growth and development. We help you identify areas of concern and relate brain-behavior relationships to "every-day" strategies. Our clinical services include psychotherapy and executive consulting, psychological and neuropsychological evaluations, peri-natal and family consulting, and forensic consultations for legal professionals.
Do you want to utilize this time to maximize your potential? An understanding of the relationship between brain functioning and behavior can help provide you insight into how you process information, and help select strategies that optimize your growth and development. We help you identify areas of concern and relate brain-behavior relationships to "every-day" strategies. Our clinical services include psychotherapy and executive consulting, psychological and neuropsychological evaluations, peri-natal and family consulting, and forensic consultations for legal professionals.
(404) 999-4051 View (404) 999-4051
Photo of Suzanne Gord, Licensed Professional Counselor in Amelia Island, FL
Suzanne Gord
Licensed Professional Counselor, MA, MSEd, LPC, CCATP
Verified
Amelia Island, FL 32034  (Online Only)
Accepting New Clients. I work with adults and older adults on a wide variety of issues including anxiety, chronic illness, and life transitions. I’m a Certified Clinical Anxiety Treatment Professional (CCATP). This means I have specialized training in exploring the causes and treatment of anxiety disorders and neurobiological disorders such as Obsessive Compulsive Disorder (OCD). As a person-centered counselor, I believe you have the power to find the solutions to the issues that trouble you. My role is to provide reflection, presence, and inquiry to guide you to those solutions.
Accepting New Clients. I work with adults and older adults on a wide variety of issues including anxiety, chronic illness, and life transitions. I’m a Certified Clinical Anxiety Treatment Professional (CCATP). This means I have specialized training in exploring the causes and treatment of anxiety disorders and neurobiological disorders such as Obsessive Compulsive Disorder (OCD). As a person-centered counselor, I believe you have the power to find the solutions to the issues that trouble you. My role is to provide reflection, presence, and inquiry to guide you to those solutions.
(937) 909-0930 View (937) 909-0930
Photo of Amelia Island Counseling LLC, Megan Ienaro, LCSW, Clinical Social Work/Therapist in Amelia Island, FL
Amelia Island Counseling LLC, Megan Ienaro, LCSW
Clinical Social Work/Therapist, LCSW
Verified
Amelia Island, FL 32034
"Nourishing yourself in a way that helps you blossom in the direction you want to go is attainable, and you are worth the effort. " - Deborah Day
"Nourishing yourself in a way that helps you blossom in the direction you want to go is attainable, and you are worth the effort. " - Deborah Day
(904) 299-0819 View (904) 299-0819
Photo of Emerald Isle Counseling, Licensed Professional Counselor in Amelia Island, FL
Emerald Isle Counseling
Licensed Professional Counselor, EdS, NCC, BCPC, CPCS, LPC
Verified
Amelia Island, FL 32034
Offices located in St. Simons Island, Brunswick, Kingsland or via Telehealth; serving all ages. People seek counseling for a wide variety of reasons. Some are going through difficult life transitions, while others are trying to learn more about themselves and lead more fulfilling lives. Whatever may be your reason for searching today, know that we can help you -Find Your Balance-
Offices located in St. Simons Island, Brunswick, Kingsland or via Telehealth; serving all ages. People seek counseling for a wide variety of reasons. Some are going through difficult life transitions, while others are trying to learn more about themselves and lead more fulfilling lives. Whatever may be your reason for searching today, know that we can help you -Find Your Balance-
(912) 330-4401 View (912) 330-4401
ADvanced Psychological Services
Psychologist, Psy, D
Verified
1 Endorsed
Amelia Island, FL 32034
Psychotherapy takes courage. There is “no one size fits all” therapy. I treat each client according to their needs. Everyone is different and unique which requires flexibility on my part. Willingness to be open and a desire for a better life, is my ideal client. Whether it is anxiety, panic attacks, depression, bi-polar mood swings, couple issues, loss of a loved one, divorce, or parenting issues, research has confirmed that psychotherapy works.
Psychotherapy takes courage. There is “no one size fits all” therapy. I treat each client according to their needs. Everyone is different and unique which requires flexibility on my part. Willingness to be open and a desire for a better life, is my ideal client. Whether it is anxiety, panic attacks, depression, bi-polar mood swings, couple issues, loss of a loved one, divorce, or parenting issues, research has confirmed that psychotherapy works.
(904) 447-5359 View (904) 447-5359
Photo of Amy Decker, Clinical Social Work/Therapist in Amelia Island, FL
Amy Decker
Clinical Social Work/Therapist, LCSW
Verified
3 Endorsed
Amelia Island, FL 32034
A vision to create a place where those seeking emotional wellness would receive high-quality care in a respectful and nurturing environment led to a Center where the incredible resiliency of each individual is recognized and valued. It is my goal to assist individuals and couples in achieving balance and well being. Be assured that whatever life transition brought you to this place, I am ready to assist you with your journey toward wellness and helping you take steps to assist in your own healing process, and I am grateful to have the opportunity to work with you
A vision to create a place where those seeking emotional wellness would receive high-quality care in a respectful and nurturing environment led to a Center where the incredible resiliency of each individual is recognized and valued. It is my goal to assist individuals and couples in achieving balance and well being. Be assured that whatever life transition brought you to this place, I am ready to assist you with your journey toward wellness and helping you take steps to assist in your own healing process, and I am grateful to have the opportunity to work with you
(904) 290-7317 View (904) 290-7317
Photo of Cathy Ann Cosentino, Marriage & Family Therapist in Amelia Island, FL
Cathy Ann Cosentino
Marriage & Family Therapist, LMFT, Esq
Verified
3 Endorsed
Amelia Island, FL 32034
Kevin Bacon was once asked, “What makes your marriage last?” He didn’t miss a beat: “Clean fighting and dirty sex.” He has a point. The way a couple fights truly impacts their health and their relationship. There are additional influences that create disharmony between two people. Loss of connection, loneliness and conflict avoidance are all precursors to infidelity. I work with couples in crisis from the recent discovery of betrayal and/or past addictions and other relationship struggles. Healing won’t be easy, but it is possible. It’s a painful journey that will take time. I work to make that journey easier.
Kevin Bacon was once asked, “What makes your marriage last?” He didn’t miss a beat: “Clean fighting and dirty sex.” He has a point. The way a couple fights truly impacts their health and their relationship. There are additional influences that create disharmony between two people. Loss of connection, loneliness and conflict avoidance are all precursors to infidelity. I work with couples in crisis from the recent discovery of betrayal and/or past addictions and other relationship struggles. Healing won’t be easy, but it is possible. It’s a painful journey that will take time. I work to make that journey easier.
(910) 765-8910 View (910) 765-8910

More Therapists Nearby

Photo of Maria Murphy, Counselor in Amelia Island, FL
Maria Murphy
Counselor, MA, LMHC, NCC
Verified
Fernandina Beach, FL 32034
Not accepting new clients
Life has its fair share of challenges and struggles. Sometimes it can reach the point where we feel that we can't take one more thing. The changes, stressors, or losses we experience just get overwhelming...and reaching out for help begins to make sense. My goal is to help you figure out what is not working, what is causing you pain or unhappiness, to help create a plan with you, offer tools and strategies, and work together to get you where you want to go.
Life has its fair share of challenges and struggles. Sometimes it can reach the point where we feel that we can't take one more thing. The changes, stressors, or losses we experience just get overwhelming...and reaching out for help begins to make sense. My goal is to help you figure out what is not working, what is causing you pain or unhappiness, to help create a plan with you, offer tools and strategies, and work together to get you where you want to go.
(904) 429-4733 View (904) 429-4733
Photo of Naomi I Kimball, Pre-Licensed Professional in Amelia Island, FL
Naomi I Kimball
Pre-Licensed Professional, MA, RMHCI
Verified
Fernandina Beach, FL 32034
I offer individual, couples, and family counseling. My approach is determined by your needs. After the initial intake session I create a plan to reach the goals you have set during the initial session. In the follow-up session we discuss the plan, and get started on the road to reaching those goals.
I offer individual, couples, and family counseling. My approach is determined by your needs. After the initial intake session I create a plan to reach the goals you have set during the initial session. In the follow-up session we discuss the plan, and get started on the road to reaching those goals.
(904) 320-2206 View (904) 320-2206
Photo of Sharon Ann Chunn, Counselor in Amelia Island, FL
Sharon Ann Chunn
Counselor, PhD, LPC, LMHC, MA, MBA
Verified
Fernandina Beach, FL 32034
Clinically Professional * Distinctively Christian Dr. Chunn trained in psychodynamic, cognitive-behavioral, systemic as well as other approaches to therapy, while tailoring her interventions to the needs of her clients. Depending on the presenting problems, she may work with couples to improve their communication, perform individual therapy for individuals struggling with emotional or behavioral difficulties, or conduct family therapy to assist families dealing with loss or transition.
Clinically Professional * Distinctively Christian Dr. Chunn trained in psychodynamic, cognitive-behavioral, systemic as well as other approaches to therapy, while tailoring her interventions to the needs of her clients. Depending on the presenting problems, she may work with couples to improve their communication, perform individual therapy for individuals struggling with emotional or behavioral difficulties, or conduct family therapy to assist families dealing with loss or transition.
(904) 674-3246 View (904) 674-3246
Photo of Teresa Michelle Eltrich, Counselor in Amelia Island, FL
Teresa Michelle Eltrich
Counselor, MS, LMHC, PMH-C
Verified
Fernandina Beach, FL 32034
Focusing on Perinatal Mental Health encompasses all aspects of the journey to motherhood. I find that working with new moms struggling with the transition, anxiety and depression, women working to overcome infertility and the frustration of trying to conceive, and the moms that have experienced heartbreak of loss is where my heart is. The struggles during all of these journeys can be exhausting. Whether it is sleepless nights with a newborn, anxiety and worry keeping you up at night, or the wish that you were being kept up at night because you are struggling with becoming pregnant or have had a pregnancy loss-you have a place here.
Focusing on Perinatal Mental Health encompasses all aspects of the journey to motherhood. I find that working with new moms struggling with the transition, anxiety and depression, women working to overcome infertility and the frustration of trying to conceive, and the moms that have experienced heartbreak of loss is where my heart is. The struggles during all of these journeys can be exhausting. Whether it is sleepless nights with a newborn, anxiety and worry keeping you up at night, or the wish that you were being kept up at night because you are struggling with becoming pregnant or have had a pregnancy loss-you have a place here.
(727) 295-2058 View (727) 295-2058
Photo of Psychology for Work and Life, Counselor in Amelia Island, FL
Psychology for Work and Life
Counselor
Verified
Fernandina Beach, FL 32034  (Online Only)
Are you noticing a lack of direction and fulfillment in your current career? Maybe you are thinking about making a career change and are not sure which way to go. Career exploration and coaching is an excellent place to begin your journey. I mix my training in psychology with the power of assessment to support you in reaching a higher level of fulfillment. Self-awareness is a powerful strength! You will become the expert in your work personality, interests, strengths, and values.
Are you noticing a lack of direction and fulfillment in your current career? Maybe you are thinking about making a career change and are not sure which way to go. Career exploration and coaching is an excellent place to begin your journey. I mix my training in psychology with the power of assessment to support you in reaching a higher level of fulfillment. Self-awareness is a powerful strength! You will become the expert in your work personality, interests, strengths, and values.
View
Photo of Constance Cooper, Clinical Social Work/Therapist in Amelia Island, FL
Constance Cooper
Clinical Social Work/Therapist, LCSW, C-DBT
Verified
1 Endorsed
Fernandina Beach, FL 32034  (Online Only)
Greater contentment and growth, both individually and in relationships, are possible. Identifying your strengths, then skillfully putting them to work on problems and goals is how to make that happen. Typical issues addressed in counseling include relationship difficulties, depression/anxiety, adjusting to a life change, grief and loss, and substance abuse. On your first visit we will discuss your concerns and identify what you'd like to achieve. We'll also set goals to track your progress. Progress can happen quickly with focus, strategy, and commitment. By being here you have started the process!
Greater contentment and growth, both individually and in relationships, are possible. Identifying your strengths, then skillfully putting them to work on problems and goals is how to make that happen. Typical issues addressed in counseling include relationship difficulties, depression/anxiety, adjusting to a life change, grief and loss, and substance abuse. On your first visit we will discuss your concerns and identify what you'd like to achieve. We'll also set goals to track your progress. Progress can happen quickly with focus, strategy, and commitment. By being here you have started the process!
(904) 867-7882 View (904) 867-7882
Photo of Julie Ingber, Counselor in Amelia Island, FL
Julie Ingber
Counselor, LMHC, CEMDRT, MEd
Verified
3 Endorsed
Fernandina, FL 32034  (Online Only)
Taking the first step in finding a therapist can be difficult. Your choice of clinicians is an essential one. The connection between you and your therapist is the foundation for therapy. Therapy is a collaborative experience. It is my responsibility to provide a safe space, conducive to healing, and growth. I use a variety of the most innovative, evidence-based therapeutic approaches available. Our work together will give you the opportunity to, identity blocks, develop your ability to transcend limiting beliefs and perceptions that no longer work in your best interest. You will be able to live your life free to be you.
Taking the first step in finding a therapist can be difficult. Your choice of clinicians is an essential one. The connection between you and your therapist is the foundation for therapy. Therapy is a collaborative experience. It is my responsibility to provide a safe space, conducive to healing, and growth. I use a variety of the most innovative, evidence-based therapeutic approaches available. Our work together will give you the opportunity to, identity blocks, develop your ability to transcend limiting beliefs and perceptions that no longer work in your best interest. You will be able to live your life free to be you.
(904) 508-0823 View (904) 508-0823
Photo of Niki Boyce, Counselor in Amelia Island, FL
Niki Boyce
Counselor, LMHC
Verified
Fernandina Beach, FL 32034
Waitlist for new clients
How can we enjoy life when we feel so sad, lonely and in conflict? Reaching for help can feel overwhelming. Many things can stimulate a search for a therapist: feelings of depression, anxiety, difficult relationships, or dissatisfaction with life. Having a supportive therapist to talk with can be helpful. In therapy, you can learn to identify thoughts, beliefs, and behavior patterns that hold you back from achieving your goals. You will also learn to recognize and build on the strengths you already possess to identify practical solutions to the problems you face as we dive into deeper exploration of the "whys" for long term healing.
How can we enjoy life when we feel so sad, lonely and in conflict? Reaching for help can feel overwhelming. Many things can stimulate a search for a therapist: feelings of depression, anxiety, difficult relationships, or dissatisfaction with life. Having a supportive therapist to talk with can be helpful. In therapy, you can learn to identify thoughts, beliefs, and behavior patterns that hold you back from achieving your goals. You will also learn to recognize and build on the strengths you already possess to identify practical solutions to the problems you face as we dive into deeper exploration of the "whys" for long term healing.
(904) 447-1223 View (904) 447-1223
Photo of Dr. Bicknell Amelia Psychological Services LLC, Psychologist in Amelia Island, FL
Dr. Bicknell Amelia Psychological Services LLC
Psychologist, PsyD
Verified
Fernandina Beach, FL 32034  (Online Only)
Waitlist for new clients
INTERNSHIP and RESIDENCY: Florida State Hospital, Chattahoochee, Florida. My individual, couples, and family counseling and psychotherapy often includes a personality assessment and evaluation combined with psychological protocols to individually tailor and refine the counseling process. This GENERAL PRACTICE of PSYCHOLOGY includes confidential comprehensive collaboration with local primary care physicians and psychiatrists, as needed. Early experience in the military and electronic engineering has led to many of my patients describing me as having gone from "HIGH TECH to HIGH TOUCH." My wide breadth of life experience translates to a unique therapeutic perspective.
INTERNSHIP and RESIDENCY: Florida State Hospital, Chattahoochee, Florida. My individual, couples, and family counseling and psychotherapy often includes a personality assessment and evaluation combined with psychological protocols to individually tailor and refine the counseling process. This GENERAL PRACTICE of PSYCHOLOGY includes confidential comprehensive collaboration with local primary care physicians and psychiatrists, as needed. Early experience in the military and electronic engineering has led to many of my patients describing me as having gone from "HIGH TECH to HIGH TOUCH." My wide breadth of life experience translates to a unique therapeutic perspective.
(904) 628-2996 View (904) 628-2996

See more therapy options for Amelia Island

How does your Therapist compare?

Number of Therapists in Amelia Island, FL

10+

Average cost per session

$150

Therapists in Amelia Island, FL who prioritize treating:

91% Anxiety
82% Relationship Issues
82% Depression
82% Coping Skills
82% Self Esteem
73% Grief
73% Trauma and PTSD

Average years in practice

31 Years

Top 3 insurances accepted

80% UnitedHealthcare UHC | UBH
80% Optum
60% Aetna

How Therapists in Amelia Island, FL see their clients

73% In Person and Online
27% Online Only

Gender breakdown

55% Female
36% Male
9% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Amelia Island?

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.