Photo of Caitlin Porter, Clinical Social Work/Therapist in 46074, IN
Caitlin Porter
Clinical Social Work/Therapist, LCSW
Verified Verified
Westfield, IN 46074
My ideal client is someone who acknowledges a problem exists, even if they don’t quite know what it is. The source of that issue can be discovered and processed through therapy, leaving the client with effective tools and skills to cope with and manage their emotions.
My ideal client is someone who acknowledges a problem exists, even if they don’t quite know what it is. The source of that issue can be discovered and processed through therapy, leaving the client with effective tools and skills to cope with and manage their emotions.
(463) 220-4787 View (463) 220-4787
Photo of Patty Bittinger Mansfield, Clinical Social Work/Therapist in 46074, IN
Patty Bittinger Mansfield
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
Westfield, IN 46074  (Online Only)
Do you ever feel overwhelmed? Constantly trying to juggle home, work, possibly school and social situations? Since the pandemic or (maybe before the pandemic), have you felt anxious, nervous waiting "for the next ball to drop?" At times, do you feel it takes too much time and effort to become involved in social situations and activities again? I help people of all ages to learn skills and strategies to work past their anxieties and depression. Becoming aware of anxiety and depression and learn different ways to work with these feelings and take control of them can be very empowering.
Do you ever feel overwhelmed? Constantly trying to juggle home, work, possibly school and social situations? Since the pandemic or (maybe before the pandemic), have you felt anxious, nervous waiting "for the next ball to drop?" At times, do you feel it takes too much time and effort to become involved in social situations and activities again? I help people of all ages to learn skills and strategies to work past their anxieties and depression. Becoming aware of anxiety and depression and learn different ways to work with these feelings and take control of them can be very empowering.
(317) 785-1037 View (317) 785-1037
Photo of Olivia Kimanzi, Clinical Social Work/Therapist in 46074, IN
Olivia Kimanzi
Clinical Social Work/Therapist, LSW
Verified Verified
Westfield, IN 46074
My ideal client would be someone who is committed to their healing journey and willing to reach their mental health and personal goals. My clients would be ones who may have anxiety, depression, substance use/abuse issues, and crises.
My ideal client would be someone who is committed to their healing journey and willing to reach their mental health and personal goals. My clients would be ones who may have anxiety, depression, substance use/abuse issues, and crises.
(463) 258-2958 View (463) 258-2958
Photo of Jerry Wheeler, Mental Health Counselor in 46074, IN
Jerry Wheeler
Mental Health Counselor, MA, LMHC, NCC
Verified Verified
3 Endorsed
Westfield, IN 46074
You want something to change, but don't know where to start. Maybe it's how you feel: Sometimes your thoughts, feelings, emotions, stories, and sensations try to get in the way of moving toward what's meaningful to you. Maybe it's how your relationship feels: Sometimes the communication patterns between the two of you can erode trust and commitment, leaving your relationship bond damaged or broken. Maybe you're haunted by your past: Like broken glass, many traumatic memories can be fragmented and jagged, stored in your mind and body, emotionally wounding you over and over again, until you're left dejected and exhausted... or alone.
You want something to change, but don't know where to start. Maybe it's how you feel: Sometimes your thoughts, feelings, emotions, stories, and sensations try to get in the way of moving toward what's meaningful to you. Maybe it's how your relationship feels: Sometimes the communication patterns between the two of you can erode trust and commitment, leaving your relationship bond damaged or broken. Maybe you're haunted by your past: Like broken glass, many traumatic memories can be fragmented and jagged, stored in your mind and body, emotionally wounding you over and over again, until you're left dejected and exhausted... or alone.
(317) 593-9162 View (317) 593-9162
Photo of Kim Kurtz, Pre-Licensed Professional in 46074, IN
Kim Kurtz
Pre-Licensed Professional
Verified Verified
Westfield, IN 46074
Marriage can push us to the limit. Connection and friendship are the foundation of a happy relationship, however, connection is easier said than done. Couples easily get stuck in repeating the same arguments that never seem to go anywhere. Pain from the past, depression or anxiety, disappointment, and broken relationships often hold us captive and keep us from connecting with the ones we love. I work with my clients to break these destructive cycles and help them learn to love others and themselves well. Don’t settle for the status quo. Let me help you and your spouse unlock the emotional connection you have always wanted.
Marriage can push us to the limit. Connection and friendship are the foundation of a happy relationship, however, connection is easier said than done. Couples easily get stuck in repeating the same arguments that never seem to go anywhere. Pain from the past, depression or anxiety, disappointment, and broken relationships often hold us captive and keep us from connecting with the ones we love. I work with my clients to break these destructive cycles and help them learn to love others and themselves well. Don’t settle for the status quo. Let me help you and your spouse unlock the emotional connection you have always wanted.
(317) 733-5096 x1016 View (317) 733-5096 x1016
Photo of Renee Heldman, Clinical Social Work/Therapist in 46074, IN
Renee Heldman
Clinical Social Work/Therapist, LMHC
Verified Verified
Westfield, IN 46074
My ideal client would be someone who is geared towards helping themselves and needing guidance on how to do so. Someone who has a grasp on the importance of the client putting in the work to truly help heal themselves but needing assistance ensuring they are doing things in a healthy and emotionally intelligent fashion. Talk therapy is very important for clients who even just want to come and vent, which I believe helps the mind unclutter.
My ideal client would be someone who is geared towards helping themselves and needing guidance on how to do so. Someone who has a grasp on the importance of the client putting in the work to truly help heal themselves but needing assistance ensuring they are doing things in a healthy and emotionally intelligent fashion. Talk therapy is very important for clients who even just want to come and vent, which I believe helps the mind unclutter.
(317) 483-7616 View (317) 483-7616
Photo of Christine Wheeler Irwin, Clinical Social Work/Therapist in 46074, IN
Christine Wheeler Irwin
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Westfield, IN 46074  (Online Only)
Waitlist for new clients
Have you experienced trauma, low mood or motivation, panic attacks or difficulty with managing emotions? Perhaps you feel stuck in the past, worry about the future, or have important relationships which may be contributing to your stress. There are many reasons why we begin to struggle. We may have unprocessed traumas, difficult life situations, or genetic predispositions which impact our bodies and/or ability to cope in a healthy way. We may feel lost or not acting in line with how we want to be. Sometimes we don't know where to start. Many of us feel this way. You are not alone.
Have you experienced trauma, low mood or motivation, panic attacks or difficulty with managing emotions? Perhaps you feel stuck in the past, worry about the future, or have important relationships which may be contributing to your stress. There are many reasons why we begin to struggle. We may have unprocessed traumas, difficult life situations, or genetic predispositions which impact our bodies and/or ability to cope in a healthy way. We may feel lost or not acting in line with how we want to be. Sometimes we don't know where to start. Many of us feel this way. You are not alone.
(463) 500-1208 View (463) 500-1208
Photo of Lentz Counseling LLC, Clinical Social Work/Therapist in 46074, IN
Lentz Counseling LLC
Clinical Social Work/Therapist, LCSW, LCAC, EMDR
Verified Verified
1 Endorsed
Westfield, IN 46074
I am a LCSW, LCAC and EMDR certified with over 9 years of experience with many success stories such as, helping clients move from despair to freedom to live the life they deserve by conquering demons of addiction and/or trauma, overcoming the fears of anxiety, the stronghold of depression, no longer lost in the fog of dissociation, in self-control and learning to love self for the first time after years of trauma and abuse. I have been blessed when children and spouses of clients have expressed their thanks for helping their loved one get on the right path of recovery from addiction and trauma.
I am a LCSW, LCAC and EMDR certified with over 9 years of experience with many success stories such as, helping clients move from despair to freedom to live the life they deserve by conquering demons of addiction and/or trauma, overcoming the fears of anxiety, the stronghold of depression, no longer lost in the fog of dissociation, in self-control and learning to love self for the first time after years of trauma and abuse. I have been blessed when children and spouses of clients have expressed their thanks for helping their loved one get on the right path of recovery from addiction and trauma.
(317) 406-4611 View (317) 406-4611
Photo of Tricia McNeil, Counselor in 46074, IN
Tricia McNeil
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Westfield, IN 46074
Not accepting new clients
Do the Best you can until you know better. Then when you know better, do better. - Maya Angelou. I believe change begins when we take the steps to know our version of "better". Each of us is unique and have different experiences that impact what we know. My approach to counseling is holistic, compassionate and caring. I have experience working with trauma and complex trauma using Trust Based Relational Intervention, Brainspotting, and Internal Family Systems. I enjoy working with young adults and adults. I also enjoy assisting parents of neuro-diverse and other special needs children.
Do the Best you can until you know better. Then when you know better, do better. - Maya Angelou. I believe change begins when we take the steps to know our version of "better". Each of us is unique and have different experiences that impact what we know. My approach to counseling is holistic, compassionate and caring. I have experience working with trauma and complex trauma using Trust Based Relational Intervention, Brainspotting, and Internal Family Systems. I enjoy working with young adults and adults. I also enjoy assisting parents of neuro-diverse and other special needs children.
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Photo of Rebekah N Jensen, Clinical Social Work/Therapist in 46074, IN
Rebekah N Jensen
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Westfield, IN 46074
Did you know that perinatal mood and anxiety disorders are the most common complication of childbirth? I believe that the journey of becoming a parent is both joyful and challenging. Many of us are also dealing with added stressors like a global pandemic, information overload, not enough support, hormone changes, fussy babies, unsolicited advice, work-life balance, symptoms of depression or anxiety, and more.
Did you know that perinatal mood and anxiety disorders are the most common complication of childbirth? I believe that the journey of becoming a parent is both joyful and challenging. Many of us are also dealing with added stressors like a global pandemic, information overload, not enough support, hormone changes, fussy babies, unsolicited advice, work-life balance, symptoms of depression or anxiety, and more.
(317) 412-9591 View (317) 412-9591
Photo of Juli Feller, Pre-Licensed Professional in 46074, IN
Juli Feller
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Westfield, IN 46074
Juli is an adult adoptee who has been in reunion with her birth family for over 25 years. She is passionate about helping adoptees in their healing journeys through Brainspotting and other brain-body modalities. Juli also uses play therapy and mindfulness-based techniques with children. Juli enjoys working with issues such as adoption/adoptee issues, trauma, PTSD, anxiety, and depression.
Juli is an adult adoptee who has been in reunion with her birth family for over 25 years. She is passionate about helping adoptees in their healing journeys through Brainspotting and other brain-body modalities. Juli also uses play therapy and mindfulness-based techniques with children. Juli enjoys working with issues such as adoption/adoptee issues, trauma, PTSD, anxiety, and depression.
(463) 223-9964 x1021 View (463) 223-9964 x1021
Photo of Katheryn Shelton, Mental Health Counselor in 46074, IN
Katheryn Shelton
Mental Health Counselor, LMHC, ATR
Verified Verified
1 Endorsed
Westfield, IN 46074
Waitlist for new clients
I assist individuals with goals toward self improvement, through difficult life circumstances such as loss, and instilling hope when hope seems lost. Together we will work on ways to increase self esteem, self worth, and a positive outlook on life. I can include art therapy in sessions, to help open doors for those who may struggle with communicating emotions verbally, and can provide further insight into expression that words cannot do alone.
I assist individuals with goals toward self improvement, through difficult life circumstances such as loss, and instilling hope when hope seems lost. Together we will work on ways to increase self esteem, self worth, and a positive outlook on life. I can include art therapy in sessions, to help open doors for those who may struggle with communicating emotions verbally, and can provide further insight into expression that words cannot do alone.
(317) 342-1509 View (317) 342-1509
Photo of Jolynn Ness, Counselor in 46074, IN
Jolynn Ness
Counselor, LMHC
Verified Verified
Westfield, IN 46074
My ideal client would struggle with diagnoses such as anxiety, depression, or mood-related issues. This client would be self-motivated and have identified goals that are being held back or complicated by their mental health issues. The client would be able to identify areas that are strengths and weaknesses for themselves and would be willing to put forth the effort that is growth and change. Also, this client would be open to new and different suggestions for coping strategies or ways of thinking about difficulties they may experience in order to learn and grow.
My ideal client would struggle with diagnoses such as anxiety, depression, or mood-related issues. This client would be self-motivated and have identified goals that are being held back or complicated by their mental health issues. The client would be able to identify areas that are strengths and weaknesses for themselves and would be willing to put forth the effort that is growth and change. Also, this client would be open to new and different suggestions for coping strategies or ways of thinking about difficulties they may experience in order to learn and grow.
(317) 922-0046 View (317) 922-0046
Photo of Teri Cardwell, Clinical Social Work/Therapist in 46074, IN
Teri Cardwell
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
Westfield, IN 46074
As a therapist, I am most excited to see clients motivated to explore their unknown strengths, widen their horizons, increase their abilities to make informed decisions and lead a life of meaning as they define it. Everyone I have worked with brings to therapy a foundation upon which to grow. Regardless of the problem, an enhanced sense of self is possible. Instilling hope of something better in life is one of my greatest motivations, and assisting others in achieving their goals drew me to this profession.
As a therapist, I am most excited to see clients motivated to explore their unknown strengths, widen their horizons, increase their abilities to make informed decisions and lead a life of meaning as they define it. Everyone I have worked with brings to therapy a foundation upon which to grow. Regardless of the problem, an enhanced sense of self is possible. Instilling hope of something better in life is one of my greatest motivations, and assisting others in achieving their goals drew me to this profession.
(463) 583-1682 View (463) 583-1682
Photo of Kaitlin Stallings, Counselor in 46074, IN
Kaitlin Stallings
Counselor, MA, LMHC
Verified Verified
Westfield, IN 46074  (Online Only)
I enjoy helping neurodiverse individuals improve their mental health and navigate challenges such as late ADHD or Autism diagnosis. My focus is on enhancing executive functioning, fostering support systems, boosting social confidence, and assisting clients in self-advocacy at school, work, and healthcare settings. I also find satisfaction in guiding clients toward more fulfilling careers with better work-life balance.
I enjoy helping neurodiverse individuals improve their mental health and navigate challenges such as late ADHD or Autism diagnosis. My focus is on enhancing executive functioning, fostering support systems, boosting social confidence, and assisting clients in self-advocacy at school, work, and healthcare settings. I also find satisfaction in guiding clients toward more fulfilling careers with better work-life balance.
(463) 220-0352 View (463) 220-0352
Photo of Invoke Counseling & Consultation, LLC., Clinical Social Work/Therapist in 46074, IN
Invoke Counseling & Consultation, LLC.
Clinical Social Work/Therapist, LCSW, LSSW
Verified Verified
Westfield, IN 46074  (Online Only)
In the face of life’s challenges, true strength lies in the courage to seek support. As a Licensed Clinical Social Worker, I am committed to guiding individuals toward finding balance, resilience, and joy amidst adversity. My approach integrates mindfulness, trauma-informed care, and applied neuroscience, offering compassionate, evidence-based care to help those struggling to transform their difficulties into sources of joy, fulfillment, and connection.
In the face of life’s challenges, true strength lies in the courage to seek support. As a Licensed Clinical Social Worker, I am committed to guiding individuals toward finding balance, resilience, and joy amidst adversity. My approach integrates mindfulness, trauma-informed care, and applied neuroscience, offering compassionate, evidence-based care to help those struggling to transform their difficulties into sources of joy, fulfillment, and connection.
(317) 593-8234 View (317) 593-8234
Photo of Jessica Cannon, Counselor in 46074, IN
Jessica Cannon
Counselor, EdS, LMHC
Verified Verified
3 Endorsed
Westfield, IN 46074
Waitlist for new clients
THERAPY: I hear so much negativity in our field about work with people. But - I am amazed by some of the people that step foot into my office. I am in awe of their ability to smile through pain. I feel blessed that I get to share in their strong, resilience and desire to grow and change. I learn so much from them. I’m also frustrated with societies message that emotions like anger, resentfulness and jealousy are abnormal for us to feel. Sometimes they interfere with other parts of our life. These people that I encounter on a day-to-day basis are amazing, beautiful people. To all of them I say-
THERAPY: I hear so much negativity in our field about work with people. But - I am amazed by some of the people that step foot into my office. I am in awe of their ability to smile through pain. I feel blessed that I get to share in their strong, resilience and desire to grow and change. I learn so much from them. I’m also frustrated with societies message that emotions like anger, resentfulness and jealousy are abnormal for us to feel. Sometimes they interfere with other parts of our life. These people that I encounter on a day-to-day basis are amazing, beautiful people. To all of them I say-
(317) 747-2790 x1001 View (317) 747-2790 x1001
Photo of Rebecca Austin, Clinical Social Work/Therapist in 46074, IN
Rebecca Austin
Clinical Social Work/Therapist, LCSW
Verified Verified
Westfield, IN 46074
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well-being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
I am a Licensed Social Worker with a passion for decreasing the stigma surrounding mental health and promoting the health and well-being of my clients. For my undergraduate degree, I moved from Central Jersey (Yes! It exists!) to South Jersey to attend Stockton University. I received a Bachelor of Science Degree in Social Work with a Minor in Behavioral Neuroscience from Stockton, and then moved on to attend graduate school in Philadelphia. I received my Master of Social Work Degree with a clinical concentration from the University of Pennsylvania’s School of Social Policy and Practice in May of 2020.
(317) 676-7157 View (317) 676-7157
Photo of Teri Wilder, Counselor in 46074, IN
Teri Wilder
Counselor, MS, LMHC
Verified Verified
Westfield, IN 46074
I prefer to work with adults and older adolescents struggling with addictions, anxiety, depression, self-esteem, and trauma. I have a vast amount of experience working in the field of trauma. Due to my experience working in community mental health, I also work well with those with intense mental health and substance abuse treatment needs. I have worked both inpatient and outpatient experiences, resulting in my flexibility to help stabilize in a crisis and to work with individuals at any level. A client who desires to accept partnership and engage in being open to change is the most ideal client.
I prefer to work with adults and older adolescents struggling with addictions, anxiety, depression, self-esteem, and trauma. I have a vast amount of experience working in the field of trauma. Due to my experience working in community mental health, I also work well with those with intense mental health and substance abuse treatment needs. I have worked both inpatient and outpatient experiences, resulting in my flexibility to help stabilize in a crisis and to work with individuals at any level. A client who desires to accept partnership and engage in being open to change is the most ideal client.
(317) 751-1290 View (317) 751-1290
Photo of Lotus of Life Counseling, LLC, Clinical Social Work/Therapist in 46074, IN
Lotus of Life Counseling, LLC
Clinical Social Work/Therapist, MSW, LCSW, LMHCA
Verified Verified
Westfield, IN 46074
Lotus of Life is a growing group private practice serving individuals, couples and families. Our experience and areas of focus include: chronic health conditions, Grief/ Loss, Autism Spectrum Disorder, Anxiety, Depression, School/ Academic/ Career issues, Social/ Emotional challenges, Disordered Eating, LGBTQ+, Couples, Perinatal/ Infant loss and more. Therapy is provided virtually (Statewide) and in person in Westfield, Indiana by a Pre-licensed or fully licensed Therapist based on specific needs and availability. Please reach out to see which provider would best fit your needs!
Lotus of Life is a growing group private practice serving individuals, couples and families. Our experience and areas of focus include: chronic health conditions, Grief/ Loss, Autism Spectrum Disorder, Anxiety, Depression, School/ Academic/ Career issues, Social/ Emotional challenges, Disordered Eating, LGBTQ+, Couples, Perinatal/ Infant loss and more. Therapy is provided virtually (Statewide) and in person in Westfield, Indiana by a Pre-licensed or fully licensed Therapist based on specific needs and availability. Please reach out to see which provider would best fit your needs!
(317) 854-5804 View (317) 854-5804

How does your Therapist compare?

Number of Therapists in 46074

100+

Average cost per session

$140

Therapists in 46074 who prioritize treating:

99% Anxiety
94% Depression
72% Relationship Issues
70% Trauma and PTSD
69% Coping Skills
65% Self Esteem
63% Stress

Average years in practice

10 Years

Top 3 insurances accepted

82% Anthem | Elevance
74% BlueCross and BlueShield
72% UnitedHealthcare UHC | UBH

How Therapists in 46074 see their clients

88% In Person and Online
12% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 46074?

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.