Therapists in Gordo, AL

Photo of Vanessa German Graves, Clinical Social Work/Therapist in Gordo, AL
Vanessa German Graves
Clinical Social Work/Therapist, LICSW, PIP
Verified Verified
2 Endorsed
Gordo, AL 35466
I am a Licensed Independent Clinical Social Worker with over 38 years of Clinical experience and am currently in Private Practice. I have a passion for helping others through life's challenges to become the best they can be. I have a wealth of knowledge and expertise with numerous issues and have provided counseling and supportive services to clients with mental health and non-mental health needs. I have seen people come in broken and in despair and after therapy, terminate with success and triumph equipped with the necessary tools and techniques to navigate life's challenges as they arise successfully.
I am a Licensed Independent Clinical Social Worker with over 38 years of Clinical experience and am currently in Private Practice. I have a passion for helping others through life's challenges to become the best they can be. I have a wealth of knowledge and expertise with numerous issues and have provided counseling and supportive services to clients with mental health and non-mental health needs. I have seen people come in broken and in despair and after therapy, terminate with success and triumph equipped with the necessary tools and techniques to navigate life's challenges as they arise successfully.
(205) 301-6885 View (205) 301-6885
Photo of Carol G. Adams, LCSW, Clinical Social Work/Therapist in Gordo, AL
Carol G. Adams, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Gordo, AL 35466
Carol Adams, LCSW, has trained both nationally and internationally in the fields of Trauma, Eating Disorders, Addictions, Women's Issues, and Depression/Anxiety. Emphasis is placed on the connection between mind and body, as physical illness may sometimes be a manifestation of our psychological state. She integrates mind, body and emotion, so that clients come to experience more harmony and wholeness. In her experience, "we all have within us an enormous potential to heal. We learn to utilize our own inner resources to achieve and maintain a sense of balance, clarity and well-being."
Carol Adams, LCSW, has trained both nationally and internationally in the fields of Trauma, Eating Disorders, Addictions, Women's Issues, and Depression/Anxiety. Emphasis is placed on the connection between mind and body, as physical illness may sometimes be a manifestation of our psychological state. She integrates mind, body and emotion, so that clients come to experience more harmony and wholeness. In her experience, "we all have within us an enormous potential to heal. We learn to utilize our own inner resources to achieve and maintain a sense of balance, clarity and well-being."
(205) 289-3139 View (205) 289-3139

Online Therapists

Photo of Mind Path Therapies LLC, Counselor in Gordo, AL
Mind Path Therapies LLC
Counselor, CCHt, CAHA
Verified Verified
Birmingham, AL 35242  (Online Only)
Our clients range in ages between 25 and 75. Their needs are varied but so are our services. Except for age, we do not limit ourselves to a particular niche of service. We provide help for over 200 presenting issues. From Addiction to Writers' Block and everything in between. The majority of our clients come to us for smoking cessation, weight loss, generalized anxiety and depression, trauma, relationship issues, OCD, ADHD and ADD.
Our clients range in ages between 25 and 75. Their needs are varied but so are our services. Except for age, we do not limit ourselves to a particular niche of service. We provide help for over 200 presenting issues. From Addiction to Writers' Block and everything in between. The majority of our clients come to us for smoking cessation, weight loss, generalized anxiety and depression, trauma, relationship issues, OCD, ADHD and ADD.
(337) 473-2126 View (337) 473-2126
Photo of Love Out Loud Counseling and Consulting Services, Clinical Social Work/Therapist in Gordo, AL
Love Out Loud Counseling and Consulting Services
Clinical Social Work/Therapist, PhD, LICSW-S, PIP, CAM-II
Verified Verified
1 Endorsed
Birmingham, AL 35209
Thank you for visiting Love Out Loud Counseling and Consulting Services, LLC. I am Dr. Stephanie Lett. My profession is much more than a tool for me to earn a livelihood-it is my passion. With an extensive background in child welfare, counseling, consultation, life coaching, and the observance of resources needed for underprivileged families and services for behaviorally challenged youth, I founded Love Out Loud Counseling and Consulting Services. We have several therapists awaiting to help you! We are licensed in the states of Alabama, Mississippi, Texas, and Florida.
Thank you for visiting Love Out Loud Counseling and Consulting Services, LLC. I am Dr. Stephanie Lett. My profession is much more than a tool for me to earn a livelihood-it is my passion. With an extensive background in child welfare, counseling, consultation, life coaching, and the observance of resources needed for underprivileged families and services for behaviorally challenged youth, I founded Love Out Loud Counseling and Consulting Services. We have several therapists awaiting to help you! We are licensed in the states of Alabama, Mississippi, Texas, and Florida.
(205) 775-6037 View (205) 775-6037
Photo of Simaya Moore, Clinical Social Work/Therapist in Gordo, AL
Simaya Moore
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Vestavia Hills, AL 35216  (Online Only)
Are you feeling overwhelmed by stress, anxiety, or life transitions? Do you find yourself struggling to cope with difficult emotions or navigate challenging relationships? You are not alone, and I'm here to help. I provide therapy to people struggling with anxiety, depression, chronic illness, and self esteem. My specialty populations include college students, veterans, and adults. Whatever your struggles may be, I'm here to support you creating positive change in your life and investing in your well-being.
Are you feeling overwhelmed by stress, anxiety, or life transitions? Do you find yourself struggling to cope with difficult emotions or navigate challenging relationships? You are not alone, and I'm here to help. I provide therapy to people struggling with anxiety, depression, chronic illness, and self esteem. My specialty populations include college students, veterans, and adults. Whatever your struggles may be, I'm here to support you creating positive change in your life and investing in your well-being.
(205) 953-4959 View (205) 953-4959
Photo of Mechelle Frazier, Licensed Professional Counselor in Gordo, AL
Mechelle Frazier
Licensed Professional Counselor, EdS, LPC
Verified Verified
Tuscaloosa, AL 35404
Waitlist for new clients
***EVENING APPOINTMENTS AVAILABLE! Work in Progress is a counseling service devoted to helping you create the life and relationships you want by establishing healthy boundaries and healthy connections. We are all social beings that interact with others. Our fulfillment and identity are directly related to relationships with family, friends, loved ones, and most importantly, self. Therefore the goal of therapy is to help you create positive and long-term change by addressing your specific needs and helping you to find new ways to improve all of your relationships. Treatment plans are customized to fit your unique goals.
***EVENING APPOINTMENTS AVAILABLE! Work in Progress is a counseling service devoted to helping you create the life and relationships you want by establishing healthy boundaries and healthy connections. We are all social beings that interact with others. Our fulfillment and identity are directly related to relationships with family, friends, loved ones, and most importantly, self. Therefore the goal of therapy is to help you create positive and long-term change by addressing your specific needs and helping you to find new ways to improve all of your relationships. Treatment plans are customized to fit your unique goals.
(205) 346-0869 View (205) 346-0869
Photo of Caroline Veazey, Licensed Professional Counselor in Gordo, AL
Caroline Veazey
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Vestavia, AL 35243  (Online Only)
I am currently virtual only -- I am in Birmingham sporadically. Alongside our struggles are our strengths--strengths that could be hidden in the midst of anxiety, depression, relationships, perfectionism, and more. What we need most when we’re struggling is empathy, affirmation, and collaboration--to feel heard, understood, and not alone. Through therapy together, I will establish the nonjudgmental, supportive space you need to explore your challenges, introducing and reminding you of the strength you have to move forward.
I am currently virtual only -- I am in Birmingham sporadically. Alongside our struggles are our strengths--strengths that could be hidden in the midst of anxiety, depression, relationships, perfectionism, and more. What we need most when we’re struggling is empathy, affirmation, and collaboration--to feel heard, understood, and not alone. Through therapy together, I will establish the nonjudgmental, supportive space you need to explore your challenges, introducing and reminding you of the strength you have to move forward.
(205) 273-5605 View (205) 273-5605
Photo of Wendi H. Hogue, Licensed Professional Counselor in Gordo, AL
Wendi H. Hogue
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Tuscaloosa, AL 35401
Each of us have had experiences that have shaped us, affecting how we respond to others, how we express and manage anger, how we communicate, and how we view and value ourselves. In exploring these experiences and developing healthier coping skills, we can have the relationships we want, achieve our goals, and discover the life we are meant to live.
Each of us have had experiences that have shaped us, affecting how we respond to others, how we express and manage anger, how we communicate, and how we view and value ourselves. In exploring these experiences and developing healthier coping skills, we can have the relationships we want, achieve our goals, and discover the life we are meant to live.
(205) 793-4812 View (205) 793-4812
Photo of Jay Pesek, Licensed Professional Counselor in Gordo, AL
Jay Pesek
Licensed Professional Counselor, MEd, LPC-S, NCC
Verified Verified
18 Endorsed
Helena, AL 35080
We treat children, adolescents and adults with behavioral issues, mood disorders, developmental and personality disorders. I work with parents to develop behavioral plans for their homes and families to supplement the therapy done with their children/adolescents in my office.
We treat children, adolescents and adults with behavioral issues, mood disorders, developmental and personality disorders. I work with parents to develop behavioral plans for their homes and families to supplement the therapy done with their children/adolescents in my office.
(205) 636-8176 View (205) 636-8176
Photo of Kimberly Marable Winters, Licensed Professional Counselor in Gordo, AL
Kimberly Marable Winters
Licensed Professional Counselor, LPCS, CEAP, SAP, CRC, NCC
Verified Verified
Birmingham, AL 35226
Therapist passionate about helping you make changes in your life that ultimately improve the quality of your life. Seeking to guide, educate, motivate and support you along the journey of finding the healthiest YOU possible! I seek to help people modify their responses to life experiences, change, pain and trauma. Group support is extremely beneficial so don't overlook the options presented by Coach K's Korner to address relationship issues, stress/ anxiety and spiritual growth. Text 205-960-9150 for more information.
Therapist passionate about helping you make changes in your life that ultimately improve the quality of your life. Seeking to guide, educate, motivate and support you along the journey of finding the healthiest YOU possible! I seek to help people modify their responses to life experiences, change, pain and trauma. Group support is extremely beneficial so don't overlook the options presented by Coach K's Korner to address relationship issues, stress/ anxiety and spiritual growth. Text 205-960-9150 for more information.
(205) 518-9643 View (205) 518-9643
Photo of Keeyana McLish, Licensed Professional Counselor in Gordo, AL
Keeyana McLish
Licensed Professional Counselor, LPC
Verified Verified
Birmingham, AL 35242
My name is Keeyana McLish and I am a Licensed Professional Counselor (LPC) based in Birmingham, Al. I work with children, adults, and adolescents specializing in trauma, depression, impulse control, anxiety, grief, and stress. I utilize Cognitive Behavioral Therapy and Person-Centered Therapy to create treatment catered to each individual client’s needs. I have experience working with children, adolescents, and adults. I cater my approach based on the age of the client. I work with clients to navigate whatever they may be experiencing in their life and provide a listening ear so that they feel validated and heard.
My name is Keeyana McLish and I am a Licensed Professional Counselor (LPC) based in Birmingham, Al. I work with children, adults, and adolescents specializing in trauma, depression, impulse control, anxiety, grief, and stress. I utilize Cognitive Behavioral Therapy and Person-Centered Therapy to create treatment catered to each individual client’s needs. I have experience working with children, adolescents, and adults. I cater my approach based on the age of the client. I work with clients to navigate whatever they may be experiencing in their life and provide a listening ear so that they feel validated and heard.
(334) 367-5942 View (334) 367-5942
Photo of Matt Heatherly in Gordo, AL
Matt Heatherly
PhD
Not Verified Not Verified
Tuscaloosa, AL 35401
Serving individuals, couples, and families in Tuscaloosa and central Alabama. Overcome anxiety and depression as well as other issues ranging from negative self-image to anger to chemical dependence. If you are facing anxiety, depression, or other personal struggles, including addictive behavior, there is help - you don't have to live this way. Contact me via email or phone. I'll respond back within 2 hours, 7 days a week.
Serving individuals, couples, and families in Tuscaloosa and central Alabama. Overcome anxiety and depression as well as other issues ranging from negative self-image to anger to chemical dependence. If you are facing anxiety, depression, or other personal struggles, including addictive behavior, there is help - you don't have to live this way. Contact me via email or phone. I'll respond back within 2 hours, 7 days a week.
(205) 737-3896 View (205) 737-3896
Photo of Brandy Smith, Psychologist in Gordo, AL
Brandy Smith
Psychologist, PhD
Verified Verified
Birmingham, AL 35223  (Online Only)
Brandy Smith is a Licensed Psychologist in the state of Alabama with 13+ years post-doctoral experience. She was trained as a generalist and earned her Ph.D. in Counseling Psychology from University of Memphis. Brandy works with adults and approaches clinical work collaboratively: meeting clients where they are and working together to reach their goals. She is well-trained to address diversity broadly defined, especially with concerns related to gender, sexual orientation, and race.
Brandy Smith is a Licensed Psychologist in the state of Alabama with 13+ years post-doctoral experience. She was trained as a generalist and earned her Ph.D. in Counseling Psychology from University of Memphis. Brandy works with adults and approaches clinical work collaboratively: meeting clients where they are and working together to reach their goals. She is well-trained to address diversity broadly defined, especially with concerns related to gender, sexual orientation, and race.
(205) 974-0619 View (205) 974-0619
Photo of Lawley Counseling, LLC , Licensed Professional Counselor in Gordo, AL
Lawley Counseling, LLC
Licensed Professional Counselor
Verified Verified
3 Endorsed
Pelham, AL 35124
Our mission at Lawley Counseling is to facilitate profound personal transformation and emotional well-being. Guided by compassion and expertise, we are dedicated to creating a safe and empathetic space where individuals, couples, and families can embark on a journey of healing and growth.
Our mission at Lawley Counseling is to facilitate profound personal transformation and emotional well-being. Guided by compassion and expertise, we are dedicated to creating a safe and empathetic space where individuals, couples, and families can embark on a journey of healing and growth.
(205) 973-4623 View (205) 973-4623
Photo of William Weathers, Counselor in Gordo, AL
William Weathers
Counselor, LPC, NCC
Verified Verified
Mountain Brook, AL 35213
My ideal client is someone who struggles with anxiety, depression, ADHD, or feeling stuck in life, yet they are open-minded and motivated for personal growth. They seek relief from their emotional difficulties and desire to lead a more fulfilling life. They want to understand themselves better, learn coping strategies, and build resilience to navigate life's challenges. Ultimately, they aspire to cultivate greater happiness, fulfillment, and purpose in their lives.
My ideal client is someone who struggles with anxiety, depression, ADHD, or feeling stuck in life, yet they are open-minded and motivated for personal growth. They seek relief from their emotional difficulties and desire to lead a more fulfilling life. They want to understand themselves better, learn coping strategies, and build resilience to navigate life's challenges. Ultimately, they aspire to cultivate greater happiness, fulfillment, and purpose in their lives.
(334) 453-5673 View (334) 453-5673
Photo of Amy Hutto, Clinical Social Work/Therapist in Gordo, AL
Amy Hutto
Clinical Social Work/Therapist, MSW, LICSW, PIP
Verified Verified
Mountain Brook, AL 35223  (Online Only)
Life can be hard, but you don’t have to struggle alone. Every season of life brings with it a mixture of joy and pain as well as unique challenges and uncharted emotions. If you’re feeling overwhelmed, stuck, unequipped or just in need of support and acceptance in a non-judgmental environment, you have come to the right place. I believe a safe and comfortable therapy environment in which you feel understood, respected and valued provides the best place for you to receive objective feedback to move toward growth. My counseling style is engaging, warm and client-focused with an approach that combines CBT and solution-focused therapy.
Life can be hard, but you don’t have to struggle alone. Every season of life brings with it a mixture of joy and pain as well as unique challenges and uncharted emotions. If you’re feeling overwhelmed, stuck, unequipped or just in need of support and acceptance in a non-judgmental environment, you have come to the right place. I believe a safe and comfortable therapy environment in which you feel understood, respected and valued provides the best place for you to receive objective feedback to move toward growth. My counseling style is engaging, warm and client-focused with an approach that combines CBT and solution-focused therapy.
(205) 590-5736 View (205) 590-5736
Photo of Sharnice Orum, Pre-Licensed Professional in Gordo, AL
Sharnice Orum
Pre-Licensed Professional, MA, ALC
Verified Verified
Birmingham, AL 35206
Is your child struggling with behavior problems? Is your child struggling to manage their emotions? Sometimes parenting can feel like an uphill battle. If you're in need of some support navigating your child or teens behaviors I can help.
Is your child struggling with behavior problems? Is your child struggling to manage their emotions? Sometimes parenting can feel like an uphill battle. If you're in need of some support navigating your child or teens behaviors I can help.
(205) 894-7954 View (205) 894-7954
Photo of Joann Pickett, Clinical Social Work/Therapist in Gordo, AL
Joann Pickett
Clinical Social Work/Therapist, LMSW
Verified Verified
Jasper, AL 35504
Waitlist for new clients
Has life been feeling extremely difficult? Are you suffering from persistent negative self-talk and needing help to cope? I applaud you for taking steps to reach out for help. I have worked with individuals who struggled with a wide range of issues. I view therapy as a collaborative and interactive process striving for positive changes in troubled areas. I provide a safe, non-judgmental place where you can be heard and work towards the path of your healing and personal growth. My expertise includes sexual abuse, depression, anxiety, self-harm, addiction, psychosis, abandonment and the obstacles children face from foster care.
Has life been feeling extremely difficult? Are you suffering from persistent negative self-talk and needing help to cope? I applaud you for taking steps to reach out for help. I have worked with individuals who struggled with a wide range of issues. I view therapy as a collaborative and interactive process striving for positive changes in troubled areas. I provide a safe, non-judgmental place where you can be heard and work towards the path of your healing and personal growth. My expertise includes sexual abuse, depression, anxiety, self-harm, addiction, psychosis, abandonment and the obstacles children face from foster care.
(205) 927-6243 View (205) 927-6243
Photo of Integrative Health Services, LLC in Gordo, AL
Integrative Health Services, LLC
Verified Verified
1 Endorsed
Pelham, AL 35124
SATURDAY OPENINGS AVAILABLE and ACCEPTING NEW CLIENTS. Integrative Health Services, LLC focuses on treating the mind, body, and spirit. Everyone is not the same and therefore, treatment is tailored to fit the individual needs of each person. Overall health and well-being are strongly encouraged while receiving mental health treatment. This is why Integrative Health Services keeps a unique referral list of highly qualified primary care doctors, massage therapists, holistic doctors/herbalists, yoga therapy instructors, psychiatrists, rheumatologists, personal trainers and many others that promote overall health and well-being.
SATURDAY OPENINGS AVAILABLE and ACCEPTING NEW CLIENTS. Integrative Health Services, LLC focuses on treating the mind, body, and spirit. Everyone is not the same and therefore, treatment is tailored to fit the individual needs of each person. Overall health and well-being are strongly encouraged while receiving mental health treatment. This is why Integrative Health Services keeps a unique referral list of highly qualified primary care doctors, massage therapists, holistic doctors/herbalists, yoga therapy instructors, psychiatrists, rheumatologists, personal trainers and many others that promote overall health and well-being.
(833) 567-3538 View (833) 567-3538
Photo of NCG Therapy, Clinical Social Work/Therapist in Gordo, AL
NCG Therapy
Clinical Social Work/Therapist, LICSW, PIP
Verified Verified
Pinson, AL 35126  (Online Only)
NCG Therapy seeks to provide the additional support that can be necessary in taking the first step toward your growth. I believe in treating everyone with respect, sensitivity, and compassion, and will tailor our dialog and treatment plan to meet your unique and specific needs. As a licensed clinical social worker with more than 15 years of professional experience, I have experience in helping clients across the lifespan with family conflicts, trauma and abuse, parenting issues, depression, and life transitions. Taking the first step to begin therapy can take courage and I am proud of you for getting started!
NCG Therapy seeks to provide the additional support that can be necessary in taking the first step toward your growth. I believe in treating everyone with respect, sensitivity, and compassion, and will tailor our dialog and treatment plan to meet your unique and specific needs. As a licensed clinical social worker with more than 15 years of professional experience, I have experience in helping clients across the lifespan with family conflicts, trauma and abuse, parenting issues, depression, and life transitions. Taking the first step to begin therapy can take courage and I am proud of you for getting started!
(205) 723-4739 View (205) 723-4739

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How does your Therapist compare?

Number of Therapists in Gordo, AL

< 10

Therapists in Gordo, AL who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Obsessive-Compulsive (OCD)
100% Spirituality
100% Divorce
100% Self Esteem

Average years in practice

38 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
50% American Behavioral
50% BHS | Behavioral Health Systems

How Therapists in Gordo, AL see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Gordo?

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.