Therapists in Dickinson County, KS

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Photo of Tessa Gutierrez - New Leaf Counseling LLC, Clinical Social Work/Therapist, LSCSW, LCAC
New Leaf Counseling LLC
Clinical Social Work/Therapist, LSCSW, LCAC
1 Endorsed
Abilene, KS 67410
Do you feel the weight of the world on your shoulders right now? Have you noticed you don't feel like yourself anymore? Have you felt stuck in old patterns, overwhelmed in a relationship, weighed down by things you've worked hard to bury? Whatever brought you here, you're not alone in it.
Do you feel the weight of the world on your shoulders right now? Have you noticed you don't feel like yourself anymore? Have you felt stuck in old patterns, overwhelmed in a relationship, weighed down by things you've worked hard to bury? Whatever brought you here, you're not alone in it.
(785) 429-4364 View (785) 429-4364
Photo of Kayla Schuster, Counselor, MS, LCPC
Kayla Schuster
Counselor, MS, LCPC
Online Only
Waitlist for new clients
Seeking therapy takes courage, and I’m so glad you’re here. I offer a comprehensive, trauma-informed approach that integrates mind and body, fostering deep healing and resilience. Our therapeutic relationship—built on trust, warmth, and curiosity—is foundational to the work we do together.
Seeking therapy takes courage, and I’m so glad you’re here. I offer a comprehensive, trauma-informed approach that integrates mind and body, fostering deep healing and resilience. Our therapeutic relationship—built on trust, warmth, and curiosity—is foundational to the work we do together.
(785) 369-7195 View (785) 369-7195
Photo of Tracie Schardein, Licensed Professional Counselor, MS, LPC
Tracie Schardein
Licensed Professional Counselor, MS, LPC
1 Endorsed
Abilene, KS 67410
Does asking for help feel . . . awkward? Uncomfortable? Unnecessary? For many of my clients, asking for help is a challenge and they struggle with the idea that paying attention to their own needs could be anything but selfish. They tell themselves countless reasons why it's not necessary-they should just get over it/it's not that bad/It could be so much worse/they just need to be patient. . . and time passes, but not their worries and concerns, and nothing seems to get resolved.
Does asking for help feel . . . awkward? Uncomfortable? Unnecessary? For many of my clients, asking for help is a challenge and they struggle with the idea that paying attention to their own needs could be anything but selfish. They tell themselves countless reasons why it's not necessary-they should just get over it/it's not that bad/It could be so much worse/they just need to be patient. . . and time passes, but not their worries and concerns, and nothing seems to get resolved.
(785) 301-1646 View (785) 301-1646
Photo of Debby Dimmitt Ponton, Clinical Social Work/Therapist, LSCSW
Debby Dimmitt Ponton
Clinical Social Work/Therapist, LSCSW
Abilene, KS 67410
Waitlist for new clients
Hey there! I'm Debby Ponton with Mended Hearts Counseling. I specialize in seeing adults seeking Christian/Biblical Counseling or non-faith based counseling who struggle with depression, bipolar, trauma, including Dissociative Identity Disorders, marriage/relationship and self esteem/worth issues. I also serve farmers, ranchers, military and veterans.
Hey there! I'm Debby Ponton with Mended Hearts Counseling. I specialize in seeing adults seeking Christian/Biblical Counseling or non-faith based counseling who struggle with depression, bipolar, trauma, including Dissociative Identity Disorders, marriage/relationship and self esteem/worth issues. I also serve farmers, ranchers, military and veterans.
(785) 429-4580 View (785) 429-4580
Photo of Tina Van-Meter, Licensed Clinical Professional Counselor, LCPC-KS, LMHC-WA, CSAT
Tina Van-Meter
Licensed Clinical Professional Counselor, LCPC-KS, LMHC-WA, CSAT
Online Only
I am a Licensed Clinical Professional Counselor in Kansas, Licensed Mental Health Counselor in Washington state, Licensed Professional Counselor in Missouri and a Certified Sex Addiction Therapist, who works from a CBT perspective but does utilize a collaborative style. My approach is to work with you and help you realize your strengths and to find healthy ways to cope with difficult situations in your life. I work with adolescents(13-18), adults and geriatric on a variety of mental health concerns, however, I specialize in helping individuals with mood disorders and sexual addiction/dysfunction.
I am a Licensed Clinical Professional Counselor in Kansas, Licensed Mental Health Counselor in Washington state, Licensed Professional Counselor in Missouri and a Certified Sex Addiction Therapist, who works from a CBT perspective but does utilize a collaborative style. My approach is to work with you and help you realize your strengths and to find healthy ways to cope with difficult situations in your life. I work with adolescents(13-18), adults and geriatric on a variety of mental health concerns, however, I specialize in helping individuals with mood disorders and sexual addiction/dysfunction.
(785) 432-4253 View (785) 432-4253
Photo of Victoria Hoyt, Marriage & Family Therapist, LMFT
Victoria Hoyt
Marriage & Family Therapist, LMFT
Online Only
I still love what I do after 26 years. I have extensive experience in Christian Counseling, Blended Families, Couples, Addiction, PTSD, Trauma, Sex-Offenders, and Obsessive-Compulsive behaviors. I have worked with a variety of clients ranging from ages 7 to 89, but am currently only working with adults. I am independently licensed in 3 different states as a Marriage and Family Therapist and independently licensed in 1 state as an Addiction Counselor. I believe everyone has a "gift," something that they are called to do, and Counseling is mine.
I still love what I do after 26 years. I have extensive experience in Christian Counseling, Blended Families, Couples, Addiction, PTSD, Trauma, Sex-Offenders, and Obsessive-Compulsive behaviors. I have worked with a variety of clients ranging from ages 7 to 89, but am currently only working with adults. I am independently licensed in 3 different states as a Marriage and Family Therapist and independently licensed in 1 state as an Addiction Counselor. I believe everyone has a "gift," something that they are called to do, and Counseling is mine.
(785) 504-1095 View (785) 504-1095
Photo of Kayla Schuster, Licensed Clinical Professional Counselor, LPCC
Kayla Schuster
Licensed Clinical Professional Counselor, LPCC
Online Only
Hi, I'm Kayla Schuster, and I’m a licensed clinical professional counselor and psychotherapist. I’m passionate about helping clients find deeper healing from trauma and freedom from disordered eating. I enjoy working with individuals who want to discover and harness their strengths. I thrive working with clients who are ready to face significant personal growth and are willing to embrace the discomfort that often comes with deep healing. This kind of work is incredibly powerful, as it involves moving through profound changes as we work to navigate inner landscapes.
Hi, I'm Kayla Schuster, and I’m a licensed clinical professional counselor and psychotherapist. I’m passionate about helping clients find deeper healing from trauma and freedom from disordered eating. I enjoy working with individuals who want to discover and harness their strengths. I thrive working with clients who are ready to face significant personal growth and are willing to embrace the discomfort that often comes with deep healing. This kind of work is incredibly powerful, as it involves moving through profound changes as we work to navigate inner landscapes.
(785) 655-8336 View (785) 655-8336
Photo of Victoria Hoyt, Marriage & Family Therapist, MS, LCMFT
Victoria Hoyt
Marriage & Family Therapist, MS, LCMFT
1 Endorsed
Online Only
I have been providing therapy to clients for 26 years and still love what I do. I'm here to help heal the hurting, mend the broken, and bring some clarity for the confusion. If you have past trauma, a broken relationship, lack communication skills with your partner, PTSD, or deal with the frustrations of Obsessive-Compulsive Disorder, then I am the therapist for you. I bring the convenience, safety, and confidential therapy into your home by utilizing telehealth. I am a Christian counselor and believe that everyone has a gift. Therapy just happens to be mine.
I have been providing therapy to clients for 26 years and still love what I do. I'm here to help heal the hurting, mend the broken, and bring some clarity for the confusion. If you have past trauma, a broken relationship, lack communication skills with your partner, PTSD, or deal with the frustrations of Obsessive-Compulsive Disorder, then I am the therapist for you. I bring the convenience, safety, and confidential therapy into your home by utilizing telehealth. I am a Christian counselor and believe that everyone has a gift. Therapy just happens to be mine.
(785) 546-6281 View (785) 546-6281
Photo of Charles Tullis, Marriage & Family Therapist, LMFT
Charles Tullis
Marriage & Family Therapist, LMFT
Online Only
Greetings. My name is Charles Tullis. I am a Licensed Clinical Marriage and Family Therapist. As an integrated therapist I use several theories and models to address client concerns and goals. I provide counseling for individuals, couples, and families from all social classes and standings. I also serve a multi-racial community and embrace respect for multi-cultural counseling. I address a myriad of mental health concerns. Additionally, my experience includes service to military populations for twenty-six years as a service member and as a federal employee.
Greetings. My name is Charles Tullis. I am a Licensed Clinical Marriage and Family Therapist. As an integrated therapist I use several theories and models to address client concerns and goals. I provide counseling for individuals, couples, and families from all social classes and standings. I also serve a multi-racial community and embrace respect for multi-cultural counseling. I address a myriad of mental health concerns. Additionally, my experience includes service to military populations for twenty-six years as a service member and as a federal employee.
(785) 264-5903 View (785) 264-5903
Photo of Tara Fields - T Fields Trauma Therapy and Training, Clinical Social Work/Therapist, MSW, LSCSW
T Fields Trauma Therapy and Training
Clinical Social Work/Therapist, MSW, LSCSW
1 Endorsed
Abilene, KS 67410
I focus on trauma initially because what I have found in over 6 years of work as a trauma therapist, is that so much of our present concerns and limitations is rooted in trauma exposure and history. This lends itself to unhealthy patterns of avoidance, hypervigilance/hyperarousal, disturbance in mood and cognitions. and being inundated with intrusions and flashbacks. Many patients that have struggled with years with anxiety and or depressive episodes really have suffered from trauma that has not yet been dealt with. T Fields Trauma Therapy is for you if this describes you! Please also ask about a new service: Medication Management!
I focus on trauma initially because what I have found in over 6 years of work as a trauma therapist, is that so much of our present concerns and limitations is rooted in trauma exposure and history. This lends itself to unhealthy patterns of avoidance, hypervigilance/hyperarousal, disturbance in mood and cognitions. and being inundated with intrusions and flashbacks. Many patients that have struggled with years with anxiety and or depressive episodes really have suffered from trauma that has not yet been dealt with. T Fields Trauma Therapy is for you if this describes you! Please also ask about a new service: Medication Management!
(785) 310-2849 View (785) 310-2849
Photo of Kathryn Erk, Licensed Clinical Professional Counselor, LCPC
Kathryn Erk
Licensed Clinical Professional Counselor, LCPC
Online Only
I am a Licensed Clinical Professional Counselor located in Kansas. My goal as a therapist is to meet clients where they are. You are the expert on you, and my job is to help you seek clarity and problem-solve through challenges and changes.
I am a Licensed Clinical Professional Counselor located in Kansas. My goal as a therapist is to meet clients where they are. You are the expert on you, and my job is to help you seek clarity and problem-solve through challenges and changes.
(913) 395-6785 View (913) 395-6785
Photo of Alison Krattiger, Clinical Social Work/Therapist, LMSW, CCC-SLP
Alison Krattiger
Clinical Social Work/Therapist, LMSW, CCC-SLP
Online Only
Whatever your specific challenges may be, I believe in creating a safe, supportive environment where you can explore your thoughts and feelings openly. Together, we will work on healthy coping skills, emotional regulation, self-awareness, and personal growth. As an active-duty military spouse, I am uniquely positioned to understand and address the complexities faced by military families.
Whatever your specific challenges may be, I believe in creating a safe, supportive environment where you can explore your thoughts and feelings openly. Together, we will work on healthy coping skills, emotional regulation, self-awareness, and personal growth. As an active-duty military spouse, I am uniquely positioned to understand and address the complexities faced by military families.
(915) 223-8496 View (915) 223-8496
Photo of Theresa Mattraw, Counselor, MS, LMHC, LCPC
Theresa Mattraw
Counselor, MS, LMHC, LCPC
Online Only
Trauma can significantly impact your life and keep you in a prison of fear, lack of motivation, mistrust, hyper-vigilance, hopelessness, sadness, and other suffering. As an experienced, trauma-informed psychotherapist who specializes in trauma, we will work together, using evidence-based practices like Cognitive Behavioral Therapy (CBT), EMDR, and other proven therapies to reduce or eliminate these symptoms. Your healing journey can begin today with safe, supportive, and private telehealth sessions. I work with women, men, couples, and members of the LGBTQ+.
Trauma can significantly impact your life and keep you in a prison of fear, lack of motivation, mistrust, hyper-vigilance, hopelessness, sadness, and other suffering. As an experienced, trauma-informed psychotherapist who specializes in trauma, we will work together, using evidence-based practices like Cognitive Behavioral Therapy (CBT), EMDR, and other proven therapies to reduce or eliminate these symptoms. Your healing journey can begin today with safe, supportive, and private telehealth sessions. I work with women, men, couples, and members of the LGBTQ+.
(850) 495-7666 View (850) 495-7666
Photo of M Jane Wiens - PathLight Alliance Counseling, Clinical Social Work/Therapist, LSCSW
PathLight Alliance Counseling
Clinical Social Work/Therapist, LSCSW
Serves Area
Are you experiencing the strain and stress of unresolved issues/conflict? It may be a long-standing childhood trauma, a family problem or recent stressor. You may be feeling anxious, depressed, and feel lost in the maze of confusion as days, and weeks go by with no resolve. First sessions can begin immediate steps to slow down the anxiety and ease the pain. Problems can be an opportunity for growth and learning. Start here, each session may help you gain control by placing your issues in new perspective.
Are you experiencing the strain and stress of unresolved issues/conflict? It may be a long-standing childhood trauma, a family problem or recent stressor. You may be feeling anxious, depressed, and feel lost in the maze of confusion as days, and weeks go by with no resolve. First sessions can begin immediate steps to slow down the anxiety and ease the pain. Problems can be an opportunity for growth and learning. Start here, each session may help you gain control by placing your issues in new perspective.
(620) 213-4153 View (620) 213-4153
Photo of Jennifer Gunn, Licensed Professional Counselor, LPC
Jennifer Gunn
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
Waitlist for new clients
I am a perinatal mental health therapist specializing in late-diagnosed neurodivergence. I work with autistic, ADHD, and AuDHD adults navigating fertility, pregnancy, postpartum, and early parenthood—particularly when long-standing coping strategies stop working and life begins to feel overwhelming. I also provide loss-informed care, including support around miscarriage, TFMR, or not, and reproductive trauma.
I am a perinatal mental health therapist specializing in late-diagnosed neurodivergence. I work with autistic, ADHD, and AuDHD adults navigating fertility, pregnancy, postpartum, and early parenthood—particularly when long-standing coping strategies stop working and life begins to feel overwhelming. I also provide loss-informed care, including support around miscarriage, TFMR, or not, and reproductive trauma.
(785) 369-7849 View (785) 369-7849
Photo of Finn Day Kufahl, Licensed Master Social Worker, LMSW
Finn Day Kufahl
Licensed Master Social Worker, LMSW
1 Endorsed
Online Only
If you're looking for a therapist who affirms your gender identity, sexual orientation, relationship style (whether monogamous or non-monogamous), and even kink/BDSM lifestyles, then let's get to work! Most of my current clients are queer, kinky, and/or neurodivergent. I create a safe space for all of your identities! I'm all about focusing on your strengths, so I'll be there to support and challenge you as you work towards your goals. I'm committed to being present and supportive while you explore what feels safest and most authentic to you. Your true self is safe with me.
If you're looking for a therapist who affirms your gender identity, sexual orientation, relationship style (whether monogamous or non-monogamous), and even kink/BDSM lifestyles, then let's get to work! Most of my current clients are queer, kinky, and/or neurodivergent. I create a safe space for all of your identities! I'm all about focusing on your strengths, so I'll be there to support and challenge you as you work towards your goals. I'm committed to being present and supportive while you explore what feels safest and most authentic to you. Your true self is safe with me.
(785) 264-4964 View (785) 264-4964
Photo of Lp Curtis-Baker, Clinical Social Work/Therapist, MSW, LSCSW
Lp Curtis-Baker
Clinical Social Work/Therapist, MSW, LSCSW
Serves Area
Clients can expect a genuine therapeutic space for encouragement, healing, and clarity when coming to see me at Curtis-Baker Therapeutic Services, LLC. I am empathic yet direct, and offer a range of treatment modalities depending on the client's goals and needs. I have extensive experience working with clients in the LGBTQIA+ community including writing letters for HRT and gender confirmation surgeries, foster care and adoption cases, agency and court involvement, military service members, self-harm and suicidality, teenage behavioral issues, depression and anxiety, and domestic violence.
Clients can expect a genuine therapeutic space for encouragement, healing, and clarity when coming to see me at Curtis-Baker Therapeutic Services, LLC. I am empathic yet direct, and offer a range of treatment modalities depending on the client's goals and needs. I have extensive experience working with clients in the LGBTQIA+ community including writing letters for HRT and gender confirmation surgeries, foster care and adoption cases, agency and court involvement, military service members, self-harm and suicidality, teenage behavioral issues, depression and anxiety, and domestic violence.
(785) 310-3063 View (785) 310-3063
Photo of Mary Alice Weed, Marriage & Family Therapist, RN, BSN, MSMFT, LCMFT
Mary Alice Weed
Marriage & Family Therapist, RN, BSN, MSMFT, LCMFT
Serves Area
There are times in everyone's life when we are challenged to the point with seemingly no solutions. Through my years working in the Emergency Department, the sexual assault abuse unit, as an instructor, and as a therapist coupled with life experiences, I have learned about resiliency. It is not about how one falls but how one lands. I truly believe the best investment anyone can make is in themselves. Through my work as a therapist, I assist others in finding their own way through turmoil so they may invest again in themselves.
There are times in everyone's life when we are challenged to the point with seemingly no solutions. Through my years working in the Emergency Department, the sexual assault abuse unit, as an instructor, and as a therapist coupled with life experiences, I have learned about resiliency. It is not about how one falls but how one lands. I truly believe the best investment anyone can make is in themselves. Through my work as a therapist, I assist others in finding their own way through turmoil so they may invest again in themselves.
(785) 246-7450 View (785) 246-7450
Photo of Rebecca Beus, Clinical Social Work/Therapist, LSCSW, LMSW
Rebecca Beus
Clinical Social Work/Therapist, LSCSW, LMSW
1 Endorsed
Serves Area
Hello. My name is Rebecca Beus and I’m a Therapist at WellSpring Psychotherapy. Emotional distress can be deeply painful. Whether it is you…yourself coping with emotional pain or if you are dealing with a loved one who is in emotional distress. My goal is to allow a safe space for my clients to ventilate this pain and be truly heard without judgement. I look forward to working with you or your loved ones to identify healthy solutions to reduce this emotional pain and move forward with healthy healing and increasing joy in your life.
Hello. My name is Rebecca Beus and I’m a Therapist at WellSpring Psychotherapy. Emotional distress can be deeply painful. Whether it is you…yourself coping with emotional pain or if you are dealing with a loved one who is in emotional distress. My goal is to allow a safe space for my clients to ventilate this pain and be truly heard without judgement. I look forward to working with you or your loved ones to identify healthy solutions to reduce this emotional pain and move forward with healthy healing and increasing joy in your life.
(785) 975-8073 View (785) 975-8073
Photo of Cynthia Eckert-McCoy - Cynthia Eckert-McCoy LSCSW, LLC, Clinical Social Work/Therapist, LSCSW, ACSW
Cynthia Eckert-McCoy LSCSW, LLC
Clinical Social Work/Therapist, LSCSW, ACSW
Serves Area
Bowen Family Systems Approach and EMDR Therapy both saved my life! Come and see what you can do with these approaches. Being present in one's marriage, with children and extended family takes effort and the ability to engage in differences without having to cut-off. Cut-off is sometimes necessary for safety. EMDR is an incident based approach which helps to stop the intrusions about an incident, stop the body re-experiencing and give a way to avoid less for fear of reminders. Both these approaches show reward with some hard work.
Bowen Family Systems Approach and EMDR Therapy both saved my life! Come and see what you can do with these approaches. Being present in one's marriage, with children and extended family takes effort and the ability to engage in differences without having to cut-off. Cut-off is sometimes necessary for safety. EMDR is an incident based approach which helps to stop the intrusions about an incident, stop the body re-experiencing and give a way to avoid less for fear of reminders. Both these approaches show reward with some hard work.
(785) 566-4723 View (785) 566-4723

See more therapy options for Dickinson County

How does your Therapist compare?

Number of Therapists in Dickinson County, KS

20+

Average cost per session

$150

Therapists in Dickinson County, KS who prioritize treating:

96% Anxiety
87% Depression
87% Trauma and PTSD
83% Marriage Counseling
74% Relationship Issues
65% Self Esteem
65% Stress

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
83% BlueCross and BlueShield
61% Optum

How Therapists in Dickinson County, KS see their clients

52% In Person and Online
48% Online Only

Gender breakdown

87% Female
9% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Dickinson County?

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.