Therapists in Shawnee Mission, KS

Photo of Jessica Anne Neiderhiser, Licensed Professional Counselor, LPC, NCC
Jessica Anne Neiderhiser
Licensed Professional Counselor, LPC, NCC
1 Endorsed
Shawnee Mission, KS 66208
I typically work with children, adolescents, adults, and their families experiencing mood, behavioral, stress/trauma, and neurodevelopment related issues. Clients may often see me for symptom management in mood disorders (e.g., anxiety and depression), compliance issues relating to ODD, in trauma and stress processing as in PTSD and Adjustment Disorders, as well as neurodevelopment challenges in ADHD and ASD. Goals often include increasing emotional regulation, increasing compliance and conduct, and increasing in self-awareness and insight to successfully cope and manage a multitude of symptoms, thereby nurturing growth and success.
I typically work with children, adolescents, adults, and their families experiencing mood, behavioral, stress/trauma, and neurodevelopment related issues. Clients may often see me for symptom management in mood disorders (e.g., anxiety and depression), compliance issues relating to ODD, in trauma and stress processing as in PTSD and Adjustment Disorders, as well as neurodevelopment challenges in ADHD and ASD. Goals often include increasing emotional regulation, increasing compliance and conduct, and increasing in self-awareness and insight to successfully cope and manage a multitude of symptoms, thereby nurturing growth and success.
(913) 578-0821 View (913) 578-0821
Photo of London Orr-Thompson, Marriage & Family Therapist, MS, LCMFT, LMAC
London Orr-Thompson
Marriage & Family Therapist, MS, LCMFT, LMAC
1 Endorsed
Serves Area
London is experienced in working with families, couples, and individuals. She is a Marriage and Family Therapist who primarily works with both individuals and couples. London has worked in the mental health field since 2017 providing compassionate care to clients in diverse environments such as adolescent psychiatric facilities, community mental health centers, residential and outpatient substance abuse treatment facilities, and private practice. London has a compassionate approach and works to create a space where all her clients feel safe to grow and challenge themselves.
London is experienced in working with families, couples, and individuals. She is a Marriage and Family Therapist who primarily works with both individuals and couples. London has worked in the mental health field since 2017 providing compassionate care to clients in diverse environments such as adolescent psychiatric facilities, community mental health centers, residential and outpatient substance abuse treatment facilities, and private practice. London has a compassionate approach and works to create a space where all her clients feel safe to grow and challenge themselves.
(913) 349-6230 View (913) 349-6230
Photo of Clarisha Blaylock, Licensed Professional Counselor, MS, LPC, LCPC
Clarisha Blaylock
Licensed Professional Counselor, MS, LPC, LCPC
1 Endorsed
Online Only
My mission as a clinician is to provide trauma sensitive compassionate care that allows you to have agency in treatment as well as in your life.
My mission as a clinician is to provide trauma sensitive compassionate care that allows you to have agency in treatment as well as in your life.
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Photo of Kelly George, Counselor, LCPC
Kelly George
Counselor, LCPC
Serves Area
Beginning with a deep respect for all people navigating today's world, I work with individuals, couples, and families from teen to golden years. I also utilize small group work for the therapy curious or those looking for the accountability and validation a group setting can provide. By utilizing current evidence-based practices, I'll share the art and science of incorporating a curious, non-judgmental approach to understanding yourself and others. My approach incorporates CBT, DBT, Acceptance Commitment Therapy, Solution-Focused, and trauma-informed care to help clients move to a state of what I call, "enthusiastic peacefulness".
Beginning with a deep respect for all people navigating today's world, I work with individuals, couples, and families from teen to golden years. I also utilize small group work for the therapy curious or those looking for the accountability and validation a group setting can provide. By utilizing current evidence-based practices, I'll share the art and science of incorporating a curious, non-judgmental approach to understanding yourself and others. My approach incorporates CBT, DBT, Acceptance Commitment Therapy, Solution-Focused, and trauma-informed care to help clients move to a state of what I call, "enthusiastic peacefulness".
(913) 392-5912 View (913) 392-5912
Photo of Maggie Allen, Counselor, MA, LCPC
Maggie Allen
Counselor, MA, LCPC
Serves Area
I believe I am effective working with individuals impacted by anxiety, life transitions and trauma, joining you as you heal and grow. Also, I have experience with families and parents looking for support as they navigate ADHD and learning disabilities in their children. I enjoy working with couples to enhance their relationship, working through difficulties and adding meaningful interactions back into their lives. I also can be helpful working with parents that are considering or have completed a separation but would like to optimize their coparenting to lessen the effects on their children.
I believe I am effective working with individuals impacted by anxiety, life transitions and trauma, joining you as you heal and grow. Also, I have experience with families and parents looking for support as they navigate ADHD and learning disabilities in their children. I enjoy working with couples to enhance their relationship, working through difficulties and adding meaningful interactions back into their lives. I also can be helpful working with parents that are considering or have completed a separation but would like to optimize their coparenting to lessen the effects on their children.
(913) 349-7604 View (913) 349-7604
Photo of Wes Crenshaw - Depression Clinic of Kansas, Psychologist, PhD
Depression Clinic of Kansas
Psychologist, PhD
1 Endorsed
Serves Area
Depression Clinic of Kansas is a program of Family Psychological Services that integrates Acceptance Commitment Therapy (ACT), advanced lifestyle enhancement, and cutting edge medication management to bring about real, lasting change and symptom reduction.
Depression Clinic of Kansas is a program of Family Psychological Services that integrates Acceptance Commitment Therapy (ACT), advanced lifestyle enhancement, and cutting edge medication management to bring about real, lasting change and symptom reduction.
(785) 465-5643 View (785) 465-5643
Photo of Suzanne Grace, Clinical Social Work/Therapist, LSCSW, LCSW, RPT-S
Suzanne Grace
Clinical Social Work/Therapist, LSCSW, LCSW, RPT-S
4 Endorsed
Serves Area
Sometimes life can be challenging. It can help to have someone listen to your situation and assist in finding solutions and/or tools to get through some of those challenges.
Sometimes life can be challenging. It can help to have someone listen to your situation and assist in finding solutions and/or tools to get through some of those challenges.
(913) 800-4468 View (913) 800-4468
Photo of Glenda S Rodgers-Lawless - Glenda Rodgers-Lawless, Ph.D.,LCPC, Counselor, PhD, LCPC
Glenda Rodgers-Lawless, Ph.D.,LCPC
Counselor, PhD, LCPC
1 Endorsed
Serves Area
I create an environment for my clients where they feel safe, encouraged and gain confidence to create the changes they want to make in their life. I ensure confidentiality and work with them to identify what isn't working for them and the steps to take to create a future where they feel empowered and happy. Seeking counseling isn't always easy, so I provide a place of comfort and trust so my clients feel at ease. I have over 25 years experience in community mental health and private practice. As a Deepak Chopra certified meditation instructor, I provide courses in Primordial Sound Meditation. Look under group section for more info.
I create an environment for my clients where they feel safe, encouraged and gain confidence to create the changes they want to make in their life. I ensure confidentiality and work with them to identify what isn't working for them and the steps to take to create a future where they feel empowered and happy. Seeking counseling isn't always easy, so I provide a place of comfort and trust so my clients feel at ease. I have over 25 years experience in community mental health and private practice. As a Deepak Chopra certified meditation instructor, I provide courses in Primordial Sound Meditation. Look under group section for more info.
(913) 728-5092 View (913) 728-5092
Photo of Rebecca Reising, Licensed Professional Counselor, MEd, LCPC
Rebecca Reising
Licensed Professional Counselor, MEd, LCPC
Serves Area
Rebecca Reising is a Licensed Clinical Professional Counselor in Kansas who has been practicing since 2007. She has a Masters in Counseling Psychology from Kansas University and a Masters of Education from Temple University. Rebecca works predominantly with children, adolescents, and young adults who struggle with anxiety, depression, emotion dysregulation, and behavioral issues. She also has extensive experience working with parents to provide support and education on parenting strategies to help meet the needs of their struggling child.
Rebecca Reising is a Licensed Clinical Professional Counselor in Kansas who has been practicing since 2007. She has a Masters in Counseling Psychology from Kansas University and a Masters of Education from Temple University. Rebecca works predominantly with children, adolescents, and young adults who struggle with anxiety, depression, emotion dysregulation, and behavioral issues. She also has extensive experience working with parents to provide support and education on parenting strategies to help meet the needs of their struggling child.
(913) 347-5813 View (913) 347-5813
Photo of Dr. Thomas M. Letvinchuck Letvinchuck, PhD, LCMFT
Dr. Thomas M. Letvinchuck Letvinchuck
Verified Verified
Online Only
Greetings! My name is Dr. Thomas M. Letvinchuck. I am the founder of Ironwoods Behavioral Health here in Leawood, Kansas. I hold a Ph.D. in Clinical Psychology and maintain a LCMFT license in the State of Kansas. "I believe it is important to establish a good rapport with you; I want you to feel safe, seen, and understood; to achieve symptom relief, solutions, and to get you back on the right track. The types of treatment utilized in my practice will be tailored to your individual needs. Psychotherapy is not just about talking out problems and crisis issues, but about building self-confidence, courage and a belief in oneself."
Greetings! My name is Dr. Thomas M. Letvinchuck. I am the founder of Ironwoods Behavioral Health here in Leawood, Kansas. I hold a Ph.D. in Clinical Psychology and maintain a LCMFT license in the State of Kansas. "I believe it is important to establish a good rapport with you; I want you to feel safe, seen, and understood; to achieve symptom relief, solutions, and to get you back on the right track. The types of treatment utilized in my practice will be tailored to your individual needs. Psychotherapy is not just about talking out problems and crisis issues, but about building self-confidence, courage and a belief in oneself."
(913) 357-6319 View (913) 357-6319
Photo of Kali Miller, Licensed Professional Counselor, LPC, ATR
Kali Miller
Licensed Professional Counselor, LPC, ATR
Serves Area
In the midst of life’s chaos, you’re grappling with uncertainty, anxiety, and the weight of your emotions. Anxiety and depression wage war within, hindering your ability to express and seek help. It's tough to open up to others, fearing judgment and misunderstanding. But you're amazing, having navigated through the storm so far, let’s keep going. You're not alone - I've supported many through similar storms. Let's journey together, overcoming obstacles and finding peace, strength, and clarity amidst the chaos.
In the midst of life’s chaos, you’re grappling with uncertainty, anxiety, and the weight of your emotions. Anxiety and depression wage war within, hindering your ability to express and seek help. It's tough to open up to others, fearing judgment and misunderstanding. But you're amazing, having navigated through the storm so far, let’s keep going. You're not alone - I've supported many through similar storms. Let's journey together, overcoming obstacles and finding peace, strength, and clarity amidst the chaos.
(913) 392-3683 View (913) 392-3683
Photo of Vicki Canady, Clinical Social Work/Therapist, LSCSW
Vicki Canady
Clinical Social Work/Therapist, LSCSW
1 Endorsed
Serves Area
Welcome! I'm Vicki, a Licensed Specialist Clinical Social Worker dedicated to guiding you through life's challenges with compassion and insight. I view therapy as a nurturing process where each individual's path to healing and growth requires a supportive and enriching environment. Just as a seed relies on fertile soil, sunlight, and water to thrive, your emotional and mental well-being flourishes in a space that provides attention, understanding, and care. In our sessions, I aim to create a safe and encouraging atmosphere where we can explore and address your thoughts, emotions, and experiences.
Welcome! I'm Vicki, a Licensed Specialist Clinical Social Worker dedicated to guiding you through life's challenges with compassion and insight. I view therapy as a nurturing process where each individual's path to healing and growth requires a supportive and enriching environment. Just as a seed relies on fertile soil, sunlight, and water to thrive, your emotional and mental well-being flourishes in a space that provides attention, understanding, and care. In our sessions, I aim to create a safe and encouraging atmosphere where we can explore and address your thoughts, emotions, and experiences.
(913) 404-8262 View (913) 404-8262
Photo of Elizabeth Newkirk, Clinical Social Work/Therapist, LCSW, LSCSW
Elizabeth Newkirk
Clinical Social Work/Therapist, LCSW, LSCSW
Serves Area
I truly believe we are all capable of emotional well-being, and inherently possess the skills and tools needed to thrive. However, sometimes trauma, life stressors or transitions, or the weight of emotional challenges can make it difficult to find or recall those tools and skills. I practice therapy from a person-centered approach, which means that I believe you are the expert on yourself, and my role is to partner with you as we work to rediscover those skills and strengths that may feel as though they have been lost. We are not meant to be "fixed", we simply sometimes need support in finding our way back to ourselves.
I truly believe we are all capable of emotional well-being, and inherently possess the skills and tools needed to thrive. However, sometimes trauma, life stressors or transitions, or the weight of emotional challenges can make it difficult to find or recall those tools and skills. I practice therapy from a person-centered approach, which means that I believe you are the expert on yourself, and my role is to partner with you as we work to rediscover those skills and strengths that may feel as though they have been lost. We are not meant to be "fixed", we simply sometimes need support in finding our way back to ourselves.
(816) 306-9848 View (816) 306-9848
Photo of Krista Day-Gloe, Clinical Social Work/Therapist, LCSW, EMDR, CDWF-C
Krista Day-Gloe
Clinical Social Work/Therapist, LCSW, EMDR, CDWF-C
2 Endorsed
Online Only
Are you feeling overwhelmed by chronic stress, health issues, or the pressures of being a high achiever? Or maybe you are also grappling with an autoimmune disorders, struggles with food, or GI issues. Perhaps you've noticed how these challenges affect your sleep and mood, leading to increased anxiety or depression. I’m here to help you navigate these complexities by exploring the connections between your physical health and mental well-being, focusing on how your body influences your thoughts and vice versa. By addressing these interconnected aspects, we can work together towards meaningful healing and understanding.
Are you feeling overwhelmed by chronic stress, health issues, or the pressures of being a high achiever? Or maybe you are also grappling with an autoimmune disorders, struggles with food, or GI issues. Perhaps you've noticed how these challenges affect your sleep and mood, leading to increased anxiety or depression. I’m here to help you navigate these complexities by exploring the connections between your physical health and mental well-being, focusing on how your body influences your thoughts and vice versa. By addressing these interconnected aspects, we can work together towards meaningful healing and understanding.
(816) 375-2343 View (816) 375-2343
Photo of Katie Grabow, Clinical Social Work/Therapist, LCSW
Katie Grabow
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Waitlist for new clients
My passion is to provide a empathetic and nonjudgmental space for clients struggling with Anorexia, Bulimia, Binge Eating Disorder, anxiety, body dysmorphia, body image issues, shame, depression, and recovering from past traumas. My approach to healing is through developing a trusting therapeutic alliance. Looking at the social, cultural, familial, learning, and peer influences, as well as the genetic factors, personality traits, and biological factors out of our control is important to understand what brought you here today. Our experiences, both good and bad, shape who we are.
My passion is to provide a empathetic and nonjudgmental space for clients struggling with Anorexia, Bulimia, Binge Eating Disorder, anxiety, body dysmorphia, body image issues, shame, depression, and recovering from past traumas. My approach to healing is through developing a trusting therapeutic alliance. Looking at the social, cultural, familial, learning, and peer influences, as well as the genetic factors, personality traits, and biological factors out of our control is important to understand what brought you here today. Our experiences, both good and bad, shape who we are.
(913) 347-5422 View (913) 347-5422
Photo of Eric Lowery, Clinical Social Work/Therapist, LSCSW
Eric Lowery
Clinical Social Work/Therapist, LSCSW
Serves Area
Eric is particularly passionate about supporting clients navigating life after psychiatric hospitalization and assisting those with disability paperwork. He works with individuals experiencing ADHD, anxiety, depression, and bipolar disorder, using evidence-based interventions such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness. He also offers couples counseling and marital support, helping partners strengthen communication, resolve conflicts, and foster healthier relationships.
Eric is particularly passionate about supporting clients navigating life after psychiatric hospitalization and assisting those with disability paperwork. He works with individuals experiencing ADHD, anxiety, depression, and bipolar disorder, using evidence-based interventions such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness. He also offers couples counseling and marital support, helping partners strengthen communication, resolve conflicts, and foster healthier relationships.
(913) 578-6081 View (913) 578-6081
Photo of Theresa Montgomery, Counselor, MA , LCPC, CPTT(C)
Theresa Montgomery
Counselor, MA , LCPC, CPTT(C)
1 Endorsed
Serves Area
I am passionate about helping people in the process of self-discovery and personal growth. I am particularly skilled in counseling adults and have significant experience helping individuals suffering with trauma, depression, anxiety, codependency, and life transition issues. I also provide care to those experiencing grief and loss that cannot be openly acknowledged. I earned my Master of Arts degree in Counseling from MidAmerica Nazarene University and am a Licensed Clinical Professional Counselor in the State of Kansas.
I am passionate about helping people in the process of self-discovery and personal growth. I am particularly skilled in counseling adults and have significant experience helping individuals suffering with trauma, depression, anxiety, codependency, and life transition issues. I also provide care to those experiencing grief and loss that cannot be openly acknowledged. I earned my Master of Arts degree in Counseling from MidAmerica Nazarene University and am a Licensed Clinical Professional Counselor in the State of Kansas.
(913) 490-0358 View (913) 490-0358
Photo of Kara Joy Werner, Licensed Professional Counselor, MS, LPC, LCPC
Kara Joy Werner
Licensed Professional Counselor, MS, LPC, LCPC
4 Endorsed
Online Only
We are all just walking each other home in a time that feels darkly uncertain. While I bring a deep love/nerdiness for how we become, you know you best. Helping you to return to the safety of self, feel relief, embrace vulnerability, find your agency, trust yourself/your authentic voice, and be content is my passion. I’m a late diagnosed ADHD’er. I can help with Trauma, Anxiety, and ADHD - working primarily with women, non-binary and neurodivergent adults through a systemic, culturally affirmative, anti-oppressive lens. I'm trauma-informed, licensed in MO and KS. Call or email. I am here to walk with you.
We are all just walking each other home in a time that feels darkly uncertain. While I bring a deep love/nerdiness for how we become, you know you best. Helping you to return to the safety of self, feel relief, embrace vulnerability, find your agency, trust yourself/your authentic voice, and be content is my passion. I’m a late diagnosed ADHD’er. I can help with Trauma, Anxiety, and ADHD - working primarily with women, non-binary and neurodivergent adults through a systemic, culturally affirmative, anti-oppressive lens. I'm trauma-informed, licensed in MO and KS. Call or email. I am here to walk with you.
(816) 656-3398 View (816) 656-3398
Photo of Jessica Kearney, Marriage & Family Therapist, LCMFT, RPT
Jessica Kearney
Marriage & Family Therapist, LCMFT, RPT
Serves Area
My therapeutic approach is rooted in empathy and compassion, is strengths-based, and offers a collaborative experience for my clients. I enjoy working with children and their families, and offer play therapy and sand tray as methods to address the challenges young clients may be facing.
My therapeutic approach is rooted in empathy and compassion, is strengths-based, and offers a collaborative experience for my clients. I enjoy working with children and their families, and offer play therapy and sand tray as methods to address the challenges young clients may be facing.
(316) 800-5599 View (316) 800-5599
Photo of Shawn Derritt, EdD, MS
Shawn Derritt
Verified Verified
2 Endorsed
Serves Area
As a certified life coach with a Masters in Counseling Psychology, I am passionate about helping individuals transform their lives. If you're feeling stuck, lost, or uncertain about your path forward, my coaching services can provide the guidance, support, and accountability you need to achieve your goals. Whether you're seeking to improve your relationships, advance your career, or find greater fulfillment and purpose, I'm here to help. With my extensive training, expertise, and compassionate approach, I can help you break through limiting beliefs, overcome obstacles, and unlock your full potential.
As a certified life coach with a Masters in Counseling Psychology, I am passionate about helping individuals transform their lives. If you're feeling stuck, lost, or uncertain about your path forward, my coaching services can provide the guidance, support, and accountability you need to achieve your goals. Whether you're seeking to improve your relationships, advance your career, or find greater fulfillment and purpose, I'm here to help. With my extensive training, expertise, and compassionate approach, I can help you break through limiting beliefs, overcome obstacles, and unlock your full potential.
(913) 398-5181 View (913) 398-5181

See more therapy options for Shawnee Mission

How does your Therapist compare?

Number of Therapists in Shawnee Mission, KS

100+

Average cost per session

$135

Therapists in Shawnee Mission, KS who prioritize treating:

95% Anxiety
93% Depression
79% Trauma and PTSD
72% Grief
71% Relationship Issues
68% Coping Skills
68% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

73% Aetna
69% BlueCross and BlueShield
47% Cigna and Evernorth

How Therapists in Shawnee Mission, KS see their clients

88% In Person and Online
12% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Shawnee Mission?

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.