Therapists in Buechel, KY

Photo of Shiloh Oglesby, Clinical Social Work/Therapist, MSW, CSW
Shiloh Oglesby
Clinical Social Work/Therapist, MSW, CSW
2 Endorsed
Online Only
Hi and welcome! So glad you are here. As a therapist, my goal is to provide a safe and compassionate space where you can explore your thoughts, emotions, and experiences. My approach to therapy is rooted in empathy, collaboration, and respect. I draw from cognitive-behavioral therapy, mindfulness practices, and trauma-informed care. Together, we will create a space where you can feel heard, understood, and empowered to make meaningful changes in your life.
Hi and welcome! So glad you are here. As a therapist, my goal is to provide a safe and compassionate space where you can explore your thoughts, emotions, and experiences. My approach to therapy is rooted in empathy, collaboration, and respect. I draw from cognitive-behavioral therapy, mindfulness practices, and trauma-informed care. Together, we will create a space where you can feel heard, understood, and empowered to make meaningful changes in your life.
(502) 576-2120 View (502) 576-2120
Photo of Kimberly L. Colbert - KIM Counseling Center, LLC, Marriage & Family Therapist Associate
KIM Counseling Center, LLC
Marriage & Family Therapist Associate
1 Endorsed
Serves Area
Waitlist for new clients
I believe each day we are blessed with life, we should live it with joy and peace. I also believe whatever happens in life, whether good or bad, we must keep it moving. If you are needing someone to talk to because you have arrived at a point in life where you can no longer move, tired of hiding or keeping your feelings within. My clients are looking forward to moving from a stale place to becoming victorious in their marriage, winning over their addictions, fear, racing thoughts, trauma, depression, and anxiety to reach their life’s dreams and goals. I help teens, individuals and couples with finding their inner joy & peace.
I believe each day we are blessed with life, we should live it with joy and peace. I also believe whatever happens in life, whether good or bad, we must keep it moving. If you are needing someone to talk to because you have arrived at a point in life where you can no longer move, tired of hiding or keeping your feelings within. My clients are looking forward to moving from a stale place to becoming victorious in their marriage, winning over their addictions, fear, racing thoughts, trauma, depression, and anxiety to reach their life’s dreams and goals. I help teens, individuals and couples with finding their inner joy & peace.
(502) 747-9073 View (502) 747-9073
Photo of Shemika Whiteside, Clinical Social Work/Therapist, LCSW
Shemika Whiteside
Clinical Social Work/Therapist, LCSW
Serves Area
Mrs. Whiteside has worked in various mental health settings maintaining her unwavering focus on mothers and small children. As a perinatal psychotherapist, Mrs. Whiteside works with mothers and/or families who are struggling with perinatal mental illness during pregnancy and the postpartum period. Mrs. Whiteside is currently a social work doctoral student at The University of Louisville researching the impact of perinatal mood disorders, as evidence indicates that depression and other mood disorders in parents can have a harmful impact on children, including cognitive difficulties, insecure attachment, and behavioral problems.
Mrs. Whiteside has worked in various mental health settings maintaining her unwavering focus on mothers and small children. As a perinatal psychotherapist, Mrs. Whiteside works with mothers and/or families who are struggling with perinatal mental illness during pregnancy and the postpartum period. Mrs. Whiteside is currently a social work doctoral student at The University of Louisville researching the impact of perinatal mood disorders, as evidence indicates that depression and other mood disorders in parents can have a harmful impact on children, including cognitive difficulties, insecure attachment, and behavioral problems.
(502) 430-7203 View (502) 430-7203
Photo of Kimberle Scruggs, Clinical Social Work/Therapist, LCSW, LMFT
Kimberle Scruggs
Clinical Social Work/Therapist, LCSW, LMFT
1 Endorsed
Serves Area
Seeking help is an important decision; choosing who can help is just as important. I have experience working with a variety of mental health and behavioral issues including anger management, adolescent behavioral issues, ADHD, mood disorders, anxiety disorders, depression, relationship conflict, and family therapy. I offer these services through individual and family counseling to adolescents and adults. LGBTQ+ Friendly.
Seeking help is an important decision; choosing who can help is just as important. I have experience working with a variety of mental health and behavioral issues including anger management, adolescent behavioral issues, ADHD, mood disorders, anxiety disorders, depression, relationship conflict, and family therapy. I offer these services through individual and family counseling to adolescents and adults. LGBTQ+ Friendly.
(502) 354-4571 View (502) 354-4571

More Therapists Nearby

Photo of Shelby Upton, Clinical Social Work/Therapist, CSW
Shelby Upton
Clinical Social Work/Therapist, CSW
1 Endorsed
Louisville, KY 40204
I approach therapy with the understanding that my clients are the experts of their own experiences, and I value collaboration in building a positive therapeutic relationship. By addressing mental health concerns holistically, I am committed to empowering my clients to achieve their goals and improve their overall well-being.
I approach therapy with the understanding that my clients are the experts of their own experiences, and I value collaboration in building a positive therapeutic relationship. By addressing mental health concerns holistically, I am committed to empowering my clients to achieve their goals and improve their overall well-being.
(502) 461-1562 View (502) 461-1562
Photo of Dan Guy, Psychologist, PsyD
Dan Guy
Psychologist, PsyD
1 Endorsed
Louisville, KY 40241
Depression, anxiety, mood swings, anger, and relationship issues can all have a profoundly negative impact on your life.  People will often try to cope by turning to alcohol, drugs, and excessive electronic usage — as a way of avoiding dealing with these issues. While it is necessary to work through these negative coping patterns, it is more important to get to the underlying issues that fuel these behaviors. As a Clinical Psychologist, I have helped people identify these underlying issues, and then deal with them effectively. The goal is to get at the root of the problem so that it is gone for good.
Depression, anxiety, mood swings, anger, and relationship issues can all have a profoundly negative impact on your life.  People will often try to cope by turning to alcohol, drugs, and excessive electronic usage — as a way of avoiding dealing with these issues. While it is necessary to work through these negative coping patterns, it is more important to get to the underlying issues that fuel these behaviors. As a Clinical Psychologist, I have helped people identify these underlying issues, and then deal with them effectively. The goal is to get at the root of the problem so that it is gone for good.
(502) 339-2442 View (502) 339-2442
Photo of Tana J Wright, Clinical Social Work/Therapist, LCSW
Tana J Wright
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
Immediate Openings....Healing from trauma, abuse, grief and loss along with a mood disorder can be overwhelming. I am a psychotherapist dedicated to creating a space where you can breath, slow down and feel genuinely safe. My approach centers on compassion and collaboration to find the best intervention to fit your needs. Healing happens when you feel safe, when you feel seen without judgment or pressure. We can collaborate to go at your own pace. Myy goal is to reconnect you to your strengths, develop new insights, and build a sense pf inner stability.
Immediate Openings....Healing from trauma, abuse, grief and loss along with a mood disorder can be overwhelming. I am a psychotherapist dedicated to creating a space where you can breath, slow down and feel genuinely safe. My approach centers on compassion and collaboration to find the best intervention to fit your needs. Healing happens when you feel safe, when you feel seen without judgment or pressure. We can collaborate to go at your own pace. Myy goal is to reconnect you to your strengths, develop new insights, and build a sense pf inner stability.
(502) 276-8928 View (502) 276-8928
Photo of Brandon Bumbalough, Psychologist
Brandon Bumbalough
Psychologist
1 Endorsed
Louisville, KY 40207
Welcome! I'm so glad you're here. I'm a psychologist specializing in Obsessive-Compulsive Disorder (OCD) and related conditions. Whether you're just beginning to explore what you're experiencing or you've been navigating OCD for some time, you're not alone—and effective help is available. I offer evidence-based, compassionate care tailored to your unique needs, with a focus on empowering you to regain control, reduce distress, and build a life driven by your values—not by OCD. I'm honored to walk alongside you in this process of healing and growth.
Welcome! I'm so glad you're here. I'm a psychologist specializing in Obsessive-Compulsive Disorder (OCD) and related conditions. Whether you're just beginning to explore what you're experiencing or you've been navigating OCD for some time, you're not alone—and effective help is available. I offer evidence-based, compassionate care tailored to your unique needs, with a focus on empowering you to regain control, reduce distress, and build a life driven by your values—not by OCD. I'm honored to walk alongside you in this process of healing and growth.
(502) 273-0468 View (502) 273-0468
Photo of Laura Cassidy, Licensed Professional Counselor, MS, LPCC-S, C-DBT
Laura Cassidy
Licensed Professional Counselor, MS, LPCC-S, C-DBT
7 Endorsed
Serves Area
My ideal client feels overwhelmed, anxious, or disconnected from themselves. They may be people-pleasers, overthinkers, or moving through big life transitions. They want to feel steady again, understand their emotions, and build healthier patterns. They’re craving a space where they can be genuine, slow down, breathe, move if needed, and learn skills they can actually use in daily life. They want therapy that feels real, supportive, and human.
My ideal client feels overwhelmed, anxious, or disconnected from themselves. They may be people-pleasers, overthinkers, or moving through big life transitions. They want to feel steady again, understand their emotions, and build healthier patterns. They’re craving a space where they can be genuine, slow down, breathe, move if needed, and learn skills they can actually use in daily life. They want therapy that feels real, supportive, and human.
(502) 427-1877 View (502) 427-1877
Photo of La'Shonda N Fletcher - Revelation Counseling Center, Marriage & Family Therapist, LMFT, MAR
Revelation Counseling Center
Marriage & Family Therapist, LMFT, MAR
1 Endorsed
Louisville, KY 40214
Do you feel like your life and relationships are spinning out of control? Sometimes life can throw punches...that we're not prepared for. We often feel as if nobody understands or can hear our frustrations. I offer you a warm, safe, and nonjudgmental environment to discuss life issues. It is important to me that my clients feel comfortable and have the freedom to discuss what ever life brings their way. I invite my clients the opportunity to heal, revive, and restore their life, relationships, and mind.
Do you feel like your life and relationships are spinning out of control? Sometimes life can throw punches...that we're not prepared for. We often feel as if nobody understands or can hear our frustrations. I offer you a warm, safe, and nonjudgmental environment to discuss life issues. It is important to me that my clients feel comfortable and have the freedom to discuss what ever life brings their way. I invite my clients the opportunity to heal, revive, and restore their life, relationships, and mind.
(502) 873-3205 View (502) 873-3205
Photo of Amy E Turner, Licensed Professional Counselor, LPCC
Amy E Turner
Licensed Professional Counselor, LPCC
1 Endorsed
Louisville, KY 40207
Clients who come to me are people that have experienced very heavy things, and need a quiet place to unpack that. I believe that the person seeking therapy is the driver of change, and I help them navigate obstacles as they happen. Their goals are to figure out who they are now, and how they react to the changes that have happened after trauma. They want to challenged, and they want support as they take next steps.
Clients who come to me are people that have experienced very heavy things, and need a quiet place to unpack that. I believe that the person seeking therapy is the driver of change, and I help them navigate obstacles as they happen. Their goals are to figure out who they are now, and how they react to the changes that have happened after trauma. They want to challenged, and they want support as they take next steps.
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Photo of Hoda Shalash, Clinical Social Work/Therapist, DSW, LCSW
Hoda Shalash
Clinical Social Work/Therapist, DSW, LCSW
Online Only
My name is Hoda, and I am a Licensed Clinical Social Worker with a Doctorate in Social Work from the University of Kentucky. I work with individuals ages 17+. I am trained in Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Brainspotting (Level 1), Gottman Method Couples Therapy (Level 1), and Accelerated Resolution Therapy (ART). In addition to individual therapy, I am especially passionate about premarital counseling for Muslim couples, integrating clinical expertise with cultural and faith-informed values to support healthy, meaningful relationships.
My name is Hoda, and I am a Licensed Clinical Social Worker with a Doctorate in Social Work from the University of Kentucky. I work with individuals ages 17+. I am trained in Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Brainspotting (Level 1), Gottman Method Couples Therapy (Level 1), and Accelerated Resolution Therapy (ART). In addition to individual therapy, I am especially passionate about premarital counseling for Muslim couples, integrating clinical expertise with cultural and faith-informed values to support healthy, meaningful relationships.
(859) 765-6508 View (859) 765-6508
Photo of Latoya Hall, Licensed Professional Counselor, LPCC-S
Latoya Hall
Licensed Professional Counselor, LPCC-S
1 Endorsed
Louisville, KY 40204
Waitlist for new clients
I am a Licensed Professional Clinical Counselor Supervisor (LPCC-S) who specializes in depression, anxiety, grief and trauma. I have a Master’s degree in Mental Health Counseling and have extensive training in risk assessment, family therapy, sexual abuse and complex trauma. After working in school and non-profit settings for several years, I saw a lot of people struggling with mental health issues that were not properly addressed. I felt called to provide children, adolescents, couples and adults with a safe space to explore and resolve these concerns.
I am a Licensed Professional Clinical Counselor Supervisor (LPCC-S) who specializes in depression, anxiety, grief and trauma. I have a Master’s degree in Mental Health Counseling and have extensive training in risk assessment, family therapy, sexual abuse and complex trauma. After working in school and non-profit settings for several years, I saw a lot of people struggling with mental health issues that were not properly addressed. I felt called to provide children, adolescents, couples and adults with a safe space to explore and resolve these concerns.
(859) 765-1053 View (859) 765-1053
Photo of Alicia Hart, Clinical Social Work/Therapist, LCSW
Alicia Hart
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I’m a Licensed Clinical Social Worker who helps adults and teen to navigate some of life’s toughest moments. Many of the people I work with struggle with depression, anxiety, anger, or use self-harm or substances to cope. Some experience thoughts of not wanting to be here, or carry the weight of past trauma such as domestic violence or sexual assault. Others face ongoing relationship challenges that feel hard to manage alone. If any of this resonates with you, you don’t have to face it alone—I’m here to help.
Hi, I’m a Licensed Clinical Social Worker who helps adults and teen to navigate some of life’s toughest moments. Many of the people I work with struggle with depression, anxiety, anger, or use self-harm or substances to cope. Some experience thoughts of not wanting to be here, or carry the weight of past trauma such as domestic violence or sexual assault. Others face ongoing relationship challenges that feel hard to manage alone. If any of this resonates with you, you don’t have to face it alone—I’m here to help.
(502) 208-1196 View (502) 208-1196
Photo of Cheryl Combs Walker, Clinical Social Work/Therapist, LCSW
Cheryl Combs Walker
Clinical Social Work/Therapist, LCSW
Online Only
The professional stuff first, I’m a licensed clinical social worker licensed to practice mental health diagnosis and treatment in Kentucky, Vermont, and Florida. I have 12+ years of independent practice and gained experience in a variety of settings and across all age groups, eventually honing my skills and training towards my preferred area of practice in the realm of trauma and the resulting disruptions in relationship to self and others. I’m a human being and began my own healing journey in my late teens.
The professional stuff first, I’m a licensed clinical social worker licensed to practice mental health diagnosis and treatment in Kentucky, Vermont, and Florida. I have 12+ years of independent practice and gained experience in a variety of settings and across all age groups, eventually honing my skills and training towards my preferred area of practice in the realm of trauma and the resulting disruptions in relationship to self and others. I’m a human being and began my own healing journey in my late teens.
(606) 713-1026 View (606) 713-1026
Photo of Dionne Boone, Counselor, LPCC , NCC
Dionne Boone
Counselor, LPCC , NCC
Serves Area
Not accepting new clients
My ideal clients are children, teens, parents, and adults who are struggling with unhelpful thoughts, behaviors, and relationship patterns and are ready for a new perspective.
My ideal clients are children, teens, parents, and adults who are struggling with unhelpful thoughts, behaviors, and relationship patterns and are ready for a new perspective.
(502) 431-1283 View (502) 431-1283
Photo of Jason Roberts, Clinical Social Work/Therapist, LCSW
Jason Roberts
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
New year, new you? Probably not. Most people I work with aren’t trying to become someone else. They just want to feel more like themselves again. You may be functioning on the outside but struggling internally. Anxiety, low mood, emotional overload, or a major life change can quietly affect motivation, confidence, and focus. You’re not looking to stay in therapy forever. You’re looking for clarity, direction, and tools that actually help so you can get on with your life. And it starts with a willingness to engage in a process that’s intentional and focused on real change. You're worth it.
New year, new you? Probably not. Most people I work with aren’t trying to become someone else. They just want to feel more like themselves again. You may be functioning on the outside but struggling internally. Anxiety, low mood, emotional overload, or a major life change can quietly affect motivation, confidence, and focus. You’re not looking to stay in therapy forever. You’re looking for clarity, direction, and tools that actually help so you can get on with your life. And it starts with a willingness to engage in a process that’s intentional and focused on real change. You're worth it.
(270) 747-9427 View (270) 747-9427
Photo of Tiffany Keith, Marriage & Family Therapist Associate, MAMFTA
Tiffany Keith
Marriage & Family Therapist Associate, MAMFTA
1 Endorsed
Louisville, KY 40223
I am a Marriage and Family Therapist Associate who enjoys working with children ages 10 and older, individuals, couples, and families. My approach in the therapeutic relationship is to be a companion with you on your journey of discovery and understanding. I work with clients experiencing symptoms of ADHD, anxiety, depression, grief, childhood behavioral issues, relational distress, trauma, and race based traumatic stress. I work with individuals who have been marginalized, put in a box and/or overlooked. You are both welcomed and respected.
I am a Marriage and Family Therapist Associate who enjoys working with children ages 10 and older, individuals, couples, and families. My approach in the therapeutic relationship is to be a companion with you on your journey of discovery and understanding. I work with clients experiencing symptoms of ADHD, anxiety, depression, grief, childhood behavioral issues, relational distress, trauma, and race based traumatic stress. I work with individuals who have been marginalized, put in a box and/or overlooked. You are both welcomed and respected.
(502) 237-0379 View (502) 237-0379
Photo of Albert Vanhumlian, Pre-Licensed Professional, CT, MDiv
Albert Vanhumlian
Pre-Licensed Professional, CT, MDiv
Louisville, KY 40207
Are you navigating the pain of grief and loss, feeling weighed down by the overwhelming stresses and anxieties of life? Do negative emotions overshadow your ability to embrace a more positive outlook? Perhaps your relationships feel more like battlegrounds filled with disappointment, rather than places of peace, fulfillment, and joy. Do you struggle with perfectionism, feeling as though your self-worth is tied to your achievements? Do you find yourself being overly productive or feeling stuck and unproductive, despite all your efforts toward self-improvement, the progress you seek may still feel out of reach. You are not alone.
Are you navigating the pain of grief and loss, feeling weighed down by the overwhelming stresses and anxieties of life? Do negative emotions overshadow your ability to embrace a more positive outlook? Perhaps your relationships feel more like battlegrounds filled with disappointment, rather than places of peace, fulfillment, and joy. Do you struggle with perfectionism, feeling as though your self-worth is tied to your achievements? Do you find yourself being overly productive or feeling stuck and unproductive, despite all your efforts toward self-improvement, the progress you seek may still feel out of reach. You are not alone.
(859) 350-6975 View (859) 350-6975
Photo of Teah L Moore - The Beautiful Soul Asylum, Licensed Professional Clinical Counselor, PhD, LPCC-S, CPCS, LPC, NCC
The Beautiful Soul Asylum
Licensed Professional Clinical Counselor, PhD, LPCC-S, CPCS, LPC, NCC
1 Endorsed
Louisville, KY 40205
I recognized the importance of being a listening heart. We experience so much in life that it can crush our souls, infect our minds, and bruise our spirits. Jobs can become toxic and hostile, relationships get complicated, and children become challenging. For women, there is the task of getting older and menopause. I am here. At The Beautiful Soul Asylum, I offer a refuge with a true holistic focus on mental health, honoring the mind, body, and spirit. For some, this may include religiosity and spirituality, which aid in healing and the restoration of wholeness.
I recognized the importance of being a listening heart. We experience so much in life that it can crush our souls, infect our minds, and bruise our spirits. Jobs can become toxic and hostile, relationships get complicated, and children become challenging. For women, there is the task of getting older and menopause. I am here. At The Beautiful Soul Asylum, I offer a refuge with a true holistic focus on mental health, honoring the mind, body, and spirit. For some, this may include religiosity and spirituality, which aid in healing and the restoration of wholeness.
(502) 273-1285 View (502) 273-1285

How does your Therapist compare?

Number of Therapists in Buechel, KY

< 10

Therapists in Buechel, KY who prioritize treating:

100% Depression
75% Relationship Issues
75% Anxiety
75% Grief
75% Parenting
75% Self Esteem
75% Women's Issues

Average years in practice

8 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Humana

How Therapists in Buechel, KY see their clients

75% In Person and Online
25% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Buechel?

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.