Therapists in Elizabethtown, KY

Photo of Savannah Sooter, Clinical Social Work/Therapist, LCSW
Savannah Sooter
Clinical Social Work/Therapist, LCSW
4 Endorsed
Online Only
Waitlist for new clients
Maybe it’s the constant hum of worry or the weight of holding everything together. Maybe you’ve been through something hard and you’re still finding your footing. Or maybe life just feels heavy lately—and you don’t know why. This is your space to slow down, breathe, and begin again. I use EMDR to help the brain heal from pain, DBT to build balance, and CBT to shift patterns that keep you stuck. I support trauma survivors, healthcare workers, foster and adoptive parents, and bariatric clients on their healing journey. At Hearth & Haven, you don’t have to do it alone.
Maybe it’s the constant hum of worry or the weight of holding everything together. Maybe you’ve been through something hard and you’re still finding your footing. Or maybe life just feels heavy lately—and you don’t know why. This is your space to slow down, breathe, and begin again. I use EMDR to help the brain heal from pain, DBT to build balance, and CBT to shift patterns that keep you stuck. I support trauma survivors, healthcare workers, foster and adoptive parents, and bariatric clients on their healing journey. At Hearth & Haven, you don’t have to do it alone.
(859) 577-9489 View (859) 577-9489
Photo of Sharon L Darnell - ALI Counseling, Clinical Social Work/Therapist, MSSW, CSW
ALI Counseling
Clinical Social Work/Therapist, MSSW, CSW
Elizabethtown, KY 42701
The client is wanting change but do not know where to look or how to start. They struggle to understand the origins of their behavioral patterns. They want to live a happier healthier life. They do not want to repeat the same patterns as their parents did.
The client is wanting change but do not know where to look or how to start. They struggle to understand the origins of their behavioral patterns. They want to live a happier healthier life. They do not want to repeat the same patterns as their parents did.
(270) 440-4521 View (270) 440-4521
Photo of Shelby Pennick, Licensed Professional Counselor, MS, LPCC, NCC
Shelby Pennick
Licensed Professional Counselor, MS, LPCC, NCC
2 Endorsed
Online Only
Waitlist for new clients
Your life is your story. Counseling is your opportunity to tell it. What parts of your story are you proud of and what parts of your story cause pain? I believe that both are important. Together I will work with you to look at the story you tell about yourself to find peace and meaning. This meaning can lead to healing. As a counselor I focus on collaborating with my clients on their journey to healing. I feel that this journey can lead to a beautiful transformation. We will work together to help you transform in the ways you are hoping.
Your life is your story. Counseling is your opportunity to tell it. What parts of your story are you proud of and what parts of your story cause pain? I believe that both are important. Together I will work with you to look at the story you tell about yourself to find peace and meaning. This meaning can lead to healing. As a counselor I focus on collaborating with my clients on their journey to healing. I feel that this journey can lead to a beautiful transformation. We will work together to help you transform in the ways you are hoping.
(859) 354-3796 View (859) 354-3796
Photo of Charity Mattingly, Clinical Social Work/Therapist, LCSW
Charity Mattingly
Clinical Social Work/Therapist, LCSW
Online Only
Hi! I'm a Licensed Clinical Social working serving both Kentucky and Tennessee. I received my Masters from the University of Southern California and have been practicing for 10 years. My therapy approach is dedicated to empowering individuals of all ages who are navigating significant shifts in mood and self-esteem. My goal is to help you explore underlying challenges, transforming them into opportunities to become a stronger and more resilient person.
Hi! I'm a Licensed Clinical Social working serving both Kentucky and Tennessee. I received my Masters from the University of Southern California and have been practicing for 10 years. My therapy approach is dedicated to empowering individuals of all ages who are navigating significant shifts in mood and self-esteem. My goal is to help you explore underlying challenges, transforming them into opportunities to become a stronger and more resilient person.
(270) 719-6552 View (270) 719-6552
Photo of Stacey Zimmerman - Neurodiverse Therapy, LLC, Clinical Social Work/Therapist, LCSW, MSW
Neurodiverse Therapy, LLC
Clinical Social Work/Therapist, LCSW, MSW
Online Only
Human thought and behavior, when placed in context, has ripples, beauty and reason to it. Understanding the roots of thoughts and behaviors is the gateway to awareness...and compassion. This work allows for incredible freedom and happiness. I am here to walk this journey with you and to assist with connecting the pieces of your narrative.
Human thought and behavior, when placed in context, has ripples, beauty and reason to it. Understanding the roots of thoughts and behaviors is the gateway to awareness...and compassion. This work allows for incredible freedom and happiness. I am here to walk this journey with you and to assist with connecting the pieces of your narrative.
(270) 751-6468 View (270) 751-6468
Photo of Emily Neel - Silverleaf Sexual Trauma Recovery Services, Licensed Professional Clinical Counselor, LPCC, PhD, PsyD
Silverleaf Sexual Trauma Recovery Services
Licensed Professional Clinical Counselor, LPCC, PhD, PsyD
Elizabethtown, KY 42701
Silverleaf is the regional Rape Crisis and Child Advocacy Center for the Lincoln Trail Area Development District (Breckinridge, Grayson, Hardin, Larue, Marion, Meade, Nelson, Washington). Therapists provide individual, family and group services across the lifespan to survivors of sexual violence, free of charge, regardless of when the abuse occurred. Because everyone is different, we provide a variety of therapeutic techniques and interventions that are supported by research to be the most effective techniques to use with victims of sexual violence. We do not discriminate against race, gender, sexual orientation, or otherwise
Silverleaf is the regional Rape Crisis and Child Advocacy Center for the Lincoln Trail Area Development District (Breckinridge, Grayson, Hardin, Larue, Marion, Meade, Nelson, Washington). Therapists provide individual, family and group services across the lifespan to survivors of sexual violence, free of charge, regardless of when the abuse occurred. Because everyone is different, we provide a variety of therapeutic techniques and interventions that are supported by research to be the most effective techniques to use with victims of sexual violence. We do not discriminate against race, gender, sexual orientation, or otherwise
(270) 506-0120 View (270) 506-0120
Bethany 'beth' Dawn Graham
Clinical Social Work/Therapist, LCSW
Online Only
Hi and thank you for visiting my page! I am a Licensed Clinical Social Worker who has had a considerable range of experience over my 17 years of therapy. I have worked with all age groups and a wide variety of diagnoses. One of my particular areas of expertise is helping people with stress/anxiety. I have worked successfully with many clients who have Generalized Anxiety Disorder, panic attacks, agoraphobia, etc. I am a believer in the mind/body connection and take a holistic approach to helping people heal and improve their lives. You have taken a big step in improving your life! I am here to help!
Hi and thank you for visiting my page! I am a Licensed Clinical Social Worker who has had a considerable range of experience over my 17 years of therapy. I have worked with all age groups and a wide variety of diagnoses. One of my particular areas of expertise is helping people with stress/anxiety. I have worked successfully with many clients who have Generalized Anxiety Disorder, panic attacks, agoraphobia, etc. I am a believer in the mind/body connection and take a holistic approach to helping people heal and improve their lives. You have taken a big step in improving your life! I am here to help!
(270) 606-7839 View (270) 606-7839
Photo of Katia Meredith, Licensed Professional Clinical Counselor, LCPC
Katia Meredith
Licensed Professional Clinical Counselor, LCPC
Online Only
I am Katia Meredith, a Licensed Professional Clinical Counselor with 9 years of clinical experience in a variety of settings, including outpatient, community mental health, inpatient and crisis counseling. My passion is supporting my clients in their journey to overcome depression, trauma, grief, and other stressful life events to achieve their individual goals. I have a passion for working with adults struggling with history of trauma, depression, anxiety, grief, or simply needing someone to listen and offer support with any life issue.
I am Katia Meredith, a Licensed Professional Clinical Counselor with 9 years of clinical experience in a variety of settings, including outpatient, community mental health, inpatient and crisis counseling. My passion is supporting my clients in their journey to overcome depression, trauma, grief, and other stressful life events to achieve their individual goals. I have a passion for working with adults struggling with history of trauma, depression, anxiety, grief, or simply needing someone to listen and offer support with any life issue.
(859) 724-5687 View (859) 724-5687
Photo of Wynna Tabb, Marriage & Family Therapist, MEd, LMFT
Wynna Tabb
Marriage & Family Therapist, MEd, LMFT
1 Endorsed
Elizabethtown, KY 42701
You've spent years dealing with the memories of the trauma. You're triggered all of the time, and it's hard to function daily. You have nightmares, sleep issues, or you just don't have the energy to get up. Your heart beats fast, you can't breathe, and you panic. You bury yourself in work, food, television, video games, or anything to avoid thinking about what happened to you. Sometimes you feel numb, like a zombie, and you space out. If someone walks up, you jump! You don't have to live this way! You can face the past, once and for all!
You've spent years dealing with the memories of the trauma. You're triggered all of the time, and it's hard to function daily. You have nightmares, sleep issues, or you just don't have the energy to get up. Your heart beats fast, you can't breathe, and you panic. You bury yourself in work, food, television, video games, or anything to avoid thinking about what happened to you. Sometimes you feel numb, like a zombie, and you space out. If someone walks up, you jump! You don't have to live this way! You can face the past, once and for all!
(270) 455-1493 View (270) 455-1493
Photo of Sadie Rogers, Licensed Professional Counselor Associate , LPCA
Sadie Rogers
Licensed Professional Counselor Associate , LPCA
1 Endorsed
Online Only
I provide telehealth services to teens and adults. I am here to support you in your journey towards a more peaceful life. I have experience working with clients who are experiencing relationship problems, trauma reactions, depression, anxiety, grief, and more.
I provide telehealth services to teens and adults. I am here to support you in your journey towards a more peaceful life. I have experience working with clients who are experiencing relationship problems, trauma reactions, depression, anxiety, grief, and more.
(270) 279-8270 View (270) 279-8270
Photo of Regina Hancock, Licensed Professional Clinical Counselor, LPCC-S
Regina Hancock
Licensed Professional Clinical Counselor, LPCC-S
1 Endorsed
Online Only
Our ideal clients are individuals facing life's challenges and seeking personal growth. They may be dealing with: Anxiety, depression, or other mental health concerns Relationship difficulties Work-related stress or career transitions Grief and loss, Self-esteem issues, Life transitions, and personal development goals. At Tranquility Springs starting in May 2025 we will be taking on a counselor in training who will be under supervision.
Our ideal clients are individuals facing life's challenges and seeking personal growth. They may be dealing with: Anxiety, depression, or other mental health concerns Relationship difficulties Work-related stress or career transitions Grief and loss, Self-esteem issues, Life transitions, and personal development goals. At Tranquility Springs starting in May 2025 we will be taking on a counselor in training who will be under supervision.
(270) 721-7843 View (270) 721-7843
Photo of Margaretmary Sweeney, Licensed Professional Clinical Counselor, LPCC
Margaretmary Sweeney
Licensed Professional Clinical Counselor, LPCC
Online Only
I am Maggie Sweeney. I grew up poor in Brooklyn, I spent 23 years in the Navy, I have lived all over the world and retired in 2014. I earned my bachelor’s degree in liberal arts in science in 2009 and my MS in Mental Health Counseling in March 2017. My ex was active-duty Army and in July 2017 we got stationed at Fort Knox, KY. I earned my PhD in May 2022 and today I live Elizabethtown, KY. I love learning; I am EMDR (eye movement desensitization and reprocessing) certified and MRT (Moral Reconnection Therapy) facilitator certified.
I am Maggie Sweeney. I grew up poor in Brooklyn, I spent 23 years in the Navy, I have lived all over the world and retired in 2014. I earned my bachelor’s degree in liberal arts in science in 2009 and my MS in Mental Health Counseling in March 2017. My ex was active-duty Army and in July 2017 we got stationed at Fort Knox, KY. I earned my PhD in May 2022 and today I live Elizabethtown, KY. I love learning; I am EMDR (eye movement desensitization and reprocessing) certified and MRT (Moral Reconnection Therapy) facilitator certified.
(270) 819-6294 View (270) 819-6294
Photo of Kim Becker, Clinical Social Work/Therapist, LCSW
Kim Becker
Clinical Social Work/Therapist, LCSW
Online Only
For more than 20 years, I've had the privilege of walking alongside adults facing anxiety and panic, depression, grief, spiritual disconnection, life transitions, relationship difficulties, and chronic pain. I have worked in both inpatient and outpatient settings, and have been in private practice since 2012. My work is rooted in deep compassion, respect for your inner wisdom, and the belief that healing happens in relationship — with ourselves, with others, and with something greater.
For more than 20 years, I've had the privilege of walking alongside adults facing anxiety and panic, depression, grief, spiritual disconnection, life transitions, relationship difficulties, and chronic pain. I have worked in both inpatient and outpatient settings, and have been in private practice since 2012. My work is rooted in deep compassion, respect for your inner wisdom, and the belief that healing happens in relationship — with ourselves, with others, and with something greater.
(270) 908-4086 View (270) 908-4086
Photo of Shaun Eric Caudill, Pastoral Counselor, KLPC
Shaun Eric Caudill
Pastoral Counselor, KLPC
Elizabethtown, KY 42701
Life can feel overwhelming. We all need support and help at times. Caudill Counseling Center is here to give a genuine, gentle, but honest approach to help you work through life's struggles. We will discuss different strategies for you to achieve your goals, working together to discuss steps and goals specific to you and your circumstance. Whether you are hurting and searching for hope, or you are looking to find a new direction in life, you can work on developing your personal growth in a supportive and safe environment. A core belief of Caudill Counseling is that hope can be found in every situation.
Life can feel overwhelming. We all need support and help at times. Caudill Counseling Center is here to give a genuine, gentle, but honest approach to help you work through life's struggles. We will discuss different strategies for you to achieve your goals, working together to discuss steps and goals specific to you and your circumstance. Whether you are hurting and searching for hope, or you are looking to find a new direction in life, you can work on developing your personal growth in a supportive and safe environment. A core belief of Caudill Counseling is that hope can be found in every situation.
(270) 449-1643 View (270) 449-1643
Photo of Lea Ann Lafave, Licensed Professional Clinical Counselor, LPCC-S, NCC, RPT
Lea Ann Lafave
Licensed Professional Clinical Counselor, LPCC-S, NCC, RPT
Elizabethtown, KY 42701
Waitlist for new clients
Are you struggling with the weight of trauma, anxiety, or depression. You may feel overwhelmed, stuck, or feeling like your just trying to survive each day. Life might feel heavy, relationships may be strained, or may have a constant sense of not being “enough.” Have you been carrying emotional pain for a long time and don’t know how to put it down. I will provide a safe space where you can feel heard, understood, and supported without judgment. I will help you to make sense of your experiences, calm the chaos in your mind, and start healing from things that may happened years ago but still hurt like it was yesterday.
Are you struggling with the weight of trauma, anxiety, or depression. You may feel overwhelmed, stuck, or feeling like your just trying to survive each day. Life might feel heavy, relationships may be strained, or may have a constant sense of not being “enough.” Have you been carrying emotional pain for a long time and don’t know how to put it down. I will provide a safe space where you can feel heard, understood, and supported without judgment. I will help you to make sense of your experiences, calm the chaos in your mind, and start healing from things that may happened years ago but still hurt like it was yesterday.
(270) 398-0972 View (270) 398-0972
Photo of Kristen M Millay, Licensed Professional Counselor Associate, LPCA
Kristen M Millay
Licensed Professional Counselor Associate, LPCA
Elizabethtown, KY 42701
Are you feeling overwhelmed, stuck, or unsure of your next steps? I offer a warm, supportive, and nonjudgmental space to help you explore your challenges and build a path forward. I work with individuals and couples across all age groups, helping clients navigate anxiety, depression, relationship concerns, life transitions, and more. My approach blends evidence-based techniques with genuine empathy, tailoring each session to your unique needs. Whether you're seeking personal growth, healing, or improved connection in your relationships, we’ll work together to foster insight, resilience, and meaningful change.
Are you feeling overwhelmed, stuck, or unsure of your next steps? I offer a warm, supportive, and nonjudgmental space to help you explore your challenges and build a path forward. I work with individuals and couples across all age groups, helping clients navigate anxiety, depression, relationship concerns, life transitions, and more. My approach blends evidence-based techniques with genuine empathy, tailoring each session to your unique needs. Whether you're seeking personal growth, healing, or improved connection in your relationships, we’ll work together to foster insight, resilience, and meaningful change.
(270) 249-4288 View (270) 249-4288
Photo of Tiffany Daugherty, Marriage & Family Therapist, LMFT
Tiffany Daugherty
Marriage & Family Therapist, LMFT
Online Only
My name is Tiffany Daugherty. I am a Licensed Marriage and Family Therapist (LMFT) based in Elizabethtown, KY and working with clients statewide via telehealth. I work with both children and adults and use CBT and client-centered techniques to help with issues such as anxiety, depression, and trauma.
My name is Tiffany Daugherty. I am a Licensed Marriage and Family Therapist (LMFT) based in Elizabethtown, KY and working with clients statewide via telehealth. I work with both children and adults and use CBT and client-centered techniques to help with issues such as anxiety, depression, and trauma.
(859) 577-9353 View (859) 577-9353
Photo of Dhvani Patel, Clinical Social Work/Therapist, LCSW
Dhvani Patel
Clinical Social Work/Therapist, LCSW
Online Only
With over 10 years of experience in providing therapy, I understand the value of providing a safe, supportive and comfortable environment to help individuals, families and couples' get through life's biggest challenges - such as grief & loss, teen issues, family conflict, stress management, perinatal issues, infertility, communication issues, anxiety and depression and much more. I utilize an evidence based and multidimensional therapeutic approach that incorporates different therapy styles such CBT, DBT, MI, Gottman's, Strength-Based, Solution-Focused Therapy.
With over 10 years of experience in providing therapy, I understand the value of providing a safe, supportive and comfortable environment to help individuals, families and couples' get through life's biggest challenges - such as grief & loss, teen issues, family conflict, stress management, perinatal issues, infertility, communication issues, anxiety and depression and much more. I utilize an evidence based and multidimensional therapeutic approach that incorporates different therapy styles such CBT, DBT, MI, Gottman's, Strength-Based, Solution-Focused Therapy.
(270) 648-1425 View (270) 648-1425
Photo of Lea Ann Lafave - Blue Skies Counseling PLLC, Counselor, LPCC-S, RPT, ICST, NCC
Blue Skies Counseling PLLC
Counselor, LPCC-S, RPT, ICST, NCC
2 Endorsed
Elizabethtown, KY 42701
At Blue Skies Counseling we believe everyone has the capacity to heal, grow, and thrive regardless of where they are in life’s journey. Our practice offers compassionate, client-centered services designed to support individuals, couples, children and families across Kentucky. Our licensed therapists and interns use evidence-based approaches to help with anxiety, trauma, grief, and more. Our goal is to create a space where you feel seen, heard, and empowered. We meet you where you are and work collaboratively to develop a path forward that aligns with your values and goals.
At Blue Skies Counseling we believe everyone has the capacity to heal, grow, and thrive regardless of where they are in life’s journey. Our practice offers compassionate, client-centered services designed to support individuals, couples, children and families across Kentucky. Our licensed therapists and interns use evidence-based approaches to help with anxiety, trauma, grief, and more. Our goal is to create a space where you feel seen, heard, and empowered. We meet you where you are and work collaboratively to develop a path forward that aligns with your values and goals.
(270) 975-3313 View (270) 975-3313
Photo of Kelley Calhoun, Clinical Social Work/Therapist, MSSW, CSW
Kelley Calhoun
Clinical Social Work/Therapist, MSSW, CSW
1 Endorsed
Elizabethtown, KY 42701
Life can be difficult to navigate, but I believe that we all have the strength and resilience to grow and change, and live a more fulfilling life. Therapy is challenging, and it is important for me to create a space for you to feel comfortable, and open. My goals are to help you reach your goals in a supportive, empathetic, and compassionate space where you feel safe. Clinical Experience I have experience working with individuals of all ages in individual, group, and family therapy. My focus has been childhood trauma, sexual abuse, anxiety, and depressive disorders. I have worked in an agency setting and private practice setting whi
Life can be difficult to navigate, but I believe that we all have the strength and resilience to grow and change, and live a more fulfilling life. Therapy is challenging, and it is important for me to create a space for you to feel comfortable, and open. My goals are to help you reach your goals in a supportive, empathetic, and compassionate space where you feel safe. Clinical Experience I have experience working with individuals of all ages in individual, group, and family therapy. My focus has been childhood trauma, sexual abuse, anxiety, and depressive disorders. I have worked in an agency setting and private practice setting whi
(270) 290-1091 View (270) 290-1091

See more therapy options for Elizabethtown

How does your Therapist compare?

Number of Therapists in Elizabethtown, KY

90+

Average cost per session

$120

Therapists in Elizabethtown, KY who prioritize treating:

95% Anxiety
86% Depression
69% Trauma and PTSD
69% Self Esteem
67% Coping Skills
65% Stress
61% Grief

Average years in practice

10 Years

Top 3 insurances accepted

88% Aetna
73% BlueCross and BlueShield
72% UnitedHealthcare UHC | UBH

How Therapists in Elizabethtown, KY see their clients

53% Online Only
47% In Person and Online

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Elizabethtown?

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.