Therapists in Madisonville, KY

Photo of Doug Mings Therapy in Madisonville, KY
Doug Mings Therapy
LPP
Verified Verified
Madisonville, KY 42431  (Online Only)
Many good people become emotionally exhausted after dealing with life stressors day-after-day, including relationship and/or marital issues. This often lead to feelings of depression, anxiety, frustration, anger, and overwhelm. When you learn "how to" literally take control of your thoughts, feelings, and behavior, you will soon realize it has been available to you all along. You can then become the person you were always meant to be. Learn more at DougMingsTherapy.Com
Many good people become emotionally exhausted after dealing with life stressors day-after-day, including relationship and/or marital issues. This often lead to feelings of depression, anxiety, frustration, anger, and overwhelm. When you learn "how to" literally take control of your thoughts, feelings, and behavior, you will soon realize it has been available to you all along. You can then become the person you were always meant to be. Learn more at DougMingsTherapy.Com
(270) 908-0015 View (270) 908-0015
Photo of Dr. Whitney Gilley in Madisonville, KY
Dr. Whitney Gilley
MD
Verified Verified
Madisonville, KY 42431
Not accepting new clients
Using weekly psychotherapy and evidenced-based therapy modalities tailored to fit you, we can work together on concerns including stress, life changes, anxiety, depression, trauma and PTSD. I also treat women's health concerns including peri-partum and peri-menopausal depression and anxiety. I use a whole-person approach to care and stay up-to-date on how stress and trauma affect our body, mood, perspectives, and relationships. To keep decisions about your care between you and your doctor, New Directions Psychiatry PLLC is private pay does not take insurance. I treat adults only. Please see my website for details and current fees.
Using weekly psychotherapy and evidenced-based therapy modalities tailored to fit you, we can work together on concerns including stress, life changes, anxiety, depression, trauma and PTSD. I also treat women's health concerns including peri-partum and peri-menopausal depression and anxiety. I use a whole-person approach to care and stay up-to-date on how stress and trauma affect our body, mood, perspectives, and relationships. To keep decisions about your care between you and your doctor, New Directions Psychiatry PLLC is private pay does not take insurance. I treat adults only. Please see my website for details and current fees.
(270) 514-0240 View (270) 514-0240
Photo of Caris Counseling & Behavioral Health Group, Licensed Professional Clinical Counselor in Madisonville, KY
Caris Counseling & Behavioral Health Group
Licensed Professional Clinical Counselor, MEd, LPCC, DCC
Verified Verified
Madisonville, KY 42431
I am an interactive solution focused therapist. My therapeutic approach is aimed at providing evidence based treatment, ongoing support, and practical application/feedback to assist clients in navigating through life's tough issues. My practice is open to ages 7 and above. I have worked closely with Physicians in this area for more than 10 years to meet the healthcare needs of our community.
I am an interactive solution focused therapist. My therapeutic approach is aimed at providing evidence based treatment, ongoing support, and practical application/feedback to assist clients in navigating through life's tough issues. My practice is open to ages 7 and above. I have worked closely with Physicians in this area for more than 10 years to meet the healthcare needs of our community.
(270) 350-4462 View (270) 350-4462
Photo of Synergy Counseling and Wellness Center, LLC, Licensed Professional Clinical Counselor in Madisonville, KY
Synergy Counseling and Wellness Center, LLC
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
2 Endorsed
Madisonville, KY 42431
I provide ethical, moral and compassionate holistic healing by delivering multi-faceted services that can help guide others to a better understanding of who they are. It is my goal to provide my clients with the respect, honor, and support they deserve. I utilize traditional and non traditional forms of psychotherapy to individualize each clients treatment goals.
I provide ethical, moral and compassionate holistic healing by delivering multi-faceted services that can help guide others to a better understanding of who they are. It is my goal to provide my clients with the respect, honor, and support they deserve. I utilize traditional and non traditional forms of psychotherapy to individualize each clients treatment goals.
(270) 908-0420 View (270) 908-0420
Photo of Rich Evans, Counselor in Madisonville, KY
Rich Evans
Counselor, MA, CRC, LPCA
Verified Verified
1 Endorsed
Madisonville, KY 42431
I support teens, adults, and couples in uncovering and understanding their emotions. I want my clients to be able to take action to be a better partner, parent or person.
I support teens, adults, and couples in uncovering and understanding their emotions. I want my clients to be able to take action to be a better partner, parent or person.
(270) 279-0084 View (270) 279-0084
Photo of Jennifer Vandiver-Vertrees, Licensed Professional Clinical Counselor in Madisonville, KY
Jennifer Vandiver-Vertrees
Licensed Professional Clinical Counselor, RN, NCC, LPCC
Verified Verified
Madisonville, KY 42431
I provide counseling services to adults, couples and families. I work with a wide variety of issues and employ counseling techniques that best fit the needs of my client. My goal as a therapist is to help individuals develop the skills needed to enrich their lives. I have completed Level 2 Training in Gottman Method Couples Therapy. I use Gottman Method Couples Therapy in my therapy work with couples during marriage and couples counseling.
I provide counseling services to adults, couples and families. I work with a wide variety of issues and employ counseling techniques that best fit the needs of my client. My goal as a therapist is to help individuals develop the skills needed to enrich their lives. I have completed Level 2 Training in Gottman Method Couples Therapy. I use Gottman Method Couples Therapy in my therapy work with couples during marriage and couples counseling.
(270) 515-3753 View (270) 515-3753
Photo of Kathy Leigh Glover, Counselor in Madisonville, KY
Kathy Leigh Glover
Counselor, LPCC
Verified Verified
1 Endorsed
Madisonville, KY 42431
Marriage is a sacred and holy covenant ordained by God that takes place between a man and a woman. Any marriage that begins outside of these boundaries is bound for turbulence, and in many cases, utter destruction that impacts generations that arise from it. In fact, today, over half of all marriages will end in divorce. As a counselor who specializes in premarital and marital therapy, I know all too well the various dynamics that lead couples into troubled waters. I am here to prevent you from wading too deeply and to offer a life-preserver for those who have already taken the plunge.
Marriage is a sacred and holy covenant ordained by God that takes place between a man and a woman. Any marriage that begins outside of these boundaries is bound for turbulence, and in many cases, utter destruction that impacts generations that arise from it. In fact, today, over half of all marriages will end in divorce. As a counselor who specializes in premarital and marital therapy, I know all too well the various dynamics that lead couples into troubled waters. I am here to prevent you from wading too deeply and to offer a life-preserver for those who have already taken the plunge.
(270) 632-0376 View (270) 632-0376
Photo of More To Life Counseling And Amazing Life-Ky, Counselor in Madisonville, KY
More To Life Counseling And Amazing Life-Ky
Counselor, MA, LPCC-S, Waiver
Verified Verified
1 Endorsed
Madisonville, KY 42431
You cannot possibly imagine all the wonderful things yet to happen". Hello! My name is Cathy Gamm and I'm the owner of More to Life Counseling & Amazing Life-KY. At More to Life, our goal is to provide you with support and individualized counseling to help you achieve whole body wellness. With compassion and validation, we work with each client to help them explore the root causes of their symptoms, build upon their own strengths, & achieve the goals they have set for themselves. With training in Integrative Mental Health, EMDR, CBT, and more, we bring a whole body perspective to the field of mental health.
You cannot possibly imagine all the wonderful things yet to happen". Hello! My name is Cathy Gamm and I'm the owner of More to Life Counseling & Amazing Life-KY. At More to Life, our goal is to provide you with support and individualized counseling to help you achieve whole body wellness. With compassion and validation, we work with each client to help them explore the root causes of their symptoms, build upon their own strengths, & achieve the goals they have set for themselves. With training in Integrative Mental Health, EMDR, CBT, and more, we bring a whole body perspective to the field of mental health.
(270) 974-4460 View (270) 974-4460

More Therapists Nearby

Photo of Robert Franklin Evans, Marriage & Family Therapist in Madisonville, KY
Robert Franklin Evans
Marriage & Family Therapist, MFT, LPCC
Verified Verified
Hanson, KY 42413
25 years of experience in mental health and addictions both adult, adolescent and the development of specific behavioral and cognitive skills helping parents regain control over their children's conduct, oppositional and defiant behaviors. I have also been providing services aimed at helping couples save their marriage and parents with with all aspects of child, adolescent and transitional age youth behaviors, including early onset of mental illness such as bi-polar, psychosis, anxiety and depression. In addition I can also provide professional training and provision of both Addictions and Mental Health formal "INTERVENTIONS" .
25 years of experience in mental health and addictions both adult, adolescent and the development of specific behavioral and cognitive skills helping parents regain control over their children's conduct, oppositional and defiant behaviors. I have also been providing services aimed at helping couples save their marriage and parents with with all aspects of child, adolescent and transitional age youth behaviors, including early onset of mental illness such as bi-polar, psychosis, anxiety and depression. In addition I can also provide professional training and provision of both Addictions and Mental Health formal "INTERVENTIONS" .
(530) 696-4748 View (530) 696-4748

Online Therapists

Photo of James Brook, Clinical Social Work/Therapist in Madisonville, KY
James Brook
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Elizabethtown, KY 42701  (Online Only)
Hi! I am excited you are here. Therapy is not magic. A secret word or a snap of the fingers does not solve our issues. Reaching out for help takes an extraordinary amount of inner strength and desire to be your best self. It takes hard work to make changes in our lives. Congratulations on valuing yourself enough to commit yourself to doing the hard work. My therapeutic style is eclectic, utilizing CBT, Solution-Focused & Strengths-based interventions. The ideal client is willing to be challenged & open to new ideas that change requires.
Hi! I am excited you are here. Therapy is not magic. A secret word or a snap of the fingers does not solve our issues. Reaching out for help takes an extraordinary amount of inner strength and desire to be your best self. It takes hard work to make changes in our lives. Congratulations on valuing yourself enough to commit yourself to doing the hard work. My therapeutic style is eclectic, utilizing CBT, Solution-Focused & Strengths-based interventions. The ideal client is willing to be challenged & open to new ideas that change requires.
(762) 247-4031 View (762) 247-4031
Photo of Amanda G. Patrick, Marriage & Family Therapist Associate in Madisonville, KY
Amanda G. Patrick
Marriage & Family Therapist Associate, MA
Verified Verified
8 Endorsed
Scottsville, KY 42164
If you’re here, reading this, chances are you’re uncertain about where life is heading. You’re not alone, friend. Life can be incredibly tough and messy. But I must say, there’s beauty and huge potential in the falling, stumbling, not knowing and feeling lost. Why? Because that’s when the best changes can be made! My therapy style is solution-focused and begins with meeting you where you are. After all, you’re the expert in your journey. No one will ever know your life as you do. My goal is to honor that in working with you to create a new narrative that is full of joy, hope, and possibilities.
If you’re here, reading this, chances are you’re uncertain about where life is heading. You’re not alone, friend. Life can be incredibly tough and messy. But I must say, there’s beauty and huge potential in the falling, stumbling, not knowing and feeling lost. Why? Because that’s when the best changes can be made! My therapy style is solution-focused and begins with meeting you where you are. After all, you’re the expert in your journey. No one will ever know your life as you do. My goal is to honor that in working with you to create a new narrative that is full of joy, hope, and possibilities.
(270) 946-1512 View (270) 946-1512
Photo of Genevieve Thomas, Counselor in Madisonville, KY
Genevieve Thomas
Counselor, LPCC
Verified Verified
Bowling Green, KY 42101  (Online Only)
Genevieve Thomas is a Licensed Professional Clinical Counselor (LPCC) with 7 years of experience in individual, group, family, and couples counseling. Genevieve has worked at a psychiatric-residential treatment facility, as well as out-patient and school-based mental health settings. She works with children, teens, and adults facing mental health issues ranging from post-traumatic stress disorder (PTSD), mood disorders, relationship issues, identity/sexuality issues, and life transitions.
Genevieve Thomas is a Licensed Professional Clinical Counselor (LPCC) with 7 years of experience in individual, group, family, and couples counseling. Genevieve has worked at a psychiatric-residential treatment facility, as well as out-patient and school-based mental health settings. She works with children, teens, and adults facing mental health issues ranging from post-traumatic stress disorder (PTSD), mood disorders, relationship issues, identity/sexuality issues, and life transitions.
(270) 747-4903 View (270) 747-4903
Photo of Counseling Connections, LLC, Clinical Social Work/Therapist in Madisonville, KY
Counseling Connections, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Owensboro, KY 42301
Waitlist for new clients
My ideal clients are those motivated to heal, change, and grow. I believe in radical acceptance and fearless conversation. I work with a wide variety of issues and use counseling techniques best suited to the needs of my clients. I have over 20 years of clinical practice as an clinical social worker, and over 30 years of experience working with troubled families and couples.
My ideal clients are those motivated to heal, change, and grow. I believe in radical acceptance and fearless conversation. I work with a wide variety of issues and use counseling techniques best suited to the needs of my clients. I have over 20 years of clinical practice as an clinical social worker, and over 30 years of experience working with troubled families and couples.
(270) 560-0857 View (270) 560-0857
Photo of Joy Whitmore, Counselor in Madisonville, KY
Joy Whitmore
Counselor, MSSW, CSW
Verified Verified
1 Endorsed
Bowling Green, KY 42104  (Online Only)
Whatever you are searching for; I am willing to be a part of your search team to help you locate your confidence, peace, happiness, and understanding. I have helped families work through years of hardships and unfortunate circumstances and find healthy ways to interact with one another and develop boundaries that are safe and meaningful.
Whatever you are searching for; I am willing to be a part of your search team to help you locate your confidence, peace, happiness, and understanding. I have helped families work through years of hardships and unfortunate circumstances and find healthy ways to interact with one another and develop boundaries that are safe and meaningful.
(270) 679-0478 View (270) 679-0478
Photo of Cecelia Maier Semi-Ret, Clinical Social Work/Therapist in Madisonville, KY
Cecelia Maier Semi-Ret
Clinical Social Work/Therapist, LCSW
Verified Verified
Bowling Green, KY 42101
Hi, my name is Cecelia Maier, born and raised in Los Angeles, CA. I am a Licensed Clinical Social Worker with more than 25 years of experience, licensed through KY. I work with couples, individuals, LGBTQ and adolescents. My approach to therapy is to keep it simple and interesting, treating each Client with respect and dignity. I work with a variety of populations, to include LGBTQ individuals/couples, active duty/retired military, mid-twenties to senior citizens. I work in areas of work-related issues, partner issues, empty-nest syndrome, ADD/ADHD issues, depression, anxiety and grief issues.
Hi, my name is Cecelia Maier, born and raised in Los Angeles, CA. I am a Licensed Clinical Social Worker with more than 25 years of experience, licensed through KY. I work with couples, individuals, LGBTQ and adolescents. My approach to therapy is to keep it simple and interesting, treating each Client with respect and dignity. I work with a variety of populations, to include LGBTQ individuals/couples, active duty/retired military, mid-twenties to senior citizens. I work in areas of work-related issues, partner issues, empty-nest syndrome, ADD/ADHD issues, depression, anxiety and grief issues.
(859) 251-3743 View (859) 251-3743
Photo of Emily Anne Boston, Clinical Social Work/Therapist in Madisonville, KY
Emily Anne Boston
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bowling Green, KY 42101
If you are here...you're ready to change. And I'm proud of you. Change is hard. Taking the first steps to get help is even harder. But I am here for you. So if you are seeking to understand your feelings and lessen your anxieties, I'm here to help you do that. Maybe you need help to process something that has happened to you or someone you love? Perhaps a big life change has inspired fear you cannot overcome? If you are struggling with grief, anxiety, depression or anger, I am here to guide you. Addictions destroying your life? Trauma? Feeling stuck? I'm here for you, too. And I'm ready when you are.
If you are here...you're ready to change. And I'm proud of you. Change is hard. Taking the first steps to get help is even harder. But I am here for you. So if you are seeking to understand your feelings and lessen your anxieties, I'm here to help you do that. Maybe you need help to process something that has happened to you or someone you love? Perhaps a big life change has inspired fear you cannot overcome? If you are struggling with grief, anxiety, depression or anger, I am here to guide you. Addictions destroying your life? Trauma? Feeling stuck? I'm here for you, too. And I'm ready when you are.
(270) 398-3321 View (270) 398-3321
Photo of Marsheila Tincher, Clinical Social Work/Therapist in Madisonville, KY
Marsheila Tincher
Clinical Social Work/Therapist, LCSW
Verified Verified
Bowling Green, KY 42101
Hi there! I'm Marsheila Tincher. I am a Licensed Clinical Social Worker with a heartfelt passion for supporting my clients through the challenges of life in order to achieve healing, restoration, and growth in their lives. In my career many of my clients have faced challenges with life changes whether it be an adolescent facing peer relationship challenges, a military service person challenged with various military unique issues, or individuals faced with career or family changes. I have found that left unaddressed these challenges can promote or exacerbate feelings of anxiety, depression, grief, and/or loss.
Hi there! I'm Marsheila Tincher. I am a Licensed Clinical Social Worker with a heartfelt passion for supporting my clients through the challenges of life in order to achieve healing, restoration, and growth in their lives. In my career many of my clients have faced challenges with life changes whether it be an adolescent facing peer relationship challenges, a military service person challenged with various military unique issues, or individuals faced with career or family changes. I have found that left unaddressed these challenges can promote or exacerbate feelings of anxiety, depression, grief, and/or loss.
(859) 659-7864 View (859) 659-7864
Photo of Elizabeth Walden, Counselor in Madisonville, KY
Elizabeth Walden
Counselor, LPCC
Verified Verified
Bowling Green, KY 42101
My name is Elizabeth Walden. I am a Licensed Professional Counselor. I use a personalized, client-centered approach recognizing that you are the expert on you! I'm here to facilitate growth and change using strategies designed uniquely for you based on your strengths, perception of the world, past behaviors and hopes for the future. I primarily work with individual adults struggling with depression, anxiety, bipolar disorder, job stress, situational depression or stress, relationship issues, addiction, ADHD, codependency, trauma, family issues, hopelessness and anger.
My name is Elizabeth Walden. I am a Licensed Professional Counselor. I use a personalized, client-centered approach recognizing that you are the expert on you! I'm here to facilitate growth and change using strategies designed uniquely for you based on your strengths, perception of the world, past behaviors and hopes for the future. I primarily work with individual adults struggling with depression, anxiety, bipolar disorder, job stress, situational depression or stress, relationship issues, addiction, ADHD, codependency, trauma, family issues, hopelessness and anger.
(859) 217-6515 View (859) 217-6515
Photo of Mary Hansen, Clinical Social Work/Therapist in Madisonville, KY
Mary Hansen
Clinical Social Work/Therapist, LCSW
Verified Verified
Owensboro, KY 42301  (Online Only)
Were you adultified as a child? Do you struggle with people pleasing and setting healthy boundaries? Have you begun to see ways trauma is ruling your life? You have come to the right place! We will work together to help you gain skills to manage your emotions, while also working on the root issues leading to the struggles of connection and regulation. It is possible for you to feel safe, trust yourself, and feel proud of who you are. Reach out today and we will begin this journey together.
Were you adultified as a child? Do you struggle with people pleasing and setting healthy boundaries? Have you begun to see ways trauma is ruling your life? You have come to the right place! We will work together to help you gain skills to manage your emotions, while also working on the root issues leading to the struggles of connection and regulation. It is possible for you to feel safe, trust yourself, and feel proud of who you are. Reach out today and we will begin this journey together.
(270) 671-9714 View (270) 671-9714
Cassady Cobb
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Radcliff, KY 40160
Life can be challenging with many obstacles to overcome. Recognizing the need for change is your first step to starting over and improving your life. From a person-in-environment perspective, I look at the individuals entire environmental stressors that have left you feeling overwhelmed, at a loss, and a need for change. In my practice, I provide individual, family, couple, and group therapy services to children, adolescents, foster care children, adults, families, military families, and couples. Life is tough, you shouldn't have to go through it alone!
Life can be challenging with many obstacles to overcome. Recognizing the need for change is your first step to starting over and improving your life. From a person-in-environment perspective, I look at the individuals entire environmental stressors that have left you feeling overwhelmed, at a loss, and a need for change. In my practice, I provide individual, family, couple, and group therapy services to children, adolescents, foster care children, adults, families, military families, and couples. Life is tough, you shouldn't have to go through it alone!
(270) 207-9310 View (270) 207-9310

See more therapy options for Madisonville

How does your Therapist compare?

Number of Therapists in Madisonville, KY

< 10

Therapists in Madisonville, KY who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
88% Relationship Issues
88% Coping Skills
88% Stress
75% Spirituality

Average years in practice

8 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
60% Cigna and Evernorth
60% Beacon Health Options | Carelon

How Therapists in Madisonville, KY see their clients

88% In Person and Online
12% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Madisonville?

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.