Therapists in Pewee Valley, KY

Photo of Darlene Waford, Pre-Licensed Professional
Darlene Waford
Pre-Licensed Professional
Verified Verified
Pewee Valley, KY 40056
Are you struggling with ADHD, depression, anxiety or PTSD? Do you feel overwhelmed and unsure where to turn? As a clinical mental health counseling intern, I provide compassionate care for individuals facing these challenges. I specialize in working with teens and adults with ADHD, using creative and individualized approaches to help clients navigate everyday hurdles and build effective management strategies. I also offer dedicated support to Autistic individuals and parents of Autistic children, addressing their unique needs and fostering understanding and growth within the family unit.
Are you struggling with ADHD, depression, anxiety or PTSD? Do you feel overwhelmed and unsure where to turn? As a clinical mental health counseling intern, I provide compassionate care for individuals facing these challenges. I specialize in working with teens and adults with ADHD, using creative and individualized approaches to help clients navigate everyday hurdles and build effective management strategies. I also offer dedicated support to Autistic individuals and parents of Autistic children, addressing their unique needs and fostering understanding and growth within the family unit.
(859) 535-9574 View (859) 535-9574
Photo of Amber Rennirt, LMFT, Marriage & Family Therapist
Amber Rennirt
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Pewee Valley, KY 40056
Do you feel overwhelmed by the stress of life and/or various interpersonal relationships? Do you need someone to listen, who understands and can offer hope. My desire is to be able to build a healthy connection with my clients towards building a strong therapeutic relationship, convey caring, support, warmth, and empathy. I provide a non-judgmental space so that I can develop trust with my client towards feeling safe to discuss life stressors that continue to have an impact and is destructive to one’s life.
Do you feel overwhelmed by the stress of life and/or various interpersonal relationships? Do you need someone to listen, who understands and can offer hope. My desire is to be able to build a healthy connection with my clients towards building a strong therapeutic relationship, convey caring, support, warmth, and empathy. I provide a non-judgmental space so that I can develop trust with my client towards feeling safe to discuss life stressors that continue to have an impact and is destructive to one’s life.
(502) 289-1268 View (502) 289-1268
Photo of Liz Harris - Liz Harris, M.A.M.F.T , MAMFT, Marriage & Family Therapist Associate
Liz Harris, M.A.M.F.T
Marriage & Family Therapist Associate, MAMFT
Verified Verified
1 Endorsed
Pewee Valley, KY 40056
Often, seeking guidance from an unbiased and outside source can be a vital key to personal progression. As a therapist, I want to maintain an open and honest dialogue with my clients that assists them in creating positive change in their marriages, families and individual lives. Having someone hold you accountable, as you take the necessary steps to correct unhealthy patterns, can be crucial to success. Too often, individuals choose to remain victims of their circumstances, rather than proactively changing their mindset, and becoming victors. I seek to empower clients through uncovering what may be hindering their growth.
Often, seeking guidance from an unbiased and outside source can be a vital key to personal progression. As a therapist, I want to maintain an open and honest dialogue with my clients that assists them in creating positive change in their marriages, families and individual lives. Having someone hold you accountable, as you take the necessary steps to correct unhealthy patterns, can be crucial to success. Too often, individuals choose to remain victims of their circumstances, rather than proactively changing their mindset, and becoming victors. I seek to empower clients through uncovering what may be hindering their growth.
(502) 237-9255 View (502) 237-9255
Photo of Monica L Hurt Ketamine Assisted Psychotherapist, MSSW, LMFT, Marriage & Family Therapist
Monica L Hurt Ketamine Assisted Psychotherapist
Marriage & Family Therapist, MSSW, LMFT
Verified Verified
1 Endorsed
Pewee Valley, KY 40056
In my practice, I specialize in working with adults, adolescents, and couples to help them achieve their goals and bring about positive changes to their lives. My approach is mindfulness based and solution-oriented, emphasizing strengths and guiding clients through emotional barriers. Building a strong therapeutic relationship is based on trust, and is at the core of my practice. With my extensive professional experience, education, and personal life insights, I aim to be a compassionate and effective therapist. My dedication is to guide you in achieving the transformation you seek for yourself, your relationships, and your family.
In my practice, I specialize in working with adults, adolescents, and couples to help them achieve their goals and bring about positive changes to their lives. My approach is mindfulness based and solution-oriented, emphasizing strengths and guiding clients through emotional barriers. Building a strong therapeutic relationship is based on trust, and is at the core of my practice. With my extensive professional experience, education, and personal life insights, I aim to be a compassionate and effective therapist. My dedication is to guide you in achieving the transformation you seek for yourself, your relationships, and your family.
(502) 324-1598 View (502) 324-1598
Photo of Taylor Wallace- Yocom, LPCA, Counselor
Taylor Wallace- Yocom
Counselor, LPCA
Verified Verified
Pewee Valley, KY 40056
I love being able to work with individuals and families to help determine the best ways to engage and support them. I am a licensed Professional Clinical Counselor, providing individual, and family therapy to children, adolescents, and adults. My approach is client-centered. Building a strong therapeutic relationship based on trust is an important part of my practice. With my professional experience, education, and personal life insights, I aim to be a compassionate and effective therapist. My dedication is to guide you in achieving the transformation you want for yourself, your relationships, and your family.
I love being able to work with individuals and families to help determine the best ways to engage and support them. I am a licensed Professional Clinical Counselor, providing individual, and family therapy to children, adolescents, and adults. My approach is client-centered. Building a strong therapeutic relationship based on trust is an important part of my practice. With my professional experience, education, and personal life insights, I aim to be a compassionate and effective therapist. My dedication is to guide you in achieving the transformation you want for yourself, your relationships, and your family.
(502) 461-1375 View (502) 461-1375
Photo of Amanda Windchy, LCSW, Clinical Social Work/Therapist
Amanda Windchy
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Pewee Valley, KY 40056
Are you feeling isolated, as if the world around you is moving forward while you’re stuck in place? Do you wake up each day with a sense of dread, constant worry, or frustration? Does it feel like your relationships, the connections that once brought joy and comfort, are now plagued by misunderstandings and communication breakdowns? These struggles can feel incredibly isolating, as if you’re the only one facing them. But I want you to know that you’re not alone. Many individuals, couples, and families experience these challenges, and there is hope for change and healing.
Are you feeling isolated, as if the world around you is moving forward while you’re stuck in place? Do you wake up each day with a sense of dread, constant worry, or frustration? Does it feel like your relationships, the connections that once brought joy and comfort, are now plagued by misunderstandings and communication breakdowns? These struggles can feel incredibly isolating, as if you’re the only one facing them. But I want you to know that you’re not alone. Many individuals, couples, and families experience these challenges, and there is hope for change and healing.
(502) 273-5741 View (502) 273-5741
Photo of Jenny McCoy, LMFT, Marriage & Family Therapist
Jenny McCoy
Marriage & Family Therapist, LMFT
Verified Verified
Pewee Valley, KY 40056
As a certified sexologist, I specialize in sex therapy, Christian sex therapy, couples counseling, and affair recovery counseling.
As a certified sexologist, I specialize in sex therapy, Christian sex therapy, couples counseling, and affair recovery counseling.
(502) 251-8943 View (502) 251-8943
Photo of Maria R Maupin, MSSW, MSCFT, LMFT, Marriage & Family Therapist
Maria R Maupin
Marriage & Family Therapist, MSSW, MSCFT, LMFT
Verified Verified
1 Endorsed
Pewee Valley, KY 40056
We all hit bumps in the road. Shoot! Sometimes it feels so bumpy, we’re not sure we’re still on the road, at all. Or maybe, the painful patterns go back generations. We know we want something better for ourselves and our families, but it can be so difficult to forge that new, gentler path. I’m here to tell you that I have confidence that you can grow and heal from your life challenges. I offer a peaceful, nurturing and creative therapeutic environment. In therapy, I can help you to cultivate the foundation and self-confidence to go make your dreams a reality.
We all hit bumps in the road. Shoot! Sometimes it feels so bumpy, we’re not sure we’re still on the road, at all. Or maybe, the painful patterns go back generations. We know we want something better for ourselves and our families, but it can be so difficult to forge that new, gentler path. I’m here to tell you that I have confidence that you can grow and heal from your life challenges. I offer a peaceful, nurturing and creative therapeutic environment. In therapy, I can help you to cultivate the foundation and self-confidence to go make your dreams a reality.
(502) 289-5726 View (502) 289-5726
Photo of Michael D Welter, LMFT, Marriage & Family Therapist
Michael D Welter
Marriage & Family Therapist, LMFT
Verified Verified
Pewee Valley, KY 40056
Not accepting new clients
My goal is to provide competent, compassionate care through a collaborative approach to problem-solving. I consider walking with others on their journey a great privilege. I pay attention to providing a safe and supportive environment where individuals may be open and honest about wrestling with issues impeding their progress on the road to wholeness. I work with you to help you accomplish your goals and tailor my approach to fit your circumstances and the stage of life you find yourself in.
My goal is to provide competent, compassionate care through a collaborative approach to problem-solving. I consider walking with others on their journey a great privilege. I pay attention to providing a safe and supportive environment where individuals may be open and honest about wrestling with issues impeding their progress on the road to wholeness. I work with you to help you accomplish your goals and tailor my approach to fit your circumstances and the stage of life you find yourself in.
(502) 215-3761 View (502) 215-3761
Photo of Courtney Morgan, LPCC
Courtney Morgan
LPCC
Verified Verified
4 Endorsed
Pewee Valley, KY 40056
Are you overwhelmed by your thoughts or feelings? Do you struggle with self-criticism, low self-esteem, guilt, or anxiety? Do you feel as though you’re never doing enough? You don’t want to live like this anymore, but feel as though you have tried everything... Welcome - I am here to support you along your journey of remembering your purpose, releasing unhelpful internal narratives, and reinforcing your inherent value along the way. Booking an intake with me is the first, most powerful step on your therapy journey.
Are you overwhelmed by your thoughts or feelings? Do you struggle with self-criticism, low self-esteem, guilt, or anxiety? Do you feel as though you’re never doing enough? You don’t want to live like this anymore, but feel as though you have tried everything... Welcome - I am here to support you along your journey of remembering your purpose, releasing unhelpful internal narratives, and reinforcing your inherent value along the way. Booking an intake with me is the first, most powerful step on your therapy journey.
(502) 677-3249 View (502) 677-3249

More Therapists Nearby

Photo of Jess Miller, Art Therapist
Jess Miller
Art Therapist
Verified Verified
Louisville, KY 40222
Have you ever felt like the tasks in life can be impossible one day, and easy the next? Are you at a loss when it comes to how to actually do self care? Do you feel like you struggle more than others with routines and to do lists? The challenges and stressors in life can often leave us feeling on edge and burnt out — especially when living as a neurodivergent person in a neurotypical world. I am here to help you on your journey to finding joy, growth in self identity, and coping with the ups and downs of life.
Have you ever felt like the tasks in life can be impossible one day, and easy the next? Are you at a loss when it comes to how to actually do self care? Do you feel like you struggle more than others with routines and to do lists? The challenges and stressors in life can often leave us feeling on edge and burnt out — especially when living as a neurodivergent person in a neurotypical world. I am here to help you on your journey to finding joy, growth in self identity, and coping with the ups and downs of life.
(502) 427-6691 View (502) 427-6691
Photo of Emily Burbank, LCADC, LCSW, MSSW, Clinical Social Work/Therapist
Emily Burbank
Clinical Social Work/Therapist, LCADC, LCSW, MSSW
Verified Verified
Louisville, KY 40222
Accepting New Clients! I specialize in working with complex trauma, all forms of addictions, and learning to navigate difficult relationships. I understand what it feels like to feel lost and alone in the world with your struggles. I approach my therapy sessions as being a guide to your own healing. I believe we are all capable of healing ourselves by tapping into resources just beneath the surface. I assist in helping you find your strength to living a happy and productive life.
Accepting New Clients! I specialize in working with complex trauma, all forms of addictions, and learning to navigate difficult relationships. I understand what it feels like to feel lost and alone in the world with your struggles. I approach my therapy sessions as being a guide to your own healing. I believe we are all capable of healing ourselves by tapping into resources just beneath the surface. I assist in helping you find your strength to living a happy and productive life.
(502) 625-5265 View (502) 625-5265
Photo of Tina Yost - Counselor Tina, MEd, LPCA, Counselor
Counselor Tina
Counselor, MEd, LPCA
Verified Verified
1 Endorsed
Louisville, KY 40223
Life is a journey filled with diverse paths and winding roads, each presenting its own choices and challenges. While some problems arise from our choices, others are beyond our control. There are multiple factors that contribute to how we react to the challenges we face and the paths we find ourselves on. These factors include biological influences, environmental circumstances, generational patterns, and trauma. We will explore multiple dimensions of one’s life, including physical, emotional, intellectual, spiritual, occupational, environmental, and social, which contribute to overall well-being and happiness.
Life is a journey filled with diverse paths and winding roads, each presenting its own choices and challenges. While some problems arise from our choices, others are beyond our control. There are multiple factors that contribute to how we react to the challenges we face and the paths we find ourselves on. These factors include biological influences, environmental circumstances, generational patterns, and trauma. We will explore multiple dimensions of one’s life, including physical, emotional, intellectual, spiritual, occupational, environmental, and social, which contribute to overall well-being and happiness.
(502) 738-1459 View (502) 738-1459
Photo of Taylor Messex, LCSW, Clinical Social Work/Therapist
Taylor Messex
Clinical Social Work/Therapist, LCSW
Verified Verified
La Grange, KY 40031  (Online Only)
I have experience working with individuals from various ages and backgrounds through my experience working in both private practice and community mental health settings. I take a collaborative and client- centered approach to therapy in which I adjust interventions to meet the unique goals and needs of each individual I serve.
I have experience working with individuals from various ages and backgrounds through my experience working in both private practice and community mental health settings. I take a collaborative and client- centered approach to therapy in which I adjust interventions to meet the unique goals and needs of each individual I serve.
(502) 521-1149 View (502) 521-1149
Photo of Joan R. Landes, MA, CMHC, Counselor
Joan R. Landes
Counselor, MA, CMHC
Verified Verified
2 Endorsed
La Grange, KY 40031
Counseling can be an amazing discovery into new ways of creating happiness. My dedication is fired by my clients' "Aha!" moments. It's not unusual for a client say, "This is really amazing-- Can I get my wife (mother-in-law, son, brother) in here?" That means we are doing therapy right! My people enjoy the counseling experience and laugh as often as they experience other emotions. I use a great deal of stories, humor, and building on strengths to inspire progress from one success to another. When clients have small successes as a foundation, they can launch to a lifetime of satisfaction.
Counseling can be an amazing discovery into new ways of creating happiness. My dedication is fired by my clients' "Aha!" moments. It's not unusual for a client say, "This is really amazing-- Can I get my wife (mother-in-law, son, brother) in here?" That means we are doing therapy right! My people enjoy the counseling experience and laugh as often as they experience other emotions. I use a great deal of stories, humor, and building on strengths to inspire progress from one success to another. When clients have small successes as a foundation, they can launch to a lifetime of satisfaction.
(801) 679-4532 View (801) 679-4532
Photo of Theresa Lynn Adamchik, ATR-BC, LPCC-S, LPAT-S
Theresa Lynn Adamchik
Licensed Professional Clinical Counselor, ATR-BC, LPCC-S, LPAT-S
Verified Verified
1 Endorsed
Louisville, KY 40207
Theresa is a Licensed Professional Art Therapist, Licensed Professional Clinical Counselor, and an approved LPAT/LPCC supervisor. She received her Masters of Education with a concentration in Art Therapy and Counseling from the University of Louisville in 2006 and a Bachelors of Fine Arts, Cum Laude, from the University of Louisville in 2002. She has over 20 years of experience working in the mental health field. She is one of the co-founders of Louisville Expressive Therapies.
Theresa is a Licensed Professional Art Therapist, Licensed Professional Clinical Counselor, and an approved LPAT/LPCC supervisor. She received her Masters of Education with a concentration in Art Therapy and Counseling from the University of Louisville in 2006 and a Bachelors of Fine Arts, Cum Laude, from the University of Louisville in 2002. She has over 20 years of experience working in the mental health field. She is one of the co-founders of Louisville Expressive Therapies.
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Photo of Dan Guy, PsyD, Psychologist
Dan Guy
Psychologist, PsyD
Verified Verified
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 L Kevin Chapman, PhD, A-CBT, HSPP, Psychologist
L Kevin Chapman
Psychologist, PhD, A-CBT, HSPP
Verified Verified
14 Endorsed
Louisville, KY 40241
Are you experiencing anxiety, panic attacks or do you have a phobia? Do you obsess about things and engage in compulsions in an effort to have temporary relief? Are you afraid of driving, bridges, closed-in spaces, crowds, elevators, or other situations? Do you obsess about actions being morally right or wrong? Are you anxious about speaking in front of others or afraid of performance situations? Do you worry more often than not? Have you been diagnosed with OCD, panic, social anxiety disorder or generalized anxiety disorder? If so, I can assist you. Visit www.drkevinchapman.com for more information.
Are you experiencing anxiety, panic attacks or do you have a phobia? Do you obsess about things and engage in compulsions in an effort to have temporary relief? Are you afraid of driving, bridges, closed-in spaces, crowds, elevators, or other situations? Do you obsess about actions being morally right or wrong? Are you anxious about speaking in front of others or afraid of performance situations? Do you worry more often than not? Have you been diagnosed with OCD, panic, social anxiety disorder or generalized anxiety disorder? If so, I can assist you. Visit www.drkevinchapman.com for more information.
(502) 519-0252 View (502) 519-0252
Photo of Andrea Williams, MEd, LPCC, LCADC, Counselor
Andrea Williams
Counselor, MEd, LPCC, LCADC
Verified Verified
Louisville, KY 40222
Do you feel like your partner is more like a roommate? Has your partner had an emotional/ physical affair? Are addictive behaviors ruining your relationships (alcohol, drugs, porn, sex)? If you said yes to any of these, please schedule an appointment at https://andrea-williams5206. clientsecure.me
Do you feel like your partner is more like a roommate? Has your partner had an emotional/ physical affair? Are addictive behaviors ruining your relationships (alcohol, drugs, porn, sex)? If you said yes to any of these, please schedule an appointment at https://andrea-williams5206. clientsecure.me
(502) 873-3190 View (502) 873-3190
Photo of Heather D. Chafin, LPCC, Counselor
Heather D. Chafin
Counselor, LPCC
Verified Verified
1 Endorsed
Louisville, KY 40222
I enjoy working with couples, teens and adults. Using a gentle, yet direct approach, I work collaboratively with you to empower you to make positive changes in your life. Whether you are struggling with relationships, communication, depression or anxiety, I can help you identify barriers and provide you with the tools needed to successfully progress towards living a more rewarding life. Through a collaborative therapeutic process, I provide support as you work to develop coping and communication skills that lead to establishing healthier relationships and improvement of symptoms of anxiety and depression.
I enjoy working with couples, teens and adults. Using a gentle, yet direct approach, I work collaboratively with you to empower you to make positive changes in your life. Whether you are struggling with relationships, communication, depression or anxiety, I can help you identify barriers and provide you with the tools needed to successfully progress towards living a more rewarding life. Through a collaborative therapeutic process, I provide support as you work to develop coping and communication skills that lead to establishing healthier relationships and improvement of symptoms of anxiety and depression.
(502) 289-0927 View (502) 289-0927

See more therapy options for Pewee Valley

How does your Therapist compare?

Number of Therapists in Pewee Valley, KY

10+

Average cost per session

$120

Therapists in Pewee Valley, KY who prioritize treating:

90% Anxiety
70% Life Transitions
60% Relationship Issues
60% Child
60% Grief
60% Trauma and PTSD
60% Family Conflict

Average years in practice

4 Years

Top 3 insurances accepted

75% Anthem
50% BlueCross and BlueShield
50% Cigna and Evernorth

How Therapists in Pewee Valley, KY see their clients

100% In Person and Online

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Pewee Valley?

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.