Therapists in Ruston, LA

Photo of Pamela Laster Cardella, Licensed Professional Counselor in Ruston, LA
Pamela Laster Cardella
Licensed Professional Counselor, LPC-S, LAC
Verified Verified
1 Endorsed
Ruston, LA 71270  (Online Only)
I have had the privilege to work in multiple clinical settings before moving into private practice. I felt that this was much like mental health bootcamp and I found it highly beneficial. Through these experiences I was able to determine the areas of mental health that I am best suited to. In my practice I focus on Complex Post Traumatic Stress due to a variety of abusive experiences such as narcissistic, sexual, emotional, mental, and physical abuse. I also work with co-occurring disorders such as addiction and; bi-polar disorder, anxiety, and depression. I work with individuals, couples, teens and families.
I have had the privilege to work in multiple clinical settings before moving into private practice. I felt that this was much like mental health bootcamp and I found it highly beneficial. Through these experiences I was able to determine the areas of mental health that I am best suited to. In my practice I focus on Complex Post Traumatic Stress due to a variety of abusive experiences such as narcissistic, sexual, emotional, mental, and physical abuse. I also work with co-occurring disorders such as addiction and; bi-polar disorder, anxiety, and depression. I work with individuals, couples, teens and families.
(318) 284-8405 View (318) 284-8405
Photo of Ryan Neal Forbes, Licensed Professional Counselor in Ruston, LA
Ryan Neal Forbes
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Ruston, LA 71270
Waitlist for new clients
I am interested in helping you become the best person you can be...for yourself and for your family. I want to help you accept and grow from your past experiences and improve your future. My practice is focused on High impact individuals who have discovered that their past or present is potentially impacting their future. I am looking for clients who are ready to act and are committed to change. Ready to move themselves to another level of success while also maintaining relationships. I enjoy working with individuals and couples to work towards a common goal.
I am interested in helping you become the best person you can be...for yourself and for your family. I want to help you accept and grow from your past experiences and improve your future. My practice is focused on High impact individuals who have discovered that their past or present is potentially impacting their future. I am looking for clients who are ready to act and are committed to change. Ready to move themselves to another level of success while also maintaining relationships. I enjoy working with individuals and couples to work towards a common goal.
(318) 480-4292 View (318) 480-4292
Photo of Shannon Boyce (Choosing Change Counseling LLC.), Licensed Professional Counselor in Ruston, LA
Shannon Boyce (Choosing Change Counseling LLC.)
Licensed Professional Counselor, MA, LPC-S, NCC, BCST, BCCH
Verified Verified
Ruston, LA 71270
Sex therapy is a form of counseling that is for couples as well as individuals to resolve sexual difficulties, such as performance anxieties or relationship problems. It is a specialized type of psychotherapy, which means you are treating a mental health issue by going to a mental health professional. Sex therapy can help you improve your current or future relationships, overcome sexual and physical difficulties, and help gain a better understanding of yourself and your sexuality. We provide a safe and relaxing environment, along with professional care, and understand the difficulty you are struggling with.
Sex therapy is a form of counseling that is for couples as well as individuals to resolve sexual difficulties, such as performance anxieties or relationship problems. It is a specialized type of psychotherapy, which means you are treating a mental health issue by going to a mental health professional. Sex therapy can help you improve your current or future relationships, overcome sexual and physical difficulties, and help gain a better understanding of yourself and your sexuality. We provide a safe and relaxing environment, along with professional care, and understand the difficulty you are struggling with.
(318) 232-6937 View (318) 232-6937
Photo of Olivia Mason, Marriage & Family Therapist in Ruston, LA
Olivia Mason
Marriage & Family Therapist, LMFT, CSAT, CPTT
Verified Verified
Ruston, LA 71270
Not accepting new clients
My primary focus is working with men, women, and couples. With that focus, I’ve had experience working with substance and process addictions, eating disorders, professionals, other compulsive or problematic behaviors, and general mental health struggles, such as anxiety or depression. My passion is working with those struggling with healthy intimacy, appropriate attachment, and relational issues. Just with those three things can come so much confusion, hurt, and sadness. With help and growth, there can be healing, hope, and strength. I believe while we often get hurt in relationships, we can also be healed in relationships.
My primary focus is working with men, women, and couples. With that focus, I’ve had experience working with substance and process addictions, eating disorders, professionals, other compulsive or problematic behaviors, and general mental health struggles, such as anxiety or depression. My passion is working with those struggling with healthy intimacy, appropriate attachment, and relational issues. Just with those three things can come so much confusion, hurt, and sadness. With help and growth, there can be healing, hope, and strength. I believe while we often get hurt in relationships, we can also be healed in relationships.
(318) 513-3351 View (318) 513-3351
Photo of Ida A Chauvin, Licensed Professional Counselor in Ruston, LA
Ida A Chauvin
Licensed Professional Counselor, LPC-S, LMFT
Verified Verified
2 Endorsed
Ruston, LA 71270
I believe good mental health is a part of your overall health and wellness. Imagine carrying a back pack that is heavy with loss, sadness, anger, guilt, stress, depression, anxiety or any other difficult emotion in response to your life. It may seem unbearable. When problems accumulate, stress can seem insurmountable. My career as a professor of Clinical Mental Health professionals and years of experience in helping others serves to help clients manage those overwhelming issues. My personal goal is to assist you by offering therapeutic interventions that will help you lighten your back pack. Therapy can be life changing.
I believe good mental health is a part of your overall health and wellness. Imagine carrying a back pack that is heavy with loss, sadness, anger, guilt, stress, depression, anxiety or any other difficult emotion in response to your life. It may seem unbearable. When problems accumulate, stress can seem insurmountable. My career as a professor of Clinical Mental Health professionals and years of experience in helping others serves to help clients manage those overwhelming issues. My personal goal is to assist you by offering therapeutic interventions that will help you lighten your back pack. Therapy can be life changing.
(318) 242-8328 View (318) 242-8328
Photo of Janna Carroll McMasters, Licensed Professional Counselor in Ruston, LA
Janna Carroll McMasters
Licensed Professional Counselor, MA, LPC
Verified Verified
6 Endorsed
Ruston, LA 71270
I have a heart to help people who are hurting and looking for relief, change, and hope. Maybe you're looking at life right now and it looks bleak, but you don't know what's wrong and much less how to fix it, or maybe you know exactly what your problem is, but you don’t know what to do about it or you just need an unbiased ear to sit with you, listen to you, and walk through the struggle with you as we work to find a solution. Regardless of your situation, I would love to help.
I have a heart to help people who are hurting and looking for relief, change, and hope. Maybe you're looking at life right now and it looks bleak, but you don't know what's wrong and much less how to fix it, or maybe you know exactly what your problem is, but you don’t know what to do about it or you just need an unbiased ear to sit with you, listen to you, and walk through the struggle with you as we work to find a solution. Regardless of your situation, I would love to help.
(318) 531-6157 View (318) 531-6157
Photo of Kacey Philley, Drug & Alcohol Counselor in Ruston, LA
Kacey Philley
Drug & Alcohol Counselor, RAC
Verified Verified
1 Endorsed
Ruston, LA 71270
I am passionate about helping individuals struggling with alcohol or substance abuse. We will work together to identify key issues, thoughts, feelings and behaviors that lead to substance abuse. Often individuals experience problems with work, family and other interpersonal relationships. I will help you learn healthy ways to address the anxiety, fear and distorted thinking with CBT, REBT and Mindfulness Based Cognitive Therapy. I look forward to helping you in your journey to healing!
I am passionate about helping individuals struggling with alcohol or substance abuse. We will work together to identify key issues, thoughts, feelings and behaviors that lead to substance abuse. Often individuals experience problems with work, family and other interpersonal relationships. I will help you learn healthy ways to address the anxiety, fear and distorted thinking with CBT, REBT and Mindfulness Based Cognitive Therapy. I look forward to helping you in your journey to healing!
(318) 333-3588 View (318) 333-3588
Photo of Brandon Waits, Psychologist in Ruston, LA
Brandon Waits
Psychologist, PhD
Verified Verified
Ruston, LA 71270
I believe we meet no ordinary people in our lives and I am passionate about using evidence-based psychological methods to help my clients heal, grow, and ultimately flourish. I count it a privilege to be able to help people process many different types of painful experiences such as trauma and loss, depression, anxiety, and marital conflict. I provide therapy and psychological evaluations to help clients build upon their strengths, while also helping them identify and remove obstacles that have been keeping them from reaching their potential.
I believe we meet no ordinary people in our lives and I am passionate about using evidence-based psychological methods to help my clients heal, grow, and ultimately flourish. I count it a privilege to be able to help people process many different types of painful experiences such as trauma and loss, depression, anxiety, and marital conflict. I provide therapy and psychological evaluations to help clients build upon their strengths, while also helping them identify and remove obstacles that have been keeping them from reaching their potential.
(318) 610-8963 View (318) 610-8963
Photo of Center for Counseling & Psychological Resources, Licensed Professional Counselor in Ruston, LA
Center for Counseling & Psychological Resources
Licensed Professional Counselor, PhD, LPC, LMFT, LCSW
Verified Verified
Ruston, LA 71270
CCPR offers services for clients who may be dealing with a variety of issues. We want to treat the whole client, to understand your personal, family, professional, and social needs and goals so we can tailor services that are personalized for you. Clients are not all the same to us, and we feel that your individuality and personality should determine the kind of environment you need from your counselor. Our licensed psychologists offer an array of assessments for adults and children that enhance our ability to efficiently and effectively address your specific needs.
CCPR offers services for clients who may be dealing with a variety of issues. We want to treat the whole client, to understand your personal, family, professional, and social needs and goals so we can tailor services that are personalized for you. Clients are not all the same to us, and we feel that your individuality and personality should determine the kind of environment you need from your counselor. Our licensed psychologists offer an array of assessments for adults and children that enhance our ability to efficiently and effectively address your specific needs.
(318) 257-6916 View (318) 257-6916
Photo of Strategic Counseling Solutions (Ruston), Licensed Professional Counselor in Ruston, LA
Strategic Counseling Solutions (Ruston)
Licensed Professional Counselor, LPC-S
Verified Verified
Ruston, LA 71270
We are a private practice Counseling Center in Ruston, La. We have 6 Counselors who practice in our Ruston office and 1 who offers Telehealth only services. We also have a Registered Dietician offering Nutritional Assessments and Counseling. Please see the photo gallery and check out our website to learn more about each of them and their specialties. All of our Counselors are highly trained and experienced Mental Health Professionals who are ready to walk alongside you during difficult times and bring Hope, Healing, and Restoration to your life!
We are a private practice Counseling Center in Ruston, La. We have 6 Counselors who practice in our Ruston office and 1 who offers Telehealth only services. We also have a Registered Dietician offering Nutritional Assessments and Counseling. Please see the photo gallery and check out our website to learn more about each of them and their specialties. All of our Counselors are highly trained and experienced Mental Health Professionals who are ready to walk alongside you during difficult times and bring Hope, Healing, and Restoration to your life!
(318) 595-3227 View (318) 595-3227
Photo of Barbara J Clark, Licensed Professional Counselor in Ruston, LA
Barbara J Clark
Licensed Professional Counselor, MA, LPC
Verified Verified
Ruston, LA 71270
My passion is to help you enjoy your life and to flourish in all that you do! We work together in a respectful, caring and confidential environment. We all need help with our problems from time to time! Everyone has natural talents and successes that are waiting to emerge. Let's find out what will be helpful to you!
My passion is to help you enjoy your life and to flourish in all that you do! We work together in a respectful, caring and confidential environment. We all need help with our problems from time to time! Everyone has natural talents and successes that are waiting to emerge. Let's find out what will be helpful to you!
(318) 536-3499 View (318) 536-3499
Photo of Sarah Prather, Licensed Professional Counselor in Ruston, LA
Sarah Prather
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
Ruston, LA 71270
I am a Licensed Professional Counselor in the state of Louisiana and have over 10 years of experience working in the mental health field. I am currently working towards a Ph.D. in counseling psychology from Louisiana Tech University. I provide psychotherapy/counseling to a variety of populations including children, adolescents, adults, and couples. I work with a wide range of psychological concerns especially those related to trauma, depression, anxiety, and marital and couple relationship issues.
I am a Licensed Professional Counselor in the state of Louisiana and have over 10 years of experience working in the mental health field. I am currently working towards a Ph.D. in counseling psychology from Louisiana Tech University. I provide psychotherapy/counseling to a variety of populations including children, adolescents, adults, and couples. I work with a wide range of psychological concerns especially those related to trauma, depression, anxiety, and marital and couple relationship issues.
(318) 545-0072 View (318) 545-0072
Photo of Joshua Murdock, Clinical Social Work/Therapist in Ruston, LA
Joshua Murdock
Clinical Social Work/Therapist, LCSW
Verified Verified
Ruston, LA 71270
Hi, I am a Licensed Clinical Social Worker (LCSW). I've worked with many different populations including, children, adolescents, young adults and older adults. I've worked in individuals and group settings. I do in person and virtual sessions depending on the location and availability. My clients frequently tell me how they appreciate the services and they usually leave the session feeling better. To learn more about me, you can read about my background, education, experience and therapy approach in my provider profile.
Hi, I am a Licensed Clinical Social Worker (LCSW). I've worked with many different populations including, children, adolescents, young adults and older adults. I've worked in individuals and group settings. I do in person and virtual sessions depending on the location and availability. My clients frequently tell me how they appreciate the services and they usually leave the session feeling better. To learn more about me, you can read about my background, education, experience and therapy approach in my provider profile.
(318) 705-3021 View (318) 705-3021
Photo of Jake DeFee, Licensed Professional Counselor in Ruston, LA
Jake DeFee
Licensed Professional Counselor, MA, LPC
Verified Verified
Ruston, LA 71270  (Online Only)
I have worked with a wide range of people on a number of different issues. The majority has been depression and anxiety, but I have helped people with various mental health challenges that people face. In working with anyone, my main focus is on seeing the issue from their perspective and helping them overcome it or develop ways of coping. In seeking out therapy, for most people, there is a fear of engaging in it. A person that is able to start, participate, and finish therapy are brave people.
I have worked with a wide range of people on a number of different issues. The majority has been depression and anxiety, but I have helped people with various mental health challenges that people face. In working with anyone, my main focus is on seeing the issue from their perspective and helping them overcome it or develop ways of coping. In seeking out therapy, for most people, there is a fear of engaging in it. A person that is able to start, participate, and finish therapy are brave people.
(318) 668-2907 View (318) 668-2907
Photo of Intuitive Solutions Counseling & Recovery, Licensed Professional Counselor in Ruston, LA
Intuitive Solutions Counseling & Recovery
Licensed Professional Counselor, LPC, LAC, CCS, NCC
Verified Verified
Ruston, LA 71270
I believe that in order to truly recover from the issues that occur in life, we must find ways to cope so that we are better able to handle them in the future. In order to do that, we must do the tough work of self-discovery. Whether the issue is grief/loss, addiction, depression, anxiety, or trauma, I can help you discover a path to the better version you aspire to be.
I believe that in order to truly recover from the issues that occur in life, we must find ways to cope so that we are better able to handle them in the future. In order to do that, we must do the tough work of self-discovery. Whether the issue is grief/loss, addiction, depression, anxiety, or trauma, I can help you discover a path to the better version you aspire to be.
(318) 228-2613 View (318) 228-2613
Photo of Briann Berlier, Licensed Professional Counselor in Ruston, LA
Briann Berlier
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Ruston, LA 71270
I am a Licensed Professional Counselor who has experience working with children, adolescents, adults, and families. I specialize in treating anxiety, depression, trauma, behavioral issues in children, and parent-child relationships. I am trained in Play Therapy, Sand tray Therapy, Cognitive Behavioral Therapy, and School Based Mental Health Counseling.
I am a Licensed Professional Counselor who has experience working with children, adolescents, adults, and families. I specialize in treating anxiety, depression, trauma, behavioral issues in children, and parent-child relationships. I am trained in Play Therapy, Sand tray Therapy, Cognitive Behavioral Therapy, and School Based Mental Health Counseling.
(318) 697-7209 View (318) 697-7209
Photo of Ila Beatrice Rice, Clinical Social Work/Therapist in Ruston, LA
Ila Beatrice Rice
Clinical Social Work/Therapist, LCSW
Verified Verified
Ruston, LA 71270
As a compassionate and dedicated therapist and clinical social worker, I am passionate about assisting individuals on their journey toward mental and emotional well-being. With licenses in both Louisiana and Utah, I have devoted the past six years to establishing a warm, safe, and non-judgmental space where individuals can release their suppressed emotions, promote healing, and lead fulfilling lives. With a Master’s in Social Work, I specialize in helping clients navigate a broad range of challenges, including stress, anxiety, family conflicts, anger management, self-esteem, trauma & abuse, coping with major life changes, and more.
As a compassionate and dedicated therapist and clinical social worker, I am passionate about assisting individuals on their journey toward mental and emotional well-being. With licenses in both Louisiana and Utah, I have devoted the past six years to establishing a warm, safe, and non-judgmental space where individuals can release their suppressed emotions, promote healing, and lead fulfilling lives. With a Master’s in Social Work, I specialize in helping clients navigate a broad range of challenges, including stress, anxiety, family conflicts, anger management, self-esteem, trauma & abuse, coping with major life changes, and more.
(318) 727-1723 View (318) 727-1723
Photo of Beth P Vetrano, Licensed Professional Counselor in Ruston, LA
Beth P Vetrano
Licensed Professional Counselor, LPC
Verified Verified
Ruston, LA 71270
I enjoy working with clients in a variety of formats,including individually,couples,families and children. I am trained in EMDR and play therapy. Most recently I have been trained in Accelerated Resolution Therapy (ART). ART uses imagery rescripting and memory reconsolidation to alter negative emotions and sensations associated with pain or trauma,in as few as 1-5 sessions. I have experience helping clients with a variety of issues such as depression,anxiety,marriage,self-esteem and divorce.
I enjoy working with clients in a variety of formats,including individually,couples,families and children. I am trained in EMDR and play therapy. Most recently I have been trained in Accelerated Resolution Therapy (ART). ART uses imagery rescripting and memory reconsolidation to alter negative emotions and sensations associated with pain or trauma,in as few as 1-5 sessions. I have experience helping clients with a variety of issues such as depression,anxiety,marriage,self-esteem and divorce.
(318) 475-3099 View (318) 475-3099
Photo of Jessi Andrews, Licensed Professional Counselor in Ruston, LA
Jessi Andrews
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Ruston, LA 71270
Are you struggling to cope with life's many challenges? Are you feeling hopeless and overwhelmed? I help adults who are living with anxiety, depression, and other difficult issues. I can help you tap into your inner strengths so that you can make the changes needed to create a more fulfilling life. I believe that we all possess the strengths and resources needed to overcome life's challenges. It is my job to elicit those strengths and resources while providing you with support and guidance.
Are you struggling to cope with life's many challenges? Are you feeling hopeless and overwhelmed? I help adults who are living with anxiety, depression, and other difficult issues. I can help you tap into your inner strengths so that you can make the changes needed to create a more fulfilling life. I believe that we all possess the strengths and resources needed to overcome life's challenges. It is my job to elicit those strengths and resources while providing you with support and guidance.
(318) 497-7006 View (318) 497-7006
Photo of Red Apple Therapy, Clinical Social Work/Therapist in Ruston, LA
Red Apple Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Ruston, LA 71270
Not accepting new clients
I believe that mind, body, and spirit are interconnected. I work with individuals with a wide range of concerns, including, depression, trauma, abuse, ADHD, relationship issues, and life changing situations. I will meet you were you are and move along at your pace. Red Apple Therapy offers alternative therapies for those searching for a holistic and eclectic approach to counseling, including creative arts, and mindful meditation. Our goal is to assist you in achieving your goal by by providing a safe, authentic and compassionate clinical setting with an individualized therapy experience.
I believe that mind, body, and spirit are interconnected. I work with individuals with a wide range of concerns, including, depression, trauma, abuse, ADHD, relationship issues, and life changing situations. I will meet you were you are and move along at your pace. Red Apple Therapy offers alternative therapies for those searching for a holistic and eclectic approach to counseling, including creative arts, and mindful meditation. Our goal is to assist you in achieving your goal by by providing a safe, authentic and compassionate clinical setting with an individualized therapy experience.
(210) 791-0429 View (210) 791-0429

How does your Therapist compare?

Number of Therapists in Ruston, LA

30+

Average cost per session

$122

Therapists in Ruston, LA who prioritize treating:

87% Anxiety
77% Depression
77% Coping Skills
77% Stress
74% Relationship Issues
71% Trauma and PTSD
65% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
75% UnitedHealthcare UHC | UBH
63% Aetna

How Therapists in Ruston, LA see their clients

84% In Person and Online
16% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Ruston?

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.