Therapists in Hardin County, KY

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Photo of Rachael N Lyons, Clinical Social Work/Therapist in Hardin County, KY
Rachael N Lyons
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Elizabethtown, KY 42701
You’re here! YES! I am so glad you found the courage to pursue help despite the naggy inner voice that told you maybe you shouldn’t. The truth is we ALL need support and we ALL struggle-sometimes a little more than others. Life happens to us all. Are you feeling like life has hit a little too hard lately? Do you just need someone to help you navigate this mess? I’m your person. No matter what issue brought you here, I want to help you find the strength you’ve had all along. I know you want to overcome the struggles that have weighed you down for too long. You deserve freedom, and I am here to help you find it.
You’re here! YES! I am so glad you found the courage to pursue help despite the naggy inner voice that told you maybe you shouldn’t. The truth is we ALL need support and we ALL struggle-sometimes a little more than others. Life happens to us all. Are you feeling like life has hit a little too hard lately? Do you just need someone to help you navigate this mess? I’m your person. No matter what issue brought you here, I want to help you find the strength you’ve had all along. I know you want to overcome the struggles that have weighed you down for too long. You deserve freedom, and I am here to help you find it.
(502) 251-8649 View (502) 251-8649
Photo of Carla Combs, Marriage & Family Therapist in Hardin County, KY
Carla Combs
Marriage & Family Therapist, LMFT
Verified Verified
Elizabethtown, KY 42701
Are you getting ready to get married or already married and having relational issues? I'm here to help you develop strategies for a healthy, fulfilling marriage. I offer safe, nonjudgemental, and compassionate therapy space for clients to find more connection, intimacy, gratitude, and joy in their marriage.
Are you getting ready to get married or already married and having relational issues? I'm here to help you develop strategies for a healthy, fulfilling marriage. I offer safe, nonjudgemental, and compassionate therapy space for clients to find more connection, intimacy, gratitude, and joy in their marriage.
(270) 638-9839 View (270) 638-9839
Photo of Nicholas Watters, Psychologist in Hardin County, KY
Nicholas Watters
Psychologist, MA, PsyD
Verified Verified
Elizabethtown, KY 42701
I provide Clinical Psychology and Rehabilitation Psychology services. My Internship at Lakeview Neurobehavioral Rehabilitation in Wisconsin included training in Neurocognitive assessment and interventions for adults and children in the Specialty Hospital and Child Residential units. The patients and residents were treated for Acquired Brain Injury, Autism, and other neurocognitive conditions. Since 2005, I have been living and working in Hardin County, initially in Community Mental Health. I began my own practice in 2012. Besides psychotherapy, I provide neurocognitive and psychological evaluations requested by local neurologists, behavioral health providers, and primary care phyicians..
I provide Clinical Psychology and Rehabilitation Psychology services. My Internship at Lakeview Neurobehavioral Rehabilitation in Wisconsin included training in Neurocognitive assessment and interventions for adults and children in the Specialty Hospital and Child Residential units. The patients and residents were treated for Acquired Brain Injury, Autism, and other neurocognitive conditions. Since 2005, I have been living and working in Hardin County, initially in Community Mental Health. I began my own practice in 2012. Besides psychotherapy, I provide neurocognitive and psychological evaluations requested by local neurologists, behavioral health providers, and primary care phyicians..
(270) 972-4572 View (270) 972-4572
Photo of Dhvani Patel, Clinical Social Work/Therapist in Hardin County, KY
Dhvani Patel
Clinical Social Work/Therapist, LCSW
Verified Verified
Elizabethtown, KY 42701
With over 10 years of experience in providing therapy, I understand the value of providing a safe, supportive and comfortable environment to help individuals, families and couples' get through life's biggest challenges - such as grief & loss, teen issues, family conflict, stress management, perinatal issues, infertility, communication issues, anxiety and depression and much more. I utilize an evidence based and multidimensional therapeutic approach that incorporates different therapy styles such CBT, DBT, MI, Gottman's, Strength-Based, Solution-Focused Therapy.
With over 10 years of experience in providing therapy, I understand the value of providing a safe, supportive and comfortable environment to help individuals, families and couples' get through life's biggest challenges - such as grief & loss, teen issues, family conflict, stress management, perinatal issues, infertility, communication issues, anxiety and depression and much more. I utilize an evidence based and multidimensional therapeutic approach that incorporates different therapy styles such CBT, DBT, MI, Gottman's, Strength-Based, Solution-Focused Therapy.
(270) 648-1425 View (270) 648-1425
Photo of Wynna Tabb, Marriage & Family Therapist in Hardin County, KY
Wynna Tabb
Marriage & Family Therapist, MEd, LMFT
Verified Verified
Elizabethtown, KY 42701
Waitlist for new clients
You've spent years dealing with the memories of the trauma. You're triggered all of the time, and it's hard to function daily. You have nightmares, sleep issues, or you just don't have the energy to get up. Your heart beats fast, you can't breathe, and you panic. You bury yourself in work, food, television, video games, or anything to avoid thinking about what happened to you. Sometimes you feel numb, like a zombie, and you space out. If someone walks up, you jump! You don't have to live this way! You can face the past, once and for all!
You've spent years dealing with the memories of the trauma. You're triggered all of the time, and it's hard to function daily. You have nightmares, sleep issues, or you just don't have the energy to get up. Your heart beats fast, you can't breathe, and you panic. You bury yourself in work, food, television, video games, or anything to avoid thinking about what happened to you. Sometimes you feel numb, like a zombie, and you space out. If someone walks up, you jump! You don't have to live this way! You can face the past, once and for all!
(270) 455-1493 View (270) 455-1493
Photo of Brittanie Mahanna, Licensed Professional Counselor Associate in Hardin County, KY
Brittanie Mahanna
Licensed Professional Counselor Associate, MaEd, LPCA
Verified Verified
1 Endorsed
Radcliff, KY 40160
Hello, I'm Brittanie. I specialize in work with couples and relationship distress. With empathy and understanding, I create a safe and nonjudgmental space where couples can explore their concerns, discover new perspectives, and develop effective strategies to overcome relationship hurdles. My approach is tailored to meet the unique needs of each couple, as I firmly believe that every relationship is one-of-a-kind. Whether you're dealing with communication breakdowns, unresolved conflicts, infidelity, or other complex challenges, I am committed to providing you with the guidance and tools necessary to restore harmony and connection.
Hello, I'm Brittanie. I specialize in work with couples and relationship distress. With empathy and understanding, I create a safe and nonjudgmental space where couples can explore their concerns, discover new perspectives, and develop effective strategies to overcome relationship hurdles. My approach is tailored to meet the unique needs of each couple, as I firmly believe that every relationship is one-of-a-kind. Whether you're dealing with communication breakdowns, unresolved conflicts, infidelity, or other complex challenges, I am committed to providing you with the guidance and tools necessary to restore harmony and connection.
(270) 632-8822 View (270) 632-8822
Photo of Christina Moore, Clinical Social Work/Therapist in Hardin County, KY
Christina Moore
Clinical Social Work/Therapist, CSW
Verified Verified
1 Endorsed
Elizabethtown, KY 42701  (Online Only)
I see you. I see you searching and struggling to find the answers and the strength to continue your life’s journey. Life is not about finding oneself; it’s simply about learning what pieces you want to carry on your journey. If you are brave with your life, unfortunately, you will experience failure, fear, and the dreaded change. However, with the proper support, you do not have to venture alone. Utilizing a strength-based, solution-focused approach, I want to help you discover the strength you harness to achieve your goals because you carry the key. Together, we can figure out the correct doors to unlock.
I see you. I see you searching and struggling to find the answers and the strength to continue your life’s journey. Life is not about finding oneself; it’s simply about learning what pieces you want to carry on your journey. If you are brave with your life, unfortunately, you will experience failure, fear, and the dreaded change. However, with the proper support, you do not have to venture alone. Utilizing a strength-based, solution-focused approach, I want to help you discover the strength you harness to achieve your goals because you carry the key. Together, we can figure out the correct doors to unlock.
(270) 515-9684 View (270) 515-9684
Photo of Alisha Blais, Clinical Social Work/Therapist in Hardin County, KY
Alisha Blais
Clinical Social Work/Therapist
Verified Verified
Elizabethtown, KY 42701  (Online Only)
I am a Licensed Clinical Social Worker specializing in the treatment of adults suffering from Borderline personality disorder, OCD, depression, generalized anxiety, social anxiety, bipolar, PTSD, and eating disorders. I have experience in working with many of life's problems such as grief and loss, conflict resolution, and anger management. I work with each client to understand his or her symptoms and the problems that impact their mood, and then create a holistic approach to develop a unique treatment plan that is tailored to address the individual's needs. You are not alone, and change is possible!
I am a Licensed Clinical Social Worker specializing in the treatment of adults suffering from Borderline personality disorder, OCD, depression, generalized anxiety, social anxiety, bipolar, PTSD, and eating disorders. I have experience in working with many of life's problems such as grief and loss, conflict resolution, and anger management. I work with each client to understand his or her symptoms and the problems that impact their mood, and then create a holistic approach to develop a unique treatment plan that is tailored to address the individual's needs. You are not alone, and change is possible!
(270) 747-3417 View (270) 747-3417
Photo of ALI Counseling Services Inc., Counselor in Hardin County, KY
ALI Counseling Services Inc.
Counselor, MEd, LPCC-S, ABD
Verified Verified
1 Endorsed
Elizabethtown, KY 42701
My name is Shameka Sells-Moore. I know that life can be overwhelming. As your therapist, I can help you deal with life's changes without judgement. My goal is to assist you with enhancing your life and discovering your purpose. It is my job to walk with you through your therapeutic process toward healing and change.
My name is Shameka Sells-Moore. I know that life can be overwhelming. As your therapist, I can help you deal with life's changes without judgement. My goal is to assist you with enhancing your life and discovering your purpose. It is my job to walk with you through your therapeutic process toward healing and change.
(270) 216-5045 View (270) 216-5045
Holistic Wellness Co
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Vine Grove, KY 40175
Our mission at Holistic Wellness is to provide a transformative space dedicated to those navigating the challenges of self-esteem and self-image. We specialize in delivering expert, compassionate, and results-oriented care to those who seek to elevate their sense of self-worth and well-being. By centering our practice on understanding, empathy, and support, we are committed to upholding a warm and nonjudgmental environment.
Our mission at Holistic Wellness is to provide a transformative space dedicated to those navigating the challenges of self-esteem and self-image. We specialize in delivering expert, compassionate, and results-oriented care to those who seek to elevate their sense of self-worth and well-being. By centering our practice on understanding, empathy, and support, we are committed to upholding a warm and nonjudgmental environment.
(270) 456-4169 View (270) 456-4169
Photo of 31:2 Counseling Group, LLC, Clinical Social Work/Therapist in Hardin County, KY
31:2 Counseling Group, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Radcliff, KY 40160
Our mission is to help people restore their inner strength, recover their sense of self-worth, and influence transformational change by promoting growth in biological, emotional, psychological, and spiritual health, together! My practice specializes in treating individuals, couples and families, and through years of experience, I’m confident that no problem is too great to overcome. Through therapy, there is always a way to address the issues you face and learn coping strategies to help you both right now and in the future.
Our mission is to help people restore their inner strength, recover their sense of self-worth, and influence transformational change by promoting growth in biological, emotional, psychological, and spiritual health, together! My practice specializes in treating individuals, couples and families, and through years of experience, I’m confident that no problem is too great to overcome. Through therapy, there is always a way to address the issues you face and learn coping strategies to help you both right now and in the future.
(270) 398-4009 View (270) 398-4009
Photo of Vanessa Garr, Licensed Professional Clinical Counselor in Hardin County, KY
Vanessa Garr
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Radcliff, KY 40160
I’m able to help my clients to recognize their own strengths and abilities when they feel like giving up on themselves. I’m also able to help clients to identify and implement strategies to reduce and/or manage their mental health challenges.
I’m able to help my clients to recognize their own strengths and abilities when they feel like giving up on themselves. I’m also able to help clients to identify and implement strategies to reduce and/or manage their mental health challenges.
(270) 747-1678 View (270) 747-1678
Photo of Maggie Sweeney, Licensed Professional Clinical Counselor in Hardin County, KY
Maggie Sweeney
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Elizabethtown, KY 42701  (Online Only)
I am Maggie Sweeney. I grew up poor in Brooklyn, I spent 23 years in the Navy, I have lived all over the world and retired in 2014. I earned my bachelor’s degree in liberal arts in science in 2009 and my MS in Mental Health Counseling in March 2017. My ex was active-duty Army and in July 2017 we got stationed at Fort Knox, KY. I earned my PhD in May 2022 and today I live Elizabethtown, KY.
I am Maggie Sweeney. I grew up poor in Brooklyn, I spent 23 years in the Navy, I have lived all over the world and retired in 2014. I earned my bachelor’s degree in liberal arts in science in 2009 and my MS in Mental Health Counseling in March 2017. My ex was active-duty Army and in July 2017 we got stationed at Fort Knox, KY. I earned my PhD in May 2022 and today I live Elizabethtown, KY.
(270) 606-7829 View (270) 606-7829
Photo of Elizabethtown Partners in Counseling, Clinical Social Work/Therapist in Hardin County, KY
Elizabethtown Partners in Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Elizabethtown, KY 42701
Waitlist for new clients
Growth occurs when individuals confront problems, struggle to master them, and through that struggle develop new aspects of their skills, capacities, views about life. C.R. Wesley P. Monroe MSSW LCSW has been working in the mental health field for 32 years. He is co-owner of Elizabethtown Partners in Counseling. Wes is a Licensed Clinical Social Work, licensed through the commonwealth of Kentucky and the state of Alabama. Wes was born and raised in Elizabethtown. He is married and shares three children, 4 grandchildren, and family zoo.
Growth occurs when individuals confront problems, struggle to master them, and through that struggle develop new aspects of their skills, capacities, views about life. C.R. Wesley P. Monroe MSSW LCSW has been working in the mental health field for 32 years. He is co-owner of Elizabethtown Partners in Counseling. Wes is a Licensed Clinical Social Work, licensed through the commonwealth of Kentucky and the state of Alabama. Wes was born and raised in Elizabethtown. He is married and shares three children, 4 grandchildren, and family zoo.
(270) 372-2391 View (270) 372-2391
Photo of Elizabethtown Counseling Service, Drug & Alcohol Counselor in Hardin County, KY
Elizabethtown Counseling Service
Drug & Alcohol Counselor, MMFT, LCADC, COSCF
Verified Verified
Elizabethtown, KY 42701
Michael Hiser is a Marriage & Family Therapy Associate, Licensed Clinical Alcohol and Drug Counselor and a Circle of Security Certified Facilitator. As an advocate for the under-served he loves working with individuals and families as well as youth who struggle with addictions. A Christian minister with an open, caring and respectful manner that is very welcoming to hurting people. Women who suffer from compromising relationships find Michael to be a breath of fresh air. He creates a safe and warm atmosphere for working through tough issues and problems in a variety of situations.
Michael Hiser is a Marriage & Family Therapy Associate, Licensed Clinical Alcohol and Drug Counselor and a Circle of Security Certified Facilitator. As an advocate for the under-served he loves working with individuals and families as well as youth who struggle with addictions. A Christian minister with an open, caring and respectful manner that is very welcoming to hurting people. Women who suffer from compromising relationships find Michael to be a breath of fresh air. He creates a safe and warm atmosphere for working through tough issues and problems in a variety of situations.
(270) 802-4854 View (270) 802-4854
Photo of Lea Ann Lafave, Counselor in Hardin County, KY
Lea Ann Lafave
Counselor, MS, LPCC-S, ICST, NCC
Verified Verified
3 Endorsed
Elizabethtown, KY 42701
Not accepting new clients
Do you feel overwhelmed and stressed with life? Are your problems more than you can handle on your own? Are suffering from Anxiety, Depression, Anger, or other irritable moods? Do you feel stuck? Have you experienced a traumatic incident? Have you had any major life changes? Have you recently lost a loved one, friend, or relationship? Whatever your concerns are, you are not alone. I am committed to creating a safe and nonjudgmental atmosphere in which you can be supported in your efforts to change and heal.
Do you feel overwhelmed and stressed with life? Are your problems more than you can handle on your own? Are suffering from Anxiety, Depression, Anger, or other irritable moods? Do you feel stuck? Have you experienced a traumatic incident? Have you had any major life changes? Have you recently lost a loved one, friend, or relationship? Whatever your concerns are, you are not alone. I am committed to creating a safe and nonjudgmental atmosphere in which you can be supported in your efforts to change and heal.
(270) 975-3313 View (270) 975-3313
Photo of Sarah Murphy-Davies, Counselor in Hardin County, KY
Sarah Murphy-Davies
Counselor, LPCC-S
Verified Verified
Radcliff, KY 40160
Welcome to counseling. If you're even searching for a therapist, you've started the process. Your gut tells you life isn't what you need it to be but you're not sure how to make it better. You're right about counseling: it truly can help. In therapy, the therapist and the client work as a team to accomplish goals. You may be unsure of those goals. I can help you figure out what they are and how to make progress.
Welcome to counseling. If you're even searching for a therapist, you've started the process. Your gut tells you life isn't what you need it to be but you're not sure how to make it better. You're right about counseling: it truly can help. In therapy, the therapist and the client work as a team to accomplish goals. You may be unsure of those goals. I can help you figure out what they are and how to make progress.
(270) 951-0905 View (270) 951-0905
Photo of Beacon of Light Behavioral Health, LLC, Licensed Professional Counselor Associate in Hardin County, KY
Beacon of Light Behavioral Health, LLC
Licensed Professional Counselor Associate
Verified Verified
Vine Grove, KY 40175
I am a Licensed Professional Counselor Assistant (LPCA). I work with all individual but my passion is teenage parents. It is my belief individual can be healed with the power of mental wellness, understanding of emotions, and communication. My goal is to help you help yourself and understand change is possible.
I am a Licensed Professional Counselor Assistant (LPCA). I work with all individual but my passion is teenage parents. It is my belief individual can be healed with the power of mental wellness, understanding of emotions, and communication. My goal is to help you help yourself and understand change is possible.
(270) 975-3385 View (270) 975-3385
Photo of Natasha Regina Porter, Marriage & Family Therapist in Hardin County, KY
Natasha Regina Porter
Marriage & Family Therapist, IMFT-S, LMFT, LPCC-S
Verified Verified
Vine Grove, KY 40175  (Online Only)
I can help you uncover the causes of your issues, teach methods of relaxation, help view situations in new ways, and help you to develop better coping mechanisms and problem-solving skills. While I have years of experience treating a wide range of disorders, I also remain up to date on the most effective forms of treatment for obtaining the relief that you desire and deserve.
I can help you uncover the causes of your issues, teach methods of relaxation, help view situations in new ways, and help you to develop better coping mechanisms and problem-solving skills. While I have years of experience treating a wide range of disorders, I also remain up to date on the most effective forms of treatment for obtaining the relief that you desire and deserve.
(270) 612-3982 View (270) 612-3982
Photo of Jason D. Gati, Licensed Professional Clinical Counselor in Hardin County, KY
Jason D. Gati
Licensed Professional Clinical Counselor, MEd, LPCC, NCC, CCTP
Verified Verified
Elizabethtown, KY 42701
Most likely, if you're reading this, it's because you've hit that wall - and what you do next could make it a true turning point in your life. Do you find yourself feeling anxious and unsatisfied? Even stagnant and exhausted from carrying that proverbial monkey around? I'm absolutely confident that I can help. Why? Because for years I have successfully worked with the most extreme and complex trauma cases. How? RELATIONSHIP. Yes, I'm extensively trained with a litany of certifications, but that is far less important than my personality and approach. Why?
Most likely, if you're reading this, it's because you've hit that wall - and what you do next could make it a true turning point in your life. Do you find yourself feeling anxious and unsatisfied? Even stagnant and exhausted from carrying that proverbial monkey around? I'm absolutely confident that I can help. Why? Because for years I have successfully worked with the most extreme and complex trauma cases. How? RELATIONSHIP. Yes, I'm extensively trained with a litany of certifications, but that is far less important than my personality and approach. Why?
(270) 216-5735 View (270) 216-5735

See more therapy options for Hardin County

How does your Therapist compare?

Number of Therapists in Hardin County, KY

70+

Average cost per session

$105

Therapists in Hardin County, KY who prioritize treating:

91% Anxiety
86% Depression
82% Self Esteem
76% Coping Skills
70% Trauma and PTSD
68% Relationship Issues
65% Grief

Average years in practice

9 Years

Top 3 insurances accepted

79% Aetna
72% UnitedHealthcare UHC | UBH
70% Cigna and Evernorth

How Therapists in Hardin County, KY see their clients

66% In Person and Online
34% Online Only

Gender breakdown

76% Female
24% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Hardin County?

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.