Therapists in Kansas City, MO

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Photo of Krissy Pratt, Clinical Social Work/Therapist in Kansas City, MO
Krissy Pratt
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
Kansas City, MO 64111  (Online Only)
Not accepting new clients
True healing happens in community. Whatever you have experienced, I am here to help you understand and commit to your values. No one deserves to suffer and I believe wholeheartedly in a person's ability to change. My experience working with survivors & offenders of domestic violence has allowed me to witness the strength of a caring and accepting community and I am committed to creating such an environment for all my clients.
True healing happens in community. Whatever you have experienced, I am here to help you understand and commit to your values. No one deserves to suffer and I believe wholeheartedly in a person's ability to change. My experience working with survivors & offenders of domestic violence has allowed me to witness the strength of a caring and accepting community and I am committed to creating such an environment for all my clients.
(816) 323-6609 View (816) 323-6609
Photo of Emily Allen, Licensed Professional Counselor in Kansas City, MO
Emily Allen
Licensed Professional Counselor, MA, LPC
Verified Verified
Kansas City, MO 64108
My goal in therapy is to assist you in finding the best version of yourself. For so many, our best qualities are stuck behind trauma, learned behaviors, and negative thinking. I am here to help you unpack the hurt you’ve been through and make sense of it. If you feel like you don't really know yourself or you're just kind of going through the motions - I want to help you find purpose within your day to day lives. Time is going to move no matter what. With a little help from some therapy, I hope that you'll start to feel more in control of your life and your time.
My goal in therapy is to assist you in finding the best version of yourself. For so many, our best qualities are stuck behind trauma, learned behaviors, and negative thinking. I am here to help you unpack the hurt you’ve been through and make sense of it. If you feel like you don't really know yourself or you're just kind of going through the motions - I want to help you find purpose within your day to day lives. Time is going to move no matter what. With a little help from some therapy, I hope that you'll start to feel more in control of your life and your time.
(816) 239-2171 x100 View (816) 239-2171 x100
Photo of Leonor Stockwood, Clinical Social Work/Therapist in Kansas City, MO
Leonor Stockwood
Clinical Social Work/Therapist, LSCSW, LCSW
Verified Verified
Kansas City, MO 64110
My passion is to provide kids and adults with the help they need to navigate through difficult times whether it be related to family, school, mental health or substance use. As a licensed specialist clinical social worker, I have experience in a wide variety of support and counseling services, including assessment, crisis intervention, and individual, family and group therapy in both inpatient and outpatient treatment settings. I have conducted anger management and substance abuse evaluations, and I have facilitated group treatment programs.
My passion is to provide kids and adults with the help they need to navigate through difficult times whether it be related to family, school, mental health or substance use. As a licensed specialist clinical social worker, I have experience in a wide variety of support and counseling services, including assessment, crisis intervention, and individual, family and group therapy in both inpatient and outpatient treatment settings. I have conducted anger management and substance abuse evaluations, and I have facilitated group treatment programs.
(816) 227-6957 View (816) 227-6957
Photo of Marissa Kile, Clinical Social Work/Therapist in Kansas City, MO
Marissa Kile
Clinical Social Work/Therapist, MSW, LSCSW, LCSW
Verified Verified
1 Endorsed
Kansas City, MO 64114
Waitlist for new clients
"The curious paradox is that when I accept myself just as I am, then I can change" - Carl Rogers. Accepting difficult situations in life and moving towards change is a journey you don't have to face alone. I have 10+ years of experience working with adolescents and adults who struggle with a history of trauma, impulsivity, overwhelming emotions/emotional outbursts, feeling disconnected from others, poor relationships, poor sense of identity, thoughts of suicide and self-harm. These symptoms and behaviors are often a result of feeling unheard, invalidated and/or traumatic experiences.
"The curious paradox is that when I accept myself just as I am, then I can change" - Carl Rogers. Accepting difficult situations in life and moving towards change is a journey you don't have to face alone. I have 10+ years of experience working with adolescents and adults who struggle with a history of trauma, impulsivity, overwhelming emotions/emotional outbursts, feeling disconnected from others, poor relationships, poor sense of identity, thoughts of suicide and self-harm. These symptoms and behaviors are often a result of feeling unheard, invalidated and/or traumatic experiences.
(816) 662-6249 View (816) 662-6249
Photo of Londonne Ayers in Kansas City, MO
Londonne Ayers
MA, PLPC
Not Verified Not Verified
3 Endorsed
Kansas City, MO 64110
Trauma affects our brains in ways that can make us feel stuck in constant survival mode. It can be exhausting. I offer strategies to help clients process their experiences, cope more effectively, and move forward with their lives. You can find relief! And you don’t have to do it alone. Your needs are unique to your story, so your treatment should be unique as well. Whether the root of the issue is behavioral, emotional, traumatic, or complicated, I aim to help my clients make this discovery for themselves and collaborate in therapy, so it best fits their needs and values.
Trauma affects our brains in ways that can make us feel stuck in constant survival mode. It can be exhausting. I offer strategies to help clients process their experiences, cope more effectively, and move forward with their lives. You can find relief! And you don’t have to do it alone. Your needs are unique to your story, so your treatment should be unique as well. Whether the root of the issue is behavioral, emotional, traumatic, or complicated, I aim to help my clients make this discovery for themselves and collaborate in therapy, so it best fits their needs and values.
(816) 227-6617 View (816) 227-6617
Photo of Healing Grace Counseling Center, Clinical Social Work/Therapist in Kansas City, MO
Healing Grace Counseling Center
Clinical Social Work/Therapist, LCSW
Verified Verified
Kansas City, MO 64118
I am a Licensed Clinical Social Worker and Clinical Manager at Healing Grace Counseling Center, Northland. We are a full service mental health counseling center serving children, teenagers, adults, older adults, couples and families. We have experience treating child behavioral concerns, anxiety, depression, adjustment issues, grief/loss, trauma, marriage and family conflict, as well as many other issues impacting mental health and wellness.
I am a Licensed Clinical Social Worker and Clinical Manager at Healing Grace Counseling Center, Northland. We are a full service mental health counseling center serving children, teenagers, adults, older adults, couples and families. We have experience treating child behavioral concerns, anxiety, depression, adjustment issues, grief/loss, trauma, marriage and family conflict, as well as many other issues impacting mental health and wellness.
(816) 653-6319 x1 View (816) 653-6319 x1
Photo of Donna K Burgess, Licensed Professional Counselor in Kansas City, MO
Donna K Burgess
Licensed Professional Counselor, MA, EdS, LPC
Verified Verified
Kansas City, MO 64111
Overwhelmed? Everyone needs help occasionally through life transitions. Do you have trouble saying no? Do you feel like you do not value yourself enough or have difficulty setting boundaries? Do you have traumatic or abusive experiences (or episodes of panic)? Do you overanalyze things? I have extensive helping experience with these and other issues. I work to get to the root of these issues.
Overwhelmed? Everyone needs help occasionally through life transitions. Do you have trouble saying no? Do you feel like you do not value yourself enough or have difficulty setting boundaries? Do you have traumatic or abusive experiences (or episodes of panic)? Do you overanalyze things? I have extensive helping experience with these and other issues. I work to get to the root of these issues.
(816) 607-3869 View (816) 607-3869
Photo of Kyla Newman, Licensed Professional Counselor in Kansas City, MO
Kyla Newman
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Kansas City, MO 64110
There's no way around it, life can be hard. You deserve a space that is reserved for you. A place to land that is safe, real, and sometimes messy. You don’t have to keep doing it all alone. You don’t have to continue wandering around hoping that life will magically be different. You don't have to have it all together. You can make the decision to start showing up for yourself in new ways. and unearth the parts of yourself that are in desperate need of healing. At The Landing Place, you can land safely.
There's no way around it, life can be hard. You deserve a space that is reserved for you. A place to land that is safe, real, and sometimes messy. You don’t have to keep doing it all alone. You don’t have to continue wandering around hoping that life will magically be different. You don't have to have it all together. You can make the decision to start showing up for yourself in new ways. and unearth the parts of yourself that are in desperate need of healing. At The Landing Place, you can land safely.
(816) 357-8535 View (816) 357-8535
Photo of Tenfold Counseling Group, LLC, Clinical Social Work/Therapist in Kansas City, MO
Tenfold Counseling Group, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kansas City, MO 64106
Hi, my name is Crystal Rodenbaugh, and I hope to have the opportunity to work with you! It is my passion to help others live out a life of abundance and to no longer be held back by the hurts from the past. I provide counseling services to teens and adults who may be dealing with the challenges of trauma recovery, depression, anxiety, grief, and relational conflict. It is my goal to help guide you toward new insights that start the process of change and lead to a more healthy and productive life.
Hi, my name is Crystal Rodenbaugh, and I hope to have the opportunity to work with you! It is my passion to help others live out a life of abundance and to no longer be held back by the hurts from the past. I provide counseling services to teens and adults who may be dealing with the challenges of trauma recovery, depression, anxiety, grief, and relational conflict. It is my goal to help guide you toward new insights that start the process of change and lead to a more healthy and productive life.
(816) 656-3127 View (816) 656-3127
Photo of Kathryn Grant, Licensed Professional Counselor in Kansas City, MO
Kathryn Grant
Licensed Professional Counselor, MA, LPC, LCAC
Verified Verified
Kansas City, MO 64114
I have been in practice 18 years and continue to feel privileged and look forward to meeting with and talking to my clients daily! I love learning about and connecting with the people I work with an I'm enthusiastic in my approach to therapy. I have a background in working with clients with substance use issues and also work extensively with families and loved ones affected by substance use. I also help clients with issues like depression, anxiety, grief and stress. I use mindfulness, meditation, solution focused therapy, cognitive behavioral therapy, and ACT among others to help clients change their internal dialogs.
I have been in practice 18 years and continue to feel privileged and look forward to meeting with and talking to my clients daily! I love learning about and connecting with the people I work with an I'm enthusiastic in my approach to therapy. I have a background in working with clients with substance use issues and also work extensively with families and loved ones affected by substance use. I also help clients with issues like depression, anxiety, grief and stress. I use mindfulness, meditation, solution focused therapy, cognitive behavioral therapy, and ACT among others to help clients change their internal dialogs.
(913) 325-4625 View (913) 325-4625
Photo of Tim Cassidy, Licensed Professional Counselor in Kansas City, MO
Tim Cassidy
Licensed Professional Counselor, MBA, MA, LPC
Verified Verified
Kansas City, MO 64113  (Online Only)
Not accepting new clients
No Longer Taking New Clients! My clients are high-performing professionals, students in high pressure programs of study, young adults in transition (e.g. career, relationships, marriage, family growth), and university students. They juggle a lot and thrive on the pursuit of life goals and engagement with others. A lot of my clients also struggle with past traumas. Maintaining balance, proactively investing in relationships, and managing anxiety and stress is important for my clients. They are results-oriented individuals who are achievement motivated.
No Longer Taking New Clients! My clients are high-performing professionals, students in high pressure programs of study, young adults in transition (e.g. career, relationships, marriage, family growth), and university students. They juggle a lot and thrive on the pursuit of life goals and engagement with others. A lot of my clients also struggle with past traumas. Maintaining balance, proactively investing in relationships, and managing anxiety and stress is important for my clients. They are results-oriented individuals who are achievement motivated.
(913) 357-6720 View (913) 357-6720
Photo of Jill Hamilton, Marriage & Family Therapist in Kansas City, MO
Jill Hamilton
Marriage & Family Therapist, MS , LMFT
Verified Verified
2 Endorsed
Kansas City, MO 64111
Maybe you're feeling stuck. Maybe you are seeking answers but not able to see through the darkness. Maybe peace feels impossible. Maybe you're questioning who you are or going through a life transition. Maybe it's your relationship or parenting or past hurts. This life experience is filled with highs, lows, and in-between moments. At times, we all want someone to join in our journey and walk alongside us so we can feel supported. I am here to meet you where you are in your life right now. As a Marriage and Family Therapist, I believe that all of life is relational, whether that is within or outside with family, friends, society.
Maybe you're feeling stuck. Maybe you are seeking answers but not able to see through the darkness. Maybe peace feels impossible. Maybe you're questioning who you are or going through a life transition. Maybe it's your relationship or parenting or past hurts. This life experience is filled with highs, lows, and in-between moments. At times, we all want someone to join in our journey and walk alongside us so we can feel supported. I am here to meet you where you are in your life right now. As a Marriage and Family Therapist, I believe that all of life is relational, whether that is within or outside with family, friends, society.
(816) 839-9683 View (816) 839-9683
Photo of Erica N Montgomery, Licensed Professional Counselor in Kansas City, MO
Erica N Montgomery
Licensed Professional Counselor, MA, LPC
Verified Verified
Kansas City, MO 64114
Not accepting new clients
I am currently not scheduling new clients as I am currently out on maternity leave until March 2024.
I am currently not scheduling new clients as I am currently out on maternity leave until March 2024.
(816) 253-8729 View (816) 253-8729
Photo of Elizabeth Moffitt, Counselor in Kansas City, MO
Elizabeth Moffitt
Counselor, MA, LMHC, LPC
Verified Verified
1 Endorsed
Kansas City, MO 64111  (Online Only)
Do you struggle to see yourself as a person with inherent value or struggle with feeling safe due to experiencing sexual trauma and interpersonal harm? Do you have overwhelming anxiety, hopelessness, or loneliness? Do you feel disconnected from your body and feel sexual shame due to growing up in religions that elevated purity culture? Are you looking to heal your relationship to food and body through embodiment? It would be an honor to join you on your journey to connect to your body and increase a compassionate relationship with yourself.
Do you struggle to see yourself as a person with inherent value or struggle with feeling safe due to experiencing sexual trauma and interpersonal harm? Do you have overwhelming anxiety, hopelessness, or loneliness? Do you feel disconnected from your body and feel sexual shame due to growing up in religions that elevated purity culture? Are you looking to heal your relationship to food and body through embodiment? It would be an honor to join you on your journey to connect to your body and increase a compassionate relationship with yourself.
(816) 750-5907 View (816) 750-5907
Photo of Valerie Dubois, Licensed Professional Counselor in Kansas City, MO
Valerie Dubois
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Kansas City, MO 64110
Not accepting new clients
I believe that understanding, accepting, and committing to our values is an integral part of recovery and creating a meaningful life. I aim to provide tools and support to allow individuals to resolve their past and thrive in the present. My professional experience and training focuses on providing advocacy and guidance for adolescents and adults seeking management and relief from PTSD, mood and anxiety disorders, eating disorders, personality disorders, phase of life problems, interpersonal relationship issues, and navigating through career and identity development.
I believe that understanding, accepting, and committing to our values is an integral part of recovery and creating a meaningful life. I aim to provide tools and support to allow individuals to resolve their past and thrive in the present. My professional experience and training focuses on providing advocacy and guidance for adolescents and adults seeking management and relief from PTSD, mood and anxiety disorders, eating disorders, personality disorders, phase of life problems, interpersonal relationship issues, and navigating through career and identity development.
(816) 327-2784 View (816) 327-2784
Photo of Danielle Fulks, Marriage & Family Therapist in Kansas City, MO
Danielle Fulks
Marriage & Family Therapist, MA, LCMFT, LMFT
Verified Verified
1 Endorsed
Kansas City, MO 64111
It takes a tremendous amount of courage to show up for yourself and to face the things that may be causing you distress. Whether those things are relationship distress, trauma, change, depression, or anxiety; I am here to help guide you throughout that healing process. I utilize various modalities such as CBT, solution-focused, motivational interviewing, Gottman Couples Counseling (Level 1 & 2), and EMDR (Eye-Movement Desensitization and Reprocessing). I have experience working with anxiety, depression, PTSD, domestic violence, grief, and dual-diagnosis. I enjoy working with individuals, couples, and families.
It takes a tremendous amount of courage to show up for yourself and to face the things that may be causing you distress. Whether those things are relationship distress, trauma, change, depression, or anxiety; I am here to help guide you throughout that healing process. I utilize various modalities such as CBT, solution-focused, motivational interviewing, Gottman Couples Counseling (Level 1 & 2), and EMDR (Eye-Movement Desensitization and Reprocessing). I have experience working with anxiety, depression, PTSD, domestic violence, grief, and dual-diagnosis. I enjoy working with individuals, couples, and families.
(913) 382-2811 View (913) 382-2811
Photo of Michael Shahan, Pre-Licensed Professional in Kansas City, MO
Michael Shahan
Pre-Licensed Professional, LMFT
Verified Verified
5 Endorsed
Kansas City, MO 64111
Often times we find ourselves hurting, stuck, and confused. We all have places in our lives where we can tell ourselves one thing, but it feels impossible to actually believe what we are telling ourselves. Our fears and our worries take over our rational thoughts. We are kept from being who we really want to be. Sometimes, these fears are small, and the cost of giving into them doesn't amount to much. Other times, they are life changing and relationship shattering. We can't seem to get a grip on who we really are and our lives fall apart.
Often times we find ourselves hurting, stuck, and confused. We all have places in our lives where we can tell ourselves one thing, but it feels impossible to actually believe what we are telling ourselves. Our fears and our worries take over our rational thoughts. We are kept from being who we really want to be. Sometimes, these fears are small, and the cost of giving into them doesn't amount to much. Other times, they are life changing and relationship shattering. We can't seem to get a grip on who we really are and our lives fall apart.
(913) 274-9767 View (913) 274-9767
Photo of Tanner Edwards, Clinical Social Work/Therapist in Kansas City, MO
Tanner Edwards
Clinical Social Work/Therapist, LCSW
Verified Verified
Kansas City, MO 64111
Welcome. I offer a therapy uniquely designed for healing perfectionism. Have you ever thought that you might have too much of a good thing? Research informs us that excessive striving can impair our ability to relax, adapt to life's transitions, and genuinely connect with others. The therapy we'll use is called RO-DBT, and it promotes psychological flexibility. While we can't simply try harder to become flexible, the good news is that it's a learnable skill. Over time, we can help you cultivate balance and embrace spontaneity and authenticity when the situation calls for it.
Welcome. I offer a therapy uniquely designed for healing perfectionism. Have you ever thought that you might have too much of a good thing? Research informs us that excessive striving can impair our ability to relax, adapt to life's transitions, and genuinely connect with others. The therapy we'll use is called RO-DBT, and it promotes psychological flexibility. While we can't simply try harder to become flexible, the good news is that it's a learnable skill. Over time, we can help you cultivate balance and embrace spontaneity and authenticity when the situation calls for it.
(913) 393-9732 View (913) 393-9732
Photo of Focused Concentration-KC Wellness Dr. Fernandez, Licensed Professional Counselor in Kansas City, MO
Focused Concentration-KC Wellness Dr. Fernandez
Licensed Professional Counselor, PsyD, LPC
Verified Verified
4 Endorsed
Kansas City, MO 64111
OFFERING REDUCED FEE (PHONE OR VIDEO) TO ALL FIRST RESPONDERS AFFECTED BY COVID-19. I hold a doctoral degree in Clinical Psychology and treat a variety of emotional issues for adults and couples. I provide diagnostic testing and treatment of ADHD, mood disorders, and substance abuse/addiction issues. Cognitive Behavior Therapy (CBT), and Interpersonal Therapy for depression, anxiety, family conflict and overall addiction/impulse control. Bilingual Spanish-English.
OFFERING REDUCED FEE (PHONE OR VIDEO) TO ALL FIRST RESPONDERS AFFECTED BY COVID-19. I hold a doctoral degree in Clinical Psychology and treat a variety of emotional issues for adults and couples. I provide diagnostic testing and treatment of ADHD, mood disorders, and substance abuse/addiction issues. Cognitive Behavior Therapy (CBT), and Interpersonal Therapy for depression, anxiety, family conflict and overall addiction/impulse control. Bilingual Spanish-English.
(816) 974-0601 View (816) 974-0601
Photo of Cognitions: Anxiety/Depression Treatment Services in Kansas City, MO
Cognitions: Anxiety/Depression Treatment Services
Verified Verified
Kansas City, MO 64111
Adolescent and adult clients seeking group treatment for depression, adjustment disorders and anxiety (generalized anxiety, social anxiety etc.).
Adolescent and adult clients seeking group treatment for depression, adjustment disorders and anxiety (generalized anxiety, social anxiety etc.).
(816) 327-9134 View (816) 327-9134

How does your Therapist compare?

Number of Therapists in Kansas City, MO

900+

Average cost per session

$130

Therapists in Kansas City, MO who prioritize treating:

93% Anxiety
86% Depression
76% Relationship Issues
75% Self Esteem
74% Trauma and PTSD
69% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

64% Aetna
64% UnitedHealthcare UHC | UBH
58% Cigna and Evernorth

How Therapists in Kansas City, MO see their clients

75% In Person and Online
25% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Kansas City?

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.