Therapists in Benton County, MN

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Photo of Anna Clavin, Marriage & Family Therapist, MA, LMFT, IECMH-E, PMH-C
Anna Clavin
Marriage & Family Therapist, MA, LMFT, IECMH-E, PMH-C
Sauk Rapids, MN 56379
If this is an emergency please call 911 or 988 Suicide Helpline. I am dedicated to working with individuals, couples, and families by supporting hope and growth through a family systems perspective and trauma informed care. My passion is attachment, relationships, and development and their impact on functioning throughout one’s life. I find encouragement in my work through helping others find hope, strength, and healing within their environment and relationships.
If this is an emergency please call 911 or 988 Suicide Helpline. I am dedicated to working with individuals, couples, and families by supporting hope and growth through a family systems perspective and trauma informed care. My passion is attachment, relationships, and development and their impact on functioning throughout one’s life. I find encouragement in my work through helping others find hope, strength, and healing within their environment and relationships.
(320) 313-1644 View (320) 313-1644
Photo of Ali Aden - Ali Aden, Counselor, MA, LPCC, LADC
Ali Aden
Counselor, MA, LPCC, LADC
Saint Cloud, MN 56304
You may look like you’re managing on the outside, but inside you feel anxious, low, or emotionally drained. Depression, stress, past experiences, or life transitions may have left you feeling disconnected or stuck in patterns around mood or substance use that no longer feel helpful. You want to feel more balanced, present, and in control of your choices—not just coping, but making changes that last.
You may look like you’re managing on the outside, but inside you feel anxious, low, or emotionally drained. Depression, stress, past experiences, or life transitions may have left you feeling disconnected or stuck in patterns around mood or substance use that no longer feel helpful. You want to feel more balanced, present, and in control of your choices—not just coping, but making changes that last.
(320) 314-6048 View (320) 314-6048
Photo of Anika Athman, Counselor, LPCC
Anika Athman
Counselor, LPCC
Sauk Rapids, MN 56379
I strive to be the type of therapist I would want to see. I keep it real and genuinely care about each client I work with, understanding the vulnerability all clients face to engage in therapy. I will ensure you feel respected, supported, and empowered to make the changes you set out to change. My focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing a safe space, effective therapeutic strategies, and customizing an individualized treatment plan. This is your journey, but I am honored to walk along side you each step of the way.
I strive to be the type of therapist I would want to see. I keep it real and genuinely care about each client I work with, understanding the vulnerability all clients face to engage in therapy. I will ensure you feel respected, supported, and empowered to make the changes you set out to change. My focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing a safe space, effective therapeutic strategies, and customizing an individualized treatment plan. This is your journey, but I am honored to walk along side you each step of the way.
(763) 401-7436 View (763) 401-7436
Photo of Jessica Gapinski, Clinical Social Work/Therapist, LICSW
Jessica Gapinski
Clinical Social Work/Therapist, LICSW
Online Only
Not accepting new clients
Welcome, I’m so happy you’re here! My name is Jessica and I am a licensed independent clinical social worker (LICSW). I offer individual and family therapy services. I’m excited about the possibility of working with you. Please have a look around the site and when you’re ready, send me an email to schedule a consultation. It’s nice to meet you!
Welcome, I’m so happy you’re here! My name is Jessica and I am a licensed independent clinical social worker (LICSW). I offer individual and family therapy services. I’m excited about the possibility of working with you. Please have a look around the site and when you’re ready, send me an email to schedule a consultation. It’s nice to meet you!
(320) 348-1824 View (320) 348-1824
Photo of Luke J. Szczech, Counselor, LPCC, MS
Luke J. Szczech
Counselor, LPCC, MS
Sauk Rapids, MN 56379
You have your life together, but inside, you feel you are crumbling. On the outside, no one notices. All they see is someone who is responsible and is able to do the things that need to be done. You make it through the day, only to get home and have a wave of emotions drown you. It has not always been like this, the person that was on the outside was the way you felt on the inside. But things seemed to shift. You try to think, when did this happen? And then you realize, you know the answer. It was that one situation. The situation you have tried to bury because even just thinking about it brings you back into the moment.
You have your life together, but inside, you feel you are crumbling. On the outside, no one notices. All they see is someone who is responsible and is able to do the things that need to be done. You make it through the day, only to get home and have a wave of emotions drown you. It has not always been like this, the person that was on the outside was the way you felt on the inside. But things seemed to shift. You try to think, when did this happen? And then you realize, you know the answer. It was that one situation. The situation you have tried to bury because even just thinking about it brings you back into the moment.
(320) 364-6087 View (320) 364-6087
Photo of Jennifer Bischoff, Marriage & Family Therapist, MS, LMFT
Jennifer Bischoff
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Sauk Rapids, MN 56379
At Changing Pathways, I work with people of all ages. I have a special interest working with “littles.” I work with littles as young as two. I have a passion working with children ages two to seven; focusing on non-directive play therapy to promote change. I understand that change is a developmental and lifetime process. I enjoy working with teenagers and adults; working through symptoms of anxiety, depression, trauma, and loss. I have completed level 1 of Theraplay training, an attachment based modality. I believe it is important to explore a holistic viewpoint, including family, environment, and attachment.
At Changing Pathways, I work with people of all ages. I have a special interest working with “littles.” I work with littles as young as two. I have a passion working with children ages two to seven; focusing on non-directive play therapy to promote change. I understand that change is a developmental and lifetime process. I enjoy working with teenagers and adults; working through symptoms of anxiety, depression, trauma, and loss. I have completed level 1 of Theraplay training, an attachment based modality. I believe it is important to explore a holistic viewpoint, including family, environment, and attachment.
(320) 389-0687 View (320) 389-0687
Photo of Katie Larson, Licensed Professional Clinical Counselor, LPCC
Katie Larson
Licensed Professional Clinical Counselor, LPCC
Online Only
Hi, I’m a Licensed Professional Clinical Counselor based in Mid Minnesota. With eight years of experience, I enjoy supporting those in need through life’s transitions and challenges in a kind, respectful, and down-to-earth way. If you're feeling stuck or burn out my approach is all about building a genuine connection and helping you tap into your own strengths and resilience towards healing.
Hi, I’m a Licensed Professional Clinical Counselor based in Mid Minnesota. With eight years of experience, I enjoy supporting those in need through life’s transitions and challenges in a kind, respectful, and down-to-earth way. If you're feeling stuck or burn out my approach is all about building a genuine connection and helping you tap into your own strengths and resilience towards healing.
(320) 684-6308 View (320) 684-6308
Photo of Jill Williams, Counselor, MS, LPCC
Jill Williams
Counselor, MS, LPCC
Saint Cloud, MN 56304
Hello! My name is Jill Williams and I am currently accepting new telehealth adult clients. I have a waitlist for in-person sessions. My passion is working with adult women. I specialize in trauma, grief and loss and anxiety. I believe that therapy should be a collaborative process from the first session moving forward. As a therapist, I am strength-based and systemic in my approach, exploring how past events and relationships are currently impacting people's relationships and how they move through the world now. I am passionate in helping others understand their pain and tap into their inner resilience.
Hello! My name is Jill Williams and I am currently accepting new telehealth adult clients. I have a waitlist for in-person sessions. My passion is working with adult women. I specialize in trauma, grief and loss and anxiety. I believe that therapy should be a collaborative process from the first session moving forward. As a therapist, I am strength-based and systemic in my approach, exploring how past events and relationships are currently impacting people's relationships and how they move through the world now. I am passionate in helping others understand their pain and tap into their inner resilience.
(320) 373-1143 View (320) 373-1143
Photo of Linda C Scherer, Clinical Social Work/Therapist, MSW, LICSW
Linda C Scherer
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Sauk Rapids, MN 56379
Seeking counseling to find our way through challenges requires courage and strength. I help people cope with loss and trauma and manage life transitions. Sometimes feelings of anxiety and depression arise and show us what needs healing. I want to help you find that connection to your own sense of welbeing so that you can best manage whatever changes come. I have been a licensed therapy provider for 28 years working with adolescents and adults. I offer individual counseling, couples counseling, and an 8 week Mind Body Skills Group which teaches methods of mindfulness, use of imagery, accessing intuition, and self expression.
Seeking counseling to find our way through challenges requires courage and strength. I help people cope with loss and trauma and manage life transitions. Sometimes feelings of anxiety and depression arise and show us what needs healing. I want to help you find that connection to your own sense of welbeing so that you can best manage whatever changes come. I have been a licensed therapy provider for 28 years working with adolescents and adults. I offer individual counseling, couples counseling, and an 8 week Mind Body Skills Group which teaches methods of mindfulness, use of imagery, accessing intuition, and self expression.
(320) 434-2094 View (320) 434-2094
Photo of Kayla Larkin, Licensed Professional Clinical Counselor, LPCC, MS, NCC
Kayla Larkin
Licensed Professional Clinical Counselor, LPCC, MS, NCC
Sauk Rapids, MN 56379
Dealing with chronic pain, illness, autoimmune conditions, or disability can feel isolating, as if you're battling alone and misunderstood. The continuous struggle can lead to feelings of depression, anxiety, and isolation. My passion lies in supporting individuals through their struggles with anxiety, depression, aging, grief, loss, chronic illness, and trauma. I employ a variety of approaches, including Trauma Focused, Family Systems, and Strengths Based methodologies.
Dealing with chronic pain, illness, autoimmune conditions, or disability can feel isolating, as if you're battling alone and misunderstood. The continuous struggle can lead to feelings of depression, anxiety, and isolation. My passion lies in supporting individuals through their struggles with anxiety, depression, aging, grief, loss, chronic illness, and trauma. I employ a variety of approaches, including Trauma Focused, Family Systems, and Strengths Based methodologies.
(320) 431-8647 View (320) 431-8647
Photo of Jessica M Gapinski - Jessica G. Counseling , Clinical Social Work/Therapist, MSW, LICSW
Jessica G. Counseling
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Online Only
I believe therapy should be a supportive conversation where we work together, as partners, to find the relief and balance you seek. Life is tough. It’s ok if you come into my office hurt, frustrated, and emotional. I hope you find my space supportive, welcoming, and comforting and you leave feeling grounded, confident, and resilient.
I believe therapy should be a supportive conversation where we work together, as partners, to find the relief and balance you seek. Life is tough. It’s ok if you come into my office hurt, frustrated, and emotional. I hope you find my space supportive, welcoming, and comforting and you leave feeling grounded, confident, and resilient.
(320) 302-7338 View (320) 302-7338
Photo of Allison Hurlburt, Licensed Professional Clinical Counselor, MSEd
Allison Hurlburt
Licensed Professional Clinical Counselor, MSEd
Sauk Rapids, MN 56379
I use person-centered, trauma-focused, and mindful approaches in my work with clients. Using Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Narrative Therapy, I help individuals build self-esteem, strengthen coping skills, identify their unique strengths, and reclaim their stories. My approach is collaborative, compassionate, and tailored to each person’s needs. I enjoy working with people as they navigate transitions, identity development, and change. These times can feel overwhelming, and I am passionate about helping people build resilience, confidence, and clarity as they move forward.
I use person-centered, trauma-focused, and mindful approaches in my work with clients. Using Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Narrative Therapy, I help individuals build self-esteem, strengthen coping skills, identify their unique strengths, and reclaim their stories. My approach is collaborative, compassionate, and tailored to each person’s needs. I enjoy working with people as they navigate transitions, identity development, and change. These times can feel overwhelming, and I am passionate about helping people build resilience, confidence, and clarity as they move forward.
(320) 446-3826 View (320) 446-3826
Photo of Heather Trettel, Marriage & Family Therapist, MS, LMFT, IMH-E®, PMH-C
Heather Trettel
Marriage & Family Therapist, MS, LMFT, IMH-E®, PMH-C
Sauk Rapids, MN 56379
As a Marriage and Family Therapist, I am passionate about helping others find hope and healing through their relationships. I value relationships and strive to build a comfortable space for those I work with to process events in their life, find strength in themselves and develop a deeper connection with those in their life. I value supporting people in a variety of age groups, from infancy and early childhood to adulthood as well as those in the perinatal period, who have experienced stressful or traumatic events find healing and strength.
As a Marriage and Family Therapist, I am passionate about helping others find hope and healing through their relationships. I value relationships and strive to build a comfortable space for those I work with to process events in their life, find strength in themselves and develop a deeper connection with those in their life. I value supporting people in a variety of age groups, from infancy and early childhood to adulthood as well as those in the perinatal period, who have experienced stressful or traumatic events find healing and strength.
(320) 440-4336 View (320) 440-4336
Photo of Nicole Otis, Marriage & Family Therapist, MA, LMFT, CSAT
Nicole Otis
Marriage & Family Therapist, MA, LMFT, CSAT
Online Only
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
Are you struggling with pornography or sexual compulsivity? Is secrecy, broken trust or loss of intimacy hurting your relationship? Or maybe you’re not in crisis, but you know your marriage could be stronger, more connected, more alive? You’re not alone–we have been through these issues personally and know what it’s like. I’m a Certified Sex Addiction Therapist (CSAT), and Hunter is a Certified Mentor Coach in long-term recovery. Together, we help men break free (porn, sexting, affairs, prostitution, etc) and we help couples rebuild trust and real intimacy.
(320) 317-3356 View (320) 317-3356
Photo of Tina Martell, Clinical Social Work/Therapist, MSW
Tina Martell
Clinical Social Work/Therapist, MSW
Sauk Rapids, MN 56379
I am dedicated to providing effective and compassionate mental health support to individuals, couples and teens. Throughout my career I have worked with a diverse clientele, addressing a wide range of issues such as anxiety, depression, relationship difficulties, trauma and life transitions. My goal is to create a safe, inclusive environment where you can explore your experiences and feel empowered to move toward healing and growth.
I am dedicated to providing effective and compassionate mental health support to individuals, couples and teens. Throughout my career I have worked with a diverse clientele, addressing a wide range of issues such as anxiety, depression, relationship difficulties, trauma and life transitions. My goal is to create a safe, inclusive environment where you can explore your experiences and feel empowered to move toward healing and growth.
(320) 337-2843 View (320) 337-2843
Photo of Lacie Glasser, Licensed Professional Clinical Counselor, MA, LPCC
Lacie Glasser
Licensed Professional Clinical Counselor, MA, LPCC
1 Endorsed
Online Only
Life’s transitions, whether you’re finishing school, starting a career, or just trying to balance the constant demands of adulthood, can feel like a lot to carry. It is easy to feel overwhelmed when everything is changing at once, and it’s okay to admit if you’re struggling to keep your head above water. If you are navigating the weight of anxiety, depression, or past trauma, or if you’re dealing with the specific intensity that comes with BPD, I’m here to help you find your footing. We’ll work on making sense of the overwhelm and building a path forward that feels manageable and, most importantly, like your own.
Life’s transitions, whether you’re finishing school, starting a career, or just trying to balance the constant demands of adulthood, can feel like a lot to carry. It is easy to feel overwhelmed when everything is changing at once, and it’s okay to admit if you’re struggling to keep your head above water. If you are navigating the weight of anxiety, depression, or past trauma, or if you’re dealing with the specific intensity that comes with BPD, I’m here to help you find your footing. We’ll work on making sense of the overwhelm and building a path forward that feels manageable and, most importantly, like your own.
(320) 468-8636 View (320) 468-8636
Photo of Anna Bailey, Marriage & Family Therapist, MS, LMFT
Anna Bailey
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Online Only
Are you feeling overwhelmed, stuck, or just not like yourself lately? Maybe anxiety, depression, past trauma, or relationship challenges are getting in the way of the life you want to live. If you're craving change, clarity, or simply a space to feel seen and supported, you're in the right place. I’m Anna Bailey, MS LMFT — a licensed Marriage and Family Therapist in Minnesota offering virtual therapy for individuals and couples. I specialize in working with people navigating anxiety, depression, grief, attachment issues, life transitions, and relationship/parenting struggles. My approach is warm, collaborative, and down-to-
Are you feeling overwhelmed, stuck, or just not like yourself lately? Maybe anxiety, depression, past trauma, or relationship challenges are getting in the way of the life you want to live. If you're craving change, clarity, or simply a space to feel seen and supported, you're in the right place. I’m Anna Bailey, MS LMFT — a licensed Marriage and Family Therapist in Minnesota offering virtual therapy for individuals and couples. I specialize in working with people navigating anxiety, depression, grief, attachment issues, life transitions, and relationship/parenting struggles. My approach is warm, collaborative, and down-to-
(320) 399-3867 View (320) 399-3867
Photo of Patricia L Gorman - Ellie Mental Health Services, Licensed Professional Clinical Counselor, EdD, LPCC
Ellie Mental Health Services
Licensed Professional Clinical Counselor, EdD, LPCC
3 Endorsed
Online Only
Everyone has experienced pain and disappointment in their life. For some of us that pain is keeping us from the life we want. You may have learned to cope in ways that are no longer helpful and have become "stuck." I consider it an honor to hear your story and help you navigate what is keeping you from moving forward.
Everyone has experienced pain and disappointment in their life. For some of us that pain is keeping us from the life we want. You may have learned to cope in ways that are no longer helpful and have become "stuck." I consider it an honor to hear your story and help you navigate what is keeping you from moving forward.
(651) 313-8080 View (651) 313-8080
Photo of Kristie Stephenson, Licensed Clinical Professional Counselor, LCPC, MS, CMHP
Kristie Stephenson
Licensed Clinical Professional Counselor, LCPC, MS, CMHP
1 Endorsed
Online Only
If you're feeling overwhelmed, anxious, or stuck, you're not alone and you don’t have to navigate this alone. Whether you're navigating a difficult season or seeking long-term support, I’m here to walk alongside you with empathy, insight, and unwavering care. As a mother of five adult children, I understand the complexities of life, relationships, and emotional resilience. I became a therapist to help you feel less alone and to guide you toward hope and healing. I’m passionate about breaking the stigma around mental health and helping you reclaim your voice, strength, and sense of self.
If you're feeling overwhelmed, anxious, or stuck, you're not alone and you don’t have to navigate this alone. Whether you're navigating a difficult season or seeking long-term support, I’m here to walk alongside you with empathy, insight, and unwavering care. As a mother of five adult children, I understand the complexities of life, relationships, and emotional resilience. I became a therapist to help you feel less alone and to guide you toward hope and healing. I’m passionate about breaking the stigma around mental health and helping you reclaim your voice, strength, and sense of self.
(406) 521-1469 View (406) 521-1469
Photo of Tracy Schreifels, Marriage & Family Therapist, MS, LMFT, IMH-E
Tracy Schreifels
Marriage & Family Therapist, MS, LMFT, IMH-E
1 Endorsed
Online Only
Not accepting new clients
Holding onto hope while on the journey to healing is part of my role as your therapist. My work is grounded in a developmental and relational lens, helping you make sense of where patterns began so you can make new choices moving forward. Therapy with me is collaborative — we build on your strengths, capacities, and natural resilience. I provide individual, family, and parent-child therapy to address a variety of mental health symptoms, behavioral disorders, and relationship problems. I also offer reflective consultation and training for professionals who support young children and families.
Holding onto hope while on the journey to healing is part of my role as your therapist. My work is grounded in a developmental and relational lens, helping you make sense of where patterns began so you can make new choices moving forward. Therapy with me is collaborative — we build on your strengths, capacities, and natural resilience. I provide individual, family, and parent-child therapy to address a variety of mental health symptoms, behavioral disorders, and relationship problems. I also offer reflective consultation and training for professionals who support young children and families.
(320) 400-2023 View (320) 400-2023

See more therapy options for Benton County

How does your Therapist compare?

Number of Therapists in Benton County, MN

30+

Average cost per session

$150

Therapists in Benton County, MN who prioritize treating:

97% Anxiety
94% Depression
88% Self Esteem
78% Family Conflict
78% Stress
75% Relationship Issues
66% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
85% Optum
77% UnitedHealthcare UHC | UBH

How Therapists in Benton County, MN see their clients

69% In Person and Online
31% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Benton 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.