Therapists in Pelican Rapids, MN

Photo of James D Cronin, LICSW, Clinical Social Work/Therapist
James D Cronin
Clinical Social Work/Therapist, LICSW
Verified Verified
Pelican Rapids, MN 56572
Hello, I’m James Cronin. I am a Licensed Independent Clinical Social Worker in North Dakota and Minnesota. More importantly, I’m in the business of helping people! For over 20 years I have worked passionately with individuals, couples and families to improve quality of life, reduce stress and navigate relationships. I believe every person is important! I believe people are capable of exploring life experiences to discover how their strengths can open doors to amazing opportunities for growth. If you are ready to start the journey of improving relationships and understanding yourself more completely don't hesitate to contact me.
Hello, I’m James Cronin. I am a Licensed Independent Clinical Social Worker in North Dakota and Minnesota. More importantly, I’m in the business of helping people! For over 20 years I have worked passionately with individuals, couples and families to improve quality of life, reduce stress and navigate relationships. I believe every person is important! I believe people are capable of exploring life experiences to discover how their strengths can open doors to amazing opportunities for growth. If you are ready to start the journey of improving relationships and understanding yourself more completely don't hesitate to contact me.
(701) 809-9121 View (701) 809-9121
Photo of Tammy Schwantes Churchill, MA, LMFT, LPN, Marriage & Family Therapist
Tammy Schwantes Churchill
Marriage & Family Therapist, MA, LMFT, LPN
Verified Verified
Pelican Rapids, MN 56572
Not accepting new clients
Beginning therapy for the first time or the twentieth can be a scary endeavor. It requires a certain vulnerability -- of allowing yourself to be seen and known by another. Whether you struggle with symptoms of anxiety, depression, anger, grief, relationship struggles, parenting issues, addiction, or a whole host of other issues, my role is to create an atmosphere of welcome -- a safe and sacred space in which we can explore hurts and fears as well as hopes and dreams for the future. I look forward to walking the journey to your best self and your best relationships with you.
Beginning therapy for the first time or the twentieth can be a scary endeavor. It requires a certain vulnerability -- of allowing yourself to be seen and known by another. Whether you struggle with symptoms of anxiety, depression, anger, grief, relationship struggles, parenting issues, addiction, or a whole host of other issues, my role is to create an atmosphere of welcome -- a safe and sacred space in which we can explore hurts and fears as well as hopes and dreams for the future. I look forward to walking the journey to your best self and your best relationships with you.
(218) 210-8178 View (218) 210-8178
Photo of Elizabeth Niewojna, MEd, LPCC
Elizabeth Niewojna
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
Pelican Rapids, MN 56572  (Online Only)
We can all experience so much pain and suffering, when we feel alone or lost in something we are going through, especially when there can be many difficulties in life and often things we cannot control. It can be automatic to think that something is wrong with us, trap things inside, and go through it alone, not trusting others to handle us with kindness and care. I created ENA Counseling to provide personalized care with the needed warmth and attention to help you on your journey, respecting you as your own person, and supporting you with your goals on your terms.
We can all experience so much pain and suffering, when we feel alone or lost in something we are going through, especially when there can be many difficulties in life and often things we cannot control. It can be automatic to think that something is wrong with us, trap things inside, and go through it alone, not trusting others to handle us with kindness and care. I created ENA Counseling to provide personalized care with the needed warmth and attention to help you on your journey, respecting you as your own person, and supporting you with your goals on your terms.
(218) 845-5240 View (218) 845-5240
Photo of Megan Sue Kampstra, MS, LPCC, Counselor
Megan Sue Kampstra
Counselor, MS, LPCC
Verified Verified
Pelican Rapids, MN 56572
Waitlist for new clients
I will apply current neurological research to treat a variety of disorders and problems including anxiety, depression, ADHD, attachment and bonding, relationship challenges, parenting issues, stress, self esteem, personality disorders and trauma. I am trained in methods of play therapy for working with children whose language is play. I have training in personality disorder management and treatment, and work with individuals recovering from narcissistic abuse.
I will apply current neurological research to treat a variety of disorders and problems including anxiety, depression, ADHD, attachment and bonding, relationship challenges, parenting issues, stress, self esteem, personality disorders and trauma. I am trained in methods of play therapy for working with children whose language is play. I have training in personality disorder management and treatment, and work with individuals recovering from narcissistic abuse.
(218) 276-8964 View (218) 276-8964
Photo of Dave Churchill, MA, LMFT, Marriage & Family Therapist
Dave Churchill
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pelican Rapids, MN 56572
Our lives are full of stressful events, and stress often leads to problems such as anxiety, anger, depression, and substance use. Among the common, stressful events people encounter are life changes such as marriage problems and divorce. Others include major life turning points like re-marriage, children's arrival at adolescence, and retirement. Reaching out for help during difficult times can be a big decision, yet getting help is often the path to resolving life problems.
Our lives are full of stressful events, and stress often leads to problems such as anxiety, anger, depression, and substance use. Among the common, stressful events people encounter are life changes such as marriage problems and divorce. Others include major life turning points like re-marriage, children's arrival at adolescence, and retirement. Reaching out for help during difficult times can be a big decision, yet getting help is often the path to resolving life problems.
(320) 238-1142 View (320) 238-1142
Re-engagelifecom
Clinical Social Work/Therapist, LCSW
Verified Verified
Pelican Rapids, MN 56572
(218) 595-7937 View (218) 595-7937

Online Therapists

Photo of Rita Anderson - Wellness Matters, MA, LPCC, LADC, Licensed Professional Counselor
Rita Anderson - Wellness Matters
Licensed Professional Counselor, MA, LPCC, LADC
Verified Verified
1 Endorsed
Park Rapids, MN 56470
Waitlist for new clients
Do you feel stuck? Are you a therapist, nurse, doctor, educator or other professional struggling to manage stress? At Wellness Matters LLC, we take a practical approach to therapy. We quickly identify key concerns that can be targeted for immediate improvement. We are proficient in coping skill development for health and happiness. We help “pull back the curtain” on unhelpful thinking patterns and maladaptive interpersonal dynamics. We help highlight choice points for experimenting with new behaviors with the goal of improving functioning and increasing joy.
Do you feel stuck? Are you a therapist, nurse, doctor, educator or other professional struggling to manage stress? At Wellness Matters LLC, we take a practical approach to therapy. We quickly identify key concerns that can be targeted for immediate improvement. We are proficient in coping skill development for health and happiness. We help “pull back the curtain” on unhelpful thinking patterns and maladaptive interpersonal dynamics. We help highlight choice points for experimenting with new behaviors with the goal of improving functioning and increasing joy.
(218) 366-8697 View (218) 366-8697
Photo of Molly Westerman - Sprout Midwest Wellness, MSW, LICSW, Clinical Social Work/Therapist
Sprout Midwest Wellness
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Graceville, MN 56240
Life can be a wild ride with many ups and downs, causing additional stress and uncertain feelings. Maybe you are experiencing thoughts or feelings that you aren't quite sure what to do with, but they just don't feel "right". Or perhaps, you or a loved one experienced something a while back, maybe a few weeks ago or even several years ago, that might be influencing how you're doing today. I'd love to sit down with you and take a deeper look into who you are, what you are needing (whether you know it yet or not), and how I can help you get where you want to be.
Life can be a wild ride with many ups and downs, causing additional stress and uncertain feelings. Maybe you are experiencing thoughts or feelings that you aren't quite sure what to do with, but they just don't feel "right". Or perhaps, you or a loved one experienced something a while back, maybe a few weeks ago or even several years ago, that might be influencing how you're doing today. I'd love to sit down with you and take a deeper look into who you are, what you are needing (whether you know it yet or not), and how I can help you get where you want to be.
(320) 317-8754 View (320) 317-8754
Photo of Jeri Lynn Srur, LICSW, Clinical Social Work/Therapist
Jeri Lynn Srur
Clinical Social Work/Therapist, LICSW
Verified Verified
Bemidji, MN 56601  (Online Only)
Jeri is Licensed Clinical Social Worker and National Board Certified Clinical Hypnotherapist. She received an undergraduate (minor in Substance Use & Abuse) and a graduate degree in Social Work with honors. She was in the top two percent of her Graduate Class. She carries four clinical licenses in the States of: •Illinois 149-009411 •California 20147 •North Dakota 2608 •Minnesota 24124 NPI 1376674499. She has over 25 years of experience working with children, adolescents, adults and families in the Behavioral Health field. Her clinical experience is in Trauma and Substance Use.
Jeri is Licensed Clinical Social Worker and National Board Certified Clinical Hypnotherapist. She received an undergraduate (minor in Substance Use & Abuse) and a graduate degree in Social Work with honors. She was in the top two percent of her Graduate Class. She carries four clinical licenses in the States of: •Illinois 149-009411 •California 20147 •North Dakota 2608 •Minnesota 24124 NPI 1376674499. She has over 25 years of experience working with children, adolescents, adults and families in the Behavioral Health field. Her clinical experience is in Trauma and Substance Use.
(218) 630-7572 View (218) 630-7572
Photo of Sarah Cronin, PhD, LP, Psychologist
Sarah Cronin
Psychologist, PhD, LP
Verified Verified
Bemidji, MN 56601  (Online Only)
Book with me now by clicking on my website! I specialize in working with emerging adults as they make sense of their early life experiences, heal from past hurts, and establish their adult identity. I have also led groups supporting caregivers of trans and non-binary youth. Throughout my training I gained experience serving youth who experienced early childhood trauma, college students seeking help so they could stay in school, and parents needing support to be the best they could for their children. I am now a professor of psychology, which helps me stay up to date on the most recent research and practices.
Book with me now by clicking on my website! I specialize in working with emerging adults as they make sense of their early life experiences, heal from past hurts, and establish their adult identity. I have also led groups supporting caregivers of trans and non-binary youth. Throughout my training I gained experience serving youth who experienced early childhood trauma, college students seeking help so they could stay in school, and parents needing support to be the best they could for their children. I am now a professor of psychology, which helps me stay up to date on the most recent research and practices.
(218) 309-7699 View (218) 309-7699
Photo of Debbie Colbeck, MA, NCC, Pre-Licensed Professional
Debbie Colbeck
Pre-Licensed Professional, MA, NCC
Verified Verified
2 Endorsed
Fergus Falls, MN 56537
My name is Debbie Colbeck. I work with adolescents (ages 14 & up), adults, couples, and the elderly population. I have experience working with anxiety, depression, divorce, behavioral issues, life transitions, emotional disturbance, grief, stress, boundaries, mood disorders, obsessive-compulsive disorder (OCD), PTSD, panic disorder, women's issues, parenting issues, adjustment issues, and narcissistic abuse. Every session is tailored to the client's needs, working together toward hope and healing.
My name is Debbie Colbeck. I work with adolescents (ages 14 & up), adults, couples, and the elderly population. I have experience working with anxiety, depression, divorce, behavioral issues, life transitions, emotional disturbance, grief, stress, boundaries, mood disorders, obsessive-compulsive disorder (OCD), PTSD, panic disorder, women's issues, parenting issues, adjustment issues, and narcissistic abuse. Every session is tailored to the client's needs, working together toward hope and healing.
(218) 207-0285 View (218) 207-0285
Photo of Brooke Martinez, MS, LMFT, Marriage & Family Therapist
Brooke Martinez
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Staples, MN 56479  (Online Only)
NOW Accepting NEW Clients! I have a high interest and immense passion in helping others in their mental health struggles; particularly those with relational issues in need of couples counseling and family therapy in all age groups. I specialize in clients undergoing Major Depression, Anxiety, PTSD, ADHD, and mood/personality disorders. The reward in witnessing therapy provide betterment onto my clients is priceless and being able to provide this therapy to more has become my life’s purpose.
NOW Accepting NEW Clients! I have a high interest and immense passion in helping others in their mental health struggles; particularly those with relational issues in need of couples counseling and family therapy in all age groups. I specialize in clients undergoing Major Depression, Anxiety, PTSD, ADHD, and mood/personality disorders. The reward in witnessing therapy provide betterment onto my clients is priceless and being able to provide this therapy to more has become my life’s purpose.
(651) 867-4131 View (651) 867-4131
Photo of Becky Schwarzhoff, LGSW, LADC-S, Clinical Social Work/Therapist
Becky Schwarzhoff
Clinical Social Work/Therapist, LGSW, LADC-S
Verified Verified
Fergus Falls, MN 56537  (Online Only)
I provide telehealth services for diagnostic assessments, chemical use assessments, and on-going therapy for children 6 and up and adults. I have experience working in private foster care, adolescent and adult mental health and chemical dependency treatment, at in-patient secure settings, out-patient settings, and in an adult psychiatric hospital setting. I have worked with justice involved individuals, those with court-ordered commitments for both mental illness and chemical dependency, and at a juvenile DOC facility. My work has also included providing in-home services with families and kids of all ages.
I provide telehealth services for diagnostic assessments, chemical use assessments, and on-going therapy for children 6 and up and adults. I have experience working in private foster care, adolescent and adult mental health and chemical dependency treatment, at in-patient secure settings, out-patient settings, and in an adult psychiatric hospital setting. I have worked with justice involved individuals, those with court-ordered commitments for both mental illness and chemical dependency, and at a juvenile DOC facility. My work has also included providing in-home services with families and kids of all ages.
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Photo of Kris Chaffee, PsyD LP, Psychologist
Kris Chaffee
Psychologist, PsyD LP
Verified Verified
Pequot Lakes, MN 56472  (Online Only)
I have 40 years of experience working with a multitude of diagnoses and ages. I currently work with adults on an individual basis. I utilize an array of modalities to address the mental health challenges life has for us. I meet people wherever they are at and enjoy building on people's strengths to help them find balance in their lives.
I have 40 years of experience working with a multitude of diagnoses and ages. I currently work with adults on an individual basis. I utilize an array of modalities to address the mental health challenges life has for us. I meet people wherever they are at and enjoy building on people's strengths to help them find balance in their lives.
(651) 372-8683 View (651) 372-8683
Photo of Lisa J Keller, PsyD, LP, MN, LPCC, ND, Psychologist
Lisa J Keller
Psychologist, PsyD, LP, MN, LPCC, ND
Verified Verified
Moorhead, MN 56560
As of October 25, 2024, I will be stepping back into semi-retirement and will no longer be available for therapy or psychological testing. I am no longer accepting new clients or continuing current services. For those seeking support, I recommend finding another qualified therapist or psychologist who can assist with your needs. Thank you for the opportunity to have worked with you.
As of October 25, 2024, I will be stepping back into semi-retirement and will no longer be available for therapy or psychological testing. I am no longer accepting new clients or continuing current services. For those seeking support, I recommend finding another qualified therapist or psychologist who can assist with your needs. Thank you for the opportunity to have worked with you.
(218) 366-8572 View (218) 366-8572
Photo of Martha Mino, LCSW, Clinical Social Work/Therapist
Martha Mino
Clinical Social Work/Therapist, LCSW
Verified Verified
Crookston, MN 56716  (Online Only)
Bilingual in Spanish, born in Mexico City, bi-cultural, got my master’s degree in social work at the University of North Dakota. I am an Independent Clinical Social Worker in the states of MN and FL. Nationwide, a Holistic Therapist and practice Alternative Medicine. With knowledge in Metaphysics, Quantum Mechanics and Epigenetics. Certified as an Emotional Freedom Therapist (tapping,) trained in clinical and spiritual hypnosis, and energy psychology among other science-based therapies and techniques.
Bilingual in Spanish, born in Mexico City, bi-cultural, got my master’s degree in social work at the University of North Dakota. I am an Independent Clinical Social Worker in the states of MN and FL. Nationwide, a Holistic Therapist and practice Alternative Medicine. With knowledge in Metaphysics, Quantum Mechanics and Epigenetics. Certified as an Emotional Freedom Therapist (tapping,) trained in clinical and spiritual hypnosis, and energy psychology among other science-based therapies and techniques.
(754) 529-5286 View (754) 529-5286
Photo of Moriah Krueger, LPC
Moriah Krueger
Licensed Professional Clinical Counselor, LPC
Verified Verified
2 Endorsed
Little Falls, MN 56345
You really can have a life of abundance, peace, and joy! Starting therapy can be therapy, as some people are afraid that they won't be able to experience a real connection with their therapist. I can promise you that I am as genuine as it gets! We will work together to achieve whatever goals you want in life while enjoying the process as much as possible and experiencing yourself in new ways. Calling a therapist can be intimidating, but I hope you will take a moment (and maybe a deep breath) to call and see how I can help.
You really can have a life of abundance, peace, and joy! Starting therapy can be therapy, as some people are afraid that they won't be able to experience a real connection with their therapist. I can promise you that I am as genuine as it gets! We will work together to achieve whatever goals you want in life while enjoying the process as much as possible and experiencing yourself in new ways. Calling a therapist can be intimidating, but I hope you will take a moment (and maybe a deep breath) to call and see how I can help.
(763) 247-4775 View (763) 247-4775
Photo of Victoria Selander, MSW, LGSW, Clinical Social Work/Therapist
Victoria Selander
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
New York Mills, MN 56567
Are you struggling with stressful emotions, hopeless thoughts, or feeling generally overwhelmed in your day to day life? Are you trying to prioritize yourself while also trying to prioritize children, partners, mental/physical health, a career, finances, household tasks, hobbies, etc.? Lets be honest, the list could go on and on. I understand the struggle of daily worries and general life problems. I am a licensed therapist who wants to help assist you in putting yourself at the top of your list, rather than the bottom. In order to be the healthiest versions of ourselves, we must be able to take the step towards a different future.
Are you struggling with stressful emotions, hopeless thoughts, or feeling generally overwhelmed in your day to day life? Are you trying to prioritize yourself while also trying to prioritize children, partners, mental/physical health, a career, finances, household tasks, hobbies, etc.? Lets be honest, the list could go on and on. I understand the struggle of daily worries and general life problems. I am a licensed therapist who wants to help assist you in putting yourself at the top of your list, rather than the bottom. In order to be the healthiest versions of ourselves, we must be able to take the step towards a different future.
(218) 261-7378 View (218) 261-7378
Photo of Miranda Aulie - Wishing Well Therapy Services, MSW, LICSW, Clinical Social Work/Therapist
Wishing Well Therapy Services
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Baxter, MN 56425
Dedicated to women's holistic well-being, I specialize in addressing the unique challenges faced by women aged 15 and up. Through a blend of compassion, understanding, and a touch of humor, I focus on the complexities of life through the female lens. I work to support clients in navigating different life stages, learn strategies to help improve relationships, process trauma, break unhealthy generational patterns, understand our own mental health and how it may change throughout the course of our lifetimes all while gaining healthy coping skills and working to find the true meaning of love for ourselves and others.
Dedicated to women's holistic well-being, I specialize in addressing the unique challenges faced by women aged 15 and up. Through a blend of compassion, understanding, and a touch of humor, I focus on the complexities of life through the female lens. I work to support clients in navigating different life stages, learn strategies to help improve relationships, process trauma, break unhealthy generational patterns, understand our own mental health and how it may change throughout the course of our lifetimes all while gaining healthy coping skills and working to find the true meaning of love for ourselves and others.
(218) 203-4048 x218851 View (218) 203-4048 x218851
Photo of Amber Rosier, MSW, LICSW , Clinical Social Work/Therapist
Amber Rosier
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Brainerd, MN 56401
Waitlist for new clients
I have 4+ years of experience in working with trauma in all ages and genders. I utilize Accelerated Resolution Therapy (ART) and it is helping so many people in a short amount of time! Contact me for a consultation regarding ART. I also work with anxiety, depression, adjustment disorders, borderline personality disorder, bipolar, post-traumatic stress disorder, and many other diagnoses.
I have 4+ years of experience in working with trauma in all ages and genders. I utilize Accelerated Resolution Therapy (ART) and it is helping so many people in a short amount of time! Contact me for a consultation regarding ART. I also work with anxiety, depression, adjustment disorders, borderline personality disorder, bipolar, post-traumatic stress disorder, and many other diagnoses.
(218) 357-4567 View (218) 357-4567

See more therapy options for Pelican Rapids

How does your Therapist compare?

Number of Therapists in Pelican Rapids, MN

< 10

Therapists in Pelican Rapids, MN who prioritize treating:

67% Relationship Issues
67% Depression
67% Anxiety
67% Parenting
67% Divorce
67% Behavioral Issues
67% Family Conflict

Average years in practice

7 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
75% Medica
75% UnitedHealthcare UHC | UBH

How Therapists in Pelican Rapids, MN see their clients

84% In Person and Online
16% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Pelican Rapids?

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.