Therapists in Kirkwood, MO

Photo of Jennifer Candice, Clinical Social Work/Therapist in Kirkwood, MO
Jennifer Candice
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kirkwood, MO 63122
Waitlist for new clients
Serious and chronic illness, difficult life transitions, or the profound grief you experience with the loss of a loved one – it can leave us feeling depressed, anxious, angry, confused, isolated, and lost. A lot of the time, we acclimate and move right along, but other times, it throws us completely off course. When the unthinkable happens to you, how do you get to a place where you feel safe, content, and at peace? Whatever your therapeutic goals may be, you deserve to feel heard, understood, and validated.
Serious and chronic illness, difficult life transitions, or the profound grief you experience with the loss of a loved one – it can leave us feeling depressed, anxious, angry, confused, isolated, and lost. A lot of the time, we acclimate and move right along, but other times, it throws us completely off course. When the unthinkable happens to you, how do you get to a place where you feel safe, content, and at peace? Whatever your therapeutic goals may be, you deserve to feel heard, understood, and validated.
(314) 926-1789 View (314) 926-1789
Photo of Steven Hahne, Licensed Professional Counselor in Kirkwood, MO
Steven Hahne
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122
My goal is to help an individual or family get past the feelings of anxiety, depression, frustration, aggravation, and the complexities in life that are holding them back from living longer and more meaningful lives. This could be accomplished by either resolving the problem or issue that is tormenting the person or family, or finding out better ways to live with it. Although there cannot always be total resolution over life’s problems or issues, given the right treatment plan we have worked on together, inner peace can be achieved.
My goal is to help an individual or family get past the feelings of anxiety, depression, frustration, aggravation, and the complexities in life that are holding them back from living longer and more meaningful lives. This could be accomplished by either resolving the problem or issue that is tormenting the person or family, or finding out better ways to live with it. Although there cannot always be total resolution over life’s problems or issues, given the right treatment plan we have worked on together, inner peace can be achieved.
(314) 226-1817 View (314) 226-1817
Photo of Jennifer Nahm, Clinical Social Work/Therapist in Kirkwood, MO
Jennifer Nahm
Clinical Social Work/Therapist, MSW, LCSW, SEP
Verified Verified
Kirkwood, MO 63122
Welcome. My approach to therapy revolves around insight, empowerment, and making meaningful changes in life. My areas of specialty include: navigating life transitions, overcoming traumatic experiences, processing grief, managing chronic illnesses, improving communication/relationship dynamics, strengthening the mind-body connection, enhancing self-esteem, and cultivating stress management practices. I also really enjoy working with other therapists and being a support/resource for a variety of wellness professionals.
Welcome. My approach to therapy revolves around insight, empowerment, and making meaningful changes in life. My areas of specialty include: navigating life transitions, overcoming traumatic experiences, processing grief, managing chronic illnesses, improving communication/relationship dynamics, strengthening the mind-body connection, enhancing self-esteem, and cultivating stress management practices. I also really enjoy working with other therapists and being a support/resource for a variety of wellness professionals.
(636) 442-1813 View (636) 442-1813
Photo of Rachel Sanderson, Licensed Professional Counselor in Kirkwood, MO
Rachel Sanderson
Licensed Professional Counselor, MA, LPC, ATR
Verified Verified
Kirkwood, MO 63122
Not accepting new clients
Have you been struggling to feel like yourself lately? Are you having a hard time enjoying life or find it overwhelming to take steps towards the life you want? Did you experience difficult events now or in the past? As a licensed professional counselor and art therapist, I am confident that each and every one of us comes from a place of intrinsic goodness. Within each of us, are the resources and resilience we need to navigate life. It is my goal to hold a space for you to reconnect with your natural abilities and turn difficult social and emotional situations into opportunities for empowerment, compassion, and independence.
Have you been struggling to feel like yourself lately? Are you having a hard time enjoying life or find it overwhelming to take steps towards the life you want? Did you experience difficult events now or in the past? As a licensed professional counselor and art therapist, I am confident that each and every one of us comes from a place of intrinsic goodness. Within each of us, are the resources and resilience we need to navigate life. It is my goal to hold a space for you to reconnect with your natural abilities and turn difficult social and emotional situations into opportunities for empowerment, compassion, and independence.
(314) 866-9314 View (314) 866-9314
Photo of Melissa Koch, Licensed Professional Counselor in Kirkwood, MO
Melissa Koch
Licensed Professional Counselor, MA, LPC, SEP
Verified Verified
10 Endorsed
Kirkwood, MO 63122
Do you struggle with knowing what you want out of life? Do you have a hard time in and out of relationships? I help people to form a meaningful relationship with themself and others. My specialties include women’s concerns, relational and attachment concerns, and disordered eating. Feeling lost in life, the on the edge feeling of anxiety, the weighted down feelings of depression, and preoccupation with weight and food do not need to define you and be a part of your daily life. I have seen clients begin the journey of healing and achieve the healthy and happy life they want.
Do you struggle with knowing what you want out of life? Do you have a hard time in and out of relationships? I help people to form a meaningful relationship with themself and others. My specialties include women’s concerns, relational and attachment concerns, and disordered eating. Feeling lost in life, the on the edge feeling of anxiety, the weighted down feelings of depression, and preoccupation with weight and food do not need to define you and be a part of your daily life. I have seen clients begin the journey of healing and achieve the healthy and happy life they want.
(314) 300-0313 View (314) 300-0313
Photo of Mike Cockson, Pre-Licensed Professional in Kirkwood, MO
Mike Cockson
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122
Are you achieving your goals and truly living your best life? If you answered yes, then you have discovered a secret that many often spend a lifetime trying to find. If you answered no to that question or just aren’t sure, then you are not alone! The truth is we all struggle with something whether it be mental, physical or combination of both. The issue is when those struggles become a focal point in our life which prevents us from focusing on our purpose and achieving joy and happiness. I'll help you identify ways to resolve those struggles/find solutions so you can live a life you are truly happy with!
Are you achieving your goals and truly living your best life? If you answered yes, then you have discovered a secret that many often spend a lifetime trying to find. If you answered no to that question or just aren’t sure, then you are not alone! The truth is we all struggle with something whether it be mental, physical or combination of both. The issue is when those struggles become a focal point in our life which prevents us from focusing on our purpose and achieving joy and happiness. I'll help you identify ways to resolve those struggles/find solutions so you can live a life you are truly happy with!
(314) 916-4268 View (314) 916-4268
Photo of Ashley Menard, Licensed Professional Counselor in Kirkwood, MO
Ashley Menard
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122
Not accepting new clients at this time. Abundant Minds is here to help you restore a sense of empowerment in your life. In our therapeutic healing approach of connecting the mind and body, you can establish a warrior mindset that allows you to feel a greater sense of balance, strength, and flexibility through life. ​
Not accepting new clients at this time. Abundant Minds is here to help you restore a sense of empowerment in your life. In our therapeutic healing approach of connecting the mind and body, you can establish a warrior mindset that allows you to feel a greater sense of balance, strength, and flexibility through life. ​
(314) 626-9023 View (314) 626-9023
Photo of Heiser Counseling and Healing Arts, Licensed Professional Counselor in Kirkwood, MO
Heiser Counseling and Healing Arts
Licensed Professional Counselor, ATR, LPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122
I enjoy helping people become self-aware, accepting, heal and improve their quality of life and relationships. I use a variety of approaches, including client centered, strengthbased, focused on goals set with client. I enjoy helping people grow, and become self and spiritually aware. I work with children, (6 -19), and adults dealing with PTSD, trauma, anxiety, attachments issues, relationships, addictions, and mortality. I enjoy working with individuals, partners, couples and families. I believe in the power of focused healing, increased awareness, acceptence, hope and love.
I enjoy helping people become self-aware, accepting, heal and improve their quality of life and relationships. I use a variety of approaches, including client centered, strengthbased, focused on goals set with client. I enjoy helping people grow, and become self and spiritually aware. I work with children, (6 -19), and adults dealing with PTSD, trauma, anxiety, attachments issues, relationships, addictions, and mortality. I enjoy working with individuals, partners, couples and families. I believe in the power of focused healing, increased awareness, acceptence, hope and love.
(618) 712-0291 View (618) 712-0291
Photo of Mallory Lamb, Psychologist in Kirkwood, MO
Mallory Lamb
Psychologist, PsyD
Verified Verified
Kirkwood, MO 63122  (Online Only)
Not accepting new clients
Many of my clients have anxiety that presents as overthinking, indecision, self-criticism, avoidance, and tying worth to performance. This may show up in relationships, self-esteem, or a sense of overwhelm. Together we will lean into anxiety to re-expand your life, deconstruct your inner-critic, and change patterns keeping you stuck. In my practice, I primarily utilize relationally and developmentally informed Cognitive-Behavioral Therapy (CBT). My style is a blend of process and practical, to gain insight and make change when you are ready.
Many of my clients have anxiety that presents as overthinking, indecision, self-criticism, avoidance, and tying worth to performance. This may show up in relationships, self-esteem, or a sense of overwhelm. Together we will lean into anxiety to re-expand your life, deconstruct your inner-critic, and change patterns keeping you stuck. In my practice, I primarily utilize relationally and developmentally informed Cognitive-Behavioral Therapy (CBT). My style is a blend of process and practical, to gain insight and make change when you are ready.
(314) 526-2512 View (314) 526-2512
Photo of Michael A Midiri III, Clinical Social Work/Therapist in Kirkwood, MO
Michael A Midiri III
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kirkwood, MO 63122
Sometimes life gets uncomfortable, and there may be days where it feels like you expend all of your energy just getting through the day. I will work with you to not only ‘look back’ at the choices, events or biological factors that may have caused the current distress or situation, but also gently guide you to a place of personal change and healing.
Sometimes life gets uncomfortable, and there may be days where it feels like you expend all of your energy just getting through the day. I will work with you to not only ‘look back’ at the choices, events or biological factors that may have caused the current distress or situation, but also gently guide you to a place of personal change and healing.
(314) 350-5916 View (314) 350-5916
Photo of Angela Lovett, Licensed Professional Counselor in Kirkwood, MO
Angela Lovett
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
5 Endorsed
Kirkwood, MO 63122
Hi there, I am here to help you. I work with individuals, couples, and families with struggles ranging from current life issues, relationship struggles, and issues that have been a lifelong battle. Clients often come to me because they have hit the lowest point and have never felt more alone, even after trying therapy countless times before. Many clients have left counseling finding resolution and a drive to live their life to the fullest. My clients have expressed finding healing, feeling equipped to manage life, and having healthier relationships and connections with others that they previously thought weren't possible.
Hi there, I am here to help you. I work with individuals, couples, and families with struggles ranging from current life issues, relationship struggles, and issues that have been a lifelong battle. Clients often come to me because they have hit the lowest point and have never felt more alone, even after trying therapy countless times before. Many clients have left counseling finding resolution and a drive to live their life to the fullest. My clients have expressed finding healing, feeling equipped to manage life, and having healthier relationships and connections with others that they previously thought weren't possible.
(314) 207-0749 View (314) 207-0749
Photo of Julie Geeting, Licensed Professional Counselor in Kirkwood, MO
Julie Geeting
Licensed Professional Counselor, LPC, NBC-HWC
Verified Verified
Kirkwood, MO 63122
The clients I serve are often in a moment of transition and are unsure what the path forward looks like. They are seeking clarity, as well as relief from their symptoms of stress, anxiety, depression and grief. Clients I enjoy working with understand that therapy extends beyond our scheduled time, and may include setting goals and practicing skills that grow reflection, insight and behavior change. I have seen that therapy and coaching can lead to greater self-understanding and a deeper, more dynamic framework for managing modern life and changing how we relate with ourselves and others.
The clients I serve are often in a moment of transition and are unsure what the path forward looks like. They are seeking clarity, as well as relief from their symptoms of stress, anxiety, depression and grief. Clients I enjoy working with understand that therapy extends beyond our scheduled time, and may include setting goals and practicing skills that grow reflection, insight and behavior change. I have seen that therapy and coaching can lead to greater self-understanding and a deeper, more dynamic framework for managing modern life and changing how we relate with ourselves and others.
(314) 451-5593 View (314) 451-5593
Photo of Sherri M Moore, Licensed Professional Counselor in Kirkwood, MO
Sherri M Moore
Licensed Professional Counselor, MA, LPC
Verified Verified
Kirkwood, MO 63122
Pain. Fear. Anxiety. Sadness. The majority of challenges we experience in our life probably have something to do with relationships; either relationships with ourselves, our family, our jobs, our thoughts, etc. CHANGE can be scary and painful. Through building a therapeutic relationship with me, you can process your life, decisions, consequences, and hopes with support, empathy, and truth.
Pain. Fear. Anxiety. Sadness. The majority of challenges we experience in our life probably have something to do with relationships; either relationships with ourselves, our family, our jobs, our thoughts, etc. CHANGE can be scary and painful. Through building a therapeutic relationship with me, you can process your life, decisions, consequences, and hopes with support, empathy, and truth.
(314) 470-9203 View (314) 470-9203
Photo of Katie Francis, Licensed Professional Counselor in Kirkwood, MO
Katie Francis
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Kirkwood, MO 63122
Waitlist for new clients
I often say, counseling can be a bit like cleaning out a closet. You have to take things out, go through and organize them, and then put them back where they need to go. In a similar fashion, counseling can be messy, but with time and hard work, can lead to healthier, more enjoyable living. Throughout this life, we all have our individual struggles and hardships, but we weren't meant to carry them alone. No matter who you are or what you've been through, there is hope. In our sessions together, I strive to come alongside you in the pursuit of that hope and restorative healing.
I often say, counseling can be a bit like cleaning out a closet. You have to take things out, go through and organize them, and then put them back where they need to go. In a similar fashion, counseling can be messy, but with time and hard work, can lead to healthier, more enjoyable living. Throughout this life, we all have our individual struggles and hardships, but we weren't meant to carry them alone. No matter who you are or what you've been through, there is hope. In our sessions together, I strive to come alongside you in the pursuit of that hope and restorative healing.
(470) 768-9427 View (470) 768-9427
Photo of Olivia Leeker, Psychologist in Kirkwood, MO
Olivia Leeker
Psychologist, PhD
Verified Verified
Kirkwood, MO 63122
Are you seeking inner growth and healing? Struggling with anxiety or past trauma(s)? Feeling depressed or stuck? Having difficulty in your relationships? Finding yourself easily triggered? Wanting to better understand yourself? If so, then the services I provide may be a great fit for you! I work to create a non-judgmental, safe space to allow for a trusting and connected therapeutic relationship to grow. Through this, clients are able to face emotional vulnerabilities, leading to increased understanding, compassion, and acceptance of self and others, and take committed actions towards self-growth and healing.
Are you seeking inner growth and healing? Struggling with anxiety or past trauma(s)? Feeling depressed or stuck? Having difficulty in your relationships? Finding yourself easily triggered? Wanting to better understand yourself? If so, then the services I provide may be a great fit for you! I work to create a non-judgmental, safe space to allow for a trusting and connected therapeutic relationship to grow. Through this, clients are able to face emotional vulnerabilities, leading to increased understanding, compassion, and acceptance of self and others, and take committed actions towards self-growth and healing.
(314) 266-8872 View (314) 266-8872
Photo of Heather Hewitt, Clinical Social Work/Therapist in Kirkwood, MO
Heather Hewitt
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kirkwood, MO 63122
Welcome! My definition of therapy is simple: it is the decision to live consciously and with intention. By choosing therapy you are choosing to LEVEL-UP your life!
Welcome! My definition of therapy is simple: it is the decision to live consciously and with intention. By choosing therapy you are choosing to LEVEL-UP your life!
(314) 936-4076 View (314) 936-4076
Photo of Shelley M Stretch, Licensed Professional Counselor in Kirkwood, MO
Shelley M Stretch
Licensed Professional Counselor, MEd, LPC
Verified Verified
6 Endorsed
Kirkwood, MO 63122
Are you overwhelmed by life's challenges? Have you been struggling with issues such as anxiety, depression, self-doubt, feeling stuck in the past or waiting for the ‘other shoe to drop?’ Are you wanting to gain insight, learn coping strategies, and resiliency? Change is possible, and we all possess the capability to heal and thrive. I provide a safe, non-judgmental space to explore emotions, thoughts, beliefs, and past experiences. Therapy is a highly individualized process and I am dedicated to creating a non-judgmental space where you can explore, heal, and grow. It would be an honor to be present and assist you on your journey.
Are you overwhelmed by life's challenges? Have you been struggling with issues such as anxiety, depression, self-doubt, feeling stuck in the past or waiting for the ‘other shoe to drop?’ Are you wanting to gain insight, learn coping strategies, and resiliency? Change is possible, and we all possess the capability to heal and thrive. I provide a safe, non-judgmental space to explore emotions, thoughts, beliefs, and past experiences. Therapy is a highly individualized process and I am dedicated to creating a non-judgmental space where you can explore, heal, and grow. It would be an honor to be present and assist you on your journey.
(314) 439-8940 View (314) 439-8940
Photo of Lainie Barron, Licensed Professional Counselor in Kirkwood, MO
Lainie Barron
Licensed Professional Counselor, MA, LPC , LCPC
Verified Verified
2 Endorsed
Kirkwood, MO 63122
Waitlist for new clients
Hello there! Often taking the first step to decide to go to therapy is a big decision and I am here to help you and walk beside you in your path towards working to address your concerns. I work with adolescents and adults with concerns ranging from current life issues, relationship issues, or ongoing lifelong issues. I offer openness and collaboration to those I work with and see therapy as a collaborative effort between the client and therapist.
Hello there! Often taking the first step to decide to go to therapy is a big decision and I am here to help you and walk beside you in your path towards working to address your concerns. I work with adolescents and adults with concerns ranging from current life issues, relationship issues, or ongoing lifelong issues. I offer openness and collaboration to those I work with and see therapy as a collaborative effort between the client and therapist.
(314) 451-7055 View (314) 451-7055
Photo of Caitie DuMontier Fahrner, Licensed Professional Counselor in Kirkwood, MO
Caitie DuMontier Fahrner
Licensed Professional Counselor, MA, LPC
Verified Verified
Kirkwood, MO 63122
You are here for a reason, and I am here to support you in your journey. I provide a welcoming therapeutic environment that offers a safe place to facilitate change, promote personal growth, and learn new strategies and coping skills to manage distress. I value each individual that I work with and tailor my therapy practice to meet you at your level of comfort during our sessions. My goal is to collaborate with you to understand your current concerns and work together to find your path to peace and healing.
You are here for a reason, and I am here to support you in your journey. I provide a welcoming therapeutic environment that offers a safe place to facilitate change, promote personal growth, and learn new strategies and coping skills to manage distress. I value each individual that I work with and tailor my therapy practice to meet you at your level of comfort during our sessions. My goal is to collaborate with you to understand your current concerns and work together to find your path to peace and healing.
(844) 280-0038 View (844) 280-0038
Photo of Vera Gabliani, Psychologist in Kirkwood, MO
Vera Gabliani
Psychologist, PhD
Verified Verified
2 Endorsed
Kirkwood, MO 63122  (Online Only)
The way you are living isn't working anymore. It's getting harder to keep up the appearance of being fine like you always have. When you think about how you've been acting and feeling recently, you're not quite sure you like the person you've become. All the struggles & conflicts you face with your partner, kids, family, co-workers keep you on overload, but you have no idea how you could handle them differently. You feel like your life is out of control, and you are ready to try anything that might help you to not completely fall apart and live in dread and overwhelm every day.
The way you are living isn't working anymore. It's getting harder to keep up the appearance of being fine like you always have. When you think about how you've been acting and feeling recently, you're not quite sure you like the person you've become. All the struggles & conflicts you face with your partner, kids, family, co-workers keep you on overload, but you have no idea how you could handle them differently. You feel like your life is out of control, and you are ready to try anything that might help you to not completely fall apart and live in dread and overwhelm every day.
(314) 222-2399 View (314) 222-2399

How does your Therapist compare?

Number of Therapists in Kirkwood, MO

200+

Average cost per session

$130

Therapists in Kirkwood, MO who prioritize treating:

96% Anxiety
90% Depression
80% Relationship Issues
80% Self Esteem
69% Coping Skills
69% Stress
67% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

76% UnitedHealthcare UHC | UBH
64% Aetna
62% Cigna and Evernorth

How Therapists in Kirkwood, MO see their clients

87% In Person and Online
13% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Kirkwood?

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.