Therapists in Jackson County, MO

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Photo of Elizabeth Farrah, Clinical Social Work/Therapist in Jackson County, MO
Elizabeth Farrah
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kansas City, MO 64108  (Online Only)
To anyone who may be struggling but are willing to give therapy a chance: I'm glad you're here. I'm glad you're here taking strides towards helping yourself find peace, pursue growth, and gain support while working through challenges life may have thrown at you. Every person deserves to feel whole, safe, and heard while they are on their journey. In both my professional and personal experience, therapy is a profound process that can help guide people to find these things within themselves.
To anyone who may be struggling but are willing to give therapy a chance: I'm glad you're here. I'm glad you're here taking strides towards helping yourself find peace, pursue growth, and gain support while working through challenges life may have thrown at you. Every person deserves to feel whole, safe, and heard while they are on their journey. In both my professional and personal experience, therapy is a profound process that can help guide people to find these things within themselves.
(417) 785-2531 View (417) 785-2531
Photo of Josh Johnson, Licensed Professional Counselor in Jackson County, MO
Josh Johnson
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Kansas City, MO 64114  (Online Only)
Are you struggling with anxiety, depression, or relationship problems? If you are I can help. I offer convenient daytime, evening, and Saturday appointment times. For first time clients I offer a free 20 minute phone or Zoom video consultation. In our sessions I will use evidence based practices to help you overcome the challenges you are facing.
Are you struggling with anxiety, depression, or relationship problems? If you are I can help. I offer convenient daytime, evening, and Saturday appointment times. For first time clients I offer a free 20 minute phone or Zoom video consultation. In our sessions I will use evidence based practices to help you overcome the challenges you are facing.
(816) 839-6821 View (816) 839-6821
Photo of Amanda Hindson, Marriage & Family Therapist in Jackson County, MO
Amanda Hindson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Kansas City, MO 64109
We all have a story to tell, a need to be understood, and a place to belong. I seek to provide a safe place to explore, dream, grieve, process, hope, learn, and pursue growth and transformation. I feel deeply honored to bear witness to the stories and experiences of the clients that I see, as I strive to help illuminate the path to healing and wholeness. I believe that all clients, whether I am working with individuals, couples, or families, have unique strengths and remarkable resilience that can be leveraged to meet their therapeutic goals.
We all have a story to tell, a need to be understood, and a place to belong. I seek to provide a safe place to explore, dream, grieve, process, hope, learn, and pursue growth and transformation. I feel deeply honored to bear witness to the stories and experiences of the clients that I see, as I strive to help illuminate the path to healing and wholeness. I believe that all clients, whether I am working with individuals, couples, or families, have unique strengths and remarkable resilience that can be leveraged to meet their therapeutic goals.
(816) 656-2766 View (816) 656-2766
Photo of Hailee Bradshaw, Clinical Social Work/Therapist in Jackson County, MO
Hailee Bradshaw
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Kansas City, MO 64110  (Online Only)
Hi, I’m Hailee, a licensed clinical social worker at Small Victories. I work with adults and have experience working with people with anxiety, OCD, depression, bipolar, suicidal ideation, body image and self esteem issues. I aim to provide a safe environment where we can talk about anything you want to bring to the table. I want to support you and encourage you through the healing journey. I use a person centered approach in my therapy sessions and incorporate both CBT and DBT. I will meet you where you are and start the growing journey there.
Hi, I’m Hailee, a licensed clinical social worker at Small Victories. I work with adults and have experience working with people with anxiety, OCD, depression, bipolar, suicidal ideation, body image and self esteem issues. I aim to provide a safe environment where we can talk about anything you want to bring to the table. I want to support you and encourage you through the healing journey. I use a person centered approach in my therapy sessions and incorporate both CBT and DBT. I will meet you where you are and start the growing journey there.
(816) 934-5599 View (816) 934-5599
Photo of Bernadette Borchardt, Clinical Social Work/Therapist in Jackson County, MO
Bernadette Borchardt
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
Kansas City, MO 64112
Life can be pretty overwhelming at times. During the stressful times, you may have difficulty finding a way to cope and make the changes necessary to improve your life. The great thing about therapy is that it serves as a way to help you cope with the stressors in your life and helps you make the changes you desire.
Life can be pretty overwhelming at times. During the stressful times, you may have difficulty finding a way to cope and make the changes necessary to improve your life. The great thing about therapy is that it serves as a way to help you cope with the stressors in your life and helps you make the changes you desire.
(816) 396-8056 x1 View (816) 396-8056 x1
Photo of Wendy J Bennett, Clinical Social Work/Therapist in Jackson County, MO
Wendy J Bennett
Clinical Social Work/Therapist, LCPC, LPC
Verified Verified
1 Endorsed
Lees Summit, MO 64081  (Online Only)
Hello! My name is Wendy, and I am a Licensed Clinical Professional Counselor in Kansas and a Licensed Professional Counselor in Missouri. I help people overcome anxiety, depression, and trauma. I have been helping people since 2010 and bring a wide variety of knowledge and experience to the helping profession. I have worked in a wide range of therapeutic settings including inpatient psychiatric hospitalization and residential facilities, intensive outpatient care, faith-based counseling agency and private practice. I work with clients who are experiencing depression, anxiety, addiction, trauma, divorce, and blended family issues.
Hello! My name is Wendy, and I am a Licensed Clinical Professional Counselor in Kansas and a Licensed Professional Counselor in Missouri. I help people overcome anxiety, depression, and trauma. I have been helping people since 2010 and bring a wide variety of knowledge and experience to the helping profession. I have worked in a wide range of therapeutic settings including inpatient psychiatric hospitalization and residential facilities, intensive outpatient care, faith-based counseling agency and private practice. I work with clients who are experiencing depression, anxiety, addiction, trauma, divorce, and blended family issues.
(816) 323-6171 View (816) 323-6171
Photo of Julie M. LaCubbert, Marriage & Family Therapist in Jackson County, MO
Julie M. LaCubbert
Marriage & Family Therapist, PhD, LMFT, LMFTS
Verified Verified
Blue Springs, MO 64015
My specialty is couples and families. I mostly work with partners who are struggling with communication issues, infidelity, trust, and conflict. I often work with families who are struggling with boundaries and family arguments, as well as issues stemming from a new marriage with children from previous relationships.
My specialty is couples and families. I mostly work with partners who are struggling with communication issues, infidelity, trust, and conflict. I often work with families who are struggling with boundaries and family arguments, as well as issues stemming from a new marriage with children from previous relationships.
(803) 610-4092 View (803) 610-4092
Photo of Melinda Bonham Couple And Family Therapist, Pre-Licensed Professional in Jackson County, MO
Melinda Bonham Couple And Family Therapist
Pre-Licensed Professional, PLMFT, MS
Verified Verified
3 Endorsed
Independence, MO 64050
Do you live in a constant sense of disconnection-no matter what you do, things never feel quite "okay?" Do you feel controlled by your emotions, overwhelmed by the pressure to accomplish what you have set out for yourself in life? Has this snowballed into a constant sense of anxiety, stress, and disappointment? Are your relationships struggling also? Do communication breakdowns and conflict feel like the norm? Do you feel frustrated by the conflict and disconnection that have emerged in your life, and it is hard to know how to break the cycle? There is a way to ask for what you need without sacrificing your own boundaries.
Do you live in a constant sense of disconnection-no matter what you do, things never feel quite "okay?" Do you feel controlled by your emotions, overwhelmed by the pressure to accomplish what you have set out for yourself in life? Has this snowballed into a constant sense of anxiety, stress, and disappointment? Are your relationships struggling also? Do communication breakdowns and conflict feel like the norm? Do you feel frustrated by the conflict and disconnection that have emerged in your life, and it is hard to know how to break the cycle? There is a way to ask for what you need without sacrificing your own boundaries.
(816) 327-9301 View (816) 327-9301
Photo of KC Counseling Studio, Licensed Professional Counselor in Jackson County, MO
KC Counseling Studio
Licensed Professional Counselor, MS, LPC
Verified Verified
Kansas City, MO 64106
My therapeutic style is ideal for clients looking to reconnect with themselves on all levels. Clients should come curious about identifying emotional and psychological blocks, as well as where trauma, tension, anxiety, or depression is stored in the physical body. I specialize in treating people who are struggling with anxiety, depression, illness, death, sexual assault survivors, and bi-polar. I frequently work with women who are trying to stabilize their body and mind after childbirth, trauma, or menapause. All are welcome.
My therapeutic style is ideal for clients looking to reconnect with themselves on all levels. Clients should come curious about identifying emotional and psychological blocks, as well as where trauma, tension, anxiety, or depression is stored in the physical body. I specialize in treating people who are struggling with anxiety, depression, illness, death, sexual assault survivors, and bi-polar. I frequently work with women who are trying to stabilize their body and mind after childbirth, trauma, or menapause. All are welcome.
(816) 623-1011 View (816) 623-1011
Photo of Dr. Jenna Budreau, Psychologist in Jackson County, MO
Dr. Jenna Budreau
Psychologist, PsyD
Verified Verified
Kansas City, MO 64105
You won't find me stuffy, judgmental or condescending - life is hard enough; I'm on your side. However, I will challenge & support you to finally tackle the thorniest parts of your life. We’ll do this by going deep, not just rehashing. We’ll also work intimately together, finding ways to really and truly connect, & even sometimes have fun. I work best with scrappy & determined women who love making their own way, but sometimes get derailed by their own thoughts or bad relationships or family history. I also love working with men who want to understand life, but balk at traditional therapy - and like straight talk as much as support.
You won't find me stuffy, judgmental or condescending - life is hard enough; I'm on your side. However, I will challenge & support you to finally tackle the thorniest parts of your life. We’ll do this by going deep, not just rehashing. We’ll also work intimately together, finding ways to really and truly connect, & even sometimes have fun. I work best with scrappy & determined women who love making their own way, but sometimes get derailed by their own thoughts or bad relationships or family history. I also love working with men who want to understand life, but balk at traditional therapy - and like straight talk as much as support.
(816) 306-1125 View (816) 306-1125
Photo of Ayleen Gomez Lopez, Licensed Professional Counselor in Jackson County, MO
Ayleen Gomez Lopez
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
2 Endorsed
Lees Summit, MO 64064  (Online Only)
Infertility sucks. There's no other way around it. Suddenly you're thrown into a new experience you probably never expected to have. You’re feeling alone, confused, scared, and anxious. Maybe you've been on this journey for several years and instead of success, you've been met with loss, grief, or frustration over failed treatments. Or maybe you're just getting started and feel anxious or scared of what's to come and what this will look and feel like. Navigating infertility and all that comes with it can cause us unexpected amounts of stress. The good news? As lonely and challenging as infertility can feel, it doesn't have to be.
Infertility sucks. There's no other way around it. Suddenly you're thrown into a new experience you probably never expected to have. You’re feeling alone, confused, scared, and anxious. Maybe you've been on this journey for several years and instead of success, you've been met with loss, grief, or frustration over failed treatments. Or maybe you're just getting started and feel anxious or scared of what's to come and what this will look and feel like. Navigating infertility and all that comes with it can cause us unexpected amounts of stress. The good news? As lonely and challenging as infertility can feel, it doesn't have to be.
(314) 626-8655 View (314) 626-8655
Photo of Danielle Fulks, Marriage & Family Therapist in Jackson County, 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 Jake Eyler, Pre-Licensed Professional in Jackson County, MO
Jake Eyler
Pre-Licensed Professional, MA, MDiv, PLPC
Verified Verified
Lees Summit, MO 64086
I work with those who struggle with anxiety disorders, depression, grief, emotional & cognitive coping with medical issues, relationship issues, and spiritual distress. I utilize Acceptance and Commitment Therapy (ACT) which focuses on targeting unhelpful patterns of thinking & behavior that cause mood symptoms to linger.
I work with those who struggle with anxiety disorders, depression, grief, emotional & cognitive coping with medical issues, relationship issues, and spiritual distress. I utilize Acceptance and Commitment Therapy (ACT) which focuses on targeting unhelpful patterns of thinking & behavior that cause mood symptoms to linger.
(816) 327-9608 View (816) 327-9608
Photo of Rachael Julstrom, Licensed Professional Counselor in Jackson County, MO
Rachael Julstrom
Licensed Professional Counselor, MA, LPC
Verified Verified
Blue Springs, MO 64015
Book Online 24/7- 14 and older (In-person & Online) Everyone has a story they need to process. Often times when we are not heard it leads to BIG Emotions that do not know where to go. I meet you where you are and work with what is working and build from there.
Book Online 24/7- 14 and older (In-person & Online) Everyone has a story they need to process. Often times when we are not heard it leads to BIG Emotions that do not know where to go. I meet you where you are and work with what is working and build from there.
(816) 323-8299 View (816) 323-8299
Photo of Restoring Pathways - Shantelle Wells , Licensed Professional Counselor in Jackson County, MO
Restoring Pathways - Shantelle Wells
Licensed Professional Counselor, MS, LPC, LCPC
Verified Verified
Lees Summit, MO 64064  (Online Only)
Hello, I’m Shantelle Wells, a compassionate and experienced therapist dedicated to helping individuals navigate life’s challenges and find meaningful solutions. With a non-judgmental approach, I create a safe space where people can be vulnerable, explore their thoughts, emotions and concerns. A place where others can share their deepest, darkest secrets. My expertise lies in areas such as anxiety, depression, stress management, relationship difficulties,self–esteem and personal growth. I firmly believe in the power of therapy to facilitate positive change and provide the support while working on becoming the best version of YOU!
Hello, I’m Shantelle Wells, a compassionate and experienced therapist dedicated to helping individuals navigate life’s challenges and find meaningful solutions. With a non-judgmental approach, I create a safe space where people can be vulnerable, explore their thoughts, emotions and concerns. A place where others can share their deepest, darkest secrets. My expertise lies in areas such as anxiety, depression, stress management, relationship difficulties,self–esteem and personal growth. I firmly believe in the power of therapy to facilitate positive change and provide the support while working on becoming the best version of YOU!
(816) 525-1716 View (816) 525-1716
Photo of Bobbi Burg, Clinical Social Work/Therapist in Jackson County, MO
Bobbi Burg
Clinical Social Work/Therapist, LCSW
Verified Verified
Lees Summit, MO 64063
I would love the opportunity to help you along your journey! I believe in building strong therapeutic relationships and in meeting people where they are in life with empathy and respect.
I would love the opportunity to help you along your journey! I believe in building strong therapeutic relationships and in meeting people where they are in life with empathy and respect.
(816) 354-1572 View (816) 354-1572
Photo of Fior Sandoval, Clinical Social Work/Therapist in Jackson County, MO
Fior Sandoval
Clinical Social Work/Therapist, LSCSW, LCSW
Verified Verified
Independence, MO 64055
Not accepting new clients
I am not taking new clients at this time. Are you feeling sad, depressed, anxious, angry, mean, inadequate, unworthy, etc.? Is it difficult to understand and accept those feelings? Typically, we reject what hurts us and only welcome and entertain the "feel good" moments and emotions. Your story is important. I am here to listen and support you as you go through your journey in becoming the person you want to be. I will honor your uniqueness and help you identify what is important to you, your needs and your strengths. You have everything you need within you to succeed.
I am not taking new clients at this time. Are you feeling sad, depressed, anxious, angry, mean, inadequate, unworthy, etc.? Is it difficult to understand and accept those feelings? Typically, we reject what hurts us and only welcome and entertain the "feel good" moments and emotions. Your story is important. I am here to listen and support you as you go through your journey in becoming the person you want to be. I will honor your uniqueness and help you identify what is important to you, your needs and your strengths. You have everything you need within you to succeed.
(816) 368-5941 View (816) 368-5941
Photo of Daylin Rodriguez Cesar, Licensed Professional Counselor in Jackson County, MO
Daylin Rodriguez Cesar
Licensed Professional Counselor, MA, LPC, LCPC, PhDc
Verified Verified
4 Endorsed
Independence, MO 64050  (Online Only)
He sido una sicoterapeuta bilingue por 12 años enfocada en tratar trauma y evaluaciones sicológicas para emigración. Les proveo un ambiente confidencial y muy cómodo a mis participantes. Es un gran privilegio guiarlos en su andar de sanidad y paz. Me especializo en sicología infantil, EMDR, y hipnosis clínica. Tengo vasta experiencia ayudando a parejas, procesos de separación, trauma, niñas/niños, y a la comunidad LGBTQ+. I am a caring bilingual counselor with experience in working with people of races and genders. My mission is to be your companion on this therapeutic journey in a comfortable and confidential environment.
He sido una sicoterapeuta bilingue por 12 años enfocada en tratar trauma y evaluaciones sicológicas para emigración. Les proveo un ambiente confidencial y muy cómodo a mis participantes. Es un gran privilegio guiarlos en su andar de sanidad y paz. Me especializo en sicología infantil, EMDR, y hipnosis clínica. Tengo vasta experiencia ayudando a parejas, procesos de separación, trauma, niñas/niños, y a la comunidad LGBTQ+. I am a caring bilingual counselor with experience in working with people of races and genders. My mission is to be your companion on this therapeutic journey in a comfortable and confidential environment.
(913) 884-1812 View (913) 884-1812
Photo of Nick T Butcher, Licensed Professional Counselor in Jackson County, MO
Nick T Butcher
Licensed Professional Counselor, MA, LPC-MO, LCPC-KS
Verified Verified
1 Endorsed
Kansas City, MO 64105  (Online Only)
Hello, It takes a lot of courage to take the risk of reaching out to a stranger, sharing about yourself and asking for guidance or help. If you are reading this right now, then you are likely considering taking action to explore change in your life. I would be honored to help guide you in the process. You can give me a call or send me an email to get things started.
Hello, It takes a lot of courage to take the risk of reaching out to a stranger, sharing about yourself and asking for guidance or help. If you are reading this right now, then you are likely considering taking action to explore change in your life. I would be honored to help guide you in the process. You can give me a call or send me an email to get things started.
(913) 675-5361 View (913) 675-5361
Photo of Hannah K Sholar in Jackson County, MO
Hannah K Sholar
PLPC, MA, NCC
Verified Verified
Lees Summit, MO 64086
Asking for help is huge step. It takes courage and a willingness to hope for change. This journey towards health and wellness requires honesty and openness. It is not always easy, and working with a professional who is the right fit for you offers a solid foundation from which to start that journey. I am passionate about mental health and wellness. Whether I am working with kids, teens, adults, partners, or families, I believe in journeying alongside my clients as a guide and support as they discover what drives them and works best to bring change and growth.
Asking for help is huge step. It takes courage and a willingness to hope for change. This journey towards health and wellness requires honesty and openness. It is not always easy, and working with a professional who is the right fit for you offers a solid foundation from which to start that journey. I am passionate about mental health and wellness. Whether I am working with kids, teens, adults, partners, or families, I believe in journeying alongside my clients as a guide and support as they discover what drives them and works best to bring change and growth.
(816) 744-0030 View (816) 744-0030

See more therapy options for Jackson County

How does your Therapist compare?

Number of Therapists in Jackson County, MO

900+

Average cost per session

$125

Therapists in Jackson County, MO who prioritize treating:

93% Anxiety
87% Depression
76% Relationship Issues
75% Self Esteem
74% Trauma and PTSD
68% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

64% Aetna
62% UnitedHealthcare UHC | UBH
58% Cigna and Evernorth

How Therapists in Jackson County, MO see their clients

77% In Person and Online
23% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Jackson 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.