Therapists in Linn Creek, MO

Photo of Jill Marie Hollandsworth, Marriage & Family Therapist Associate, MA, PLMFT
Jill Marie Hollandsworth
Marriage & Family Therapist Associate, MA, PLMFT
Online Only
My ideal clients are individuals, couples, teens, and families experiencing relationship struggles, trauma, anxiety, or emotional overwhelm. They often feel stuck in unhealthy patterns, disconnected from loved ones, or burdened by past experiences. They seek understanding, emotional safety, and stronger connections. Their goal is healing, resilience, and meaningful change — to feel more secure in themselves and their relationships, improve communication, and create healthier, more fulfilling lives.
My ideal clients are individuals, couples, teens, and families experiencing relationship struggles, trauma, anxiety, or emotional overwhelm. They often feel stuck in unhealthy patterns, disconnected from loved ones, or burdened by past experiences. They seek understanding, emotional safety, and stronger connections. Their goal is healing, resilience, and meaningful change — to feel more secure in themselves and their relationships, improve communication, and create healthier, more fulfilling lives.
(573) 520-4475 View (573) 520-4475
Photo of Christina J Landry, Licensed Professional Counselor, MA, LPC, CMT, AAAIP
Christina J Landry
Licensed Professional Counselor, MA, LPC, CMT, AAAIP
Linn Creek, MO 65052
Waitlist for new clients
Specializing in Trauma, and the Diverse Emotional Issues arising from Trauma, I look forward to helping clients with Depression & Anxiety, PTSD, History of Abuse, Loss of Self, Abandonment, and Survivors of Narcissism. I look forward to helping my clients achieve mental balance, wellness and healthy perspectives for their future. Additionally, I specialize in Animal Assisted Therapeutics, am EAGALA and AAAIP certified, and have several service animals as my therapeutic partners. My therapeutic services are offered Remotely and In-Person.
Specializing in Trauma, and the Diverse Emotional Issues arising from Trauma, I look forward to helping clients with Depression & Anxiety, PTSD, History of Abuse, Loss of Self, Abandonment, and Survivors of Narcissism. I look forward to helping my clients achieve mental balance, wellness and healthy perspectives for their future. Additionally, I specialize in Animal Assisted Therapeutics, am EAGALA and AAAIP certified, and have several service animals as my therapeutic partners. My therapeutic services are offered Remotely and In-Person.
(573) 229-0852 View (573) 229-0852

More Therapists Nearby

Photo of Christa Rupar, Counselor, MA, LPC
Christa Rupar
Counselor, MA, LPC
1 Endorsed
Rocky Mount, MO 65072
My practice specializes in helping individuals and couples resolve relational distress. Relationships are so important to our mental and emotional well-being, working with a therapist to improve relational health will impact your life personally and as a family. When we work with clients whether it is individually or as a couple, we work to understand and heal dynamics that most clients are not aware are contributing to the health in their relationships. Sometimes that means working with clients as a couple, individually, or both. Clients who work with me see an improvement in personal mental health and relationships.
My practice specializes in helping individuals and couples resolve relational distress. Relationships are so important to our mental and emotional well-being, working with a therapist to improve relational health will impact your life personally and as a family. When we work with clients whether it is individually or as a couple, we work to understand and heal dynamics that most clients are not aware are contributing to the health in their relationships. Sometimes that means working with clients as a couple, individually, or both. Clients who work with me see an improvement in personal mental health and relationships.
(417) 244-2410 View (417) 244-2410
Photo of Stephen Keenan, Clinical Social Work/Therapist, LCSW
Stephen Keenan
Clinical Social Work/Therapist, LCSW
Online Only
Hello. My name is Stephen Keenan. I am a Licensed Clinical Social Worker in CA. I have worked with a wide range of clients, from poverty-stricken to affluent, depressed and suicidal to angry and homicidal, geriatric to pediatric. I can help with anxiety, coping skills, depression, psychosis, and more. I use a humanistic, strengths based, supportive therapy approach for solution focused results. Of course, Cognitive Behavioral Therapy is key to reframe and see things from a different lens, i.e. "I never thought if it that way." Therapy is about getting you the help you need and helping you reach your goals in treatment.
Hello. My name is Stephen Keenan. I am a Licensed Clinical Social Worker in CA. I have worked with a wide range of clients, from poverty-stricken to affluent, depressed and suicidal to angry and homicidal, geriatric to pediatric. I can help with anxiety, coping skills, depression, psychosis, and more. I use a humanistic, strengths based, supportive therapy approach for solution focused results. Of course, Cognitive Behavioral Therapy is key to reframe and see things from a different lens, i.e. "I never thought if it that way." Therapy is about getting you the help you need and helping you reach your goals in treatment.
(417) 547-1728 View (417) 547-1728
Photo of Timothy Blanton, Licensed Professional Counselor, LPC, MA
Timothy Blanton
Licensed Professional Counselor, LPC, MA
Serves Area
In a nut shell, I care about people and have a desire to help others on their quest for healing, wholeness, and reaching their full potential. Life can be hard and sometimes we need a helping hand to navigate the murky waters, and that's okay. Respect for others and empathy in their circumstances is paramount in this profession and I keep that in mind in all situations.
In a nut shell, I care about people and have a desire to help others on their quest for healing, wholeness, and reaching their full potential. Life can be hard and sometimes we need a helping hand to navigate the murky waters, and that's okay. Respect for others and empathy in their circumstances is paramount in this profession and I keep that in mind in all situations.
(573) 367-5015 View (573) 367-5015
Photo of Thomas Flanagan, Clinical Social Work/Therapist
Thomas Flanagan
Clinical Social Work/Therapist
Serves Area
Hello, I'm Tom, a Clinical Social Worker licensed as an LCSW/LSCSW. After completing my training at the University of Kansas, I embarked on a journey in Clinical Social Work & Counseling, and I'm now licensed in three states. My career has taken me through a variety of settings, including Residential Treatment Centers, Intensive Outpatient Programs (IOPs), Partial Hospitalization Programs (PHPs), non-profits, schools, hospitals, inpatient psychiatric hospitals, and private practice. Additionally, I provide care through MDLIVE, bringing my expertise to a wider audience through telehealth services.
Hello, I'm Tom, a Clinical Social Worker licensed as an LCSW/LSCSW. After completing my training at the University of Kansas, I embarked on a journey in Clinical Social Work & Counseling, and I'm now licensed in three states. My career has taken me through a variety of settings, including Residential Treatment Centers, Intensive Outpatient Programs (IOPs), Partial Hospitalization Programs (PHPs), non-profits, schools, hospitals, inpatient psychiatric hospitals, and private practice. Additionally, I provide care through MDLIVE, bringing my expertise to a wider audience through telehealth services.
(314) 897-3606 View (314) 897-3606
Photo of Shellie M Robinson, Licensed Professional Counselor, MA, LPC
Shellie M Robinson
Licensed Professional Counselor, MA, LPC
Serves Area
Hello! I’m so grateful you made the choice to seek counseling. I have over six years of experience walking alongside people who are tired of just “getting by.” If you’re living with anxiety, depression, trauma, and feel overwhelmed, stuck, or disconnected from yourself or others, you’re not alone—and you don’t have to figure it out alone either. I offer a safe, compassionate space where you can slow down, feel truly heard, and begin to make sense of what you’ve been carrying. Together, we’ll work at your pace to help you regulate emotions, rebuild self-trust, and create meaningful, lasting change.
Hello! I’m so grateful you made the choice to seek counseling. I have over six years of experience walking alongside people who are tired of just “getting by.” If you’re living with anxiety, depression, trauma, and feel overwhelmed, stuck, or disconnected from yourself or others, you’re not alone—and you don’t have to figure it out alone either. I offer a safe, compassionate space where you can slow down, feel truly heard, and begin to make sense of what you’ve been carrying. Together, we’ll work at your pace to help you regulate emotions, rebuild self-trust, and create meaningful, lasting change.
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Photo of David R Robb, Licensed Professional Counselor, LPC
David R Robb
Licensed Professional Counselor, LPC
Online Only
Anxiety, stress, trauma, or major life changes make everyday life feel heavier than it should. You may be dealing with racing thoughts, poor sleep, irritability, panic symptoms, emotional numbness, relationship strain, or difficulty shutting your mind off. Many clients come to therapy after realizing they have been carrying stress alone for too long. You deserve support that feels grounded, practical, and connected to your real life.
Anxiety, stress, trauma, or major life changes make everyday life feel heavier than it should. You may be dealing with racing thoughts, poor sleep, irritability, panic symptoms, emotional numbness, relationship strain, or difficulty shutting your mind off. Many clients come to therapy after realizing they have been carrying stress alone for too long. You deserve support that feels grounded, practical, and connected to your real life.
(573) 880-4661 View (573) 880-4661
Photo of David White, Licensed Professional Counselor, LPC
David White
Licensed Professional Counselor, LPC
Online Only
Hello, my name is David White and I am a Licensed Professional Counselor residing in Mid-Missouri serving clients statewide via telehealth. I work with adults and older adolescents specializing in anxiety, depression, stress and trauma related symptoms, utilizing Cognitive Behavioral Therapy, Motivational Interviewing, Client-Centered and Solution-Focused Therapy to address the needs of each individual client.
Hello, my name is David White and I am a Licensed Professional Counselor residing in Mid-Missouri serving clients statewide via telehealth. I work with adults and older adolescents specializing in anxiety, depression, stress and trauma related symptoms, utilizing Cognitive Behavioral Therapy, Motivational Interviewing, Client-Centered and Solution-Focused Therapy to address the needs of each individual client.
(636) 429-4826 View (636) 429-4826
Photo of Rebecca Williams, Licensed Professional Counselor, MA, LPC
Rebecca Williams
Licensed Professional Counselor, MA, LPC
Online Only
Do you often find yourself lying awake at night, your mind racing with a never-ending loop of "what-ifs"? Perhaps the weight of daily stress has begun to feel like a constant companion, leaving you exhausted before your day even truly begins. It is common to feel like you are just barely keeping your head above water, struggling to balance the demands of work, life, and your own internal peace. When anxiety takes the driver's seat, even the smallest tasks can feel like climbing a mountain, and the joy you used to find in the everyday starts to fade behind a fog of worry.
Do you often find yourself lying awake at night, your mind racing with a never-ending loop of "what-ifs"? Perhaps the weight of daily stress has begun to feel like a constant companion, leaving you exhausted before your day even truly begins. It is common to feel like you are just barely keeping your head above water, struggling to balance the demands of work, life, and your own internal peace. When anxiety takes the driver's seat, even the smallest tasks can feel like climbing a mountain, and the joy you used to find in the everyday starts to fade behind a fog of worry.
(816) 549-4856 View (816) 549-4856
Photo of Suzanna L Brown, Licensed Professional Counselor, LPC, CCATP, CCTP, ASAM
Suzanna L Brown
Licensed Professional Counselor, LPC, CCATP, CCTP, ASAM
Serves Area
My counseling style explores the intricacies of each person's unique strengths and challenges while you build better mental wellness and achieve an empowered and growing life, while utilizing a Biblical foundation. Whether you are dealing with marriage issues, despair, stress, health, grief, anxiety, disabilities, or PTSD from childhood or even adult experiences, I will work with you to find not only a place of wholeness in who you are but a place of peace in this world. For couples: I am excited to be a part of the Gottman's Relationship Checkup and enjoy seeing couples thrive with Gottman's.
My counseling style explores the intricacies of each person's unique strengths and challenges while you build better mental wellness and achieve an empowered and growing life, while utilizing a Biblical foundation. Whether you are dealing with marriage issues, despair, stress, health, grief, anxiety, disabilities, or PTSD from childhood or even adult experiences, I will work with you to find not only a place of wholeness in who you are but a place of peace in this world. For couples: I am excited to be a part of the Gottman's Relationship Checkup and enjoy seeing couples thrive with Gottman's.
(573) 697-6130 View (573) 697-6130
Photo of Rixie Morris, Licensed Professional Counselor, LPC
Rixie Morris
Licensed Professional Counselor, LPC
Online Only
Are you feeling overwhelmed, anxious, or stuck in patterns that don't make sense - even to you? Many of my clients are high-functioning adults who feel exhausted with the obstacles and challenges life has thrown at them . They may struggle with anxiety, trauma responses, or feeling disconnected from themselves or others. Some are navigating parenting stress, relationship wounds, or childhood experiences that still echo in their adult lives. Our space will feels safe and collaborative, and we will work together to find answers and solutions to what brings you into therapy.
Are you feeling overwhelmed, anxious, or stuck in patterns that don't make sense - even to you? Many of my clients are high-functioning adults who feel exhausted with the obstacles and challenges life has thrown at them . They may struggle with anxiety, trauma responses, or feeling disconnected from themselves or others. Some are navigating parenting stress, relationship wounds, or childhood experiences that still echo in their adult lives. Our space will feels safe and collaborative, and we will work together to find answers and solutions to what brings you into therapy.
(417) 280-3673 View (417) 280-3673
Photo of Laura Williams, Clinical Social Work/Therapist, LCSW
Laura Williams
Clinical Social Work/Therapist, LCSW
Online Only
I'm here to help you navigate your unique journey. Whether you are coping with anxiety, depression, grief or a major life transition such as divorce, relocation or career change, you deserve a space where you can slow down, breathe and make sense of what you are experiencing. Many of my clients come to me when life feels uncertain, overwhelming or heavy. My role is to listen and help you find clarity, purpose and a sense of direction again so you can move forward with confidence.
I'm here to help you navigate your unique journey. Whether you are coping with anxiety, depression, grief or a major life transition such as divorce, relocation or career change, you deserve a space where you can slow down, breathe and make sense of what you are experiencing. Many of my clients come to me when life feels uncertain, overwhelming or heavy. My role is to listen and help you find clarity, purpose and a sense of direction again so you can move forward with confidence.
(573) 432-6222 View (573) 432-6222
Photo of Sean A. Wilson, Licensed Professional Counselor, EdS, LPC, CAMS-II
Sean A. Wilson
Licensed Professional Counselor, EdS, LPC, CAMS-II
Serves Area
Are anxiety, anger, or relationship conflict wearing you down? I help individuals, couples, and military families in the Fort Leonard Wood and Waynesville area rebuild trust, restore communication, and develop practical tools for lasting change.
Are anxiety, anger, or relationship conflict wearing you down? I help individuals, couples, and military families in the Fort Leonard Wood and Waynesville area rebuild trust, restore communication, and develop practical tools for lasting change.
(573) 969-2626 View (573) 969-2626
Photo of Cassidy McIntire, MS, CMPC
Cassidy McIntire
Verified Verified
1 Endorsed
Online Only
Whether you're an athlete, high-performing professional, or rising talent, success isn't just physical- it's mental. I am here to help you sharpen your focus, manage pressure, build confidence, and perform at your best when it matters most. Through tailored mental skills training, evidence-based techniques, and one-on-one coaching, I'm here to empower you.
Whether you're an athlete, high-performing professional, or rising talent, success isn't just physical- it's mental. I am here to help you sharpen your focus, manage pressure, build confidence, and perform at your best when it matters most. Through tailored mental skills training, evidence-based techniques, and one-on-one coaching, I'm here to empower you.
(573) 490-2893 View (573) 490-2893
Photo of LaShundra Connor, Clinical Social Work/Therapist, MSW, LCSW
LaShundra Connor
Clinical Social Work/Therapist, MSW, LCSW
Online Only
My ideal client is someone who is seeking hope, healing, and growth, whether they’re navigating personal challenges, family struggles, or systemic barriers. They may feel overwhelmed, stuck, or uncertain, but they are open to support and ready to take the first step toward change. Some common Issues They Face: Anxiety, depression, or emotional distress; Trauma from past experiences or systemic injustice; Family or relationship conflict; Life transitions (e.g., job loss, grief, parenting challenges); Lack of access to resources or community support; and Identity.
My ideal client is someone who is seeking hope, healing, and growth, whether they’re navigating personal challenges, family struggles, or systemic barriers. They may feel overwhelmed, stuck, or uncertain, but they are open to support and ready to take the first step toward change. Some common Issues They Face: Anxiety, depression, or emotional distress; Trauma from past experiences or systemic injustice; Family or relationship conflict; Life transitions (e.g., job loss, grief, parenting challenges); Lack of access to resources or community support; and Identity.
(816) 495-3358 View (816) 495-3358
Photo of Jillian Nickelson, Licensed Professional Counselor, LPC, CRC, SEP-T, MA
Jillian Nickelson
Licensed Professional Counselor, LPC, CRC, SEP-T, MA
3 Endorsed
Serves Area
Life is a sensory experience, and for many of us, it can feel like the world is turned up to eleven. I’m here to help you bridge the gap between deep healing and life transitions—like school, career shifts, or the beautiful chaos of motherhood. Your nervous system isn’t broken; it’s just tuned to a different frequency. If you’ve spent your life trying to turn down your own volume or following a map that wasn't drawn for you, I’m glad you are here. Together, we’ll build a creative path forward—one where you don’t have to "perform" or be "fixed," but where you are seen, understood, and empowered to show up exactly as you are.
Life is a sensory experience, and for many of us, it can feel like the world is turned up to eleven. I’m here to help you bridge the gap between deep healing and life transitions—like school, career shifts, or the beautiful chaos of motherhood. Your nervous system isn’t broken; it’s just tuned to a different frequency. If you’ve spent your life trying to turn down your own volume or following a map that wasn't drawn for you, I’m glad you are here. Together, we’ll build a creative path forward—one where you don’t have to "perform" or be "fixed," but where you are seen, understood, and empowered to show up exactly as you are.
(636) 837-1928 View (636) 837-1928
Photo of Gary C. Kitto - Dr. Gary C. Kitto & Associates, LLC, Licensed Professional Counselor, LPC
Dr. Gary C. Kitto & Associates, LLC
Licensed Professional Counselor, LPC
Osage Beach, MO 65065
Life naturally brings a range of challenges—financial pressures, academic struggles, emotional discomfort, and social obstacles. These experiences are part of being human, yet they can still feel overwhelming. At our practice, every individual is valued as unique, and we tailor our therapeutic approach to meet each person’s specific needs. We are committed to serving our community with the highest standard of private, confidential mental health care. Our comprehensive services are grounded in research‑based, effective therapeutic methods designed to support meaningful progress and lasting well‑being.
Life naturally brings a range of challenges—financial pressures, academic struggles, emotional discomfort, and social obstacles. These experiences are part of being human, yet they can still feel overwhelming. At our practice, every individual is valued as unique, and we tailor our therapeutic approach to meet each person’s specific needs. We are committed to serving our community with the highest standard of private, confidential mental health care. Our comprehensive services are grounded in research‑based, effective therapeutic methods designed to support meaningful progress and lasting well‑being.
(660) 826-7909 View (660) 826-7909
Photo of Tallie Stafford, Clinical Social Work/Therapist, LCSW
Tallie Stafford
Clinical Social Work/Therapist, LCSW
1 Endorsed
Lebanon, MO 65536
Hi, and welcome. Reaching out takes courage, and I’m here to support you. I offer a safe, nonjudgmental space where you can explore your thoughts, emotions, and experiences. My approach is warm, collaborative, and tailored to your needs. I use evidence-based methods like CBT, mindfulness, and trauma-informed care. Whether you're navigating anxiety, relationship issues, or just feeling stuck, I’m here to help you move forward with clarity and confidence. You don’t have to do it alone—let’s take the next step together.
Hi, and welcome. Reaching out takes courage, and I’m here to support you. I offer a safe, nonjudgmental space where you can explore your thoughts, emotions, and experiences. My approach is warm, collaborative, and tailored to your needs. I use evidence-based methods like CBT, mindfulness, and trauma-informed care. Whether you're navigating anxiety, relationship issues, or just feeling stuck, I’m here to help you move forward with clarity and confidence. You don’t have to do it alone—let’s take the next step together.
(417) 641-3617 View (417) 641-3617
Photo of Oluchi Ojinnaka Taylor, Licensed Professional Counselor
Oluchi Ojinnaka Taylor
Licensed Professional Counselor
Online Only
Hello, I'm Lu! With over 15 years of experience in counseling and human services, my goal is to help you create a better quality of life. I believe in a collaborative approach to therapy, where we work together to identify and address the challenges you're facing. Whether you're dealing with anxiety, depression, addiction, or navigating a major life transition, I'm here to support you every step of the way. Let's work together to build the life you deserve.
Hello, I'm Lu! With over 15 years of experience in counseling and human services, my goal is to help you create a better quality of life. I believe in a collaborative approach to therapy, where we work together to identify and address the challenges you're facing. Whether you're dealing with anxiety, depression, addiction, or navigating a major life transition, I'm here to support you every step of the way. Let's work together to build the life you deserve.
(573) 410-3424 View (573) 410-3424

How does your Therapist compare?

Number of Therapists in Linn Creek, MO

< 10

Therapists in Linn Creek, MO who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Trauma and PTSD
100% Autism
100% Behavioral Issues
100% Family Conflict

Average years in practice

2 Years

Gender breakdown

100% Female

How Therapists in Linn Creek, MO see their clients

50% In Person and Online
50% Online Only
FAQs - About Therapy and Counseling

How can I find a therapist in Linn Creek?

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.