Therapists in Wheaton, MO

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Photo of Amy J Cole, DBH, LPC, Counselor
Amy J Cole
Counselor, DBH, LPC
Verified Verified
Cassville, MO 65625
I will help you overcome mental and behavioral barriers using Cognitive Behavioral Therapy (CBT), Mindfulness, and Motivational Interviewing (MI). I will listen to your needs and provide you with the tools and resources to help identify and cope with life's stressors. I encourage autonomy and will assist you in digging deep and identifying your strengths to overcome obstacles, develop self-worth, and maintain a healthy state of living.
I will help you overcome mental and behavioral barriers using Cognitive Behavioral Therapy (CBT), Mindfulness, and Motivational Interviewing (MI). I will listen to your needs and provide you with the tools and resources to help identify and cope with life's stressors. I encourage autonomy and will assist you in digging deep and identifying your strengths to overcome obstacles, develop self-worth, and maintain a healthy state of living.
(417) 265-5197 View (417) 265-5197
Photo of Rebecca Deason, LPC, NCC, Licensed Professional Counselor
Rebecca Deason
Licensed Professional Counselor, LPC, NCC
Verified Verified
Cassville, MO 65625
Imagine a place where your emotions find understanding and your struggles meet compassion. Therapy can be that place. Your journey is completely your own, and I'm here to honor and respect every part of it. In our therapeutic space, there's no judgment—just a genuine understanding of what you've been through and how you feel. Your thoughts and feelings are valued, and will play a crucial role in our sessions. We'll explore the opportunities for growth, learning, and transformation together, creating a space where your journey is met with understanding, support, and the possibility of meaningful change.
Imagine a place where your emotions find understanding and your struggles meet compassion. Therapy can be that place. Your journey is completely your own, and I'm here to honor and respect every part of it. In our therapeutic space, there's no judgment—just a genuine understanding of what you've been through and how you feel. Your thoughts and feelings are valued, and will play a crucial role in our sessions. We'll explore the opportunities for growth, learning, and transformation together, creating a space where your journey is met with understanding, support, and the possibility of meaningful change.
(573) 763-2360 View (573) 763-2360
Photo of Kelly Dundon, LMSW, Clinical Social Work/Therapist
Kelly Dundon
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Online Only
A cornerstone of my approach is trauma-informed care, where I create a safe and supportive environment for clients to explore and address past traumas. Whether it's navigating PTSD, anxiety, depression, or working through challenges related to personality disorders, I'm dedicated to helping clients reclaim their agency and resilience. I enjoy working with neurodivergent individuals, LGBTQAI+ -identifying folks, and women or femme-identifying individuals. My approach is grounded in authenticity, empathy, and empowerment. Together with my clients, we embark on a collaborative journey towards self-awareness, growth, and resilience.
A cornerstone of my approach is trauma-informed care, where I create a safe and supportive environment for clients to explore and address past traumas. Whether it's navigating PTSD, anxiety, depression, or working through challenges related to personality disorders, I'm dedicated to helping clients reclaim their agency and resilience. I enjoy working with neurodivergent individuals, LGBTQAI+ -identifying folks, and women or femme-identifying individuals. My approach is grounded in authenticity, empathy, and empowerment. Together with my clients, we embark on a collaborative journey towards self-awareness, growth, and resilience.
(479) 239-8759 View (479) 239-8759
Photo of Silvia Espinosa Ed.s, NCC, Licensed Professional Counselor
Silvia Espinosa Ed.s
Licensed Professional Counselor, NCC
Verified Verified
1 Endorsed
Monett, MO 65708
Suffering in silence or struggling with relationships? Know that confidential and professional help is here. We all have experienced struggles that if left untreated, can keep us trapped, inhibiting our ability to enjoy life. Three main areas are dear to my heart: play therapy for children who’ve gone through adverse life experiences, marriage counseling for couples experiencing difficulty, and survivors of betrayal trauma: psychological/emotional, physical, or sexual abuse. Know that it will take time to heal, courage to face the reality of your experience, and a steady commitment to your own healing.
Suffering in silence or struggling with relationships? Know that confidential and professional help is here. We all have experienced struggles that if left untreated, can keep us trapped, inhibiting our ability to enjoy life. Three main areas are dear to my heart: play therapy for children who’ve gone through adverse life experiences, marriage counseling for couples experiencing difficulty, and survivors of betrayal trauma: psychological/emotional, physical, or sexual abuse. Know that it will take time to heal, courage to face the reality of your experience, and a steady commitment to your own healing.
(417) 453-2767 View (417) 453-2767
Photo of Leina L Hoyt, MA, LMFT, Marriage & Family Therapist
Leina L Hoyt
Marriage & Family Therapist, MA, LMFT
Verified Verified
Monett, MO 65708
I have been licensed as an LMFT in California since 2005. I am also licensed in Missouri and Utah. I founded a non-profit community mental health agency and am a co-founder of Mending Trauma, a holistic mental health company that specializes in trauma recovery using a whole-health approach via a telehealth platform. My specialty is trauma and I have worked with mass trauma, individual trauma, PTSD, cPTSD, anxiety, depression, insomnia, chronic pain and other diagnosis that have trauma as a common underlying condition.
I have been licensed as an LMFT in California since 2005. I am also licensed in Missouri and Utah. I founded a non-profit community mental health agency and am a co-founder of Mending Trauma, a holistic mental health company that specializes in trauma recovery using a whole-health approach via a telehealth platform. My specialty is trauma and I have worked with mass trauma, individual trauma, PTSD, cPTSD, anxiety, depression, insomnia, chronic pain and other diagnosis that have trauma as a common underlying condition.
(916) 226-4545 View (916) 226-4545
Photo of Dr. Jason Fairman, PsyD, Psychologist
Dr. Jason Fairman
Psychologist, PsyD
Verified Verified
1 Endorsed
Online Only
Dr. Fairman has over 20 years of clinical and leadership experience working with adolescents, adults, and older adults who are faced with issues including depression, anxiety, adjustment difficulties, and relationship challenges.
Dr. Fairman has over 20 years of clinical and leadership experience working with adolescents, adults, and older adults who are faced with issues including depression, anxiety, adjustment difficulties, and relationship challenges.
(417) 473-3967 View (417) 473-3967
Photo of Laura Montane Bailey - Return to Joy Counseling Laura Bailey LMFT, LMFT, Marriage & Family Therapist
Return to Joy Counseling Laura Bailey LMFT
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Online Only
I believe that the path to recovery is made by walking - one step at a time. Inner healing can replace pain and suffering with joy and connection. I know because I have walked the path. I offer individual therapy and family therapy for the following: Anxiety and depression, grief and trauma, relationship issues, difficult life transitions, divorce and trauma recovery, parent/caregiver coaching and training, Grandparents raising grandchildren and other kinship families.
I believe that the path to recovery is made by walking - one step at a time. Inner healing can replace pain and suffering with joy and connection. I know because I have walked the path. I offer individual therapy and family therapy for the following: Anxiety and depression, grief and trauma, relationship issues, difficult life transitions, divorce and trauma recovery, parent/caregiver coaching and training, Grandparents raising grandchildren and other kinship families.
(269) 231-0990 View (269) 231-0990
Photo of Tamara J Wright - Transitions Through Wellness & Education, LICSW, Clinical Social Work/Therapist
Transitions Through Wellness & Education
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Carthage, MO 64836
Do you find yourself asking, "If I only knew how to make things better" or "I thought having a baby would be the most joyful time in my life, why am I not feeling this?" Transitions in life can be joyful and extremely challenging. I am here to help you find support and a sense of "normal" to your emotions. Whether its regarding becoming a new parent, struggles within your relationships, or any transitions in life you may be going through. I bring over 25 years of experience in working with individuals as they walk their journey. I work to bring a sense of calm to your journey and help you discover the joy in finding you again.
Do you find yourself asking, "If I only knew how to make things better" or "I thought having a baby would be the most joyful time in my life, why am I not feeling this?" Transitions in life can be joyful and extremely challenging. I am here to help you find support and a sense of "normal" to your emotions. Whether its regarding becoming a new parent, struggles within your relationships, or any transitions in life you may be going through. I bring over 25 years of experience in working with individuals as they walk their journey. I work to bring a sense of calm to your journey and help you discover the joy in finding you again.
(417) 363-2117 View (417) 363-2117
Photo of Shawn A. Masters, MA, LPC, Licensed Professional Counselor
Shawn A. Masters
Licensed Professional Counselor, MA, LPC
Verified Verified
Diamond, MO 64840
My ideal client seeks transformation amidst multifaceted challenges—be it stress, complex relationships, depression, anxiety, or life transitions. They yearn for relief, clarity, and personal growth. Seeking tailored support and empathetic guidance, they aspire to carve a path toward sustained well-being and fulfillment. In this journey, they desire a trusted mentor to navigate complexities and unlock their fullest potential. They value a safe, non-judgmental space to explore vulnerabilities. They are motivated not just by temporary fixes but by a desire to cultivate enduring strategies for a more fulfilling life.
My ideal client seeks transformation amidst multifaceted challenges—be it stress, complex relationships, depression, anxiety, or life transitions. They yearn for relief, clarity, and personal growth. Seeking tailored support and empathetic guidance, they aspire to carve a path toward sustained well-being and fulfillment. In this journey, they desire a trusted mentor to navigate complexities and unlock their fullest potential. They value a safe, non-judgmental space to explore vulnerabilities. They are motivated not just by temporary fixes but by a desire to cultivate enduring strategies for a more fulfilling life.
(618) 627-5050 View (618) 627-5050
Photo of Jennifer Wright, MA, LPC, Licensed Professional Counselor
Jennifer Wright
Licensed Professional Counselor, MA, LPC
Verified Verified
Neosho, MO 64850
Hi! I’m passionate about helping people reduce anxiety, connect with themselves and others, and heal from past hurt. To help clients, I often start by establishing stability - learning to ride the waves out. After some stability, we work on healing the inner systems by understanding how and why those waves affect you.
Hi! I’m passionate about helping people reduce anxiety, connect with themselves and others, and heal from past hurt. To help clients, I often start by establishing stability - learning to ride the waves out. After some stability, we work on healing the inner systems by understanding how and why those waves affect you.
(417) 246-3353 View (417) 246-3353
Photo of Jessicca Shumard - Elevating Peaceful Practices, LLC, MS, LPC, BC-TMH, Licensed Professional Counselor
Elevating Peaceful Practices, LLC
Licensed Professional Counselor, MS, LPC, BC-TMH
Verified Verified
Online Only
Welcome to your journey of finding peace in your purpose through Mindset Wellness, Counseling, Coaching and Consulting! At Elevating Peaceful Practices our goal is to empower you to navigate through the mess of life. Together we can work on finding your inner harmony, reducing stress, transforming limiting beliefs, calming the mind, fueling the body and finding balance within your spirit. Living life purposefully can keep you focused and fueled toward reaching your goals so that you can take control over your life!
Welcome to your journey of finding peace in your purpose through Mindset Wellness, Counseling, Coaching and Consulting! At Elevating Peaceful Practices our goal is to empower you to navigate through the mess of life. Together we can work on finding your inner harmony, reducing stress, transforming limiting beliefs, calming the mind, fueling the body and finding balance within your spirit. Living life purposefully can keep you focused and fueled toward reaching your goals so that you can take control over your life!
(417) 280-3433 View (417) 280-3433
Photo of Crystal Ellis, LSCSW, Clinical Social Work/Therapist
Crystal Ellis
Clinical Social Work/Therapist, LSCSW
Verified Verified
Seneca, MO 64865
I am a Licensed Specialist Clinical Social Worker (LSCSW) licensed in Kansas, Missouri and Oklahoma and work part-time as a Yoga Therapist, RYT 200. I have 12 years of clinical experience and have worked with individuals of all ages facing a multitude of challenges including depression, anxiety, ADHD, mood disorders, parenting concerns, gender identity needs, relationship issues, self esteem and overcoming everyday stressors. I enjoy providing education regarding the impacts of childhood trauma and how to use that information to better understand ourselves and how to heal moving forward.
I am a Licensed Specialist Clinical Social Worker (LSCSW) licensed in Kansas, Missouri and Oklahoma and work part-time as a Yoga Therapist, RYT 200. I have 12 years of clinical experience and have worked with individuals of all ages facing a multitude of challenges including depression, anxiety, ADHD, mood disorders, parenting concerns, gender identity needs, relationship issues, self esteem and overcoming everyday stressors. I enjoy providing education regarding the impacts of childhood trauma and how to use that information to better understand ourselves and how to heal moving forward.
(417) 302-3257 View (417) 302-3257
Photo of Karla Smith, LCSW, Clinical Social Work/Therapist
Karla Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Neosho, MO 64850
My name is Karla Smith and I am the owner of Moving Forward Therapy. I am a Licensed Clinical Social Worker and have experience working with a variety of mental health diagnosis with children, adolescents, and adults. I am passionate about helping patients explore healthier ways to cope with stress, regulate emotions, and improve relationships to live a mindful and authentic life.
My name is Karla Smith and I am the owner of Moving Forward Therapy. I am a Licensed Clinical Social Worker and have experience working with a variety of mental health diagnosis with children, adolescents, and adults. I am passionate about helping patients explore healthier ways to cope with stress, regulate emotions, and improve relationships to live a mindful and authentic life.
(417) 759-5879 View (417) 759-5879
Photo of Barbara Longan, MSW, LCSW, Clinical Social Work/Therapist
Barbara Longan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Neosho, MO 64850
Waitlist for new clients
Therapy provides a safe place to increase understanding, to learn how to make positive changes, to resolve problems, to heal from painful situations, or to simply feel better. I believe these things occur best when an individual is in a non-judgmental environment where they are treated with dignity and respect. I strive to provide just that to my clients. I want people to feel relaxed and supported when working with me. Life, with all its challenges, is difficult enough. The therapeutic process should be as easy as possible.
Therapy provides a safe place to increase understanding, to learn how to make positive changes, to resolve problems, to heal from painful situations, or to simply feel better. I believe these things occur best when an individual is in a non-judgmental environment where they are treated with dignity and respect. I strive to provide just that to my clients. I want people to feel relaxed and supported when working with me. Life, with all its challenges, is difficult enough. The therapeutic process should be as easy as possible.
(417) 310-1982 View (417) 310-1982
Photo of Cynthia Dohogne, Clinical Social Work/Therapist
Cynthia Dohogne
Clinical Social Work/Therapist
Verified Verified
Online Only
Cindy has 30 years experience working in numerous mental health setting including hospitals, outpatient and state and federal agencies. A major focus in her work has been with depression and anxiety management and helping her clients develop healthy coping and relaxation techniques. Cindy has experience working with adolescent, adult and geriatric population. Cindy has most recently been working with the veteran population and engaging in trauma therapy.
Cindy has 30 years experience working in numerous mental health setting including hospitals, outpatient and state and federal agencies. A major focus in her work has been with depression and anxiety management and helping her clients develop healthy coping and relaxation techniques. Cindy has experience working with adolescent, adult and geriatric population. Cindy has most recently been working with the veteran population and engaging in trauma therapy.
(417) 670-2041 View (417) 670-2041
Photo of Mandy Browning, LCSW, Clinical Social Work/Therapist
Mandy Browning
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Mandy Browning, and I am a Clinical Social Worker licensed in the states of Missouri and Arkansas. I have worked with clients of all ages, but since the pandemic hit, my primary clientele has been adults. I am a Certified Integrative Mental Health Professional, as well as a Certified Clinical Trauma Professional. I do place a degree of focus on the connection between our physical and mental health when I am working with clients.
My name is Mandy Browning, and I am a Clinical Social Worker licensed in the states of Missouri and Arkansas. I have worked with clients of all ages, but since the pandemic hit, my primary clientele has been adults. I am a Certified Integrative Mental Health Professional, as well as a Certified Clinical Trauma Professional. I do place a degree of focus on the connection between our physical and mental health when I am working with clients.
(323) 643-8569 View (323) 643-8569
Photo of Misty M Hayes, LPC, Licensed Professional Counselor
Misty M Hayes
Licensed Professional Counselor, LPC
Verified Verified
Neosho, MO 64850
My focus is on helping clients in the healing process. I address issues such as depression, anxiety, mood disorders, marital discord, relationship conflict, trauma, grief, abuse, child conduct issues and a many other emotional, behavioral, social and family issues. I would be honored to work with anyone who is experiencing difficulty in life and help them learn and develop different ways to cope and resolve their emotional pain. One of the unique therapeutic interventions I use is Animal Assisted Therapy (AAT). AAT is designed to promote improvement in physical, social, emotional, and/or cognitive functioning.
My focus is on helping clients in the healing process. I address issues such as depression, anxiety, mood disorders, marital discord, relationship conflict, trauma, grief, abuse, child conduct issues and a many other emotional, behavioral, social and family issues. I would be honored to work with anyone who is experiencing difficulty in life and help them learn and develop different ways to cope and resolve their emotional pain. One of the unique therapeutic interventions I use is Animal Assisted Therapy (AAT). AAT is designed to promote improvement in physical, social, emotional, and/or cognitive functioning.
(417) 658-4966 View (417) 658-4966

Online Therapists

Photo of Gabriel Cline, PhD, Psychologist
Gabriel Cline
Psychologist, PhD
Verified Verified
3 Endorsed
Springfield, MO 65804
I specialize in High-performance individuals that live under a constant state of performance pressure, Parents who want to understand what their child needs in education (gifted or learning difficulties), and Attorneys that want fair and honest data to decide what needs to happen in complex child custody cases. As someone who has lived in these scenarios, I've developed tools and techniques to help you find the answers you need. Whether you are worried about your child, feeling burned out, or need an accurate assessment for court, I'll strive to give you the care and attention I'd want for my own family.
I specialize in High-performance individuals that live under a constant state of performance pressure, Parents who want to understand what their child needs in education (gifted or learning difficulties), and Attorneys that want fair and honest data to decide what needs to happen in complex child custody cases. As someone who has lived in these scenarios, I've developed tools and techniques to help you find the answers you need. Whether you are worried about your child, feeling burned out, or need an accurate assessment for court, I'll strive to give you the care and attention I'd want for my own family.
(417) 414-0333 View (417) 414-0333
Photo of Tamara Bellings, MS, LPC, Licensed Professional Counselor
Tamara Bellings
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Online Only
Therapy is a GIFT of self care. I am committed to making your therapy experience worthwhile, productive, and rewarding. VIRTUAL /TELEHEALTH sessions are available in the whole state of Missouri. If either of us should feel that we are not a good fit for one another, I will be happy to refer you to a new, well qualified mental health professional. SOME of the areas I focus on are: Relationships, Neurodivergence, ADHD, Anxiety/Depression, Self esteem, LGBTQ+, Personal growth, Parenting/family, Self Expression, Religious Trauma.
Therapy is a GIFT of self care. I am committed to making your therapy experience worthwhile, productive, and rewarding. VIRTUAL /TELEHEALTH sessions are available in the whole state of Missouri. If either of us should feel that we are not a good fit for one another, I will be happy to refer you to a new, well qualified mental health professional. SOME of the areas I focus on are: Relationships, Neurodivergence, ADHD, Anxiety/Depression, Self esteem, LGBTQ+, Personal growth, Parenting/family, Self Expression, Religious Trauma.
(417) 363-3421 View (417) 363-3421
Photo of Jeremy W Dickson, MA, LPC, Licensed Professional Counselor
Jeremy W Dickson
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Highlandville, MO 65669
Being a human is hard sometimes; especially if we were not taught the skills needed to successfully navigate through life. Many people have not been excused from experiencing life issues, and partnering in therapy can be a great way to explore life moments in a safe and confidential manner. I specialize in EMDR, a form of therapy that helps reduce emotional intensities brought about from unprocessed past experiences. I also utilize DBT, a skills-based form of therapy that teaches mindfulness, skills to help regulate emotions, relationship skills, and strategies to tolerate distressing situations.
Being a human is hard sometimes; especially if we were not taught the skills needed to successfully navigate through life. Many people have not been excused from experiencing life issues, and partnering in therapy can be a great way to explore life moments in a safe and confidential manner. I specialize in EMDR, a form of therapy that helps reduce emotional intensities brought about from unprocessed past experiences. I also utilize DBT, a skills-based form of therapy that teaches mindfulness, skills to help regulate emotions, relationship skills, and strategies to tolerate distressing situations.
(417) 212-5452 View (417) 212-5452

How does your Therapist compare?

Number of Therapists in Wheaton, MO

< 10

Therapists in Wheaton, MO who prioritize treating:

How Therapists in Wheaton, MO see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Wheaton?

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.