Therapists in Adams County, NE

Photo of Wendy Hall, Clinical Social Work/Therapist, LIMHP, LMSW
Wendy Hall
Clinical Social Work/Therapist, LIMHP, LMSW
Hastings, NE 68901
Trauma. Stress. Shock. Suffering. Hurt. Wounds. Anxiety. Sad. Do any of these apply to you? More or less? Do you want to learn to live life and not just go through the motions of existence? Hope. Dream. Motivate. Rest. Calm. Let's make this your life.
Trauma. Stress. Shock. Suffering. Hurt. Wounds. Anxiety. Sad. Do any of these apply to you? More or less? Do you want to learn to live life and not just go through the motions of existence? Hope. Dream. Motivate. Rest. Calm. Let's make this your life.
(402) 902-7994 View (402) 902-7994
Photo of Darnice B Nyce, Counselor, MS, LIMHP, LMHP
Darnice B Nyce
Counselor, MS, LIMHP, LMHP
1 Endorsed
Hastings, NE 68901
I strive to create an emotionally safe environment to empower each person toward finding creative solutions. Through the years I have learned a wide range of therapies so as to create an integrative approach to your concerns.
I strive to create an emotionally safe environment to empower each person toward finding creative solutions. Through the years I have learned a wide range of therapies so as to create an integrative approach to your concerns.
(402) 509-8539 View (402) 509-8539
Photo of Ashleigh Drudik, Independent Mental Health Practitioner, LICSW
Ashleigh Drudik
Independent Mental Health Practitioner, LICSW
1 Endorsed
Hastings, NE 68901
Waitlist for new clients
I am an experienced clinical social worker and therapist that specializes in working with primarily individual that are 55+ though I enjoy seeing adults of all ages. My specialty areas of practice include: anxiety, depression, major life changes and role reversal, complicated grief and loss, complex trauma, end of life planning, terminal prognoses, physical and cognitive health changes, and caregiver stress and burnout.
I am an experienced clinical social worker and therapist that specializes in working with primarily individual that are 55+ though I enjoy seeing adults of all ages. My specialty areas of practice include: anxiety, depression, major life changes and role reversal, complicated grief and loss, complex trauma, end of life planning, terminal prognoses, physical and cognitive health changes, and caregiver stress and burnout.
(402) 673-6208 View (402) 673-6208
Photo of Jessica Hunt - Perspectives Professional Counseling, Licensed Professional Counselor, MS, LIMHP, LPC
Perspectives Professional Counseling
Licensed Professional Counselor, MS, LIMHP, LPC
Hastings, NE 68901
At Perspectives Professional Counseling, we believe everyone deserves a safe place to be heard, supported, and understood. Our compassionate team helps children, adolescents, adults, couples, and families navigate challenges such as anxiety, depression, trauma, relationship concerns, grief, and life transitions. We know that reaching out for help can feel overwhelming, which is why we strive to create a welcoming and nonjudgmental environment where healing and growth can happen. No matter where you are in your journey, we're here to help you gain new perspectives and create meaningful change.
At Perspectives Professional Counseling, we believe everyone deserves a safe place to be heard, supported, and understood. Our compassionate team helps children, adolescents, adults, couples, and families navigate challenges such as anxiety, depression, trauma, relationship concerns, grief, and life transitions. We know that reaching out for help can feel overwhelming, which is why we strive to create a welcoming and nonjudgmental environment where healing and growth can happen. No matter where you are in your journey, we're here to help you gain new perspectives and create meaningful change.
(402) 518-5028 View (402) 518-5028
Photo of Michael Keegan, Licensed Professional Counselor, MC, LIMHP, SEP
Michael Keegan
Licensed Professional Counselor, MC, LIMHP, SEP
3 Endorsed
Online Only
You work hard. You do your best. Yet you are still struggling to find happiness, peace, and meaning in your life. It's not your fault (really, it's not), but there are somethings you can do to make it better. There are ways to reduce your anxiety and depression, and to feel happy again. You can have meaningful relationships, an enjoyable worklife, and have fun again. You can be the person you want to be.
You work hard. You do your best. Yet you are still struggling to find happiness, peace, and meaning in your life. It's not your fault (really, it's not), but there are somethings you can do to make it better. There are ways to reduce your anxiety and depression, and to feel happy again. You can have meaningful relationships, an enjoyable worklife, and have fun again. You can be the person you want to be.
(623) 326-4681 View (623) 326-4681
Photo of Kim Jensen-Gemeiner, Independent Mental Health Practitioner, LIHMP
Kim Jensen-Gemeiner
Independent Mental Health Practitioner, LIHMP
Hastings, NE 68901
Do you ever feel like your brain is running a marathon at 3am? Racing thoughts, to-do lists, and worries that just won't stop? Or maybe you're at the store, forgot your list, and come home with everything but what you actually went to purchase? Then, just to keep things interesting; relationships and parenting often bring their own set of curveballs, from people-pleasing patterns to the guilt that comes with trying to do it all. If any of this sounds familiar, you're in the right place. I help adults who are tired of feeling anxious, distracted, or stuck learn how to slow down thoughts, build confidence, and find more balance.
Do you ever feel like your brain is running a marathon at 3am? Racing thoughts, to-do lists, and worries that just won't stop? Or maybe you're at the store, forgot your list, and come home with everything but what you actually went to purchase? Then, just to keep things interesting; relationships and parenting often bring their own set of curveballs, from people-pleasing patterns to the guilt that comes with trying to do it all. If any of this sounds familiar, you're in the right place. I help adults who are tired of feeling anxious, distracted, or stuck learn how to slow down thoughts, build confidence, and find more balance.
(402) 347-8688 View (402) 347-8688
Photo of Carley D Starling, Psychologist, LP
Carley D Starling
Psychologist, LP
Hastings, NE 68901
I enjoy working with children and families who are having difficulty due to challenging behavior. Every individual and family deserves an opportunity to tell their story and work with a provider in order to make life better; I am the person who will listen to your story and then work on a plan to make life better. Not only do I provide the services of assessment, diagnosis, and treatment plans, but I will continue to assist your entire family until my services are no longer needed.
I enjoy working with children and families who are having difficulty due to challenging behavior. Every individual and family deserves an opportunity to tell their story and work with a provider in order to make life better; I am the person who will listen to your story and then work on a plan to make life better. Not only do I provide the services of assessment, diagnosis, and treatment plans, but I will continue to assist your entire family until my services are no longer needed.
(308) 646-6657 View (308) 646-6657
Photo of Summer J Melroy, Provisional Mental Health Practitioner, PLMHP
Summer J Melroy
Provisional Mental Health Practitioner, PLMHP
1 Endorsed
Hastings, NE 68901
My personal expertise spans substance use, mood and personality disorders, autism, ADHD, and trauma informed care. Counseling individuals and families to build resilience, embrace change, and thrive in Hastings, Nebraska. I am dedicated to creating a safe, affirming space for all clients, including those in the LGBTQIA+ community. By blending evidence-based therapies such as Cognitive Behavioral Therapy (CBT), Dialectal Behavioral Therapy (DBT), narrative therapy, with multicultural perspectives. Previous experience working in trauma-informed, client-centered approach for therapy with children, teens, adults, and older adults.
My personal expertise spans substance use, mood and personality disorders, autism, ADHD, and trauma informed care. Counseling individuals and families to build resilience, embrace change, and thrive in Hastings, Nebraska. I am dedicated to creating a safe, affirming space for all clients, including those in the LGBTQIA+ community. By blending evidence-based therapies such as Cognitive Behavioral Therapy (CBT), Dialectal Behavioral Therapy (DBT), narrative therapy, with multicultural perspectives. Previous experience working in trauma-informed, client-centered approach for therapy with children, teens, adults, and older adults.
(402) 783-8258 View (402) 783-8258
Photo of Maria T Kerkman, Clinical Social Work/Therapist, MSW, PCMSW, PLMHP
Maria T Kerkman
Clinical Social Work/Therapist, MSW, PCMSW, PLMHP
1 Endorsed
Hastings, NE 68901
Life is constantly changing, and sometimes change is difficult to accept; stress, anxiety, and depression are part of our lives; taking care of our mental health is the key to enjoy life and bein the best we can. I can provide therapy in English or Spanish this helps to break the language barrier and help with life changes through therapy. La vida siempre esta cambiando, los cambios son dificiles de aceptar, el estress, la anciedad, depresion son parte de nuestas vidas, para poder disfrutar una vida plena es importante tener salud mental. El idioma no es una barrera ya que hablo espanol.
Life is constantly changing, and sometimes change is difficult to accept; stress, anxiety, and depression are part of our lives; taking care of our mental health is the key to enjoy life and bein the best we can. I can provide therapy in English or Spanish this helps to break the language barrier and help with life changes through therapy. La vida siempre esta cambiando, los cambios son dificiles de aceptar, el estress, la anciedad, depresion son parte de nuestas vidas, para poder disfrutar una vida plena es importante tener salud mental. El idioma no es una barrera ya que hablo espanol.
(402) 588-5840 View (402) 588-5840
Photo of Dr. Beth L Reiners, Psychologist, PsyD
Dr. Beth L Reiners
Psychologist, PsyD
Hastings, NE 68901
I am a Christian clinical psychologist passionate about helping women build healthier relationships, cultivate confidence, and find greater peace. With 20 years of experience, I use evidence-based practices, compassion, and a deep understanding of the challenges women face while balancing careers, relationships, parenting, and personal growth. I integrate faith-based principles when desired, providing a safe and supportive space to explore emotional, mental, and spiritual well-being. My goal is to walk alongside you on your journey toward healing, wholeness, and a more fulfilling life.
I am a Christian clinical psychologist passionate about helping women build healthier relationships, cultivate confidence, and find greater peace. With 20 years of experience, I use evidence-based practices, compassion, and a deep understanding of the challenges women face while balancing careers, relationships, parenting, and personal growth. I integrate faith-based principles when desired, providing a safe and supportive space to explore emotional, mental, and spiritual well-being. My goal is to walk alongside you on your journey toward healing, wholeness, and a more fulfilling life.
(402) 796-6310 View (402) 796-6310
Photo of Dr. Sarah Griess, Psychologist, PsyD, LP
Dr. Sarah Griess
Psychologist, PsyD, LP
1 Endorsed
Serves Area
Waitlist for new clients
I work with individuals and couples expressing a range of mental health needs, from depression and anxiety, to trauma, healthy relationships, and general self-development. I believe that building the therapeutic relationship helps to create a space where you can share your story while experimenting with new perspectives and behaviors while working toward a new understanding of yourself and a healthier sense of well-being. It is important to me to understand a person on a holistic level, including various identities that an individual may hold, life influences and experiences, multicultural factors, and one's own values and beliefs.
I work with individuals and couples expressing a range of mental health needs, from depression and anxiety, to trauma, healthy relationships, and general self-development. I believe that building the therapeutic relationship helps to create a space where you can share your story while experimenting with new perspectives and behaviors while working toward a new understanding of yourself and a healthier sense of well-being. It is important to me to understand a person on a holistic level, including various identities that an individual may hold, life influences and experiences, multicultural factors, and one's own values and beliefs.
(308) 210-4297 View (308) 210-4297
Photo of Lisa Barnes, Clinical Social Work/Therapist, LICSW
Lisa Barnes
Clinical Social Work/Therapist, LICSW
Serves Area
Hello. My name is Lisa Barnes. I am a Licensed Clinical Social Worker and Licensed Independent Mental Health Practitioner. I have 25 years of experience providing mental health services. I'm excited to have started my private practice, Fall Forward LLC, in 2020. My focus is to help guide my clients through the process of healing with the use of acceptance, mindfulness, values clarification and a loving and compassionate stance.
Hello. My name is Lisa Barnes. I am a Licensed Clinical Social Worker and Licensed Independent Mental Health Practitioner. I have 25 years of experience providing mental health services. I'm excited to have started my private practice, Fall Forward LLC, in 2020. My focus is to help guide my clients through the process of healing with the use of acceptance, mindfulness, values clarification and a loving and compassionate stance.
(308) 303-3091 View (308) 303-3091
Photo of Jennifer Hoffart, Provisional Mental Health Practitioner, PLMHP, PCMSW
Jennifer Hoffart
Provisional Mental Health Practitioner, PLMHP, PCMSW
2 Endorsed
Serves Area
Embarking on this journey together opens the door to personal growth and healing. As your therapist, I am devoted to guiding you in uncovering your potential and striving for a brighter future, empowering you to become a healthier, stronger, and more resilient version of yourself. With immediate openings for therapy sessions, now is the perfect time to take this vital step toward a healthier you—schedule your appointment today.
Embarking on this journey together opens the door to personal growth and healing. As your therapist, I am devoted to guiding you in uncovering your potential and striving for a brighter future, empowering you to become a healthier, stronger, and more resilient version of yourself. With immediate openings for therapy sessions, now is the perfect time to take this vital step toward a healthier you—schedule your appointment today.
(308) 337-3740 View (308) 337-3740
Photo of Christopher Allen Partin - Christopher Partin Counseling , Clinical Social Work/Therapist, LIMHP, LICSW, LADC
Christopher Partin Counseling
Clinical Social Work/Therapist, LIMHP, LICSW, LADC
1 Endorsed
Serves Area
My name is Christopher Partin. I am a Licensed Independent Mental Health Practitioner and Licensed Independent Clinical Social Worker. My practice is a practice that focuses on helping you find solutions and resolution to the problems that are causing issues in your life. I work with adolescents, families, couples, individuals, and veterans. Thank you for reading
My name is Christopher Partin. I am a Licensed Independent Mental Health Practitioner and Licensed Independent Clinical Social Worker. My practice is a practice that focuses on helping you find solutions and resolution to the problems that are causing issues in your life. I work with adolescents, families, couples, individuals, and veterans. Thank you for reading
(308) 280-8407 View (308) 280-8407
Photo of Tanna May Spencer, Provisional Mental Health Practitioner, LADC, PLMHP, PMSW
Tanna May Spencer
Provisional Mental Health Practitioner, LADC, PLMHP, PMSW
Serves Area
Hi, I’m Tanna Spencer, a Licensed Alcohol and Drug Counselor (LADC) and Provisionally Licensed Mental Health Practitioner (PLMHP). Therapy is for everyone, and everyone deserves a chance to grow, heal, and feel whole. If you’re looking for personal growth, support, or just someone to listen, I’m here to help. I know therapy can be a big step, but investing in yourself—your mental health and well-being—is one of the best gifts you can give yourself. To make therapy accessible, I offer evening hours, telehealth options, and am in the office Monday through Thursday, 8 AM - 5 PM.
Hi, I’m Tanna Spencer, a Licensed Alcohol and Drug Counselor (LADC) and Provisionally Licensed Mental Health Practitioner (PLMHP). Therapy is for everyone, and everyone deserves a chance to grow, heal, and feel whole. If you’re looking for personal growth, support, or just someone to listen, I’m here to help. I know therapy can be a big step, but investing in yourself—your mental health and well-being—is one of the best gifts you can give yourself. To make therapy accessible, I offer evening hours, telehealth options, and am in the office Monday through Thursday, 8 AM - 5 PM.
(402) 892-8961 View (402) 892-8961
Photo of Melissa A Adams, Clinical Social Work/Therapist, LICSW, CDC
Melissa A Adams
Clinical Social Work/Therapist, LICSW, CDC
2 Endorsed
Serves Area
In twenty-four years of mental health work and seventeen years of professional coaching, I have developed expertise in relationship counseling, depression and anxiety, anger management, behavior disorders and recovery from abuse. I have coached clients in personal growth, self esteem, assertiveness and divorce/blended families.I enjoy coaching divorced families toward healthy bonding and blending. After the pain of divorce, it is challenging to incorporate all parents, step parents, siblings, half-siblings, step siblings, grandparents, and other extended family into a loving group where all members can grow and be productive.
In twenty-four years of mental health work and seventeen years of professional coaching, I have developed expertise in relationship counseling, depression and anxiety, anger management, behavior disorders and recovery from abuse. I have coached clients in personal growth, self esteem, assertiveness and divorce/blended families.I enjoy coaching divorced families toward healthy bonding and blending. After the pain of divorce, it is challenging to incorporate all parents, step parents, siblings, half-siblings, step siblings, grandparents, and other extended family into a loving group where all members can grow and be productive.
(308) 221-8718 View (308) 221-8718
Photo of Tara Grall, Independent Mental Health Practitioner, LPCC, NCC
Tara Grall
Independent Mental Health Practitioner, LPCC, NCC
1 Endorsed
Online Only
Many of my clients are high-functioning adults who feel emotionally exhausted underneath the surface. They’re used to being the strong one for everyone else while privately struggling with anxiety, trauma, relationship stress, burnout, people-pleasing, or major life transitions. Often, these patterns are rooted in attachment wounds, family dynamics, or survival strategies developed long ago.
Many of my clients are high-functioning adults who feel emotionally exhausted underneath the surface. They’re used to being the strong one for everyone else while privately struggling with anxiety, trauma, relationship stress, burnout, people-pleasing, or major life transitions. Often, these patterns are rooted in attachment wounds, family dynamics, or survival strategies developed long ago.
(531) 202-5269 View (531) 202-5269
Photo of Joseph Ziemba - Ziemba Therapeutic Services, Independent Mental Health Practitioner, LIMHP
Ziemba Therapeutic Services
Independent Mental Health Practitioner, LIMHP
Serves Area
It's not a sales pitch when I say that I genuinely believe we all could benefit from seeing a therapist. It can be difficult to reach out for help when we need it, especially if we have been down the road of asking for help and not getting the help we need. Life simply is too difficult to go at it alone and therapy is a great way to begin the process of tackling what life throws at us head on. So whether you struggle with balancing life, trauma, depression, anxiety, relationship issues, etc. let's take the first steps into pursuing a healthier, growth oriented life.
It's not a sales pitch when I say that I genuinely believe we all could benefit from seeing a therapist. It can be difficult to reach out for help when we need it, especially if we have been down the road of asking for help and not getting the help we need. Life simply is too difficult to go at it alone and therapy is a great way to begin the process of tackling what life throws at us head on. So whether you struggle with balancing life, trauma, depression, anxiety, relationship issues, etc. let's take the first steps into pursuing a healthier, growth oriented life.
(308) 529-9120 View (308) 529-9120
Photo of Jen Myers, Counselor, MAEd, LMHP, CPC
Jen Myers
Counselor, MAEd, LMHP, CPC
Serves Area
Waitlist for new clients
Jen specializes in working with adolescents and women who struggle with anxiety, depression, low self-esteem, difficulty managing emotions or tolerating distress, and who are experiencing difficult life transitions. She offers a warm, empathetic approach to therapy and holds to the highest standards of confidentiality. Jen uses an eclectic approach with her clients intertwining Person-Centered Therapy, Cognitive Behavioral Therapy (CBT), Acceptance & Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and EMDR, . She is passionate about creating a safe environment in which personal growth is fostered.
Jen specializes in working with adolescents and women who struggle with anxiety, depression, low self-esteem, difficulty managing emotions or tolerating distress, and who are experiencing difficult life transitions. She offers a warm, empathetic approach to therapy and holds to the highest standards of confidentiality. Jen uses an eclectic approach with her clients intertwining Person-Centered Therapy, Cognitive Behavioral Therapy (CBT), Acceptance & Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and EMDR, . She is passionate about creating a safe environment in which personal growth is fostered.
(308) 455-4326 View (308) 455-4326
Photo of Kelli Czarnick, Counselor, LIMHP, CPC
Kelli Czarnick
Counselor, LIMHP, CPC
2 Endorsed
Serves Area
I work with individuals across the lifespan, from young children to adults, with a special focus on supporting women navigating emotional abuse, post-separation abuse, and narcissistic abuse. I also support parents who may be feeling overwhelmed, uncertain, or stretched thin, particularly during life transitions or co-parenting challenges, or who have children struggling with mental health or behavioral issues (including those involved with Probation or CPS). In addition, I work with anxiety, depression, ADHD, relationship concerns, and a wide range of mental health issues for those seeking clarity, support, and meaningful change.
I work with individuals across the lifespan, from young children to adults, with a special focus on supporting women navigating emotional abuse, post-separation abuse, and narcissistic abuse. I also support parents who may be feeling overwhelmed, uncertain, or stretched thin, particularly during life transitions or co-parenting challenges, or who have children struggling with mental health or behavioral issues (including those involved with Probation or CPS). In addition, I work with anxiety, depression, ADHD, relationship concerns, and a wide range of mental health issues for those seeking clarity, support, and meaningful change.
(402) 316-1369 View (402) 316-1369

See more therapy options for Adams County

How does your Therapist compare?

Number of Therapists in Adams County, NE

30+

Average cost per session

$185

Therapists in Adams County, NE who prioritize treating:

94% Depression
91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
80% Stress
77% Grief

Average years in practice

10 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
87% UnitedHealthcare UHC | UBH
77% Medicaid

How Therapists in Adams County, NE see their clients

91% In Person and Online
9% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Adams 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.