Therapists in Omaha, NE

View neighborhoods in Omaha
Photo of Kerrie Wellman, MS, LIMHP, LMHP, NCC, Counselor
Kerrie Wellman
Counselor, MS, LIMHP, LMHP, NCC
Verified Verified
Omaha, NE 68144
Are you going through hard times? Are you feeling overwhelmed and frustrated? Do you or your child/adolescent feel stuck? Many individuals and families find themselves struggling in difficult situations. You have tried multiple approaches but are still not where you want to be. My purpose as a counselor is to support you as you process through the difficulties of life so that you may reach your full potential. I have over a decade of experience working with children, adolescents and adults with a variety of presenting mental health concerns.
Are you going through hard times? Are you feeling overwhelmed and frustrated? Do you or your child/adolescent feel stuck? Many individuals and families find themselves struggling in difficult situations. You have tried multiple approaches but are still not where you want to be. My purpose as a counselor is to support you as you process through the difficulties of life so that you may reach your full potential. I have over a decade of experience working with children, adolescents and adults with a variety of presenting mental health concerns.
(531) 208-1785 View (531) 208-1785
Photo of Michenzie Bruce, MA, LIMHP, Counselor
Michenzie Bruce
Counselor, MA, LIMHP
Verified Verified
Omaha, NE 68104
Sometimes we come to a season in which we realize that our current ways of dealing with past trauma, connecting with people, or balancing life stressors just aren't working anymore. I am passionate about creating a compassionate and safe setting where an individual can work through strong emotions and past trauma. There is always hope and healing that can be rewritten into the path you are currently on. I have specific training in Maternal Mental Health from Postpartum Support International as well as Accelerated Resolution Therapy (ART).
Sometimes we come to a season in which we realize that our current ways of dealing with past trauma, connecting with people, or balancing life stressors just aren't working anymore. I am passionate about creating a compassionate and safe setting where an individual can work through strong emotions and past trauma. There is always hope and healing that can be rewritten into the path you are currently on. I have specific training in Maternal Mental Health from Postpartum Support International as well as Accelerated Resolution Therapy (ART).
(402) 389-3871 View (402) 389-3871
Photo of Tracy L Muller, MS, LIMHP, Counselor
Tracy L Muller
Counselor, MS, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68114
Not accepting new clients
As a therapist I enjoy working with a variety of groups but particularly enjoy working with women's issues and couples. In my work with couples, I utilize the Gottman Method which includes a thorough assessment process and integrates research-based interventions to support and strengthen the weak areas of your partnership. When working in individual sessions, I use a person-centered and solution focused approach to help individuals discover their strengths and overcome daily challenges. Together, we can approach a treatment plan to meet your needs.
As a therapist I enjoy working with a variety of groups but particularly enjoy working with women's issues and couples. In my work with couples, I utilize the Gottman Method which includes a thorough assessment process and integrates research-based interventions to support and strengthen the weak areas of your partnership. When working in individual sessions, I use a person-centered and solution focused approach to help individuals discover their strengths and overcome daily challenges. Together, we can approach a treatment plan to meet your needs.
(402) 243-6511 View (402) 243-6511
Photo of Haley Devney, MS, PLMHP, PLADC, Counselor
Haley Devney
Counselor, MS, PLMHP, PLADC
Verified Verified
3 Endorsed
Omaha, NE 68106  (Online Only)
Hey everyone! If you're looking for a chill, down-to-earth therapist, I'm your person!
Hey everyone! If you're looking for a chill, down-to-earth therapist, I'm your person!
(402) 791-6996 View (402) 791-6996
Photo of Maureen Odonnell Schroeder, MS, LIMHP, LADC, Counselor
Maureen Odonnell Schroeder
Counselor, MS, LIMHP, LADC
Verified Verified
Omaha, NE 68154
I am really happy you are treating yourself to help! It takes courage to reach out to a counselor, embrace the unknown and become open to change. My goal is to provide a safe space for you to talk and deal with what has been difficult to address. I find that peoples’ best answers come from within themselves. It is an honor and a blessing to travel with people as they journey from feeling their lowest, to discovering new areas of strength. Specialties include couples, adults with depression and anxiety, teens, and family therapy.
I am really happy you are treating yourself to help! It takes courage to reach out to a counselor, embrace the unknown and become open to change. My goal is to provide a safe space for you to talk and deal with what has been difficult to address. I find that peoples’ best answers come from within themselves. It is an honor and a blessing to travel with people as they journey from feeling their lowest, to discovering new areas of strength. Specialties include couples, adults with depression and anxiety, teens, and family therapy.
(402) 621-5844 View (402) 621-5844
Photo of Tenora Bannister, LIMHP, NCC, LPC, Counselor
Tenora Bannister
Counselor, LIMHP, NCC, LPC
Verified Verified
3 Endorsed
Omaha, NE 68144
Life is a journey and at times can be lonely and I am a firm believer that having an outside perspective to offer support, guidance and unconditional acceptance can be of extreme value and importance. Whether it be relationship issues, low self-esteem, challenges with communicating, struggles with work, difficulties making decisions, frustrations with teens or even with parents, divorce, eating disorders and just general life coaching, having a compassionate support can make all the difference a person needs to live a successful and HAPPY life! Call today and take the first step towards change!
Life is a journey and at times can be lonely and I am a firm believer that having an outside perspective to offer support, guidance and unconditional acceptance can be of extreme value and importance. Whether it be relationship issues, low self-esteem, challenges with communicating, struggles with work, difficulties making decisions, frustrations with teens or even with parents, divorce, eating disorders and just general life coaching, having a compassionate support can make all the difference a person needs to live a successful and HAPPY life! Call today and take the first step towards change!
(402) 795-1636 View (402) 795-1636
Photo of Sydney Barrett, LIMHP, LPC, Counselor
Sydney Barrett
Counselor, LIMHP, LPC
Verified Verified
2 Endorsed
Omaha, NE 68154
Waitlist for new clients
I believe in supporting my clients through all of life’s real and perceived challenges. Everyone needs someone to talk to- someone to help process through emotions, thoughts, experiences and events. A life worth living looks different from one person to the next and I enjoy helping people navigate this discovery. I help clients look at where they are, where they truly desire to be, and help search their soul to determine what they are willing to do to achieve their life worth living.
I believe in supporting my clients through all of life’s real and perceived challenges. Everyone needs someone to talk to- someone to help process through emotions, thoughts, experiences and events. A life worth living looks different from one person to the next and I enjoy helping people navigate this discovery. I help clients look at where they are, where they truly desire to be, and help search their soul to determine what they are willing to do to achieve their life worth living.
(402) 627-8931 View (402) 627-8931
Photo of Asa Nathanael Russell, LIMHP, LCPCC, NCC, Counselor
Asa Nathanael Russell
Counselor, LIMHP, LCPCC, NCC
Verified Verified
Omaha, NE 68131  (Online Only)
I take a collaborative approach to therapy and believe you carry with you the answers necessary to move toward change and healing. Whether we are working toward a particular goal or engaging in a broader process of self-discovery, it is my job to facilitate, engage and empower. Your role is to bring your whole self and be open to the process as we build skills, increase internal motivation, and work toward a newly imagined future experience.
I take a collaborative approach to therapy and believe you carry with you the answers necessary to move toward change and healing. Whether we are working toward a particular goal or engaging in a broader process of self-discovery, it is my job to facilitate, engage and empower. Your role is to bring your whole self and be open to the process as we build skills, increase internal motivation, and work toward a newly imagined future experience.
(402) 207-5942 View (402) 207-5942
Photo of Nicole E Crawford, LIMHP, CPC, Counselor
Nicole E Crawford
Counselor, LIMHP, CPC
Verified Verified
3 Endorsed
Omaha, NE 68104
Not accepting new clients
“Start close in…” What in you is hungry for answers? What might your life look like if you were deeply well fed by your choices? People come to me with hunger pangs. They're hungry for deep connection - to themselves, to a partner, to a job, to their life. They come to me craving answers - carrying persistent questions that may be contributing greatly to feelings of starvation, of wanting more. I partner with people who are searching for clarity, purpose, and more meaningful connections both personally and professionally. My clients seek to be better nourished by their life choices and feel more balanced in their relationships.
“Start close in…” What in you is hungry for answers? What might your life look like if you were deeply well fed by your choices? People come to me with hunger pangs. They're hungry for deep connection - to themselves, to a partner, to a job, to their life. They come to me craving answers - carrying persistent questions that may be contributing greatly to feelings of starvation, of wanting more. I partner with people who are searching for clarity, purpose, and more meaningful connections both personally and professionally. My clients seek to be better nourished by their life choices and feel more balanced in their relationships.
(402) 227-6805 View (402) 227-6805
Photo of Kelly Ann Maddalena, LCSW, LMHP, LIMHP, Clinical Social Work/Therapist
Kelly Ann Maddalena
Clinical Social Work/Therapist, LCSW, LMHP, LIMHP
Verified Verified
Omaha, NE 68116
I am a therapist with extensive experience in providing therapy to individuals, couples, and families. My specialization in Eye Movement Desensitization and Reprocessing allows me to effectively treat conditions like PTSD, Panic Disorder, and phobias. Additionally; I have a special interest in supporting couples in overcoming infidelity, and I place great emphasis on promoting healthy communication skills and fostering meaningful connections. I strive to create a comfortable and supportive environment where clients can experience personal growth and find satisfaction.
I am a therapist with extensive experience in providing therapy to individuals, couples, and families. My specialization in Eye Movement Desensitization and Reprocessing allows me to effectively treat conditions like PTSD, Panic Disorder, and phobias. Additionally; I have a special interest in supporting couples in overcoming infidelity, and I place great emphasis on promoting healthy communication skills and fostering meaningful connections. I strive to create a comfortable and supportive environment where clients can experience personal growth and find satisfaction.
(402) 838-2308 View (402) 838-2308
Photo of Deanna Sindt, MA, LMHP, Counselor
Deanna Sindt
Counselor, MA, LMHP
Verified Verified
1 Endorsed
Omaha, NE 68114
At Deanna Sindt Counseling, my goal is to empower you to improve your well-being and happiness. We will work together to set and accomplish your goals, so that you can start living a life you enjoy!
At Deanna Sindt Counseling, my goal is to empower you to improve your well-being and happiness. We will work together to set and accomplish your goals, so that you can start living a life you enjoy!
(531) 233-2803 View (531) 233-2803
Photo of Ciel Del-Toro, PLMHP, PSS, CPhT, Counselor
Ciel Del-Toro
Counselor, PLMHP, PSS, CPhT
Verified Verified
Omaha, NE 68131
I'm not going to lament to you about how hard life is; if you're here you know that. My clientele often have a history of working with many therapists, and not finding the help adequate. Whether it's Autistic Burnout, social exclusion due to neurodiversity, disabling symptoms of ADHD, or hitting a wall regarding improvement in therapy, I have a plan. Neurodiversity does not jive with homework, so I do not give any. You will be challenged, and given a plethora of psychoeducation; because it is so hard to fix something unless you know how it works.
I'm not going to lament to you about how hard life is; if you're here you know that. My clientele often have a history of working with many therapists, and not finding the help adequate. Whether it's Autistic Burnout, social exclusion due to neurodiversity, disabling symptoms of ADHD, or hitting a wall regarding improvement in therapy, I have a plan. Neurodiversity does not jive with homework, so I do not give any. You will be challenged, and given a plethora of psychoeducation; because it is so hard to fix something unless you know how it works.
(402) 526-5324 View (402) 526-5324
Photo of Jennifer Richey - Aspire and Revive Therapy, LLC, LICSW, Clinical Social Work/Therapist
Aspire and Revive Therapy, LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Omaha, NE 68144
Jennifer has been a therapist for 12 years, working with children, teenagers, adults, and families. She has specialized in helping clients who have experienced trauma but also works with individuals and families on a variety of other concerns such as anxiety, depression, attention problems, bipolar disorder, intellectual delays/ functioning, grief and loss, LGBTQ+, and family relationships. Jennifer's primary focus is to assist others in discovering and developing their own self worth, taking ownership for when they've lost control, and finding a way to move forward.
Jennifer has been a therapist for 12 years, working with children, teenagers, adults, and families. She has specialized in helping clients who have experienced trauma but also works with individuals and families on a variety of other concerns such as anxiety, depression, attention problems, bipolar disorder, intellectual delays/ functioning, grief and loss, LGBTQ+, and family relationships. Jennifer's primary focus is to assist others in discovering and developing their own self worth, taking ownership for when they've lost control, and finding a way to move forward.
(402) 607-8357 View (402) 607-8357
Photo of Teagan MacKnight, MA, LPC, LIMHP, Counselor
Teagan MacKnight
Counselor, MA, LPC, LIMHP
Verified Verified
Omaha, NE 68154
Hello, I am happy you are here. My name is Teagan MacKnight, a Clinical Mental Health Therapist with MH Counseling, LLC. I am passionate about helping individuals navigate their journey towards healing, growth, and freedom. I work primarily with individuals, specializing in working with middle schoolers, college aged individuals, and adults. I see each client as an individual and find that an integrative, client-centered approach is necessary to best serve each client. Together, we'll work towards your goals, fostering growth and health in your life.
Hello, I am happy you are here. My name is Teagan MacKnight, a Clinical Mental Health Therapist with MH Counseling, LLC. I am passionate about helping individuals navigate their journey towards healing, growth, and freedom. I work primarily with individuals, specializing in working with middle schoolers, college aged individuals, and adults. I see each client as an individual and find that an integrative, client-centered approach is necessary to best serve each client. Together, we'll work towards your goals, fostering growth and health in your life.
(402) 741-6310 View (402) 741-6310
Photo of Marie Gotthardt, LIMHP, CPC, NCC
Marie Gotthardt
Independent Mental Health Practitioner, LIMHP, CPC, NCC
Verified Verified
Omaha, NE 68154
Not accepting new clients
My name is Marie Gotthardt and I support each of my clients to work toward finding hope, healing, growth, and in building healthy relationships. I work with children, adolescents, and adults with a range of challenges, such as anxiety, depression, grief, and trauma. I have training in TAC, TF-CBT, EMDR, DBT, and Gottman Method Couples Therapy. I have experience working with victims of sexual abuse, physical abuse, and neglect, conducting child and adolescent counseling, couples counseling, and Christian counseling.
My name is Marie Gotthardt and I support each of my clients to work toward finding hope, healing, growth, and in building healthy relationships. I work with children, adolescents, and adults with a range of challenges, such as anxiety, depression, grief, and trauma. I have training in TAC, TF-CBT, EMDR, DBT, and Gottman Method Couples Therapy. I have experience working with victims of sexual abuse, physical abuse, and neglect, conducting child and adolescent counseling, couples counseling, and Christian counseling.
(402) 749-8384 View (402) 749-8384
Photo of Linda Phosaly, PhD, LP, Psychologist
Linda Phosaly
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Omaha, NE 68118
Everyone always says parenting is hard, but that it is so worth it… leaving you to wonder when that will be true for you and leaving you to feel guilty when you feel like screaming at your toddler for not listening, or pulling your hair out due to your child excessively worrying about nothing, or walking on eggshells around your moody teenager. While you’re still figuring out how to navigate and adjust to each new phase of your own life, you’re also trying to teach your kids how to be human and how to find their own authentic selves in this changing world.
Everyone always says parenting is hard, but that it is so worth it… leaving you to wonder when that will be true for you and leaving you to feel guilty when you feel like screaming at your toddler for not listening, or pulling your hair out due to your child excessively worrying about nothing, or walking on eggshells around your moody teenager. While you’re still figuring out how to navigate and adjust to each new phase of your own life, you’re also trying to teach your kids how to be human and how to find their own authentic selves in this changing world.
(402) 869-6364 x8 View (402) 869-6364 x8
Photo of Jessica Lynn Hoffman, PLMHP
Jessica Lynn Hoffman
Provisional Mental Health Practitioner, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68102
Hello! I am Jessica Hoffman (she/they), a provisionally licensed mental health practitioner. A quote at the forefront of my practice as a counselor is “The greatest good you can do for another is not just share your riches, but reveal to them their own” by the former Prime Minister of the United Kingdom, Benjamin Disraeli. My goal for each of my clients is to form a therapeutic relationship that fosters growth, acceptance, and collaboration. I have worked with a wide range of clients (kids, teens, and adults) including clients who struggle with anxiety, depression, emotional regulation, etc.
Hello! I am Jessica Hoffman (she/they), a provisionally licensed mental health practitioner. A quote at the forefront of my practice as a counselor is “The greatest good you can do for another is not just share your riches, but reveal to them their own” by the former Prime Minister of the United Kingdom, Benjamin Disraeli. My goal for each of my clients is to form a therapeutic relationship that fosters growth, acceptance, and collaboration. I have worked with a wide range of clients (kids, teens, and adults) including clients who struggle with anxiety, depression, emotional regulation, etc.
(402) 383-5812 View (402) 383-5812
Photo of Mary L Phillips, LIMHP, CHT, CPC, Counselor
Mary L Phillips
Counselor, LIMHP, CHT, CPC
Verified Verified
Omaha, NE 68144
Do you feel like there is something that keeps getting in the way of being able to live a life of fulfillment and joy? Is emotional pain or worry about the future making it hard to enjoy today? Sometimes even the strongest people need some help to work through some of life's more challenging problems. Overwhelm, stress, constant change, weight gain-these things can seem to be an inevitable part of life but that doesn't have to be the case. Everyone has battles to fight and hurdles to overcome at some point. Whether you struggle with anxiety, panic, depression, self-esteem, I want you to know there IS hope for a better tomorrow.
Do you feel like there is something that keeps getting in the way of being able to live a life of fulfillment and joy? Is emotional pain or worry about the future making it hard to enjoy today? Sometimes even the strongest people need some help to work through some of life's more challenging problems. Overwhelm, stress, constant change, weight gain-these things can seem to be an inevitable part of life but that doesn't have to be the case. Everyone has battles to fight and hurdles to overcome at some point. Whether you struggle with anxiety, panic, depression, self-esteem, I want you to know there IS hope for a better tomorrow.
(402) 389-8970 View (402) 389-8970
Photo of Julie Ann Micek -  Julie Micek Counseling Services, LIMHP, Counselor
Julie Micek Counseling Services
Counselor, LIMHP
Verified Verified
Omaha, NE 68154
I enjoy working with clients who are open-minded, curious, and eager to learn and grow. Facing challenges or seeking guidance in various aspects of your life, whether it's personal development, career advancement, relationship issues, or mental well-being are areas that I enjoy discussing. If you have feelings of being stuck, lacking direction, struggling with self-confidence, or managing stress and anxiety, let's talk about meeting your goals. Let's work together to bring you greater fulfillment, success, and happiness in your life! Please send me an email or give me a call for a free 15-minute consultation.
I enjoy working with clients who are open-minded, curious, and eager to learn and grow. Facing challenges or seeking guidance in various aspects of your life, whether it's personal development, career advancement, relationship issues, or mental well-being are areas that I enjoy discussing. If you have feelings of being stuck, lacking direction, struggling with self-confidence, or managing stress and anxiety, let's talk about meeting your goals. Let's work together to bring you greater fulfillment, success, and happiness in your life! Please send me an email or give me a call for a free 15-minute consultation.
(402) 512-5514 View (402) 512-5514
Photo of Carrie Gobel, LIMHP, LCSW, Clinical Social Work/Therapist
Carrie Gobel
Clinical Social Work/Therapist, LIMHP, LCSW
Verified Verified
4 Endorsed
Omaha, NE 68114
I enjoy serving adults and adolescents and working collaboratively with individuals and families to improve emotional health and overall well-being. My role is to gain a true understanding of each client's goals and challenges and assist in growth and healing. I use a client-centered approach with each individual and draw on various treatment modalities to address obstacles to change. I am skilled in the use of psychodynamic therapy, brainspotting, eye movement desensitization and reprocessing (EMDR), trauma-focused cognitive behavioral therapy, sand tray therapy, and other treatment models.
I enjoy serving adults and adolescents and working collaboratively with individuals and families to improve emotional health and overall well-being. My role is to gain a true understanding of each client's goals and challenges and assist in growth and healing. I use a client-centered approach with each individual and draw on various treatment modalities to address obstacles to change. I am skilled in the use of psychodynamic therapy, brainspotting, eye movement desensitization and reprocessing (EMDR), trauma-focused cognitive behavioral therapy, sand tray therapy, and other treatment models.
(531) 208-0861 View (531) 208-0861
1
...

How does your Therapist compare?

Number of Therapists in Omaha, NE

1,000+

Average cost per session

$150

Therapists in Omaha, NE who prioritize treating:

93% Anxiety
90% Depression
75% Trauma and PTSD
74% Relationship Issues
74% Self Esteem
71% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
72% Aetna
71% UnitedHealthcare UHC | UBH

How Therapists in Omaha, NE see their clients

84% In Person and Online
16% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Omaha?

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.