Therapists in Omaha, NE

View neighborhoods in Omaha
Photo of Hannah Reilly, Counselor, LIMHP
Hannah Reilly
Counselor, LIMHP
1 Endorsed
Omaha, NE 68154
Waitlist for new clients
We seek the guidance of a therapist for many reasons and each one is valid. Sometimes we just need a sounding board because we're feeling stuck; sometimes we're going through a life transition. Other times, a traumatic event has us overwhelmed and we can't separate our present from our future or past. Symptoms of depression and anxiety are manageable...until they're not. It's hard to reach out, but it is also the first big step of many towards healing. Let me help you keep the momentum going towards better health. The therapeutic relationship can be a great catalyst for lifelong relief.
We seek the guidance of a therapist for many reasons and each one is valid. Sometimes we just need a sounding board because we're feeling stuck; sometimes we're going through a life transition. Other times, a traumatic event has us overwhelmed and we can't separate our present from our future or past. Symptoms of depression and anxiety are manageable...until they're not. It's hard to reach out, but it is also the first big step of many towards healing. Let me help you keep the momentum going towards better health. The therapeutic relationship can be a great catalyst for lifelong relief.
(402) 518-5495 View (402) 518-5495
Photo of Jasmine Rae Campbell, Mental Health Counselor, MS, PLMHP
Jasmine Rae Campbell
Mental Health Counselor, MS, PLMHP
5 Endorsed
Omaha, NE 68144
Hi, I’m Jasmine! My goal is to create a warm, supportive space where you feel heard, valued, and empowered. I enjoy working with individuals navigating anxiety, stress, life transitions, and relationship challenges. With a person-centered approach and an easygoing style, I believe you are the expert on your own life;I’m here to walk alongside you, offering guidance and support. As a former teacher and a firm believer in the of law of attraction and power to create your own reality, I focus on your strengths to help you create meaningful change. Let’s work together to build the life you envision!
Hi, I’m Jasmine! My goal is to create a warm, supportive space where you feel heard, valued, and empowered. I enjoy working with individuals navigating anxiety, stress, life transitions, and relationship challenges. With a person-centered approach and an easygoing style, I believe you are the expert on your own life;I’m here to walk alongside you, offering guidance and support. As a former teacher and a firm believer in the of law of attraction and power to create your own reality, I focus on your strengths to help you create meaningful change. Let’s work together to build the life you envision!
(402) 928-2310 View (402) 928-2310
Photo of Carlee Heck, Counselor, MS, LIMHP , NCC
Carlee Heck
Counselor, MS, LIMHP , NCC
Omaha, NE 68154
Carlee Heck is a compassionate and experienced therapist dedicated to providing personalized and effective mental health support to individuals and families. With over ten years of experience in the field, Carlee has helped countless clients navigate through difficult life challenges, overcome emotional obstacles, and achieve personal growth. Her goal is to create a safe and supportive environment for all of her clients so they are able to explore their thoughts, feelings, and concerns. Carlee specializes in tailoring her approach to meet the unique needs of each individual.
Carlee Heck is a compassionate and experienced therapist dedicated to providing personalized and effective mental health support to individuals and families. With over ten years of experience in the field, Carlee has helped countless clients navigate through difficult life challenges, overcome emotional obstacles, and achieve personal growth. Her goal is to create a safe and supportive environment for all of her clients so they are able to explore their thoughts, feelings, and concerns. Carlee specializes in tailoring her approach to meet the unique needs of each individual.
(402) 724-5486 View (402) 724-5486
Photo of Nathan Sudbeck, Psychologist, PsyD, ABPP
Nathan Sudbeck
Psychologist, PsyD, ABPP
4 Endorsed
Omaha, NE 68116
TRUE Counseling & Psychological Services, LLC is accepting new clients for individual and couples therapy. I established this Practice with the goal of assisting clients in achieving a sense of control over their lives, their choices, and their relationships. To regain your “true” self. Our sessions will always be personalized and you will receive realistic, meaningful ways to improve your circumstances. Both men and women have benefited from a few sessions focused on immediate concerns. Others have sought longer-term experiences to improve their overall well-being, productivity, and success in relationships and work.
TRUE Counseling & Psychological Services, LLC is accepting new clients for individual and couples therapy. I established this Practice with the goal of assisting clients in achieving a sense of control over their lives, their choices, and their relationships. To regain your “true” self. Our sessions will always be personalized and you will receive realistic, meaningful ways to improve your circumstances. Both men and women have benefited from a few sessions focused on immediate concerns. Others have sought longer-term experiences to improve their overall well-being, productivity, and success in relationships and work.
(531) 300-0807 View (531) 300-0807
Photo of Jennifer Poaches, Licensed Professional Counselor, LIMHP
Jennifer Poaches
Licensed Professional Counselor, LIMHP
Online Only
Life can be challenging and everyone deserves a safe and non-judgmental space to work through those challenges. My goal is to support and empower you along your journey of life at whatever stage you may be in. I believe that you are the expert on you so we will work together to build healthy coping skills and increase insight into becoming the best version of yourself. As a licensed professional counselor (LPC) I have 15 yeas of experience with an emphasis in trauma informed care. My experience consists of working in a variety of settings with a diverse population.
Life can be challenging and everyone deserves a safe and non-judgmental space to work through those challenges. My goal is to support and empower you along your journey of life at whatever stage you may be in. I believe that you are the expert on you so we will work together to build healthy coping skills and increase insight into becoming the best version of yourself. As a licensed professional counselor (LPC) I have 15 yeas of experience with an emphasis in trauma informed care. My experience consists of working in a variety of settings with a diverse population.
(402) 735-5809 View (402) 735-5809
Photo of Jim Haley, Psychologist, PhD, NCC
Jim Haley
Psychologist, PhD, NCC
2 Endorsed
Omaha, NE 68144
I believe empathy, collaboration, and motivation are vital in counseling. As a clinician, I want to learn about what has gotten you to this point. I offer a safe, nonjudgmental environment to help facilitate this. I am particularly interested in your strengths, resources, past efforts, and goals including what you feel can and can't be done. I believe most problems stem from suppressed emotions, interpersonal difficulties, environmental stressors, or distorted beliefs and assumptions. Together, we will work to select the most effective course to achieve changes you want and need.
I believe empathy, collaboration, and motivation are vital in counseling. As a clinician, I want to learn about what has gotten you to this point. I offer a safe, nonjudgmental environment to help facilitate this. I am particularly interested in your strengths, resources, past efforts, and goals including what you feel can and can't be done. I believe most problems stem from suppressed emotions, interpersonal difficulties, environmental stressors, or distorted beliefs and assumptions. Together, we will work to select the most effective course to achieve changes you want and need.
(402) 330-1537 x16 View (402) 330-1537 x16
Photo of Hayden Wallace, Provisional Mental Health Practitioner, PLMHP
Hayden Wallace
Provisional Mental Health Practitioner, PLMHP
2 Endorsed
Omaha, NE 68134
I acknowledge and understand how difficult it may be starting the therapeutic process, which is why my goal is to build a trusting and welcoming environment to allow you to feel validated in your experiences and liberated to make changes in your life. My approach includes methods like Person-Centered Therapy, Cognitive Behavioral Therapy, Solution-Focused, and relaxation techniques that keeps things client-focused. Over time, you will be able to develop better coping strategies, increase resiliency, and tackle things life throws your way with confidence.
I acknowledge and understand how difficult it may be starting the therapeutic process, which is why my goal is to build a trusting and welcoming environment to allow you to feel validated in your experiences and liberated to make changes in your life. My approach includes methods like Person-Centered Therapy, Cognitive Behavioral Therapy, Solution-Focused, and relaxation techniques that keeps things client-focused. Over time, you will be able to develop better coping strategies, increase resiliency, and tackle things life throws your way with confidence.
(531) 335-6430 View (531) 335-6430
Photo of Tracy L Grothe, Counselor, MEd, EdS, LIMHP, LPC-S
Tracy L Grothe
Counselor, MEd, EdS, LIMHP, LPC-S
5 Endorsed
Omaha, NE 68130
Sometimes life throws us a serious curve ball; whether it's coming to terms with a new medical diagnosis, adapting a disability, coping with the stress of career transition, or the loss of a significant relationship, these dilemmas can send us reeling. Any traumatic life event can leave us angry, sad, anxious, confused, isolated or just plain stuck and overwhelmed. My practical counseling philosophy supports clients with grief, trauma, relationship conflicts, financial stress, health issues, and vocational challenges presented by change, loss, new or existing disabilities.
Sometimes life throws us a serious curve ball; whether it's coming to terms with a new medical diagnosis, adapting a disability, coping with the stress of career transition, or the loss of a significant relationship, these dilemmas can send us reeling. Any traumatic life event can leave us angry, sad, anxious, confused, isolated or just plain stuck and overwhelmed. My practical counseling philosophy supports clients with grief, trauma, relationship conflicts, financial stress, health issues, and vocational challenges presented by change, loss, new or existing disabilities.
(402) 704-3519 View (402) 704-3519
Photo of Alyssa Mullinix, Counselor, MSE, PLMHP
Alyssa Mullinix
Counselor, MSE, PLMHP
Omaha, NE 68154
Hello! If you are here, you or someone you care about is likely considering therapy. I understand taking that first step and asking for help isn’t always easy, but once you begin that journey, you will move towards healing and self-awareness and feel happier and more at peace. I have experience working with children, teenagers, and adults. I’ve worked with people who have anxiety, depression, substance abuse issues, family issues, and developmental disabilities.
Hello! If you are here, you or someone you care about is likely considering therapy. I understand taking that first step and asking for help isn’t always easy, but once you begin that journey, you will move towards healing and self-awareness and feel happier and more at peace. I have experience working with children, teenagers, and adults. I’ve worked with people who have anxiety, depression, substance abuse issues, family issues, and developmental disabilities.
(402) 864-8304 View (402) 864-8304
Photo of Pamela Susan Kohll, Counselor, MS, LPCC, LMHC, CST, CSAT-S
Pamela Susan Kohll
Counselor, MS, LPCC, LMHC, CST, CSAT-S
2 Endorsed
Online Only
As an AASECT Certified Sex Therapist as well as a Certified Sex Addiction Therapist- Supervisor, I am dedicated to helping you identify and overcome any intimacy challenges within the sex therapy realm, including sex/love addiction. This encompasses behaviors such as desire discrepency, successive unfulfilling relationships, affairs, excessive internet porn usage and intimacy anorexia. I also am a Certified Partner of Sex Addicts Specialist, and through a trauma based model, am able to help the Partner work through their own painful experience of loving and being involved with someone with out of control sexual compulsivity.
As an AASECT Certified Sex Therapist as well as a Certified Sex Addiction Therapist- Supervisor, I am dedicated to helping you identify and overcome any intimacy challenges within the sex therapy realm, including sex/love addiction. This encompasses behaviors such as desire discrepency, successive unfulfilling relationships, affairs, excessive internet porn usage and intimacy anorexia. I also am a Certified Partner of Sex Addicts Specialist, and through a trauma based model, am able to help the Partner work through their own painful experience of loving and being involved with someone with out of control sexual compulsivity.
(415) 384-9758 View (415) 384-9758
Photo of Sarah Mergens, Provisional Mental Health Practitioner, MSW, PLMHP
Sarah Mergens
Provisional Mental Health Practitioner, MSW, PLMHP
2 Endorsed
Omaha, NE 68132
Waitlist for new clients
Experienced in Play Therapy and Trauma Therapy. Do you or your child experience confusing emotions or behaviors? Do you struggle to express yourself or understand others? Have you been through trauma or stressors that altered the way you see life all together? Sometimes we know what's wrong but haven’t found lasting change. The weight of these challenges affects our relationships, functioning, physical health, and overall sense of wellbeing. I understand it can feel impossible to take action when life feels so heavy.
Experienced in Play Therapy and Trauma Therapy. Do you or your child experience confusing emotions or behaviors? Do you struggle to express yourself or understand others? Have you been through trauma or stressors that altered the way you see life all together? Sometimes we know what's wrong but haven’t found lasting change. The weight of these challenges affects our relationships, functioning, physical health, and overall sense of wellbeing. I understand it can feel impossible to take action when life feels so heavy.
(402) 623-6893 View (402) 623-6893
Photo of Victoria VanTol, Counselor, LICSW, PLADC
Victoria VanTol
Counselor, LICSW, PLADC
Omaha, NE 68106
What does it mean to "take care of your mental health?" It's easier to tell when you aren't taking care of it. Chronic stress, exhaustion, worry, and panic are all signs your mental health is suffering. If untreated, you could start having poor health, trouble in your relationships, and difficulty staying on top of work or school. There are many things that can lead to mental health struggles, like a too-busy schedule, a chronic illness or someone else's troubles, a major life transition, or the death of someone close to you. Or, it could seem to come out of the blue, caused by nothing at all.
What does it mean to "take care of your mental health?" It's easier to tell when you aren't taking care of it. Chronic stress, exhaustion, worry, and panic are all signs your mental health is suffering. If untreated, you could start having poor health, trouble in your relationships, and difficulty staying on top of work or school. There are many things that can lead to mental health struggles, like a too-busy schedule, a chronic illness or someone else's troubles, a major life transition, or the death of someone close to you. Or, it could seem to come out of the blue, caused by nothing at all.
(402) 316-7963 View (402) 316-7963
Photo of Ronna D Zegers - Ronna Zegers Clinical Therapy Services, Clinical Social Work/Therapist, LIMHP, LCSW
Ronna Zegers Clinical Therapy Services
Clinical Social Work/Therapist, LIMHP, LCSW
Omaha, NE 68154
Finding a therapist isn't always easy. Discussing one's inner thoughts and feelings can be uncomfortable and intimidating, but can also lead to something very empowering and life changing. As your therapist, I will provide you with a warm and safe environment free of judgment. I am a compassionate person who genuinely wants to see my clients live their best life. Together we will create an individualized treatment plan to address your concerns. I use evidence based treatment interventions to help you reach your personal goals.
Finding a therapist isn't always easy. Discussing one's inner thoughts and feelings can be uncomfortable and intimidating, but can also lead to something very empowering and life changing. As your therapist, I will provide you with a warm and safe environment free of judgment. I am a compassionate person who genuinely wants to see my clients live their best life. Together we will create an individualized treatment plan to address your concerns. I use evidence based treatment interventions to help you reach your personal goals.
(402) 316-7927 View (402) 316-7927
Tiffany Hohwieler Evans
Counselor, MS, LIMHP
Omaha, NE 68116
I work with ages 5 to 21 struggling with such issues as depression, anxiety, unresolved trauma, low self-esteem, poor coping skills and difficulty expressing feelings.
I work with ages 5 to 21 struggling with such issues as depression, anxiety, unresolved trauma, low self-esteem, poor coping skills and difficulty expressing feelings.
(402) 783-8570 View (402) 783-8570
Photo of Michelle Perry, Licensed Professional Counselor, LPC
Michelle Perry
Licensed Professional Counselor, LPC
Omaha, NE 68154
I am a licensed counselor specializing in life transitions, grief, depression, anxiety, co-dependency and trauma. I work with people experiencing a variety of symptoms and difficulties in their daily lives and relationships. Many of my clients tell me that I am easy to talk to and they are often surprised and relieved by my nonjudgmental approach. If you choose to work with me, we will explore what influences your past experiences might be having on your current difficulties. We will explore how your nervous system is responding to the world around you and we will work toward your goals of improved functioning.
I am a licensed counselor specializing in life transitions, grief, depression, anxiety, co-dependency and trauma. I work with people experiencing a variety of symptoms and difficulties in their daily lives and relationships. Many of my clients tell me that I am easy to talk to and they are often surprised and relieved by my nonjudgmental approach. If you choose to work with me, we will explore what influences your past experiences might be having on your current difficulties. We will explore how your nervous system is responding to the world around you and we will work toward your goals of improved functioning.
(402) 347-7251 View (402) 347-7251
Photo of Liz Hessman, Counselor, MA, PLMHP, NCC
Liz Hessman
Counselor, MA, PLMHP, NCC
Omaha, NE 68137
Hi, my name is Liz! As a mental health counselor, I accompany individuals through life’s challenges and bear witness to their experiences. I work to provide children, teens, and young adults the tools and a safe space to grow and succeed. I have experience working in the behavioral health field in outpatient, partial care, and home settings. I specialize in addressing a variety of challenges, including anxiety, depression, trauma, attachment issues, ADHD, anger management, and other behavioral concerns.
Hi, my name is Liz! As a mental health counselor, I accompany individuals through life’s challenges and bear witness to their experiences. I work to provide children, teens, and young adults the tools and a safe space to grow and succeed. I have experience working in the behavioral health field in outpatient, partial care, and home settings. I specialize in addressing a variety of challenges, including anxiety, depression, trauma, attachment issues, ADHD, anger management, and other behavioral concerns.
(402) 741-4036 View (402) 741-4036
Photo of Adriana Niemann - Adriana Niemann Counseling, Counselor, MS, LIMHP
Adriana Niemann Counseling
Counselor, MS, LIMHP
Online Only
I understand how difficult is to find a therapist that you can connect with, especially in those difficult moments when you just want someone to understand what you are going through. Together there is not question that can't answer and there is no problem that we can't find possible solutions.
I understand how difficult is to find a therapist that you can connect with, especially in those difficult moments when you just want someone to understand what you are going through. Together there is not question that can't answer and there is no problem that we can't find possible solutions.
(531) 230-3298 View (531) 230-3298
Photo of Nicole M Obrecht, Counselor, MS, LIMHP
Nicole M Obrecht
Counselor, MS, LIMHP
1 Endorsed
Omaha, NE 68130
Waitlist for new clients
Nicole has been a therapist in the Omaha community for over 20 years. She has worked in a variety of settings including home-based services, intensive outpatient for eating disorders, school-based mental health services, and private group practice. Nicole specializes in treating depression, anxiety, perinatal mental health, eating disorders, grief, trauma, life transitions, LGBTQ+ teens and adults, and women’s issues. She enjoys working with older adolescents and adults. Using humor and compassion, Nicole draws from a strength-based approach using cognitive-behavioral techniques.
Nicole has been a therapist in the Omaha community for over 20 years. She has worked in a variety of settings including home-based services, intensive outpatient for eating disorders, school-based mental health services, and private group practice. Nicole specializes in treating depression, anxiety, perinatal mental health, eating disorders, grief, trauma, life transitions, LGBTQ+ teens and adults, and women’s issues. She enjoys working with older adolescents and adults. Using humor and compassion, Nicole draws from a strength-based approach using cognitive-behavioral techniques.
(402) 791-6997 View (402) 791-6997
Photo of Andrea R Warren, Provisional Mental Health Practitioner, MS, PLMHP
Andrea R Warren
Provisional Mental Health Practitioner, MS, PLMHP
6 Endorsed
Omaha, NE 68134
My role is to assist you on your path to healing and recovery by equipping you with the essential skills and tools needed to enact the changes you seek. My approach is multifaceted, rooted in methodologies like Cognitive Behavioral Therapy (CBT), Person-Centered Therapy, Reality Therapy, and Solution-Focused Therapy, all tailored to forge a therapy process that is uniquely client-centered. My aim is to empower individuals to surmount challenges, foster resilience, and realize enduring positive transformation.
My role is to assist you on your path to healing and recovery by equipping you with the essential skills and tools needed to enact the changes you seek. My approach is multifaceted, rooted in methodologies like Cognitive Behavioral Therapy (CBT), Person-Centered Therapy, Reality Therapy, and Solution-Focused Therapy, all tailored to forge a therapy process that is uniquely client-centered. My aim is to empower individuals to surmount challenges, foster resilience, and realize enduring positive transformation.
(531) 234-5327 View (531) 234-5327
Photo of Tracey Lynn Pearson, Counselor, LIMHP, LMSW
Tracey Lynn Pearson
Counselor, LIMHP, LMSW
Omaha, NE 68127
A healthy mind and emotional state are essential in having peace. It is just as important as physical health. My goal is to help you realize your potential to achieve health and wellness, and to love your life more! I approach therapeutic relationships with warmth, respect, empathy, and even some humor. It takes courage to begin therapy and I will work with you to create a safe, comfortable space for honest exploration so we can tackle your concerns together. I look forward to participating in your journey to restoration and peace.
A healthy mind and emotional state are essential in having peace. It is just as important as physical health. My goal is to help you realize your potential to achieve health and wellness, and to love your life more! I approach therapeutic relationships with warmth, respect, empathy, and even some humor. It takes courage to begin therapy and I will work with you to create a safe, comfortable space for honest exploration so we can tackle your concerns together. I look forward to participating in your journey to restoration and peace.
(402) 751-9439 View (402) 751-9439

See more therapy options for Omaha

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
88% Depression
74% Self Esteem
73% Trauma and PTSD
72% Relationship Issues
72% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
74% Aetna
73% UnitedHealthcare UHC | UBH

How Therapists in Omaha, NE see their clients

80% In Person and Online
20% Online Only

Gender breakdown

80% Female
18% Male
2% 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.