Therapists in Symmes, OH

Photo of Sarah Case, MSW, LISW-S, Clinical Social Work/Therapist
Sarah Case
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
1 Endorsed
Symmes, OH 45249
Have you recently lost a loved one, job or had a relationship end? My area of expertise is providing hope and emotional healing to adult clients who have experienced a loss. All losses create a personal void that take time to heal. The effects of loss on a person’s psychological functioning can go unnoticed for some time. I am dedicated, and passionate about helping my clients navigate through their loss and find their sense of identity again. I help them get back onto the path of living a life with purpose. I provide a safe place to explore your pain, your joys, while guiding and assisting you in moving forward in your growth.
Have you recently lost a loved one, job or had a relationship end? My area of expertise is providing hope and emotional healing to adult clients who have experienced a loss. All losses create a personal void that take time to heal. The effects of loss on a person’s psychological functioning can go unnoticed for some time. I am dedicated, and passionate about helping my clients navigate through their loss and find their sense of identity again. I help them get back onto the path of living a life with purpose. I provide a safe place to explore your pain, your joys, while guiding and assisting you in moving forward in your growth.
(513) 654-1225 View (513) 654-1225

More Therapists Nearby

Photo of Taylor Williams, LPCC
Taylor Williams
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Cincinnati, OH 45208
Hello, I am Taylor Williams, a Licensed Professional Clinical Counselor with over 9 years of clinical experience. I am trauma certified and DBT-focused on helping diverse individuals who have Borderline Personality, Trauma, PTSD, Life Transitions, Family Conflict, and LGBTQIA+ issues. I utilize a combination of Dialectical (DBT), Trauma Focused, Existential, Feminist, and Holistic therapies. From my experiences, I believe life can improve after learning healthy coping skills and processing the past.
Hello, I am Taylor Williams, a Licensed Professional Clinical Counselor with over 9 years of clinical experience. I am trauma certified and DBT-focused on helping diverse individuals who have Borderline Personality, Trauma, PTSD, Life Transitions, Family Conflict, and LGBTQIA+ issues. I utilize a combination of Dialectical (DBT), Trauma Focused, Existential, Feminist, and Holistic therapies. From my experiences, I believe life can improve after learning healthy coping skills and processing the past.
(740) 908-4939 View (740) 908-4939
Photo of Allison Newlin, MS, LPCC-S, Counselor
Allison Newlin
Counselor, MS, LPCC-S
Verified Verified
Dayton, OH 45429
Waitlist for new clients
I like to compare Couples Therapy / Marriage Counseling to the process of outsourcing a Physical Trainer. Instead of aimlessly lifting random weights as you wander the gym, a trainer will be able to specifically coach you, usually making it more effective in both time and cost. As a Couples Therapist, I take a similar approach. I will prioritize a sense of comfort and trust for you and your partner, while ensuring that the techniques I use are evidence based (they work!), and tailored specifically to your relationship needs.
I like to compare Couples Therapy / Marriage Counseling to the process of outsourcing a Physical Trainer. Instead of aimlessly lifting random weights as you wander the gym, a trainer will be able to specifically coach you, usually making it more effective in both time and cost. As a Couples Therapist, I take a similar approach. I will prioritize a sense of comfort and trust for you and your partner, while ensuring that the techniques I use are evidence based (they work!), and tailored specifically to your relationship needs.
(937) 915-2636 View (937) 915-2636
Photo of Dave Brewer, MA, LPCC-S
Dave Brewer
Licensed Professional Clinical Counselor , MA, LPCC-S
Verified Verified
1 Endorsed
Cincinnati, OH 45230
Everyone deserves a positive future. Life can be unpredictable, and we're here to help. My expertise focuses on understanding the intricacies of individual and family change. I specialize in supporting couples who seek to enhance their relationships or recover from infidelity. I support LGBTQ+ issues, intergenerational dynamics, kinship care and co-parenting. I work with individuals struggling with depression and anxiety as well as those seeking peace, joy and fulfillment.
Everyone deserves a positive future. Life can be unpredictable, and we're here to help. My expertise focuses on understanding the intricacies of individual and family change. I specialize in supporting couples who seek to enhance their relationships or recover from infidelity. I support LGBTQ+ issues, intergenerational dynamics, kinship care and co-parenting. I work with individuals struggling with depression and anxiety as well as those seeking peace, joy and fulfillment.
(859) 765-7159 View (859) 765-7159
Photo of Katherine Simmons, LPCC, Licensed Professional Counselor
Katherine Simmons
Licensed Professional Counselor, LPCC
Verified Verified
Online Only
Hello and welcome. Thank you for taking the time to read my profile and congratulations on taking a step forward on your recovery journey. My name is Katherine Simmons. I am a Licensed Professional Clinical Counselor with a supervisory endorsement (LPCC-S) in Ohio. I graduated from Ashland Theological Seminary, so I am also able to provide Christian Counseling to those who wish it. I have worked in the mental health field for over 20 years mostly in community mental health agencies and so have years of experience providing services for those wanting to include their spiritual beliefs as well as those who do not.
Hello and welcome. Thank you for taking the time to read my profile and congratulations on taking a step forward on your recovery journey. My name is Katherine Simmons. I am a Licensed Professional Clinical Counselor with a supervisory endorsement (LPCC-S) in Ohio. I graduated from Ashland Theological Seminary, so I am also able to provide Christian Counseling to those who wish it. I have worked in the mental health field for over 20 years mostly in community mental health agencies and so have years of experience providing services for those wanting to include their spiritual beliefs as well as those who do not.
(937) 319-3478 View (937) 319-3478
Photo of Rhonda Farley, LSW, Pre-Licensed Professional
Rhonda Farley
Pre-Licensed Professional, LSW
Verified Verified
Online Only
Does navigating responsibilities of work, home, and social obligations leave you feeling overwhelmed? Have you found yourself struggling to feel genuine happiness or find that social situations leave you feeling drained? Are you the parent of a child with unique needs that often feels overwhelmed, isolated, and left with little energy for yourself? Do your neurotypical tendencies make navigating social cues, effectively communicating your needs, and executive function tasks a challenge? Are life transitions making you feel anxious? If you can identify with any of these situations, Rhonda would love the opportunity to assist.
Does navigating responsibilities of work, home, and social obligations leave you feeling overwhelmed? Have you found yourself struggling to feel genuine happiness or find that social situations leave you feeling drained? Are you the parent of a child with unique needs that often feels overwhelmed, isolated, and left with little energy for yourself? Do your neurotypical tendencies make navigating social cues, effectively communicating your needs, and executive function tasks a challenge? Are life transitions making you feel anxious? If you can identify with any of these situations, Rhonda would love the opportunity to assist.
(380) 777-5190 View (380) 777-5190
Photo of Abbey Smith, LSW, MSW, Clinical Social Work/Therapist
Abbey Smith
Clinical Social Work/Therapist, LSW, MSW
Verified Verified
2 Endorsed
Online Only
Hello! I am glad you found your way here today. Therapy is a space that is for you and you alone, and it is a privilege to co-create that space with you. Trauma leaves a mark on our bodies & minds, and healing from trauma is a gentle & important process, which we will navigate together. Being embedded in systems of oppression while trying to manage anxiety, depression, identity, behavioral, and relationship issues can be scary to handle, but I believe that everyone knows their needs best. I would be honored to accompany you as you create the healthy life you deserve, meeting those needs.
Hello! I am glad you found your way here today. Therapy is a space that is for you and you alone, and it is a privilege to co-create that space with you. Trauma leaves a mark on our bodies & minds, and healing from trauma is a gentle & important process, which we will navigate together. Being embedded in systems of oppression while trying to manage anxiety, depression, identity, behavioral, and relationship issues can be scary to handle, but I believe that everyone knows their needs best. I would be honored to accompany you as you create the healthy life you deserve, meeting those needs.
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Photo of Laura Obert, PhD, Psychologist
Laura Obert
Psychologist, PhD
Verified Verified
Cincinnati, OH 45242
I am a licensed Counseling Psychologist (PsyPact Licensed for telehealth in 42 states; and Ohio: in person and telehealth) and LGBT Coach (virtually) who has been in private practice since 2012. I work primarily with college students as well as individuals in late adolescence and adulthood who seek therapy aimed at helping you discover, understand, and strengthen coping skills for managing life's stressors and living your most authentic life. My goal is to understand you and your world as best as I can from your perspective so that I can be as helpful to you as possible in making meaningful changes in your life.
I am a licensed Counseling Psychologist (PsyPact Licensed for telehealth in 42 states; and Ohio: in person and telehealth) and LGBT Coach (virtually) who has been in private practice since 2012. I work primarily with college students as well as individuals in late adolescence and adulthood who seek therapy aimed at helping you discover, understand, and strengthen coping skills for managing life's stressors and living your most authentic life. My goal is to understand you and your world as best as I can from your perspective so that I can be as helpful to you as possible in making meaningful changes in your life.
(603) 380-6704 View (603) 380-6704
Photo of Sierra A. White, MA, LPCC, Counselor
Sierra A. White
Counselor, MA, LPCC
Verified Verified
Online Only
My name is Sierra, I am a Licensed Professional Clinical Counselor in the state of Ohio. I work with those of us that struggle with personal issues of our daily lives and I have specifically worked with individuals dealing with severe mental illness.
My name is Sierra, I am a Licensed Professional Clinical Counselor in the state of Ohio. I work with those of us that struggle with personal issues of our daily lives and I have specifically worked with individuals dealing with severe mental illness.
(614) 635-7809 View (614) 635-7809
Photo of Sidney Hays, MSW, LISW-S, DARTT, Clinical Social Work/Therapist
Sidney Hays
Clinical Social Work/Therapist, MSW, LISW-S, DARTT
Verified Verified
Online Only
I work with adults who struggle with unfulfilling or problematic relationships, self esteem issues, perfectionism, loneliness, and other common human sufferings. I am certified in Developmental and Relational Trauma Therapy (DARTT) and have completed trainings in Somatic Embodiment and Self Regulation Strategies and EMDR, which allow me to work effectively with complex trauma. I am also trained in Radically Open Dialectical Behavior Therapy (RODBT), which informs my work with high achieving individuals who continue to struggle with perfectionism and poor self image, particularly with adult men.
I work with adults who struggle with unfulfilling or problematic relationships, self esteem issues, perfectionism, loneliness, and other common human sufferings. I am certified in Developmental and Relational Trauma Therapy (DARTT) and have completed trainings in Somatic Embodiment and Self Regulation Strategies and EMDR, which allow me to work effectively with complex trauma. I am also trained in Radically Open Dialectical Behavior Therapy (RODBT), which informs my work with high achieving individuals who continue to struggle with perfectionism and poor self image, particularly with adult men.
(513) 935-2465 View (513) 935-2465
Photo of Sandy M Kaplan, IMFT, Marriage & Family Therapist
Sandy M Kaplan
Marriage & Family Therapist, IMFT
Verified Verified
West Chester, OH 45069
I specialize in couples counseling, blended families, gender dysphoria, adjustment to divorce, anxiety and depressive disorders and improving interpersonal relationships. I enjoy working with individuals ages 13 and over both in person and by telehealth. My aim is to support clients in reaching their individual goals to improve mood, strengthen communication skills, utilize healthy coping strategies to better manage all of life’s challenges and increase general functioning and wellbeing in an inviting and comfortable setting.
I specialize in couples counseling, blended families, gender dysphoria, adjustment to divorce, anxiety and depressive disorders and improving interpersonal relationships. I enjoy working with individuals ages 13 and over both in person and by telehealth. My aim is to support clients in reaching their individual goals to improve mood, strengthen communication skills, utilize healthy coping strategies to better manage all of life’s challenges and increase general functioning and wellbeing in an inviting and comfortable setting.
(513) 952-8443 View (513) 952-8443
Photo of Kara Meyer, MA, LPCC, CCATP
Kara Meyer
Licensed Professional Clinical Counselor, MA, LPCC, CCATP
Verified Verified
5 Endorsed
Online Only
Waitlist for new clients
When anxiety looks different for every person and approaches are not a "one size fits all," it makes managing your anxiety even harder. We often use tools to help us cope, but sometimes these tools aren't enough. Whether you are managing generalized anxiety, panic attacks, peripartum anxiety, postpartum anxiety, or intrusive thoughts, anxiety is a complex and overwhelming emotion that affects nearly every aspect of our daily lives. As a Certified Clinical Anxiety Treatment Professional (CCATP), my work incorporates evidence-based practices in an authentic environment where you, your insights, and your goals are valued.
When anxiety looks different for every person and approaches are not a "one size fits all," it makes managing your anxiety even harder. We often use tools to help us cope, but sometimes these tools aren't enough. Whether you are managing generalized anxiety, panic attacks, peripartum anxiety, postpartum anxiety, or intrusive thoughts, anxiety is a complex and overwhelming emotion that affects nearly every aspect of our daily lives. As a Certified Clinical Anxiety Treatment Professional (CCATP), my work incorporates evidence-based practices in an authentic environment where you, your insights, and your goals are valued.
(513) 283-0421 View (513) 283-0421
Photo of Rachael E. DuBose, MSEd, LPCC-S, CCTP, Counselor
Rachael E. DuBose
Counselor, MSEd, LPCC-S, CCTP
Verified Verified
Cincinnati, OH 45242
Not accepting new clients
We don’t bump into better, and we don’t walk into wellness. – Dr. Johnny Parker You deserve to be healed, known, loved, and heard. The therapeutic relationship is a unique one and I am committed to helping you along your journey toward healing. You are worth it.
We don’t bump into better, and we don’t walk into wellness. – Dr. Johnny Parker You deserve to be healed, known, loved, and heard. The therapeutic relationship is a unique one and I am committed to helping you along your journey toward healing. You are worth it.
(513) 993-1419 View (513) 993-1419
Photo of Janet Webb, Clinical Social Work/Therapist
Janet Webb
Clinical Social Work/Therapist
Verified Verified
Online Only
My name is Erin Webb and I am an independently licensed social worker in Ohio. I enjoy helping patients through life's difficult journeys and aim to help patients obtain improved mental health.
My name is Erin Webb and I am an independently licensed social worker in Ohio. I enjoy helping patients through life's difficult journeys and aim to help patients obtain improved mental health.
(216) 238-5902 View (216) 238-5902
Photo of Colleen Vitt, LCSW, LISW, Clinical Social Work/Therapist
Colleen Vitt
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
Online Only
I have worked with many clients who feel that everything they do, everything about them is just "wrong", not enough, not worthy. I strive to help clients understand that they are deserving of connection, acceptance and peace regardless of what past experience, other people, or even their own mind might be telling them. My approach is collaborative, incorporating curiosity, authenticity, openness and humor. It is through this collaborative process that I am able to help individuals gain insight into long held beliefs and patterns of behavior and to ultimately develop new ways of relating to themselves and others.
I have worked with many clients who feel that everything they do, everything about them is just "wrong", not enough, not worthy. I strive to help clients understand that they are deserving of connection, acceptance and peace regardless of what past experience, other people, or even their own mind might be telling them. My approach is collaborative, incorporating curiosity, authenticity, openness and humor. It is through this collaborative process that I am able to help individuals gain insight into long held beliefs and patterns of behavior and to ultimately develop new ways of relating to themselves and others.
(312) 872-7388 View (312) 872-7388
Photo of Jeremy Bilby, MAR, MSW, LISW-S, Clinical Social Work/Therapist
Jeremy Bilby
Clinical Social Work/Therapist, MAR, MSW, LISW-S
Verified Verified
1 Endorsed
Cincinnati, OH 45255
Are you going through a transition in life? Do you notice negative self talk throughout the day? Have you wished things were just better? Then consider contacting someone who will listen and provide feedback and tools. Utilizing an holistic approach to distressing events people can find healing. Mental Health isn't just in the mind but it is also found in relationships with self and others. Its time to start the journey to managing stress and your life.
Are you going through a transition in life? Do you notice negative self talk throughout the day? Have you wished things were just better? Then consider contacting someone who will listen and provide feedback and tools. Utilizing an holistic approach to distressing events people can find healing. Mental Health isn't just in the mind but it is also found in relationships with self and others. Its time to start the journey to managing stress and your life.
(513) 960-3596 View (513) 960-3596
Photo of Anna Taft, LPCC
Anna Taft
Licensed Professional Clinical Counselor , LPCC
Verified Verified
Online Only
Hi! I'm Anna. I'm passionate about helping you find healing and direction through empathy, kindness, and self-examination. I believe everyone has the capacity for growth and change, and I am committed to providing a supportive and understanding environment where you can explore your thoughts and feelings. As a proud member of the LGBTQIA+ community, I am dedicated to working with individuals who identify with this community.
Hi! I'm Anna. I'm passionate about helping you find healing and direction through empathy, kindness, and self-examination. I believe everyone has the capacity for growth and change, and I am committed to providing a supportive and understanding environment where you can explore your thoughts and feelings. As a proud member of the LGBTQIA+ community, I am dedicated to working with individuals who identify with this community.
(513) 960-6529 View (513) 960-6529
Photo of Dr. Tiffany M Justice, PhD, LPCC-S, NCC, CCMHC, C-EMDR, Counselor
Dr. Tiffany M Justice
Counselor, PhD, LPCC-S, NCC, CCMHC, C-EMDR
Verified Verified
2 Endorsed
Online Only
Hello! I am Dr. Justice. I have a Ph.D., in Counseling and a Masters in Mental Health Counseling. I work with those who struggle with depression, anxiety, PSTD-trauma, ADHD, relationship issues, people pleasing, co-dependency, and identity concerns. You are unique and therefore treatment should be tailored to best meet your individual needs. I am a Certified EMDR therapist, Certified in DBT and certified in ADHD-CCSP. I am open and help you to feel comfortable being your real self. Counseling is your space, a safe space to explore your inner world. Quality treatment should be tailored to your needs!
Hello! I am Dr. Justice. I have a Ph.D., in Counseling and a Masters in Mental Health Counseling. I work with those who struggle with depression, anxiety, PSTD-trauma, ADHD, relationship issues, people pleasing, co-dependency, and identity concerns. You are unique and therefore treatment should be tailored to best meet your individual needs. I am a Certified EMDR therapist, Certified in DBT and certified in ADHD-CCSP. I am open and help you to feel comfortable being your real self. Counseling is your space, a safe space to explore your inner world. Quality treatment should be tailored to your needs!
(740) 370-4248 View (740) 370-4248
Photo of Jessica Rooker, LISW-S, Clinical Social Work/Therapist
Jessica Rooker
Clinical Social Work/Therapist, LISW-S
Verified Verified
Online Only
Hey there! :) I'm a Licensed Independent Social Worker with Supervisory distinction (LISW-S) based in central Ohio. I received my MSW from The Ohio State University and have been practicing for a decade. I began my career working as a trauma specialist for children in Treatment Foster Care and adoptions in inner city Columbus as well as my second job working in Worthington, Ohio for a private agency helping children, young adults, and families create balance in their homes and in their lives.
Hey there! :) I'm a Licensed Independent Social Worker with Supervisory distinction (LISW-S) based in central Ohio. I received my MSW from The Ohio State University and have been practicing for a decade. I began my career working as a trauma specialist for children in Treatment Foster Care and adoptions in inner city Columbus as well as my second job working in Worthington, Ohio for a private agency helping children, young adults, and families create balance in their homes and in their lives.
(216) 999-4129 View (216) 999-4129
Photo of Kristin R. Emerling, LISW, Clinical Social Work/Therapist
Kristin R. Emerling
Clinical Social Work/Therapist, LISW
Verified Verified
Cincinnati, OH 45207
Kristin Emerling is a Licensed Independent Social Worker in the state of Ohio. She also has her LCSW in Indiana. Kristin graduated from the University of Kentucky in 2011 with her MSW. She has completed trainings in both Trauma Focused CBT (TF-CBT) and Trauma Informed Care. Kristin has clinical experience in community mental health, hospice, nursing and assisted living facilities, as well as working in medical social work. Kristin draws on skills from CBT, Insight therapy, Mindfulness and Strengths-based treatment.
Kristin Emerling is a Licensed Independent Social Worker in the state of Ohio. She also has her LCSW in Indiana. Kristin graduated from the University of Kentucky in 2011 with her MSW. She has completed trainings in both Trauma Focused CBT (TF-CBT) and Trauma Informed Care. Kristin has clinical experience in community mental health, hospice, nursing and assisted living facilities, as well as working in medical social work. Kristin draws on skills from CBT, Insight therapy, Mindfulness and Strengths-based treatment.
(513) 434-6980 View (513) 434-6980

How does your Therapist compare?

Number of Therapists in Symmes, OH

< 10

Therapists in Symmes, OH who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Other
100% Divorce
100% Peer Relationships

Average years in practice

12 Years

Top 3 insurances accepted

100% Aetna
100% Humana
100% Medical Mutual

How Therapists in Symmes, OH see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Symmes?

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.