Therapists in Jacksonville, FL

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Photo of Mandarin Christian Counseling Center, Counselor in Jacksonville, FL
Mandarin Christian Counseling Center
Counselor, EdS, LMHC, NCC
Verified Verified
Jacksonville, FL 32223
You’ve been dealing with IT for a long time. IT has sucked away your joy, occupied your mind, stolen your sleep and disrupted your relationships. You’ve tried to fix IT on your own. You’ve prayed and asked God to fix IT. You’ve had enough of IT! Our professionally trained psychotherapists are skilled and experienced to help you find new ways of feeling, thinking, behaving and relating. You can EXPERIENCE JOY. You can HAVE SATISFYING RELATIONSHIPS. You can DEVELOP NEW SKILLS. (Telehealth available in some circumstances.) Let’s get started!
You’ve been dealing with IT for a long time. IT has sucked away your joy, occupied your mind, stolen your sleep and disrupted your relationships. You’ve tried to fix IT on your own. You’ve prayed and asked God to fix IT. You’ve had enough of IT! Our professionally trained psychotherapists are skilled and experienced to help you find new ways of feeling, thinking, behaving and relating. You can EXPERIENCE JOY. You can HAVE SATISFYING RELATIONSHIPS. You can DEVELOP NEW SKILLS. (Telehealth available in some circumstances.) Let’s get started!
(904) 456-9540 View (904) 456-9540
Photo of Dr. Juliana Lytle, Counselor in Jacksonville, FL
Dr. Juliana Lytle
Counselor, PhD, LMHC , NCC
Verified Verified
Jacksonville, FL 32218  (Online Only)
Not accepting new clients
My ideal client is a client who is ready to do the inner work they need to be their best, most fulfilled selves. I have a heart for mothers and other women's issues as well as the desire to be an advocate for those who are unable to or unclear on how to advocate for themselves but want to learn.
My ideal client is a client who is ready to do the inner work they need to be their best, most fulfilled selves. I have a heart for mothers and other women's issues as well as the desire to be an advocate for those who are unable to or unclear on how to advocate for themselves but want to learn.
(904) 977-6424 View (904) 977-6424
Photo of Jamie Kopp, Licensed Mental Health Counselor in Jacksonville, FL
Jamie Kopp
Licensed Mental Health Counselor, LMHC
Verified Verified
Jacksonville, FL 32216
I have had experience in the private and the public sector, counseling and developing individuals to meet their highest potential. Currently licensed as LMHC in the State of Florida, I have had much experience in providing therapy for individuals that have a history of abuse or neglect. I am very familiar with working with troubled families, and couples with relationship issues.
I have had experience in the private and the public sector, counseling and developing individuals to meet their highest potential. Currently licensed as LMHC in the State of Florida, I have had much experience in providing therapy for individuals that have a history of abuse or neglect. I am very familiar with working with troubled families, and couples with relationship issues.
(904) 337-5837 View (904) 337-5837
Photo of Anchor Life Clinic, Counselor in Jacksonville, FL
Anchor Life Clinic
Counselor, LMHC, LPC
Verified Verified
3 Endorsed
Jacksonville, FL 32257  (Online Only)
At Anchor Life Clinic, we learn how to focus in ways that open our body up to experiencing freedom, creativity, and spaciousness. During the process of anchoring, we accomplish 4 intentions: 1) Slowing down repetitive thoughts, 2) Weakening the power of repetition, 3) Bringing attention to the present, and 4) Changing our focus to creative functioning. Anchoring creates a purpose that cultivates awareness of change.
At Anchor Life Clinic, we learn how to focus in ways that open our body up to experiencing freedom, creativity, and spaciousness. During the process of anchoring, we accomplish 4 intentions: 1) Slowing down repetitive thoughts, 2) Weakening the power of repetition, 3) Bringing attention to the present, and 4) Changing our focus to creative functioning. Anchoring creates a purpose that cultivates awareness of change.
(904) 891-9365 View (904) 891-9365
Photo of Connie Hunt Worthy, Counselor in Jacksonville, FL
Connie Hunt Worthy
Counselor, LMHC, QS, CYT-200
Verified Verified
5 Endorsed
Jacksonville, FL 32205
I approach counseling with a trauma-informed perspective and the fundamental belief that we are all whole individuals - each of us unique; equally deserving of love, understanding, and compassion; and capable of making positive changes to achieve well-being, contentment, and meaningful connection. While there are many factors that may interrupt your ability to live life fully, my goal is to help you identify, understand, and resolve your own unique life stressors.
I approach counseling with a trauma-informed perspective and the fundamental belief that we are all whole individuals - each of us unique; equally deserving of love, understanding, and compassion; and capable of making positive changes to achieve well-being, contentment, and meaningful connection. While there are many factors that may interrupt your ability to live life fully, my goal is to help you identify, understand, and resolve your own unique life stressors.
(904) 474-3179 View (904) 474-3179
Photo of Her Hope Behavioral Health, PLLC, Counselor in Jacksonville, FL
Her Hope Behavioral Health, PLLC
Counselor, LMHC, QS, LPC
Verified Verified
3 Endorsed
Jacksonville, FL 32217
Being a new mom is hard. You’re sleep deprived, learning your new little one, and everyone has advice for you. “Sleep when the baby sleeps; you’ll feel better, and happier, when you get a few more hours of sleep; It’s just the baby blues, you’ll be ok in a few weeks; the house work can get done later, make sure the baby is eating enough…” What if you’re still sad after “a few weeks”, you feel scared, anxious, or can't turn your thoughts off? It can start to feel like you are getting through each day in "survival mode". With the help of our knowledgeable counselors, you can stop "surviving" life and start enjoying it.
Being a new mom is hard. You’re sleep deprived, learning your new little one, and everyone has advice for you. “Sleep when the baby sleeps; you’ll feel better, and happier, when you get a few more hours of sleep; It’s just the baby blues, you’ll be ok in a few weeks; the house work can get done later, make sure the baby is eating enough…” What if you’re still sad after “a few weeks”, you feel scared, anxious, or can't turn your thoughts off? It can start to feel like you are getting through each day in "survival mode". With the help of our knowledgeable counselors, you can stop "surviving" life and start enjoying it.
(561) 220-6078 View (561) 220-6078
Photo of James Lounsbury, Clinical Social Work/Therapist in Jacksonville, FL
James Lounsbury
Clinical Social Work/Therapist, LCSW, DCSW, PhD
Verified Verified
Jacksonville, FL 32207
Life in the 21st century can be overwhelming. Stress affects relationships, work, social groups, home, health...and the list goes on. I've been working with individuals, families and organizations for 20+ years. I've had the best clinical training available in a broad range of techniques (below). I am board certified in clinical social work and hypnosis. I have a PhD in natural health. Prior to that, I worked for 25 years as a policy manager for corporate, government and non profit organizations, and understand work/home stress. We'll talk about what's going on in your life, and what approach will help you move forward.
Life in the 21st century can be overwhelming. Stress affects relationships, work, social groups, home, health...and the list goes on. I've been working with individuals, families and organizations for 20+ years. I've had the best clinical training available in a broad range of techniques (below). I am board certified in clinical social work and hypnosis. I have a PhD in natural health. Prior to that, I worked for 25 years as a policy manager for corporate, government and non profit organizations, and understand work/home stress. We'll talk about what's going on in your life, and what approach will help you move forward.
(904) 495-7137 View (904) 495-7137
Photo of Shana L Sopko, Counselor in Jacksonville, FL
Shana L Sopko
Counselor, LMHC, QS
Verified Verified
1 Endorsed
Jacksonville, FL 32224  (Online Only)
I believe that the most important relationship you have is with yourself. When you aren't giving your WHOLE self unconditional love and acceptance it affects every other aspect of your life. My goal as a therapist is to create a safe environment where you can explore what that means for you. I can help you determine boundaries you may need to set, strengths you possess and haven't honored and aspects of yourself that you have been ignoring for the sake of others.
I believe that the most important relationship you have is with yourself. When you aren't giving your WHOLE self unconditional love and acceptance it affects every other aspect of your life. My goal as a therapist is to create a safe environment where you can explore what that means for you. I can help you determine boundaries you may need to set, strengths you possess and haven't honored and aspects of yourself that you have been ignoring for the sake of others.
(904) 906-4023 View (904) 906-4023
Photo of NuVision Counseling & Coaching Solutions in Jacksonville, FL
NuVision Counseling & Coaching Solutions
MA, CPLC, CTC
Verified Verified
Jacksonville, FL 32216  (Online Only)
A lot of people are against counseling, because they do not really understand what it means. At times, society attaches a stigma to those seeking a support system when life may challenge you to make more conscious and intentional choices. Give me 90 days; I am confident, and I guarantee your life will never be the same. I'm trained in the clinical & spiritual aspect. I do specialize in Christian counseling. My experience includes using a collaborative and integrated approach to work with issues such as relational conflict, anger management, anxiety, stress management, and even strengthening professional & professional development.
A lot of people are against counseling, because they do not really understand what it means. At times, society attaches a stigma to those seeking a support system when life may challenge you to make more conscious and intentional choices. Give me 90 days; I am confident, and I guarantee your life will never be the same. I'm trained in the clinical & spiritual aspect. I do specialize in Christian counseling. My experience includes using a collaborative and integrated approach to work with issues such as relational conflict, anger management, anxiety, stress management, and even strengthening professional & professional development.
(904) 329-7514 View (904) 329-7514
Photo of Mike Tubtim, Clinical Social Work/Therapist in Jacksonville, FL
Mike Tubtim
Clinical Social Work/Therapist
Verified Verified
Jacksonville, FL 32256  (Online Only)
A sense of healing, empowerment, control, and newly found self-confidence are amongst the best feelings that we can experience in life. Stressors, trauma, toxicity, and confusion can take all of those things away from us. We are all capable of losing a sense of hope, meaning, and regulation. We can feel angry, sad, bitter, and lost and sometimes not know exactly why. I do believe everyone has the potential to conquer their demons and if you're in a position where you are ready for change and long term recovery then I would like to be there to support that feeling and offer guidance towards a better life.
A sense of healing, empowerment, control, and newly found self-confidence are amongst the best feelings that we can experience in life. Stressors, trauma, toxicity, and confusion can take all of those things away from us. We are all capable of losing a sense of hope, meaning, and regulation. We can feel angry, sad, bitter, and lost and sometimes not know exactly why. I do believe everyone has the potential to conquer their demons and if you're in a position where you are ready for change and long term recovery then I would like to be there to support that feeling and offer guidance towards a better life.
(904) 780-9763 View (904) 780-9763
Photo of R. Joseph Mella, Clinical Social Work/Therapist in Jacksonville, FL
R. Joseph Mella
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32210
My approach is client centered and humanistic. I am primarily providing supervision for registered social work interns and I have a few slots available after hours. I want everybody who I work with to succeed based on the goals they define. I truly believe the journey is just as important as getting to the destination.
My approach is client centered and humanistic. I am primarily providing supervision for registered social work interns and I have a few slots available after hours. I want everybody who I work with to succeed based on the goals they define. I truly believe the journey is just as important as getting to the destination.
(904) 569-5469 View (904) 569-5469
Photo of Sarah Boston, Counselor in Jacksonville, FL
Sarah Boston
Counselor, NCAC I, CSAC, LMHC
Verified Verified
3 Endorsed
Jacksonville, FL 32218  (Online Only)
My mission is to provide culturally sensitive counseling services to adults and children that meet their unique individual needs including healthy relationships with themselves and others to promote healing from various life traumas. I commend you for taking this courageous step toward healing and personal growth. I would like to be a part of your journey towards a happier and more satisfied you.
My mission is to provide culturally sensitive counseling services to adults and children that meet their unique individual needs including healthy relationships with themselves and others to promote healing from various life traumas. I commend you for taking this courageous step toward healing and personal growth. I would like to be a part of your journey towards a happier and more satisfied you.
(757) 280-4423 View (757) 280-4423
Photo of Bertha F Barrett, Counselor in Jacksonville, FL
Bertha F Barrett
Counselor, LMHC, CCTP
Verified Verified
Jacksonville, FL 32210  (Online Only)
Trauma along with life experiences and changes can affect you in many ways. If you are struggling with trauma, anxiety, depression, low self-esteem or other distressful issues from the past or present help is available. If you are exhausted from trying to just get over it or you are unsure of what you're feeling, and why you're feeling it, as a Licensed Mental Health Counselor and Certified Clinical Trauma Professional, I'm here to assist you. I assist individuals with what they are experiencing from the comfort of their own private space via a secure HIPPA Compliant video conferencing therapy session.
Trauma along with life experiences and changes can affect you in many ways. If you are struggling with trauma, anxiety, depression, low self-esteem or other distressful issues from the past or present help is available. If you are exhausted from trying to just get over it or you are unsure of what you're feeling, and why you're feeling it, as a Licensed Mental Health Counselor and Certified Clinical Trauma Professional, I'm here to assist you. I assist individuals with what they are experiencing from the comfort of their own private space via a secure HIPPA Compliant video conferencing therapy session.
(904) 977-6295 View (904) 977-6295
Photo of Kristin Lothman, Clinical Social Work/Therapist in Jacksonville, FL
Kristin Lothman
Clinical Social Work/Therapist, LSCW, NBC-HWC, 200RYT
Verified Verified
Jacksonville, FL 32205
Waitlist for new clients
I support individuals who are chronically stressed. They are experiencing mental & emotional dissatisfaction with their personal health, relationships, careers, or various roles/responsibilities. My clients long for greater connection & fulfillment in their minds, bodies & hearts.
I support individuals who are chronically stressed. They are experiencing mental & emotional dissatisfaction with their personal health, relationships, careers, or various roles/responsibilities. My clients long for greater connection & fulfillment in their minds, bodies & hearts.
(904) 867-2714 View (904) 867-2714
Photo of Mosaic Minds Counseling, LLC in Jacksonville, FL
Mosaic Minds Counseling, LLC
Verified Verified
1 Endorsed
Jacksonville, FL 32226  (Online Only)
Telehealth therapy for OCD, anxiety, and trauma from the comfort of your own home! Our therapists are licensed in Florida, Colorado, and South Carolina. Additional specializations that some of our clinicians have are within the areas of grief, depression, ADHD, processing chronic illnesses/chronic pain, processing family dynamics, attachment issues, and more. Studies have also started to show that ERP for OCD through telehealth may be more effective than and faster!
Telehealth therapy for OCD, anxiety, and trauma from the comfort of your own home! Our therapists are licensed in Florida, Colorado, and South Carolina. Additional specializations that some of our clinicians have are within the areas of grief, depression, ADHD, processing chronic illnesses/chronic pain, processing family dynamics, attachment issues, and more. Studies have also started to show that ERP for OCD through telehealth may be more effective than and faster!
(904) 467-4668 View (904) 467-4668
Photo of Krista Bartosch, Clinical Social Work/Therapist in Jacksonville, FL
Krista Bartosch
Clinical Social Work/Therapist, LCSW, CAC, QS
Verified Verified
Jacksonville, FL 32210  (Online Only)
It takes great strength to reach out to another for help, so the one you choose must be someone you can feel free to open up with, trust, and respect. I am confident I can provide that for you! I am a Licensed Clinical Social Worker as well as a Certified Addictions Specialist. I have over 17 years of experience, working in a myriad of areas. Most of my experience has been working with domestic violence, addiction, depression, anxiety, and reentry. I also have experience working with people who have struggled with trauma. I feel that counseling is not to blame our past, but rather to explain our thoughts and behaviors.
It takes great strength to reach out to another for help, so the one you choose must be someone you can feel free to open up with, trust, and respect. I am confident I can provide that for you! I am a Licensed Clinical Social Worker as well as a Certified Addictions Specialist. I have over 17 years of experience, working in a myriad of areas. Most of my experience has been working with domestic violence, addiction, depression, anxiety, and reentry. I also have experience working with people who have struggled with trauma. I feel that counseling is not to blame our past, but rather to explain our thoughts and behaviors.
(904) 746-1952 View (904) 746-1952
Photo of Bhumi Mehta, Psychologist in Jacksonville, FL
Bhumi Mehta
Psychologist, PsyD
Verified Verified
Jacksonville, FL 32225  (Online Only)
Licensed in 40 states. You have and are working hard and should be enjoying the fruits of your labor. However, you feel the challenges of balancing it all - family responsibilities, career aspirations, mundane never-ending tasks- and somewhere in there YOU get lost. Changes in life, even the ones you wanted and worked for can be challenging. You aim for that promotion and now are dealing with additional stress. You have dreamed of family and children, but are struggling to find joy in the midst of it all. It may seem that with each tick of the box, there is more to manage and less to truly enjoy
Licensed in 40 states. You have and are working hard and should be enjoying the fruits of your labor. However, you feel the challenges of balancing it all - family responsibilities, career aspirations, mundane never-ending tasks- and somewhere in there YOU get lost. Changes in life, even the ones you wanted and worked for can be challenging. You aim for that promotion and now are dealing with additional stress. You have dreamed of family and children, but are struggling to find joy in the midst of it all. It may seem that with each tick of the box, there is more to manage and less to truly enjoy
(904) 901-9184 View (904) 901-9184
Photo of Marsha Kerr, Clinical Social Work/Therapist in Jacksonville, FL
Marsha Kerr
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32246
Hello! My name is Marsha and I am a Licensed Clinical Social Worker with over 25 years of experience in providing mental health services to a diverse population group. I've worked with clients in areas such anxiety, coping skills, depression, life transitions, and stress, amongst others. While my focus will be on you and your needs, versus applying a particular philosophy, I have experience with several modalities including CBT, Motivational interviewing, and psychodynamic.
Hello! My name is Marsha and I am a Licensed Clinical Social Worker with over 25 years of experience in providing mental health services to a diverse population group. I've worked with clients in areas such anxiety, coping skills, depression, life transitions, and stress, amongst others. While my focus will be on you and your needs, versus applying a particular philosophy, I have experience with several modalities including CBT, Motivational interviewing, and psychodynamic.
(305) 882-9747 View (305) 882-9747
Photo of San Marco Counseling, Registered Mental Health Counselor Intern in Jacksonville, FL
San Marco Counseling
Registered Mental Health Counselor Intern, LMHC
Verified Verified
Jacksonville, FL 32207
You worked hard to check all the boxes you thought you needed to. The education, successful career, the relationship and/or kids. And yet,it feels like something is missing. The pit in your stomach when you get an email, the dread when your alarm goes off, unbearable tension between you and your partner and lack of sex. Those feelings are trying to tell you something, Ignoring them won’t solve anything, but by reaching out to me to schedule an appointment, you are taking the first step towards your goals with confidence. Whether coming as an individual or couple, I look forward to helping you live a life of freedom and contentment.
You worked hard to check all the boxes you thought you needed to. The education, successful career, the relationship and/or kids. And yet,it feels like something is missing. The pit in your stomach when you get an email, the dread when your alarm goes off, unbearable tension between you and your partner and lack of sex. Those feelings are trying to tell you something, Ignoring them won’t solve anything, but by reaching out to me to schedule an appointment, you are taking the first step towards your goals with confidence. Whether coming as an individual or couple, I look forward to helping you live a life of freedom and contentment.
(904) 906-4344 View (904) 906-4344
Photo of Liz Overpeck, Counselor in Jacksonville, FL
Liz Overpeck
Counselor
Verified Verified
Jacksonville, FL 32246  (Online Only)
Waitlist for new clients
I empower my clients to identify and amplify the strengths within themselves and their world that they may have lost touch with or perhaps have not yet discovered. In our sessions together, you'll experience a healthy balance of acceptance and empathy paired with therapeutic challenges towards growth. I like to collaborate with my clients so that their treatment is individualized to their unique goals, culture, and strengths. I offer cognitive behavioral therapy (CBT), solutions focused therapy, eye movement desensitization and reprocessing (EMDR), and Christian spiritual integration for clients seeking faith based therapy.
I empower my clients to identify and amplify the strengths within themselves and their world that they may have lost touch with or perhaps have not yet discovered. In our sessions together, you'll experience a healthy balance of acceptance and empathy paired with therapeutic challenges towards growth. I like to collaborate with my clients so that their treatment is individualized to their unique goals, culture, and strengths. I offer cognitive behavioral therapy (CBT), solutions focused therapy, eye movement desensitization and reprocessing (EMDR), and Christian spiritual integration for clients seeking faith based therapy.
(904) 872-6071 View (904) 872-6071

See more therapy options for Jacksonville

How does your Therapist compare?

Number of Therapists in Jacksonville, FL

1,000+

Average cost per session

$125

Therapists in Jacksonville, FL who prioritize treating:

92% Anxiety
87% Depression
75% Coping Skills
75% Self Esteem
68% Trauma and PTSD
67% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

87% Aetna
83% UnitedHealthcare UHC | UBH
80% Cigna and Evernorth

How Therapists in Jacksonville, FL see their clients

57% In Person and Online
43% Online Only

Gender breakdown

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

How can I find a therapist in Jacksonville?

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.