Therapists in Columbus, OH

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Photo of Dr. Shonali Raney, Psychologist in Columbus, OH
Dr. Shonali Raney
Psychologist, PhD
Verified Verified
4 Endorsed
Columbus, OH 43214
Not accepting new clients
I work solely with clients who are 25 years old and above. Being engaged in individual counseling is an opportunity to receive support and experience growth during challenging times of life. Counseling allows individuals to explore their feelings, beliefs, and behaviors, to address concerns that lead to mental health problems. You will work with me in a safe, caring and confidential environment. The focus of our work could be on specific goals or long-standing concerns such as, family of origin issues or past-unsolved trauma. The ultimate goal is to help you heal, grow, and re-engage in a productive, personally fulfilling life.
I work solely with clients who are 25 years old and above. Being engaged in individual counseling is an opportunity to receive support and experience growth during challenging times of life. Counseling allows individuals to explore their feelings, beliefs, and behaviors, to address concerns that lead to mental health problems. You will work with me in a safe, caring and confidential environment. The focus of our work could be on specific goals or long-standing concerns such as, family of origin issues or past-unsolved trauma. The ultimate goal is to help you heal, grow, and re-engage in a productive, personally fulfilling life.
(380) 207-1504 View (380) 207-1504
Photo of Jenna Moran, Counselor in Columbus, OH
Jenna Moran
Counselor, LPCC-S, LCDCIII
Verified Verified
1 Endorsed
Columbus, OH 43215
(Currently not available for new clients) Your life story is full of successes and struggles, pain and joy, and we can work together to create a life that has meaning and that makes you proud. I will provide a safe space of acceptance for you to figure out who you are and who you want to be, without pressure or judgement. Through your courage, hard work, and vulnerability, you can reach your treatment goals.
(Currently not available for new clients) Your life story is full of successes and struggles, pain and joy, and we can work together to create a life that has meaning and that makes you proud. I will provide a safe space of acceptance for you to figure out who you are and who you want to be, without pressure or judgement. Through your courage, hard work, and vulnerability, you can reach your treatment goals.
(380) 777-5538 View (380) 777-5538
Photo of Priscilla A White, Licensed Professional Counselor in Columbus, OH
Priscilla A White
Licensed Professional Counselor, MSEd
Verified Verified
Columbus, OH 43206
I know personally how the demands of life can be overwhelming - mentally, physically, and spiritually. Despite my own emotionally-devasting life experiences, I have overcome. I can now use those experiences to connect with, engage, and counsel others to overcome. Through it all I have a passion for “helping hurting people heal.” I have experience with counseling couples and individuals with depression and anxiety, panic attacks and panic disorder, anger management, trauma and PTSD. I am trained in Eye Movement Desensitization Reprocessing (EMDR).
I know personally how the demands of life can be overwhelming - mentally, physically, and spiritually. Despite my own emotionally-devasting life experiences, I have overcome. I can now use those experiences to connect with, engage, and counsel others to overcome. Through it all I have a passion for “helping hurting people heal.” I have experience with counseling couples and individuals with depression and anxiety, panic attacks and panic disorder, anger management, trauma and PTSD. I am trained in Eye Movement Desensitization Reprocessing (EMDR).
(614) 368-0190 View (614) 368-0190
Gillian Sapp
LPC Intern, LSW
Verified Verified
Columbus, OH 43215
I believe that knowing the truth about ourselves, others, and the world can free us to live fully and be our healthiest selves. Through an open and trusting relationship with a therapist, people can feel safe to be real, be known, and be understood. From that place of understanding we can work together to help you align the truth with your life to reach your goals. I approach clients with intentionality and empathy and view us as a team, and I believe that together we can make progress towards any goal.
I believe that knowing the truth about ourselves, others, and the world can free us to live fully and be our healthiest selves. Through an open and trusting relationship with a therapist, people can feel safe to be real, be known, and be understood. From that place of understanding we can work together to help you align the truth with your life to reach your goals. I approach clients with intentionality and empathy and view us as a team, and I believe that together we can make progress towards any goal.
(614) 541-8220 View (614) 541-8220
Photo of Mia Thomas, Counselor in Columbus, OH
Mia Thomas
Counselor, MSEd, LPCC
Verified Verified
Columbus, OH 43215
Not accepting new clients
If you are looking for a safe and nonjudgmental environment where you can navigate life’s challenges give me a call. You are the expert on your own life and I have the tools to help you become the best version of yourself. I use a person-centered approach to meet you where you are, while expanding on the strengths you currently possess.
If you are looking for a safe and nonjudgmental environment where you can navigate life’s challenges give me a call. You are the expert on your own life and I have the tools to help you become the best version of yourself. I use a person-centered approach to meet you where you are, while expanding on the strengths you currently possess.
(380) 212-2718 View (380) 212-2718
Photo of Jackie A Hatten, Counselor in Columbus, OH
Jackie A Hatten
Counselor, MEd, LPCC-S
Verified Verified
1 Endorsed
Columbus, OH 43085
Hi, my name is Jackie and I have been working with individuals and couples for the past 20 years. My primary focus has been helping clients improve their lives when facing stress, anxiety, and depression. I want to help you be the most confident and happy version of yourself. I also enjoy helping couples find their joy and strengthen their connection, as we know life challenges even the strongest of couples. I see clients virtually and in-person through Vibrant Health Counseling and Teletherapy. Message me today to learn more!
Hi, my name is Jackie and I have been working with individuals and couples for the past 20 years. My primary focus has been helping clients improve their lives when facing stress, anxiety, and depression. I want to help you be the most confident and happy version of yourself. I also enjoy helping couples find their joy and strengthen their connection, as we know life challenges even the strongest of couples. I see clients virtually and in-person through Vibrant Health Counseling and Teletherapy. Message me today to learn more!
(614) 356-7833 View (614) 356-7833
Photo of Paul Kitzmiller, Counselor in Columbus, OH
Paul Kitzmiller
Counselor, LPC
Verified Verified
Columbus, OH 43220  (Online Only)
Not accepting new clients
Do you experience unwelcomed thoughts that you try to ignore without much success? Do you feel imprisoned by intrusive images in your mind? Do you worry excessively about something bad happening to someone you love if you do not perform some kind of ritual? Do you avoid things like kitchen knives, public restrooms, children? Unwelcomed thoughts can manifest themselves in many forms beyond just excessive handwashing or checking stove knobs. Fortunately, there are evidence-based treatments available to effectively treat Obsessive Compulsive Disorder, or OCD, a condition that affects as many as 7,000,000 people in the U.S. alone.
Do you experience unwelcomed thoughts that you try to ignore without much success? Do you feel imprisoned by intrusive images in your mind? Do you worry excessively about something bad happening to someone you love if you do not perform some kind of ritual? Do you avoid things like kitchen knives, public restrooms, children? Unwelcomed thoughts can manifest themselves in many forms beyond just excessive handwashing or checking stove knobs. Fortunately, there are evidence-based treatments available to effectively treat Obsessive Compulsive Disorder, or OCD, a condition that affects as many as 7,000,000 people in the U.S. alone.
(513) 880-8501 View (513) 880-8501
Photo of Mandy Tata, Counselor in Columbus, OH
Mandy Tata
Counselor, LPCC-S, LICDC , NCC
Verified Verified
1 Endorsed
Columbus, OH 43214
Hello and welcome, I assist individuals regarding a variety of concerns, including, anxiety & stress, trauma, depression, marital issues, relaxation, healthy coping skills, low self-esteem, life transitions, grief/loss, and communication issues. Some interventions I utilize are integrative, EMDR trained, CBT, eclectic, person-centered therapy, solution focused, and trauma informed care. My approach consists of collaborating with each individual based on their goals/values, unconditional positive regard, and building rapport and trust as establishing a strong therapeutic alliance.
Hello and welcome, I assist individuals regarding a variety of concerns, including, anxiety & stress, trauma, depression, marital issues, relaxation, healthy coping skills, low self-esteem, life transitions, grief/loss, and communication issues. Some interventions I utilize are integrative, EMDR trained, CBT, eclectic, person-centered therapy, solution focused, and trauma informed care. My approach consists of collaborating with each individual based on their goals/values, unconditional positive regard, and building rapport and trust as establishing a strong therapeutic alliance.
(614) 681-8552 View (614) 681-8552
Photo of Chris Palcsak, Clinical Social Work/Therapist in Columbus, OH
Chris Palcsak
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
2 Endorsed
Columbus, OH 43235  (Online Only)
I am a licensed independent social worker with a diverse background that enriches my approach to therapy. My academic journey included studies in hospitality, Spanish, and geography, culminating in a master’s degree in social work from Ohio University in 2018. I have worked with adults and older teenagers from various backgrounds, with a focus on serving the LGBTQ+ community and people living with HIV. In community mental health and private practice settings, I have supported clients facing a spectrum of challenges, including anxiety, depression, trauma, substance use, & interpersonal issues.
I am a licensed independent social worker with a diverse background that enriches my approach to therapy. My academic journey included studies in hospitality, Spanish, and geography, culminating in a master’s degree in social work from Ohio University in 2018. I have worked with adults and older teenagers from various backgrounds, with a focus on serving the LGBTQ+ community and people living with HIV. In community mental health and private practice settings, I have supported clients facing a spectrum of challenges, including anxiety, depression, trauma, substance use, & interpersonal issues.
(614) 820-8576 View (614) 820-8576
Photo of Laura Mae Johnson, Licensed Professional Counselor in Columbus, OH
Laura Mae Johnson
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Columbus, OH 43235
Waitlist for new clients
As a trained therapist, I offer a safe, non-judgmental space for individuals to explore their thoughts and feelings. I believe in a collaborative approach to therapy and work with my clients to create personalized treatment plans that meet their unique needs. Whether you're struggling with anxiety, depression, or just feeling overwhelmed, I'm here to provide support and guidance. I meet my clients where they are and journey alongside them with whatever struggles and victories life may bring. Navigating this life can be difficult, but you don't have to do it alone.
As a trained therapist, I offer a safe, non-judgmental space for individuals to explore their thoughts and feelings. I believe in a collaborative approach to therapy and work with my clients to create personalized treatment plans that meet their unique needs. Whether you're struggling with anxiety, depression, or just feeling overwhelmed, I'm here to provide support and guidance. I meet my clients where they are and journey alongside them with whatever struggles and victories life may bring. Navigating this life can be difficult, but you don't have to do it alone.
(740) 631-6323 View (740) 631-6323
Photo of Janie Hernandez, Counselor in Columbus, OH
Janie Hernandez
Counselor, MEd, LPCC-S
Verified Verified
2 Endorsed
Columbus, OH 43212
Are you feeling more overwhelmed, on edge, or more irritable than usual? Are you feeling overwhelmed by household chores and responsibilities? Are you struggling to adjust to a transition, or feeling unfulfilled or unappreciated and looking to make a change? I am here to offer a safe, non-judgmental space and to provide support. Taking the leap to start therapy for the first time, or finding a new provider, can be such a difficult and anxiety inducing process and I strive to make it as comfortable and stress free as possible.
Are you feeling more overwhelmed, on edge, or more irritable than usual? Are you feeling overwhelmed by household chores and responsibilities? Are you struggling to adjust to a transition, or feeling unfulfilled or unappreciated and looking to make a change? I am here to offer a safe, non-judgmental space and to provide support. Taking the leap to start therapy for the first time, or finding a new provider, can be such a difficult and anxiety inducing process and I strive to make it as comfortable and stress free as possible.
(380) 208-0763 View (380) 208-0763
Photo of Gestalt Columbus, Licensed Professional Clinical Counselor in Columbus, OH
Gestalt Columbus
Licensed Professional Clinical Counselor
Verified Verified
Columbus, OH 43230
We are a group private practice with multiple therapists including EMDR and trauma informed clinicians. We also have a psychiatric nurse practitioner for medication management. We serve individuals, families, parents, couples, and groups. At Gestalt Columbus, we work alongside our clients to treat the whole person - mind and body. We understand the complexity of interpersonal relationships and the difficulty of changing established patterns with partners, family, friends and work associates. Solutions to deep, personal suffering must be rooted in real-life understanding and not just a quick fix or a one-size-fits-all approach.
We are a group private practice with multiple therapists including EMDR and trauma informed clinicians. We also have a psychiatric nurse practitioner for medication management. We serve individuals, families, parents, couples, and groups. At Gestalt Columbus, we work alongside our clients to treat the whole person - mind and body. We understand the complexity of interpersonal relationships and the difficulty of changing established patterns with partners, family, friends and work associates. Solutions to deep, personal suffering must be rooted in real-life understanding and not just a quick fix or a one-size-fits-all approach.
(614) 860-5564 View (614) 860-5564
Photo of Carly Habenschuss, Licensed Professional Clinical Counselor in Columbus, OH
Carly Habenschuss
Licensed Professional Clinical Counselor, MA, LPCC-S
Verified Verified
3 Endorsed
Columbus, OH 43214
Not accepting new clients
I strive to foster a safe, affirming and supportive therapeutic environment, and view therapy as a collaborative process in which the client is the expert. I am curious and observant, vulnerable and honest and I look forward to walking alongside you through your therapy journey. I encourage you to experiment with new behaviors that could help you embrace your thoughts and feelings rather than fighting or feeling guilty for them and begin to engage in your life through making choices that move you toward your values.
I strive to foster a safe, affirming and supportive therapeutic environment, and view therapy as a collaborative process in which the client is the expert. I am curious and observant, vulnerable and honest and I look forward to walking alongside you through your therapy journey. I encourage you to experiment with new behaviors that could help you embrace your thoughts and feelings rather than fighting or feeling guilty for them and begin to engage in your life through making choices that move you toward your values.
(380) 205-2099 View (380) 205-2099
Photo of Tatiana Collins, Counselor in Columbus, OH
Tatiana Collins
Counselor, MEd, LPCC
Verified Verified
Columbus, OH 43220
The process of seeking a therapist can be a daunting task. I aim to provide a safe, comfortable, non-judgmental space where you can become the number one advocate of your healing process. You are capable of creating the life you deserve! My goal is to help you develop into the best version of yourself you can be. The life you desire is attainable. I am open to working with all populations especially tweens, adolescents and adults.
The process of seeking a therapist can be a daunting task. I aim to provide a safe, comfortable, non-judgmental space where you can become the number one advocate of your healing process. You are capable of creating the life you deserve! My goal is to help you develop into the best version of yourself you can be. The life you desire is attainable. I am open to working with all populations especially tweens, adolescents and adults.
(380) 207-1161 View (380) 207-1161
Photo of Dr. Melissa Briggs-Phillips, Psychologist in Columbus, OH
Dr. Melissa Briggs-Phillips
Psychologist, PhD
Verified Verified
Columbus, OH 43220
Mental health is everything. It is an honor to have spent tens of thousands of hours with people in service of their mental wellness. In May of 2022 I attended a conference on innovative and emerging treatment modalities for trauma. One of those sessions addressed the use of ketamine infusions and I was bowled over. A year and half later, I am thrilled to be collaboratively opening MiNDSET Integrative Ketamine Care. Dr. David Caldwell is an extremely experienced anesthesiologist that is committed to changing people's lives. The practice I founded in 2014 is also remaining open! Reach out to us, we look forward to being of service
Mental health is everything. It is an honor to have spent tens of thousands of hours with people in service of their mental wellness. In May of 2022 I attended a conference on innovative and emerging treatment modalities for trauma. One of those sessions addressed the use of ketamine infusions and I was bowled over. A year and half later, I am thrilled to be collaboratively opening MiNDSET Integrative Ketamine Care. Dr. David Caldwell is an extremely experienced anesthesiologist that is committed to changing people's lives. The practice I founded in 2014 is also remaining open! Reach out to us, we look forward to being of service
(800) 570-1509 View (800) 570-1509
Photo of Erica Rampelberg, Counselor in Columbus, OH
Erica Rampelberg
Counselor, PhD, LPCC, LMHC, CCMHC
Verified Verified
2 Endorsed
Columbus, OH 43235  (Online Only)
Each day we strive to know better and do better. Each day we can reflect on how things went and adapt for the next day. We get to celebrate successes and, with or without success, we get to celebrate growth. Growth can be uncomfortable and yet continuous lifelong growth is necessary to live a life of fulfillment. Sometimes we all need someone with us on our life journey of making meaning of our experiences and finding purpose and reaching goals.
Each day we strive to know better and do better. Each day we can reflect on how things went and adapt for the next day. We get to celebrate successes and, with or without success, we get to celebrate growth. Growth can be uncomfortable and yet continuous lifelong growth is necessary to live a life of fulfillment. Sometimes we all need someone with us on our life journey of making meaning of our experiences and finding purpose and reaching goals.
View
Stilll Meadow Counseling LLC
Clinical Social Work/Therapist, LISW
Verified Verified
Columbus, OH 43214
I am a Licensed Independent Social Worker who has certification in EMDR and Trauma Focused CBT. I specialize in treating PTSD, depression, anxiety and eating disorders. I have extensive training and experience with crisis management, particularly, as it relates to suicidal ideations or behaviors. I received formal training in crisis management as a Special Agent in the FBI. I was the Employee Assistance Program Coordinator for the Cincinnati Division of the FBI. In this capacity, I responded to critical incidents to provide Critical Incident Stress Debriefings. I am now in private practice and enjoy the opportunity to help clients.
I am a Licensed Independent Social Worker who has certification in EMDR and Trauma Focused CBT. I specialize in treating PTSD, depression, anxiety and eating disorders. I have extensive training and experience with crisis management, particularly, as it relates to suicidal ideations or behaviors. I received formal training in crisis management as a Special Agent in the FBI. I was the Employee Assistance Program Coordinator for the Cincinnati Division of the FBI. In this capacity, I responded to critical incidents to provide Critical Incident Stress Debriefings. I am now in private practice and enjoy the opportunity to help clients.
(614) 662-4124 View (614) 662-4124
Photo of Chris Featherstone, Psychologist in Columbus, OH
Chris Featherstone
Psychologist, PhD, MTS
Verified Verified
Columbus, OH 43214
I work with adolescents and adults. I specialize in trauma, PTSD, depression, anxiety, faith-based dilemmas, and marital/couples therapy. I am passionate about helping clients find the strength they need to get through difficult times in their lives and help clients improve their quality of life. My approach incorporates both life coaching and strengths-based perspective.
I work with adolescents and adults. I specialize in trauma, PTSD, depression, anxiety, faith-based dilemmas, and marital/couples therapy. I am passionate about helping clients find the strength they need to get through difficult times in their lives and help clients improve their quality of life. My approach incorporates both life coaching and strengths-based perspective.
(614) 908-4623 View (614) 908-4623
Photo of Destiny Segovia, Licensed Professional Counselor in Columbus, OH
Destiny Segovia
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Columbus, OH 43214
When was the last time you showed up for yourself with the same love and compassion you have for those around you? All too often shame and self-judgement feed anxiety and insecurities, getting in the way of feeling good about yourself. I can help you quiet the self-judgement, calm your anxieties, and learn to really value yourself. You can have your own back, set boundaries without guilt, and feel comfortable in your own skin.
When was the last time you showed up for yourself with the same love and compassion you have for those around you? All too often shame and self-judgement feed anxiety and insecurities, getting in the way of feeling good about yourself. I can help you quiet the self-judgement, calm your anxieties, and learn to really value yourself. You can have your own back, set boundaries without guilt, and feel comfortable in your own skin.
(380) 204-9655 View (380) 204-9655
Photo of Shirita Cook, Counselor in Columbus, OH
Shirita Cook
Counselor, LPCC
Verified Verified
Columbus, OH 43232  (Online Only)
Is your thought life helping you are hurting you? Are there challenges from your past that are still impacting your present relationships, view of your self, or hindering your ability to see a happy healthy future for your self? If you are struggling with issues related to depression, grief, addiction, anxiety, relationships, self-esteem, a transitional time in your life, or spirituality concerns, I'd be happy to help you heal, engage in the process of becoming your highest self, and begin to operate in purpose.
Is your thought life helping you are hurting you? Are there challenges from your past that are still impacting your present relationships, view of your self, or hindering your ability to see a happy healthy future for your self? If you are struggling with issues related to depression, grief, addiction, anxiety, relationships, self-esteem, a transitional time in your life, or spirituality concerns, I'd be happy to help you heal, engage in the process of becoming your highest self, and begin to operate in purpose.
(614) 892-7706 View (614) 892-7706

How does your Therapist compare?

Number of Therapists in Columbus, OH

1,000+

Average cost per session

$125

Therapists in Columbus, OH who prioritize treating:

92% Anxiety
87% Depression
73% Trauma and PTSD
71% Self Esteem
68% Relationship Issues
65% Coping Skills
62% Stress

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
76% UnitedHealthcare UHC | UBH
68% Cigna and Evernorth

How Therapists in Columbus, OH see their clients

61% In Person and Online
39% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Columbus?

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.