Therapists in Belle Meade, Nashville, TN

Photo of Kitti L Virts, PhD, Psychologist
Kitti L Virts
Psychologist, PhD
Verified Verified
Online Only
Ideal clients are individuals who may struggle to cope with stress, anxiety, depression, relationships, or life in general, feel stuck in recurrent problematic behavioral or relationship patterns, and want to improve their life and feel at peace. We all have an innate ability to grow and heal. My primary job as a therapist is to help clients tap into that healing process and reconnect with and strengthen their natural resources, talents, and spirit so that they can become the person they want and were created to be.
Ideal clients are individuals who may struggle to cope with stress, anxiety, depression, relationships, or life in general, feel stuck in recurrent problematic behavioral or relationship patterns, and want to improve their life and feel at peace. We all have an innate ability to grow and heal. My primary job as a therapist is to help clients tap into that healing process and reconnect with and strengthen their natural resources, talents, and spirit so that they can become the person they want and were created to be.
(615) 442-7109 View (615) 442-7109
Photo of June Dye - S. June Dye Assessment and Consultation, MA
S. June Dye Assessment and Consultation
MA
Verified Verified
Belle Meade, Nashville, TN 37205
Are you wondering why you or your child is struggling to learn or pay attention? I can help you figure out "why?" and "what's next?" I have assessed over 2500 individuals in public and independent schools, residential treatment facilities, a university hospital clinic, and, since 2006, my own practice. My typical client is a school-aged or college student with signs of a learning disability (dyslexia is the most common) or ADHD. I also assess the need for accommodations for school, work, or standardized tests such as the ACT, LSAT, MCAT, and board and licensure exams.
Are you wondering why you or your child is struggling to learn or pay attention? I can help you figure out "why?" and "what's next?" I have assessed over 2500 individuals in public and independent schools, residential treatment facilities, a university hospital clinic, and, since 2006, my own practice. My typical client is a school-aged or college student with signs of a learning disability (dyslexia is the most common) or ADHD. I also assess the need for accommodations for school, work, or standardized tests such as the ACT, LSAT, MCAT, and board and licensure exams.
(615) 395-6731 View (615) 395-6731
Photo of Chris O'Rear, MDiv, MMFT, LCPT, Pastoral Counselor
Chris O'Rear
Pastoral Counselor, MDiv, MMFT, LCPT
Verified Verified
6 Endorsed
Belle Meade, Nashville, TN 37205
I seek to be open and inclusive with each client. I am trained in in-depth psychotherapy & enjoy exploring the deeper roots of presenting problems with a goal of practical application of insight. I am a licensed Clinical Pastoral Therapist & clinical supervisor with nearly 30 years of experience. I particularly like working with couples in crisis. I have experience with clergy and clergy families, therapists, spiritual issues & issues of faith, Addiction Recovery, Anxiety, Depression, Grief & loss, Dilemmas in parenting, Premarital counseling, Relationship issues, Self-image issues, Stress & Trauma among other presenting issues.
I seek to be open and inclusive with each client. I am trained in in-depth psychotherapy & enjoy exploring the deeper roots of presenting problems with a goal of practical application of insight. I am a licensed Clinical Pastoral Therapist & clinical supervisor with nearly 30 years of experience. I particularly like working with couples in crisis. I have experience with clergy and clergy families, therapists, spiritual issues & issues of faith, Addiction Recovery, Anxiety, Depression, Grief & loss, Dilemmas in parenting, Premarital counseling, Relationship issues, Self-image issues, Stress & Trauma among other presenting issues.
(615) 645-2147 x701 View (615) 645-2147 x701
Photo of Cara Lindell, LPC, MHSP, Licensed Professional Counselor
Cara Lindell
Licensed Professional Counselor, LPC, MHSP
Verified Verified
1 Endorsed
Belle Meade, Nashville, TN 37205
Grief and heartbreak are part of life, but right now, you might be feeling like it's all too much to bear. You don't have to figure it all out on your own. I can help. Perhaps you or someone close to you is coping with a terminal illness or you're struggling after a loved one's death. Maybe you are experiencing another heartbreak, perhaps caused by a relationship or a trauma. Or, maybe you are struggling to find ways to love and accept yourself in a world that makes you feel less than.
Grief and heartbreak are part of life, but right now, you might be feeling like it's all too much to bear. You don't have to figure it all out on your own. I can help. Perhaps you or someone close to you is coping with a terminal illness or you're struggling after a loved one's death. Maybe you are experiencing another heartbreak, perhaps caused by a relationship or a trauma. Or, maybe you are struggling to find ways to love and accept yourself in a world that makes you feel less than.
(615) 538-0955 x702 View (615) 538-0955 x702
Photo of Tobi Nolan, MA, Pre-Licensed Professional
Tobi Nolan
Pre-Licensed Professional, MA
Verified Verified
Belle Meade, Nashville, TN 37205
If you find yourself stuck in unproductive patterns in your thoughts or relationships, you are definitely not alone. Feelings of anxiety, depression, and internal struggle can quickly become part of the daily grind. If you're unsure where to begin, therapy can help you find new insight into painful problems.
If you find yourself stuck in unproductive patterns in your thoughts or relationships, you are definitely not alone. Feelings of anxiety, depression, and internal struggle can quickly become part of the daily grind. If you're unsure where to begin, therapy can help you find new insight into painful problems.
(615) 437-2426 x704 View (615) 437-2426 x704
Photo of Sara Darby Smith, MS, LPCMHSP, NCC, RYT-200, Licensed Professional Counselor
Sara Darby Smith
Licensed Professional Counselor, MS, LPCMHSP, NCC, RYT-200
Verified Verified
Online Only
Welcome to Integrate counseling services, the private counseling practice of Sara Darby Smith, MS, LPC MHSP, NCC, SomEx, RYT-200 where the mind and body are brought to balance to fulfill a healthy and happy life. It is my mission to work with clients to help them use their mind and body to learn to cope with all psychological disorders and symptoms of emotional distress. Empowering, teaching, and coaching clients, couples, and families to be equipped to handle all of life’s challenges is what inspires me to love what I do.
Welcome to Integrate counseling services, the private counseling practice of Sara Darby Smith, MS, LPC MHSP, NCC, SomEx, RYT-200 where the mind and body are brought to balance to fulfill a healthy and happy life. It is my mission to work with clients to help them use their mind and body to learn to cope with all psychological disorders and symptoms of emotional distress. Empowering, teaching, and coaching clients, couples, and families to be equipped to handle all of life’s challenges is what inspires me to love what I do.
(615) 235-6871 View (615) 235-6871
Photo of Nathaniel Flatt, LMFT, Marriage & Family Therapist
Nathaniel Flatt
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Are you struggling with self-worth issues, past trauma, or difficulty navigating relationships? A supportive relationship makes a big difference, allowing for honest exploration of your emotions, self-image, and ways of connecting with others. I believe therapy is about transformation, but it takes courage and commitment to change. Together we can confront these obstacles head on. Happy to connect for a free consultation!
Are you struggling with self-worth issues, past trauma, or difficulty navigating relationships? A supportive relationship makes a big difference, allowing for honest exploration of your emotions, self-image, and ways of connecting with others. I believe therapy is about transformation, but it takes courage and commitment to change. Together we can confront these obstacles head on. Happy to connect for a free consultation!
(629) 426-0060 View (629) 426-0060
Photo of Charles Bernard Self, EdD, LMFT, Marriage & Family Therapist
Charles Bernard Self
Marriage & Family Therapist, EdD, LMFT
Verified Verified
Belle Meade, Nashville, TN 37205
My ideal client is one who has experienced setbacks, failures or traumas and is intent on moving beyond those issues to find joy, peace and fulfillment in life. I cherish the opportunity to investigate the possibilities and options open to individuals, couples and families to promote greater health, connection and celebration in their experience of life.
My ideal client is one who has experienced setbacks, failures or traumas and is intent on moving beyond those issues to find joy, peace and fulfillment in life. I cherish the opportunity to investigate the possibilities and options open to individuals, couples and families to promote greater health, connection and celebration in their experience of life.
(615) 551-1246 View (615) 551-1246
Photo of Christopher Harris, PhD, LPC, MHSP, Licensed Professional Counselor
Christopher Harris
Licensed Professional Counselor, PhD, LPC, MHSP
Verified Verified
4 Endorsed
Online Only
Hello, I'm Chris, and my passion is helping you navigate the challenges of anxiety. I believe in a balance between professional expertise and a warm, understanding approach. Anxiety can be overwhelming, but with the right support, it's possible to find calm and clarity in your life. We'll work together to understand the anxiety and develop practical, everyday techniques to manage it. It's not just about coping; it's about thriving and rediscovering joy in your life. Let's start this journey together. Reach out, and let's make a positive change in your life today.
Hello, I'm Chris, and my passion is helping you navigate the challenges of anxiety. I believe in a balance between professional expertise and a warm, understanding approach. Anxiety can be overwhelming, but with the right support, it's possible to find calm and clarity in your life. We'll work together to understand the anxiety and develop practical, everyday techniques to manage it. It's not just about coping; it's about thriving and rediscovering joy in your life. Let's start this journey together. Reach out, and let's make a positive change in your life today.
(423) 521-2246 View (423) 521-2246
Photo of Erika Bennett, LMFT, Marriage & Family Therapist
Erika Bennett
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Online Only
Well, it's hit the fan! No matter how you slice it, life since March 2020 has been a doozy. You're in what seems like an never ending pandemic and the future is uncertain. Maybe you're excited the world is opening back up or you feel so stuck, confused, and overwhelmed you want to pull the covers over your head and secretly wish the world would go away. You want to do things differently but don't know HOW. Personal growth is cool but all the self-help books, online yoga workshops, and traditional talk therapy options are coming up short. Guess what? You've just struck gold. I'm here to offer you something different.
Well, it's hit the fan! No matter how you slice it, life since March 2020 has been a doozy. You're in what seems like an never ending pandemic and the future is uncertain. Maybe you're excited the world is opening back up or you feel so stuck, confused, and overwhelmed you want to pull the covers over your head and secretly wish the world would go away. You want to do things differently but don't know HOW. Personal growth is cool but all the self-help books, online yoga workshops, and traditional talk therapy options are coming up short. Guess what? You've just struck gold. I'm here to offer you something different.
(323) 613-2262 View (323) 613-2262
Photo of Jennifer Allen, LCSW, Clinical Social Work/Therapist
Jennifer Allen
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello, I'm Jennifer Allen, a Licensed Clinical Social Worker (LCSW). I take a client-centered, strengths-based approach to therapy, focusing on empowering individuals to overcome challenges and build resilience. My therapeutic approach is primarily client-centered, emphasizing the importance of empathy, authenticity, and creating a safe, non-judgmental space for clients. My approach is adaptable, tailored to meet the unique needs and goals of each individual.
Hello, I'm Jennifer Allen, a Licensed Clinical Social Worker (LCSW). I take a client-centered, strengths-based approach to therapy, focusing on empowering individuals to overcome challenges and build resilience. My therapeutic approach is primarily client-centered, emphasizing the importance of empathy, authenticity, and creating a safe, non-judgmental space for clients. My approach is adaptable, tailored to meet the unique needs and goals of each individual.
(323) 643-8569 View (323) 643-8569
Photo of Jen Adams Biddle, MEd, LPC, MHSP, ACS, Licensed Professional Counselor
Jen Adams Biddle
Licensed Professional Counselor, MEd, LPC, MHSP, ACS
Verified Verified
3 Endorsed
Belle Meade, Nashville, TN 37205
Are you tired of repeating the same old patterns? Feel like you've tried everything you know? Don't give up. I'm willing to go all in. My style is relational, straightforward, and genuine. I enjoy working with couples and individuals who are seeking deeper connections relationally. I seek to help heal developmental trauma and attachment wounds experienced by individuals and couples. I also have experience and interest helping neurodivergent people understand themselves better and develop neurodivergent-affirming coping strategies.
Are you tired of repeating the same old patterns? Feel like you've tried everything you know? Don't give up. I'm willing to go all in. My style is relational, straightforward, and genuine. I enjoy working with couples and individuals who are seeking deeper connections relationally. I seek to help heal developmental trauma and attachment wounds experienced by individuals and couples. I also have experience and interest helping neurodivergent people understand themselves better and develop neurodivergent-affirming coping strategies.
(615) 640-1397 View (615) 640-1397
Photo of LaSheryl Askew, LPC, Licensed Professional Counselor
LaSheryl Askew
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Hi, I am a Licensed Mental Health Counselor and Life Coach with over 20 years of experience in diverse community settings. I hold a master’s degree from Cambridge College in Massachusetts.
Hi, I am a Licensed Mental Health Counselor and Life Coach with over 20 years of experience in diverse community settings. I hold a master’s degree from Cambridge College in Massachusetts.
(615) 461-4807 View (615) 461-4807
Photo of Trisha Overton, LPC, Licensed Professional Counselor
Trisha Overton
Licensed Professional Counselor, LPC
Verified Verified
Belle Meade, Nashville, TN 37205
My name is Trish Overton, and I am a LPC-MHSP as well as a licensed school counselor. I am available to work with those of any age and stage in life. I am currently licensed as a School Counselor, and a LPC-MHSP(t). I am trained in Brainspotting and use that with my clients. I am a trauma certified counselor. I am a certified ACEs trainer for the state of Tennessee. I feel that I am a tool in the clients healing. I do believe there can be healing from trauma and it is my hope as a therapist to help clients to heal.
My name is Trish Overton, and I am a LPC-MHSP as well as a licensed school counselor. I am available to work with those of any age and stage in life. I am currently licensed as a School Counselor, and a LPC-MHSP(t). I am trained in Brainspotting and use that with my clients. I am a trauma certified counselor. I am a certified ACEs trainer for the state of Tennessee. I feel that I am a tool in the clients healing. I do believe there can be healing from trauma and it is my hope as a therapist to help clients to heal.
(323) 643-8569 View (323) 643-8569
Photo of Cassie Bartels, LPCMHSP, (Temp), Pre-Licensed Professional
Cassie Bartels
Pre-Licensed Professional, LPCMHSP, (Temp)
Verified Verified
Belle Meade, Nashville, TN 37205
I love working with adult (and young adult) men and women across a variety of presenting concerns. I especially feel honored to help clients heal their interpersonal and childhood traumas. Whether working through a life transition, seeking support after a breakup, or not feeling like yourself, I would love to join you in your healing journey. It is important to me to create a safe and affirming place for everyone. I am committed to understanding and honoring individual differences while promoting equality and inclusion.
I love working with adult (and young adult) men and women across a variety of presenting concerns. I especially feel honored to help clients heal their interpersonal and childhood traumas. Whether working through a life transition, seeking support after a breakup, or not feeling like yourself, I would love to join you in your healing journey. It is important to me to create a safe and affirming place for everyone. I am committed to understanding and honoring individual differences while promoting equality and inclusion.
(629) 245-4474 View (629) 245-4474
Photo of Jared Roe, LCSW, Clinical Social Work/Therapist
Jared Roe
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi there! I'm Jared, and I am a Licensed Clinical Social Worker. Are you struggling to keep up with your day to day obligations? Have anxiety or depression taken the joy or intimacy from your relationships? Do you find yourself without the peace you need to fully enjoy the relationships in your life? It has been my privilege to help people from lots of backgrounds navigate these and many other challenges, and I believe that my approach can help you improve your quality of life as well. You are NOT alone, and it is a privilege for me to be here to support & empower you on your journey.
Hi there! I'm Jared, and I am a Licensed Clinical Social Worker. Are you struggling to keep up with your day to day obligations? Have anxiety or depression taken the joy or intimacy from your relationships? Do you find yourself without the peace you need to fully enjoy the relationships in your life? It has been my privilege to help people from lots of backgrounds navigate these and many other challenges, and I believe that my approach can help you improve your quality of life as well. You are NOT alone, and it is a privilege for me to be here to support & empower you on your journey.
(615) 235-0742 View (615) 235-0742
Photo of Princess Roshell Gahan, LCSW, Clinical Social Work/Therapist
Princess Roshell Gahan
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Do you ever feel overwhelmed and it feels like you have a million things to take care of but you're unsure of where to start? Are you struggling with juggling your relationships, work, or even taking time for yourself? Together, we can work to find solutions that could help you manage your symptoms.
Do you ever feel overwhelmed and it feels like you have a million things to take care of but you're unsure of where to start? Are you struggling with juggling your relationships, work, or even taking time for yourself? Together, we can work to find solutions that could help you manage your symptoms.
(615) 819-4526 View (615) 819-4526
Photo of Jeff Grossman, MA, Licensed Professional Counselor
Jeff Grossman
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Belle Meade, Nashville, TN 37205
Feeling stuck and want to get unstuck? Know something isn't working in life, but not exactly sure where to start? I work with clients to help them recover a full life. I specialize in working with: 1) couples struggling with communication and conflict resolution 2) professionals wanting more (i.e. income/raise, promotion, work-life balance) from work 3) addicts (sex, alcohol, narcotics) wanting freedom 4) narcissistic men wanting help in relationships or 'survivors' of narcissistic relationships seeking recovery 5) anyone wanting to grow their emotional communication and increase their interpersonal availability. I also specialize in group therapy facilitation.
Feeling stuck and want to get unstuck? Know something isn't working in life, but not exactly sure where to start? I work with clients to help them recover a full life. I specialize in working with: 1) couples struggling with communication and conflict resolution 2) professionals wanting more (i.e. income/raise, promotion, work-life balance) from work 3) addicts (sex, alcohol, narcotics) wanting freedom 4) narcissistic men wanting help in relationships or 'survivors' of narcissistic relationships seeking recovery 5) anyone wanting to grow their emotional communication and increase their interpersonal availability. I also specialize in group therapy facilitation.
(615) 823-1972 View (615) 823-1972
Photo of Arlin Troyer, MDiv, LMFT, Marriage & Family Therapist
Arlin Troyer
Marriage & Family Therapist, MDiv, LMFT
Verified Verified
Belle Meade, Nashville, TN 37205
Too often we live life in the fog of good health and favorable circumstances. But then, inevitably, something happens. Something difficult and hard to understand that pushes to the forefront the need for wisdom. Is there hope? On whom can I depend? What am I living for? What matters? Will I live? How will I live? Author and poet Wendell Berry said: "It may be that when we no longer know which way to go, we have begun our real journey. The mind that is not baffled is not employed. The impeded stream is the one that sings."
Too often we live life in the fog of good health and favorable circumstances. But then, inevitably, something happens. Something difficult and hard to understand that pushes to the forefront the need for wisdom. Is there hope? On whom can I depend? What am I living for? What matters? Will I live? How will I live? Author and poet Wendell Berry said: "It may be that when we no longer know which way to go, we have begun our real journey. The mind that is not baffled is not employed. The impeded stream is the one that sings."
(615) 274-5572 View (615) 274-5572
Photo of Lela Altman, LPC, MHSP(T), MA, Pre-Licensed Professional
Lela Altman
Pre-Licensed Professional, LPC, MHSP(T), MA
Verified Verified
Belle Meade, Nashville, TN 37205
Do you often feel like you are not meeting your own standards? Do you feel stuck in uncertainty, unable to move in the best direction? Is it hard for you to feel satisfied? Do you desire more fulfilling relationships with others? Growing up, you may have encountered people who were critical of your performance / appearance, and who burdened you with unrealistic expectations. This can make it difficult for you to feel happy with your achievements and quiet your inner critic. You may be numbing some of the pain with unhealthy choices that are starting to feel just as inescapable. If this resonates, therapy could be a good next step.
Do you often feel like you are not meeting your own standards? Do you feel stuck in uncertainty, unable to move in the best direction? Is it hard for you to feel satisfied? Do you desire more fulfilling relationships with others? Growing up, you may have encountered people who were critical of your performance / appearance, and who burdened you with unrealistic expectations. This can make it difficult for you to feel happy with your achievements and quiet your inner critic. You may be numbing some of the pain with unhealthy choices that are starting to feel just as inescapable. If this resonates, therapy could be a good next step.
(615) 703-8108 View (615) 703-8108
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How does your Therapist compare?

Number of Therapists in Belle Meade, Nashville, TN

200+

Average cost per session

$150

Therapists in Belle Meade, Nashville, TN who prioritize treating:

92% Anxiety
85% Depression
72% Self Esteem
69% Relationship Issues
69% Trauma and PTSD
65% Coping Skills
62% Grief

Average years in practice

13 Years

Top 3 insurances accepted

86% Cigna and Evernorth
81% Aetna
62% BlueCross and BlueShield

How Therapists in Belle Meade, Nashville, TN see their clients

57% In Person and Online
43% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Belle Meade, Nashville?

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.