Therapists in Waukesha, WI

Photo of Rheanna Jaske, Counselor, MS, LPC-IT, NCC
Rheanna Jaske
Counselor, MS, LPC-IT, NCC
Waukesha, WI 53188
Rheanna “Anna” Jaske, LPC-IT, NCC, is a licensed professional counselor in training and Nationally Certified Counselor who works with adolescents and adults. Some of her areas of clinical interest include treatment of mood disorders, anxiety disorders, and OCD as well as building skills in setting/maintaining boundaries, navigating relational challenges and life transitions, healthy approaches to managing stress, understanding emotions, and promoting general mental wellness outside times of distress.
Rheanna “Anna” Jaske, LPC-IT, NCC, is a licensed professional counselor in training and Nationally Certified Counselor who works with adolescents and adults. Some of her areas of clinical interest include treatment of mood disorders, anxiety disorders, and OCD as well as building skills in setting/maintaining boundaries, navigating relational challenges and life transitions, healthy approaches to managing stress, understanding emotions, and promoting general mental wellness outside times of distress.
(262) 710-1733 View (262) 710-1733
Photo of Ashley Westphal, Clinical Social Work/Therapist, LCSW
Ashley Westphal
Clinical Social Work/Therapist, LCSW
Waukesha, WI 53186
Ashley Westphal is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2014. She has a Bachelor of Science in Psychology and a Master of Social Work. Ashley believes therapy should be a safe place for healing and discovery for the whole person including body, mind, behavior, emotions, and especially spirit. She feels that therapy can be used to help us empower, rediscover, or reconnect with ourselves and therefore with others. Seeking support is a positive, healthy step and a sign of strength, and the realization that we cannot always navigate through life alone is a sign of wisdom not weakness.
Ashley Westphal is a Licensed Clinical Social Worker in Wisconsin who has been practicing since 2014. She has a Bachelor of Science in Psychology and a Master of Social Work. Ashley believes therapy should be a safe place for healing and discovery for the whole person including body, mind, behavior, emotions, and especially spirit. She feels that therapy can be used to help us empower, rediscover, or reconnect with ourselves and therefore with others. Seeking support is a positive, healthy step and a sign of strength, and the realization that we cannot always navigate through life alone is a sign of wisdom not weakness.
(262) 300-5272 View (262) 300-5272
Photo of Kaitlyn Sheskey, Licensed Professional Counselor, MSEd, LPC
Kaitlyn Sheskey
Licensed Professional Counselor, MSEd, LPC
Waukesha, WI 53186
Kate Sheskey is a Licensed Professional Counselor who has been practicing since 2017. She graduated from UW-Whitewater with a degree in Clinical Mental Health Counseling.
Kate Sheskey is a Licensed Professional Counselor who has been practicing since 2017. She graduated from UW-Whitewater with a degree in Clinical Mental Health Counseling.
(262) 588-4127 View (262) 588-4127
Photo of Jennifer Zarwell - Newport Academy, Counselor, LPC
Newport Academy
Counselor, LPC
Waukesha, WI 53188
We provide a full continuum of care at locations around the country, including residential treatment centers; a full suite of outpatient programming, with Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), and outpatient services with a flexible number of days per week; telehealth; and alumni programming. All of our programs have received accreditation from the Joint Commission for Behavioral Healthcare, the nation’s most respected healthcare accreditation body.
We provide a full continuum of care at locations around the country, including residential treatment centers; a full suite of outpatient programming, with Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), and outpatient services with a flexible number of days per week; telehealth; and alumni programming. All of our programs have received accreditation from the Joint Commission for Behavioral Healthcare, the nation’s most respected healthcare accreditation body.
(262) 383-4064 View (262) 383-4064
Photo of Rachel Korman, Pre-Licensed Professional, MS, LPC-IT
Rachel Korman
Pre-Licensed Professional, MS, LPC-IT
Waukesha, WI 53188
My goal is to walk with you on your journey at your pace, supporting you through any challenges, things you want clarity on, or to talk through any uncomfortable thoughts or feelings you may have. I encourage self-reflection and introspection and support you in reaching your goals. I really value building the therapeutic relationship with each of my clients and believe it is one of the most important aspects in therapy. I strive to provide a validating, empathetic and non-judgmental space where you feel safe to disclose what you are experiencing and hope to work collaboratively as you gain tools to cope with life's challenges.
My goal is to walk with you on your journey at your pace, supporting you through any challenges, things you want clarity on, or to talk through any uncomfortable thoughts or feelings you may have. I encourage self-reflection and introspection and support you in reaching your goals. I really value building the therapeutic relationship with each of my clients and believe it is one of the most important aspects in therapy. I strive to provide a validating, empathetic and non-judgmental space where you feel safe to disclose what you are experiencing and hope to work collaboratively as you gain tools to cope with life's challenges.
(262) 747-2173 x745 View (262) 747-2173 x745
Photo of Courtney Senk, Licensed Professional Counselor, MS, LPC, NCC
Courtney Senk
Licensed Professional Counselor, MS, LPC, NCC
Waukesha, WI 53186
Has shame kept you in silence? Have circumstances robbed you of your peace? Are you struggling to cope with the stressors in your life? Do you feel like no one understands you or that you don’t fit in? Do you feel alone, overwhelmed, hopeless, angry, worthless, anxious, in constant pain, or out of control? Have you been hurt by people or systems that are supposed to help you? Trauma can shake the very foundation of our sense of well-being, safety, and belonging. And shame can hinder us from living the life we want and deserve. Whatever you find yourself struggling with, you don't need to suffer in silence or walk this journey alone.
Has shame kept you in silence? Have circumstances robbed you of your peace? Are you struggling to cope with the stressors in your life? Do you feel like no one understands you or that you don’t fit in? Do you feel alone, overwhelmed, hopeless, angry, worthless, anxious, in constant pain, or out of control? Have you been hurt by people or systems that are supposed to help you? Trauma can shake the very foundation of our sense of well-being, safety, and belonging. And shame can hinder us from living the life we want and deserve. Whatever you find yourself struggling with, you don't need to suffer in silence or walk this journey alone.
(262) 747-2872 View (262) 747-2872
Photo of Laura Cherone, Clinical Social Work/Therapist, LCSW, LCSAC
Laura Cherone
Clinical Social Work/Therapist, LCSW, LCSAC
2 Endorsed
Waukesha, WI 53188
I help my clients improve and accomplish positive, meaningful life change and become free from unwanted attitudes, behaviors or feelings. I consider it a privilege to coach and guide another person through mental health, life adjustment, relationship or family struggles. Therapy is a process of assisted growth and change. It often involves clearing out old and new difficulties while discovering, applying and practicing new approaches. I strive to build therapeutic relationships that are based on confidentiality and trust where my clients remain in charge of what occurs in every session as we work toward mutually defined goals.
I help my clients improve and accomplish positive, meaningful life change and become free from unwanted attitudes, behaviors or feelings. I consider it a privilege to coach and guide another person through mental health, life adjustment, relationship or family struggles. Therapy is a process of assisted growth and change. It often involves clearing out old and new difficulties while discovering, applying and practicing new approaches. I strive to build therapeutic relationships that are based on confidentiality and trust where my clients remain in charge of what occurs in every session as we work toward mutually defined goals.
(262) 762-9529 View (262) 762-9529
Photo of Dan Chadwick - Serenity Counseling Services, Licensed Professional Counselor, LPC, SAC-IT, MS
Serenity Counseling Services
Licensed Professional Counselor, LPC, SAC-IT, MS
Waukesha, WI 53188
Client problems come in all shapes and sizes, with all kinds of different life experiences and reasons and needs. Problems are common in the world, and it is hard to shoulder the responsibilities set on our shoulders. It can feel lonely with the burden that people carry, and it seems reasonable to find ways to meet needs that are not being met. Sometimes these can be unhealthy habits that just cause more problems. Sometimes, it leads to a build up of pressure until everything is overwhelming and out of control. It disrupts our Serenity, and building this back up sometimes needs a helper.
Client problems come in all shapes and sizes, with all kinds of different life experiences and reasons and needs. Problems are common in the world, and it is hard to shoulder the responsibilities set on our shoulders. It can feel lonely with the burden that people carry, and it seems reasonable to find ways to meet needs that are not being met. Sometimes these can be unhealthy habits that just cause more problems. Sometimes, it leads to a build up of pressure until everything is overwhelming and out of control. It disrupts our Serenity, and building this back up sometimes needs a helper.
(262) 444-0257 View (262) 444-0257
Photo of Sue Pakula, Licensed Professional Counselor, MS, LPC
Sue Pakula
Licensed Professional Counselor, MS, LPC
1 Endorsed
Waukesha, WI 53186
As a therapist, I strive to be empathic and authentic with my clients. I practice with a Person Centered approach and draw from Interpersonal Psychotherapy and Existentialism. With these ideas, we build our therapeutic relationship on trust and understanding. We work on goals that you feel are important – you are the expert in your life!
As a therapist, I strive to be empathic and authentic with my clients. I practice with a Person Centered approach and draw from Interpersonal Psychotherapy and Existentialism. With these ideas, we build our therapeutic relationship on trust and understanding. We work on goals that you feel are important – you are the expert in your life!
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Photo of Kelly L Kuehl, Clinical Social Work/Therapist, LCSW
Kelly L Kuehl
Clinical Social Work/Therapist, LCSW
4 Endorsed
Waukesha, WI 53188
Feeling overwhelmed, anxious, or down? You’re not alone—and you don’t have to navigate it all by yourself. Together, we can sort through the stress, the never-ending to-do lists, and the emotional weight that builds up with life’s constant interruptions. I understand how tough it can be to stay grounded and prioritize yourself when everything else feels so urgent. That’s why I offer a space where you can show up just as you are—free from judgment, full of honesty, and open to healing. My goal is for you to leave each session feeling lighter, more understood, and more equipped to take on what comes next. Let’s be human—together. <
Feeling overwhelmed, anxious, or down? You’re not alone—and you don’t have to navigate it all by yourself. Together, we can sort through the stress, the never-ending to-do lists, and the emotional weight that builds up with life’s constant interruptions. I understand how tough it can be to stay grounded and prioritize yourself when everything else feels so urgent. That’s why I offer a space where you can show up just as you are—free from judgment, full of honesty, and open to healing. My goal is for you to leave each session feeling lighter, more understood, and more equipped to take on what comes next. Let’s be human—together. <
(262) 810-3106 View (262) 810-3106
Photo of Diane Heighway, Licensed Professional Counselor, LPC, NCC
Diane Heighway
Licensed Professional Counselor, LPC, NCC
3 Endorsed
Waukesha, WI 53188
One of my main goals as a therapist is to cultivate a compassionate, nonjudgmental, and collaborative therapeutic relationship with my clients. Whether its processing trauma, building skills, or increasing self-awareness, I aim to support and empower clients as they embark on their healing journey. Although I specialize in the treatment of PTSD/trauma, anxiety, and depression, I also support in management of daily life stressors such as burnout and relationship issues. I often incorporate cognitive-behavioral, dialectical-behavioral, and person-centered therapies into session.
One of my main goals as a therapist is to cultivate a compassionate, nonjudgmental, and collaborative therapeutic relationship with my clients. Whether its processing trauma, building skills, or increasing self-awareness, I aim to support and empower clients as they embark on their healing journey. Although I specialize in the treatment of PTSD/trauma, anxiety, and depression, I also support in management of daily life stressors such as burnout and relationship issues. I often incorporate cognitive-behavioral, dialectical-behavioral, and person-centered therapies into session.
(262) 668-7866 View (262) 668-7866
Photo of Kristen Yielding, Licensed Professional Counselor, LPC, RYT-200
Kristen Yielding
Licensed Professional Counselor, LPC, RYT-200
Waukesha, WI 53186
As a counselor, I aim to ensure my clients feel supported in their work towards their goals. We are all on our own path in this life and travel it in our own ways. I am here to provide support, while helping you not only address your issues, but enhance your sense of joy and fulfillment along the way. I mainly work with teens and adults experiencing life transitions. I help with managing stress, anxiety and depression, as well as building self-esteem and confidence. Working through complex trauma, grief, and existential exploration are also issues I support my clients with.
As a counselor, I aim to ensure my clients feel supported in their work towards their goals. We are all on our own path in this life and travel it in our own ways. I am here to provide support, while helping you not only address your issues, but enhance your sense of joy and fulfillment along the way. I mainly work with teens and adults experiencing life transitions. I help with managing stress, anxiety and depression, as well as building self-esteem and confidence. Working through complex trauma, grief, and existential exploration are also issues I support my clients with.
(262) 302-2658 View (262) 302-2658
Photo of Samuel Stephen Taubenheim, Counselor, MS, LPC
Samuel Stephen Taubenheim
Counselor, MS, LPC
Online Only
Counseling is a journey of change and self-discovery and it is not always easy to take that first step. There are not issues that are “too small” or “unimportant.” They are worth addressing because they are affecting your life. We will work together as a team to find the best solutions for your situation. I believe in beginning with the strengths you already have and building on those. We will develop coping mechanisms and strategies to help you through what is bringing you to counseling. The journey toward living the life you want begins with you taking the first step.
Counseling is a journey of change and self-discovery and it is not always easy to take that first step. There are not issues that are “too small” or “unimportant.” They are worth addressing because they are affecting your life. We will work together as a team to find the best solutions for your situation. I believe in beginning with the strengths you already have and building on those. We will develop coping mechanisms and strategies to help you through what is bringing you to counseling. The journey toward living the life you want begins with you taking the first step.
(262) 232-7886 View (262) 232-7886
Photo of Amy Hall, Licensed Professional Counselor, MS, LPC
Amy Hall
Licensed Professional Counselor, MS, LPC
3 Endorsed
Waukesha, WI 53188
Amy provides an empathetic and supportive approach to identifying solutions and setting goals for an improved life. Amy encourages her clients to understand the relationship between their thoughts, feelings and behaviors in order to engage in life more effectively. Additionally, she offers a safe space to explore an individual’s past experiences, learn new coping skills and identify emotional needs. She likes to include family or loved ones in the therapy process by offering coaching and education to improve support in the home setting. Amy is happy to collaborate with schools and other care providers to give the best quality care.
Amy provides an empathetic and supportive approach to identifying solutions and setting goals for an improved life. Amy encourages her clients to understand the relationship between their thoughts, feelings and behaviors in order to engage in life more effectively. Additionally, she offers a safe space to explore an individual’s past experiences, learn new coping skills and identify emotional needs. She likes to include family or loved ones in the therapy process by offering coaching and education to improve support in the home setting. Amy is happy to collaborate with schools and other care providers to give the best quality care.
(262) 333-6504 View (262) 333-6504
Photo of Lina Ott, Clinical Social Work/Therapist, MSW, APSW
Lina Ott
Clinical Social Work/Therapist, MSW, APSW
1 Endorsed
Waukesha, WI 53188
If you're struggling with the pressures of life, relationships, or simply want to improve your mental well-being, I am here for you. My approach is warm, empathetic, and collaborative. I believe in creating a space where you can be your true self—where you’re free to share your thoughts and feelings openly, without fear of being judged. I’m passionate about working with individuals who are facing a range of challenges, including parenthood, trauma, depression, anxiety, relationships, self-esteem and life-transitions.
If you're struggling with the pressures of life, relationships, or simply want to improve your mental well-being, I am here for you. My approach is warm, empathetic, and collaborative. I believe in creating a space where you can be your true self—where you’re free to share your thoughts and feelings openly, without fear of being judged. I’m passionate about working with individuals who are facing a range of challenges, including parenthood, trauma, depression, anxiety, relationships, self-esteem and life-transitions.
(262) 500-3609 View (262) 500-3609
Photo of Megan Herdeman, Licensed Professional Counselor, MS, LPC
Megan Herdeman
Licensed Professional Counselor, MS, LPC
Online Only
My approach to counseling is warm and accepting. I am here to help you feel stronger, more empowered, and more capable. I believe the success in this comes from us building a strong trusting relationship and approaching all issues from a compassionate and nonjudgemental stance.
My approach to counseling is warm and accepting. I am here to help you feel stronger, more empowered, and more capable. I believe the success in this comes from us building a strong trusting relationship and approaching all issues from a compassionate and nonjudgemental stance.
(262) 218-3524 View (262) 218-3524
Photo of Dawn Reese, Clinical Social Work/Therapist, LCSW
Dawn Reese
Clinical Social Work/Therapist, LCSW
2 Endorsed
Waukesha, WI 53188
If you have arrived at a place in your life in which the you are so overwhelmed by everyday life that everything looks like a problem, it's time we meet. I can help you reassess the areas in your life that no longer align the way you would like them, we can build priorities and find better ways to cope with daily stressors and ease the burden that can be part of problem solving. Nothing is as bad as it seems. Let's talk about it.
If you have arrived at a place in your life in which the you are so overwhelmed by everyday life that everything looks like a problem, it's time we meet. I can help you reassess the areas in your life that no longer align the way you would like them, we can build priorities and find better ways to cope with daily stressors and ease the burden that can be part of problem solving. Nothing is as bad as it seems. Let's talk about it.
(262) 675-8420 View (262) 675-8420
Photo of Sadie Millen, Licensed Professional Counselor, LPC
Sadie Millen
Licensed Professional Counselor, LPC
Waukesha, WI 53186
Sadie Millen is a Licensed Professional Counselor in Wisconsin who has been practicing since 2018. She received her Bachelor's degree in Psychology from the University of Wisconsin-Madison and her Master's in Counseling with a clinical mental health concentration from Mount Mary University. Sadie specializes in working with children and young adults with neurodevelopmental disorders, anxiety, low self-esteem, and trauma histories. Her goal is to provide children and their families with a supportive environment where they can explore their life experiences and learn emotion regulation, communication, and social skills.
Sadie Millen is a Licensed Professional Counselor in Wisconsin who has been practicing since 2018. She received her Bachelor's degree in Psychology from the University of Wisconsin-Madison and her Master's in Counseling with a clinical mental health concentration from Mount Mary University. Sadie specializes in working with children and young adults with neurodevelopmental disorders, anxiety, low self-esteem, and trauma histories. Her goal is to provide children and their families with a supportive environment where they can explore their life experiences and learn emotion regulation, communication, and social skills.
(262) 236-5002 View (262) 236-5002
Photo of Kaitlyn Plautz, Clinical Social Work/Therapist, MSW, APSW
Kaitlyn Plautz
Clinical Social Work/Therapist, MSW, APSW
1 Endorsed
Waukesha, WI 53188
Have things felt heavy lately? If so, please know you're not alone—and you don't have to carry it all by yourself. I'm here to hold space for you with care, to listen without judgment, and to support you through whatever you're facing. My approach is rooted in compassion, collaboration, and empowerment, offering you a safe place to be seen, heard, and supported. Together, we'll move at your pace, working toward healing, hope, and a renewed sense of self—so you can begin to feel more grounded and confident in each step forward.
Have things felt heavy lately? If so, please know you're not alone—and you don't have to carry it all by yourself. I'm here to hold space for you with care, to listen without judgment, and to support you through whatever you're facing. My approach is rooted in compassion, collaboration, and empowerment, offering you a safe place to be seen, heard, and supported. Together, we'll move at your pace, working toward healing, hope, and a renewed sense of self—so you can begin to feel more grounded and confident in each step forward.
(262) 525-5654 View (262) 525-5654
Photo of Shannon Broeker, Pre-Licensed Professional, MS, LPC-IT, ATR-P
Shannon Broeker
Pre-Licensed Professional, MS, LPC-IT, ATR-P
Waukesha, WI 53186
My practice encompasses a diverse range of clients, including Children, Adolescents (Teens), Adults, Older Adults, Veterans, and LGBTQIA+ community, addressing various mental health challenges such as anxiety, depression, stress, trauma, and life transitions. I believe through the utilization of art therapy alongside traditional counseling methods my practice provides a unique and powerful means of communication and self-exploration, especially for those who may find it difficult to express themselves through words alone.
My practice encompasses a diverse range of clients, including Children, Adolescents (Teens), Adults, Older Adults, Veterans, and LGBTQIA+ community, addressing various mental health challenges such as anxiety, depression, stress, trauma, and life transitions. I believe through the utilization of art therapy alongside traditional counseling methods my practice provides a unique and powerful means of communication and self-exploration, especially for those who may find it difficult to express themselves through words alone.
(262) 667-7965 View (262) 667-7965

See more therapy options for Waukesha

How does your Therapist compare?

Number of Therapists in Waukesha, WI

200+

Average cost per session

$135

Therapists in Waukesha, WI who prioritize treating:

93% Anxiety
90% Depression
68% Self Esteem
65% Relationship Issues
64% Trauma and PTSD
63% Stress
62% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

83% UnitedHealthcare UHC | UBH
79% Aetna
77% BlueCross and BlueShield

How Therapists in Waukesha, WI see their clients

80% In Person and Online
20% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Waukesha?

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.