Photo of Denise Frisella, Clinical Social Work/Therapist in 63127, MO
Denise Frisella
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Saint Louis, MO 63127  (Online Only)
I specialize in trauma therapy, navigating the complexities of grief and loss, managing depression and fostering general mental health wellness. My practice is anchored in offering a compassionate space that promotes healing. Together we'll work toward releasing blockages and nurturing your path to recovery as you evolve and deepen your self connection. ​
I specialize in trauma therapy, navigating the complexities of grief and loss, managing depression and fostering general mental health wellness. My practice is anchored in offering a compassionate space that promotes healing. Together we'll work toward releasing blockages and nurturing your path to recovery as you evolve and deepen your self connection. ​
(636) 422-5684 View (636) 422-5684
Photo of Elizabeth Pope, Licensed Professional Counselor in 63127, MO
Elizabeth Pope
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63127  (Online Only)
Hello! I’m Betsey. My work is focused on helping women who are Missouri residents via telehealth. I love working with neurodivergent women! (I’m an ADHDer myself). My goal is to help you gain tools and insight that could make life’s challenges more manageable. I do this by providing a supportive space and with a warm and direct style. I also use humor in my work (when appropriate) believing that laughter is good medicine.
Hello! I’m Betsey. My work is focused on helping women who are Missouri residents via telehealth. I love working with neurodivergent women! (I’m an ADHDer myself). My goal is to help you gain tools and insight that could make life’s challenges more manageable. I do this by providing a supportive space and with a warm and direct style. I also use humor in my work (when appropriate) believing that laughter is good medicine.
(314) 526-2772 View (314) 526-2772
Photo of Brittany Bagy, Licensed Professional Counselor in 63127, MO
Brittany Bagy
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Saint Louis, MO 63127
There's this lingering sense of negativity, self-doubt, and not being good enough. Stress is accumulating and the demands you're facing are outweighing your resources. Your drive to reach goals, connect with others, and enjoy life is declining. You notice that same cycle of perfectionism, anxiety, and shame repeating itself, causing you to feel trapped, overwhelmed, and powerless. It's not just affecting your mind. It's also taking a toll on your body and your relationships. Avoid the burnout. Make a choice to make a change.
There's this lingering sense of negativity, self-doubt, and not being good enough. Stress is accumulating and the demands you're facing are outweighing your resources. Your drive to reach goals, connect with others, and enjoy life is declining. You notice that same cycle of perfectionism, anxiety, and shame repeating itself, causing you to feel trapped, overwhelmed, and powerless. It's not just affecting your mind. It's also taking a toll on your body and your relationships. Avoid the burnout. Make a choice to make a change.
(314) 492-5344 View (314) 492-5344
Photo of Lisa Mottola Ernst, Clinical Social Work/Therapist in 63127, MO
Lisa Mottola Ernst
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63127
My goal is meet you in your struggle. Whether it’s grief, anxiety, loss, life transitions or relationship issues, we can work to navigate these difficult times together. The path can be windy often giving us unexpected challenges with little warning or preparation. Your thoughts, feelings, fears and hopes can be shared aloud in a safe space.
My goal is meet you in your struggle. Whether it’s grief, anxiety, loss, life transitions or relationship issues, we can work to navigate these difficult times together. The path can be windy often giving us unexpected challenges with little warning or preparation. Your thoughts, feelings, fears and hopes can be shared aloud in a safe space.
(314) 470-4503 View (314) 470-4503
Photo of Jean Deasy, Licensed Professional Counselor in 63127, MO
Jean Deasy
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Saint Louis, MO 63127
Hello! Welcome to the healing opportunity of therapy. I believe the moment you made the decision to seek therapy, is the moment your healing began. Therapy is a unique individual experience, so finding a therapist who is a good fit is important. Sometimes it can feel confusing. We often don’t know what we are looking for, we just know we want to feel better. In the wanting to feel better we often ignore signs, or we just disconnect from our daily life. There are many reasons to engage in therapy, some include: unresolved trauma, underlying causes of anxiety, depression, grief, life transitions and other mental health symptoms.
Hello! Welcome to the healing opportunity of therapy. I believe the moment you made the decision to seek therapy, is the moment your healing began. Therapy is a unique individual experience, so finding a therapist who is a good fit is important. Sometimes it can feel confusing. We often don’t know what we are looking for, we just know we want to feel better. In the wanting to feel better we often ignore signs, or we just disconnect from our daily life. There are many reasons to engage in therapy, some include: unresolved trauma, underlying causes of anxiety, depression, grief, life transitions and other mental health symptoms.
(314) 526-3484 View (314) 526-3484
Photo of Debra H Zand, Psychologist in 63127, MO
Debra H Zand
Psychologist, PhD
Verified Verified
Saint Louis, MO 63127
Dr. Debra Zand, founder and co-owner of Midwest Psychological Services LLC, is a clinical psychologist with 20+ years of experience working with children and their families. She has particular expertise in conducting comprehensive psychological testing, as well as individual and family therapies. Dr. Zand uses an integrative, playful approach to conducting therapy She routinely see families to address: adoption issues, attachment, developmental trauma, anxiety, depression, parent-child relationship struggles, self-regulation difficulties, communication struggles, divorce, and remarriage.
Dr. Debra Zand, founder and co-owner of Midwest Psychological Services LLC, is a clinical psychologist with 20+ years of experience working with children and their families. She has particular expertise in conducting comprehensive psychological testing, as well as individual and family therapies. Dr. Zand uses an integrative, playful approach to conducting therapy She routinely see families to address: adoption issues, attachment, developmental trauma, anxiety, depression, parent-child relationship struggles, self-regulation difficulties, communication struggles, divorce, and remarriage.
(314) 858-8067 View (314) 858-8067
Photo of Kevin Lawrence Doyle, Clinical Social Work/Therapist in 63127, MO
Kevin Lawrence Doyle
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63127
Not accepting new clients
I enjoy working with adults in individual and/or couples psychotherapy and/or spiritual direction. I assist clients in walking through struggles and seeing things from a new perspective. I believe the answers exist within my clients. My practice focus includes: Addictions, Co-Dependence, Eating Disorders, Chemical Dependence, Sexual Trauma Survivors, Men and Women Infected with HIV, Spiritual Direction, Grief, Individuals Managing others with Dementia and/or Alzheimer's Disease, Dissociative Disorders, Personality Disorders, Thought Disorders (Schizoaffective), Mood disorders (Bipolar) and Individuals Recovering from Past Traumas.
I enjoy working with adults in individual and/or couples psychotherapy and/or spiritual direction. I assist clients in walking through struggles and seeing things from a new perspective. I believe the answers exist within my clients. My practice focus includes: Addictions, Co-Dependence, Eating Disorders, Chemical Dependence, Sexual Trauma Survivors, Men and Women Infected with HIV, Spiritual Direction, Grief, Individuals Managing others with Dementia and/or Alzheimer's Disease, Dissociative Disorders, Personality Disorders, Thought Disorders (Schizoaffective), Mood disorders (Bipolar) and Individuals Recovering from Past Traumas.
(314) 207-9424 View (314) 207-9424
Photo of Tommy Nolan, Licensed Professional Counselor in 63127, MO
Tommy Nolan
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63127
Welcome, fellow Travelers---on the journey to your new beginnings! I enjoy working with clients from a wide variety of backgrounds and have experience in both hospital and school settings, in addition to private practice. My background includes working with survivors of abuse, those dealing with depression and anxiety, individuals working through grief and other life transitions. If you are ready to explore the next destination on your life journey, please contact me!
Welcome, fellow Travelers---on the journey to your new beginnings! I enjoy working with clients from a wide variety of backgrounds and have experience in both hospital and school settings, in addition to private practice. My background includes working with survivors of abuse, those dealing with depression and anxiety, individuals working through grief and other life transitions. If you are ready to explore the next destination on your life journey, please contact me!
(314) 300-0335 View (314) 300-0335
Elizabeth Neuf
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63127
I work with humans of diverse backgrounds, cultures, ages and experiences. Whether you need to process your thoughts and feelings, overcome depression, experience grief or are on an exploration to self-discovery, I am here to assist you with that journey.
I work with humans of diverse backgrounds, cultures, ages and experiences. Whether you need to process your thoughts and feelings, overcome depression, experience grief or are on an exploration to self-discovery, I am here to assist you with that journey.
(314) 970-4719 View (314) 970-4719
Photo of Diane Hibbs, Clinical Social Work/Therapist in 63127, MO
Diane Hibbs
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63127
I don't provide your answers because you already have them. It takes courage to make those first steps to uncover what you need to learn and heal. Together we can take that journey to find your answers. And together within the therapeutic relationship your answers, insights will emerge. I will provide a compassionate and caring environment to help you discover your next pathway. I offer counseling to individuals, both adult and children, co-parenting and family therapy. I use a collaborative approach in working with youth and their parents.
I don't provide your answers because you already have them. It takes courage to make those first steps to uncover what you need to learn and heal. Together we can take that journey to find your answers. And together within the therapeutic relationship your answers, insights will emerge. I will provide a compassionate and caring environment to help you discover your next pathway. I offer counseling to individuals, both adult and children, co-parenting and family therapy. I use a collaborative approach in working with youth and their parents.
(314) 690-2698 View (314) 690-2698
Photo of Intentional Services, LLC, Clinical Social Work/Therapist in 63127, MO
Intentional Services, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63127
I'm a licensed clinical social worker with 15+ years of experience. I work with many individuals who are incredibly resourceful, able to embrace change, and have strong emotional intelligence. Even with these overarching strengths, it can still be tough to navigate the complexities of life at times. This is where I can help. I build on your individual strengths and work with you to establish a plan and make real progress.
I'm a licensed clinical social worker with 15+ years of experience. I work with many individuals who are incredibly resourceful, able to embrace change, and have strong emotional intelligence. Even with these overarching strengths, it can still be tough to navigate the complexities of life at times. This is where I can help. I build on your individual strengths and work with you to establish a plan and make real progress.
(314) 310-1897 View (314) 310-1897
Photo of Fawn Weber, Licensed Professional Counselor in 63127, MO
Fawn Weber
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63127
Families can find themselves in high conflict, overwhelmed and discontent, having lost the joy of being together but not know why. Some families know why but don't know what to do about it! Some individuals can find themselves feeling unfulfilled, stuck and sad more days than not, while others may feel anxious, worried and self-critical most of the time. Many people have all of this going on at once! If you are looking to improve the communication and calm in your family, or to shut down the self-critical thoughts to feel more confident, I can help.
Families can find themselves in high conflict, overwhelmed and discontent, having lost the joy of being together but not know why. Some families know why but don't know what to do about it! Some individuals can find themselves feeling unfulfilled, stuck and sad more days than not, while others may feel anxious, worried and self-critical most of the time. Many people have all of this going on at once! If you are looking to improve the communication and calm in your family, or to shut down the self-critical thoughts to feel more confident, I can help.
(314) 526-3474 View (314) 526-3474
Photo of Melanie Maria Smith, Licensed Professional Counselor in 63127, MO
Melanie Maria Smith
Licensed Professional Counselor, MEd, MHA, LPC, CBHC, CCATP
Verified Verified
Saint Louis, MO 63127
Welcome and congratulations on making your self-care a priority! In addition to specializing in treating ADD/ADHD and Supervising Provisionally Licensed Counselors, hae a Women with ADHD support group and I also offer ADD Digital Therapy. If you’re tired and embarrassed of arriving 30 minutes late or more to the party, you can’t find things when you need them, you forget important dates and your life feels like it's totally disorganized I can help.
Welcome and congratulations on making your self-care a priority! In addition to specializing in treating ADD/ADHD and Supervising Provisionally Licensed Counselors, hae a Women with ADHD support group and I also offer ADD Digital Therapy. If you’re tired and embarrassed of arriving 30 minutes late or more to the party, you can’t find things when you need them, you forget important dates and your life feels like it's totally disorganized I can help.
(314) 756-0704 View (314) 756-0704
Photo of Steven R Buchheit, Licensed Professional Counselor in 63127, MO
Steven R Buchheit
Licensed Professional Counselor, MEd, LPC
Verified Verified
10 Endorsed
Saint Louis, MO 63127
Hello, I'm Steven Buchheit, a Licensed Professional Counselor, with 20 years of experience dedicated to guiding people toward healing and personal growth. My ideal client is someone who is motivated to heal and desires to cultivate presence in their life. I enjoy working with individuals who are seeking to deepen their self-awareness and enhance their relationships, both with themselves and others. I enjoy working with people who struggle in these areas. Through a compassionate somatic approach I seek to help my clients find self love and a deep sense of connection. People of all genders and sexual orientations are welcome.
Hello, I'm Steven Buchheit, a Licensed Professional Counselor, with 20 years of experience dedicated to guiding people toward healing and personal growth. My ideal client is someone who is motivated to heal and desires to cultivate presence in their life. I enjoy working with individuals who are seeking to deepen their self-awareness and enhance their relationships, both with themselves and others. I enjoy working with people who struggle in these areas. Through a compassionate somatic approach I seek to help my clients find self love and a deep sense of connection. People of all genders and sexual orientations are welcome.
(314) 742-7018 View (314) 742-7018
Photo of Emily Mitchell-Harris, Clinical Social Work/Therapist in 63127, MO
Emily Mitchell-Harris
Clinical Social Work/Therapist, MSW, LCSW, RPT
Verified Verified
Saint Louis, MO 63127  (Online Only)
Growing up is HARD. You get home after a tiring day at school where you felt invisible. You sat with friends at lunch, but left feeling like they don’t really get you. You open your backpack to loads of homework, when your mom reminds you to work on your college applications. The overwhelm takes over. You grab your phone and start to scroll, which leaves you feeling numb, empty and alone. After a tense family dinner, you go back to your room, feeling unheard and misunderstood. Figuring out who you are and what you want is hard while navigating school, work, friends, family, and relationships. You just wish things were easier.
Growing up is HARD. You get home after a tiring day at school where you felt invisible. You sat with friends at lunch, but left feeling like they don’t really get you. You open your backpack to loads of homework, when your mom reminds you to work on your college applications. The overwhelm takes over. You grab your phone and start to scroll, which leaves you feeling numb, empty and alone. After a tense family dinner, you go back to your room, feeling unheard and misunderstood. Figuring out who you are and what you want is hard while navigating school, work, friends, family, and relationships. You just wish things were easier.
(314) 690-5049 View (314) 690-5049
Photo of Kelly Larkin, Licensed Professional Counselor in 63127, MO
Kelly Larkin
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63127
I believe my clients deserve to be understood, valued, and given the opportunity to gain the tools for a more fulfilling life. When working as a team, we use our strengths to achieve the best outcome. I believe clients are the professionals on themselves and I offer the professional knowledge and therapeutic tools. Together we can identify the problem areas and find solutions for success and relief. My goal is to help my clients not feel alone with their struggles and to feel competent to deal with whatever life throws their way.
I believe my clients deserve to be understood, valued, and given the opportunity to gain the tools for a more fulfilling life. When working as a team, we use our strengths to achieve the best outcome. I believe clients are the professionals on themselves and I offer the professional knowledge and therapeutic tools. Together we can identify the problem areas and find solutions for success and relief. My goal is to help my clients not feel alone with their struggles and to feel competent to deal with whatever life throws their way.
(314) 762-6476 View (314) 762-6476
Photo of Erin Hotz, Clinical Social Work/Therapist in 63127, MO
Erin Hotz
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63127
Life is not always easy. Transitions, such as becoming an adult or becoming a parent, can be welcome changes but can also be hard to manage. We also come across challenges in our day to day life that we may have a hard time coping with. Sometimes these things lead to issues like anxiety, depression, grief, struggles in relationships, or issues with school or work. My background in both Social Work and Child Development gives me a unique, holistic perspective that informs my practice. I particularly enjoy using my background to help both young adults and parents work through the challenges that come with their stages in life.
Life is not always easy. Transitions, such as becoming an adult or becoming a parent, can be welcome changes but can also be hard to manage. We also come across challenges in our day to day life that we may have a hard time coping with. Sometimes these things lead to issues like anxiety, depression, grief, struggles in relationships, or issues with school or work. My background in both Social Work and Child Development gives me a unique, holistic perspective that informs my practice. I particularly enjoy using my background to help both young adults and parents work through the challenges that come with their stages in life.
(314) 470-9816 View (314) 470-9816
Photo of Brian Bauer, Licensed Professional Counselor in 63127, MO
Brian Bauer
Licensed Professional Counselor, LPC, SAP, CEAP
Verified Verified
7 Endorsed
Saint Louis, MO 63127
Not accepting new clients
Specializing and working with male clients only. Life's journey is frequently filled with unexpected twists and turns placing individuals and families into valleys, deserts, and forests never imagined. Some are left wondering how to manage from day to day and perhaps minute to minute. Often this is the time help is sought for navigating this path, but more importantly, obtaining a perspective to find a way to wholeness and health. Brian leads clients in finding and establishing a safe place empowering fresh clarity and momentum through the process and beyond.
Specializing and working with male clients only. Life's journey is frequently filled with unexpected twists and turns placing individuals and families into valleys, deserts, and forests never imagined. Some are left wondering how to manage from day to day and perhaps minute to minute. Often this is the time help is sought for navigating this path, but more importantly, obtaining a perspective to find a way to wholeness and health. Brian leads clients in finding and establishing a safe place empowering fresh clarity and momentum through the process and beyond.
(314) 315-4177 View (314) 315-4177
Photo of Cari Nelson, Licensed Professional Counselor in 63127, MO
Cari Nelson
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63127
If you are struggling with anxiety, relational discontent, a challenging life event or you’re soul-searching, there is a way out. You are reading this, so you have already taken the hardest step. Life seems to be increasingly heavy these days, we are overwhelmed, overworked, we feel helpless and even hopeless at times. These feelings not only effect our thoughts, our bodies are tired, and our relationships are strained.
If you are struggling with anxiety, relational discontent, a challenging life event or you’re soul-searching, there is a way out. You are reading this, so you have already taken the hardest step. Life seems to be increasingly heavy these days, we are overwhelmed, overworked, we feel helpless and even hopeless at times. These feelings not only effect our thoughts, our bodies are tired, and our relationships are strained.
(314) 207-3819 View (314) 207-3819
Photo of STL Emotional Intelligence Center LLC-HireCoach, Marriage & Family Therapist in 63127, MO
STL Emotional Intelligence Center LLC-HireCoach
Marriage & Family Therapist, SEICC, LMFT, MEd, PhD
Verified Verified
Saint Louis, MO 63127
Couples, Couples. I enjoy working with ALL couples. I have been in over 10,000 conversations during 3+ decades (but this has not made me old.). I team up with you both. BUT... if your other half is not coming, I work with YOU on relationship matters & maybe they will join later. I also offer online Gottman couple assessments & specialize in Emotional Intelligence with comprehensive assessments online as well. I use humor, and directness. No jargon. I do not sit there nodding & smiling like a bobblehead. I speak & ask questions. At the end of our conversation, many clients say, "I never thought about it that way before. Thanks."
Couples, Couples. I enjoy working with ALL couples. I have been in over 10,000 conversations during 3+ decades (but this has not made me old.). I team up with you both. BUT... if your other half is not coming, I work with YOU on relationship matters & maybe they will join later. I also offer online Gottman couple assessments & specialize in Emotional Intelligence with comprehensive assessments online as well. I use humor, and directness. No jargon. I do not sit there nodding & smiling like a bobblehead. I speak & ask questions. At the end of our conversation, many clients say, "I never thought about it that way before. Thanks."
(636) 486-1061 View (636) 486-1061

How does your Therapist compare?

Number of Therapists in 63127

40+

Average cost per session

$125

Therapists in 63127 who prioritize treating:

100% Anxiety
90% Relationship Issues
90% Depression
80% Self Esteem
76% Coping Skills
73% Stress
73% Life Transitions

Average years in practice

16 Years

Top 3 insurances accepted

74% Aetna
56% BlueCross and BlueShield
56% Cigna and Evernorth

How Therapists in 63127 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 63127?

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.