Therapists in West Chester, OH

Photo of Sarah Sanchez, Licensed Professional Counselor in West Chester, OH
Sarah Sanchez
Licensed Professional Counselor, MS, LPC, LPCA
Verified Verified
3 Endorsed
West Chester, OH 45069
Life has granted me a wealth of experience with trauma, abuse, interpersonal violence, divorce, grief, power biases, biracial and multicultural relationships, spiritual/religious issues, women's issues, mood and personality disorders.
Life has granted me a wealth of experience with trauma, abuse, interpersonal violence, divorce, grief, power biases, biracial and multicultural relationships, spiritual/religious issues, women's issues, mood and personality disorders.
(513) 457-7886 View (513) 457-7886
Photo of Kyira Kerns, Clinical Social Work/Therapist in West Chester, OH
Kyira Kerns
Clinical Social Work/Therapist, MSW, LISW, LICDC
Verified Verified
West Chester, OH 45069
Not accepting new clients
I am a Licensed Independent Social Worker (LISW) and a Licensed Independent Chemical Dependency Counselor (LICDC). I have seven years of experience providing mental health and addiction services to individuals with a range of life experiences dealing with trauma. I cannot wait to get started with you on your healing journey!
I am a Licensed Independent Social Worker (LISW) and a Licensed Independent Chemical Dependency Counselor (LICDC). I have seven years of experience providing mental health and addiction services to individuals with a range of life experiences dealing with trauma. I cannot wait to get started with you on your healing journey!
(513) 993-5003 View (513) 993-5003
Photo of Dr. Teri Role-Warren, Psychologist in West Chester, OH
Dr. Teri Role-Warren
Psychologist, PhD
Verified Verified
West Chester, OH 45069
If challenges are limiting your psychological well-being, I provide a supportive, confidential, professional therapeutic relationship for improving mental health. I integrate multiple strategies (CBT, DBT, mindfulness), and provide tools to help clients recover from eating disorders, anxiety, depression, trauma or difficult relationships. In collaboration, we uncover and understand your patterns, recognize your wisdom and strengths and empower you to be effective at living your best life.
If challenges are limiting your psychological well-being, I provide a supportive, confidential, professional therapeutic relationship for improving mental health. I integrate multiple strategies (CBT, DBT, mindfulness), and provide tools to help clients recover from eating disorders, anxiety, depression, trauma or difficult relationships. In collaboration, we uncover and understand your patterns, recognize your wisdom and strengths and empower you to be effective at living your best life.
(513) 334-2045 View (513) 334-2045
Photo of Dylan E Sullivan, Licensed Professional Counselor in West Chester, OH
Dylan E Sullivan
Licensed Professional Counselor, MA, LPC, CPRS
Verified Verified
1 Endorsed
West Chester, OH 45069
My ideal client is an individual 16 + or couples 18+ ,who regardless of their problems, can identify that they are not living up to their fullest potential, and want to figure out how to do so. They may be struggling with a behavior, infidelity, substance use/abuse, mental health concerns or trauma, and have some insight about what the problems may be, but have struggled to find the time or motivation to address them. The reason they want to address these issues may be due to internal insight, ongoing relationship issues or because of a negative impact to work , school or home life functioning.As noted couples are welcome as well!
My ideal client is an individual 16 + or couples 18+ ,who regardless of their problems, can identify that they are not living up to their fullest potential, and want to figure out how to do so. They may be struggling with a behavior, infidelity, substance use/abuse, mental health concerns or trauma, and have some insight about what the problems may be, but have struggled to find the time or motivation to address them. The reason they want to address these issues may be due to internal insight, ongoing relationship issues or because of a negative impact to work , school or home life functioning.As noted couples are welcome as well!
(513) 796-7945 View (513) 796-7945
Photo of Ashlyn Varacalli, Licensed Professional Counselor in West Chester, OH
Ashlyn Varacalli
Licensed Professional Counselor, MA, LPC
Verified Verified
West Chester, OH 45069
I believe that the power of a positive therapeutic relationship can be a game-changer for anyone looking to improve their mental health. Just like exercising your body helps to strengthen your body, exercising your brain strengthens your brain. When we’re used to thinking negatively, negativity is the easiest path for our thoughts to travel. Anxiety can oftentimes stem from unhelpful thought patterns. When you’re able to untwist your thinking and reveal the truth underneath the anxiety, you are able to gain new perspective on life and its challenges.
I believe that the power of a positive therapeutic relationship can be a game-changer for anyone looking to improve their mental health. Just like exercising your body helps to strengthen your body, exercising your brain strengthens your brain. When we’re used to thinking negatively, negativity is the easiest path for our thoughts to travel. Anxiety can oftentimes stem from unhelpful thought patterns. When you’re able to untwist your thinking and reveal the truth underneath the anxiety, you are able to gain new perspective on life and its challenges.
(513) 951-1418 View (513) 951-1418
Photo of Annie Webb, Clinical Social Work/Therapist in West Chester, OH
Annie Webb
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
West Chester, OH 45069
The therapeutic relationship is a powerful tool, and I help my clients implement it effectively as they strive for change. I use a creative, eclectic, person-centered approach that is individually tailored to each client. Together, we build honest, open, and easy relationships to encourage exploration, reflection, and growth in a safe and non-judgmental environment. My goal is to provide insightful and empowering strategies that foster confidence and independence.
The therapeutic relationship is a powerful tool, and I help my clients implement it effectively as they strive for change. I use a creative, eclectic, person-centered approach that is individually tailored to each client. Together, we build honest, open, and easy relationships to encourage exploration, reflection, and growth in a safe and non-judgmental environment. My goal is to provide insightful and empowering strategies that foster confidence and independence.
(773) 570-1665 View (773) 570-1665
Photo of Dr. Steven A Ingram, Counselor in West Chester, OH
Dr. Steven A Ingram
Counselor, DMin, LPCC-S, LSW
Verified Verified
West Chester, OH 45069
My clients want to live richer, more emotionally balanced lives and have more fulfilling relationships. They are curious about their lives: "Is this all there is?" or "How did I get into this mess?" My clients soon realize that "going it alone in silence" is depressing and not hopeful. They see me as a trusted friend who cares about them. I see people just like you--healing from loss and grief due to the endings of relationships. I counsel parents who have relationship issues with their adult children. I help persons when their religion/spirituality seems to have ended. I help couples repair and rekindle their relationship.
My clients want to live richer, more emotionally balanced lives and have more fulfilling relationships. They are curious about their lives: "Is this all there is?" or "How did I get into this mess?" My clients soon realize that "going it alone in silence" is depressing and not hopeful. They see me as a trusted friend who cares about them. I see people just like you--healing from loss and grief due to the endings of relationships. I counsel parents who have relationship issues with their adult children. I help persons when their religion/spirituality seems to have ended. I help couples repair and rekindle their relationship.
(937) 821-5618 View (937) 821-5618
Photo of Linda Craft, Counselor in West Chester, OH
Linda Craft
Counselor, LPCC-S
Verified Verified
West Chester, OH 45069
Linda Craft has worked in outpatient, inpatient and residential mental health care for 30 years, including such positions as a crisis intervention specialist, Mental Health worker at a county jail, on a psychiatric unit, Clinical Director of an agency, Children's Home Therapist and 8 years in private practice. She holds a master's degree in counseling with clinical endorsement from Xavier University and a bachelor's degree from Miami University. She works with both adolescents and adults, specializing in anxiety, depression and anger management.
Linda Craft has worked in outpatient, inpatient and residential mental health care for 30 years, including such positions as a crisis intervention specialist, Mental Health worker at a county jail, on a psychiatric unit, Clinical Director of an agency, Children's Home Therapist and 8 years in private practice. She holds a master's degree in counseling with clinical endorsement from Xavier University and a bachelor's degree from Miami University. She works with both adolescents and adults, specializing in anxiety, depression and anger management.
(513) 547-2789 View (513) 547-2789
Photo of April Delestienne, Clinical Social Work/Therapist in West Chester, OH
April Delestienne
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
West Chester, OH 45069  (Online Only)
Welcome! My name is April Delestienne and I am a Licensed Social Worker with a Master’s Degree from the University of Cincinnati. I am here to support you on your therapeutic journey and utilize a collaborative approach to assist individuals and families. I bring a unique approach by helping people to determine and reach their goals, learn and utilize coping skills, as well as tools to enhance interpersonal relationships. I provide services to adolescents and adults with a variety of behaviors and diagnoses: those who have experienced trauma, anxiety, familial conflicts, challenges with self-esteem, school concerns, and parenting.
Welcome! My name is April Delestienne and I am a Licensed Social Worker with a Master’s Degree from the University of Cincinnati. I am here to support you on your therapeutic journey and utilize a collaborative approach to assist individuals and families. I bring a unique approach by helping people to determine and reach their goals, learn and utilize coping skills, as well as tools to enhance interpersonal relationships. I provide services to adolescents and adults with a variety of behaviors and diagnoses: those who have experienced trauma, anxiety, familial conflicts, challenges with self-esteem, school concerns, and parenting.
(513) 847-3679 View (513) 847-3679
Photo of Paul J Schwartz in West Chester, OH
Paul J Schwartz
MD
Verified Verified
West Chester, OH 45069
Some of the main issues for which individuals typically seek psychotherapy include, 1) Why are my relationships so troubled?, 2) Why have I been unhappy for so long?, 3) Why do I repeat the same problems over and over again?, 4) Is my past haunting me?, 5) How can I regain my self-respect and dignity?, 6) What is causing my symptoms such as anxiety, depression, or insomnia?, and 7) Do I need medication? In addition to these important issues, I would also ask, "Is there anything more important in your life than your psychological well-being?"
Some of the main issues for which individuals typically seek psychotherapy include, 1) Why are my relationships so troubled?, 2) Why have I been unhappy for so long?, 3) Why do I repeat the same problems over and over again?, 4) Is my past haunting me?, 5) How can I regain my self-respect and dignity?, 6) What is causing my symptoms such as anxiety, depression, or insomnia?, and 7) Do I need medication? In addition to these important issues, I would also ask, "Is there anything more important in your life than your psychological well-being?"
(513) 847-3535 View (513) 847-3535
Photo of Katie Lee, Licensed Professional Clinical Counselor in West Chester, OH
Katie Lee
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
West Chester, OH 45069
Welcome! Sometimes life feels like one challenge after another. Whether it's dealing with depression and anxiety, ending a toxic relationship, or managing life transitions, life can leave you feeling overwhelmed and unsure of the next steps to take. Therapy offers a warm and supportive place in the midst of this chaos. You deserve the space to learn more about yourself, grow, and heal.
Welcome! Sometimes life feels like one challenge after another. Whether it's dealing with depression and anxiety, ending a toxic relationship, or managing life transitions, life can leave you feeling overwhelmed and unsure of the next steps to take. Therapy offers a warm and supportive place in the midst of this chaos. You deserve the space to learn more about yourself, grow, and heal.
View
Photo of Cheri Everhart, Counselor in West Chester, OH
Cheri Everhart
Counselor, MA, LPCC, CDCA
Verified Verified
West Chester, OH 45069
Most people seek therapy because they are looking for relief from a specific problem or from a more general sense of not feeling “right”. You may see yourself as damaged or incomplete, but I see you as having an unlimited amount of potential. Choosing a therapist involves finding someone you feel will be most helpful to you. I believe that the relationship between therapist and client is truly unique. I help my clients by providing empathy and support throughout the session. I specialize in helping clients who feel overwhelmed and stressed out, gain a different outlook on life.
Most people seek therapy because they are looking for relief from a specific problem or from a more general sense of not feeling “right”. You may see yourself as damaged or incomplete, but I see you as having an unlimited amount of potential. Choosing a therapist involves finding someone you feel will be most helpful to you. I believe that the relationship between therapist and client is truly unique. I help my clients by providing empathy and support throughout the session. I specialize in helping clients who feel overwhelmed and stressed out, gain a different outlook on life.
(513) 370-2597 View (513) 370-2597
Photo of Dominique Wiggins, Clinical Social Work/Therapist in West Chester, OH
Dominique Wiggins
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
West Chester, OH 45069
Do you often feel like your thoughts and feelings are holding you back? Are you asking a lot of “why” questions about the past or constantly worried about what will happen in the future? Your feelings and thoughts are valid as you are the expert on what has happened to you. Our life experiences, and sometimes circumstances beyond our control, often interfere with life goals, interpersonal relationships, and our sense of purpose. Therapy can provide you with a safe space to be authentically YOU, doing the work of healing and gaining self-awareness that YOU are valued and matter despite our ever-changing circumstances.
Do you often feel like your thoughts and feelings are holding you back? Are you asking a lot of “why” questions about the past or constantly worried about what will happen in the future? Your feelings and thoughts are valid as you are the expert on what has happened to you. Our life experiences, and sometimes circumstances beyond our control, often interfere with life goals, interpersonal relationships, and our sense of purpose. Therapy can provide you with a safe space to be authentically YOU, doing the work of healing and gaining self-awareness that YOU are valued and matter despite our ever-changing circumstances.
(513) 224-6154 x2 View (513) 224-6154 x2
Photo of Miriam Cardona Counseling, Counselor in West Chester, OH
Miriam Cardona Counseling
Counselor, MA, LPCC
Verified Verified
West Chester, OH 45069  (Online Only)
My name is Miriam Cardona and I am a Licensed Professional Clinical Counselor (LPCC) providing services in both English and Spanish. I earned my Master of Arts in Pastoral Counseling from the Athenaeum of Ohio Seminary.
My name is Miriam Cardona and I am a Licensed Professional Clinical Counselor (LPCC) providing services in both English and Spanish. I earned my Master of Arts in Pastoral Counseling from the Athenaeum of Ohio Seminary.
(513) 657-4863 View (513) 657-4863
Photo of Patricia Ann Guillory, Clinical Social Work/Therapist in West Chester, OH
Patricia Ann Guillory
Clinical Social Work/Therapist, LCSW, LISW, PhD
Verified Verified
1 Endorsed
West Chester, OH 45069  (Online Only)
My ideal therapy situation is working with a client who is hoping to explore options to resolve circumstances that are causing them pain and discomfort. This will undoubtedly involve personal change, so a willingness to look at self and the courage to take steps to move forward are necessary. Recognizing how difficult this can be, therapy requires a safe and brave space allowing the client to practice vulnerability which leads to openness to change. My person-centered approach places the client in the “driver’s seat”, allowing them to set the pace but with guidance and support to push forward.
My ideal therapy situation is working with a client who is hoping to explore options to resolve circumstances that are causing them pain and discomfort. This will undoubtedly involve personal change, so a willingness to look at self and the courage to take steps to move forward are necessary. Recognizing how difficult this can be, therapy requires a safe and brave space allowing the client to practice vulnerability which leads to openness to change. My person-centered approach places the client in the “driver’s seat”, allowing them to set the pace but with guidance and support to push forward.
(513) 643-8608 View (513) 643-8608
Photo of Allie Rowlette, Clinical Social Work/Therapist in West Chester, OH
Allie Rowlette
Clinical Social Work/Therapist, LISW-S
Verified Verified
West Chester, OH 45069
Allie Rowlette is a Licensed Independent Clinical Social Worker in Ohio who has been practicing since 2011. She completed her undergraduate degree in Family Studies at Miami University and completed her graduate program, receiving her MSW from University of Cincinnati. Allie provides a holistic approach to helping clients work through and cope with anxiety, depression, grief, trauma, and life stressors preventing them from reaching their life goals. Allie believes individuals and couples become their best selves through development of coping skills and self-confidence.
Allie Rowlette is a Licensed Independent Clinical Social Worker in Ohio who has been practicing since 2011. She completed her undergraduate degree in Family Studies at Miami University and completed her graduate program, receiving her MSW from University of Cincinnati. Allie provides a holistic approach to helping clients work through and cope with anxiety, depression, grief, trauma, and life stressors preventing them from reaching their life goals. Allie believes individuals and couples become their best selves through development of coping skills and self-confidence.
(513) 654-1137 View (513) 654-1137
Photo of Jordan E Haire, Counselor in West Chester, OH
Jordan E Haire
Counselor, LPCC-S
Verified Verified
1 Endorsed
West Chester, OH 45069
Waitlist for new clients
I am honored to be considered for your therapist! I have a laid back and warm approach to my practice, and I fully believe that you are the expert on you. I am here to be a witness to your journey to mental wellness, and to help you realize the best version of yourself. I am a licensed professional clinical counselor and supervisor that believes in addressing the root causes of mental health challenges and how they are inextricably intertwined with physical health. My main speciality has been working with clients that have experienced trauma. I'm EMDR trained, TF CBT trained, and I'm a Certified Clinical Trauma Professional.
I am honored to be considered for your therapist! I have a laid back and warm approach to my practice, and I fully believe that you are the expert on you. I am here to be a witness to your journey to mental wellness, and to help you realize the best version of yourself. I am a licensed professional clinical counselor and supervisor that believes in addressing the root causes of mental health challenges and how they are inextricably intertwined with physical health. My main speciality has been working with clients that have experienced trauma. I'm EMDR trained, TF CBT trained, and I'm a Certified Clinical Trauma Professional.
(513) 640-2018 View (513) 640-2018
Photo of Tacie Renee Anderson, Licensed Professional Counselor in West Chester, OH
Tacie Renee Anderson
Licensed Professional Counselor, MBA
Verified Verified
West Chester, OH 45069
As a Licensed Professional Counselor, I see my role as someone who journeys with you through the struggle as we walk towards wellness together. It is my heart's desire to see those around me flourish, and I would count it an honor to be invited into your story. I specialize in providing mental health counseling for individuals of all ages, including adults, teens and young adults. Within sessions, I incorporate over 15 years of experience working alongside adolescents and their parents as well as 5 years mentoring and walking alongside young adults.
As a Licensed Professional Counselor, I see my role as someone who journeys with you through the struggle as we walk towards wellness together. It is my heart's desire to see those around me flourish, and I would count it an honor to be invited into your story. I specialize in providing mental health counseling for individuals of all ages, including adults, teens and young adults. Within sessions, I incorporate over 15 years of experience working alongside adolescents and their parents as well as 5 years mentoring and walking alongside young adults.
(513) 643-8347 View (513) 643-8347
Photo of Beth Shaw, Licensed Professional Counselor in West Chester, OH
Beth Shaw
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
West Chester, OH 45069
Does life feel overwhelming right now? Do you feel as if you are struggling to move past disappointments or unmet expectations in your life? Do you find yourself dealing with a season of adversity or transition leaving you with feelings of anxiety or depression? You do not have to face your struggles alone….I can help! What is my approach? I will meet you where you are with no judgment, with compassion and authenticity. Together, we will create an emotionally safe space for you to find hope again, a place for you to process and heal so you can move forward. I am currently accepting clients ranging from teenager to older adult.
Does life feel overwhelming right now? Do you feel as if you are struggling to move past disappointments or unmet expectations in your life? Do you find yourself dealing with a season of adversity or transition leaving you with feelings of anxiety or depression? You do not have to face your struggles alone….I can help! What is my approach? I will meet you where you are with no judgment, with compassion and authenticity. Together, we will create an emotionally safe space for you to find hope again, a place for you to process and heal so you can move forward. I am currently accepting clients ranging from teenager to older adult.
(513) 951-1456 View (513) 951-1456
Photo of Ebony M Speakes-Hall, Clinical Social Work/Therapist in West Chester, OH
Ebony M Speakes-Hall
Clinical Social Work/Therapist, DSW, LISW-S
Verified Verified
West Chester, OH 45069
Are you struggling with your identity or self-image? Does it seem difficult to move past things that have happened to you? There are external factors beyond our control can shape how we see ourselves, our thoughts, and emotions. Our life challenges may be caused by the effects of trauma, family dynamics, or systems like class, race, and gender. At Dr. Ebony & Associates, we help bring awareness to the impact that dominant culture plays in your personal development and ability to lead a full and healthy life.
Are you struggling with your identity or self-image? Does it seem difficult to move past things that have happened to you? There are external factors beyond our control can shape how we see ourselves, our thoughts, and emotions. Our life challenges may be caused by the effects of trauma, family dynamics, or systems like class, race, and gender. At Dr. Ebony & Associates, we help bring awareness to the impact that dominant culture plays in your personal development and ability to lead a full and healthy life.
(937) 446-6544 View (937) 446-6544

See more therapy options for West Chester

How does your Therapist compare?

Number of Therapists in West Chester, OH

100+

Average cost per session

$130

Therapists in West Chester, OH who prioritize treating:

92% Anxiety
87% Depression
75% Relationship Issues
74% Self Esteem
71% Trauma and PTSD
71% Coping Skills
66% Grief

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
75% Anthem | Elevance
72% UnitedHealthcare UHC | UBH

How Therapists in West Chester, OH see their clients

87% In Person and Online
13% Online Only

Gender breakdown

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

How can I find a therapist in West Chester?

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.