Therapists in Louisville, KY

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Photo of Shermeka Wallace, Clinical Social Work/Therapist in Louisville, KY
Shermeka Wallace
Clinical Social Work/Therapist, MSSW, CSW, TCM
Verified Verified
1 Endorsed
Louisville, KY 40202
Many encounters in life can leave an impression on us that lasts a lifetime. The power to heal lies within us as we recondition the body to hold and receive love.
Many encounters in life can leave an impression on us that lasts a lifetime. The power to heal lies within us as we recondition the body to hold and receive love.
(502) 427-6275 View (502) 427-6275
Photo of Ellyn Abdelghany Ramser, Marriage & Family Therapist Associate in Louisville, KY
Ellyn Abdelghany Ramser
Marriage & Family Therapist Associate, MFTA, BSFS
Verified Verified
1 Endorsed
Louisville, KY 40223
Not accepting new clients
We all experience challenges in our life, and sometimes we need support to make the changes we are seeking. I strive to walk side by side through challenging times with my clients, as we move through healing and seek the changes they desire in their lives. My theory of change is rooted in a humanistic approach to therapy that focuses on treating the whole person, and emphasizes the strengths of the client. I have experience working with families, children, adolescents, preteens, teenagers, and adults all with varying issues. I tend to lean into a family systems approach to therapy when working with families and individuals.
We all experience challenges in our life, and sometimes we need support to make the changes we are seeking. I strive to walk side by side through challenging times with my clients, as we move through healing and seek the changes they desire in their lives. My theory of change is rooted in a humanistic approach to therapy that focuses on treating the whole person, and emphasizes the strengths of the client. I have experience working with families, children, adolescents, preteens, teenagers, and adults all with varying issues. I tend to lean into a family systems approach to therapy when working with families and individuals.
(502) 427-7887 View (502) 427-7887
Heartwood Therapy Place
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40218  (Online Only)
We believe that everyone has the ability to heal and grow. The Heartwood team of exceptional professionals has the common goal of helping others enrich their lives and live more fully. We utilize a variety of evidence-based therapeutic interventions with individuals, families, and couples that cultivates strength and independence throughout the lifespan. Furthermore we strive for an atmosphere of warmth, laughter and authenticity, recognizing that coming to and staying in therapy is hard work for clients and therapists alike. We have multiple therapists. Check us out on www.heartwoodtherapyplace.com
We believe that everyone has the ability to heal and grow. The Heartwood team of exceptional professionals has the common goal of helping others enrich their lives and live more fully. We utilize a variety of evidence-based therapeutic interventions with individuals, families, and couples that cultivates strength and independence throughout the lifespan. Furthermore we strive for an atmosphere of warmth, laughter and authenticity, recognizing that coming to and staying in therapy is hard work for clients and therapists alike. We have multiple therapists. Check us out on www.heartwoodtherapyplace.com
(502) 237-8048 View (502) 237-8048
Photo of Thrive Men's Counseling, Clinical Social Work/Therapist in Louisville, KY
Thrive Men's Counseling
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40205  (Online Only)
Jeff Yocom, LCSW, is the founder of Thrive Men's Counseling. He offers services and resources to help men leverage their strengths and develop new skills as they tackle life's challenges head on. If life has thrown you a curve ball, Jeff can help you take your best swing at it. Feeling more irritable or angry than usual? Has your marriage or relationship hit a rough patch? Are you unmotivated and/or unhappy? Worrying constantly, feeling like something terrible is about to happen? Wondering if you have a problem with alcohol/drug use, porn, or some other hard-to-manage behavior? If so, Jeff wants to help you find a solution.
Jeff Yocom, LCSW, is the founder of Thrive Men's Counseling. He offers services and resources to help men leverage their strengths and develop new skills as they tackle life's challenges head on. If life has thrown you a curve ball, Jeff can help you take your best swing at it. Feeling more irritable or angry than usual? Has your marriage or relationship hit a rough patch? Are you unmotivated and/or unhappy? Worrying constantly, feeling like something terrible is about to happen? Wondering if you have a problem with alcohol/drug use, porn, or some other hard-to-manage behavior? If so, Jeff wants to help you find a solution.
(502) 306-3740 View (502) 306-3740
Photo of Zoe Prowell, Clinical Social Work/Therapist in Louisville, KY
Zoe Prowell
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40291  (Online Only)
I am a therapist specializing in adult mental health and addiction disorders. I have 10 years of experience providing individual, family, group, and couples therapy. I have worked in both inpatient and outpatient environments. My mission is to be used by God to help others reach their highest potential and purpose in life; to represent and teach tolerance, respect, and harmony; and to promote social and economic justice. I believe that all people regardless of race, culture, age, gender, religion, physical or mental disability, and sexual orientation are entitled to basic rights and fair, humane treatment.
I am a therapist specializing in adult mental health and addiction disorders. I have 10 years of experience providing individual, family, group, and couples therapy. I have worked in both inpatient and outpatient environments. My mission is to be used by God to help others reach their highest potential and purpose in life; to represent and teach tolerance, respect, and harmony; and to promote social and economic justice. I believe that all people regardless of race, culture, age, gender, religion, physical or mental disability, and sexual orientation are entitled to basic rights and fair, humane treatment.
(502) 706-4508 View (502) 706-4508
Photo of Beth Marie Schweichler, Clinical Social Work/Therapist in Louisville, KY
Beth Marie Schweichler
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40205
I am a LCSW with more than twenty years of clinical experience working with individuals with severe mental illness, anxiety, depression, personality disorders, grief, and trauma. I also have more than ten years of experience supervising CSW's for licensure. My efforts are directed at supporting clients to find their own answers, gain insight and clarity, and ultimately promote their physical, mental, social, cultural, and spiritual wellbeing so that they may thrive.
I am a LCSW with more than twenty years of clinical experience working with individuals with severe mental illness, anxiety, depression, personality disorders, grief, and trauma. I also have more than ten years of experience supervising CSW's for licensure. My efforts are directed at supporting clients to find their own answers, gain insight and clarity, and ultimately promote their physical, mental, social, cultural, and spiritual wellbeing so that they may thrive.
(502) 427-1093 View (502) 427-1093
Photo of Christopher Brody - Lifewell Counseling Services, Marriage & Family Therapist in Louisville, KY
Christopher Brody - Lifewell Counseling Services
Marriage & Family Therapist
Verified Verified
1 Endorsed
Louisville, KY 40222
Does anxiety, relationship problems, trauma, or addiction cause daily life to be challenging and even overwhelming at times? Do you feel like no matter what you have tried, nothing seems to help or get better? Maybe you have made progress and find that you need some extra help. This might be the first time you are seeking help. Whatever your situation, I believe that you possess the abilities and skills within yourself to help you meet your goals. My desire is to work with you to help you further grow, heal, and find peace and connection within yourself and within your relationships.
Does anxiety, relationship problems, trauma, or addiction cause daily life to be challenging and even overwhelming at times? Do you feel like no matter what you have tried, nothing seems to help or get better? Maybe you have made progress and find that you need some extra help. This might be the first time you are seeking help. Whatever your situation, I believe that you possess the abilities and skills within yourself to help you meet your goals. My desire is to work with you to help you further grow, heal, and find peace and connection within yourself and within your relationships.
(502) 747-1839 View (502) 747-1839
Photo of Katherine Mccurry, Clinical Social Work/Therapist in Louisville, KY
Katherine Mccurry
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40207
Katherine McCurry is a Licensed Clinical Social Worker who has been in the social work field for 30 years and an outpatient therapist since 2006. She graduated with an MSSW from the Kent School of Social Work at the University of Louisville in 1996 with a focus on Direct Practice . She received her BA in Psychology from Bellarmine University in 1992. While her therapy methods are grounded in CBT, she strongly believes that there is not one approach that works for everyone. She recognizes that each client is unique and her goal is to develop treatment plans that are specialized for each individual .
Katherine McCurry is a Licensed Clinical Social Worker who has been in the social work field for 30 years and an outpatient therapist since 2006. She graduated with an MSSW from the Kent School of Social Work at the University of Louisville in 1996 with a focus on Direct Practice . She received her BA in Psychology from Bellarmine University in 1992. While her therapy methods are grounded in CBT, she strongly believes that there is not one approach that works for everyone. She recognizes that each client is unique and her goal is to develop treatment plans that are specialized for each individual .
(502) 237-5450 View (502) 237-5450
Photo of Kristina Peterson, Psychologist in Louisville, KY
Kristina Peterson
Psychologist, PsyD, HSP
Verified Verified
3 Endorsed
Louisville, KY 40245  (Online Only)
Not accepting new clients
Telehealth only practice; Can see clients located in KY & IN! Experiences from our past can lead to painful feelings and unhealthy patterns that we get "stuck" in. If you've been feeling anxious, overwhelmed, or lost - having someone to support and challenge you can be helpful in getting "unstuck." My role as a therapist is to support, empower, challenge, and provide space for reflection for you to heal and connect with your authentic self. I value the relationships I build with my clients that allows for this challenging growth and empowerment to happen.
Telehealth only practice; Can see clients located in KY & IN! Experiences from our past can lead to painful feelings and unhealthy patterns that we get "stuck" in. If you've been feeling anxious, overwhelmed, or lost - having someone to support and challenge you can be helpful in getting "unstuck." My role as a therapist is to support, empower, challenge, and provide space for reflection for you to heal and connect with your authentic self. I value the relationships I build with my clients that allows for this challenging growth and empowerment to happen.
(502) 373-6733 View (502) 373-6733
Photo of Cousin Pat (Dr. Patrick Argiro -Virtual) Therapy, Pre-Licensed Professional in Louisville, KY
Cousin Pat (Dr. Patrick Argiro -Virtual) Therapy
Pre-Licensed Professional, LPC, PhD, CCTP
Verified Verified
Louisville, KY 40228
Not accepting new clients
cousinpattherapy.com I want to help anyone that is going through a hard time. I am an experienced Doctorate level Licensed Therapist who is dedicated to helping adults and children cope with anxiety, depression, and anger. Self pay $65, pay in advance $180 for sessions. Intake is $120
cousinpattherapy.com I want to help anyone that is going through a hard time. I am an experienced Doctorate level Licensed Therapist who is dedicated to helping adults and children cope with anxiety, depression, and anger. Self pay $65, pay in advance $180 for sessions. Intake is $120
(786) 977-8380 View (786) 977-8380
Photo of Geoffrey Elmore, Clinical Social Work/Therapist in Louisville, KY
Geoffrey Elmore
Clinical Social Work/Therapist, LCSW, MSSW
Verified Verified
1 Endorsed
Louisville, KY 40291
It is my deep belief that we each strive to be our best selves. This journey can be difficult and requires that we are able to recognize our own personal strengths and values. Clients should see the results of therapy in a measurable amount of time. This belief is where I begin treatment with the clients presenting problem guiding services.
It is my deep belief that we each strive to be our best selves. This journey can be difficult and requires that we are able to recognize our own personal strengths and values. Clients should see the results of therapy in a measurable amount of time. This belief is where I begin treatment with the clients presenting problem guiding services.
(502) 305-4997 View (502) 305-4997
Photo of Aster Counseling Services LLC, Counselor in Louisville, KY
Aster Counseling Services LLC
Counselor, EdS, LPCC-S, KY, LPC OK
Verified Verified
1 Endorsed
Louisville, KY 40243  (Online Only)
Are you a woman ages 18-65yrs ready to feel relief from mental, emotional, and physcial distress. Is keeping it all in is no longer working and you know its time to talk to someone. You might feel so heavy, anything you do, feels like running a marathon. Maybe your thoughts are racing so fast you have a difficult time focusing on one task. Your loved ones may think you have it all together but inside you are screaming for help. It may seem embarrassing but you know you cannot continue experiencing the overwhelming feeling of uneasiness. Let's work together to accomplish your goals.
Are you a woman ages 18-65yrs ready to feel relief from mental, emotional, and physcial distress. Is keeping it all in is no longer working and you know its time to talk to someone. You might feel so heavy, anything you do, feels like running a marathon. Maybe your thoughts are racing so fast you have a difficult time focusing on one task. Your loved ones may think you have it all together but inside you are screaming for help. It may seem embarrassing but you know you cannot continue experiencing the overwhelming feeling of uneasiness. Let's work together to accomplish your goals.
(502) 804-2409 View (502) 804-2409
Photo of Kelly Fleischer, Art Therapist in Louisville, KY
Kelly Fleischer
Art Therapist, MEd, ATR-BC, LPAT
Verified Verified
1 Endorsed
Louisville, KY 40205
I am an experienced art therapist with a passion for guiding children 5+, teens, and young adults on a journey of self-discovery and healing through art, talk therapy and other expressive modalities such as movement, play, and mindfulness. Clients can expect a safe and nurturing space to explore their emotions, thoughts, and challenges. These clients may be grappling with issues such as anxiety, depression, trauma, self-expression, or communication difficulties.
I am an experienced art therapist with a passion for guiding children 5+, teens, and young adults on a journey of self-discovery and healing through art, talk therapy and other expressive modalities such as movement, play, and mindfulness. Clients can expect a safe and nurturing space to explore their emotions, thoughts, and challenges. These clients may be grappling with issues such as anxiety, depression, trauma, self-expression, or communication difficulties.
(502) 317-1268 View (502) 317-1268
Photo of Adam Thompson Berry in Louisville, KY
Adam Thompson Berry
LPCC
Verified Verified
Louisville, KY 40243
People are often held captive by their emotions and thoughts, which prevents them from reaching their full potential. My practice is informed by blending mindfulness with other modalities to alleviate this state of distraction and fully experience the present moment. To best treat my clients, I use an integrative approach that draws from many different modalities including Cognitive Behavioral Therapy, Mindfulness-Based Cognitive Therapy, Dialectical Behavioral Therapy, humanistic, and existential modalities. I am also trained and experienced in EMDR.
People are often held captive by their emotions and thoughts, which prevents them from reaching their full potential. My practice is informed by blending mindfulness with other modalities to alleviate this state of distraction and fully experience the present moment. To best treat my clients, I use an integrative approach that draws from many different modalities including Cognitive Behavioral Therapy, Mindfulness-Based Cognitive Therapy, Dialectical Behavioral Therapy, humanistic, and existential modalities. I am also trained and experienced in EMDR.
(502) 747-9149 View (502) 747-9149
Photo of Alaina Newman, Licensed Professional Clinical Counselor in Louisville, KY
Alaina Newman
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
Louisville, KY 40222
As the owner and founder of Begin Anew Counseling, it is my goal to create an environment where individuals can begin their journey toward healing and wholeness. I believe my role is to be a partner and support through the therapeutic process. I work to intentionally assist clients in identifying their needs and begin the journey toward meeting those needs more consistently.
As the owner and founder of Begin Anew Counseling, it is my goal to create an environment where individuals can begin their journey toward healing and wholeness. I believe my role is to be a partner and support through the therapeutic process. I work to intentionally assist clients in identifying their needs and begin the journey toward meeting those needs more consistently.
(502) 427-7647 View (502) 427-7647
Photo of Kristin Leigh Tribbett, Clinical Social Work/Therapist in Louisville, KY
Kristin Leigh Tribbett
Clinical Social Work/Therapist, LCSW, BCN
Verified Verified
Louisville, KY 40220
All experiences are unique and allowing me to help with your personal journey is an honor. I am trained and experienced in working with trauma, anxiety, depression, ADHD, interpersonal relationship difficulties, child and adolescent emotional and behavioral difficulties and school related problems. I primarily utilize Neurofeedback, EMDR, Cognitive Behavioral Therapy, Trauma focused cognitive behavioral therapy, and other expressive approaches.
All experiences are unique and allowing me to help with your personal journey is an honor. I am trained and experienced in working with trauma, anxiety, depression, ADHD, interpersonal relationship difficulties, child and adolescent emotional and behavioral difficulties and school related problems. I primarily utilize Neurofeedback, EMDR, Cognitive Behavioral Therapy, Trauma focused cognitive behavioral therapy, and other expressive approaches.
(502) 653-0214 View (502) 653-0214
Photo of Alyssa Collina, Art Therapist in Louisville, KY
Alyssa Collina
Art Therapist, LPAT, ATR-BC
Verified Verified
1 Endorsed
Louisville, KY 40217
Waitlist for new clients
I believe treatment should be navigated delicately and without judgement. We are more than our current situation, which is why I work to understand what it took to get you where you are today, including your strengths. I take a holistic approach to healing, while also utilizing evidence-based methods such as EMDR, art therapy, ketamine-assisted therapy, and various talk therapy modalities, helping you process and tap into feelings that you may have struggled to find or articulate. Sometimes our human experience can affect us in ways we wish it didn’t, and I'd like to help you improve in areas that need most attention.
I believe treatment should be navigated delicately and without judgement. We are more than our current situation, which is why I work to understand what it took to get you where you are today, including your strengths. I take a holistic approach to healing, while also utilizing evidence-based methods such as EMDR, art therapy, ketamine-assisted therapy, and various talk therapy modalities, helping you process and tap into feelings that you may have struggled to find or articulate. Sometimes our human experience can affect us in ways we wish it didn’t, and I'd like to help you improve in areas that need most attention.
(502) 414-8103 View (502) 414-8103
Photo of Karin Klein, Counselor in Louisville, KY
Karin Klein Klein
Counselor, MEd, LPCC, CPFT
Verified Verified
Louisville, KY 40217
I specialize in the treatment of Borderline Personality Disorder (BPD) and extreme OCD. I also work with trauma and other mood disorders. I am open and honest with my clients about my own personal mental health struggles as I too have BPD and other mental health conditions. I use self-disclosure to help validate clients’ experiences and also dispel some of the mystique one may feel about me as a clinician. We are all equal in terms of needing help to overcome mental health challenges.
I specialize in the treatment of Borderline Personality Disorder (BPD) and extreme OCD. I also work with trauma and other mood disorders. I am open and honest with my clients about my own personal mental health struggles as I too have BPD and other mental health conditions. I use self-disclosure to help validate clients’ experiences and also dispel some of the mystique one may feel about me as a clinician. We are all equal in terms of needing help to overcome mental health challenges.
(502) 251-9361 View (502) 251-9361
Photo of Aysha Tariq, Counselor in Louisville, KY
Aysha Tariq
Counselor, LPCA
Verified Verified
Louisville, KY 40222
Many of us struggle to face the unknown, but change is the only constant in life. I believe that everyone has the ability to embrace change in order to foster growth and progress for themselves. I have experience and a strong compassion for people who wrestle with the problems of addiction and mental health. I am committed to providing personalized care to each client to promote resiliency, recovery, and healing. I have a deep understanding of multicultural and bilingual dynamics.I bring a unique perspective to my practice as I have an awareness of cultural nuances that allow me to connect with clients from various backgrounds.
Many of us struggle to face the unknown, but change is the only constant in life. I believe that everyone has the ability to embrace change in order to foster growth and progress for themselves. I have experience and a strong compassion for people who wrestle with the problems of addiction and mental health. I am committed to providing personalized care to each client to promote resiliency, recovery, and healing. I have a deep understanding of multicultural and bilingual dynamics.I bring a unique perspective to my practice as I have an awareness of cultural nuances that allow me to connect with clients from various backgrounds.
(502) 906-6235 View (502) 906-6235
Photo of Janet Rittenhouse, Marriage & Family Therapist in Louisville, KY
Janet Rittenhouse
Marriage & Family Therapist, MSSW, LMFT
Verified Verified
Louisville, KY 40217
Many of my clients are struggling to overcome situations and expectations that feel out of their control. Whether these are coming from the inside or outside they can be overwhelming and painful. It can feel like we are no match for our thoughts and feelings but my clients learn to recognize their resources, using them to tame negativity bias, isolation and despair. In that process clients experience their relationships and actions aligning more with what they really want.
Many of my clients are struggling to overcome situations and expectations that feel out of their control. Whether these are coming from the inside or outside they can be overwhelming and painful. It can feel like we are no match for our thoughts and feelings but my clients learn to recognize their resources, using them to tame negativity bias, isolation and despair. In that process clients experience their relationships and actions aligning more with what they really want.
(502) 369-0646 View (502) 369-0646

How does your Therapist compare?

Number of Therapists in Louisville, KY

1,000+

Average cost per session

$120

Therapists in Louisville, KY who prioritize treating:

91% Anxiety
86% Depression
71% Self Esteem
70% Trauma and PTSD
68% Coping Skills
59% Relationship Issues
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

72% Aetna
71% Humana
69% UnitedHealthcare UHC | UBH

How Therapists in Louisville, KY see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Louisville?

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.