Therapists in Fargo, ND

Photo of Jaryn Allen, Psychologist in Fargo, ND
Jaryn Allen
Psychologist, PhD, LP
Not Verified Not Verified
3 Endorsed
Fargo, ND 58104
Not accepting new clients
Thank you for taking the time to make your emotional & psychological health a priority and for looking at my profile to read about ways I would like to help you on your journey to your fullest life. Mental health counseling, couples counseling, and EMDR are a passion and privilege for me. I consider it a great honor to be chosen to assist people as they walk through what can sometimes be a very challenging experience in life. I have been providing counseling for over a decade and have practiced in Fargo for over 13 years. I specialize in treating anxiety, depression, ADHD, relationships, and identity concerns.
Thank you for taking the time to make your emotional & psychological health a priority and for looking at my profile to read about ways I would like to help you on your journey to your fullest life. Mental health counseling, couples counseling, and EMDR are a passion and privilege for me. I consider it a great honor to be chosen to assist people as they walk through what can sometimes be a very challenging experience in life. I have been providing counseling for over a decade and have practiced in Fargo for over 13 years. I specialize in treating anxiety, depression, ADHD, relationships, and identity concerns.
(701) 205-4227 View (701) 205-4227
Photo of Trista Schon, Licensed Professional Counselor in Fargo, ND
Trista Schon
Licensed Professional Counselor, MS, LPCC
Verified Verified
Fargo, ND 58103
Waitlist for new clients
I am a Licensed Professional Clinical Counselor (LPCC) licensed in the state of North Dakota. I graduated with a Bachelor’s degree in Sociology from North Dakota State University and a Master’s degree in Clinical Mental Health Counseling from University of Mary. I utilize many different therapy modalities and techniques which are tailored to each individual person’s needs. I work primarily with adults focusing on depression, anxiety and panic disorders, trauma, PTSD, and I utilize EMDR. I am LGBTQIA+ affirmative, and I specialize in working with people who are queer, trans, or questioning gender identity.
I am a Licensed Professional Clinical Counselor (LPCC) licensed in the state of North Dakota. I graduated with a Bachelor’s degree in Sociology from North Dakota State University and a Master’s degree in Clinical Mental Health Counseling from University of Mary. I utilize many different therapy modalities and techniques which are tailored to each individual person’s needs. I work primarily with adults focusing on depression, anxiety and panic disorders, trauma, PTSD, and I utilize EMDR. I am LGBTQIA+ affirmative, and I specialize in working with people who are queer, trans, or questioning gender identity.
(701) 401-7141 View (701) 401-7141
Photo of Dawn Lesley Groslie, Counselor in Fargo, ND
Dawn Lesley Groslie
Counselor, MS, LPCC
Verified Verified
Fargo, ND 58104
I understand how it can be difficult to reach out for help especially when you may be feeling sad, anxious, and overwhelmed. I understand that it is hard to trust someone and express your doubts and fears. Let me help you. I believe that life is too short to think of therapy as just hard work. Challenging? Yes. Laughter? Yes. Compassion? Yes. Therapy is about knowing that you want to reach the goal of feeling better about yourself, your relationships, your life.
I understand how it can be difficult to reach out for help especially when you may be feeling sad, anxious, and overwhelmed. I understand that it is hard to trust someone and express your doubts and fears. Let me help you. I believe that life is too short to think of therapy as just hard work. Challenging? Yes. Laughter? Yes. Compassion? Yes. Therapy is about knowing that you want to reach the goal of feeling better about yourself, your relationships, your life.
(701) 291-7946 View (701) 291-7946
Photo of Kari Appletoft, Counselor in Fargo, ND
Kari Appletoft
Counselor, MSc, LPCC
Verified Verified
1 Endorsed
Fargo, ND 58104
Not accepting new clients
There is no need to be stuck in the confusion, sadness, anger and hurt from the past and life's negative experiences. I offer a safe and judgement free space where you will be heard. Sometimes we just need another perspective on how to manage our emotions and behaviors. I believe that everyone, no matter the trauma or experience, deserves an opportunity to find healing, health and peace.
There is no need to be stuck in the confusion, sadness, anger and hurt from the past and life's negative experiences. I offer a safe and judgement free space where you will be heard. Sometimes we just need another perspective on how to manage our emotions and behaviors. I believe that everyone, no matter the trauma or experience, deserves an opportunity to find healing, health and peace.
(701) 291-8577 View (701) 291-8577
Photo of Kim Lapo - Esas And Emdr Services, Clinical Social Work/Therapist in Fargo, ND
Kim Lapo - Esas And Emdr Services
Clinical Social Work/Therapist, LCSW, LIMHP
Verified Verified
1 Endorsed
Fargo, ND 58104  (Online Only)
I help older teens and adults reprocess and distance the pains of past hurts and traumas. Clients who engage in therapy with me are tired of big emotions jumbling up their life and are tired of memories stealing their precious moments of time. Clients are able to reprocess painful and traumatic memories and start living life again without the sting of those troubling memories.
I help older teens and adults reprocess and distance the pains of past hurts and traumas. Clients who engage in therapy with me are tired of big emotions jumbling up their life and are tired of memories stealing their precious moments of time. Clients are able to reprocess painful and traumatic memories and start living life again without the sting of those troubling memories.
(701) 892-8380 View (701) 892-8380
Photo of Gail L. Nelson, Licensed Professional Counselor in Fargo, ND
Gail L. Nelson
Licensed Professional Counselor, LPC, MEd
Verified Verified
Fargo, ND 58103
I help couples in conflict and those who want to develop their relationship into a stronger alliance. Conflict affects us all in many ways. Mostly, I work with individuals, couples and groups to understand the impact of confusion, upset and misunderstanding on our relationships. Sometimes depression and anxiety are overwhelming and that causes lots of problems in our ability to make our life work. I hear from clients that they felt better after our session because they were able to talk through a problem and understand the situation better.
I help couples in conflict and those who want to develop their relationship into a stronger alliance. Conflict affects us all in many ways. Mostly, I work with individuals, couples and groups to understand the impact of confusion, upset and misunderstanding on our relationships. Sometimes depression and anxiety are overwhelming and that causes lots of problems in our ability to make our life work. I hear from clients that they felt better after our session because they were able to talk through a problem and understand the situation better.
(701) 353-2209 View (701) 353-2209
Photo of Selvig Counseling Services (Tami Selvig), Licensed Professional Counselor in Fargo, ND
Selvig Counseling Services (Tami Selvig)
Licensed Professional Counselor, LPC
Verified Verified
Fargo, ND 58104
Is the joy you once felt is missing? Are you are going through the motions but not really living? If life isn't what you thought it would be and you feel like you are trudging through your days, you have come to the right place. You are not alone. A favorite quote of mine: "My mission in life is not merely to survive, but to thrive; and to do with some passion, some compassion, some humor and some style" - Maya Angelou- It is within you to get there!
Is the joy you once felt is missing? Are you are going through the motions but not really living? If life isn't what you thought it would be and you feel like you are trudging through your days, you have come to the right place. You are not alone. A favorite quote of mine: "My mission in life is not merely to survive, but to thrive; and to do with some passion, some compassion, some humor and some style" - Maya Angelou- It is within you to get there!
(701) 490-9321 View (701) 490-9321
Photo of Rachel Blumhardt, Counselor in Fargo, ND
Rachel Blumhardt
Counselor, MEd, LPCC, LPC, NCC
Verified Verified
Fargo, ND 58104
My overall focus is on helping women be well--physically, emotionally, spiritually, socially. My areas of focus include: trauma, depression, anxiety, work-life balance, grief, self-esteem, and relationship issues. I gravitate towards Cognitive Behavioral and Humanistic therapies in my clinical work. I primarily serve clients individually; however, I am experienced in offering couple's and group therapy. I am passionate about working with those experiencing PTSD and helping improve their quality of life. In addition to seeing clients I provide supervision for ND and MN counselors seeking their LPCCs.
My overall focus is on helping women be well--physically, emotionally, spiritually, socially. My areas of focus include: trauma, depression, anxiety, work-life balance, grief, self-esteem, and relationship issues. I gravitate towards Cognitive Behavioral and Humanistic therapies in my clinical work. I primarily serve clients individually; however, I am experienced in offering couple's and group therapy. I am passionate about working with those experiencing PTSD and helping improve their quality of life. In addition to seeing clients I provide supervision for ND and MN counselors seeking their LPCCs.
(701) 248-8368 View (701) 248-8368
Photo of Lindsay Franke, Counselor in Fargo, ND
Lindsay Franke
Counselor, MS, LAPC, NCC
Verified Verified
1 Endorsed
Fargo, ND 58103
Eleanor Roosevelt once said, “We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face.” Maybe you are struggling with the day-to-day stressors we face. Or maybe there are conflicts in your relationships. Possibly, you are looking for help wrestling with chronic pain or illness. Let me help you find your strength, courage, and confidence. I provide a safe, comfortable space for individuals to share, heal, and encourage you to become your best self.
Eleanor Roosevelt once said, “We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face.” Maybe you are struggling with the day-to-day stressors we face. Or maybe there are conflicts in your relationships. Possibly, you are looking for help wrestling with chronic pain or illness. Let me help you find your strength, courage, and confidence. I provide a safe, comfortable space for individuals to share, heal, and encourage you to become your best self.
(701) 419-6879 View (701) 419-6879
Photo of Nadine Ann Hillesheim, Counselor in Fargo, ND
Nadine Ann Hillesheim
Counselor, MS, LPCC, LP
Verified Verified
1 Endorsed
Fargo, ND 58102
I have 25 years of experience seeing individuals and couples. I love my work as it allows me to follow my passion of helping people find meaning and master whatever challenges they face with care and compassion. I have extensive experience treating depression, anxiety, relationship issues, emotional eating, and self-worth. I offer groups for mindfulness, emotional overeating, and anxiety/depression. I have found mindfulness to be an important life skill for people. It is particularly helpful in dealing with stress, anxiety, and depression. With this skill we can all learn to quiet our busy minds and handle emotions more effectively.
I have 25 years of experience seeing individuals and couples. I love my work as it allows me to follow my passion of helping people find meaning and master whatever challenges they face with care and compassion. I have extensive experience treating depression, anxiety, relationship issues, emotional eating, and self-worth. I offer groups for mindfulness, emotional overeating, and anxiety/depression. I have found mindfulness to be an important life skill for people. It is particularly helpful in dealing with stress, anxiety, and depression. With this skill we can all learn to quiet our busy minds and handle emotions more effectively.
(701) 660-1104 View (701) 660-1104
Photo of JoDee L Knipfer, Counselor in Fargo, ND
JoDee L Knipfer
Counselor, MEd, LPCC, LAC, MAC
Verified Verified
Fargo, ND 58103
Life's journey can often throw us curve balls. Everyone is worthy of love and belonging, however sometimes it is hard to be able to put yourself first and nurture your emotional needs. With the correct level of support, I firmly believe that anyone can achieve better emotional stability, find moments of joy, and learn to live in the present. No one is able to "fix" another's mental health concerns, yet through support, encouragement, education, empathy, and understanding, you can have the knowledge and tools to reach your own personal goals. I have worked in the mental field for 10 years.
Life's journey can often throw us curve balls. Everyone is worthy of love and belonging, however sometimes it is hard to be able to put yourself first and nurture your emotional needs. With the correct level of support, I firmly believe that anyone can achieve better emotional stability, find moments of joy, and learn to live in the present. No one is able to "fix" another's mental health concerns, yet through support, encouragement, education, empathy, and understanding, you can have the knowledge and tools to reach your own personal goals. I have worked in the mental field for 10 years.
(701) 587-9439 View (701) 587-9439
Photo of James D Cronin, Clinical Social Work/Therapist in Fargo, ND
James D Cronin
Clinical Social Work/Therapist, LICSW
Verified Verified
Fargo, ND 58103
Hello, I’m James Cronin. I am a Licensed Independent Clinical Social Worker in North Dakota and Minnesota. More importantly, I’m in the business of helping people! For over 20 years I have worked passionately with individuals, couples and families to improve quality of life, reduce stress and navigate relationships. I believe every person is important! I believe people are capable of exploring life experiences to discover how their strengths can open doors to amazing opportunities for growth. If you are ready to start the journey of improving relationships and understanding yourself more completely don't hesitate to contact me.
Hello, I’m James Cronin. I am a Licensed Independent Clinical Social Worker in North Dakota and Minnesota. More importantly, I’m in the business of helping people! For over 20 years I have worked passionately with individuals, couples and families to improve quality of life, reduce stress and navigate relationships. I believe every person is important! I believe people are capable of exploring life experiences to discover how their strengths can open doors to amazing opportunities for growth. If you are ready to start the journey of improving relationships and understanding yourself more completely don't hesitate to contact me.
(701) 809-9121 View (701) 809-9121
Photo of Rachelle Brown, Counselor in Fargo, ND
Rachelle Brown
Counselor, LAPC
Verified Verified
Fargo, ND 58103
My goal as your counselor is to help form and maintain a safe and trusting therapeutic relationship. It is important for my client's to know that their story matters and that I am here alongside them to help them heal and grow. I do this by using a number of evidenced based approaches such as EMDR, CBT, DBT, MI, RCT, and person-centered therapy. I also love to incorporate art into my therapy sessions. Lets get creative!
My goal as your counselor is to help form and maintain a safe and trusting therapeutic relationship. It is important for my client's to know that their story matters and that I am here alongside them to help them heal and grow. I do this by using a number of evidenced based approaches such as EMDR, CBT, DBT, MI, RCT, and person-centered therapy. I also love to incorporate art into my therapy sessions. Lets get creative!
(701) 409-1661 View (701) 409-1661
Photo of John Perez, Licensed Professional Counselor in Fargo, ND
John Perez
Licensed Professional Counselor, LPCC-S, CCMHC, NCC
Verified Verified
3 Endorsed
Fargo, ND 58104
Around 40% of the effectiveness of therapy is your relationship with your therapist! The next 30% is your own coping skill set. I pride myself in being a down to earth, relatable counselor, and I enjoy collaborating with my clients for their mental health care! With 18 years of well-rounded experience in the field, I use a combination of theories and techniques to first build a trusting and empowering relationship and then work together to reduce the suffering that comes from mental health issues or life's stressors. I believe clients are looking for connection and for a counselor they can relate to, to help with their problems!
Around 40% of the effectiveness of therapy is your relationship with your therapist! The next 30% is your own coping skill set. I pride myself in being a down to earth, relatable counselor, and I enjoy collaborating with my clients for their mental health care! With 18 years of well-rounded experience in the field, I use a combination of theories and techniques to first build a trusting and empowering relationship and then work together to reduce the suffering that comes from mental health issues or life's stressors. I believe clients are looking for connection and for a counselor they can relate to, to help with their problems!
(701) 561-0783 View (701) 561-0783
Photo of Christy Rae Wilkie - Dakota Family Services, Clinical Social Work/Therapist in Fargo, ND
Christy Rae Wilkie - Dakota Family Services
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fargo, ND 58104
I provide therapy for children, adolescents, and young adults who have complex behavioral health issues. I combine my extensive clinical expertise with my belief in kids, and have a unique ability to find and develop their strengths. I work hard to be an ideal therapist for the clients I am working with and doing what is best to fit their needs. I typically provide cognitive behavioral therapy augmented with motivational interviewing and psychoeducation, but I am trained in other modalities as well.
I provide therapy for children, adolescents, and young adults who have complex behavioral health issues. I combine my extensive clinical expertise with my belief in kids, and have a unique ability to find and develop their strengths. I work hard to be an ideal therapist for the clients I am working with and doing what is best to fit their needs. I typically provide cognitive behavioral therapy augmented with motivational interviewing and psychoeducation, but I am trained in other modalities as well.
(701) 599-4940 View (701) 599-4940
Photo of Caylor Hunt, Licensed Professional Counselor in Fargo, ND
Caylor Hunt
Licensed Professional Counselor, LPCC, LPC, MS
Verified Verified
Fargo, ND 58104
I work with people who struggle with mood disorders, life transitions, career counseling, marriage/couples counseling, personality disorders, eating disorders, stress management, and coping skills.
I work with people who struggle with mood disorders, life transitions, career counseling, marriage/couples counseling, personality disorders, eating disorders, stress management, and coping skills.
(701) 394-5230 View (701) 394-5230
Photo of Farryn Helm, Counselor in Fargo, ND
Farryn Helm
Counselor, MS, LPCC, RPT
Verified Verified
1 Endorsed
Fargo, ND 58103
I'm a licensed counselor and Registered Play Therapist, and I'm thrilled to connect with you. Whether you're a child, adolescent, or young adult, I'm here to support you on your journey. Using evidence-based therapies like CBT, TF-CBT, and Play Therapy, I tailor my approach to suit your specific needs. I'm a firm believer in the power of the person-centered approach, meaning I meet you where you're at in life, ready to provide the support, hope, and healing you deserve. At heart, I believe in creating a safe and trusting environment where you can freely share your unique story.
I'm a licensed counselor and Registered Play Therapist, and I'm thrilled to connect with you. Whether you're a child, adolescent, or young adult, I'm here to support you on your journey. Using evidence-based therapies like CBT, TF-CBT, and Play Therapy, I tailor my approach to suit your specific needs. I'm a firm believer in the power of the person-centered approach, meaning I meet you where you're at in life, ready to provide the support, hope, and healing you deserve. At heart, I believe in creating a safe and trusting environment where you can freely share your unique story.
(701) 380-8424 View (701) 380-8424
Photo of Ashley Vogel, Counselor in Fargo, ND
Ashley Vogel
Counselor, MEd, LPCC
Verified Verified
Fargo, ND 58103  (Online Only)
Ashley’s goal as a counselor is to create a safe, accepting, and empowering space for individuals to grow and heal. She meets individuals where they are at, incorporating their strengths, interests, and creativity into each session. Ashely sees adolescents and young adults struggling with depression, anxiety, trauma, relational concerns, self-worth, and identity exploration.
Ashley’s goal as a counselor is to create a safe, accepting, and empowering space for individuals to grow and heal. She meets individuals where they are at, incorporating their strengths, interests, and creativity into each session. Ashely sees adolescents and young adults struggling with depression, anxiety, trauma, relational concerns, self-worth, and identity exploration.
(701) 291-6187 View (701) 291-6187
Photo of Maven Counseling, Clinical Social Work/Therapist in Fargo, ND
Maven Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Fargo, ND 58104
My practice is providing mental health counseling as a trauma-focused Clinical Social Worker. I have worked in the mental health field for over twenty years working with diverse populations. I have always prided myself on providing a safe environment for whom I am working with. My desire for entering the helping profession began as a result of my own experience with healing. I specialize in trauma/PTSD and the issues that result from that trauma; anxiety, depression, sleep disorders, avoidance of emotions, relationship issues, etc.
My practice is providing mental health counseling as a trauma-focused Clinical Social Worker. I have worked in the mental health field for over twenty years working with diverse populations. I have always prided myself on providing a safe environment for whom I am working with. My desire for entering the helping profession began as a result of my own experience with healing. I specialize in trauma/PTSD and the issues that result from that trauma; anxiety, depression, sleep disorders, avoidance of emotions, relationship issues, etc.
(701) 394-3898 View (701) 394-3898
Photo of John G Altendorf, Licensed Professional Clinical Counselor in Fargo, ND
John G Altendorf
Licensed Professional Clinical Counselor, MEd, LPC, LPCC
Verified Verified
Fargo, ND 58103
I have over twenty years of experience working with children, adolescents, college students, families, and couples to find ways to deal with the issues life throws at them. If you are reading this, you have taken the first step towards an improved lifestyle. Each person has her/his own perspective and is treated as an individually and unique person. I specialize in treating anxiety, depression, behavior issues, PTSD, and problems related to adjusting to specific life issues. I will treat you with respect and dignity in a confidential setting. The relationship you have with your therapist is of utmost importance.
I have over twenty years of experience working with children, adolescents, college students, families, and couples to find ways to deal with the issues life throws at them. If you are reading this, you have taken the first step towards an improved lifestyle. Each person has her/his own perspective and is treated as an individually and unique person. I specialize in treating anxiety, depression, behavior issues, PTSD, and problems related to adjusting to specific life issues. I will treat you with respect and dignity in a confidential setting. The relationship you have with your therapist is of utmost importance.
(701) 809-0165 View (701) 809-0165

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How does your Therapist compare?

Number of Therapists in Fargo, ND

100+

Average cost per session

$187

Therapists in Fargo, ND who prioritize treating:

93% Anxiety
89% Depression
79% Self Esteem
79% Stress
78% Relationship Issues
75% Coping Skills
74% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
85% Sanford Health Plan
56% UnitedHealthcare UHC | UBH

How Therapists in Fargo, ND see their clients

86% In Person and Online
14% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Fargo?

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.