Therapists in Washington County, AR

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Photo of Jessica Kitchens, Licensed Professional Counselor in Washington County, AR
Jessica Kitchens
Licensed Professional Counselor, MS, MBA, LPC, MAC, LADAC, BCCS
Verified Verified
11 Endorsed
Fayetteville, AR 72703
Waitlist for new clients
Humans are capable of immense strength and growth. Often life can place limitations or obstacles in the way of achieving our goals. With the right support, one can overcome these opportunities, and what was an obstacle can become an opportunity for growth. As a gatherer of knowledge, researcher, and growth seeker myself, I find extreme joy in helping others attain a desire to grow into the best version of themselves. I utilize a neurodiversity-affirming strength-based approach in all my therapy.
Humans are capable of immense strength and growth. Often life can place limitations or obstacles in the way of achieving our goals. With the right support, one can overcome these opportunities, and what was an obstacle can become an opportunity for growth. As a gatherer of knowledge, researcher, and growth seeker myself, I find extreme joy in helping others attain a desire to grow into the best version of themselves. I utilize a neurodiversity-affirming strength-based approach in all my therapy.
(479) 239-0839 View (479) 239-0839
Photo of Jennifer Gray, Clinical Social Work/Therapist in Washington County, AR
Jennifer Gray
Clinical Social Work/Therapist, LCSW
Verified Verified
Farmington, AR 72730
Have you been looking for a therapist who is highly knowledgable, compassionate, and light-hearted? Have you been looking for a therapist who believes that the therapist and client unit are a TEAM? Jennifer believes therapy can be a fun and rewarding process for people from all walks of life and she hopes you will allow her to be a partner on your journey. She offers a judgement-free and down-to-earth atmosphere in which clients are celebrated for their strengths and recognized for their courage.
Have you been looking for a therapist who is highly knowledgable, compassionate, and light-hearted? Have you been looking for a therapist who believes that the therapist and client unit are a TEAM? Jennifer believes therapy can be a fun and rewarding process for people from all walks of life and she hopes you will allow her to be a partner on your journey. She offers a judgement-free and down-to-earth atmosphere in which clients are celebrated for their strengths and recognized for their courage.
Photo of Tyler Quattlebaum, Counselor in Washington County, AR
Tyler Quattlebaum
Counselor, MS, LPC
Verified Verified
1 Endorsed
Fayetteville, AR 72701
Today is the day you have decided enough is enough! Taking this first step takes a great deal of courage, and you will need courage for the journey you are about to embark upon. It could be a life transition that has you feeling lost, or you may find yourself stuck, repeating the same patterns and suffering from the same symptoms (anxiety, depression, guilt, shame, etc.). The fact that you have found this page means that you are ready to find relief, contentedness, and even joy, and I am so excited for you!
Today is the day you have decided enough is enough! Taking this first step takes a great deal of courage, and you will need courage for the journey you are about to embark upon. It could be a life transition that has you feeling lost, or you may find yourself stuck, repeating the same patterns and suffering from the same symptoms (anxiety, depression, guilt, shame, etc.). The fact that you have found this page means that you are ready to find relief, contentedness, and even joy, and I am so excited for you!
(479) 252-9784 View (479) 252-9784
Photo of The Therapy Office, Licensed Professional Counselor in Washington County, AR
The Therapy Office
Licensed Professional Counselor, MS, LPC, NBCC
Verified Verified
Springdale, AR 72762
Feeling exhausted from endless scrolling, clicking on ads, and trying every magic fix? If you've been on this search forever, tried all the fads, and still find yourself overwhelmed and at square one, we've got your back. At The Therapy Office, we offer in-office and telehealth counseling specifically for teens and young adults dealing with trauma, anxiety, and depression. No more endless searches, it's time to find the support you've been looking for.
Feeling exhausted from endless scrolling, clicking on ads, and trying every magic fix? If you've been on this search forever, tried all the fads, and still find yourself overwhelmed and at square one, we've got your back. At The Therapy Office, we offer in-office and telehealth counseling specifically for teens and young adults dealing with trauma, anxiety, and depression. No more endless searches, it's time to find the support you've been looking for.
(479) 348-3960 View (479) 348-3960
Photo of Lauren Dallas, Clinical Social Work/Therapist in Washington County, AR
Lauren Dallas
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fayetteville, AR 72703
Not accepting new clients
I am a licensed clinical therapist with experience working with adult clients who are living with anxiety, depression, significant life transitions, grief, loss, illness, and/or end of life. I come from a strengths-based perspective, and utilize a variety of modalities to support a collaborative, non-judgmental and holistic therapeutic relationship. Together, we can navigate stressors and determine what needs to be in place to overcome barriers, promote self-care and ensure a rich and balanced life within your current environment.
I am a licensed clinical therapist with experience working with adult clients who are living with anxiety, depression, significant life transitions, grief, loss, illness, and/or end of life. I come from a strengths-based perspective, and utilize a variety of modalities to support a collaborative, non-judgmental and holistic therapeutic relationship. Together, we can navigate stressors and determine what needs to be in place to overcome barriers, promote self-care and ensure a rich and balanced life within your current environment.
(479) 239-9897 View (479) 239-9897
Photo of Sara Butler, Licensed Professional Counselor in Washington County, AR
Sara Butler
Licensed Professional Counselor, LPC-S
Verified Verified
Fayetteville, AR 72704
What could your life look like six months from now if you took a step toward healing today? Often, the hardest part is just starting. Depression, anxiety, grief, shame, and a number of other treatable concerns can leave you in a hopeless place. Are friends/family at a loss of how to help you? Are you struggling with a recent change in your life? Do you feel alone? If you remember nothing else, I want you to remember that you are more capable than you believe, and even a speck of hope is still hope.
What could your life look like six months from now if you took a step toward healing today? Often, the hardest part is just starting. Depression, anxiety, grief, shame, and a number of other treatable concerns can leave you in a hopeless place. Are friends/family at a loss of how to help you? Are you struggling with a recent change in your life? Do you feel alone? If you remember nothing else, I want you to remember that you are more capable than you believe, and even a speck of hope is still hope.
(479) 888-7606 View (479) 888-7606
Photo of Daniel Read, Licensed Professional Counselor in Washington County, AR
Daniel Read
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Fayetteville, AR 72701
Welcome! I am a Licensed Professional Counselor in the States of Arkansas & Texas. I started as a therapist at a community mental health clinic in rural East Texas and moved my practice to NW Arkansas in the fall of 2021. I have broad experience treating many individuals across diverse backgrounds and experiences. Whatever difficulties are bringing you into therapy, I will be emotionally connected as we journey through your particular challenges.
Welcome! I am a Licensed Professional Counselor in the States of Arkansas & Texas. I started as a therapist at a community mental health clinic in rural East Texas and moved my practice to NW Arkansas in the fall of 2021. I have broad experience treating many individuals across diverse backgrounds and experiences. Whatever difficulties are bringing you into therapy, I will be emotionally connected as we journey through your particular challenges.
(479) 239-9355 View (479) 239-9355
Photo of Leah Richter, Clinical Social Work/Therapist in Washington County, AR
Leah Richter
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, AR 72703  (Online Only)
I am passionate about supporting people in their mental health journeys. I have a special interest in working alongside women, and also have experience and a passion for working with military personnel and veterans. My practice is inclusive of the LGBTQA+ community. I respect your experience & identity. Trauma is life changing, but healing is possible. I want to help you develop and maintain peace in your life through the use of trauma focused therapy interventions including Dialectical Behavior Therapy (DBT), Trauma Focused-Cognititve Behavioral Therapy (TF-CBT), and Eye Movement Desensitization and Reprocessing therapy (EMDR).
I am passionate about supporting people in their mental health journeys. I have a special interest in working alongside women, and also have experience and a passion for working with military personnel and veterans. My practice is inclusive of the LGBTQA+ community. I respect your experience & identity. Trauma is life changing, but healing is possible. I want to help you develop and maintain peace in your life through the use of trauma focused therapy interventions including Dialectical Behavior Therapy (DBT), Trauma Focused-Cognititve Behavioral Therapy (TF-CBT), and Eye Movement Desensitization and Reprocessing therapy (EMDR).
(479) 349-4423 x1 View (479) 349-4423 x1
Photo of Susan Tyler, Clinical Social Work/Therapist in Washington County, AR
Susan Tyler
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, AR 72701
Susan Tyler has over a decade of experience in the field of mental health, focusing in areas of Infant and Early Childhood Mental Health, Perinatal Mental Health, and School-Based Mental Health services. Her professional journey has been dedicated to supporting individuals through challenges related to trauma, abuse, neglect, attachment, adoption, foster care, domestic violence, anxiety, depression, adjustment issues, disruptive behaviors, ADHD, and family dynamics. Her approach has been built with a dedication to understanding and addressing the unique needs of individuals and families.
Susan Tyler has over a decade of experience in the field of mental health, focusing in areas of Infant and Early Childhood Mental Health, Perinatal Mental Health, and School-Based Mental Health services. Her professional journey has been dedicated to supporting individuals through challenges related to trauma, abuse, neglect, attachment, adoption, foster care, domestic violence, anxiety, depression, adjustment issues, disruptive behaviors, ADHD, and family dynamics. Her approach has been built with a dedication to understanding and addressing the unique needs of individuals and families.
(479) 448-4961 View (479) 448-4961
Photo of Joanna G Pointer, Clinical Social Work/Therapist in Washington County, AR
Joanna G Pointer
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fayetteville, AR 72703
My career passion is helping children and their families work through hard times, mental health or behavior struggles. I am here to help your child and family learn how to communicate, develop coping skills, build self-esteem, understand how thoughts impact feelings and overall feel better. I understand how the environment impacts their life and I seek to help them become self-empowered to reach personal goals. Together we can work towards your child and family feeling more connected and content.
My career passion is helping children and their families work through hard times, mental health or behavior struggles. I am here to help your child and family learn how to communicate, develop coping skills, build self-esteem, understand how thoughts impact feelings and overall feel better. I understand how the environment impacts their life and I seek to help them become self-empowered to reach personal goals. Together we can work towards your child and family feeling more connected and content.
(479) 974-5219 View (479) 974-5219
Photo of Heather Fox, Clinical Social Work/Therapist in Washington County, AR
Heather Fox
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fayetteville, AR 72701
Waitlist for new clients
I have worked with children and families for over 20 years. I have experience working with children and families experiencing stress, transitions, divorce, low self esteem, grief, suicidal ideations as well as various other life circumstances. I utilize a variety of techniques including Cognitive Behavioral Therapy, Bibliotherapy, Stress Management, and Family Supportive Therapy. Beau is my licensed therapy dog who has been through professional training. He only attends sessions if approved by clients. I have worked in a variety of clinical settings and look forward to working with you to help you find peace and happiness.
I have worked with children and families for over 20 years. I have experience working with children and families experiencing stress, transitions, divorce, low self esteem, grief, suicidal ideations as well as various other life circumstances. I utilize a variety of techniques including Cognitive Behavioral Therapy, Bibliotherapy, Stress Management, and Family Supportive Therapy. Beau is my licensed therapy dog who has been through professional training. He only attends sessions if approved by clients. I have worked in a variety of clinical settings and look forward to working with you to help you find peace and happiness.
(479) 446-6239 View (479) 446-6239
Photo of Carla E Williams, Clinical Social Work/Therapist in Washington County, AR
Carla E Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, AR 72701
The COVID-19 Virus has changed the way many of us go about our daily lives. For social distancing purposes, I am offering sessions via Skype or FaceTime in addition to very limited office sessions. From time to time, we all search for solutions, possibilities, and peace of mind. Whatever your therapy needs are, it is my goal to assist you in reaching your goals. I work with adults over the age of 18, individuals, couples, and families. My multi-faceted approach has helped provide insight, support and new strategies for all types of life challenges.
The COVID-19 Virus has changed the way many of us go about our daily lives. For social distancing purposes, I am offering sessions via Skype or FaceTime in addition to very limited office sessions. From time to time, we all search for solutions, possibilities, and peace of mind. Whatever your therapy needs are, it is my goal to assist you in reaching your goals. I work with adults over the age of 18, individuals, couples, and families. My multi-faceted approach has helped provide insight, support and new strategies for all types of life challenges.
(479) 310-7804 View (479) 310-7804
Photo of Kathleen Housley, Licensed Professional Counselor in Washington County, AR
Kathleen Housley
Licensed Professional Counselor, LPC, LADAC, MAC
Verified Verified
3 Endorsed
Fayetteville, AR 72703
I work with clients on a variety of issues including depression, anxiety, trauma, abuse, substance abuse, grief, and divorce. I work clients of all ages.
I work with clients on a variety of issues including depression, anxiety, trauma, abuse, substance abuse, grief, and divorce. I work clients of all ages.
(479) 202-0749 View (479) 202-0749
Photo of Tonya Turic, Licensed Professional Counselor in Washington County, AR
Tonya Turic
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Fayetteville, AR 72703
Hello! I'm Tonya, licensed therapist with a Master’s in Community Counseling and an Emphasis in Family and Marital Therapy. I enjoy working with adults of all ages, from young adults to those of retirement age. In my experience in various settings and levels of care, I have worked with a wide range of mental health issues including depression, anxiety, trauma, psychosis, suicidal ideation, mood lability, substance abuse, ADHD, gender identity struggles, and neurocognitive disorders to name a few. I utilize an integrative model emphasizing a person-centered approach with tools from cognitive behavioral therapy and other modalities.
Hello! I'm Tonya, licensed therapist with a Master’s in Community Counseling and an Emphasis in Family and Marital Therapy. I enjoy working with adults of all ages, from young adults to those of retirement age. In my experience in various settings and levels of care, I have worked with a wide range of mental health issues including depression, anxiety, trauma, psychosis, suicidal ideation, mood lability, substance abuse, ADHD, gender identity struggles, and neurocognitive disorders to name a few. I utilize an integrative model emphasizing a person-centered approach with tools from cognitive behavioral therapy and other modalities.
(479) 346-1228 View (479) 346-1228
Photo of Jessica Jeffrey, Clinical Social Work/Therapist in Washington County, AR
Jessica Jeffrey
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fayetteville, AR 72703
I specialize in working with adolescents and young adults, with a goal of fostering a nonjudgmental and collaborative approach to therapy. I believe in meeting each person where they are on their unique journey. By providing an accepting and safe environment, I aim to create a space where you can freely express yourself. I understand the significance of relationships in our lives and offer support to families, working together to improve communication and understanding. Through our work together, we can nurture stronger connections within your family unit.
I specialize in working with adolescents and young adults, with a goal of fostering a nonjudgmental and collaborative approach to therapy. I believe in meeting each person where they are on their unique journey. By providing an accepting and safe environment, I aim to create a space where you can freely express yourself. I understand the significance of relationships in our lives and offer support to families, working together to improve communication and understanding. Through our work together, we can nurture stronger connections within your family unit.
(479) 244-2181 View (479) 244-2181
Photo of Lauren Gray, Counselor in Washington County, AR
Lauren Gray
Counselor, MS, LPC
Verified Verified
4 Endorsed
Fayetteville, AR 72701
Struggling with trauma, grief, or life changes? Facing anxiety or depression? My practice offers a judgment-free space for all, grounded in empathy and understanding. With roots in Ecuador, I value diversity and aim to help you navigate your challenges, find healing tools, and move towards your most authentic self. My hope is for you to develop greater self-compassion, integration, and the capacity to embrace both beauty and pain through this journey.
Struggling with trauma, grief, or life changes? Facing anxiety or depression? My practice offers a judgment-free space for all, grounded in empathy and understanding. With roots in Ecuador, I value diversity and aim to help you navigate your challenges, find healing tools, and move towards your most authentic self. My hope is for you to develop greater self-compassion, integration, and the capacity to embrace both beauty and pain through this journey.
(479) 269-9228 View (479) 269-9228
Photo of Jennifer Leigh Niles, Licensed Professional Counselor in Washington County, AR
Jennifer Leigh Niles
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
Fayetteville, AR 72703
I enjoy working with clients who are looking for ways to create sustainable life changes in their physical, emotional, spiritual and relational health. I work with clients to reduce stress and anxiety, increase self awareness and create healthier connections and relationships with themselves and others. I work with clients facing health challenges such as depression, anxiety, eating and weight concerns, trauma, and relationship distress. I see the client as an integrated mind-body system and often work in supporting the client learn from the wisdom and experience of their body to help in their healing and growth process.
I enjoy working with clients who are looking for ways to create sustainable life changes in their physical, emotional, spiritual and relational health. I work with clients to reduce stress and anxiety, increase self awareness and create healthier connections and relationships with themselves and others. I work with clients facing health challenges such as depression, anxiety, eating and weight concerns, trauma, and relationship distress. I see the client as an integrated mind-body system and often work in supporting the client learn from the wisdom and experience of their body to help in their healing and growth process.
(479) 755-9094 View (479) 755-9094
Photo of Lori LeBahn, Licensed Professional Counselor in Washington County, AR
Lori LeBahn
Licensed Professional Counselor, EdD, LPC
Verified Verified
1 Endorsed
Fayetteville, AR 72703  (Online Only)
Waitlist for new clients
I am a Licensed Professional Counselor with over 20 years of experience helping people with emotional, behavioral and relationship issues. I am currently working with adults (age 18 and older) for individual counseling sessions. I am dually licensed in Arkansas and Missouri.
I am a Licensed Professional Counselor with over 20 years of experience helping people with emotional, behavioral and relationship issues. I am currently working with adults (age 18 and older) for individual counseling sessions. I am dually licensed in Arkansas and Missouri.
(479) 235-4387 View (479) 235-4387
Photo of Tammy Callahan, Licensed Professional Counselor in Washington County, AR
Tammy Callahan
Licensed Professional Counselor, LPC
Verified Verified
Fayetteville, AR 72701
Trauma does not discriminate and can negatively impact one's daily life. Has trauma impacted your life? Have you been looking for someone who understands and hears your struggles and is ready to help those struggles become a thing of the past? I hear you. I understand. I’m ready to help put those intrusive, self-blaming, and self-sabotaging thoughts behind you. I have over 5 years experience in treating severe, emotionally disturbed or serious mentally ill clients, ranging from the age of 6 up to adulthood. I am an advocate for minorities and cultures such as LGBTQIA and the disabled.
Trauma does not discriminate and can negatively impact one's daily life. Has trauma impacted your life? Have you been looking for someone who understands and hears your struggles and is ready to help those struggles become a thing of the past? I hear you. I understand. I’m ready to help put those intrusive, self-blaming, and self-sabotaging thoughts behind you. I have over 5 years experience in treating severe, emotionally disturbed or serious mentally ill clients, ranging from the age of 6 up to adulthood. I am an advocate for minorities and cultures such as LGBTQIA and the disabled.
View
Photo of Theresa J Driver, Licensed Professional Counselor in Washington County, AR
Theresa J Driver
Licensed Professional Counselor, MS, LPC-S, RPT, LADAC, CRC
Verified Verified
1 Endorsed
Fayetteville, AR 72703
I am here to assist your child and you through difficult times. I am a Licensed Professional Therapist and a Registered Play Therapist. I have specialized training using dogs and horses in my therapy sessions. When young children have problems, they aren't yet emotionally equipped to sit down and tell you or a therapist what is bothering them, but they can tell a trained therapist what is wrong through their play. In a play therapy room, equipped with specific toys and designed to make a child feel safe and secure, many feelings can be expressed through play.
I am here to assist your child and you through difficult times. I am a Licensed Professional Therapist and a Registered Play Therapist. I have specialized training using dogs and horses in my therapy sessions. When young children have problems, they aren't yet emotionally equipped to sit down and tell you or a therapist what is bothering them, but they can tell a trained therapist what is wrong through their play. In a play therapy room, equipped with specific toys and designed to make a child feel safe and secure, many feelings can be expressed through play.
(479) 668-3816 View (479) 668-3816

See more therapy options for Washington County

How does your Therapist compare?

Number of Therapists in Washington County, AR

400+

Average cost per session

$150

Therapists in Washington County, AR who prioritize treating:

93% Anxiety
90% Depression
76% Trauma and PTSD
76% Self Esteem
73% Relationship Issues
72% Stress
70% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
68% Ambetter
50% QualChoice

How Therapists in Washington County, AR see their clients

86% In Person and Online
14% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Washington County?

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.