Photo of Roger Higginbotham, MA, LPCC-S, RSP
Roger Higginbotham
Licensed Professional Clinical Counselor, MA, LPCC-S, RSP
Verified Verified
Fredericktown, OH 43019
From daily stressors and life decisions to anxiety and depression to trauma and pain, everyone is facing something. Everyone could benefit from mental health therapy. Sometimes it is short term, often it is longer term, yet everyone can discover answers, solve problems, set goals, and level up. Whether you need assistance with making a decision, are struggling with on-going problems, or need healing from deep pain, you can find growth and healing. If you want to feel better or work on becoming your best self or something in between, you can find it here.
From daily stressors and life decisions to anxiety and depression to trauma and pain, everyone is facing something. Everyone could benefit from mental health therapy. Sometimes it is short term, often it is longer term, yet everyone can discover answers, solve problems, set goals, and level up. Whether you need assistance with making a decision, are struggling with on-going problems, or need healing from deep pain, you can find growth and healing. If you want to feel better or work on becoming your best self or something in between, you can find it here.
(419) 871-4669 View (419) 871-4669
Photo of Caterina Hutchison, LISW
Caterina Hutchison
LISW
Verified Verified
Fredericktown, OH 43019
Hello. My name is Caterina Hutchison. I am a Licensed Independent Social Worker and have been practicing in the social work field for 20 years. I have worked with many populations, including children, adults, and older adults who have been diagnosed with anxiety, phobias, depression, personality disorders, PTSD, and bipolar disorders. I utilize several counseling techniques, including CBT, Motivational Interviewing, Person-Centered, SFBT, and Supportive therapies during treatments with my clients. I have always been dedicated to helping others and will continue down this path until the end of my career.
Hello. My name is Caterina Hutchison. I am a Licensed Independent Social Worker and have been practicing in the social work field for 20 years. I have worked with many populations, including children, adults, and older adults who have been diagnosed with anxiety, phobias, depression, personality disorders, PTSD, and bipolar disorders. I utilize several counseling techniques, including CBT, Motivational Interviewing, Person-Centered, SFBT, and Supportive therapies during treatments with my clients. I have always been dedicated to helping others and will continue down this path until the end of my career.
(513) 643-5801 View (513) 643-5801
Photo of Richelle Walker, LPCC, Counselor
Richelle Walker
Counselor, LPCC
Verified Verified
2 Endorsed
Fredericktown, OH 43019  (Online Only)
Waitlist for new clients
Right now, life may feel hard. You’ve faced many challenges that seemed to have come out of nowhere, and you're constantly doing your best to navigate through them. You struggle to set healthy boundaries and often feel overwhelmed. Asking for help isn't always easy. You may say to yourself, “What will people think? I can figure it out on my own.” It’s tough because you usually go at it alone, carrying the load and bearing the burden. However, deep down inside, you know that something isn't quite right and that you could use some support. Does this sound familiar?
Right now, life may feel hard. You’ve faced many challenges that seemed to have come out of nowhere, and you're constantly doing your best to navigate through them. You struggle to set healthy boundaries and often feel overwhelmed. Asking for help isn't always easy. You may say to yourself, “What will people think? I can figure it out on my own.” It’s tough because you usually go at it alone, carrying the load and bearing the burden. However, deep down inside, you know that something isn't quite right and that you could use some support. Does this sound familiar?
(513) 949-4168 View (513) 949-4168

More Therapists Nearby

Photo of Gary Russell, MA, LPCC-S, LICDC, CRC, Counselor
Gary Russell
Counselor, MA, LPCC-S, LICDC, CRC
Verified Verified
Ontario, OH 44906
Compassionate care for different walks of life. I understand that each person's journey is unique, and their struggles, challenges, and goals are deeply personal. My commitment is to offer tailored counseling and support that respects and honors these differences. Adults, Youth, Individuals, Couples, Family, LGBTQ+, People with disabilities, Vocational Counseling, Rehabilitation Counseling, Mental Health, Anxiety, Depression, PTSD/Trauma, Support for Medication Assisted Treatment, Religious Abuse, ADHD, Anger Management, Substance Use, Adjustment to Disability, Cultural Counseling if New or Returning to the US
Compassionate care for different walks of life. I understand that each person's journey is unique, and their struggles, challenges, and goals are deeply personal. My commitment is to offer tailored counseling and support that respects and honors these differences. Adults, Youth, Individuals, Couples, Family, LGBTQ+, People with disabilities, Vocational Counseling, Rehabilitation Counseling, Mental Health, Anxiety, Depression, PTSD/Trauma, Support for Medication Assisted Treatment, Religious Abuse, ADHD, Anger Management, Substance Use, Adjustment to Disability, Cultural Counseling if New or Returning to the US
(419) 757-8587 View (419) 757-8587
Photo of Kathleen Holmes, MA, LPCC, Counselor
Kathleen Holmes
Counselor, MA, LPCC
Verified Verified
3 Endorsed
Mount Vernon, OH 43050
Though qualified to work with a variety of mental health issues, I offer particular expertise in the areas of trauma, depression, anxiety, and abuse related issues. While the majority of clients are seen individually, I have a great desire to help couples strengthen and enhance their marriage relationships. If you are looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
Though qualified to work with a variety of mental health issues, I offer particular expertise in the areas of trauma, depression, anxiety, and abuse related issues. While the majority of clients are seen individually, I have a great desire to help couples strengthen and enhance their marriage relationships. If you are looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(740) 396-8970 View (740) 396-8970
Photo of Jasmine Gibson, LCSW, Clinical Social Work/Therapist
Jasmine Gibson
Clinical Social Work/Therapist, LCSW
Verified Verified
Gambier, OH 43022  (Online Only)
Welcome to the first step of your therapeutic journey. My job is guide you in unpacking the many complexities of daily life: stress, anxiety, relationships, confidence, and other challenges. When we meet, we will create a space where your feelings and thoughts matter. I am Licensed Independent/Clinical Social Worker in Ohio, Pennsylvania, and New York. I offer one-on-one online therapy services. I received my Masters of Social Work from Hunter College. For nearly a decade, I have provided therapy for people of all ages and backgrounds.
Welcome to the first step of your therapeutic journey. My job is guide you in unpacking the many complexities of daily life: stress, anxiety, relationships, confidence, and other challenges. When we meet, we will create a space where your feelings and thoughts matter. I am Licensed Independent/Clinical Social Worker in Ohio, Pennsylvania, and New York. I offer one-on-one online therapy services. I received my Masters of Social Work from Hunter College. For nearly a decade, I have provided therapy for people of all ages and backgrounds.
(220) 205-2330 View (220) 205-2330
Photo of Courtney Walker, MS, IMFT, Marriage & Family Therapist
Courtney Walker
Marriage & Family Therapist, MS, IMFT
Verified Verified
Cardington, OH 43315
Not accepting new clients
I am licensed as an independent marriage and family therapist and have additional certifications in EMDR, TF-CBT, and MBSR. While I am experienced in general diagnosis including anxiety, depression, ADHD, bipolar disorder I also have in-depth experience in various trauma's, substance use disorders, family conflict, DID and phobias. At this time I can accept Anthem, Blue Cross Blue Shield, Oxford, Oscar Health, United Healthcare and Aetna.
I am licensed as an independent marriage and family therapist and have additional certifications in EMDR, TF-CBT, and MBSR. While I am experienced in general diagnosis including anxiety, depression, ADHD, bipolar disorder I also have in-depth experience in various trauma's, substance use disorders, family conflict, DID and phobias. At this time I can accept Anthem, Blue Cross Blue Shield, Oxford, Oscar Health, United Healthcare and Aetna.
View
Photo of Catherine Kolleth, LPCC, Counselor
Catherine Kolleth
Counselor, LPCC
Verified Verified
Mansfield, OH 44902  (Online Only)
I have been in the profession for over 12 years, and in that time I have worked with a large variety of clients. I started working in a mental health residential treatment facility for adolescents, then worked in community health care, substance abuse residential treatment and private practice. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, addictions and LGBTQ+ hurdles. I have also helped many people who have experienced physical trauma or emotional abuse heal and become healthier, as well as embrace the happiness in their lives.
I have been in the profession for over 12 years, and in that time I have worked with a large variety of clients. I started working in a mental health residential treatment facility for adolescents, then worked in community health care, substance abuse residential treatment and private practice. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, addictions and LGBTQ+ hurdles. I have also helped many people who have experienced physical trauma or emotional abuse heal and become healthier, as well as embrace the happiness in their lives.
(419) 601-6273 View (419) 601-6273
Photo of Lindsay A Miller, MS, LPCC-S, Counselor
Lindsay A Miller
Counselor, MS, LPCC-S
Verified Verified
Mount Vernon, OH 43050
Resilience, adaptability, and the capacity to handle loss and hardship are core human traits. Sometimes life is really good, and sometimes it's really hard. I believe in the human spirit and the capacity for growth, healing, and fulfillment. We all deserve to live meaningful lives, and I will show you how to do that in a way that doesn't require you to judge yourself, that involves acceptance, flexibility, and commitment. Pain in life is inevitable; suffering is not. I can show you how to get out of your head and start living again.
Resilience, adaptability, and the capacity to handle loss and hardship are core human traits. Sometimes life is really good, and sometimes it's really hard. I believe in the human spirit and the capacity for growth, healing, and fulfillment. We all deserve to live meaningful lives, and I will show you how to do that in a way that doesn't require you to judge yourself, that involves acceptance, flexibility, and commitment. Pain in life is inevitable; suffering is not. I can show you how to get out of your head and start living again.
(740) 326-4329 View (740) 326-4329
Photo of Jill A Waite, LPCC-S, Counselor
Jill A Waite
Counselor, LPCC-S
Verified Verified
Mansfield, OH 44906
Not accepting new clients
Please check back at a later date for availabilty - currently unable to schedule new clients. Thank you. Brook Run Counseling & Consulting is a private mental health office located in Mansfield/Ontario, Ohio. Jill A. Waite, LPCC-S, opened her agency with the intent to advocate, encourage, educate, and empower people on their journey of emotional healing. Jill has been a licensed counselor since 2004, and in 2017, became certified as an EMDR therapist.
Please check back at a later date for availabilty - currently unable to schedule new clients. Thank you. Brook Run Counseling & Consulting is a private mental health office located in Mansfield/Ontario, Ohio. Jill A. Waite, LPCC-S, opened her agency with the intent to advocate, encourage, educate, and empower people on their journey of emotional healing. Jill has been a licensed counselor since 2004, and in 2017, became certified as an EMDR therapist.
(567) 236-8221 View (567) 236-8221
Photo of Jessica Singrey, LPCC-S, Counselor
Jessica Singrey
Counselor, LPCC-S
Verified Verified
Gambier, OH 43022  (Online Only)
Are you desiring to feel more confident in yourself and to have a healthier, more fulfilling life? Are you looking for freedom and hope in ongoing areas of struggle? Wanting more for yourself is a good thing! Seeking help is healthy and takes courage. Finding the right therapist can be intimidating and building a trusting relationship with a therapist can take time. I understand how difficult it can be to be vulnerable. We will work together to find an approach best suited to your unique challenges and goals.
Are you desiring to feel more confident in yourself and to have a healthier, more fulfilling life? Are you looking for freedom and hope in ongoing areas of struggle? Wanting more for yourself is a good thing! Seeking help is healthy and takes courage. Finding the right therapist can be intimidating and building a trusting relationship with a therapist can take time. I understand how difficult it can be to be vulnerable. We will work together to find an approach best suited to your unique challenges and goals.
(513) 506-9380 View (513) 506-9380
Photo of Susan Marie Sandwall, MSW, LISW-S, Clinical Social Work/Therapist
Susan Marie Sandwall
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Mansfield, OH 44906
You are here, reaching out...this first step is the hardest! Together, we can walk through the storm; remove the road block; lift the weight; redesign the roadmap. Together, we can identify all the strengths and tools you already have and build upon them to get untuck and moving forward. You are not alone.
You are here, reaching out...this first step is the hardest! Together, we can walk through the storm; remove the road block; lift the weight; redesign the roadmap. Together, we can identify all the strengths and tools you already have and build upon them to get untuck and moving forward. You are not alone.
(419) 909-3610 View (419) 909-3610
Photo of Kelley M Beckett - Freedom Counseling, Coaching, and Consulting, LLC, MEd, LPC, Licensed Professional Counselor
Freedom Counseling, Coaching, and Consulting, LLC
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Mount Vernon, OH 43050
I have been working with individuals and families in non-profit settings for 18 years. I have masters degrees in both education and clinical mental health counseling and years of experience in non-profit management, such as teaching, training, grant writing, policy writing, and research. I specialize in helping individuals, couples, and families identify and achieve their goals by overcoming those issues that cause distress and anxiety.
I have been working with individuals and families in non-profit settings for 18 years. I have masters degrees in both education and clinical mental health counseling and years of experience in non-profit management, such as teaching, training, grant writing, policy writing, and research. I specialize in helping individuals, couples, and families identify and achieve their goals by overcoming those issues that cause distress and anxiety.
(740) 218-4108 View (740) 218-4108
Photo of April Smith, LPCC
April Smith
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Gambier, OH 43022
I am a Licensed Professional Clinical Counselor dedicated to helping people rediscover their inner strengths to work toward their goals. We all go through emotional struggles or challenging stressors that can be overwhelming. We can navigate these struggles together and develop new strategies to cope and thrive. I am honored to help people heal from traumatic events and reclaim their lives, emerging stronger than they ever imagined.
I am a Licensed Professional Clinical Counselor dedicated to helping people rediscover their inner strengths to work toward their goals. We all go through emotional struggles or challenging stressors that can be overwhelming. We can navigate these struggles together and develop new strategies to cope and thrive. I am honored to help people heal from traumatic events and reclaim their lives, emerging stronger than they ever imagined.
(330) 892-9471 View (330) 892-9471
Photo of Branden Heineman - Calvary Behavioral Health and Counseling , LPCC-CS, Counselor
Calvary Behavioral Health and Counseling
Counselor, LPCC-CS
Verified Verified
1 Endorsed
Mansfield, OH 44901  (Online Only)
Welcome to Calvary Behavioral Health, where healing meets faith. At our practice, we offer a unique approach to therapy that integrates Christian principles with evidence-based techniques to provide holistic care for individuals seeking mental and emotional well-being. Whether you're a devout Christian seeking therapy that aligns with your faith or someone from any background looking for compassionate support, we welcome you with open arms.
Welcome to Calvary Behavioral Health, where healing meets faith. At our practice, we offer a unique approach to therapy that integrates Christian principles with evidence-based techniques to provide holistic care for individuals seeking mental and emotional well-being. Whether you're a devout Christian seeking therapy that aligns with your faith or someone from any background looking for compassionate support, we welcome you with open arms.
(513) 270-2871 View (513) 270-2871
Photo of Frescia Erica Poth, MSW, LISW-S, Clinical Social Work/Therapist
Frescia Erica Poth
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Mansfield, OH 44907  (Online Only)
I’m Frescia Poth, a Licensed Independent Social Worker with Supervisory Status (LISW-S), and I’m here to support you on your journey toward healing and growth. With over 10 years of experience working as a therapist in both community mental health and private practice, I’ve had the privilege of helping individuals like you navigate a range of challenges, from depression and anxiety to trauma, adjustment disorders, and more.
I’m Frescia Poth, a Licensed Independent Social Worker with Supervisory Status (LISW-S), and I’m here to support you on your journey toward healing and growth. With over 10 years of experience working as a therapist in both community mental health and private practice, I’ve had the privilege of helping individuals like you navigate a range of challenges, from depression and anxiety to trauma, adjustment disorders, and more.
(216) 480-7947 View (216) 480-7947
Photo of Kellie Dawson, LISW-S, Clinical Social Work/Therapist
Kellie Dawson
Clinical Social Work/Therapist, LISW-S
Verified Verified
Mount Gilead, OH 43338
I am an independently licensed social worker with over 29 years of experience working in the field of mental health. I believe strongly in the value of the client-therapist relationship and have become passionate about building strong therapeutic alliances with my clients. I practice from the assumption that behavioral changes and greater peace can be achieved, as long as the conditions are present to promote courageous self-disclosure.
I am an independently licensed social worker with over 29 years of experience working in the field of mental health. I believe strongly in the value of the client-therapist relationship and have become passionate about building strong therapeutic alliances with my clients. I practice from the assumption that behavioral changes and greater peace can be achieved, as long as the conditions are present to promote courageous self-disclosure.
(740) 520-8113 View (740) 520-8113
Photo of Crystal Russell, LPCC, Counselor
Crystal Russell
Counselor, LPCC
Verified Verified
Mansfield, OH 44907  (Online Only)
I enjoy working with people of all ages, but I am passionate about the next generation. Children, adolescents, and young adults have a plethora of information overloading their minds and bodies daily. Often, this information causes sensory overload and produces feelings of distress that manifest as depression, anxiety, social isolation, disconnection, and much more. I believe that by providing a safe space to question, process, and examine the world, children, teens, and young adults can heal from traumatic experiences, grow into their purpose, and become resilient and self-empowered individuals.
I enjoy working with people of all ages, but I am passionate about the next generation. Children, adolescents, and young adults have a plethora of information overloading their minds and bodies daily. Often, this information causes sensory overload and produces feelings of distress that manifest as depression, anxiety, social isolation, disconnection, and much more. I believe that by providing a safe space to question, process, and examine the world, children, teens, and young adults can heal from traumatic experiences, grow into their purpose, and become resilient and self-empowered individuals.
(380) 333-6033 View (380) 333-6033
Photo of Laura B Brennstuhl, LISW-S, Clinical Social Work/Therapist
Laura B Brennstuhl
Clinical Social Work/Therapist, LISW-S
Verified Verified
Perrysville, OH 44864  (Online Only)
My name is Laura and I graduated from The Ohio State University in 2016 with my Master's degree in Social Work. I've worked with multiple populations including adults with severe mental illness with comorbid addiction issues, adults and adolescents with acute trauma, adults with anxiety and depression, the geriatric population and crisis intervention. My passion lies working with people in a clinical setting, long term. Have you found yourself struggling to manage daily activities? Are you feeling overwhelmed by constant pressure in your life?
My name is Laura and I graduated from The Ohio State University in 2016 with my Master's degree in Social Work. I've worked with multiple populations including adults with severe mental illness with comorbid addiction issues, adults and adolescents with acute trauma, adults with anxiety and depression, the geriatric population and crisis intervention. My passion lies working with people in a clinical setting, long term. Have you found yourself struggling to manage daily activities? Are you feeling overwhelmed by constant pressure in your life?
(567) 212-2425 View (567) 212-2425
Photo of Christine Gemberling, LCSW, Clinical Social Work/Therapist
Christine Gemberling
Clinical Social Work/Therapist, LCSW
Verified Verified
Cardington, OH 43315
Hello! I am a Licensed Independent Social Worker (LISW) with over ten years of experience working with clients on various issues. Such issues include Anxiety, Bipolar Disorder, Depression, Behavioral Issues, Career Counseling, Coping Skills, Elderly Persons Disorders, Emotional Disturbance, Family Conflict, Grief, Life Transitions, Mood Disorders, Panic Attacks, and Stress. A few modalities I utilize are Client-Centered Therapy, Cognitive Behavioral (CBT), Family Systems, Mindfulness-Based (MBCT), and Supportive therapy. I believe that establishing a trusting therapeutic relationship is key to success in treatment.
Hello! I am a Licensed Independent Social Worker (LISW) with over ten years of experience working with clients on various issues. Such issues include Anxiety, Bipolar Disorder, Depression, Behavioral Issues, Career Counseling, Coping Skills, Elderly Persons Disorders, Emotional Disturbance, Family Conflict, Grief, Life Transitions, Mood Disorders, Panic Attacks, and Stress. A few modalities I utilize are Client-Centered Therapy, Cognitive Behavioral (CBT), Family Systems, Mindfulness-Based (MBCT), and Supportive therapy. I believe that establishing a trusting therapeutic relationship is key to success in treatment.
(513) 599-8832 View (513) 599-8832

See more therapy options for 43019

How does your Therapist compare?

Number of Therapists in 43019

< 10

Therapists in 43019 who prioritize treating:

100% Depression
100% Anxiety
100% Self Esteem
67% Relationship Issues
67% Trauma and PTSD
67% Coping Skills
67% Women's Issues

Average years in practice

9 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Medical Mutual

How Therapists in 43019 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 43019?

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.