Therapists in 60189
![Photo of Krystal Fowlkes, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/907241a6-3a80-44b4-a062-fd84dc60e417/1/320x400.jpeg)
Krystal Fowlkes, LCSW, LICSW, practicing at LifeStance Health in Illinois, is dedicated to helping children build selfawareness and accountability to succeed both at school and home. Serving the Illinois community, she brings a wealth of experience from her background as an elementary school social worker. Krystal specializes in assisting children and adolescents, working closely with them to normalize social emotional learning and support their emotional and behavioral growth. Krystal is passionate about addressing childhood behavior issues, ADHD, and PTSD/trauma.
Krystal Fowlkes, LCSW, LICSW, practicing at LifeStance Health in Illinois, is dedicated to helping children build selfawareness and accountability to succeed both at school and home. Serving the Illinois community, she brings a wealth of experience from her background as an elementary school social worker. Krystal specializes in assisting children and adolescents, working closely with them to normalize social emotional learning and support their emotional and behavioral growth. Krystal is passionate about addressing childhood behavior issues, ADHD, and PTSD/trauma.
![Photo of Shannon Dudzienski, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e665ba10-ac91-402a-86be-e246b98eb060/1/320x400.jpeg)
Shannon Dudzienski is a Licensed Social Worker in Illinois with 4 years of experience. She received her Associate of Arts from then College of DuPage, and then transferred to Northern Illinois University to obtain her Bachelor in Psychology, followed by her Master in Social Work. Shannon believes in a strength-based and client-centered approach. She provides support, validation, a welcoming environment, and meets clients where they are at. Her treatment philosophy includes using interventions such as cognitive-behavioral therapy, acceptance and commitment therapy, dialectical behavioral therapy, art therapy, and play therapy.
Shannon Dudzienski is a Licensed Social Worker in Illinois with 4 years of experience. She received her Associate of Arts from then College of DuPage, and then transferred to Northern Illinois University to obtain her Bachelor in Psychology, followed by her Master in Social Work. Shannon believes in a strength-based and client-centered approach. She provides support, validation, a welcoming environment, and meets clients where they are at. Her treatment philosophy includes using interventions such as cognitive-behavioral therapy, acceptance and commitment therapy, dialectical behavioral therapy, art therapy, and play therapy.
![Photo of Aliyah Levi, MS, LCPC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bc4672e7-5a99-42c4-a5e2-5ec592b83fcb/2/320x400.jpeg)
Aliyah Levi
Clinical Social Work/Therapist, MS, LCPC
Verified Verified
1 Endorsed
Wheaton, IL 60189 (Online Only)
I use trauma informed care to connect with individuals and help clients and families through emotional distress. I use humor, unconditional positive regard and clinical approaches to assess, diagnose and offer behavioral intervention strategies that promote positive growth, healing and increase life satisfaction.
I use trauma informed care to connect with individuals and help clients and families through emotional distress. I use humor, unconditional positive regard and clinical approaches to assess, diagnose and offer behavioral intervention strategies that promote positive growth, healing and increase life satisfaction.
![Photo of Stephanie Key, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5230ff2d-c86b-4e8e-a5b6-a77c23cc8fea/1/320x400.jpeg)
Steph Key is a Licensed Master Social Worker in Illinois who has been practicing since 2022. Steph's approach is person centered with an emphasis on mindfulness, play, and community care from a trauma informed perspective. They utilize CBT, narrative, mindfulness, DBT, and play therapy. Steph is currently working on developing a combination of play and narrative therapeutic models for adults through creativity and creative writing. They firmly believe that clients are the experts, and they are students on a journey together.
Steph Key is a Licensed Master Social Worker in Illinois who has been practicing since 2022. Steph's approach is person centered with an emphasis on mindfulness, play, and community care from a trauma informed perspective. They utilize CBT, narrative, mindfulness, DBT, and play therapy. Steph is currently working on developing a combination of play and narrative therapeutic models for adults through creativity and creative writing. They firmly believe that clients are the experts, and they are students on a journey together.
![Photo of Krystal Fowlkes, LCSW, MSW, PEL, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4298e8a3-7158-49d5-84af-cd521b761151/1/320x400.jpeg)
Krystal Fowlkes
Clinical Social Work/Therapist, LCSW, MSW, PEL
Verified Verified
Wheaton, IL 60189 (Online Only)
I am a behavior coach committed to developing self-awareness and accountability in school-aged children. I am a Licensed Clinical Social Worker with a background as an elementary school social worker. I am passionate about addressing childhood behavior issues, ADHD, and Anxiety. By working with parents, I help develop easy-to-use behavioral interventions that can be implemented at home, ensuring a consistent and supportive approach across different settings. I believe in the power of healthy and direct communication to bring about meaningful change.
I am a behavior coach committed to developing self-awareness and accountability in school-aged children. I am a Licensed Clinical Social Worker with a background as an elementary school social worker. I am passionate about addressing childhood behavior issues, ADHD, and Anxiety. By working with parents, I help develop easy-to-use behavioral interventions that can be implemented at home, ensuring a consistent and supportive approach across different settings. I believe in the power of healthy and direct communication to bring about meaningful change.
I am a licensed clinical psychologist and forensic specialist with more than 35 years of experience helping people. My treatment approach encourages patients to be active participants in their own therapeutic growth and I have vast experience in the treatment of depression, obsessive-compulsive disorders, panic and anxiety disorders in all age groups, including children, and in forensic psychology.
I am a licensed clinical psychologist and forensic specialist with more than 35 years of experience helping people. My treatment approach encourages patients to be active participants in their own therapeutic growth and I have vast experience in the treatment of depression, obsessive-compulsive disorders, panic and anxiety disorders in all age groups, including children, and in forensic psychology.
![Photo of Sukhi Sandhu, LCPC, Pre-Licensed Professional](https://photos.psychologytoday.com/65383d79-3d59-402f-8bf3-1ad32d5579f8/1/320x400.png)
Sukhi Sandhu is a Licensed Professional Counselor in Illinois who has been practicing since 2019. Her educational background includes an MS in Clinical Mental Health Counseling and a B.A. in Psychology from the University of Illinois Urbana/Champaign. Sukhi helps adults, adolescents, and families to find healthy perceptions of themselves and strengthen their relationships so they can know themselves as peaceful, complete, whole, and safe.
Sukhi Sandhu is a Licensed Professional Counselor in Illinois who has been practicing since 2019. Her educational background includes an MS in Clinical Mental Health Counseling and a B.A. in Psychology from the University of Illinois Urbana/Champaign. Sukhi helps adults, adolescents, and families to find healthy perceptions of themselves and strengthen their relationships so they can know themselves as peaceful, complete, whole, and safe.
![Photo of Merry Salamida, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6f654f28-fc38-4972-858c-5d579f03cbe2/7/320x400.png)
Merry Salamida
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Wheaton, IL 60189 (Online Only)
Currently on maternity leave. I will be accepting new clients in May.
Currently on maternity leave. I will be accepting new clients in May.
![Photo of Maggie Spoelhof, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0b5c7801-41e6-4cda-8d5e-15a627dcb520/2/320x400.jpeg)
Hello, I'm Maggie! I'm a Licensed Clinical Social Worker (LCSW). The bulk of my work history has been in child welfare and working with children and youth in the context of their families. We all have a lot of navigating to do and I really enjoy walking alongside individuals as they pilot life's transitions. Adjusting can be hard, scary work. How can I help support you along life's path in ways that empower and, at times, challenge you? Let me help encourage and support you in discovering your potential through healthy change. Let's redefine your potential and find purpose by starting exactly where you are, today.
Hello, I'm Maggie! I'm a Licensed Clinical Social Worker (LCSW). The bulk of my work history has been in child welfare and working with children and youth in the context of their families. We all have a lot of navigating to do and I really enjoy walking alongside individuals as they pilot life's transitions. Adjusting can be hard, scary work. How can I help support you along life's path in ways that empower and, at times, challenge you? Let me help encourage and support you in discovering your potential through healthy change. Let's redefine your potential and find purpose by starting exactly where you are, today.
![Photo of Kate Hendrix Foster, MS, EdS, Pre-Licensed Professional](https://photos.psychologytoday.com/88876e4e-d0aa-45e4-a52a-d5d2d180ebe0/1/320x400.jpeg)
Are you someone who is ready (or is on a path to being ready) to address personal challenges? Are you feeling overwhelmed by life, going through a change, experiencing cognitive dissonance, struggling body image or self-conceptualization, or seeking guidance to create a balanced, healthy life? Do want a compassionate, experienced therapist to help you explore underlying issues, set realistic goals, and develop coping strategies? Do you just need an outlet? I operate out of a studio that combines talk therapy with personal training, yoga, neuroscience based movement, physical therapy solutions, and nutrition - we can tackle it all!
Are you someone who is ready (or is on a path to being ready) to address personal challenges? Are you feeling overwhelmed by life, going through a change, experiencing cognitive dissonance, struggling body image or self-conceptualization, or seeking guidance to create a balanced, healthy life? Do want a compassionate, experienced therapist to help you explore underlying issues, set realistic goals, and develop coping strategies? Do you just need an outlet? I operate out of a studio that combines talk therapy with personal training, yoga, neuroscience based movement, physical therapy solutions, and nutrition - we can tackle it all!
![Photo of Andrew C Nichols, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bd6a18c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Do you feel stuck, trapped, dissatisfied? Has motivation become a problem? Are you plagued by worries? You are not alone. We all encounter periods when we feel "boxed in" by life. I believe people seek therapy when they come to a point where they have tried everything they can think of and nothing has worked to their satisfaction. This is not a sign of illness, disorder, or weakness. On the contrary, it is often at this point that a person is on the verge of a new way of seeing themselves, their problems, their life.
Do you feel stuck, trapped, dissatisfied? Has motivation become a problem? Are you plagued by worries? You are not alone. We all encounter periods when we feel "boxed in" by life. I believe people seek therapy when they come to a point where they have tried everything they can think of and nothing has worked to their satisfaction. This is not a sign of illness, disorder, or weakness. On the contrary, it is often at this point that a person is on the verge of a new way of seeing themselves, their problems, their life.
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![Photo of Laura A Bauhof, PhD, Psychologist](https://photos.psychologytoday.com/409da35c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Even when you are feeling stressed, worried or depressed it can be hard to reach out for help. I offer experience in therapy to help individuals and families facing difficulty with depression, anxiety, parenting stress, and ADHD. I also offer a safe place to address concerns related to identity development, life transitions, stress management, and other issues. Even though your problem may be similar to others' your experience is unique. I hope to learn about the unique personal, family and cultural circumstances that impact you to help you find your way.
Even when you are feeling stressed, worried or depressed it can be hard to reach out for help. I offer experience in therapy to help individuals and families facing difficulty with depression, anxiety, parenting stress, and ADHD. I also offer a safe place to address concerns related to identity development, life transitions, stress management, and other issues. Even though your problem may be similar to others' your experience is unique. I hope to learn about the unique personal, family and cultural circumstances that impact you to help you find your way.
![Photo of Zachary Simms - The Present Method, LLC, MS, LCPC](https://photos.psychologytoday.com/14e9fb7b-0b5c-4edc-97e9-8a269d5de38d/1/320x400.jpeg)
The Present Method, LLC
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
Wheaton, IL 60189 (Online Only)
Get out of your head and into the present! We help you cope with Anxiety and Depression so you can stop surviving and start thriving! We help clients who feel overwhelmed, stressed and like they never get enough done. Clients who experience tension, irritability, sleep issues and struggle with prioritizing their daily tasks. We offer a unique approach to health and wellness that allows the client to feel better and build resilience. Empowering the client to be productive and enjoy life more.
Get out of your head and into the present! We help you cope with Anxiety and Depression so you can stop surviving and start thriving! We help clients who feel overwhelmed, stressed and like they never get enough done. Clients who experience tension, irritability, sleep issues and struggle with prioritizing their daily tasks. We offer a unique approach to health and wellness that allows the client to feel better and build resilience. Empowering the client to be productive and enjoy life more.
![Photo of Ozzie Gil Garcia, MA, LCPC, Counselor](https://photos.psychologytoday.com/406c4467-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I specialize in working with adults and young adults. Areas of interest include working with client's on anxiety, developing values to live by, assessing their thinking through stressful events and situations to better manage in the future, coping skills to help in moments where emotions or thoughts seem to take over. I help client talk out there situations as if we are looking at a hologram of what's been going on in their lives. We look to understand and change. I believe that everyone has the capacity to change, we sometimes need help finding that ability within us. https://www.youtube.com/channel/UCgeWj2eQlHoBEuUe8Q9ePEQ
I specialize in working with adults and young adults. Areas of interest include working with client's on anxiety, developing values to live by, assessing their thinking through stressful events and situations to better manage in the future, coping skills to help in moments where emotions or thoughts seem to take over. I help client talk out there situations as if we are looking at a hologram of what's been going on in their lives. We look to understand and change. I believe that everyone has the capacity to change, we sometimes need help finding that ability within us. https://www.youtube.com/channel/UCgeWj2eQlHoBEuUe8Q9ePEQ
![Photo of Kyla Donovan, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/705e5753-bb9a-4e97-be21-ceb3c3d49d15/1/320x400.jpeg)
Ready to rewrite your story? I am here to help you break free from the grips of anxiety, depression and self-doubt. As a therapist, I do not just listen, I empower. I guide individuals towards reclaiming their inner strength and rewriting their narrative to one of resilience and growth. Whether you're navigating life's toughest challenges, seeking clarity in chaos, or simply ready to thrive, let's embark on this transformative journey together.
Ready to rewrite your story? I am here to help you break free from the grips of anxiety, depression and self-doubt. As a therapist, I do not just listen, I empower. I guide individuals towards reclaiming their inner strength and rewriting their narrative to one of resilience and growth. Whether you're navigating life's toughest challenges, seeking clarity in chaos, or simply ready to thrive, let's embark on this transformative journey together.
![Photo of Brittany Heard, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/984d2835-77aa-4b49-80a4-5671f7cdefc4/1/320x400.jpeg)
Brittany Heard, a Licensed Social Worker in Illinois, is dedicated to guiding individuals on their path to recovery and healing. With an MSW in Social Work and a B.A. in Sociology, she brings a profound understanding of the complexities of human behavior to her practice. Brittany's expertise extends to a range of specialties, including adoption and foster care, providing support to individuals navigating the intricacies of DCFS and court-involved treatment. She's particularly skilled in addressing substance use disorders, helping individuals on the journey to sobriety.
Brittany Heard, a Licensed Social Worker in Illinois, is dedicated to guiding individuals on their path to recovery and healing. With an MSW in Social Work and a B.A. in Sociology, she brings a profound understanding of the complexities of human behavior to her practice. Brittany's expertise extends to a range of specialties, including adoption and foster care, providing support to individuals navigating the intricacies of DCFS and court-involved treatment. She's particularly skilled in addressing substance use disorders, helping individuals on the journey to sobriety.
![Photo of Lisa Dyer - Lisa Dyer, LCPC, RYT-500](https://photos.psychologytoday.com/48e81b43-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
In today’s fast-paced world, many of us carry emotional burdens that impact our well-being and quality of life. Whether you’re feeling overwhelmed by past traumas, struggling with anxiety or stress, or seeking a deeper connection to self, I offer a range of integrative therapies to support your journey toward healing and growth. Clients can expect a warm, compassionate, and safe environment where their journey is honored. By integrating EMDR’s powerful technique for processing trauma and distress with the calming and restorative benefits of yoga therapy, I help clients navigate their inner landscapes and find harmony within.
In today’s fast-paced world, many of us carry emotional burdens that impact our well-being and quality of life. Whether you’re feeling overwhelmed by past traumas, struggling with anxiety or stress, or seeking a deeper connection to self, I offer a range of integrative therapies to support your journey toward healing and growth. Clients can expect a warm, compassionate, and safe environment where their journey is honored. By integrating EMDR’s powerful technique for processing trauma and distress with the calming and restorative benefits of yoga therapy, I help clients navigate their inner landscapes and find harmony within.
![Photo of Caren Talbot, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/400edbff-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I enjoy making a connection with children and building trust with them through empathy, compassion, and education. We are then able to develop a relationship where I can help that child make a positive change in their thinking and behavior. I work collaboratively with parents and teachers to help facilitate these changes in the home and school environment. As both a school social worker and clinical therapist, I bring years of experience to help your child develop the skills necessary to overcome their individual challenges. I look forward to working with you!
I enjoy making a connection with children and building trust with them through empathy, compassion, and education. We are then able to develop a relationship where I can help that child make a positive change in their thinking and behavior. I work collaboratively with parents and teachers to help facilitate these changes in the home and school environment. As both a school social worker and clinical therapist, I bring years of experience to help your child develop the skills necessary to overcome their individual challenges. I look forward to working with you!
![Photo of Barbara Giordan, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c8018297-3270-4805-bbec-ea255a28591a/2/320x400.png)
Barb Giordan, MSW, LCSW, is gentle, compassionate and open. Her life is shaped by a passion to help others, and she is honored and privileged to listen to people's stories and come along side those who are suffering. Barb received an MSW from the University of Connecticut and a BA from Fairfield University. With over 20 years experience in the mental health field, Barb worked in an inpatient hospital, a day school program, and several private practice settings, including a Christian counseling center.
Barb Giordan, MSW, LCSW, is gentle, compassionate and open. Her life is shaped by a passion to help others, and she is honored and privileged to listen to people's stories and come along side those who are suffering. Barb received an MSW from the University of Connecticut and a BA from Fairfield University. With over 20 years experience in the mental health field, Barb worked in an inpatient hospital, a day school program, and several private practice settings, including a Christian counseling center.
![Photo of Linda Cunningham, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/39732ae5-9a8e-47f0-9be0-3bbae3cc8ebb/1/320x400.jpeg)
Linda K Cunningham is a Licensed Clinical Professional Counselor in Illinois who has been in the mental health field since 2003. Linda’s focus in therapy is on individuality. You are unique and the therapeutic process should absolutely celebrate that uniqueness. Well-being isn’t only about decreasing existing struggles; it should also build on your current strengths and develop new ones to help create the future you desire.
Linda K Cunningham is a Licensed Clinical Professional Counselor in Illinois who has been in the mental health field since 2003. Linda’s focus in therapy is on individuality. You are unique and the therapeutic process should absolutely celebrate that uniqueness. Well-being isn’t only about decreasing existing struggles; it should also build on your current strengths and develop new ones to help create the future you desire.
See more therapy options for 60189
How does your Therapist compare?
Number of Therapists in 60189
100+
Average cost per session
$150
Therapists in 60189 who prioritize treating:
94% | Anxiety |
90% | Depression |
71% | Self Esteem |
70% | Relationship Issues |
67% | Grief |
65% | Trauma and PTSD |
65% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
95% | BlueCross and BlueShield |
66% | Aetna |
51% | Cigna and Evernorth |
How Therapists in 60189 see their clients
78% | In Person and Online | |
22% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 60189?
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
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.
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.
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.