Photo of Clint R Limoges, PhD, LPC, Licensed Professional Counselor
Clint R Limoges
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Saint Peters, MO 63376
I specialize in working with children and adolescent using creative counseling modalities (e.g., sand play, bibliotherapy, and creative therapeutic techniques), across a multitude of diagnoses and behavioral issues. I believe that for children or adolescents to make meaningful change, they must learn skills by seeing, hearing, and doing them. Additionally, I recognize the importance of parental involvement in the treatment process and provide important tools for parent to use with their child in the home.
I specialize in working with children and adolescent using creative counseling modalities (e.g., sand play, bibliotherapy, and creative therapeutic techniques), across a multitude of diagnoses and behavioral issues. I believe that for children or adolescents to make meaningful change, they must learn skills by seeing, hearing, and doing them. Additionally, I recognize the importance of parental involvement in the treatment process and provide important tools for parent to use with their child in the home.
(636) 821-8628 View (636) 821-8628
Photo of Danni Stennett, MSW, LCSW, Clinical Social Work/Therapist
Danni Stennett
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Peters, MO 63376
Are you feeling stuck or trapped with behaviors or thoughts that no longer serve you? Maybe you have seen a few therapists, talked endlessly about your trauma, learned coping skills, and you know in your mind that it’s over and in the past but your body still feels disconnected, on high alert, or both. I am certified in EMDR Therapy, a trauma-focused therapy that works with our brain’s natural capacity to digest difficult experiences that keep us stuck. Whether your lived experiences have led you to struggle with depression, intrusive trauma symptoms, or relationship difficulties; I am here to carry it with you.
Are you feeling stuck or trapped with behaviors or thoughts that no longer serve you? Maybe you have seen a few therapists, talked endlessly about your trauma, learned coping skills, and you know in your mind that it’s over and in the past but your body still feels disconnected, on high alert, or both. I am certified in EMDR Therapy, a trauma-focused therapy that works with our brain’s natural capacity to digest difficult experiences that keep us stuck. Whether your lived experiences have led you to struggle with depression, intrusive trauma symptoms, or relationship difficulties; I am here to carry it with you.
(636) 249-2129 View (636) 249-2129
Photo of Lori Gordon, LCSW, Clinical Social Work/Therapist
Lori Gordon
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Peters, MO 63376
My name is Lori Gordon and I am a Licensed Clinical Social Worker based in St. Louis, Missouri. I am licensed in both Missouri and Illinois working with clients statewide via telehealth. I have 16+ years experience treating anxiety, depression, trauma, grief, relationship challenges, and supporting clients with processing difficult emotions. I use a variety of evidence based treatment modalities including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and Brief Solution Focused Therapy. I also treat chronic pain and insomnia.
My name is Lori Gordon and I am a Licensed Clinical Social Worker based in St. Louis, Missouri. I am licensed in both Missouri and Illinois working with clients statewide via telehealth. I have 16+ years experience treating anxiety, depression, trauma, grief, relationship challenges, and supporting clients with processing difficult emotions. I use a variety of evidence based treatment modalities including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and Brief Solution Focused Therapy. I also treat chronic pain and insomnia.
(636) 689-0708 View (636) 689-0708
Photo of Terry G Blanton, MSW, LCSW, Clinical Social Work/Therapist
Terry G Blanton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Peters, MO 63376
Are you feeling lonely, down, and/or anxious? Not sure what you are feeling? Do you have a child or a teen who is lost and needs help with bullying, trauma, self esteem, or aggression? Did you experience abuse or trauma, or need to share a challenge you are going through? Counseling or therapy is a safe environment in which one can feel heard and come together with a neutral person, and form a therapeutic alliance. I am very compassionate, non judgmental, empathic, and easy to talk to. Counseling is all about the therapeutic relationship and feeling you are an equal in this partnership.
Are you feeling lonely, down, and/or anxious? Not sure what you are feeling? Do you have a child or a teen who is lost and needs help with bullying, trauma, self esteem, or aggression? Did you experience abuse or trauma, or need to share a challenge you are going through? Counseling or therapy is a safe environment in which one can feel heard and come together with a neutral person, and form a therapeutic alliance. I am very compassionate, non judgmental, empathic, and easy to talk to. Counseling is all about the therapeutic relationship and feeling you are an equal in this partnership.
(636) 481-5917 View (636) 481-5917
Photo of Sandra DeAtley, LCSW, Clinical Social Work/Therapist
Sandra DeAtley
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Peters, MO 63376
Welcome to my practice! My name is Sandy DeAtley, and I am a licensed clinical social worker. I have 10 years of experience working directly with clients seeking positive change. My approach is always person-centered, and trauma informed. I work towards building a trusting and collaborative relationship with each client so that we can find the best method of treatment tailored to the individual. I have worked with diverse client populations in many walks of life but have the most experience with addiction, anxiety, depression, and trauma.
Welcome to my practice! My name is Sandy DeAtley, and I am a licensed clinical social worker. I have 10 years of experience working directly with clients seeking positive change. My approach is always person-centered, and trauma informed. I work towards building a trusting and collaborative relationship with each client so that we can find the best method of treatment tailored to the individual. I have worked with diverse client populations in many walks of life but have the most experience with addiction, anxiety, depression, and trauma.
(636) 689-0162 View (636) 689-0162
Photo of Megan Helwig, LPC, Licensed Professional Counselor
Megan Helwig
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376
Megan Helwig MA,LPC, has been working in the behavioral field since 2002. She is honored to have worked in a variety of settings and roles, including case management; individual, family, and group/IOP therapy; and as Clinical Director of a Community Mental Health Center in Arizona. Megan graduated Summa Cum Laude from Ottawa University in Phoenix, AZ with a Master's Degree in Professional Counseling. She also earned a Certificate of Advanced Graduate Studies in Clinical Mental Health Counseling and is a member of the National Board of Certified Counselors.
Megan Helwig MA,LPC, has been working in the behavioral field since 2002. She is honored to have worked in a variety of settings and roles, including case management; individual, family, and group/IOP therapy; and as Clinical Director of a Community Mental Health Center in Arizona. Megan graduated Summa Cum Laude from Ottawa University in Phoenix, AZ with a Master's Degree in Professional Counseling. She also earned a Certificate of Advanced Graduate Studies in Clinical Mental Health Counseling and is a member of the National Board of Certified Counselors.
(636) 452-5608 View (636) 452-5608
Photo of Kevin Kohnke, LPC, Licensed Psychoanalyst
Kevin Kohnke
Licensed Psychoanalyst, LPC
Verified Verified
Saint Peters, MO 63376
Kevin J. Kohnke is a Licensed Professional Counselor in Missouri who has been practicing since 2016. Kevin has a Master of Science in Human Development and Family Studies, a Doctor of Ministry in Marriage and Family Counseling, and a PhD in Human Sciences with a focus on Gerontology. Kevin knows what it is like to struggle with depression and anxiety, and he is eager to walk with you to address your mental health needs. Kevin specializes in communication, depression, anxiety and has 17 years of experience working with person who are grieving. Kevin has experience using Cognitive Behavior Therapy, and Solution Focused Therapy.
Kevin J. Kohnke is a Licensed Professional Counselor in Missouri who has been practicing since 2016. Kevin has a Master of Science in Human Development and Family Studies, a Doctor of Ministry in Marriage and Family Counseling, and a PhD in Human Sciences with a focus on Gerontology. Kevin knows what it is like to struggle with depression and anxiety, and he is eager to walk with you to address your mental health needs. Kevin specializes in communication, depression, anxiety and has 17 years of experience working with person who are grieving. Kevin has experience using Cognitive Behavior Therapy, and Solution Focused Therapy.
(636) 337-3093 View (636) 337-3093
Photo of Kira Ann Longoria, MSEd, LPC, Licensed Professional Counselor
Kira Ann Longoria
Licensed Professional Counselor, MSEd, LPC
Verified Verified
1 Endorsed
Saint Peters, MO 63376
You’re likely searching for a therapist who will help you feel comfortable, understood, and safe. You might desire to freely express yourself in a place without judgment, without fear of being labeled or viewed in a certain way. Choosing the right therapist is incredibly important. I have a strong belief that good therapy is based on a secure therapeutic alliance between client and therapist.
You’re likely searching for a therapist who will help you feel comfortable, understood, and safe. You might desire to freely express yourself in a place without judgment, without fear of being labeled or viewed in a certain way. Choosing the right therapist is incredibly important. I have a strong belief that good therapy is based on a secure therapeutic alliance between client and therapist.
(636) 205-1240 View (636) 205-1240
Photo of Susan Corey Hart, MA, LPC, Licensed Professional Counselor
Susan Corey Hart
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376  (Online Only)
We all want to feel connected in this world. Unfortunately, most of us look in the wrong places for comfort. Things, substances, and even other people become escapes from the pain of this life. Helping people recognize what is holding them back is the goal of my practice. In our sessions, we will focus upon your needs as an individual. No two people deal with their problems exactly the same. Habits, patterns, thinking errors often cloud our judgement. Helping you figure out what you want in life and how best to achieve it will be the aim of our time together.
We all want to feel connected in this world. Unfortunately, most of us look in the wrong places for comfort. Things, substances, and even other people become escapes from the pain of this life. Helping people recognize what is holding them back is the goal of my practice. In our sessions, we will focus upon your needs as an individual. No two people deal with their problems exactly the same. Habits, patterns, thinking errors often cloud our judgement. Helping you figure out what you want in life and how best to achieve it will be the aim of our time together.
(636) 791-6232 View (636) 791-6232
Photo of Pamela Weis, LPC, Licensed Professional Counselor
Pamela Weis
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376
I am Pamela Weis, a Licensed Professional Counselor , committed to providing a safe and supportive space for clients, fostering therapeutic relationships founded on compassion, non-judgment, and genuine care. With a client-centered approach, I approach each individual with sensitivity and understanding, acknowledging the unique challenges they encounter on their path to healing and self-discovery. Together, we will collaborate to cultivate healthy relationships, identify obstacles to well-being, and establish realistic, achievable goals that facilitate personal growth and healing.
I am Pamela Weis, a Licensed Professional Counselor , committed to providing a safe and supportive space for clients, fostering therapeutic relationships founded on compassion, non-judgment, and genuine care. With a client-centered approach, I approach each individual with sensitivity and understanding, acknowledging the unique challenges they encounter on their path to healing and self-discovery. Together, we will collaborate to cultivate healthy relationships, identify obstacles to well-being, and establish realistic, achievable goals that facilitate personal growth and healing.
(636) 638-0316 View (636) 638-0316
Photo of Michele Anthony - Michele Anthony, MSW, LCSW, MSW, LCSW, Clinical Social Work/Therapist
Michele Anthony, MSW, LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Peters, MO 63376
Hi, and thank you for checking out my profile. When we meet for the first time, I want you to have an opportunity to be heard. I want to hear your story so that I can learn who you are. Later, our time together will be spent in a give-and-take dynamic. I'll still be listening a lot, but I'll also give feedback. I want you to heal and thrive.
Hi, and thank you for checking out my profile. When we meet for the first time, I want you to have an opportunity to be heard. I want to hear your story so that I can learn who you are. Later, our time together will be spent in a give-and-take dynamic. I'll still be listening a lot, but I'll also give feedback. I want you to heal and thrive.
(636) 249-2116 View (636) 249-2116
Photo of Stacey Remley, LPC, Licensed Professional Counselor
Stacey Remley
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Saint Peters, MO 63376
Depression and anxiety are growing with our changing world. Plans have changed. Life goals have shifted. Uncertainty can suffocate us and lead us spiraling down a path of panic and sorrow. It doesn't have to be that way. Even when the road ahead is not clear, we can shift our thinking and find ways to calm our minds. Options are more plentiful than you may think. Together, we can explore your options and look for new pathways and new ideas for a more pleasing future and fresh start.
Depression and anxiety are growing with our changing world. Plans have changed. Life goals have shifted. Uncertainty can suffocate us and lead us spiraling down a path of panic and sorrow. It doesn't have to be that way. Even when the road ahead is not clear, we can shift our thinking and find ways to calm our minds. Options are more plentiful than you may think. Together, we can explore your options and look for new pathways and new ideas for a more pleasing future and fresh start.
(314) 262-4753 View (314) 262-4753
Photo of Sandra Carol Glatz-Nekula, MA, PLPC, Counselor
Sandra Carol Glatz-Nekula
Counselor, MA, PLPC
Verified Verified
Saint Peters, MO 63376
Whether it's ODD, Conduct Disorder, ADHD, Anxiety, Depression, Childhood Trauma, families in the midst of divorce, individual or marriage counseling , I am here to provide you with coping skills or strategies to get you through the rough times and teach you how to continue using these strategies throughout your life.
Whether it's ODD, Conduct Disorder, ADHD, Anxiety, Depression, Childhood Trauma, families in the midst of divorce, individual or marriage counseling , I am here to provide you with coping skills or strategies to get you through the rough times and teach you how to continue using these strategies throughout your life.
(636) 294-2694 View (636) 294-2694
Photo of Amanda Reed, MA, LPC, Licensed Professional Counselor
Amanda Reed
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Anyone who walks through my door is showing strength and courage in stepping outside of their comfort zone. If you are one of them, I will encourage you to build up your "tool box" of helpful information and reflections to keep for life.
Anyone who walks through my door is showing strength and courage in stepping outside of their comfort zone. If you are one of them, I will encourage you to build up your "tool box" of helpful information and reflections to keep for life.
(636) 294-2694 View (636) 294-2694
Photo of Chad E Griffin, MA, LPC, Licensed Professional Counselor
Chad E Griffin
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Does something have you down? Perhaps you feel like you’ve been knocked sideways, or maybe things just don’t feel right. Life and its many changes can leave us uncertain about what to do next, that’s where counseling can step in. Let me help provide you with tools to overcome the challenges and obstacles in your life. You deserve to be loved and supported, and together, we will uncover new pathways to a life of happiness.
Does something have you down? Perhaps you feel like you’ve been knocked sideways, or maybe things just don’t feel right. Life and its many changes can leave us uncertain about what to do next, that’s where counseling can step in. Let me help provide you with tools to overcome the challenges and obstacles in your life. You deserve to be loved and supported, and together, we will uncover new pathways to a life of happiness.
(636) 251-4804 View (636) 251-4804
Photo of Mandy Browning, LCSW, Clinical Social Work/Therapist
Mandy Browning
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Peters, MO 63376
My name is Mandy Browning, and I am a Clinical Social Worker licensed in the states of Missouri and Arkansas. I have worked with clients of all ages, but since the pandemic hit, my primary clientele has been adults. I am a Certified Integrative Mental Health Professional, as well as a Certified Clinical Trauma Professional. I do place a degree of focus on the connection between our physical and mental health when I am working with clients.
My name is Mandy Browning, and I am a Clinical Social Worker licensed in the states of Missouri and Arkansas. I have worked with clients of all ages, but since the pandemic hit, my primary clientele has been adults. I am a Certified Integrative Mental Health Professional, as well as a Certified Clinical Trauma Professional. I do place a degree of focus on the connection between our physical and mental health when I am working with clients.
(636) 339-4984 View (636) 339-4984
Photo of Sarah Patterson-Mills, LPC , Licensed Professional Counselor
Sarah Patterson-Mills
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376  (Online Only)
My name is Sarah Patterson-Mills and I am a licensed professional counselor. My doctoral degree is counseling and family therapy. I like to use post-modern approaches with clients that provoke active thinking and synergy in their lives. Trained early post-Master's with Cognitive Behavioral Theory and later with systems thinking. Holistically, I take into account the clients' multiple contexts in which they live and work. I have additional training in career counseling strategies, also.
My name is Sarah Patterson-Mills and I am a licensed professional counselor. My doctoral degree is counseling and family therapy. I like to use post-modern approaches with clients that provoke active thinking and synergy in their lives. Trained early post-Master's with Cognitive Behavioral Theory and later with systems thinking. Holistically, I take into account the clients' multiple contexts in which they live and work. I have additional training in career counseling strategies, also.
(636) 689-6850 View (636) 689-6850
Photo of Annette Arms, LPC , Licensed Professional Counselor
Annette Arms
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376
Hi, my name is Annette Arms, and I am a licensed professional counselor, and a nationally certified counselor who is EMDR trained living and working in southwest Missouri serving clients throughout the state via telehealth. I work with children, adolescents, young adults, couples, and families. My specialties include working with neurodivergent children and adults, and the approaches I use are person-centered using a variety of integrative approaches such as EMDR, Cognitive Behavioral Therapy, Play Therapy, and Narrative Therapy tailored to each client's individual need(s).
Hi, my name is Annette Arms, and I am a licensed professional counselor, and a nationally certified counselor who is EMDR trained living and working in southwest Missouri serving clients throughout the state via telehealth. I work with children, adolescents, young adults, couples, and families. My specialties include working with neurodivergent children and adults, and the approaches I use are person-centered using a variety of integrative approaches such as EMDR, Cognitive Behavioral Therapy, Play Therapy, and Narrative Therapy tailored to each client's individual need(s).
(636) 435-2701 View (636) 435-2701
Photo of Lauren Graham, LCSW, Clinical Social Work/Therapist
Lauren Graham
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Peters, MO 63376
Hello and welcome! My name is Lauren Graham and I am a Licensed Clinical Social Worker (LCSW) in Missouri. As a therapist, I specialize in working with both children and adults, catering to a diverse range of mental health needs and providing tailored support and interventions to promote well-being and growth. My approach is trauma-informed and through a strengths-based perspective. We will work together to identify your strengths, needs, goals, and motivations for therapy. I believe each person’s journey is unique and the approach to working with them should be too.
Hello and welcome! My name is Lauren Graham and I am a Licensed Clinical Social Worker (LCSW) in Missouri. As a therapist, I specialize in working with both children and adults, catering to a diverse range of mental health needs and providing tailored support and interventions to promote well-being and growth. My approach is trauma-informed and through a strengths-based perspective. We will work together to identify your strengths, needs, goals, and motivations for therapy. I believe each person’s journey is unique and the approach to working with them should be too.
(636) 736-6545 View (636) 736-6545
Photo of Janice L Wade, MA, LMFT, Marriage & Family Therapist
Janice L Wade
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Peters, MO 63376
Waitlist for new clients
Janice believes that therapy is one of the most difficult and brave steps anyone can take. She has over 18 years experience working with a diverse population. Janice strives to provides a safe, nonjudgmental space to get to the root of the pain and learn how to deal with it in healthier ways. She uses humor, accountability and a collaborative approach to therapy, working together with clients to build on their strengths so they can take positive action. Office or virtual appointments available.
Janice believes that therapy is one of the most difficult and brave steps anyone can take. She has over 18 years experience working with a diverse population. Janice strives to provides a safe, nonjudgmental space to get to the root of the pain and learn how to deal with it in healthier ways. She uses humor, accountability and a collaborative approach to therapy, working together with clients to build on their strengths so they can take positive action. Office or virtual appointments available.
(636) 330-4216 View (636) 330-4216
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How does your Therapist compare?

Number of Therapists in 63376

100+

Average cost per session

$120

Therapists in 63376 who prioritize treating:

93% Anxiety
87% Depression
71% Coping Skills
69% Relationship Issues
68% Grief
68% Trauma and PTSD
68% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

83% Aetna
80% UnitedHealthcare UHC | UBH
79% Cigna and Evernorth

How Therapists in 63376 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

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

How can I find a therapist in 63376?

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.