Therapists in Fayetteville, AR
![Photo of Bonnie O'Boyle, LPC, CRC, Counselor](https://photos.psychologytoday.com/4ffd29ce-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
You deserve to feel happy! You may be going through a time in your life with diminished joy and peace, but something inside of you is calling you to greater freedom and wellbeing. I can help you achieve those goals. With my guidance, you'll learn and practice time-tested tools to help you reclaim the joy and serenity you long for. I also have been a vocational rehabilitation counselor specializing in deafness, hearing loss, TBI, and developmental disabilities for the past 14 years, so I bring a wealth of knowledge about disabilities, local resources, and employment success. I believe you can reclaim control of your life!
You deserve to feel happy! You may be going through a time in your life with diminished joy and peace, but something inside of you is calling you to greater freedom and wellbeing. I can help you achieve those goals. With my guidance, you'll learn and practice time-tested tools to help you reclaim the joy and serenity you long for. I also have been a vocational rehabilitation counselor specializing in deafness, hearing loss, TBI, and developmental disabilities for the past 14 years, so I bring a wealth of knowledge about disabilities, local resources, and employment success. I believe you can reclaim control of your life!
![Photo of Allison Fullen, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e3590763-cfce-49ec-a295-8ec5de92f2c1/1/320x400.jpeg)
I believe that every person is worthy of being the leader of their own fulfilled life. Sometimes we are overwhelmed by emotions, trauma, grief, pain or the memories of the past that interfere with finding our footing in this unsure world. With over 14 years of experience in working with individuals, children and families, I look forward to combining my techniques and approaches with your life expertise to rediscover your best self.
I believe that every person is worthy of being the leader of their own fulfilled life. Sometimes we are overwhelmed by emotions, trauma, grief, pain or the memories of the past that interfere with finding our footing in this unsure world. With over 14 years of experience in working with individuals, children and families, I look forward to combining my techniques and approaches with your life expertise to rediscover your best self.
![Photo of Jason Thorne, Licensed Professional Counselor](https://photos.psychologytoday.com/975be1be-a311-4de3-9018-05c5fba28b83/3/320x400.jpeg)
I have more than 10 years experience helping college students, adults and adolescents navigate a wide range of challenges to achieve their goals.
I have more than 10 years experience helping college students, adults and adolescents navigate a wide range of challenges to achieve their goals.
![Photo of Kayley A Walker, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e0c097bc-2d45-4c76-b963-d033635c4731/2/320x400.jpeg)
It is said that the longest journey you will ever make is from your head to your heart. My ideal client is someone who seeks to explore the depths of their inner world, embracing a holistic view of their experiences. I value each person's unique journey, emphasizing self-discovery, emotional insight, and authentic self-expression. Together, we can navigate the complexities of your life and what you've gone through, fostering resilience and growth on both personal and societal levels. I believe that with dedication to your process, it is possible to create more clarity, curiosity, connection, and compassion in your life.
It is said that the longest journey you will ever make is from your head to your heart. My ideal client is someone who seeks to explore the depths of their inner world, embracing a holistic view of their experiences. I value each person's unique journey, emphasizing self-discovery, emotional insight, and authentic self-expression. Together, we can navigate the complexities of your life and what you've gone through, fostering resilience and growth on both personal and societal levels. I believe that with dedication to your process, it is possible to create more clarity, curiosity, connection, and compassion in your life.
![Photo of Denise Hansen, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1eb5f8a9-d104-4174-bc4e-119bfe9e110a/1/320x400.jpeg)
Denise emphatically guides her clients through challenges such as grief, depression, anxiety, trauma, relationship and boundary issues. She utilizes a collaborative therapeutic approach that builds upon client strengths and empowers clients to change. She creates a safe environment through empathy and understanding with a trauma-informed approach to healing and wholeness. She believes in the transformative power of hope, self-compassion, and a heartfelt desire for committed improvement.
Denise emphatically guides her clients through challenges such as grief, depression, anxiety, trauma, relationship and boundary issues. She utilizes a collaborative therapeutic approach that builds upon client strengths and empowers clients to change. She creates a safe environment through empathy and understanding with a trauma-informed approach to healing and wholeness. She believes in the transformative power of hope, self-compassion, and a heartfelt desire for committed improvement.
![Photo of Julie Higginbottom, LCSW, ACSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8c978885-e7d3-4fb4-bac7-cf0e9cc7b750/2/320x400.jpeg)
Julie Higginbottom
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
3 Endorsed
Fayetteville, AR 72701 (Online Only)
Overwhelmed by anxiety, grief, or sadness? Have you experienced some recent changes (new baby, career, move, relationship) that have thrown you for a loop? Many people experience anxiety, depression, or grief, but some have difficultly trying to manage these feelings. If you are feeling stuck, let me help you explore how to make positive changes in your life by learning simple techniques and tools to help you find some inner peace and find joy in life again. You don’t have to figure it out on your own!
Overwhelmed by anxiety, grief, or sadness? Have you experienced some recent changes (new baby, career, move, relationship) that have thrown you for a loop? Many people experience anxiety, depression, or grief, but some have difficultly trying to manage these feelings. If you are feeling stuck, let me help you explore how to make positive changes in your life by learning simple techniques and tools to help you find some inner peace and find joy in life again. You don’t have to figure it out on your own!
![Photo of Tammy Forcke (Pearson), LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/b9c7cb04-20c9-423c-ab29-a3d8564dfddf/2/320x400.jpeg)
Tammy Forcke (Pearson)
Licensed Professional Counselor, LPC, NCC
Verified Verified
3 Endorsed
Fayetteville, AR 72703
Waitlist for new clients
Today, more than ever, we all face changes and challenges on a daily basis. Coping with life stressors, healing from trauma, processing grief & loss, and learning to accept & embrace our unique selves are among the many topics I often address with clients.
Today, more than ever, we all face changes and challenges on a daily basis. Coping with life stressors, healing from trauma, processing grief & loss, and learning to accept & embrace our unique selves are among the many topics I often address with clients.
![Photo of Meg Bourne, LMSW](https://photos.psychologytoday.com/6258749c-0aff-447a-80bf-6e9f3ba5221e/3/320x400.jpeg)
I'm passionate about understanding your journey and empowering you to lead a life filled with joy and vitality. The heart of my approach lies in compassion, curiosity and creativity, driving me to adopt a client-centered methodology. This means delving into not just your personal narrative but also understanding your environment, history, and the various systems influencing your present experience. I tailor my style and interventions to align with you. Together, we'll uncover what resonates most with you and co-create during the healing process.
I'm passionate about understanding your journey and empowering you to lead a life filled with joy and vitality. The heart of my approach lies in compassion, curiosity and creativity, driving me to adopt a client-centered methodology. This means delving into not just your personal narrative but also understanding your environment, history, and the various systems influencing your present experience. I tailor my style and interventions to align with you. Together, we'll uncover what resonates most with you and co-create during the healing process.
![Photo of John Shuler, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3ccc6fe7-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
John Shuler
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fayetteville, AR 72701
Therapy is tailored towards you, the client, to reach your personal goals. Treatment can be brief counseling or longer term therapy. The focus is to assist you in feeling better through identifying your strengths and developing strategies that work best for you.
Therapy is tailored towards you, the client, to reach your personal goals. Treatment can be brief counseling or longer term therapy. The focus is to assist you in feeling better through identifying your strengths and developing strategies that work best for you.
![Photo of Joi McGowan - Amani Counselig & Co , LPC, Counselor](https://photos.psychologytoday.com/542c249d-45dd-4b0d-bc0a-d2801c1ebb27/2/320x400.jpeg)
Joi is accepting new clients! She recently gave birth to her 4th child and she is looking to rebuild her case load. Joi works well with people who are struggling to connect within themselves and between their most precious relationships. Life’s pain, grief, trauma, anxiety/fears often keep us stuck. Joi wants to work with you to get unstuck.
Joi is accepting new clients! She recently gave birth to her 4th child and she is looking to rebuild her case load. Joi works well with people who are struggling to connect within themselves and between their most precious relationships. Life’s pain, grief, trauma, anxiety/fears often keep us stuck. Joi wants to work with you to get unstuck.
![Photo of LeeAnne Rhodes, MS, LPC-S, LMFT-S, A-CBT, Licensed Professional Counselor](https://photos.psychologytoday.com/d9761a7b-d0c0-407d-ac3c-4d527eb582cf/2/320x400.jpeg)
LeeAnne Rhodes
Licensed Professional Counselor, MS, LPC-S, LMFT-S, A-CBT
Verified Verified
Fayetteville, AR 72703
As necessary as change often is, it can also be one of the hardest things to do. It seems safe to stay with what we know even if it's not what's for our best. The good news is is that change is indeed possible! Having an outside perspective to process your story and to begin to interpret and understand things differently can be a vital as you pursue growth and change. The lens of Cognitive Behavioral Therapy (CBT) considers your thoughts, feelings, and behaviors and how these interact as well as how they influence our interactions with others; it acknowledge the past while focusing primarily on growth in the present and future.
As necessary as change often is, it can also be one of the hardest things to do. It seems safe to stay with what we know even if it's not what's for our best. The good news is is that change is indeed possible! Having an outside perspective to process your story and to begin to interpret and understand things differently can be a vital as you pursue growth and change. The lens of Cognitive Behavioral Therapy (CBT) considers your thoughts, feelings, and behaviors and how these interact as well as how they influence our interactions with others; it acknowledge the past while focusing primarily on growth in the present and future.
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![Photo of Susan Lynn Shackelford, PhD, Psychologist](https://photos.psychologytoday.com/3ce478af-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a licensed clinical psychologist who is passionate about the treatment of children, adolescents and their families. In 1996, I founded Psychology & Counseling Associates, a community-focused mental health practice with more than a dozen highly trained mental health professionals. My experience includes both outpatient and inpatient settings. I am ready to assist you and your loved ones with the mental, behavioral and emotional issues that impact your life.
I am a licensed clinical psychologist who is passionate about the treatment of children, adolescents and their families. In 1996, I founded Psychology & Counseling Associates, a community-focused mental health practice with more than a dozen highly trained mental health professionals. My experience includes both outpatient and inpatient settings. I am ready to assist you and your loved ones with the mental, behavioral and emotional issues that impact your life.
![Photo of Danell Will, MSEd, Licensed Professional Counselor](https://photos.psychologytoday.com/24d3a05e-d390-49d6-81c4-026ef0d843b4/3/320x400.jpeg)
Danell Will
Licensed Professional Counselor, MSEd
Verified Verified
1 Endorsed
Fayetteville, AR 72703
Waitlist for new clients
Danell is passionate about guiding individuals to recognize their worth, strengths, and resiliency, so they may step into their full potential. She believes that the therapeutic relationship is the foundation for change and works hard at creating a safe and authentic space for people to explore their life experiences while working towards achieving their personal goals. Danell strives to make all clients feel seen, heard, and genuinely known. She adamantly believes that all people are deserving of affirming and inclusive care and is a proud LGBTQ+ ally and advocate.
Danell is passionate about guiding individuals to recognize their worth, strengths, and resiliency, so they may step into their full potential. She believes that the therapeutic relationship is the foundation for change and works hard at creating a safe and authentic space for people to explore their life experiences while working towards achieving their personal goals. Danell strives to make all clients feel seen, heard, and genuinely known. She adamantly believes that all people are deserving of affirming and inclusive care and is a proud LGBTQ+ ally and advocate.
![Photo of Lovelle Gerth-Myers, LAC, Counselor](https://photos.psychologytoday.com/916c5a5b-1ea1-41d5-826f-76eb791e7e68/1/320x400.jpeg)
Lovelle is a Licensed Associate Counselor and is passionate about working with children and their families. She uses a variety of therapeutic approaches in order to meet the needs of each client. Lovelle is well-versed in techniques to assist with depression, anxiety, adjustment, self-esteem, behavioral issues, and a variety of other mental health concerns. Lovelle has received specialized training in Trauma-Focused Cognitive Behavioral Therapy and Child Parent Psychotherapy to assist children and families impacted by trauma. She received her Master's in Counseling at John Brown University with an Emphasis in Play Therapy.
Lovelle is a Licensed Associate Counselor and is passionate about working with children and their families. She uses a variety of therapeutic approaches in order to meet the needs of each client. Lovelle is well-versed in techniques to assist with depression, anxiety, adjustment, self-esteem, behavioral issues, and a variety of other mental health concerns. Lovelle has received specialized training in Trauma-Focused Cognitive Behavioral Therapy and Child Parent Psychotherapy to assist children and families impacted by trauma. She received her Master's in Counseling at John Brown University with an Emphasis in Play Therapy.
![Photo of Carla Brown, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cb2c3a2-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I provide a straight forward approach to help you resolve the issues you are facing today. Life is short and I feel it is important to make changes quickly and effectively so you can move forward with a more healthy approach to face whatever life has in store for you. I believe in a strengths-based approach to help you find solutions that will work for you. This is a collaborative effort -- together we will develop a plan and put that plan into action to reach your goals as quickly as possible.
I provide a straight forward approach to help you resolve the issues you are facing today. Life is short and I feel it is important to make changes quickly and effectively so you can move forward with a more healthy approach to face whatever life has in store for you. I believe in a strengths-based approach to help you find solutions that will work for you. This is a collaborative effort -- together we will develop a plan and put that plan into action to reach your goals as quickly as possible.
![Photo of Lauren Gray, MS, LPC, Counselor](https://photos.psychologytoday.com/0c3a7ef7-22f3-4943-8e9b-d4b5b0318d4f/2/320x400.jpeg)
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.
![Photo of Rachel Jarchow, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/17a7d7ac-915d-49c8-87f9-104c3c07a837/3/320x400.jpeg)
I believe each individual is the expert in their own life and once we can grasp this concept, real change and growth can occur. It is my belief that as a therapist, I have the opportunity to empower individuals to realize their own strengths and abilities to accomplish their goals and find well-being. I feel the therapeutic relationship, and the trust and empathy in that relationship, is one of the most important factors when it comes to working with clients on their self-understanding and change.
I believe each individual is the expert in their own life and once we can grasp this concept, real change and growth can occur. It is my belief that as a therapist, I have the opportunity to empower individuals to realize their own strengths and abilities to accomplish their goals and find well-being. I feel the therapeutic relationship, and the trust and empathy in that relationship, is one of the most important factors when it comes to working with clients on their self-understanding and change.
![Photo of Rachel D Weber, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4d67bcfb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Rachel D Weber
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Fayetteville, AR 72703
I have experience working with adults, children, and families, in-home & outpatient settings. Approaches & techniques which may be incorporated into sessions include those found in Cognitive-Behavioral Therapy (CBT), Solution Focused Therapy, Child Parent Psychotherapy, & Eye Movement Desensitization and Reprocessing Therapy (EMDR), relaxation techniques, and play therapy techniques. As one of a limited number of providers in Northwest Arkansas with training in Child Parent Psychotherapy (CPP), I assist sufferers of trauma, abuse, neglect, and many other distressing experiences improve functioning and healing relationships.
I have experience working with adults, children, and families, in-home & outpatient settings. Approaches & techniques which may be incorporated into sessions include those found in Cognitive-Behavioral Therapy (CBT), Solution Focused Therapy, Child Parent Psychotherapy, & Eye Movement Desensitization and Reprocessing Therapy (EMDR), relaxation techniques, and play therapy techniques. As one of a limited number of providers in Northwest Arkansas with training in Child Parent Psychotherapy (CPP), I assist sufferers of trauma, abuse, neglect, and many other distressing experiences improve functioning and healing relationships.
![Photo of Kim Winbery, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/9ec1088c-0ddb-4683-bfa6-10f31201e928/1/320x400.jpeg)
Kim Winbery
Licensed Professional Counselor, MA, LPC
Verified Verified
8 Endorsed
Fayetteville, AR 72701
Not accepting new clients
I have over 24 years of counseling experience. Good therapy is non-judging, non-shaming, and involves healthy personal growth with enhanced life quality. In addition to working at agencies/facilities I have also had private practices in Texas, Georgia, and Nevada. Although I have traveled a lot in the past, my forever home and practice will remain in Fayetteville. I am a bi/pan cis woman and pronouns are she/her/hers. I enjoy working with law students and lawyers with the JLAP program and love working with other clinicians.
I have over 24 years of counseling experience. Good therapy is non-judging, non-shaming, and involves healthy personal growth with enhanced life quality. In addition to working at agencies/facilities I have also had private practices in Texas, Georgia, and Nevada. Although I have traveled a lot in the past, my forever home and practice will remain in Fayetteville. I am a bi/pan cis woman and pronouns are she/her/hers. I enjoy working with law students and lawyers with the JLAP program and love working with other clinicians.
![Photo of Kelsey Sundara, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/81a9d75a-c1b2-4594-bbf8-7880d0cea176/1/320x400.jpeg)
“Life is like a box of chocolates, you never know what you’re gonna get.” Forrest Gump said it best–Life is unpredictable. You may be struggling to maintain or repair relationships. Maybe your anxiety is at an all-time high and you’re looking for ways to manage and cope with it. Perhaps you’ve noticed the rollercoaster of obsessions and compulsions that’s kept you from living life on your terms and are ready to break free. Are you noticing that trauma from your past is preventing you from the growth and change you seek? Maybe you’re in college and struggling to adapt to the changing responsibilities placed on you.
“Life is like a box of chocolates, you never know what you’re gonna get.” Forrest Gump said it best–Life is unpredictable. You may be struggling to maintain or repair relationships. Maybe your anxiety is at an all-time high and you’re looking for ways to manage and cope with it. Perhaps you’ve noticed the rollercoaster of obsessions and compulsions that’s kept you from living life on your terms and are ready to break free. Are you noticing that trauma from your past is preventing you from the growth and change you seek? Maybe you’re in college and struggling to adapt to the changing responsibilities placed on you.
See more therapy options for Fayetteville
How does your Therapist compare?
Number of Therapists in Fayetteville, AR
400+
Average cost per session
$150
Therapists in Fayetteville, AR who prioritize treating:
94% | Anxiety |
90% | Depression |
76% | Self Esteem |
75% | Trauma and PTSD |
72% | Stress |
71% | Relationship Issues |
69% | Grief |
Average years in practice
11 Years
Top 3 insurances accepted
84% | BlueCross and BlueShield |
67% | Ambetter |
48% | QualChoice |
How Therapists in Fayetteville, AR see their clients
83% | In Person and Online | |
17% | Online Only |
Gender breakdown
83% | Female | |
17% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Fayetteville?
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.