Therapists in Effingham, IL

Photo of Katrina Schoenfeld, LMSW, Clinical Social Work/Therapist
Katrina Schoenfeld
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Effingham, IL 62401
If you find yourself carrying the weight of traumatic experiences, grappling with persistent negative beliefs, or feeling a disconnection from yourself, I am here to offer support and guidance. Together, we can unravel the layers of your experiences, providing a path towards growth, self-acceptance, and a renewed sense of purpose. I believe in the inherent strength within each individual and the capacity for profound healing. My therapeutic approach is collaborative, client-centered, and grounded in the belief that everyone deserves a space to be heard, understood, and validated.
If you find yourself carrying the weight of traumatic experiences, grappling with persistent negative beliefs, or feeling a disconnection from yourself, I am here to offer support and guidance. Together, we can unravel the layers of your experiences, providing a path towards growth, self-acceptance, and a renewed sense of purpose. I believe in the inherent strength within each individual and the capacity for profound healing. My therapeutic approach is collaborative, client-centered, and grounded in the belief that everyone deserves a space to be heard, understood, and validated.
(618) 617-6227 View (618) 617-6227
Photo of Jordan Tanner, LPC, Licensed Professional Counselor
Jordan Tanner
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Effingham, IL 62401
Life is a series of transitions, each bringing its own set of challenges and opportunities for growth. As a therapist, my passion lies in supporting individuals through these pivotal moments, whether they involve career changes, relationship shifts, becoming a parent, or other significant life events. I believe that navigating these transitions can be both exciting and overwhelming, and my goal is to provide a safe, compassionate space where you can explore your feelings, gain clarity, and develop the resilience needed to embrace change.
Life is a series of transitions, each bringing its own set of challenges and opportunities for growth. As a therapist, my passion lies in supporting individuals through these pivotal moments, whether they involve career changes, relationship shifts, becoming a parent, or other significant life events. I believe that navigating these transitions can be both exciting and overwhelming, and my goal is to provide a safe, compassionate space where you can explore your feelings, gain clarity, and develop the resilience needed to embrace change.
(217) 863-9602 View (217) 863-9602
Photo of Sean Elliott, LCSW, Clinical Social Work/Therapist
Sean Elliott
Clinical Social Work/Therapist, LCSW
Verified Verified
Effingham, IL 62401
Hello! I am a Licensed Clinical Social Worker with over 7 years of experience in the field. I specialize in the areas of anxiety, depression, coping skills, stress, and men's issues, and approach the therapeutic process with compassion and empathy, treating everyone with respect and dignity. During sessions, I use a mix of motivational interviewing, compassion and cognitive behavioral therapy (CBT), among other appropriate techniques. I have learned that no two people are the same and that everyone must be treated individually and holistically. Above all else, I value creating a safe, nonjudgmental and welcoming environment.
Hello! I am a Licensed Clinical Social Worker with over 7 years of experience in the field. I specialize in the areas of anxiety, depression, coping skills, stress, and men's issues, and approach the therapeutic process with compassion and empathy, treating everyone with respect and dignity. During sessions, I use a mix of motivational interviewing, compassion and cognitive behavioral therapy (CBT), among other appropriate techniques. I have learned that no two people are the same and that everyone must be treated individually and holistically. Above all else, I value creating a safe, nonjudgmental and welcoming environment.
(312) 626-7594 View (312) 626-7594
Photo of Brandy Kelley - Brandy Kelley Counseling , MA, LCPC, PMH-C, Counselor
Brandy Kelley Counseling
Counselor, MA, LCPC, PMH-C
Verified Verified
2 Endorsed
Effingham, IL 62401
Do you feel overwhelmed by the challenges of motherhood or postpartum anxiety? Are you weighed down by a history of trauma or feeling resentment towards your partner? Are you a first responder constantly living in a state of heightened alert, finding it hard to unwind even during your downtime? We all go through hard times. It’s always going to be a part of life. But what if you knew how to get through the current difficult moments and felt prepared for future challenging seasons of life? During these tough moments, you don't have to navigate them alone.
Do you feel overwhelmed by the challenges of motherhood or postpartum anxiety? Are you weighed down by a history of trauma or feeling resentment towards your partner? Are you a first responder constantly living in a state of heightened alert, finding it hard to unwind even during your downtime? We all go through hard times. It’s always going to be a part of life. But what if you knew how to get through the current difficult moments and felt prepared for future challenging seasons of life? During these tough moments, you don't have to navigate them alone.
(217) 795-8628 View (217) 795-8628
Photo of Kaitlyn Eade, MA, NCC, LPC, Licensed Professional Counselor
Kaitlyn Eade
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
3 Endorsed
Effingham, IL 62401
Are you someone who is struggling with overcoming trauma or related challenges? Or maybe you are just feeling "stuck" in therapy? As a dedicated counselor, I specialize in helping individuals overcome trauma and related challenges by utilizing a combination of Brainspotting, Acceptance and Commitment Therapy, and Cognitive Behavioral Therapy. My approach is deeply rooted in evidence based practices aimed at addressing the underlying causes of distress and fostering long-term healing.
Are you someone who is struggling with overcoming trauma or related challenges? Or maybe you are just feeling "stuck" in therapy? As a dedicated counselor, I specialize in helping individuals overcome trauma and related challenges by utilizing a combination of Brainspotting, Acceptance and Commitment Therapy, and Cognitive Behavioral Therapy. My approach is deeply rooted in evidence based practices aimed at addressing the underlying causes of distress and fostering long-term healing.
(217) 748-1749 View (217) 748-1749
Photo of Jessica Wright - Wright Choice Counseling, Group Practice, LCSW, EMDR, Couples, BSP, Clinical Social Work/Therapist
Wright Choice Counseling, Group Practice
Clinical Social Work/Therapist, LCSW, EMDR, Couples, BSP
Verified Verified
5 Endorsed
Effingham, IL 62401
Taking the first step to tackle life's challenges and seek help is a big deal! At Wright Choice Counseling, we're here to support you every step of the way. Our diverse team of awesome clinicians is ready to help individuals, couples, and families. We believe everyone has unique strengths, and we're all about helping you grow and shine. Whether you prefer a cozy chat in one of our beautiful offices or a comfy online Let's make magic happen together! We turn challenges into opportunities and inspire self-exploration in a shame-free, supportive space!
Taking the first step to tackle life's challenges and seek help is a big deal! At Wright Choice Counseling, we're here to support you every step of the way. Our diverse team of awesome clinicians is ready to help individuals, couples, and families. We believe everyone has unique strengths, and we're all about helping you grow and shine. Whether you prefer a cozy chat in one of our beautiful offices or a comfy online Let's make magic happen together! We turn challenges into opportunities and inspire self-exploration in a shame-free, supportive space!
(618) 266-2693 View (618) 266-2693
Photo of Pamela R. Miller, LCPC, NCC, Counselor
Pamela R. Miller
Counselor, LCPC, NCC
Verified Verified
Effingham, IL 62401
If you're ready to make a change and move in a new direction or if you're just looking for extra support and guidance with daily stressors, I can assist you in making changes toward a positive direction. Whether it is relationship, divorce or marriage issues, anxiety/depression, grief/loss or parenting problems, we can help. As a nationally licensed, clinical therapist, I use evidence based treatments to help you learn healthy life choices for a healthy balance! Today you are one step closer to a new you, on a path to health, well-being and life balance.
If you're ready to make a change and move in a new direction or if you're just looking for extra support and guidance with daily stressors, I can assist you in making changes toward a positive direction. Whether it is relationship, divorce or marriage issues, anxiety/depression, grief/loss or parenting problems, we can help. As a nationally licensed, clinical therapist, I use evidence based treatments to help you learn healthy life choices for a healthy balance! Today you are one step closer to a new you, on a path to health, well-being and life balance.
(217) 919-0395 View (217) 919-0395
Photo of Scott Michael Murray, MSW, LCSW, Clinical Social Work/Therapist
Scott Michael Murray
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Effingham, IL 62401
Hello! My name is Scott Murray, and I am a Licensed Clinical Social Worker (LCSW) in private practice as a psychotherapist. I am a graduate of Southern Illinois University in Carbondale, IL, where I received my Bachelor’s and Master’s degrees in Social Work and soon after attained my Illinois clinical social work licensure. I have 20+ years experience working in outpatient clinics, in-patient psychiatric treatment facilities, academic institutions, and forensic facilities where I provided assessment and therapy to individuals, groups, couples, and families.
Hello! My name is Scott Murray, and I am a Licensed Clinical Social Worker (LCSW) in private practice as a psychotherapist. I am a graduate of Southern Illinois University in Carbondale, IL, where I received my Bachelor’s and Master’s degrees in Social Work and soon after attained my Illinois clinical social work licensure. I have 20+ years experience working in outpatient clinics, in-patient psychiatric treatment facilities, academic institutions, and forensic facilities where I provided assessment and therapy to individuals, groups, couples, and families.
(618) 492-4841 View (618) 492-4841
Photo of Lisa M. Rankin, LCPC, NCC, LSOTP, LSOE, Counselor
Lisa M. Rankin
Counselor, LCPC, NCC, LSOTP, LSOE
Verified Verified
Effingham, IL 62401
I appreciate a person who is ready to work on becoming the best they can be. I have a "get real" approach to what matters and that is you! I utilize your strengths to identify interfering issues and will help you to develop effective coping strategies in a confidential setting.
I appreciate a person who is ready to work on becoming the best they can be. I have a "get real" approach to what matters and that is you! I utilize your strengths to identify interfering issues and will help you to develop effective coping strategies in a confidential setting.
(217) 885-4151 View (217) 885-4151
Photo of Dave Hunter, LCPC, Clinical Social Work/Therapist
Dave Hunter
Clinical Social Work/Therapist, LCPC
Verified Verified
1 Endorsed
Effingham, IL 62401  (Online Only)
I am an independent contractor working with Neuro Harmony, LLC. I most enjoy working with folks struggling with trauma, ADD, BPD, NDE's, and who consider themselves "quirky" or "misfits." Often they are simply seeking validation - reassurance that they are not actually "crazy" - and have the curiosity, sense of humor and resilience needed to undertake existential adventures. Like most of us, what they are basically seeking is contentment and peace of mind.
I am an independent contractor working with Neuro Harmony, LLC. I most enjoy working with folks struggling with trauma, ADD, BPD, NDE's, and who consider themselves "quirky" or "misfits." Often they are simply seeking validation - reassurance that they are not actually "crazy" - and have the curiosity, sense of humor and resilience needed to undertake existential adventures. Like most of us, what they are basically seeking is contentment and peace of mind.
(217) 634-6690 View (217) 634-6690
Photo of David Ehlers, LCPC, Counselor
David Ehlers
Counselor, LCPC
Verified Verified
Effingham, IL 62401
We aim to provide a level of care that enables everyone who walks through our doors to be better equipped to live the life they were meant for. Firmly grounded in hope and compassion, we exist for all people to thrive and experience wholeness in mind, body, and spirit. Whether you’re looking to overcome past experiences, seeking personal growth, or are in the midst of marital challenges, we are committed to fostering a safe space for you to share your story.
We aim to provide a level of care that enables everyone who walks through our doors to be better equipped to live the life they were meant for. Firmly grounded in hope and compassion, we exist for all people to thrive and experience wholeness in mind, body, and spirit. Whether you’re looking to overcome past experiences, seeking personal growth, or are in the midst of marital challenges, we are committed to fostering a safe space for you to share your story.
(217) 765-8157 View (217) 765-8157
Photo of Chris Burgess, Pre-Licensed Professional
Chris Burgess
Pre-Licensed Professional
Verified Verified
Effingham, IL 62401
Courage isn’t having the strength to go on - it is going on when you don’t feel like you have the strength. You need an immense amount of courage to stay the course and struggle even when you are almost ready to give up on life. I am here to listen, and walk beside you even when it feels like everything and maybe everyone is against you.
Courage isn’t having the strength to go on - it is going on when you don’t feel like you have the strength. You need an immense amount of courage to stay the course and struggle even when you are almost ready to give up on life. I am here to listen, and walk beside you even when it feels like everything and maybe everyone is against you.
(618) 238-2790 View (618) 238-2790
Photo of Andrea Lopez, SSP, Pre-Licensed Professional
Andrea Lopez
Pre-Licensed Professional, SSP
Verified Verified
Effingham, IL 62401
I enjoy working with families from all backgrounds. My ideal clients are young children to adolescents, LGBTQ+ individuals, and multicultural families, including first- and second-generation Latinx individuals navigating generational differences. These clients often face anxiety, identity struggles, and cultural conflicts. They need a safe, supportive space to explore their feelings and experiences. Their goals are to build resilience, improve communication, and achieve a sense of belonging. I incorporate diverse techniques to address their unique needs, always taking a relational, cultural, and trauma- focused approach in my work.
I enjoy working with families from all backgrounds. My ideal clients are young children to adolescents, LGBTQ+ individuals, and multicultural families, including first- and second-generation Latinx individuals navigating generational differences. These clients often face anxiety, identity struggles, and cultural conflicts. They need a safe, supportive space to explore their feelings and experiences. Their goals are to build resilience, improve communication, and achieve a sense of belonging. I incorporate diverse techniques to address their unique needs, always taking a relational, cultural, and trauma- focused approach in my work.
(618) 408-1701 View (618) 408-1701
Photo of Zachary Stephenson, Pre-Licensed Professional
Zachary Stephenson
Pre-Licensed Professional
Verified Verified
Effingham, IL 62401
You know something is wrong, but you are not sure what it is, why it happened, or how to fix it. You think you probably need help, but it's hard to know where to start. You worry about being overmedicated or wasting your time. You want to figure out, once and for all, what is going on and how to take care of it. Does this sound familiar?
You know something is wrong, but you are not sure what it is, why it happened, or how to fix it. You think you probably need help, but it's hard to know where to start. You worry about being overmedicated or wasting your time. You want to figure out, once and for all, what is going on and how to take care of it. Does this sound familiar?
(618) 323-5219 View (618) 323-5219

More Therapists Nearby

Photo of Justin Kozak, LCPC
Justin Kozak
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Teutopolis, IL 62467
I'm Justin Kozak. I am a Licensed Clinical Professional Counselor with over 10 years of clinical experience, and I am open to working with anyone; and have a wide range of experience treating Substance Use, Behavioral Issues, Anger Management, Depression, Trauma, and PTSD. I use Client-Centered Therapy, Cognitive Behavioral (CBT), Motivational Interviewing, and Multicultural and Solution Focused Brief Therapies during a treatment session with my clients. I believe counseling is a partnership that assists you in exploring and addressing your mental, emotional, and behavioral needs.
I'm Justin Kozak. I am a Licensed Clinical Professional Counselor with over 10 years of clinical experience, and I am open to working with anyone; and have a wide range of experience treating Substance Use, Behavioral Issues, Anger Management, Depression, Trauma, and PTSD. I use Client-Centered Therapy, Cognitive Behavioral (CBT), Motivational Interviewing, and Multicultural and Solution Focused Brief Therapies during a treatment session with my clients. I believe counseling is a partnership that assists you in exploring and addressing your mental, emotional, and behavioral needs.
(815) 362-1498 View (815) 362-1498
Photo of Amber Berridge (Procida), LCSW, Clinical Social Work/Therapist
Amber Berridge (Procida)
Clinical Social Work/Therapist, LCSW
Verified Verified
Teutopolis, IL 62467
My name is Amber Berridge and I am a Licensed Clinical Social Worker. I love helping adolescents and young adults successfully navigate life's ups and downs! My focus areas include depression, anxiety, school and work stress, and other mental health concerns. My focus areas of practice are males or females between the ages of 14 and 25, struggling with depression, anxiety, school concerns, and stress. My professional experience includes using CBT, DBT, strengths-based, and mindfulness. I like to teach my clients new skills or help them to improve on ones they may have learned in the past.
My name is Amber Berridge and I am a Licensed Clinical Social Worker. I love helping adolescents and young adults successfully navigate life's ups and downs! My focus areas include depression, anxiety, school and work stress, and other mental health concerns. My focus areas of practice are males or females between the ages of 14 and 25, struggling with depression, anxiety, school concerns, and stress. My professional experience includes using CBT, DBT, strengths-based, and mindfulness. I like to teach my clients new skills or help them to improve on ones they may have learned in the past.
(773) 923-0359 View (773) 923-0359
Photo of Monet C Ramsey, LCPC
Monet C Ramsey
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Watson, IL 62473
Hello there. My name is Monet C. Ramsey. I am a Licensed Clinical Professional Counselor with over 16 years of experience working with teenagers to adults who have, Anxiety, Depression, Trauma, PTSD, Women's Issues, and Career Counseling. I incorporate a mix of Cognitive Behavioral (CBT), Motivational Interviewing, Person-Centered, Supportive, and Trauma Focused therapies during my treatment session with clients. I believe that everyone at some point needed someone to be there for them to support and as a source of strength.
Hello there. My name is Monet C. Ramsey. I am a Licensed Clinical Professional Counselor with over 16 years of experience working with teenagers to adults who have, Anxiety, Depression, Trauma, PTSD, Women's Issues, and Career Counseling. I incorporate a mix of Cognitive Behavioral (CBT), Motivational Interviewing, Person-Centered, Supportive, and Trauma Focused therapies during my treatment session with clients. I believe that everyone at some point needed someone to be there for them to support and as a source of strength.
(309) 248-6024 View (309) 248-6024
Photo of Abby Brooks, LCPC, Counselor
Abby Brooks
Counselor, LCPC
Verified Verified
Sigel, IL 62462
My name is Abby Brooks, and I am a Licensed Clinical Professional Counselor based in the suburbs of Chicago and offering telehealth services throughout the state of Illinois. I work with individual teenagers and adults as well as couples, and I use a variety of approaches and techniques that are tailored to each client’s needs. I believe that each person has their own authenticity and truth, and my goal is to help my clients discover theirs and let it shine! I believe my approach works best with teenagers, adults, and couples.
My name is Abby Brooks, and I am a Licensed Clinical Professional Counselor based in the suburbs of Chicago and offering telehealth services throughout the state of Illinois. I work with individual teenagers and adults as well as couples, and I use a variety of approaches and techniques that are tailored to each client’s needs. I believe that each person has their own authenticity and truth, and my goal is to help my clients discover theirs and let it shine! I believe my approach works best with teenagers, adults, and couples.
(708) 847-9512 View (708) 847-9512

Online Therapists

Photo of Briena Wyckstandt, LCSW, Clinical Social Work/Therapist
Briena Wyckstandt
Clinical Social Work/Therapist, LCSW
Verified Verified
Tuscola, IL 61953
Hi! My name is Briena Wyckstandt and I am a Licensed Clinical Social Worker with over 6 years of experience. I offer many therapy approaches with specific training in EMDR, DBT, and TF-CBT. I have experience working with all age ranges but most specifically teens and adults experiencing anxiety, depression, and trauma.
Hi! My name is Briena Wyckstandt and I am a Licensed Clinical Social Worker with over 6 years of experience. I offer many therapy approaches with specific training in EMDR, DBT, and TF-CBT. I have experience working with all age ranges but most specifically teens and adults experiencing anxiety, depression, and trauma.
(312) 900-8542 View (312) 900-8542
Photo of Jessica Surges, LCSW, Clinical Social Work/Therapist
Jessica Surges
Clinical Social Work/Therapist, LCSW
Verified Verified
Carmi, IL 62821
Hi! My name is Jessica Surges and I am a licensed clinical social worker. I tend to use patient and solution-focused CBT modalities to help my clients overcome obstacles and manage everyday life stress. I have found that all people, despite our differences, experience some form of stress or anxiety at some point in life. It could stem from grief and loss, trauma, pivotal life changes, questioning decisions, or just feeling overwhelmed, depressed, and burnt out. I am confident in my ability to unpack and address these issues to help my clients lead happy and fulfilled lives.
Hi! My name is Jessica Surges and I am a licensed clinical social worker. I tend to use patient and solution-focused CBT modalities to help my clients overcome obstacles and manage everyday life stress. I have found that all people, despite our differences, experience some form of stress or anxiety at some point in life. It could stem from grief and loss, trauma, pivotal life changes, questioning decisions, or just feeling overwhelmed, depressed, and burnt out. I am confident in my ability to unpack and address these issues to help my clients lead happy and fulfilled lives.
(217) 763-7105 View (217) 763-7105

How does your Therapist compare?

Number of Therapists in Effingham, IL

10+

Average cost per session

$150

Therapists in Effingham, IL who prioritize treating:

93% Depression
93% Anxiety
79% Stress
71% Coping Skills
64% Relationship Issues
64% Grief
64% Self Esteem

Average years in practice

8 Years

Top 3 insurances accepted

92% Aetna
92% BlueCross and BlueShield
83% Optum

How Therapists in Effingham, IL see their clients

93% In Person and Online
7% Online Only

Gender breakdown

53% Male
47% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Effingham?

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.