Therapists in Evanston, IL

Photo of Susan Alterman, PsyD, Psychologist
Susan Alterman
Psychologist, PsyD
Verified Verified
Evanston, IL 60202
I see therapy as an opportunity to know yourself better, care for yourself better, and better understand your life choices. Additionally, therapy can assist you in better understanding your most important relationships, past and present. We will work together to create a safe and supportive environment for this exploration and self-understanding. With this deepened awareness you can make the life choices that best suit and serve you, and can live your life with more intention.
I see therapy as an opportunity to know yourself better, care for yourself better, and better understand your life choices. Additionally, therapy can assist you in better understanding your most important relationships, past and present. We will work together to create a safe and supportive environment for this exploration and self-understanding. With this deepened awareness you can make the life choices that best suit and serve you, and can live your life with more intention.
(847) 492-8414 View (847) 492-8414
Photo of Brit Creelman, PhD, Psychologist
Brit Creelman
Psychologist, PhD
Verified Verified
1 Endorsed
Evanston, IL 60202  (Online Only)
Waitlist for new clients
My way of doing therapy involves insight-oriented exploration and problem solving, and an invitation to make deeper contact with core issues and inner healing potential via somatic experience and "parts work." I'm trained as an IFS therapist and can be an especially good fit for those with established mindfulness practices and an ability to tune into inner experience. While working with me you may find yourself looking at problems in a new way, with more curiosity and self compassion. Less judgement.
My way of doing therapy involves insight-oriented exploration and problem solving, and an invitation to make deeper contact with core issues and inner healing potential via somatic experience and "parts work." I'm trained as an IFS therapist and can be an especially good fit for those with established mindfulness practices and an ability to tune into inner experience. While working with me you may find yourself looking at problems in a new way, with more curiosity and self compassion. Less judgement.
(224) 509-9439 View (224) 509-9439
Photo of Arielle N Drescher, MSW, LCSW, Clinical Social Work/Therapist
Arielle N Drescher
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Evanston, IL 60202  (Online Only)
Waitlist for new clients
Are you constantly comparing yourself to others around you? Not feeling good enough, smart enough, attractive enough? Do you find yourself frequently frustrated about where you are in your life? I work with clients who are feeling stuck, anxious, and are tired of living on a hamster wheel of habits that no longer feel authentic to the person they want to become. I recognize that sharing and processing life events can be incredibly challenging and vulnerable. I show up for you, helping you develop skills to navigate difficult and necessary conversations.
Are you constantly comparing yourself to others around you? Not feeling good enough, smart enough, attractive enough? Do you find yourself frequently frustrated about where you are in your life? I work with clients who are feeling stuck, anxious, and are tired of living on a hamster wheel of habits that no longer feel authentic to the person they want to become. I recognize that sharing and processing life events can be incredibly challenging and vulnerable. I show up for you, helping you develop skills to navigate difficult and necessary conversations.
(224) 253-6106 View (224) 253-6106
Photo of Jennifer Ruzumna, PhD, Psychologist
Jennifer Ruzumna
Psychologist, PhD
Verified Verified
Evanston, IL 60201
Seeking care can take tremendous courage and finding the right therapist is not always a straightforward process. I see my role as providing a reliable and consistent space where my patients can gradually better understand themselves so that they can live life more freely and fully. I try to help my patients develop curiosity about how their mind works and to recognize when they may be repeating certain unhealthy patterns that interfere with becoming their authentic selves.
Seeking care can take tremendous courage and finding the right therapist is not always a straightforward process. I see my role as providing a reliable and consistent space where my patients can gradually better understand themselves so that they can live life more freely and fully. I try to help my patients develop curiosity about how their mind works and to recognize when they may be repeating certain unhealthy patterns that interfere with becoming their authentic selves.
(312) 548-7673 View (312) 548-7673
Photo of Arica R. Barton - Private Practice of Arica Barton, LCPC, MA, LCPC, Counselor
Private Practice of Arica Barton, LCPC
Counselor, MA, LCPC
Verified Verified
4 Endorsed
Evanston, IL 60201
I have a restorative and relational approach with the clients I serve. I embrace a strengths perspective which encourages self-sufficiency and acknowledges that individuals have the capability to engage in problem-solving work and improve their own functioning. I also recognize the important role of parents and other significant adults in youths' lives and strive to work together in addressing youth behavior and promoting appropriate parent leadership and family capabilities. I have a collaborative, trauma informed lens to treatment, and provide a warm, comforting environment to address difficult yet important issues in your life.
I have a restorative and relational approach with the clients I serve. I embrace a strengths perspective which encourages self-sufficiency and acknowledges that individuals have the capability to engage in problem-solving work and improve their own functioning. I also recognize the important role of parents and other significant adults in youths' lives and strive to work together in addressing youth behavior and promoting appropriate parent leadership and family capabilities. I have a collaborative, trauma informed lens to treatment, and provide a warm, comforting environment to address difficult yet important issues in your life.
(847) 641-2390 View (847) 641-2390
Photo of Alyse A Rynor, LCSW, Clinical Social Work/Therapist
Alyse A Rynor
Clinical Social Work/Therapist, LCSW
Verified Verified
Evanston, IL 60202  (Online Only)
It's essential for you, as a woman, to have a safe place to discuss your concerns. Whether navigating a challenging relationship, a demanding family member, facing workplace difficulties, or a personal issue, you’re not alone. I’m here to help. Please don’t let the idea of "telehealth" deter you. I strive to make our virtual sessions feel as connective as in-person ones, with a therapy style that is supportive and non-judgmental. As we work together to bring clarity to your unique situation, we may also build strategies for you to feel more empowered to live life as the woman you are.
It's essential for you, as a woman, to have a safe place to discuss your concerns. Whether navigating a challenging relationship, a demanding family member, facing workplace difficulties, or a personal issue, you’re not alone. I’m here to help. Please don’t let the idea of "telehealth" deter you. I strive to make our virtual sessions feel as connective as in-person ones, with a therapy style that is supportive and non-judgmental. As we work together to bring clarity to your unique situation, we may also build strategies for you to feel more empowered to live life as the woman you are.
(847) 443-9547 View (847) 443-9547
Photo of Emily Dawson, LCSW, Clinical Social Work/Therapist
Emily Dawson
Clinical Social Work/Therapist, LCSW
Verified Verified
Evanston, IL 60201
There are many reasons you may be seeking therapy, maybe you feel stuck, or out of balance, or you want to learn new, positive ways to cope. Therapy offers hope for healing, acceptance, and growth and can help you gain new insight into yourself. We start just where you are, right now, and utilize your personal strengths, internal resources, and resilience. You are more powerful than you know. My hope is to assist you with the tools, skills, understanding, and support to help you create a life of meaning, intention, and value; a life you want to be present for.
There are many reasons you may be seeking therapy, maybe you feel stuck, or out of balance, or you want to learn new, positive ways to cope. Therapy offers hope for healing, acceptance, and growth and can help you gain new insight into yourself. We start just where you are, right now, and utilize your personal strengths, internal resources, and resilience. You are more powerful than you know. My hope is to assist you with the tools, skills, understanding, and support to help you create a life of meaning, intention, and value; a life you want to be present for.
(847) 796-6586 View (847) 796-6586
Photo of Carol R Cann, MA, LCPC, CADC, Counselor
Carol R Cann
Counselor, MA, LCPC, CADC
Verified Verified
2 Endorsed
Evanston, IL 60201
You've been feeling distressed. Maybe it's because you're concerned that an important relationship grows more conflicted or distant no matter what you've tried. Maybe it's because you're wrestling with thoughts, feelings, or behaviors that interfere with your everyday life. Finding a good match for therapy is essential to your success; you want someone who will be a knowledgeable, caring guide. Working with your personal strengths, I will join with you to find the solutions you need. Asking for feedback, listening empathically, and answering your questions are ways I collaborate with you from the beginning.
You've been feeling distressed. Maybe it's because you're concerned that an important relationship grows more conflicted or distant no matter what you've tried. Maybe it's because you're wrestling with thoughts, feelings, or behaviors that interfere with your everyday life. Finding a good match for therapy is essential to your success; you want someone who will be a knowledgeable, caring guide. Working with your personal strengths, I will join with you to find the solutions you need. Asking for feedback, listening empathically, and answering your questions are ways I collaborate with you from the beginning.
(847) 752-9040 View (847) 752-9040
Photo of Jerry Zabin, LCSW, CDVP, ACSW, Clinical Social Work/Therapist
Jerry Zabin
Clinical Social Work/Therapist, LCSW, CDVP, ACSW
Verified Verified
Evanston, IL 60201  (Online Only)
In practice for over 40 years, I have a great deal of experience with adolescents, adults and couples. Area of specialization working with perpetrators of and family members impacted by domestic violence. Anxiety and life adjustments are also an area of specialty. Retired as high school social worker, I've worked with hundreds of adolescents and families. It is my belief that emotional energy is finite and that helping you in achieving balance can be so very helpful in finding solutions to emotional distress. Jazz trumpet is my avocation and I work to pass along the lessons I have learned relating to persistence and mindfulness.
In practice for over 40 years, I have a great deal of experience with adolescents, adults and couples. Area of specialization working with perpetrators of and family members impacted by domestic violence. Anxiety and life adjustments are also an area of specialty. Retired as high school social worker, I've worked with hundreds of adolescents and families. It is my belief that emotional energy is finite and that helping you in achieving balance can be so very helpful in finding solutions to emotional distress. Jazz trumpet is my avocation and I work to pass along the lessons I have learned relating to persistence and mindfulness.
(847) 744-8140 View (847) 744-8140
Photo of Joyce Heyman, MA, LCPC, Counselor
Joyce Heyman
Counselor, MA, LCPC
Verified Verified
Evanston, IL 60201
I practice contemporary psychoanalytic psychotherapy. I aim to foster an environment where new understandings about oneself can emerge. When this happens, links between current difficulties and adaptations made (sometimes unconsciously) in order to cope with past challenges can become apparent. Through our conversations, you might come to see how what once worked to solve a particular problem in your life is proving less helpful now. This process of discovery can provide symptom relief and also greater capacities for choice and change. My approach is one of curiosity, compassion, attention to emotional safety, and collaboration.
I practice contemporary psychoanalytic psychotherapy. I aim to foster an environment where new understandings about oneself can emerge. When this happens, links between current difficulties and adaptations made (sometimes unconsciously) in order to cope with past challenges can become apparent. Through our conversations, you might come to see how what once worked to solve a particular problem in your life is proving less helpful now. This process of discovery can provide symptom relief and also greater capacities for choice and change. My approach is one of curiosity, compassion, attention to emotional safety, and collaboration.
(312) 883-8722 View (312) 883-8722
Photo of Edward Patzelt, PhD, Psychologist
Edward Patzelt
Psychologist, PhD
Verified Verified
1 Endorsed
Evanston, IL 60202  (Online Only)
The people I work with sense a shift could be important. Their relationships seem to have a lot of ups and downs, they feel like they cannot control their emotions, and they sometimes experience unwanted mood swings. Specialized evidence-based treatment can generate a shift. They feel more centered in themselves, are less likely to be taken over by emotions, and can more quickly recover from intense feelings. Their relationships with themselves, and with others, improves. They gain a stronger sense of purpose, increased ability to communicate, more often avoid misunderstandings, and can resolve conflicts more quickly.
The people I work with sense a shift could be important. Their relationships seem to have a lot of ups and downs, they feel like they cannot control their emotions, and they sometimes experience unwanted mood swings. Specialized evidence-based treatment can generate a shift. They feel more centered in themselves, are less likely to be taken over by emotions, and can more quickly recover from intense feelings. Their relationships with themselves, and with others, improves. They gain a stronger sense of purpose, increased ability to communicate, more often avoid misunderstandings, and can resolve conflicts more quickly.
(773) 232-6984 View (773) 232-6984
Photo of Caroline Kroe, BA, MSW, LCSW, Clinical Social Work/Therapist
Caroline Kroe
Clinical Social Work/Therapist, BA, MSW, LCSW
Verified Verified
Evanston, IL 60202
I look forward to supporting a diverse array of clients and their families on their individualized healing journey, concentrating in work with adults, children and adolescents needing developmentally sensitized mental health assessment and treatment. Specialized experience working with multiple client populations including: trauma survivors, eating disorders, families involved in the foster care system and adoption, mood disorders, anxiety disorders and personality disorders along with matters of social/cultural oppression and justice.
I look forward to supporting a diverse array of clients and their families on their individualized healing journey, concentrating in work with adults, children and adolescents needing developmentally sensitized mental health assessment and treatment. Specialized experience working with multiple client populations including: trauma survivors, eating disorders, families involved in the foster care system and adoption, mood disorders, anxiety disorders and personality disorders along with matters of social/cultural oppression and justice.
(773) 694-1650 View (773) 694-1650
Photo of Robyne Luzietti, LCSW, Clinical Social Work/Therapist
Robyne Luzietti
Clinical Social Work/Therapist, LCSW
Verified Verified
Evanston, IL 60201
Not accepting new clients
For 20 years, I have been fortunate to work in various settings with adults who are struggling with problematic issues that affect their sense of self and their relationships. I am committed to first listening in order to understand and then aligning myself with my client so that together we can design a plan that will alleviate their pain and stress. I especially enjoy work with older adults who are dealing with relationship and transitional life changes as well as physical and emotional challenges. I regard therapy as an experience of mutual learning and discovery where my role is to facilitate my client's needs and desires.
For 20 years, I have been fortunate to work in various settings with adults who are struggling with problematic issues that affect their sense of self and their relationships. I am committed to first listening in order to understand and then aligning myself with my client so that together we can design a plan that will alleviate their pain and stress. I especially enjoy work with older adults who are dealing with relationship and transitional life changes as well as physical and emotional challenges. I regard therapy as an experience of mutual learning and discovery where my role is to facilitate my client's needs and desires.
(224) 204-0712 View (224) 204-0712
Photo of Matthew Lessack, LCPC, LMHC, Counselor
Matthew Lessack
Counselor, LCPC, LMHC
Verified Verified
1 Endorsed
Evanston, IL 60201  (Online Only)
Are you feeling lost or stuck? Do you talk down to yourself or question your abilities? Do your experiences of the past or present make life harder? You and I will work together to understand how learning to cultivate awareness and tenderness in your life can guide you to a path of growth, healing, and exploration. We will focus on identifying and moving toward what really matters to you in life and understand how to spend less time with what has not worked for you. There are many ways of doing psychotherapy but we will come together to tailor an approach to improve your quality of life.
Are you feeling lost or stuck? Do you talk down to yourself or question your abilities? Do your experiences of the past or present make life harder? You and I will work together to understand how learning to cultivate awareness and tenderness in your life can guide you to a path of growth, healing, and exploration. We will focus on identifying and moving toward what really matters to you in life and understand how to spend less time with what has not worked for you. There are many ways of doing psychotherapy but we will come together to tailor an approach to improve your quality of life.
(224) 328-2875 View (224) 328-2875
Photo of Tara N. Holstein, PsyD, Psychologist
Tara N. Holstein
Psychologist, PsyD
Verified Verified
1 Endorsed
Evanston, IL 60201
Not accepting new clients
Engaging in therapy is a courageous, commendable task. I have enormous respect for the individuals, couples, and families I work with, and endeavor to create a solid base of trust and a collaborative connection. Depending on your needs and goals, our work may focus on improving your quality of life, shifting patterns, and/or deepening your overall self-awareness. I find that, along the way, healing often occurs as one gains clarity and begins moving toward the desires, needs, and truths that may have gotten lost amidst the 'shoulds' and various other messages absorbed over time.
Engaging in therapy is a courageous, commendable task. I have enormous respect for the individuals, couples, and families I work with, and endeavor to create a solid base of trust and a collaborative connection. Depending on your needs and goals, our work may focus on improving your quality of life, shifting patterns, and/or deepening your overall self-awareness. I find that, along the way, healing often occurs as one gains clarity and begins moving toward the desires, needs, and truths that may have gotten lost amidst the 'shoulds' and various other messages absorbed over time.
(312) 257-3719 View (312) 257-3719
Photo of Aimee Kackley, LCPC
Aimee Kackley
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Evanston, IL 60201
I’m committed to creating a warm, safe non-judgmental space where you can openly explore your thoughts and feelings. I’ve worked in a variety of settings, including private & pubic schools, partial hospital and intensive outpatient settings, in addition to private practices. I know the power of working collaboratively with teams, parents, schools, and doctors — to best support each person. I love humor and believe that laughter can be the best medicine. My approach is founded on compassion, collaboration, and authentic.
I’m committed to creating a warm, safe non-judgmental space where you can openly explore your thoughts and feelings. I’ve worked in a variety of settings, including private & pubic schools, partial hospital and intensive outpatient settings, in addition to private practices. I know the power of working collaboratively with teams, parents, schools, and doctors — to best support each person. I love humor and believe that laughter can be the best medicine. My approach is founded on compassion, collaboration, and authentic.
(224) 509-9115 x1 View (224) 509-9115 x1
Photo of Jean O'Mahoney, PhD, Psychologist
Jean O'Mahoney
Psychologist, PhD
Verified Verified
1 Endorsed
Evanston, IL 60201
My approach to psychotherapy is supportive and exploratory. People find themselves in difficult situations and complex relationships and often need to change aspects about themselves when they discover repeating patterns. I enjoy the process of developing relationships with my patients, understanding their unique stories, and helping them to identify patterns in their life that may no longer be adaptive. I use a strength based approach, trying to focus on what resilience people bring to the table. I find that actively engaging people in a collaborative process is the best way to achieve lasting change.
My approach to psychotherapy is supportive and exploratory. People find themselves in difficult situations and complex relationships and often need to change aspects about themselves when they discover repeating patterns. I enjoy the process of developing relationships with my patients, understanding their unique stories, and helping them to identify patterns in their life that may no longer be adaptive. I use a strength based approach, trying to focus on what resilience people bring to the table. I find that actively engaging people in a collaborative process is the best way to achieve lasting change.
(773) 599-3984 View (773) 599-3984
Photo of Lauren E Miller, MSc, AM, LSW, Clinical Social Work/Therapist
Lauren E Miller
Clinical Social Work/Therapist, MSc, AM, LSW
Verified Verified
Evanston, IL 60201
My entire therapeutic practice is based on three words: I believe you. How often in life (both past and present) have individuals struggled with someone believing them? How easy it is to be judged and misunderstood. A lack of being believed, coupled with being both judged and misunderstood are often what create low self-esteem, depression, trauma, fear and anxiety: all of which can affect relationships, friendships, family life, work, school etc. With support, change and healing are realistic possibilities.
My entire therapeutic practice is based on three words: I believe you. How often in life (both past and present) have individuals struggled with someone believing them? How easy it is to be judged and misunderstood. A lack of being believed, coupled with being both judged and misunderstood are often what create low self-esteem, depression, trauma, fear and anxiety: all of which can affect relationships, friendships, family life, work, school etc. With support, change and healing are realistic possibilities.
(312) 757-7386 x891 View (312) 757-7386 x891
Photo of Hannah Williams, MA, LCSW, Clinical Social Work/Therapist
Hannah Williams
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Evanston, IL 60201
Through individualized care and a strong therapeutic relationship, I believe clients can better understand their unique strengths and feel empowered in their lives. Using trauma-informed care and harm reduction strategies, I want clients to feel safe, affirmed, and well-informed when making the best choices for themselves.
Through individualized care and a strong therapeutic relationship, I believe clients can better understand their unique strengths and feel empowered in their lives. Using trauma-informed care and harm reduction strategies, I want clients to feel safe, affirmed, and well-informed when making the best choices for themselves.
(847) 649-6785 View (847) 649-6785
Photo of Juliet C Bond, LCSW, Clinical Social Work/Therapist
Juliet C Bond
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Evanston, IL 60201
Sometimes, we don't feel like enough. That's when clinical support can help. I strive to bring empathy to each session with couples, adults, and young adults. Utilizing evidence-based therapeutic models and interventions, I work with clients to offer insight and build the relational intelligence each of us needs to improve our day to day experiences.
Sometimes, we don't feel like enough. That's when clinical support can help. I strive to bring empathy to each session with couples, adults, and young adults. Utilizing evidence-based therapeutic models and interventions, I work with clients to offer insight and build the relational intelligence each of us needs to improve our day to day experiences.
(847) 916-8870 View (847) 916-8870
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How does your Therapist compare?

Number of Therapists in Evanston, IL

900+

Average cost per session

$160

Therapists in Evanston, IL who prioritize treating:

93% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
68% Trauma and PTSD
66% Grief
65% Stress

Average years in practice

12 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
58% Aetna
43% UnitedHealthcare UHC | UBH

How Therapists in Evanston, IL see their clients

74% In Person and Online
26% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Evanston?

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.