Therapists in Johnson County, IL

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Photo of Shana Silger, MS, CMPC, Licensed Professional Counselor
Shana Silger
Licensed Professional Counselor, MS, CMPC
Verified Verified
3 Endorsed
Goreville, IL 62939
Are you dreaming the big dreams and want to take your game next level? I help athletes understand the huge role the mental game plays. Let's access your courage, strength, & ability to persevere so you can hit all your goals and more! Individualized sessions are tailored specific to your mental game needs. Do you want to master your thoughts, control your emotions, and develop the focus of a champion? We work on your mental strength and tenacity. We also work on improving your confidence and your ability to stay motivated through even the toughest of times! Are you willing to let yourself win today?!
Are you dreaming the big dreams and want to take your game next level? I help athletes understand the huge role the mental game plays. Let's access your courage, strength, & ability to persevere so you can hit all your goals and more! Individualized sessions are tailored specific to your mental game needs. Do you want to master your thoughts, control your emotions, and develop the focus of a champion? We work on your mental strength and tenacity. We also work on improving your confidence and your ability to stay motivated through even the toughest of times! Are you willing to let yourself win today?!
(618) 226-8951 View (618) 226-8951
Photo of Mercedes Cisneros-Wats, LCPC
Mercedes Cisneros-Wats
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Vienna, IL 62995
Thank you for choosing me, Mercedes P Cisneros Watson -Watson MA., LCPC and Path for your Counseling needs. I “Mercedes” a Native of Chicago, am a Licensed Clinical Professional Counselor (LCPC), in the State of Illinois Department of Professional Regulations since 1998. My Clinical counseling experience spans over 30 years. My areas of clinical interest include addressing adult Women’s and Men’s life issues such as Intergenerational Trauma Survivors, Grief/ Loss, Divorce, Abusive relationships and, General Mood Disorders ie, Depression, General Anxiety Disorders. Gender Dysphoria, and Various personality disorders.
Thank you for choosing me, Mercedes P Cisneros Watson -Watson MA., LCPC and Path for your Counseling needs. I “Mercedes” a Native of Chicago, am a Licensed Clinical Professional Counselor (LCPC), in the State of Illinois Department of Professional Regulations since 1998. My Clinical counseling experience spans over 30 years. My areas of clinical interest include addressing adult Women’s and Men’s life issues such as Intergenerational Trauma Survivors, Grief/ Loss, Divorce, Abusive relationships and, General Mood Disorders ie, Depression, General Anxiety Disorders. Gender Dysphoria, and Various personality disorders.
(323) 643-8569 View (323) 643-8569
Photo of Carrie Ryberg, LPC, Counselor
Carrie Ryberg
Counselor, LPC
Verified Verified
Goreville, IL 62939
Hello, my name is Carrie L. Ryberg, MA, LCPC, NCC, and I have been practicing counseling for 13 years. Typically, I work with clients that have anxiety, depression, or previous trauma. Then, I will work with using an approach that would best help you with your needs. I use Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Mindfulness Techniques, and Solution Focus. I believe that sometimes we need some support during difficult times to help us cope and find the silver lining.
Hello, my name is Carrie L. Ryberg, MA, LCPC, NCC, and I have been practicing counseling for 13 years. Typically, I work with clients that have anxiety, depression, or previous trauma. Then, I will work with using an approach that would best help you with your needs. I use Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Mindfulness Techniques, and Solution Focus. I believe that sometimes we need some support during difficult times to help us cope and find the silver lining.
(773) 305-6923 View (773) 305-6923
Photo of Justin Kozak, LCPC
Justin Kozak
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Goreville, IL 62939
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.
(773) 729-6236 View (773) 729-6236
Photo of Sarah Basler, LCSW, Clinical Social Work/Therapist
Sarah Basler
Clinical Social Work/Therapist, LCSW
Verified Verified
Ozark, IL 62972
My name is Sarah Basler, I am a Licensed Clinical Social Worker, LCSW. Therapy is a big step. I am happy you are looking for a therapist for yourself or a loved one. I have over 20 years of experience providing counseling to adolescents and adults. I have experience treating substance use, anxiety, depression, stress, and trauma. My goal is to help you on your path to healing. I like to meet you where you are and help you be the best version of yourself. Transitions and life can be hard. I am here to guide you through life's challenges.
My name is Sarah Basler, I am a Licensed Clinical Social Worker, LCSW. Therapy is a big step. I am happy you are looking for a therapist for yourself or a loved one. I have over 20 years of experience providing counseling to adolescents and adults. I have experience treating substance use, anxiety, depression, stress, and trauma. My goal is to help you on your path to healing. I like to meet you where you are and help you be the best version of yourself. Transitions and life can be hard. I am here to guide you through life's challenges.
(773) 992-1652 View (773) 992-1652
Photo of Ashley Wofford, LCSW, Clinical Social Work/Therapist
Ashley Wofford
Clinical Social Work/Therapist, LCSW
Verified Verified
Buncombe, IL 62912
Ashley N Wofford, LCSW, is a licensed clinical social worker who works with adults in several different specialty areas, including but not limited to anxiety, depression, trauma, life transitions, and stress management. She obtained her master's degree in social work from Southern Illinois University Edwardsville and has been practicing for over a decade. While she utilizes an eclectic approach in therapy to tailor treatment to match each client's needs. Therapy styles include but are not limited to solution-focused therapy, EMDR, strengths-based, psychodynamic, and cognitive behavioral therapy.
Ashley N Wofford, LCSW, is a licensed clinical social worker who works with adults in several different specialty areas, including but not limited to anxiety, depression, trauma, life transitions, and stress management. She obtained her master's degree in social work from Southern Illinois University Edwardsville and has been practicing for over a decade. While she utilizes an eclectic approach in therapy to tailor treatment to match each client's needs. Therapy styles include but are not limited to solution-focused therapy, EMDR, strengths-based, psychodynamic, and cognitive behavioral therapy.
(773) 902-0917 View (773) 902-0917

Online Therapists

Photo of Zachary Stephenson, Pre-Licensed Professional
Zachary Stephenson
Pre-Licensed Professional
Verified Verified
Murphysboro, IL 62966
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) 851-1160 View (618) 851-1160
Photo of Abby Brooks, LCPC
Abby Brooks
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Murphysboro, IL 62966
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) 367-6039 View (708) 367-6039
Photo of Ashley Meints, MA, LCPC, Counselor
Ashley Meints
Counselor, MA, LCPC
Verified Verified
Belleville, IL 62226
"Think about what you can do right now, not what you had wish you would have done before." I am passionate about helping people overcome whatever obstacle that keeps them from living their life to the fullest. Throughout life we all experience difficulties that lead to us feeling alone, overwhelmed, and defeated. Despite our best efforts sometimes overcoming those life circumstances by ourselves can be unsuccessful. My desire is to come alongside you and help you overcome those difficult life circumstances in a safe and supporting environment to get you back to living your best life.
"Think about what you can do right now, not what you had wish you would have done before." I am passionate about helping people overcome whatever obstacle that keeps them from living their life to the fullest. Throughout life we all experience difficulties that lead to us feeling alone, overwhelmed, and defeated. Despite our best efforts sometimes overcoming those life circumstances by ourselves can be unsuccessful. My desire is to come alongside you and help you overcome those difficult life circumstances in a safe and supporting environment to get you back to living your best life.
(708) 325-4038 View (708) 325-4038
Photo of Chad Thomas Welch, LCPC, AMTP, CCTP, Counselor
Chad Thomas Welch
Counselor, LCPC, AMTP, CCTP
Verified Verified
10 Endorsed
Swansea, IL 62226
When choosing a therapist it is important to consider many different perspectives. First and most importantly, is this someone that you will be comfortable working with? Education and experience are other considerations? However, when it comes right down to it, it's about connecting. All the great tools that a therapist may have will be useless if you do not connect with them. I have heard from many of my clients about negative experiences in the past with therapists and how they feel like nothing really happened.
When choosing a therapist it is important to consider many different perspectives. First and most importantly, is this someone that you will be comfortable working with? Education and experience are other considerations? However, when it comes right down to it, it's about connecting. All the great tools that a therapist may have will be useless if you do not connect with them. I have heard from many of my clients about negative experiences in the past with therapists and how they feel like nothing really happened.
(618) 230-3123 View (618) 230-3123
Photo of Alisa Cates, MA, LCPC, Counselor
Alisa Cates
Counselor, MA, LCPC
Verified Verified
2 Endorsed
Columbia, IL 62236
Do you find yourself struggling with something you feel like no one else will understand, or perhaps there is no one you can confide in for fear of being judged? Keeping things bottled up creates interpersonal conflict, affects our relationships, and hinders the ability to change. I believe that individuals want to be heard and understood, all the while respecting their unique differences.
Do you find yourself struggling with something you feel like no one else will understand, or perhaps there is no one you can confide in for fear of being judged? Keeping things bottled up creates interpersonal conflict, affects our relationships, and hinders the ability to change. I believe that individuals want to be heard and understood, all the while respecting their unique differences.
(618) 226-2353 View (618) 226-2353
Photo of Mark M Schloemann, LCSW, Clinical Social Work/Therapist
Mark M Schloemann
Clinical Social Work/Therapist, LCSW
Verified Verified
Marion, IL 62959
As a therapist with over 40 years of experience, I believe the patient and therapist relationship is the foundation needed to provide a safe environment to help others develop healthier adaptive responses to life challenges.
As a therapist with over 40 years of experience, I believe the patient and therapist relationship is the foundation needed to provide a safe environment to help others develop healthier adaptive responses to life challenges.
(618) 620-1951 View (618) 620-1951
Photo of Claudia Talia, LMHC
Claudia Talia
Licensed Clinical Professional Counselor, LMHC
Verified Verified
Shiloh, IL 62269
Claudia has over 15 years of clinical experience working with clients of various ages and cultural backgrounds. Claudia has provided individual, family, and group psychotherapy in a wide range of settings including rehab facilities, community centers, homes, hospitals, and outpatient settings. Claudia's skill set includes crisis Intervention, anger management, mood and anxiety issues, substance use and other compulsive behaviors, trauma-related concerns, and personality disorders. Claudia is a fully licensed clinician and an immigrant who grew up in Chicago.
Claudia has over 15 years of clinical experience working with clients of various ages and cultural backgrounds. Claudia has provided individual, family, and group psychotherapy in a wide range of settings including rehab facilities, community centers, homes, hospitals, and outpatient settings. Claudia's skill set includes crisis Intervention, anger management, mood and anxiety issues, substance use and other compulsive behaviors, trauma-related concerns, and personality disorders. Claudia is a fully licensed clinician and an immigrant who grew up in Chicago.
(872) 291-1027 View (872) 291-1027
Photo of Lynette Weiss, LCPC, Counselor
Lynette Weiss
Counselor, LCPC
Verified Verified
Carbondale, IL 62901  (Online Only)
Currently accepting new clients. I work with individuals, couples, and families who struggle to understand themselves and their place in the world. I strive to provide an empathic space for clients to share their life experiences.
Currently accepting new clients. I work with individuals, couples, and families who struggle to understand themselves and their place in the world. I strive to provide an empathic space for clients to share their life experiences.
(708) 367-6202 View (708) 367-6202
Photo of Dominique Wilson, MA, LCPC
Dominique Wilson
Clinical Professional Counselor, MA, LCPC
Verified Verified
5 Endorsed
O Fallon, IL 62269
Have you tried everything to feel “normal” and still feel wounded, damaged, or out of control? If this is you, it’s time to step out of the solitary confinement of your mind and allow a healer to guide you. After all, being with a therapist is a relationship that can go beyond any other. For your therapist may know every secret and dark thought you've had, and hold trust that you've never gifted to anyone. When you ask for help, you’re expecting skills, processing, for "it" not to hurt so bad. Being gifted to heal people from their trauma creates a sense of owing the world my best effort at the work I love.
Have you tried everything to feel “normal” and still feel wounded, damaged, or out of control? If this is you, it’s time to step out of the solitary confinement of your mind and allow a healer to guide you. After all, being with a therapist is a relationship that can go beyond any other. For your therapist may know every secret and dark thought you've had, and hold trust that you've never gifted to anyone. When you ask for help, you’re expecting skills, processing, for "it" not to hurt so bad. Being gifted to heal people from their trauma creates a sense of owing the world my best effort at the work I love.
(618) 762-3343 View (618) 762-3343
Photo of Tiffany Clapp, MA, LPC, NCC, Licensed Professional Counselor
Tiffany Clapp
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Fairview Heights, IL 62208  (Online Only)
Every person has a story that is made up of thoughts, actions, and major events that have shaped them into who they are today. However, some chapters of our story include unpleasant experiences, emotions, and memories that still cause us suffering today. I want you to know that you don't have to feel alone anymore. If you have experienced complex trauma, suffer from low self-esteem/self-worth, or struggle with setting healthy boundaries, I am the Therapist for you! I want to learn everything about your story, help you heal, give you the support that you've always desired, and make you finding happiness my top priority!
Every person has a story that is made up of thoughts, actions, and major events that have shaped them into who they are today. However, some chapters of our story include unpleasant experiences, emotions, and memories that still cause us suffering today. I want you to know that you don't have to feel alone anymore. If you have experienced complex trauma, suffer from low self-esteem/self-worth, or struggle with setting healthy boundaries, I am the Therapist for you! I want to learn everything about your story, help you heal, give you the support that you've always desired, and make you finding happiness my top priority!
(618) 507-6456 View (618) 507-6456
Photo of Sarah A Mossa, MBA, LCPC, LPCC, LPC, NCC
Sarah A Mossa
Licensed Clinical Professional Counselor, MBA, LCPC, LPCC, LPC, NCC
Verified Verified
2 Endorsed
Shiloh, IL 62269  (Online Only)
Are you struggling with sleep? anxiety? Finding yourself having an increased use of food or alcohol? Confused as to why this particular situation is so difficult when you have managed many traumas situations in the past? Wondering why you just can't seem to get on the same page with your spouse? Struggling to connect with your partner? Have you recently had a miscarriage, or having difficulties with pregnancy or post birth concerns? I look forward to helping you with any and all of these concerns through telephonic or video counseling.
Are you struggling with sleep? anxiety? Finding yourself having an increased use of food or alcohol? Confused as to why this particular situation is so difficult when you have managed many traumas situations in the past? Wondering why you just can't seem to get on the same page with your spouse? Struggling to connect with your partner? Have you recently had a miscarriage, or having difficulties with pregnancy or post birth concerns? I look forward to helping you with any and all of these concerns through telephonic or video counseling.
(618) 202-5480 View (618) 202-5480
Photo of Megan Bates, PsyD, Pre-Licensed Professional
Megan Bates
Pre-Licensed Professional, PsyD
Verified Verified
Marion, IL 62959
I specialize in testing services ranging from the identification / diagnosis of neurodevelopmental disorders (ADHD, autism, learning & intellectual disabilities) to complex psychiatric presentations in which mood, personality, social, and cognitive factors may be at play. My goal is to empower individuals who are struggling with emotional, behavioral, social regulations, or other challenges to utilize their strengths to achieve their goals. These goals vary by individual; from goals to improve their academic or occupational functioning, foster healthier relationships, take control of emotional responses, or to understand themselves.
I specialize in testing services ranging from the identification / diagnosis of neurodevelopmental disorders (ADHD, autism, learning & intellectual disabilities) to complex psychiatric presentations in which mood, personality, social, and cognitive factors may be at play. My goal is to empower individuals who are struggling with emotional, behavioral, social regulations, or other challenges to utilize their strengths to achieve their goals. These goals vary by individual; from goals to improve their academic or occupational functioning, foster healthier relationships, take control of emotional responses, or to understand themselves.
(618) 495-3544 View (618) 495-3544
Photo of Jennifer Zerfowski, LCSW, Clinical Social Work/Therapist
Jennifer Zerfowski
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfield, IL 62837
My approach to therapy is not always your traditional approach. I utilize many evidence-based therapy modalities while also making our time together interesting and fun. Many times deep healing work can occur without even realizing it. You may find yourself feeling an array of emotions from crying to laughing as we work together. I believe that there is deep healing power in laughter.
My approach to therapy is not always your traditional approach. I utilize many evidence-based therapy modalities while also making our time together interesting and fun. Many times deep healing work can occur without even realizing it. You may find yourself feeling an array of emotions from crying to laughing as we work together. I believe that there is deep healing power in laughter.
(708) 847-9633 View (708) 847-9633
Photo of Dr. Jacqueline Juanita Madison - PEMS Balance Madison Counseling and Life Coaching, MA, LCPC, RMT, NLPLC, ORDM, Licensed Professional Counselor
PEMS Balance Madison Counseling and Life Coaching
Licensed Professional Counselor, MA, LCPC, RMT, NLPLC, ORDM
Verified Verified
Belleville, IL 62226  (Online Only)
PEMS provides holistic collaborative spiritual counseling, health coaching, and mental health coaching to clients using evidence-based practices that strengthen physical, emotional, mental, and spiritual wellness creating holistic balance in their lives. I believe in positive self-awareness and that as a person thinks they become so I educate clients on the ancient science of "know thyself. " PEMS holistic approach uses meditation, affirmations, evidence-based practices, and energy healing tools and techniques. I work with the military population, individuals, groups, couples, children, adults and elderly on lifes transitions.
PEMS provides holistic collaborative spiritual counseling, health coaching, and mental health coaching to clients using evidence-based practices that strengthen physical, emotional, mental, and spiritual wellness creating holistic balance in their lives. I believe in positive self-awareness and that as a person thinks they become so I educate clients on the ancient science of "know thyself. " PEMS holistic approach uses meditation, affirmations, evidence-based practices, and energy healing tools and techniques. I work with the military population, individuals, groups, couples, children, adults and elderly on lifes transitions.
(314) 740-0903 View (314) 740-0903

See more therapy options for Johnson County

How does your Therapist compare?

Number of Therapists in Johnson County, IL

< 10

Therapists in Johnson County, IL who prioritize treating:

100% Anxiety
100% Coping Skills
83% Depression
83% Self Esteem
83% Stress
67% Relationship Issues
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Johnson County, IL see their clients

100% In Person and Online

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Johnson County?

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.