Therapists in Washington County, IL
![Photo of Brittany Irwin - Live Well Counseling Services, LLC, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cf17bff-323d-421b-93b0-96a5ada42c6a/1/320x400.png)
Live Well Counseling Services, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nashville, IL 62263
We work with a variety of clients, and because we are a group practice with diverse experience and niches, we have someone for everyone! We see clients 18 and older and some providers will see kids and youth! Ideal clients for us are those looking for telehealth services or those who are needing services in their home because they are homebound (or seniors living in long-term care communities). We enjoy working with clients are who self-motivated and will work with issues with either acute or chronic issues. We do have a few providers that see clients in-office in Belleville, IL.
We work with a variety of clients, and because we are a group practice with diverse experience and niches, we have someone for everyone! We see clients 18 and older and some providers will see kids and youth! Ideal clients for us are those looking for telehealth services or those who are needing services in their home because they are homebound (or seniors living in long-term care communities). We enjoy working with clients are who self-motivated and will work with issues with either acute or chronic issues. We do have a few providers that see clients in-office in Belleville, IL.
Progressive Solutions Counseling LLC
Counselor, LCPC
Verified Verified
1 Endorsed
Okawville, IL 62271 (Online Only)
I use a goal oriented, multi-discipline approach to assist you in moving forward through difficulties toward a better future. I will work with you to reduce and manage symptoms to increase coping skills to improve your quality of life. I began counseling later in life and experience in a service industry helped me develop patience, empathy, and good listening/communication skills.
I use a goal oriented, multi-discipline approach to assist you in moving forward through difficulties toward a better future. I will work with you to reduce and manage symptoms to increase coping skills to improve your quality of life. I began counseling later in life and experience in a service industry helped me develop patience, empathy, and good listening/communication skills.
![Photo of Carrie Ryberg, LPC](https://photos.psychologytoday.com/1da89c9f-d1ba-4b34-b2e9-c1368a3b62e0/2/320x400.png)
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.
![Photo of Jessica Ashlock, MA, LCPC, Counselor](https://photos.psychologytoday.com/41913c05-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Making the decision to begin counseling can be very overwhelming. Many times people think about coming for quite some time before they make the call. I would love to hear from you and answer any questions you may have about the counseling process to help ease your mind. We can work together to establish a plan that is best for you.
Making the decision to begin counseling can be very overwhelming. Many times people think about coming for quite some time before they make the call. I would love to hear from you and answer any questions you may have about the counseling process to help ease your mind. We can work together to establish a plan that is best for you.
![Photo of M Joyce 'joy' Loyd, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/43b6314b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
M Joyce 'joy' Loyd
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Nashville, IL 62263
Is your life lacking inner peace and joy? Do you feel overwhelmed and feel that you have lost yourself? Stuck in a never ending cycle of depressed feelings, anxiousness and worry? Are your relationships with your family and friends strained or broken? Life and relationships can be hard. You may have suffered trauma, hurt or loss. You may be dealing with situations over which you feel you have no control. Are you ready for a change?
Is your life lacking inner peace and joy? Do you feel overwhelmed and feel that you have lost yourself? Stuck in a never ending cycle of depressed feelings, anxiousness and worry? Are your relationships with your family and friends strained or broken? Life and relationships can be hard. You may have suffered trauma, hurt or loss. You may be dealing with situations over which you feel you have no control. Are you ready for a change?
![Photo of Brandon Aguillard, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d330229d-55da-45d2-9622-4b7379a2da9d/1/320x400.png)
We all possess the ability for healing, growth, and self-development. Sometimes our efforts toward improvement need helpful nudges. As a therapist, I hope to join you on your journey in the here and now, walking alongside you, the challenges you face, and the growth you hope to experience. Of course, self-healing can be done alone, yet sometimes a therapist can be a helpful addition.
We all possess the ability for healing, growth, and self-development. Sometimes our efforts toward improvement need helpful nudges. As a therapist, I hope to join you on your journey in the here and now, walking alongside you, the challenges you face, and the growth you hope to experience. Of course, self-healing can be done alone, yet sometimes a therapist can be a helpful addition.
![Photo of Teena Marie Mabry, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cdeda085-27cb-41ba-8028-845e6ef43dfc/1/320x400.jpeg)
My name is Teena Mabry, and I am a Licensed Clinical Social Worker (LCSW) serving clients statewide in Illinois via telehealth. I have worked with all populations, but my focus is working with adults (18 & up). I specialize in depression, anxiety, stress management/burnout, work trauma, relationship issues and clients dealing with chronic illnesses.
My name is Teena Mabry, and I am a Licensed Clinical Social Worker (LCSW) serving clients statewide in Illinois via telehealth. I have worked with all populations, but my focus is working with adults (18 & up). I specialize in depression, anxiety, stress management/burnout, work trauma, relationship issues and clients dealing with chronic illnesses.
![Photo of Trevor Gregerson, LPC](https://photos.psychologytoday.com/704c09de-d598-4664-af8e-5021920434fc/2/320x400.jpeg)
I have experience working with a wide range of different diagnoses including; Bipolar Disorder, Depression, Anxiety, PTSD, Schizophrenia, Borderline Personality Disorder, and ASPD. I work with clients from ages 12 and up. I have helped clients manage major life transitions, relationship problems, grief and loss, and other life challenges. I use a multicultural lens when working with each client. I see each client as an expert of their lived experience. For me, therapy as a collaborative process in which I help clients achieve their own goals.
I have experience working with a wide range of different diagnoses including; Bipolar Disorder, Depression, Anxiety, PTSD, Schizophrenia, Borderline Personality Disorder, and ASPD. I work with clients from ages 12 and up. I have helped clients manage major life transitions, relationship problems, grief and loss, and other life challenges. I use a multicultural lens when working with each client. I see each client as an expert of their lived experience. For me, therapy as a collaborative process in which I help clients achieve their own goals.
![Photo of Caroline Crocker, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/499eb472-64a9-4005-b358-20272398e150/2/320x400.jpeg)
Caroline Crocker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Nashville, IL 62263
Life is complicated. Both my professional experiences and my own life experiences have taught me this. Women in particular experience unique challenges in today's world. We are faced with pressure from many sources, both internally and externally. I specialize in working with women of all ages, including teen girls. I offer secure, confidential video sessions so you can participate in therapy from the comfort of your home. As women we are often so busy with other responsibilities, that we put ourselves on the back burner. This is an opportunity to take care of you! You deserve it!
Life is complicated. Both my professional experiences and my own life experiences have taught me this. Women in particular experience unique challenges in today's world. We are faced with pressure from many sources, both internally and externally. I specialize in working with women of all ages, including teen girls. I offer secure, confidential video sessions so you can participate in therapy from the comfort of your home. As women we are often so busy with other responsibilities, that we put ourselves on the back burner. This is an opportunity to take care of you! You deserve it!
Online Therapists
![Photo of Kristin Beckstrom Radcliffe, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/48fd6052-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kristin Beckstrom Radcliffe
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
O Fallon, IL 62269
Waitlist for new clients
After many years in multiple different employs within social work, I have settled in to a love for helping children, adolescents and young adults cope with life's stressors. I am equipped with individual and small group space and accepting new clients. I utilize several evidence based therapies, including, but not limited to cognitive behavioral (CBT), Mindfulness CBT, and Strengths based.
After many years in multiple different employs within social work, I have settled in to a love for helping children, adolescents and young adults cope with life's stressors. I am equipped with individual and small group space and accepting new clients. I utilize several evidence based therapies, including, but not limited to cognitive behavioral (CBT), Mindfulness CBT, and Strengths based.
![Photo of Kelly Chaney, LCPC, Counselor](https://photos.psychologytoday.com/4f288f2b-5077-4776-9524-4d773d15ad69/1/320x400.png)
Hello, I am Dr. Kelly Chaney! I am a Licensed Clinical Professional Counselor who is passionate about helping clients find their passion in life and supporting them in removing blocks that are keeping them from living their best life. My client experience is currently working with the BIPOC community along with children, adolescents and families. My approach is Cognitive Behavioral Therapy. I focus on helping my clients identify and challenge unhelpful thoughts and to learn practical self-help strategies.
Hello, I am Dr. Kelly Chaney! I am a Licensed Clinical Professional Counselor who is passionate about helping clients find their passion in life and supporting them in removing blocks that are keeping them from living their best life. My client experience is currently working with the BIPOC community along with children, adolescents and families. My approach is Cognitive Behavioral Therapy. I focus on helping my clients identify and challenge unhelpful thoughts and to learn practical self-help strategies.
![Photo of Dominique Wilson, MA, LCPC](https://photos.psychologytoday.com/9ebbfa33-e983-49c8-90fb-0861b222112f/2/320x400.jpeg)
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.
![Photo of Sara Margaret Wray, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/48f0fe99-61d1-4596-b84f-467b38f01eaa/1/320x400.jpeg)
Sara Margaret Wray
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Maryville, IL 62062
Thanks for taking time to invest in your mental health. If you are struggling with anxiety, depression, addiction, trauma, borderline personality disorder, or psychosis I would love to join you on your journey to an improved wellbeing. I take a holistic approach to working with my clients and help them identify and utilize tools they already have as well as new, evidence-based interventions. I work with all ages, couples and families. I have four years experience in community mental health working with a wide range of diagnoses and populations. Feel free to explore my profile and schedule a session as I am taking new clients.
Thanks for taking time to invest in your mental health. If you are struggling with anxiety, depression, addiction, trauma, borderline personality disorder, or psychosis I would love to join you on your journey to an improved wellbeing. I take a holistic approach to working with my clients and help them identify and utilize tools they already have as well as new, evidence-based interventions. I work with all ages, couples and families. I have four years experience in community mental health working with a wide range of diagnoses and populations. Feel free to explore my profile and schedule a session as I am taking new clients.
![Photo of Dr. Christian Gillespie, PhD, Psychologist](https://photos.psychologytoday.com/72a2ce51-2ced-45d6-8db6-8a4a230304df/3/320x400.jpeg)
Dr. Christian Gillespie
Psychologist, PhD
Verified Verified
1 Endorsed
Carbondale, IL 62901 (Online Only)
Maybe you have tried convincing yourself that you don’t really “need” help, but you are tired of feeling drained, unhappy, or frustrated. Perhaps you need emotional relief from trauma, strained relationships… or are simply hoping to regain some balance in your life. If this hits close to home; you do NOT have to keep going through life feeling this way. We're here to help you get your light back, reinvigorating your relationships, and gain a fresh perspective on tackling your problems. If you are willing, let’s start opening the blinds on the dark areas in your life. Together, let’s restore your light and reclaim your power & joy.
Maybe you have tried convincing yourself that you don’t really “need” help, but you are tired of feeling drained, unhappy, or frustrated. Perhaps you need emotional relief from trauma, strained relationships… or are simply hoping to regain some balance in your life. If this hits close to home; you do NOT have to keep going through life feeling this way. We're here to help you get your light back, reinvigorating your relationships, and gain a fresh perspective on tackling your problems. If you are willing, let’s start opening the blinds on the dark areas in your life. Together, let’s restore your light and reclaim your power & joy.
![Photo of Terry Turner, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/2c60d918-222c-42e1-b0f6-295a6758935b/4/320x400.jpeg)
Terry Turner
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Belleville, IL 62221 (Online Only)
Everyone should be encouraged to work through any problem or issue they are facing with the right person to achieve the best outcome. With my support, I look forward to helping you become strong again. I help clients set goals, track progress, feel supported, get feedback, and be appreciated for their hard work, skills, and talents. My work experience is vast and wide-ranging. For example, I have spent many years in the military (VFW), police department, and elite sports competition, supporting individuals as they dealt with career development, performance improvement, addiction, mental illness, and crisis.
Everyone should be encouraged to work through any problem or issue they are facing with the right person to achieve the best outcome. With my support, I look forward to helping you become strong again. I help clients set goals, track progress, feel supported, get feedback, and be appreciated for their hard work, skills, and talents. My work experience is vast and wide-ranging. For example, I have spent many years in the military (VFW), police department, and elite sports competition, supporting individuals as they dealt with career development, performance improvement, addiction, mental illness, and crisis.
![Photo of Kathryn Schultz, LCPC](https://photos.psychologytoday.com/56a1ffc4-959d-4069-91bb-0043602bd8b0/2/320x400.jpeg)
I'm Katie. I've been in the counseling field since 2014. I have found that I connect best with children, adolescent and individuals emerging into adulthood. I have experience in working with clients who experience depression, anxiety, relationship concerns and whom would connect with a counselor who utilizes humor and play in sessions. I provide my clients with a space to feel comfortable and supported to help them work toward their goals.
I'm Katie. I've been in the counseling field since 2014. I have found that I connect best with children, adolescent and individuals emerging into adulthood. I have experience in working with clients who experience depression, anxiety, relationship concerns and whom would connect with a counselor who utilizes humor and play in sessions. I provide my clients with a space to feel comfortable and supported to help them work toward their goals.
![Photo of Whitney Perdun, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/b1ffc5aa-32c6-42a3-a219-b5ea92d8de98/1/320x400.png)
Hello, I’m Whitney Perdun, a Licensed Clinical Professional Counselor and Board Certified Art Therapist working with individuals, families, and couples. I have eight years of experience specializing in anxiety, depression, self esteem, marital/pre-marital, and emotional disturbance issues. I use a mix of approaches including Cognitive Behavioral Therapy, Rational Emotive Therapy, Motivational Interviewing, Narrative Therapy, Family Systems, Grief Therapy, Client-Centered Therapy, Play Therapy, Art Therapy, and Structural Planning. My goal is to help you build healthy relationships and find balance, understanding, peace, and safety.
Hello, I’m Whitney Perdun, a Licensed Clinical Professional Counselor and Board Certified Art Therapist working with individuals, families, and couples. I have eight years of experience specializing in anxiety, depression, self esteem, marital/pre-marital, and emotional disturbance issues. I use a mix of approaches including Cognitive Behavioral Therapy, Rational Emotive Therapy, Motivational Interviewing, Narrative Therapy, Family Systems, Grief Therapy, Client-Centered Therapy, Play Therapy, Art Therapy, and Structural Planning. My goal is to help you build healthy relationships and find balance, understanding, peace, and safety.
![Photo of Alaina Brown, MSW, Pre-Licensed Professional](https://photos.psychologytoday.com/96ad7a3d-44f5-4166-a24c-cf13e67106a1/1/320x400.jpeg)
‘A speaker raises a glass of water and asks the audience, “How heavy do you think this glass of water is?” His answer: “It depends on how long you hold it. It is the exact same weight, but the longer I hold it, the heavier it becomes. If we carry our burdens all the time, sooner or later, we will not be able to carry on, the burden becoming increasingly heavier.”’ Occasionally, we have to set our burdens down so that we are able to recharge and prepare ourselves to continue moving forward. I am deeply committed to providing pathways to support and to create the best environment possible for clients.
‘A speaker raises a glass of water and asks the audience, “How heavy do you think this glass of water is?” His answer: “It depends on how long you hold it. It is the exact same weight, but the longer I hold it, the heavier it becomes. If we carry our burdens all the time, sooner or later, we will not be able to carry on, the burden becoming increasingly heavier.”’ Occasionally, we have to set our burdens down so that we are able to recharge and prepare ourselves to continue moving forward. I am deeply committed to providing pathways to support and to create the best environment possible for clients.
![Photo of Rachel L. Logan, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b4e3bb60-1e45-492a-9caf-e86e2ed7a95f/1/320x400.jpeg)
Rachel L. Logan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Shiloh, IL 62269 (Online Only)
Hi there, I am Rachel Logan. Meet Rachel L. Logan, a powerhouse in the field of Inner-Healing and Faith. She is a Licensed Clinical Social Worker, esteemed author, speaker, and founder of Get to the Root Counseling, P. C. Her passion for healing stems from her experiences, shaping her into a compassionate practitioner. Rachel graduated with a Master's degree in Social Work from Saint Louis University in 2011. Before starting a private practice in 2018, she was employed as a school social worker and mental health counselor.
Hi there, I am Rachel Logan. Meet Rachel L. Logan, a powerhouse in the field of Inner-Healing and Faith. She is a Licensed Clinical Social Worker, esteemed author, speaker, and founder of Get to the Root Counseling, P. C. Her passion for healing stems from her experiences, shaping her into a compassionate practitioner. Rachel graduated with a Master's degree in Social Work from Saint Louis University in 2011. Before starting a private practice in 2018, she was employed as a school social worker and mental health counselor.
See more therapy options for Washington County
How does your Therapist compare?
Number of Therapists in Washington County, IL
10+
Average cost per session
$140
Therapists in Washington County, IL who prioritize treating:
100% | Depression |
100% | Anxiety |
90% | Coping Skills |
90% | Stress |
80% | Life Transitions |
70% | Grief |
60% | Relationship Issues |
Average years in practice
17 Years
Top 3 insurances accepted
100% | Aetna |
100% | BlueCross and BlueShield |
90% | Cigna and Evernorth |
How Therapists in Washington County, IL see their clients
90% | In Person and Online | |
10% | Online Only |
Gender breakdown
78% | Female | |
22% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Washington 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
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.