Therapists in Pineville, KY
![Photo of Kristi D Hamilton, MA, LPCA, NCPC, Counselor](https://photos.psychologytoday.com/d77b14f4-385d-45bd-979b-64e1030746a5/2/320x400.jpeg)
I am an LPCA committed to helping individuals navigate the complexities of anxiety, depression, bipolar disorder, PTSD, and other mental health challenges. My approach to therapy is rooted in empathy, trust, and collaboration. I believe that everyone has the strength within them to overcome obstacles and find a path towards healing and growth. I also am a Nationally Certified Parent Coordinator. I help individuals to effectively co-parent by providing assistance in resolving disputes and improving communication between parents.
I am an LPCA committed to helping individuals navigate the complexities of anxiety, depression, bipolar disorder, PTSD, and other mental health challenges. My approach to therapy is rooted in empathy, trust, and collaboration. I believe that everyone has the strength within them to overcome obstacles and find a path towards healing and growth. I also am a Nationally Certified Parent Coordinator. I help individuals to effectively co-parent by providing assistance in resolving disputes and improving communication between parents.
More Therapists Nearby
![Photo of Mikaela L Gray - Valley View Counseling, MS, LPCA, Pre-Licensed Professional](https://photos.psychologytoday.com/e13b7233-4a83-4252-9c90-cb94691056e1/2/320x400.jpeg)
Hello! My name is Mikaela Gray and I am an outpatient therapist at Valley View Counseling LLC. I have always had a love for people and have worked many years in my communities as a volunteer with teens and adults. It has been a joy to make my passion my career. I work with teens (16+), adults, and couples concerning a range of issues such as; depression, anxiety, self-esteem, self-harm, emotional regulation, communication difficulties, life-transitions, grief and loss, and healing from trauma. It is my hope to provide a judgement free environment for self-exploration, psycho-education, and a compassionate pathway toward change.
Hello! My name is Mikaela Gray and I am an outpatient therapist at Valley View Counseling LLC. I have always had a love for people and have worked many years in my communities as a volunteer with teens and adults. It has been a joy to make my passion my career. I work with teens (16+), adults, and couples concerning a range of issues such as; depression, anxiety, self-esteem, self-harm, emotional regulation, communication difficulties, life-transitions, grief and loss, and healing from trauma. It is my hope to provide a judgement free environment for self-exploration, psycho-education, and a compassionate pathway toward change.
![Photo of Jennifer Lynn Henson, LPCA, TCADC, Counselor](https://photos.psychologytoday.com/2d592b2f-280a-4a22-ab25-7acddc80aa02/1/320x400.jpeg)
I received a Masters in Clinical Mental Health Counseling and Addictions Counseling from the University of the Cumberlands. I have been practicing for 2 years. I am licensed in Kentucky to provide mental health and substance abuse services as an LPCA and a TCADC. I work collaboratively with my clients to help them establish and maintain emotional stability. I work with children, adolescents, adults, and families.
I received a Masters in Clinical Mental Health Counseling and Addictions Counseling from the University of the Cumberlands. I have been practicing for 2 years. I am licensed in Kentucky to provide mental health and substance abuse services as an LPCA and a TCADC. I work collaboratively with my clients to help them establish and maintain emotional stability. I work with children, adolescents, adults, and families.
Online Therapists
![Photo of Dr. Natalie Burke, PhD, Psychologist](https://photos.psychologytoday.com/bbccd510-a0f5-4145-badb-7ec400715583/2/320x400.jpeg)
Hello! I'm a queer clinical psychologist who specializes in working with the LGBTQ+ community and treating Eating disorders, OCD, Anxiety Disorders, and Mind-body and Health psychology-related concerns. Given that our identities shape all of our life experiences, I strive to understand clients’ cultural backgrounds and integrate this into the therapeutic process. If you are struggling with navigating minority stress, gender and/or sexual identity development, anxiety, disordered eating, negative body image, or OCD and your mental health is not where you want it to be, you are not alone and I am here to help.
Hello! I'm a queer clinical psychologist who specializes in working with the LGBTQ+ community and treating Eating disorders, OCD, Anxiety Disorders, and Mind-body and Health psychology-related concerns. Given that our identities shape all of our life experiences, I strive to understand clients’ cultural backgrounds and integrate this into the therapeutic process. If you are struggling with navigating minority stress, gender and/or sexual identity development, anxiety, disordered eating, negative body image, or OCD and your mental health is not where you want it to be, you are not alone and I am here to help.
![Photo of Billie Love, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cb377f3c-de86-44fb-ae73-4e18801fba21/1/320x400.png)
Billie Love, LCSW Billie Love is a Licensed Clinical Social Worker in Kentucky who has been practicing since 2018. She has a Master's of Science in Social Work and Bachelor of Science in Criminal Justice with a minor in Psychology. Billie believes in meeting the client where they are, utilizing trauma-informed and evidence-based practices. In her spare time, Billie likes to croquet, run races, hangout with her family, and network with other professionals.
Billie Love, LCSW Billie Love is a Licensed Clinical Social Worker in Kentucky who has been practicing since 2018. She has a Master's of Science in Social Work and Bachelor of Science in Criminal Justice with a minor in Psychology. Billie believes in meeting the client where they are, utilizing trauma-informed and evidence-based practices. In her spare time, Billie likes to croquet, run races, hangout with her family, and network with other professionals.
![Photo of Jennifer Dixon, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/72b7b03e-a896-4daf-a3f2-763a761e25e7/3/320x400.jpeg)
Jennifer Dixon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Lexington, KY 40509 (Online Only)
My work is driven by the belief that people can change and heal from mental health challenges that cause them problems in life. Making positive change can be difficult, exhausting, and overwhelming; but it is also courageous, rewarding, and important work. I would welcome the opportunity to walk together with you, facilitating the important process of positive change.
My work is driven by the belief that people can change and heal from mental health challenges that cause them problems in life. Making positive change can be difficult, exhausting, and overwhelming; but it is also courageous, rewarding, and important work. I would welcome the opportunity to walk together with you, facilitating the important process of positive change.
![Photo of Cecelia Dawn Bunch - Serenity Counseling Services, LPCC, LCADC](https://photos.psychologytoday.com/019ec869-604e-4fc8-994b-f3f92513732e/1/320x400.jpeg)
Serenity Counseling Services
Licensed Professional Clinical Counselor, LPCC, LCADC
Verified Verified
1 Endorsed
Columbia, KY 42728
We understand that everyone experiences challenges in life and sometimes these challenges make navigating from day to day difficult. This can make coping difficult which leads to the development of unhealthy habits whether that be faulty thinking, overwhelming anxiety, substance abuse, or other behavioral difficulties. We believe that effective treatment, centered around the individuals strengths and needs can provide avenues to overcome these challenges.
We understand that everyone experiences challenges in life and sometimes these challenges make navigating from day to day difficult. This can make coping difficult which leads to the development of unhealthy habits whether that be faulty thinking, overwhelming anxiety, substance abuse, or other behavioral difficulties. We believe that effective treatment, centered around the individuals strengths and needs can provide avenues to overcome these challenges.
![Photo of Katie Clinkenbeard, LPCA, MAEd, Counselor](https://photos.psychologytoday.com/0d2888d8-526f-4a04-ad33-3459e84684f4/2/320x400.jpeg)
I understand that no two individuals are the same and their paths to healing are just as distinct. I focus on being adaptable to the client’s needs and utilize different theories and philosophies to personalize the care for each individual. I emphasize the importance of multicultural and diversity counseling, am LGBTQIA+ and neurodiversity affirming, and continually work to ensure a safe and non-judgmental environment for all clients. Your journey is yours to lead, and I am prepared to assist you along your path.
I understand that no two individuals are the same and their paths to healing are just as distinct. I focus on being adaptable to the client’s needs and utilize different theories and philosophies to personalize the care for each individual. I emphasize the importance of multicultural and diversity counseling, am LGBTQIA+ and neurodiversity affirming, and continually work to ensure a safe and non-judgmental environment for all clients. Your journey is yours to lead, and I am prepared to assist you along your path.
![Photo of Heather Spera, LCSW, LCADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ab10bc1c-451a-4ed1-9792-bbaa09e28a1f/3/320x400.jpeg)
Heather Spera
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Lexington, KY 40505 (Online Only)
You keep searching the internet hoping to find something that will help you find normalcy again. Everything feels like a struggle anymore and you can't recall the last time you were actually happy or even content. You find yourself with an open bottle of wine almost every night or hiding in a closet to catch your breath from your life. Looking for answers with food, alcohol, exercise, shopping, accomplishments, or even attention has left you exhausted and empty. You have a great life but it doesn't feel great living it.
You keep searching the internet hoping to find something that will help you find normalcy again. Everything feels like a struggle anymore and you can't recall the last time you were actually happy or even content. You find yourself with an open bottle of wine almost every night or hiding in a closet to catch your breath from your life. Looking for answers with food, alcohol, exercise, shopping, accomplishments, or even attention has left you exhausted and empty. You have a great life but it doesn't feel great living it.
![Photo of Charlotte Allison, LPCC](https://photos.psychologytoday.com/13a3fc96-c99f-4e60-a456-99935474bad3/1/320x400.png)
Charlotte Allison
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Somerset, KY 42501
My name is Charlotte, I have experience working with individuals recovering from substance use and co-occurring disorders. I am LGBTQ+ affirming, as well as trained in and working towards certification in eye movement desensitization and reprocessing (EMDR) therapy.
My name is Charlotte, I have experience working with individuals recovering from substance use and co-occurring disorders. I am LGBTQ+ affirming, as well as trained in and working towards certification in eye movement desensitization and reprocessing (EMDR) therapy.
![Photo of Christopher Griggs Westerman, MA, LPCC-S, NCC, RPT-S, LCADC, Counselor](https://photos.psychologytoday.com/799d4397-c819-4b1d-a06b-7daa6339d8af/1/320x400.jpeg)
Christopher Griggs Westerman
Counselor, MA, LPCC-S, NCC, RPT-S, LCADC
Verified Verified
1 Endorsed
Lexington, KY 40502
Many feel overwhelmed at times with family life. Feeling that a child's problem is overwhelming or out of control. This can often lead to break downs in parenting or just relationships in the family. I have found over the years I help best when things look the worst and that many families have what it takes to change and make things feel more in control. I hope to help families and children feel like they can meet the challenges that life throws at them. Besides counseling I also offer supervision for Drug and Alcohol Counselors, Play therapy, and professional counselors in Kentucky.
Many feel overwhelmed at times with family life. Feeling that a child's problem is overwhelming or out of control. This can often lead to break downs in parenting or just relationships in the family. I have found over the years I help best when things look the worst and that many families have what it takes to change and make things feel more in control. I hope to help families and children feel like they can meet the challenges that life throws at them. Besides counseling I also offer supervision for Drug and Alcohol Counselors, Play therapy, and professional counselors in Kentucky.
![Photo of Joy Jones, MA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/2ecd2c0c-12d1-4693-a633-433af7da5bb3/2/320x400.jpeg)
Joy Jones
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Russell Springs, KY 42642 (Online Only)
Have you found yourself feeling tired, worn out, overwhelmed, or just blah more days than not? Do you feel like things could be better than they are right now if only this one little thing was different? Are you drowning in life? Are relationships hard for you? Is there something from your past that you find yourself dwelling on or being hindered by? Do you want to thrive, not just survive? I consider being a therapist to be a sacred honor and I would love to walk with you on your path to healing and joy. Walk with me and we will find your joy and peace again.
Have you found yourself feeling tired, worn out, overwhelmed, or just blah more days than not? Do you feel like things could be better than they are right now if only this one little thing was different? Are you drowning in life? Are relationships hard for you? Is there something from your past that you find yourself dwelling on or being hindered by? Do you want to thrive, not just survive? I consider being a therapist to be a sacred honor and I would love to walk with you on your path to healing and joy. Walk with me and we will find your joy and peace again.
![Photo of Jason Muzzillo, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6146ca36-3820-4437-af40-3dacb1e1905f/3/320x400.jpeg)
Jason Muzzillo
Clinical Social Work/Therapist, LCSW
Verified Verified
9 Endorsed
Lexington, KY 40517
I have years of training and experience helping those with mental health concerns that hold people back from meeting their full potential. I have 3 years of training in Advanced Psychodynamic through The Wayne Institute and Cincinnati Psychoanalytic Institute. My practice tailors our approach to healing in the way that which will best meet your needs. My goal is to meet you where you are- together we will come to the resolution you are seeking.
I have years of training and experience helping those with mental health concerns that hold people back from meeting their full potential. I have 3 years of training in Advanced Psychodynamic through The Wayne Institute and Cincinnati Psychoanalytic Institute. My practice tailors our approach to healing in the way that which will best meet your needs. My goal is to meet you where you are- together we will come to the resolution you are seeking.
![Photo of Dr. Alexandra Forsyth, PsyD, Psychologist](https://photos.psychologytoday.com/295ac153-c106-4fad-82d8-d084fe001dad/2/320x400.jpeg)
Dr. Alexandra Forsyth
Psychologist, PsyD
Verified Verified
5 Endorsed
Lexington, KY 40506 (Online Only)
Hello and welcome! During various seasons in our lives, strength, meaning, hope, joy, empowerment, compassion, and connection can be hard to find within ourselves and with others. My role as a licensed clinical psychologist is to help you on your journey towards healing, self-reflection, understanding, and positive change. Life throws all sorts of challenges our way, and as humans it is necessary, normal, and natural to need help. I am committed to fostering a safe space where your journey is honored, and your identity is celebrated. I value collaboration, flexibility, authenticity, and being human with you in the therapeutic space.
Hello and welcome! During various seasons in our lives, strength, meaning, hope, joy, empowerment, compassion, and connection can be hard to find within ourselves and with others. My role as a licensed clinical psychologist is to help you on your journey towards healing, self-reflection, understanding, and positive change. Life throws all sorts of challenges our way, and as humans it is necessary, normal, and natural to need help. I am committed to fostering a safe space where your journey is honored, and your identity is celebrated. I value collaboration, flexibility, authenticity, and being human with you in the therapeutic space.
![Photo of Anthony Moody, LPCA, Counselor](https://photos.psychologytoday.com/66f979dd-b6e1-4cc1-adc3-bb215c558515/1/320x400.jpeg)
Anthony Moody is a dedicated, driven, and diligent Licensed Professional Counselor Associate (LPCA) that has 2+ years of clinical mental health experience. He is a man of the Most High YAH, devout husband, and proud father of 4 that has a passion for educating and helping others. Originally born and raised in Dayton, Ohio, he now resides in Lexington, Kentucky. He earned his Bachelor’s degree in Accounting from Kentucky State University in 2014 and earned his Master’s degree in Clinical Mental Health Counseling from the University of Kentucky in 2023.
Anthony Moody is a dedicated, driven, and diligent Licensed Professional Counselor Associate (LPCA) that has 2+ years of clinical mental health experience. He is a man of the Most High YAH, devout husband, and proud father of 4 that has a passion for educating and helping others. Originally born and raised in Dayton, Ohio, he now resides in Lexington, Kentucky. He earned his Bachelor’s degree in Accounting from Kentucky State University in 2014 and earned his Master’s degree in Clinical Mental Health Counseling from the University of Kentucky in 2023.
![Photo of Natalie Meyle - Soulshine Therapy LLC, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7b5a5dc0-fb2d-41f8-b3ce-fe7613d2cb38/1/320x400.jpeg)
Soulshine Therapy LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lexington, KY 40517
Maybe you’re feeling touched-out, overwhelmed or you don't recognize the person staring back at you in the mirror anymore. This may be during a break up, job transition, infertility, during the changes of pregnancy and motherhood, or grief and loss. Maybe you want to heal past trauma or understand the impact of attachment style on your current relationships or parenting. Whatever brings you here, you’ll find the empathy and validation you’ve been craving. I have a special affinity for working with clients struggling with pregnancy, parenting, postpartum and grief/loss.
Maybe you’re feeling touched-out, overwhelmed or you don't recognize the person staring back at you in the mirror anymore. This may be during a break up, job transition, infertility, during the changes of pregnancy and motherhood, or grief and loss. Maybe you want to heal past trauma or understand the impact of attachment style on your current relationships or parenting. Whatever brings you here, you’ll find the empathy and validation you’ve been craving. I have a special affinity for working with clients struggling with pregnancy, parenting, postpartum and grief/loss.
![Photo of Kim Releford, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cfd821ce-9ae7-40c5-8acb-31b126dddd51/1/320x400.jpeg)
I have over 30 years of clinical experience across a variety of settings including outpatient clinics, crisis intervention, community-based practice, and jail-based and residential substance abuse treatment facilities. I believe in an integrative, dynamic, and holistic approach to mental health. I am particularly concerned with the impact of loss and trauma and emphasizes trauma recovery for better emotional, physical, and relationship health.
I have over 30 years of clinical experience across a variety of settings including outpatient clinics, crisis intervention, community-based practice, and jail-based and residential substance abuse treatment facilities. I believe in an integrative, dynamic, and holistic approach to mental health. I am particularly concerned with the impact of loss and trauma and emphasizes trauma recovery for better emotional, physical, and relationship health.
![Photo of Letitia 'tish' Holland-Cundiff, MEd, NCC, LPCC-S](https://photos.psychologytoday.com/1371a4cc-e922-48ed-b723-fba21f8630f0/1/320x400.jpeg)
Letitia 'tish' Holland-Cundiff
Licensed Professional Clinical Counselor, MEd, NCC, LPCC-S
Verified Verified
Lexington, KY 40509
Tish is a Licensed Professional Counselor in Kentucky and provides individual therapy and counseling services to children, adolescents, and adults. After completing her Bachelor’s Degree in Psychology and Sociology, Tish continued her education at Lindsey Wilson College and earned her Master’s Degree in Counseling. Tish has worked in the mental health field for 25 years and has been a licensed practitioner for 22 of those years. She has experience with individuals who are dually diagnosed and has a long history of working with individuals who have experienced traumatic events.
Tish is a Licensed Professional Counselor in Kentucky and provides individual therapy and counseling services to children, adolescents, and adults. After completing her Bachelor’s Degree in Psychology and Sociology, Tish continued her education at Lindsey Wilson College and earned her Master’s Degree in Counseling. Tish has worked in the mental health field for 25 years and has been a licensed practitioner for 22 of those years. She has experience with individuals who are dually diagnosed and has a long history of working with individuals who have experienced traumatic events.
![Photo of Shelby Yeich, MA, LPCC](https://photos.psychologytoday.com/9c483900-1f20-465c-bb80-f36617f1b9b0/1/320x400.jpeg)
Shelby Yeich
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
2 Endorsed
Lexington, KY 40517
People often struggle with depression, anxiety, grief, relationship conflict, and trauma-related issues. Every client will be warmly welcomed into my office and together we will collaborate to meet goals to help you be the best version of you. To meet these goals, we will use tools from multiple evidenced based interventions.
People often struggle with depression, anxiety, grief, relationship conflict, and trauma-related issues. Every client will be warmly welcomed into my office and together we will collaborate to meet goals to help you be the best version of you. To meet these goals, we will use tools from multiple evidenced based interventions.
How does your Therapist compare?
Number of Therapists in Pineville, KY
< 10
Therapists in Pineville, KY who prioritize treating:
100% | Relationship Issues |
100% | Depression |
100% | Anxiety |
100% | Child |
100% | ADHD |
100% | Obsessive-Compulsive (OCD) |
100% | Parenting |
Average years in practice
3 Years
Top 3 insurances accepted
100% | BlueCross and BlueShield |
100% | Humana |
100% | Medicaid |
How Therapists in Pineville, KY see their clients
100% | In Person and Online |
Gender breakdown
100% | Female |
FAQs - About Therapy and Counseling
How can I find a therapist in Pineville?
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.