Therapists in Highland, Saint Paul, MN

Photo of Catherine Scharlau - Collegiate Mental Wellness, PhD, LP, Psychologist
Collegiate Mental Wellness
Psychologist, PhD, LP
Verified Verified
Highland, Saint Paul, MN 55116
Collegiate Mental Wellness is a supportive, positive clinic, now welcoming new clients ages 11-25 facing stress, transitions, relationship/friendship issues, academic pressure, and mental health concerns. Customized individual therapy, family therapy, diagnostic visits, ADHD assessments and mental health medication. We offer in person appointments in St. Paul at the corner of Cleveland Avenue South and Ford Parkway in the Highland Park area. Teletetherapy is also available in all PsyPact States and in Minnesota. In Network with Optum, Medica, United Health Care, Blue Cross MN and Health Partners.
Collegiate Mental Wellness is a supportive, positive clinic, now welcoming new clients ages 11-25 facing stress, transitions, relationship/friendship issues, academic pressure, and mental health concerns. Customized individual therapy, family therapy, diagnostic visits, ADHD assessments and mental health medication. We offer in person appointments in St. Paul at the corner of Cleveland Avenue South and Ford Parkway in the Highland Park area. Teletetherapy is also available in all PsyPact States and in Minnesota. In Network with Optum, Medica, United Health Care, Blue Cross MN and Health Partners.
(612) 482-9407 View (612) 482-9407
Photo of Sara Underwood, LMFT, Marriage & Family Therapist
Sara Underwood
Marriage & Family Therapist, LMFT
Verified Verified
Highland, Saint Paul, MN 55116  (Online Only)
Are you feeling lost, stuck, or overwhelmed? Is it difficult to get motivated or know what your purpose or plan is in life? Are you struggling in school, your career or relationships? Maybe you're wondering if you'll make it through one more semester, ever find a career you enjoy, or have healthy relationships. Sometimes life can feel like too much and it's easy to get overwhelmed and lost in the sea of decisions and expectations, especially in a world like we’re facing today. It's also possible for things to be different.
Are you feeling lost, stuck, or overwhelmed? Is it difficult to get motivated or know what your purpose or plan is in life? Are you struggling in school, your career or relationships? Maybe you're wondering if you'll make it through one more semester, ever find a career you enjoy, or have healthy relationships. Sometimes life can feel like too much and it's easy to get overwhelmed and lost in the sea of decisions and expectations, especially in a world like we’re facing today. It's also possible for things to be different.
(651) 410-2862 View (651) 410-2862
Photo of Jessica Clayton, Pre-Licensed Professional
Jessica Clayton
Pre-Licensed Professional
Verified Verified
Highland, Saint Paul, MN 55116
Jessica received her Master of Social Work from Capella University in 2023, and is pursuing licensure through the state of Minnesota as a Graduate Social Worker. She received her Bachelor of Sciences in Psychology from the University of Minnesota in 2018. Jessica enjoys working with individuals, families, adolescents, and children and has experience working with individuals and families struggling with anxiety disorders, depression, ADHD, Autism, FAS, PTSD, and more.
Jessica received her Master of Social Work from Capella University in 2023, and is pursuing licensure through the state of Minnesota as a Graduate Social Worker. She received her Bachelor of Sciences in Psychology from the University of Minnesota in 2018. Jessica enjoys working with individuals, families, adolescents, and children and has experience working with individuals and families struggling with anxiety disorders, depression, ADHD, Autism, FAS, PTSD, and more.
(651) 800-7813 View (651) 800-7813
Photo of Joelle L Kallio, PsyD, LP, Psychologist
Joelle L Kallio
Psychologist, PsyD, LP
Verified Verified
Highland, Saint Paul, MN 55116
If you are looking to make a change but are not sure how, therapy can help. Therapy can feel intimidating but it shouldn't be. The process of learning about yourself and evaluating how you think can prove to be a healing one. It also helps you to find ways to cope with the past and to heal from pain related to one's experiences. It's human to get stuck sometimes and it helps to talk things through, to help make sense of it all, and to move toward living a more satisfying life.
If you are looking to make a change but are not sure how, therapy can help. Therapy can feel intimidating but it shouldn't be. The process of learning about yourself and evaluating how you think can prove to be a healing one. It also helps you to find ways to cope with the past and to heal from pain related to one's experiences. It's human to get stuck sometimes and it helps to talk things through, to help make sense of it all, and to move toward living a more satisfying life.
(651) 564-8506 View (651) 564-8506
Photo of Greg Hunter, Pre-Licensed Professional
Greg Hunter
Pre-Licensed Professional
Verified Verified
1 Endorsed
Highland, Saint Paul, MN 55116
In a demanding world, you can find resilience within yourself. As a therapist, my goal is to see you develop ways to persevere and grow—ways that speak to your values and your needs.
In a demanding world, you can find resilience within yourself. As a therapist, my goal is to see you develop ways to persevere and grow—ways that speak to your values and your needs.
(612) 482-2352 x2 View (612) 482-2352 x2
Photo of Colleen Clarke, MA, Pre-Licensed Professional
Colleen Clarke
Pre-Licensed Professional, MA
Verified Verified
Highland, Saint Paul, MN 55116
Hello! I am open-minded, curious, empathetic, and non-judgmental. I believe in community and reaching out to others for support. Having raised three young adults, I am drawn to conversations about life transition, identity and career exploration, relationships, trauma, anxiety, depression, and mental health issues affecting young adults and adults of all ages. I seek to listen to and support adults in their process of healing and self-exploration. As a cis-gendered, white woman who has lived in many different communities around the US, I continue to strive to learn about others’ culture and experiences with humility and curiosity.
Hello! I am open-minded, curious, empathetic, and non-judgmental. I believe in community and reaching out to others for support. Having raised three young adults, I am drawn to conversations about life transition, identity and career exploration, relationships, trauma, anxiety, depression, and mental health issues affecting young adults and adults of all ages. I seek to listen to and support adults in their process of healing and self-exploration. As a cis-gendered, white woman who has lived in many different communities around the US, I continue to strive to learn about others’ culture and experiences with humility and curiosity.
(612) 662-4227 View (612) 662-4227
Photo of Mark Wick, Pre-Licensed Professional
Mark Wick
Pre-Licensed Professional
Verified Verified
Highland, Saint Paul, MN 55116
Welcome! It takes courage to seek support and take the first step towards healing and personal growth. I want you to know that you are not alone on this journey, and together we can navigate the challenges you are facing. As a dedicated and compassionate therapist, I believe in building a collaborative relationship with my clients. I value your unique experiences, perspectives, and strength, and aim to create a safe and non-judgmental space where we can work together to achieve your goals.
Welcome! It takes courage to seek support and take the first step towards healing and personal growth. I want you to know that you are not alone on this journey, and together we can navigate the challenges you are facing. As a dedicated and compassionate therapist, I believe in building a collaborative relationship with my clients. I value your unique experiences, perspectives, and strength, and aim to create a safe and non-judgmental space where we can work together to achieve your goals.
(651) 376-3567 View (651) 376-3567
Photo of Josalin Brausen, Marriage & Family Therapist Intern
Josalin Brausen
Marriage & Family Therapist Intern
Verified Verified
Highland, Saint Paul, MN 55116
Now accepting couples and families for relational therapy. I offer a sliding scale fee and accept insurance, listed below. Available to see clients throughout the state of MN virtually and in office in St. Paul. I want to say, you are brave for being here! Pursuing therapy, being vulnerable, and putting valuable work into ourselves can feel intimidating. I hope to put you at ease and help make the process as enjoyable and helpful as possible, by fostering open and honest communication in a judgment free zone, where you can explore any topic that is important to you. You do not have to carry the weight of life alone!
Now accepting couples and families for relational therapy. I offer a sliding scale fee and accept insurance, listed below. Available to see clients throughout the state of MN virtually and in office in St. Paul. I want to say, you are brave for being here! Pursuing therapy, being vulnerable, and putting valuable work into ourselves can feel intimidating. I hope to put you at ease and help make the process as enjoyable and helpful as possible, by fostering open and honest communication in a judgment free zone, where you can explore any topic that is important to you. You do not have to carry the weight of life alone!
(651) 384-1720 View (651) 384-1720
Photo of Jean Wagner, DMFT, LMFT, Marriage & Family Therapist
Jean Wagner
Marriage & Family Therapist, DMFT, LMFT
Verified Verified
Highland, Saint Paul, MN 55116
We are all on a unique life journey! I am passionate about helping others thrive, not just survive, on their journey. I am especially passionate about healthy relationships with a special interest in family of origin issues, pre-marriage counseling, divorce, remarriage, blended families, and codependency issues. I also specialize in grief counseling, life transitions, career development, and spiritual concerns. I work with individual adults and couples using a systemic, strengths-based, integrative approach.
We are all on a unique life journey! I am passionate about helping others thrive, not just survive, on their journey. I am especially passionate about healthy relationships with a special interest in family of origin issues, pre-marriage counseling, divorce, remarriage, blended families, and codependency issues. I also specialize in grief counseling, life transitions, career development, and spiritual concerns. I work with individual adults and couples using a systemic, strengths-based, integrative approach.
(612) 482-8554 x4 View (612) 482-8554 x4
Photo of Alix Bellus, Pre-Licensed Professional
Alix Bellus
Pre-Licensed Professional
Verified Verified
Highland, Saint Paul, MN 55116
I strongly believe in the transformative power of therapy. I work with clients using curiosity and understanding to explore the roadblocks that keep them from becoming who they want to be. These roadblocks can be met with skills and tools or space to process, ultimately highlighting the client’s own ability to create change. Therapy should be unique to the individual. I am passionate about creating a collaborative therapeutic relationship, and am dedicated to finding the style of therapy that works best for each client. I use a blend of theoretical orientations and offer a direct, holistic, solution-focused lens.
I strongly believe in the transformative power of therapy. I work with clients using curiosity and understanding to explore the roadblocks that keep them from becoming who they want to be. These roadblocks can be met with skills and tools or space to process, ultimately highlighting the client’s own ability to create change. Therapy should be unique to the individual. I am passionate about creating a collaborative therapeutic relationship, and am dedicated to finding the style of therapy that works best for each client. I use a blend of theoretical orientations and offer a direct, holistic, solution-focused lens.
(952) 243-5211 x703 View (952) 243-5211 x703
Photo of Ted Cooper, MA, LPCC
Ted Cooper
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Highland, Saint Paul, MN 55116  (Online Only)
I focus on my client's strengths and core values, and collaborate with them to find their own answers. I believe in the power of choice, and that learning how to make good choices is key. Clients often say after working with me that they feel encouraged, empowered and able to face their fears, and they understand that fear is a choice, not a necessity. I assist clients in working through their personal barriers, so that they can be successful, present and happy in their lives and the lives of their families.
I focus on my client's strengths and core values, and collaborate with them to find their own answers. I believe in the power of choice, and that learning how to make good choices is key. Clients often say after working with me that they feel encouraged, empowered and able to face their fears, and they understand that fear is a choice, not a necessity. I assist clients in working through their personal barriers, so that they can be successful, present and happy in their lives and the lives of their families.
(651) 504-8914 View (651) 504-8914
Photo of Annie Curtis Nelson, MS, LPCC, LADC, Licensed Professional Counselor
Annie Curtis Nelson
Licensed Professional Counselor, MS, LPCC, LADC
Verified Verified
Highland, Saint Paul, MN 55116  (Online Only)
I work with adults 18+ and specialize in life transitions, anxiety, trauma and addiction, and have a particular interest in how our childhood experiences impact us as adults. I currently see clients via telehealth through Catalyst Mental Health. More information about myself and Catalyst can be found by clicking on the "website" link on the left-hand side of this page. The extension for my confidential voicemail at Catalyst Mental Health is extension 715.
I work with adults 18+ and specialize in life transitions, anxiety, trauma and addiction, and have a particular interest in how our childhood experiences impact us as adults. I currently see clients via telehealth through Catalyst Mental Health. More information about myself and Catalyst can be found by clicking on the "website" link on the left-hand side of this page. The extension for my confidential voicemail at Catalyst Mental Health is extension 715.
(612) 887-3251 x2 View (612) 887-3251 x2
Photo of Mai Bao Xiong, MS, LMFT, Marriage & Family Therapist
Mai Bao Xiong
Marriage & Family Therapist, MS, LMFT
Verified Verified
Highland, Saint Paul, MN 55116  (Online Only)
Are you overwhelmed with navigating pressures from family, culture and society? Is it hard to find someone who can understand the intersections of your identity and life experiences? My BIPOC clients often tell me about the emotional fatigue of trying to find a provider who can understand their complex narratives. They want tools that respect their heritage and cultural wisdom. If you see yourself in any of these struggles, I invite you to schedule a free consultation with me to reclaim and rewrite your story.
Are you overwhelmed with navigating pressures from family, culture and society? Is it hard to find someone who can understand the intersections of your identity and life experiences? My BIPOC clients often tell me about the emotional fatigue of trying to find a provider who can understand their complex narratives. They want tools that respect their heritage and cultural wisdom. If you see yourself in any of these struggles, I invite you to schedule a free consultation with me to reclaim and rewrite your story.
(651) 419-4841 View (651) 419-4841
Photo of Bridgett Brye, MSW, LICSW, Clinical Social Work/Therapist
Bridgett Brye
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Highland, Saint Paul, MN 55116
Our adolescent and childhood years are filled with a lot of social and emotional learning. This is a time where we learn who we are, how to handle life changes and the intricacies of peer relationships. I provide a warm and safe space that allows young people to feel seen, heard and respected. I also recognize and value the participation of families in the therapeutic process and welcome parents/guardians into session to strengthen relationships (when this makes sense for the client).
Our adolescent and childhood years are filled with a lot of social and emotional learning. This is a time where we learn who we are, how to handle life changes and the intricacies of peer relationships. I provide a warm and safe space that allows young people to feel seen, heard and respected. I also recognize and value the participation of families in the therapeutic process and welcome parents/guardians into session to strengthen relationships (when this makes sense for the client).
(612) 662-9418 View (612) 662-9418
Photo of Natalie Wimmer, MA, Pre-Licensed Professional
Natalie Wimmer
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Highland, Saint Paul, MN 55116
I like to view my role as a therapist as being like a gardener who is planting seeds of change. My goal is to help you flourish and blossom into the best version of yourself. Throughout our therapy journey, I will help you cultivate more effective thought patterns, build coping skills, and develop a stronger sense of self. My therapeutic modalities include CBT, Narrative, Solutions-Focused, Attachment, and Trama-Focused. My areas of interest include anxiety, depression, relationship issues, life transitions, self-esteem, and trauma.
I like to view my role as a therapist as being like a gardener who is planting seeds of change. My goal is to help you flourish and blossom into the best version of yourself. Throughout our therapy journey, I will help you cultivate more effective thought patterns, build coping skills, and develop a stronger sense of self. My therapeutic modalities include CBT, Narrative, Solutions-Focused, Attachment, and Trama-Focused. My areas of interest include anxiety, depression, relationship issues, life transitions, self-esteem, and trauma.
(651) 240-9390 x760 View (651) 240-9390 x760
Photo of Vaughn A Paradise-Foster, MS, LPC, Licensed Professional Counselor
Vaughn A Paradise-Foster
Licensed Professional Counselor, MS, LPC
Verified Verified
Highland, Saint Paul, MN 55116
Navigating the human experience is complex, to say the least. My goal as a therapist is to create a safe, productive space to explore these complexities. I specialize in working with creative individuals and artists, as well as BIPOC and Queer identified clients. All are accepted for who you are today as we work towards the person you want to be tomorrow.
Navigating the human experience is complex, to say the least. My goal as a therapist is to create a safe, productive space to explore these complexities. I specialize in working with creative individuals and artists, as well as BIPOC and Queer identified clients. All are accepted for who you are today as we work towards the person you want to be tomorrow.
(651) 243-9422 View (651) 243-9422
Photo of Habib Mogib Salama, PsyD, LP, Psychologist
Habib Mogib Salama
Psychologist, PsyD, LP
Verified Verified
Highland, Saint Paul, MN 55116
No matter our background, our journey through life encounters major transitions. Those transitions have a way of making us doubt ourselves. As we try to navigate a new world (whether it is starting school, a new job or life in a new world), we come to know ourselves in ways that we never thought possible. The journey can get ugly at times. When things are hard, we may disconnect from ourselves and the people around us. Wherever you are in your journey, my goal is to help you reconnect to the things that drive meaning, purpose and satisfaction in your life.
No matter our background, our journey through life encounters major transitions. Those transitions have a way of making us doubt ourselves. As we try to navigate a new world (whether it is starting school, a new job or life in a new world), we come to know ourselves in ways that we never thought possible. The journey can get ugly at times. When things are hard, we may disconnect from ourselves and the people around us. Wherever you are in your journey, my goal is to help you reconnect to the things that drive meaning, purpose and satisfaction in your life.
(612) 255-4307 View (612) 255-4307
Photo of Kyle Vlach, MDiv, LMFT, Marriage & Family Therapist
Kyle Vlach
Marriage & Family Therapist, MDiv, LMFT
Verified Verified
Highland, Saint Paul, MN 55116  (Online Only)
I’m an Internal Family Systems (IFS) therapist, Level 3 trained with the IFS Institute. Most of my clients are not having a mental health crisis, but are struggling more than they’d like and want to be more at ease within themselves and their relationships. I work with alot of other helping professionals and people wanting to use the IFS process for healing, satisfaction at home and work, and for personal growth. Familiarity with the IFS model can help, but isn’t necessary. I’m glad to talk to see if we could work well together.
I’m an Internal Family Systems (IFS) therapist, Level 3 trained with the IFS Institute. Most of my clients are not having a mental health crisis, but are struggling more than they’d like and want to be more at ease within themselves and their relationships. I work with alot of other helping professionals and people wanting to use the IFS process for healing, satisfaction at home and work, and for personal growth. Familiarity with the IFS model can help, but isn’t necessary. I’m glad to talk to see if we could work well together.
(651) 615-3533 View (651) 615-3533
Photo of Tenbit Etafa, Tenbit, Etafa, LPCC, Licensed Professional Counselor
Tenbit Etafa
Licensed Professional Counselor, Tenbit, Etafa, LPCC
Verified Verified
Highland, Saint Paul, MN 55116  (Online Only)
I am committed to creating a non-judgmental and compassionate environment where you can feel safe to share your thoughts and emotions. Together, we will work towards developing coping mechanisms and strategies that can help you manage your mental health needs and improve your overall well-being. In therapy, I utilize a combination of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Mindfulness techniques. These approaches are tailored to your individual needs and can help you gain insight into your thoughts, feelings, and behaviors, as well as develop healthier patterns.
I am committed to creating a non-judgmental and compassionate environment where you can feel safe to share your thoughts and emotions. Together, we will work towards developing coping mechanisms and strategies that can help you manage your mental health needs and improve your overall well-being. In therapy, I utilize a combination of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Mindfulness techniques. These approaches are tailored to your individual needs and can help you gain insight into your thoughts, feelings, and behaviors, as well as develop healthier patterns.
(612) 261-1251 View (612) 261-1251
Photo of Madeline Trenholm, MSW, LICSW, Clinical Social Work/Therapist
Madeline Trenholm
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Highland, Saint Paul, MN 55116
Do you struggle with sport performance? Are you trying to improve in your sport but mental blocks are getting in the way? If you’ve ever had the following thoughts, you could benefit from tailored sessions to help you achieve your goals and be your personal best: What if I freeze? What if I don’t do as well I’d hope? What if I don’t win? What will other people think of me if I don’t do well? Exploring the root of your insecurities and using tools to help you stop comparing yourself and cease the endless cycle of “I’m not good enough"
Do you struggle with sport performance? Are you trying to improve in your sport but mental blocks are getting in the way? If you’ve ever had the following thoughts, you could benefit from tailored sessions to help you achieve your goals and be your personal best: What if I freeze? What if I don’t do as well I’d hope? What if I don’t win? What will other people think of me if I don’t do well? Exploring the root of your insecurities and using tools to help you stop comparing yourself and cease the endless cycle of “I’m not good enough"
(651) 360-1203 View (651) 360-1203

See more therapy options for Highland, Saint Paul

How does your Therapist compare?

Number of Therapists in Highland, Saint Paul, MN

100+

Average cost per session

$175

Therapists in Highland, Saint Paul, MN who prioritize treating:

92% Anxiety
90% Depression
84% Relationship Issues
73% Self Esteem
69% Trauma and PTSD
61% Grief
59% Stress

Average years in practice

11 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
64% UnitedHealthcare UHC | UBH
64% UCare

How Therapists in Highland, Saint Paul, MN see their clients

80% In Person and Online
20% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Highland, Saint Paul?

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.