Therapists in Clay County, MO
![Photo of Katie Kephart, MHA, MA, PLPC, NCC, Pre-Licensed Professional](https://photos.psychologytoday.com/23a6fce1-e62d-49eb-a6fe-65f3bad133a4/1/320x400.jpeg)
Katie Kephart
Pre-Licensed Professional, MHA, MA, PLPC, NCC
Verified Verified
1 Endorsed
Liberty, MO 64068
I provide mental health counseling services for individuals, couples, and families. Areas of special interest include eating disorders, complex trauma, and emotional abuse and neglect. I also enjoy working with individuals experiencing anxiety and mood disorder symptoms. I generally take a Cognitive Behavioral Therapy (CBT) approach to treatment, but I integrate other therapy modalities as appropriate to help you meet your goals.
I provide mental health counseling services for individuals, couples, and families. Areas of special interest include eating disorders, complex trauma, and emotional abuse and neglect. I also enjoy working with individuals experiencing anxiety and mood disorder symptoms. I generally take a Cognitive Behavioral Therapy (CBT) approach to treatment, but I integrate other therapy modalities as appropriate to help you meet your goals.
![Photo of Jennifer D Kempema, MS, ATR, BC, Art Therapist](https://photos.psychologytoday.com/fd1fe6cd-0e13-42a6-a0c4-6e52deb104d8/1/320x400.jpeg)
Jen received her B.S. in Psychology and a minor in Art from Northwest Missouri State University and recieved a M.S. in Art Therapy from the College of New Rochelle in New York.. For over 20 years, she has worked in a variety of mental health settings, including psychiatric hospitals, therapeutic arts programs and outpatient mental health agencies. She is a registered and board certified art therapist and a member of the American Art Therapy Association and its local chapter. Jen also has extensive experience and training in play therapy, TF-CBT and is a Level 2 trained EMDR therapist.
Jen received her B.S. in Psychology and a minor in Art from Northwest Missouri State University and recieved a M.S. in Art Therapy from the College of New Rochelle in New York.. For over 20 years, she has worked in a variety of mental health settings, including psychiatric hospitals, therapeutic arts programs and outpatient mental health agencies. She is a registered and board certified art therapist and a member of the American Art Therapy Association and its local chapter. Jen also has extensive experience and training in play therapy, TF-CBT and is a Level 2 trained EMDR therapist.
![Photo of Robin Ewy, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/02f67003-afee-418c-a5c7-3b45c8728318/1/320x400.jpeg)
I am passionate about working with individuals, couples and families to navigate through life's challenges. I cherish walking with people through grief and loss having worked in the Hospice environment for several years.
I am passionate about working with individuals, couples and families to navigate through life's challenges. I cherish walking with people through grief and loss having worked in the Hospice environment for several years.
![Photo of Robie J Sullivan, MA, JD, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/1859b8eb-0a13-4c9a-ae55-07d7ed8524ab/3/320x400.jpeg)
Robie J Sullivan
Licensed Professional Counselor, MA, JD, LPC
Verified Verified
2 Endorsed
Kansas City, MO 64157
Not accepting new clients
Connection with others who care is a central need for all human beings. This need is often most deeply felt during times of relational distress or personal struggle. My role as a therapist is to provide a safe place for you to feel cared for and understood when you need it most. Therapy provides a sacred space for healing and growth. It is within this space that I help clients process painful emotions and uncover patterns that keep them stuck in unhealthy relational dynamics. My passion is to help clients experience greater joy and fulfillment in their life and relationships.
Connection with others who care is a central need for all human beings. This need is often most deeply felt during times of relational distress or personal struggle. My role as a therapist is to provide a safe place for you to feel cared for and understood when you need it most. Therapy provides a sacred space for healing and growth. It is within this space that I help clients process painful emotions and uncover patterns that keep them stuck in unhealthy relational dynamics. My passion is to help clients experience greater joy and fulfillment in their life and relationships.
![Photo of Cindy Markley - Living Waters: Counseling, Consulting, Coaching, MA, LPC, NCC, CGRS, Counselor](https://photos.psychologytoday.com/4828b027-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Living Waters: Counseling, Consulting, Coaching
Counselor, MA, LPC, NCC, CGRS
Verified Verified
1 Endorsed
Liberty, MO 64068
Are you living life at the level of victory and happiness that you desire? Many struggle to conquer thoughts and feelings that keep them locked in fear, hurt and uncertainty. I help people identify core beliefs and change their thoughts and feelings to line up with God's Word. God loves you. He is interested in you! At Living Waters the mission is to help you heal and grow by taking back your life one solid step at a time. Whether you are suffering from toxic relationships, depression, loneliness, couple issues, grief, or trauma – Christian counseling services can help. The best gift you can give those you love is a healthy you.
Are you living life at the level of victory and happiness that you desire? Many struggle to conquer thoughts and feelings that keep them locked in fear, hurt and uncertainty. I help people identify core beliefs and change their thoughts and feelings to line up with God's Word. God loves you. He is interested in you! At Living Waters the mission is to help you heal and grow by taking back your life one solid step at a time. Whether you are suffering from toxic relationships, depression, loneliness, couple issues, grief, or trauma – Christian counseling services can help. The best gift you can give those you love is a healthy you.
![Photo of Dawn Rene McCreary, EdS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/541287b6-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Dawn Rene McCreary
Licensed Professional Counselor, EdS, LPC
Verified Verified
1 Endorsed
Kansas City, MO 64116
Rene has worked as a therapist for over thirty years. She has facilitated individual and group therapy, managed treatment programs and trained other therapists. Clients and co-workers alike report an appreciation for Rene's kindness and wisdom.
Rene has worked as a therapist for over thirty years. She has facilitated individual and group therapy, managed treatment programs and trained other therapists. Clients and co-workers alike report an appreciation for Rene's kindness and wisdom.
![Photo of Pearl Bryant - Pearl Bryant, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3da4d474-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Has some personal life crisis thrown your life into chaos? Do you need help coping? Don't give up hope - I can help you pick up the pieces and start again. Clients of various ethnicities and cultural backgrounds seek my help for an array of issues such as: marital conflict, grief and loss issues, dysfunctional parenting, anxiety and depression. I specialize in marriage, family and individual counseling.
Has some personal life crisis thrown your life into chaos? Do you need help coping? Don't give up hope - I can help you pick up the pieces and start again. Clients of various ethnicities and cultural backgrounds seek my help for an array of issues such as: marital conflict, grief and loss issues, dysfunctional parenting, anxiety and depression. I specialize in marriage, family and individual counseling.
![Photo of Andrew Wideman, PLPC, NCC, Pre-Licensed Professional](https://photos.psychologytoday.com/0c5cd988-2e39-4643-bcf6-c8a23dbf7452/2/320x400.jpeg)
Striving to create safe, reliable and empathetic spaces, I specialize in counseling for children and adolescents. With more than a decade of experience as an elementary school counselor, I work with children that come from a wide variety backgrounds and am able to create a helpful approach both at home and in school- helping families partner with schools and utilize the right school resources.
Striving to create safe, reliable and empathetic spaces, I specialize in counseling for children and adolescents. With more than a decade of experience as an elementary school counselor, I work with children that come from a wide variety backgrounds and am able to create a helpful approach both at home and in school- helping families partner with schools and utilize the right school resources.
![Photo of Josh Cress, MA, LPC, SATP-C, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/42b019b1-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Josh Cress
Licensed Professional Counselor, MA, LPC, SATP-C, NCC
Verified Verified
13 Endorsed
Liberty, MO 64068
I work with individuals & couples struggling through issues such as infidelity, disconnection and other relationship problems. Along with that I work with men struggling with sexual addiction or emotional intimacy issues and I have a certification in sexual addiction treatment. I am also privileged to work with people recovering from childhood abuse and trauma by helping them process and heal from the violence they’ve experienced.
I work with individuals & couples struggling through issues such as infidelity, disconnection and other relationship problems. Along with that I work with men struggling with sexual addiction or emotional intimacy issues and I have a certification in sexual addiction treatment. I am also privileged to work with people recovering from childhood abuse and trauma by helping them process and heal from the violence they’ve experienced.
![Photo of Jenna L Reddoch, LCSW, LSCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/95214534-6f62-4b79-bb85-d16d8bfe5260/3/320x400.jpeg)
Jenna L Reddoch
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
2 Endorsed
Kansas City, MO 64116
Hello and welcome! As a Licensed Clinical Social Worker (LCSW) I have been providing individual and family therapy services for 15 years. Searching for a therapist can be a daunting task and you are taking a brave first step! I work with individuals (both children and adults) who are struggling with symptoms of depression, anxiety, family conflict, trauma, disordered eating, body image, life transitions, and overall stressors.
Hello and welcome! As a Licensed Clinical Social Worker (LCSW) I have been providing individual and family therapy services for 15 years. Searching for a therapist can be a daunting task and you are taking a brave first step! I work with individuals (both children and adults) who are struggling with symptoms of depression, anxiety, family conflict, trauma, disordered eating, body image, life transitions, and overall stressors.
![Photo of Michele Roberts, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a008e196-3737-48ab-831b-8303bc0f9311/1/320x400.png)
I want to acknowledge the courage it takes to seek help, especially when life's challenges seem overwhelming. If you're reading this, it's likely because you're looking for someone who can understand, support, and guide you on your path to healing. I want you to know that you are not alone. I offer more than just professional expertise; I provide a warm, empathetic, and safe space where you can openly share your thoughts, feelings, and experiences. Together, we will navigate the intricate landscape of your emotions with care and sensitivity.
I want to acknowledge the courage it takes to seek help, especially when life's challenges seem overwhelming. If you're reading this, it's likely because you're looking for someone who can understand, support, and guide you on your path to healing. I want you to know that you are not alone. I offer more than just professional expertise; I provide a warm, empathetic, and safe space where you can openly share your thoughts, feelings, and experiences. Together, we will navigate the intricate landscape of your emotions with care and sensitivity.
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![Photo of Abby Wiggins, MSW, LCSW, RPT-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/88dc3518-f8be-49f6-8f5a-708accabbca6/1/320x400.jpeg)
My style is very warm, empathetic, and client-centered with an attachment lens. I believe that you are the expert in your own life experience. I work alongside my clients in order to create a treatment plan that is unique to them in order to process their life experiences and help them to move towards healing. Much of my experience as a therapist is with individuals and families who have experienced traumatic events, family conflict, depression, anxiety, self-esteem and attachment challenges. I use a variety of evidence-based therapies based on the needs of my clients.
My style is very warm, empathetic, and client-centered with an attachment lens. I believe that you are the expert in your own life experience. I work alongside my clients in order to create a treatment plan that is unique to them in order to process their life experiences and help them to move towards healing. Much of my experience as a therapist is with individuals and families who have experienced traumatic events, family conflict, depression, anxiety, self-esteem and attachment challenges. I use a variety of evidence-based therapies based on the needs of my clients.
Im motivated to work with clients that want to improve an aspect of their life, to change a behavior, to adjust their way of thinking or to just talk about stressful or confusing things in their life. V
Im motivated to work with clients that want to improve an aspect of their life, to change a behavior, to adjust their way of thinking or to just talk about stressful or confusing things in their life. V
![Photo of Sha'era Messick, LSCSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/01da0119-06ad-4d08-bed6-e9a789287d7a/1/320x400.jpeg)
Sha'era Messick
Clinical Social Work/Therapist, LSCSW, LCSW
Verified Verified
2 Endorsed
Kansas City, MO 64157 (Online Only)
Not accepting new clients
Do you have struggles with navigating grief & loss or a life transition? Are you lacking motivation or the push you need to get through the day? Are you lacking self care and healthy coping skills to manage strong emotions related to the grief & loss or a life transition? As a Certified Informed Grief specialist, I am skilled at helping my clients identify goals and providing them with support they need to navigate through difficult times and begin the journey to a healthier you!
Do you have struggles with navigating grief & loss or a life transition? Are you lacking motivation or the push you need to get through the day? Are you lacking self care and healthy coping skills to manage strong emotions related to the grief & loss or a life transition? As a Certified Informed Grief specialist, I am skilled at helping my clients identify goals and providing them with support they need to navigate through difficult times and begin the journey to a healthier you!
![Photo of Maria Vlach, MS, LPC, LPCC, LADC, Licensed Professional Counselor](https://photos.psychologytoday.com/0228dc03-efdb-4ffe-8cdf-f01c2415b5cf/2/320x400.jpeg)
Maria Vlach
Licensed Professional Counselor, MS, LPC, LPCC, LADC
Verified Verified
Kansas City, MO 64119 (Online Only)
Waitlist for new clients
You want to feel authentic and empowered, but you are struggling to calm insecurities and negative self-talk. You may be fed up with the constant overthinking, imposter syndrome, or that you just can’t let things go. You might even be jealous of those who seem to have it all. But one thing is for sure: you’re ready for some relief. You’re ready to understand why this is happening. You are ready to feel confident and assertive in your life. Most of all, you’re ready to feel unbothered and happy with yourself.
You want to feel authentic and empowered, but you are struggling to calm insecurities and negative self-talk. You may be fed up with the constant overthinking, imposter syndrome, or that you just can’t let things go. You might even be jealous of those who seem to have it all. But one thing is for sure: you’re ready for some relief. You’re ready to understand why this is happening. You are ready to feel confident and assertive in your life. Most of all, you’re ready to feel unbothered and happy with yourself.
![Photo of Tennille Hadley, LMSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e85dea7-d7ca-42f2-98ee-5636c4ded321/2/320x400.jpeg)
Tennille Hadley
Clinical Social Work/Therapist, LMSW, MSW
Verified Verified
North Kansas City, MO 64116
As an African American female therapist, I bring a unique perspective to my work rooted in professional expertise and personal experience. I am deeply dedicated to creating a warm, inclusive, and supportive environment where you feel seen, heard, and valued. My goal is to help you navigate life's challenges, honor your resilience, and empower you to create positive change. I understand that therapy can be a vulnerable experience, especially for those belonging to minority groups, and I am committed to building a relationship based on trust, respect, and authenticity.
As an African American female therapist, I bring a unique perspective to my work rooted in professional expertise and personal experience. I am deeply dedicated to creating a warm, inclusive, and supportive environment where you feel seen, heard, and valued. My goal is to help you navigate life's challenges, honor your resilience, and empower you to create positive change. I understand that therapy can be a vulnerable experience, especially for those belonging to minority groups, and I am committed to building a relationship based on trust, respect, and authenticity.
![Photo of Samantha Anderson, EdS, LPC, LCPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/94815fbd-ebd0-4122-9bcb-6bab0d8b8119/3/320x400.jpeg)
Samantha Anderson
Licensed Professional Counselor, EdS, LPC, LCPC, NCC
Verified Verified
1 Endorsed
Liberty, MO 64068
Hi! I am glad you are here. It takes courage to make the first step whether you are searching for yourself, your marriage, a child, or a loved one. At times we find ourselves in the middle of a life altering transition, struggling with our mental health, and in need of extra support. Asking for help can feel difficult, but getting better does not need to be! Do any of these resonate with you: lack of self love, healing from toxic relationships, wanting to truly know yourself, feel like something is missing in your life, or just anxious and unhappy? If those struggles feel familiar, please reach out to see if we would be a good fit!
Hi! I am glad you are here. It takes courage to make the first step whether you are searching for yourself, your marriage, a child, or a loved one. At times we find ourselves in the middle of a life altering transition, struggling with our mental health, and in need of extra support. Asking for help can feel difficult, but getting better does not need to be! Do any of these resonate with you: lack of self love, healing from toxic relationships, wanting to truly know yourself, feel like something is missing in your life, or just anxious and unhappy? If those struggles feel familiar, please reach out to see if we would be a good fit!
![Photo of Caitlin Morlok, LPC, CPT, Licensed Professional Counselor](https://photos.psychologytoday.com/575899d2-bfad-4df2-9f1c-d1d37f51b343/1/320x400.jpeg)
Sometimes it's a struggle being a human being, right? Seeking out therapy can be the first step in untangling some of the stuck points we can carry. I believe that individuals and families are the experts of their own lives and it is my role to offer a safe, non-judgmental space to collaborate, process, or challenge previous ways of thinking or acting. I welcome the opportunity to walk with you in overcoming obstacles on your path to wellness.
Sometimes it's a struggle being a human being, right? Seeking out therapy can be the first step in untangling some of the stuck points we can carry. I believe that individuals and families are the experts of their own lives and it is my role to offer a safe, non-judgmental space to collaborate, process, or challenge previous ways of thinking or acting. I welcome the opportunity to walk with you in overcoming obstacles on your path to wellness.
![Photo of Seth A Haney, MA, LPC, EMDR, Licensed Professional Counselor](https://photos.psychologytoday.com/3c8b714a-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
Seth A Haney
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
Liberty, MO 64068
Not accepting new clients
I help those who are experiencing anxiety, depression, grief, stress, overwhelm or are feeling like their life is out-of-control. I specialize in trauma, which is any distressing or disturbing event that overwhelms your ability to cope, causes feelings of helplessness, diminishes your sense of self and/or your ability to feel the full range of emotions and experiences. I frequently work with first responders and others who have high stress jobs and who experience trauma in their everyday life.
I help those who are experiencing anxiety, depression, grief, stress, overwhelm or are feeling like their life is out-of-control. I specialize in trauma, which is any distressing or disturbing event that overwhelms your ability to cope, causes feelings of helplessness, diminishes your sense of self and/or your ability to feel the full range of emotions and experiences. I frequently work with first responders and others who have high stress jobs and who experience trauma in their everyday life.
![Photo of Connie Clark, PhD, CCBT, Pastoral Counselor](https://photos.psychologytoday.com/c3b32d75-23ad-4d29-ba5c-1a586a81823b/1/320x400.jpeg)
Hello and welcome to my counseling page. My primary focus is to provide counseling, hope and healing in our sessions. You are wanted and welcomed here. I want to know you and will listen carefully while giving guidance to help you enjoy the life God created you to have. My education includes a BS, MA and PhD in Psychology and I have been a Psychotherapist in private practice for over 25 years which includes counseling several years at Texas Children's Hospital downtown in Houston's Medical Center and a psychology professor for 8 years.
Hello and welcome to my counseling page. My primary focus is to provide counseling, hope and healing in our sessions. You are wanted and welcomed here. I want to know you and will listen carefully while giving guidance to help you enjoy the life God created you to have. My education includes a BS, MA and PhD in Psychology and I have been a Psychotherapist in private practice for over 25 years which includes counseling several years at Texas Children's Hospital downtown in Houston's Medical Center and a psychology professor for 8 years.
See more therapy options for Clay County
How does your Therapist compare?
Number of Therapists in Clay County, MO
200+
Average cost per session
$125
Therapists in Clay County, MO who prioritize treating:
92% | Anxiety |
85% | Depression |
76% | Relationship Issues |
73% | Self Esteem |
72% | Trauma and PTSD |
70% | Stress |
69% | Coping Skills |
Average years in practice
9 Years
Top 3 insurances accepted
71% | Aetna |
68% | UnitedHealthcare UHC | UBH |
65% | Cigna and Evernorth |
How Therapists in Clay County, MO see their clients
76% | In Person and Online | |
24% | Online Only |
Gender breakdown
77% | Female | |
22% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Clay 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.