Therapists in Cole County, MO

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Photo of Patricia Alewel, MS, LCSW, Clinical Social Work/Therapist
Patricia Alewel
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
Are you feeling stuck and confused about how to manage stress in your life? Do you have a problem(s)/decision(s) that you are not sure how to resolve? Sometimes the thought of seeking a therapist can be scary and intimidating. You may discover, it can ease the struggles that often appear in one's life. I have been a clinician for over 20 yrs with experience from a variety of settings, such as, private practice, in-patient and outpatient behavioral health. I am dedicated to making your journey easier. Whether you are faced with a daily stressor or have major concerns, I am here to support you to find comfort and solutions regarding your challenges.
Are you feeling stuck and confused about how to manage stress in your life? Do you have a problem(s)/decision(s) that you are not sure how to resolve? Sometimes the thought of seeking a therapist can be scary and intimidating. You may discover, it can ease the struggles that often appear in one's life. I have been a clinician for over 20 yrs with experience from a variety of settings, such as, private practice, in-patient and outpatient behavioral health. I am dedicated to making your journey easier. Whether you are faced with a daily stressor or have major concerns, I am here to support you to find comfort and solutions regarding your challenges.
(573) 284-8225 View (573) 284-8225
Photo of Robert William Smith, MA, LPC, NCC, Licensed Professional Counselor
Robert William Smith
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
If you are feeling stuck, stressed, anxious, sad, avoidant, unmotivated, distracted, or generally discontent with yourself, your social life, your job, your purpose, or a particular relationship or situation you have found yourself in, you might be suffering from anxiety, depression, or acute stress disorder. I can help. If you want to get better, do better, and feel better, a little effort will go a long way in reaching your specific goals, which together we can not only identify, but drill down to specifics, and find the path of least resistance.
If you are feeling stuck, stressed, anxious, sad, avoidant, unmotivated, distracted, or generally discontent with yourself, your social life, your job, your purpose, or a particular relationship or situation you have found yourself in, you might be suffering from anxiety, depression, or acute stress disorder. I can help. If you want to get better, do better, and feel better, a little effort will go a long way in reaching your specific goals, which together we can not only identify, but drill down to specifics, and find the path of least resistance.
(573) 240-9342 View (573) 240-9342
Photo of Jill M. Lillard, MA, LPC, Licensed Professional Counselor
Jill M. Lillard
Licensed Professional Counselor, MA, LPC
Verified Verified
Do you want a better relationship, but aren't sure how to get past the hurdles? I can help. If you feel like you aren't connecting, not communicating well, have grown apart, or that misunderstandings and arguments are causing hurt, I offer tools to help you hit pause, leverage your emotions, and engage more effectively with one another. If you want to take a comprehensive and structured approach to looking at your marriage and want to try something a little different than traditional therapy, I offer a unique way of working with couples.
Do you want a better relationship, but aren't sure how to get past the hurdles? I can help. If you feel like you aren't connecting, not communicating well, have grown apart, or that misunderstandings and arguments are causing hurt, I offer tools to help you hit pause, leverage your emotions, and engage more effectively with one another. If you want to take a comprehensive and structured approach to looking at your marriage and want to try something a little different than traditional therapy, I offer a unique way of working with couples.
(573) 435-3513 View (573) 435-3513
Photo of Brooklyn Rehmert, MEd, CIT, Pre-Licensed Professional
Brooklyn Rehmert
Pre-Licensed Professional, MEd, CIT
Verified Verified
My ideal client is a teen navigating the complexities of adolesence, who may find themselves struggling with anxiety and depression. Often, these teens seek support because they are tired of feeling overwhelmed by their emotions and want to find effective coping strategies. Goals include learning how to manage stress, build self-esteem, improve communication skills, and cultivate healthy relationships. They aspire to develop a deeper understanding of themselves, ultimately striving for greater emotional resilience and well-being. We achieve these goals by fostering a supportive environment where they can explore, learn, and grow.
My ideal client is a teen navigating the complexities of adolesence, who may find themselves struggling with anxiety and depression. Often, these teens seek support because they are tired of feeling overwhelmed by their emotions and want to find effective coping strategies. Goals include learning how to manage stress, build self-esteem, improve communication skills, and cultivate healthy relationships. They aspire to develop a deeper understanding of themselves, ultimately striving for greater emotional resilience and well-being. We achieve these goals by fostering a supportive environment where they can explore, learn, and grow.
(573) 410-7807 View (573) 410-7807
Photo of Jessica Twehous, M Ed, PLPC, Pre-Licensed Professional
Jessica Twehous
Pre-Licensed Professional, M Ed, PLPC
Verified Verified
Jefferson City, MO 65109  (Online Only)
What if you could wake up tomorrow and finally feel better? What if you were living the life you truly desired? Therapy allows us to find real solutions to our greatest challenges. Perhaps your relationship or marriage is in a rut, your anxiety has left you paralyzed and fearful, or your depression has kept you in bed for weeks. Whatever your struggle is, I am here to offer a warm, helping hand so that we can help you get back to living your life. I seek to provide a safe space to work through your complex and unique challenges to foster lasting transformation. You weren't meant to merely survive, but to thrive.
What if you could wake up tomorrow and finally feel better? What if you were living the life you truly desired? Therapy allows us to find real solutions to our greatest challenges. Perhaps your relationship or marriage is in a rut, your anxiety has left you paralyzed and fearful, or your depression has kept you in bed for weeks. Whatever your struggle is, I am here to offer a warm, helping hand so that we can help you get back to living your life. I seek to provide a safe space to work through your complex and unique challenges to foster lasting transformation. You weren't meant to merely survive, but to thrive.
(573) 261-5982 View (573) 261-5982
Photo of Timothy Blanton, LPC, MA, Licensed Professional Counselor
Timothy Blanton
Licensed Professional Counselor, LPC, MA
Verified Verified
In a nut shell, I care about people and have a desire to help others on their quest for healing, wholeness, and reaching their full potential. Life can be hard and sometimes we need a helping hand to navigate the murky waters, and that's okay. Respect for others and empathy in their circumstances is paramount in this profession and I keep that in mind in all situations.
In a nut shell, I care about people and have a desire to help others on their quest for healing, wholeness, and reaching their full potential. Life can be hard and sometimes we need a helping hand to navigate the murky waters, and that's okay. Respect for others and empathy in their circumstances is paramount in this profession and I keep that in mind in all situations.
(573) 367-5015 View (573) 367-5015
Photo of Toni Rahman - Toni Rahman, Traveling Healer, LCSW, Clinical Social Work/Therapist
Toni Rahman, Traveling Healer
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Trauma's not always what we think it is. It’s not always something big like an accident or loss of a loved one. More often it’s something that happens too soon or too different from what the person has experienced before, causing overload and shutdown in the system. Moving through life without being able to find resolution or make sense of it leaves the body feeling as though that overwhelming event is still happening. Without adequate support, the survivor feels trapped and like something is wrong with them. It's not you. Whatever happened, you can overcome it. A trusting relationship is often the first step toward healing.
Trauma's not always what we think it is. It’s not always something big like an accident or loss of a loved one. More often it’s something that happens too soon or too different from what the person has experienced before, causing overload and shutdown in the system. Moving through life without being able to find resolution or make sense of it leaves the body feeling as though that overwhelming event is still happening. Without adequate support, the survivor feels trapped and like something is wrong with them. It's not you. Whatever happened, you can overcome it. A trusting relationship is often the first step toward healing.
(573) 475-4658 View (573) 475-4658
Photo of LeAnna Fowlds, LCSW, Clinical Social Work/Therapist
LeAnna Fowlds
Clinical Social Work/Therapist, LCSW
Verified Verified
Jefferson City, MO 65109  (Online Only)
Struggling with relationship issues, domestic violence, anxiety, depression, history of trauma, sexual abuse, or suicidal thoughts? Please know that I am a person who cares. I want to see you live your best life. I will work with you to seek healing and relief from the pain you are experiencing.
Struggling with relationship issues, domestic violence, anxiety, depression, history of trauma, sexual abuse, or suicidal thoughts? Please know that I am a person who cares. I want to see you live your best life. I will work with you to seek healing and relief from the pain you are experiencing.
(573) 577-3601 View (573) 577-3601
Photo of Miranda L Backes, MEd, LPC, Counselor
Miranda L Backes
Counselor, MEd, LPC
Verified Verified
1 Endorsed
Waitlist for new clients
Does the stress of everyday life feel like "too much?" Do you find yourself struggling with anxiety, excessive worrying, panic attacks, or shame? Do these issues pour over into other areas in your life such as your marriage or work? If any of these things sound like something you experience, then you've likely found the right therapist! Its time you found the strength to surrender these feelings and begin to feel empowered to make brave changes.
Does the stress of everyday life feel like "too much?" Do you find yourself struggling with anxiety, excessive worrying, panic attacks, or shame? Do these issues pour over into other areas in your life such as your marriage or work? If any of these things sound like something you experience, then you've likely found the right therapist! Its time you found the strength to surrender these feelings and begin to feel empowered to make brave changes.
(636) 330-4297 View (636) 330-4297
Photo of Alexa Robinson, MA, LPC, Licensed Professional Counselor
Alexa Robinson
Licensed Professional Counselor, MA, LPC
Verified Verified
I've witnessed firsthand the transformative power of counseling in fostering resilience and personal growth. My approach is grounded in empathy and cultural sensitivity, creating a safe space where clients can explore their emotions, challenges, and aspirations freely. Whether you're navigating the complexities of adolescence, grappling with the pressures of young adulthood, or seeking clarity amidst life's transitions, I am here to support and guide you.
I've witnessed firsthand the transformative power of counseling in fostering resilience and personal growth. My approach is grounded in empathy and cultural sensitivity, creating a safe space where clients can explore their emotions, challenges, and aspirations freely. Whether you're navigating the complexities of adolescence, grappling with the pressures of young adulthood, or seeking clarity amidst life's transitions, I am here to support and guide you.
(573) 770-3861 View (573) 770-3861
Photo of Jennifer Occil, LPC, LCMHC, Licensed Professional Counselor
Jennifer Occil
Licensed Professional Counselor, LPC, LCMHC
Verified Verified
1 Endorsed
Jefferson City, MO 65101  (Online Only)
I offer a variety of treatment approaches. I utilize a person-centered, strengths based approach combined with Cognitive Behavioral Therapy.
I offer a variety of treatment approaches. I utilize a person-centered, strengths based approach combined with Cognitive Behavioral Therapy.
(816) 227-6582 View (816) 227-6582
Photo of Stacy L Conley, LPC, SHRM-CP, PHR, CFRC, Licensed Professional Counselor
Stacy L Conley
Licensed Professional Counselor, LPC, SHRM-CP, PHR, CFRC
Verified Verified
Talking to a therapist is hard; all those emotions are difficult, and being strong all the time for those around you is exhausting. I get it, and I want to make it easier for you. I use interactive techniques that do not leave you sitting on the couch, staring, and not knowing what to say. You came looking at this site for a reason; I believe the reason is that you have suffered long enough and are ready to make a change. Change is scary; you are not alone. I'll be there with you as you make the change. Give me a call.
Talking to a therapist is hard; all those emotions are difficult, and being strong all the time for those around you is exhausting. I get it, and I want to make it easier for you. I use interactive techniques that do not leave you sitting on the couch, staring, and not knowing what to say. You came looking at this site for a reason; I believe the reason is that you have suffered long enough and are ready to make a change. Change is scary; you are not alone. I'll be there with you as you make the change. Give me a call.
(573) 227-6451 View (573) 227-6451
Photo of Nanci Nikodym, PLPC, MEd, Licensed Professional Counselor
Nanci Nikodym
Licensed Professional Counselor, PLPC, MEd
Verified Verified
Do you ever feel like you've lost yourself in your relationship? That you don't even know your partner anymore? Or that you're lonely, but you shouldn't be because your life looks 'right' on the outside? You are in the right place. I work best with people who want help in re-finding themselves, loving themselves, and want to work through any experiences that have caused or continue to cause stress, harm, anxiety, or depression for themselves or within their relationship. I love working with clients that want to become better communicators through building, growing, and repairing relationships (with oneself or with your partner).
Do you ever feel like you've lost yourself in your relationship? That you don't even know your partner anymore? Or that you're lonely, but you shouldn't be because your life looks 'right' on the outside? You are in the right place. I work best with people who want help in re-finding themselves, loving themselves, and want to work through any experiences that have caused or continue to cause stress, harm, anxiety, or depression for themselves or within their relationship. I love working with clients that want to become better communicators through building, growing, and repairing relationships (with oneself or with your partner).
(573) 538-3246 View (573) 538-3246
Photo of Blake Russell, MA, LPC, Licensed Professional Counselor
Blake Russell
Licensed Professional Counselor, MA, LPC
Verified Verified
Jefferson City, MO 65101  (Online Only)
Whether you’re battling with endless cycles of anxiety and/or depression, struggling with setting firm boundaries within the interpersonal relationships of your life, thinking your past is spoiling your now, or simply seeking meaning in the overall progression of your existence, I am confident that you and I can work toward a deeper understanding of what is not working and change it. Considering that you are the expert of your own life, my goal will be to collaborate with you to identify obstacles keeping you from living a life that you desire and help you create healthy solutions to these barriers.
Whether you’re battling with endless cycles of anxiety and/or depression, struggling with setting firm boundaries within the interpersonal relationships of your life, thinking your past is spoiling your now, or simply seeking meaning in the overall progression of your existence, I am confident that you and I can work toward a deeper understanding of what is not working and change it. Considering that you are the expert of your own life, my goal will be to collaborate with you to identify obstacles keeping you from living a life that you desire and help you create healthy solutions to these barriers.
(314) 947-6853 View (314) 947-6853
Photo of Christina L Sanni - Lighthouse of Hope & Healing, LLC, MA, LPC, NBCC, Licensed Professional Counselor
Lighthouse of Hope & Healing, LLC
Licensed Professional Counselor, MA, LPC, NBCC
Verified Verified
Are you struggling with stress, anxiety, depression, ADHD, or ODD? Have you experienced trauma in the past or currently experiencing trauma? Wherever you find yourself in life, I am here to listen and help you best learn and discover ways to heal from the past and discover a joy for today & the future.
Are you struggling with stress, anxiety, depression, ADHD, or ODD? Have you experienced trauma in the past or currently experiencing trauma? Wherever you find yourself in life, I am here to listen and help you best learn and discover ways to heal from the past and discover a joy for today & the future.
(573) 282-6857 View (573) 282-6857
Photo of Caroline Graham, MSW, LCSW, LPHA, Clinical Social Work/Therapist
Caroline Graham
Clinical Social Work/Therapist, MSW, LCSW, LPHA
Verified Verified
Jefferson City, MO 65109  (Online Only)
In my practice I understand that clients bring painful experiences and emotions into therapy, and that those experiences create challenges that look different for each person. My goal is to act as a guide and support as clients become empowered through the therapeutic journey. Through my education and life experience, I use various skills that allow me to flexibly work with clients. One of my greatest tools that I bring to therapy is that I have experienced treatment and recovery, personally. I know that recovery is possible and would like to help you. I also recognize that you are the expert in your own life and want to understand
In my practice I understand that clients bring painful experiences and emotions into therapy, and that those experiences create challenges that look different for each person. My goal is to act as a guide and support as clients become empowered through the therapeutic journey. Through my education and life experience, I use various skills that allow me to flexibly work with clients. One of my greatest tools that I bring to therapy is that I have experienced treatment and recovery, personally. I know that recovery is possible and would like to help you. I also recognize that you are the expert in your own life and want to understand
(573) 405-1861 View (573) 405-1861
Photo of LeAnna Fowlds - Grace Behavioral Health, LCSW, Clinical Social Work/Therapist
Grace Behavioral Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Jefferson City, MO 65109  (Online Only)
Does saying “I Do” feel like a life sentence? Relationships struggling to maintain trust, connection, communication, and unidirectional flow can quickly begin to feel like a prison sentence. Escalated arguments, career conflicts, financial strain, time management, intimacy, and sexual issues slam the cell door closed, isolating partners from their dreams, desires, and goals. Feeling stuck, stressed, and sad while caught in a never-ending cycle of negativity and blame causes a downward spiral of depression, anger, and frustration.
Does saying “I Do” feel like a life sentence? Relationships struggling to maintain trust, connection, communication, and unidirectional flow can quickly begin to feel like a prison sentence. Escalated arguments, career conflicts, financial strain, time management, intimacy, and sexual issues slam the cell door closed, isolating partners from their dreams, desires, and goals. Feeling stuck, stressed, and sad while caught in a never-ending cycle of negativity and blame causes a downward spiral of depression, anger, and frustration.
(573) 492-3184 View (573) 492-3184
Photo of Kate Kolb, MSW, LCSW, Clinical Social Work/Therapist
Kate Kolb
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
I am passionate about helping adolescents and adults find healing and personal growth. As someone who entered my first counseling session in 2012, I understand the anxiety and fear of putting yourself out there to begin working with a therapist on issues that are personal and unique to you. I strive to help all of my clients feel safe, comfortable, and always offer a judgement free zone. That being said, I may not always say what you want to hear. I may offer a gentle push or assist you in recognizing some behavioral patterns that are holding you back. We all have them! I'm excited to walk next to you on your journey for growth!
I am passionate about helping adolescents and adults find healing and personal growth. As someone who entered my first counseling session in 2012, I understand the anxiety and fear of putting yourself out there to begin working with a therapist on issues that are personal and unique to you. I strive to help all of my clients feel safe, comfortable, and always offer a judgement free zone. That being said, I may not always say what you want to hear. I may offer a gentle push or assist you in recognizing some behavioral patterns that are holding you back. We all have them! I'm excited to walk next to you on your journey for growth!
(573) 227-5663 View (573) 227-5663
Photo of Tara Vossenkemper, PhD, LPC, Licensed Professional Counselor
Tara Vossenkemper
Licensed Professional Counselor, PhD, LPC
Verified Verified
6 Endorsed
Not accepting new clients
You’re sick and tired of fighting all the time about you-can’t-even-remember what, you’re wondering if you can do this for the rest of your life (or whether you should call it quits now), and you’re only here because you want to give this one final shot. This is what I’m here for. I work with poor conflict (excessive or non-existent) couples who are on the brink of separation or divorce and desperately seeking answers to their core question, “is this it?” I can’t guarantee what you’ll decide to do, but I can guarantee that I will be candid, listen thoroughly, and help you figure out what’s really going on in your relationship.
You’re sick and tired of fighting all the time about you-can’t-even-remember what, you’re wondering if you can do this for the rest of your life (or whether you should call it quits now), and you’re only here because you want to give this one final shot. This is what I’m here for. I work with poor conflict (excessive or non-existent) couples who are on the brink of separation or divorce and desperately seeking answers to their core question, “is this it?” I can’t guarantee what you’ll decide to do, but I can guarantee that I will be candid, listen thoroughly, and help you figure out what’s really going on in your relationship.
(573) 297-4530 View (573) 297-4530
Photo of Kathy Brandt-Kessler, LCSW, RN, BSN, Clinical Social Work/Therapist
Kathy Brandt-Kessler
Clinical Social Work/Therapist, LCSW, RN, BSN
Verified Verified
Not accepting new clients
No matter the hurdles that life throws your way you can create a full, vibrant, and gratifying future. As a past oncology nurse, HIV/AIDS researcher, and hospice social worker, I am in a unique position to assist you in overcoming challenging health concerns, chronic pain, grief, or loss issues. As a past nurse and behaviorist at a medically-supervised weight loss program, I can help you combat emotional eating, binge eating disorder, and behaviors that sabotage your health and weight loss goals. I work with families under stress, and couples struggling with intimacy, infidelity, infertility, and communication issues.
No matter the hurdles that life throws your way you can create a full, vibrant, and gratifying future. As a past oncology nurse, HIV/AIDS researcher, and hospice social worker, I am in a unique position to assist you in overcoming challenging health concerns, chronic pain, grief, or loss issues. As a past nurse and behaviorist at a medically-supervised weight loss program, I can help you combat emotional eating, binge eating disorder, and behaviors that sabotage your health and weight loss goals. I work with families under stress, and couples struggling with intimacy, infidelity, infertility, and communication issues.
(573) 317-4026 View (573) 317-4026
1

How does your Therapist compare?

Number of Therapists in Cole County, MO

70+

Average cost per session

$107

Therapists in Cole County, MO who prioritize treating:

84% Anxiety
77% Depression
75% Coping Skills
75% Self Esteem
72% Relationship Issues
71% Stress
68% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

77% UnitedHealthcare UHC | UBH
74% Aetna
64% Cigna and Evernorth

How Therapists in Cole County, MO see their clients

74% In Person and Online
26% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cole County?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.