Therapists in Valley Park, MO

Photo of Lauren Queen, MA, LPC, NCC, Licensed Professional Counselor
Lauren Queen
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
5 Endorsed
Valley Park, MO 63088
Not accepting new clients
Taking your first step to get counseling can be difficult and I would love to walk with you through this process of personal growth. We all have our struggles, and I aim to help you through this difficult time by encouraging you and equipping within a safe, non-judgmental atmosphere. I counsel females ages 18+ with a variety of issues including (but not limited to): anger, anxiety, career, depression, relationship problems, self-esteem, self-harm, trauma, and spiritual difficulties. Please visit my website at www.counselorqueen.com for more information and additional resources.
Taking your first step to get counseling can be difficult and I would love to walk with you through this process of personal growth. We all have our struggles, and I aim to help you through this difficult time by encouraging you and equipping within a safe, non-judgmental atmosphere. I counsel females ages 18+ with a variety of issues including (but not limited to): anger, anxiety, career, depression, relationship problems, self-esteem, self-harm, trauma, and spiritual difficulties. Please visit my website at www.counselorqueen.com for more information and additional resources.
(314) 596-2978 View (314) 596-2978
Photo of Tina Miller, MSW, LCSW, RPT, Clinical Social Work/Therapist
Tina Miller
Clinical Social Work/Therapist, MSW, LCSW, RPT
Verified Verified
1 Endorsed
Valley Park, MO 63088
Does your child seem sad or withdrawn, become defiant or aggressive at home? Are they having a hard time making friends at school? Have they ever come to you and said they have nothing to live for? What about you, are you struggling as a parent due to your child’s emotional needs or is it causing conflicts within your family or marriage? Children and families face so many stressors. I believe change and growth are possible. Your child can learn coping skills to help them advocate for what they need and manage their emotions. Families can return to a calm and peaceful state.
Does your child seem sad or withdrawn, become defiant or aggressive at home? Are they having a hard time making friends at school? Have they ever come to you and said they have nothing to live for? What about you, are you struggling as a parent due to your child’s emotional needs or is it causing conflicts within your family or marriage? Children and families face so many stressors. I believe change and growth are possible. Your child can learn coping skills to help them advocate for what they need and manage their emotions. Families can return to a calm and peaceful state.
(314) 582-2357 View (314) 582-2357
Photo of Joel Black, LCSW, Clinical Social Work/Therapist
Joel Black
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Valley Park, MO 63088  (Online Only)
Not accepting new clients
I assist my clients work through difficult times in their lives. I provide guidance and empathy to help you develop tools that can allow you to find peace and acceptance in your current situation. I believe in your strength and ability to thrive.
I assist my clients work through difficult times in their lives. I provide guidance and empathy to help you develop tools that can allow you to find peace and acceptance in your current situation. I believe in your strength and ability to thrive.
(314) 310-3369 View (314) 310-3369
Photo of Sara Schmitz, MEd, LPC, Licensed Professional Counselor
Sara Schmitz
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Valley Park, MO 63088
Currently accepting new clients! After school and evening appointments available! Childhood and young adulthood is a time of great change and growth and often times this can be painful and confusing. There are times when trauma adds to the stress of growing through young adulthood. When these things happen, it can often be helpful to reach out for help.
Currently accepting new clients! After school and evening appointments available! Childhood and young adulthood is a time of great change and growth and often times this can be painful and confusing. There are times when trauma adds to the stress of growing through young adulthood. When these things happen, it can often be helpful to reach out for help.
(314) 408-6645 View (314) 408-6645
Photo of Amanda Carr, MEd, LPC, NCC CSC, RPT™, Licensed Professional Counselor
Amanda Carr
Licensed Professional Counselor, MEd, LPC, NCC CSC, RPT™
Verified Verified
Valley Park, MO 63088
Children, teens and young adults that have experienced trauma, anxiety and depression often have difficulty coping with everyday stressors. School, work and everyday life can be overwhelming whether you are in kindergarten, high school or beyond. By developing healthy interpersonal boundaries, self-esteem and appropriate coping skills they can experience the world around them with confidence and resilience. I will create a genuine therapeutic relationship that will allow me to meet them where they are and provide the additional support, they need to lead successful lives.
Children, teens and young adults that have experienced trauma, anxiety and depression often have difficulty coping with everyday stressors. School, work and everyday life can be overwhelming whether you are in kindergarten, high school or beyond. By developing healthy interpersonal boundaries, self-esteem and appropriate coping skills they can experience the world around them with confidence and resilience. I will create a genuine therapeutic relationship that will allow me to meet them where they are and provide the additional support, they need to lead successful lives.
(314) 207-7946 View (314) 207-7946
Photo of Kathryn Clayton, MA, NCC, LPC, RPT-S, Licensed Professional Counselor
Kathryn Clayton
Licensed Professional Counselor, MA, NCC, LPC, RPT-S
Verified Verified
2 Endorsed
Valley Park, MO 63088
Waitlist for new clients
Welcome to my practice! I specialize in working with children, adolescents, families and adults. I work hard to create a safe space for you to explore your needs and goals. There are often times when we just can't find the "right" words to describe or process what we are going through. As a registered Play Therapist, EMDR trained provider, and ITCT and TFCBT certified counselor, I help you find a way to express yourself that doesn't rely on words alone.
Welcome to my practice! I specialize in working with children, adolescents, families and adults. I work hard to create a safe space for you to explore your needs and goals. There are often times when we just can't find the "right" words to describe or process what we are going through. As a registered Play Therapist, EMDR trained provider, and ITCT and TFCBT certified counselor, I help you find a way to express yourself that doesn't rely on words alone.
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Photo of Mark Mandell, MEd, LPC, NCC, Licensed Professional Counselor
Mark Mandell
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Valley Park, MO 63088
I focus my practice on working exclusively with couples. Are you resentful, angry, bitter or confused by interactions with your significant other or do you want to learn how to better communicate and improve the quality of your relationship? If you are tired of the insecurity, fighting, carelessness or living in the "roommate zone", then I invite you to participate in my program. My positive strength based method uses a warm, safe, empowering and collaborative approach that is highly educational and nonjudgmental. Together lets break that toxic spiral of doubt, anxiety, sadness and resentment and start rebuilding something real.
I focus my practice on working exclusively with couples. Are you resentful, angry, bitter or confused by interactions with your significant other or do you want to learn how to better communicate and improve the quality of your relationship? If you are tired of the insecurity, fighting, carelessness or living in the "roommate zone", then I invite you to participate in my program. My positive strength based method uses a warm, safe, empowering and collaborative approach that is highly educational and nonjudgmental. Together lets break that toxic spiral of doubt, anxiety, sadness and resentment and start rebuilding something real.
(636) 431-5299 View (636) 431-5299
Photo of Courtney Kempker, LPC, Licensed Professional Counselor
Courtney Kempker
Licensed Professional Counselor, LPC
Verified Verified
Valley Park, MO 63088  (Online Only)
Do you have struggles in relationships or have a trauma history that is still impacting you? I can help you to break out of unhealthy patterns and cope and integrate negative experiences in positive ways. I can help clients to have healthier relationships, a stronger sense of self, better ways to cope with and manage symptoms, and to resolve unprocessed trauma. Achieving these goals means experiencing a higher quality of life. My ideal client is also able to be open minded in exploring their emotions in psychosomatic ways through interventions like brain spotting.
Do you have struggles in relationships or have a trauma history that is still impacting you? I can help you to break out of unhealthy patterns and cope and integrate negative experiences in positive ways. I can help clients to have healthier relationships, a stronger sense of self, better ways to cope with and manage symptoms, and to resolve unprocessed trauma. Achieving these goals means experiencing a higher quality of life. My ideal client is also able to be open minded in exploring their emotions in psychosomatic ways through interventions like brain spotting.
(314) 834-6372 View (314) 834-6372
Photo of Jennifer Miller, LPC, Licensed Professional Counselor
Jennifer Miller
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Valley Park, MO 63088
My clients feel overwhelmed by life’s challenges, struggling with anxiety, stress, depression, trauma, or substance use. They seek support for life transitions, relationship issues, eating disorders, mood disorders, personality disorders, or autism spectrum disorder. They aim to alleviate symptoms, develop coping skills, achieve personal growth, heal from trauma, and improve relationships. My clients want a compassionate, skilled therapist to help them regain control, find balance, and achieve their goals for a brighter future.
My clients feel overwhelmed by life’s challenges, struggling with anxiety, stress, depression, trauma, or substance use. They seek support for life transitions, relationship issues, eating disorders, mood disorders, personality disorders, or autism spectrum disorder. They aim to alleviate symptoms, develop coping skills, achieve personal growth, heal from trauma, and improve relationships. My clients want a compassionate, skilled therapist to help them regain control, find balance, and achieve their goals for a brighter future.
(314) 947-6485 View (314) 947-6485
Photo of Greg Pfeffer, MA, LPC, Licensed Professional Counselor
Greg Pfeffer
Licensed Professional Counselor, MA, LPC
Verified Verified
Valley Park, MO 63088
Waitlist for new clients
I believe that marriage is a lifelong commitment and I also believe that it is a difficult task to maintain a healthy relationship over the course of the marriage. I seek to work with both partners in the relationship to help each discover ways they can support one another. I believe when both partners feel safe and secure in the relationship that most problems that arise are able to be dealt with in a healthy manner.
I believe that marriage is a lifelong commitment and I also believe that it is a difficult task to maintain a healthy relationship over the course of the marriage. I seek to work with both partners in the relationship to help each discover ways they can support one another. I believe when both partners feel safe and secure in the relationship that most problems that arise are able to be dealt with in a healthy manner.
(636) 264-8860 View (636) 264-8860
Photo of Hilary Spears, MA, PLPC, Pre-Licensed Professional
Hilary Spears
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Valley Park, MO 63088
Do you struggle with low self-worth that impacts your confidence in who you are as a parent, co-worker, or friend? Do you feel exhausted by your to-do list and the everyday demands of life? Do you wonder if life could feel different? If you could show up better for your family, teammates, or friends? We believe there is hope for everyone and that we weren't designed to do life alone. Karis House Community Counseling Network is a Gospel-centered counseling and organizational health ministry that provides affordable, professional counseling for individuals, couples (married, premarital, etc), families, and groups.
Do you struggle with low self-worth that impacts your confidence in who you are as a parent, co-worker, or friend? Do you feel exhausted by your to-do list and the everyday demands of life? Do you wonder if life could feel different? If you could show up better for your family, teammates, or friends? We believe there is hope for everyone and that we weren't designed to do life alone. Karis House Community Counseling Network is a Gospel-centered counseling and organizational health ministry that provides affordable, professional counseling for individuals, couples (married, premarital, etc), families, and groups.
(636) 203-1988 View (636) 203-1988
Photo of Barry McClintock, PLPC, Pre-Licensed Professional
Barry McClintock
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Valley Park, MO 63088
I am ready to offer therapeutic space to address the current challenges you may be experiencing in life right now. I help clients who struggle with Depression, Anxiety, Identity Confusion or Strained Relationships. They seek support in navigating these challenges, valuing self-exploration and growth. They need a safe, supportive space to cultivate self-acceptance and develop coping skills. I can help develop presence and awareness, access more choices, and find freedom from limiting narratives.
I am ready to offer therapeutic space to address the current challenges you may be experiencing in life right now. I help clients who struggle with Depression, Anxiety, Identity Confusion or Strained Relationships. They seek support in navigating these challenges, valuing self-exploration and growth. They need a safe, supportive space to cultivate self-acceptance and develop coping skills. I can help develop presence and awareness, access more choices, and find freedom from limiting narratives.
(314) 860-6856 View (314) 860-6856
Photo of Roberta Kerosevic, MS, LPC, Licensed Professional Counselor
Roberta Kerosevic
Licensed Professional Counselor, MS, LPC
Verified Verified
Valley Park, MO 63088
Have open availability for in-person and virtual sessions. Sliding scale and some insurance; can be weekly or every other week sessions. My goals are to give clients and their families tools, and offer genuine support in daily and/or lifelong struggles. My belief is that change is possible for anyone, but the client and their loved ones need to have an open mind, and believe in love and support. Getting out of your comfort zone is a guarantee, and therapy is the first step. Therapy helps us make changes that lead to lifelong healthy habits of self care and thriving personal relationships.
Have open availability for in-person and virtual sessions. Sliding scale and some insurance; can be weekly or every other week sessions. My goals are to give clients and their families tools, and offer genuine support in daily and/or lifelong struggles. My belief is that change is possible for anyone, but the client and their loved ones need to have an open mind, and believe in love and support. Getting out of your comfort zone is a guarantee, and therapy is the first step. Therapy helps us make changes that lead to lifelong healthy habits of self care and thriving personal relationships.
(314) 408-5054 View (314) 408-5054

More Therapists Nearby

Photo of Malachi Oledibe, LCSW, Clinical Social Work/Therapist
Malachi Oledibe
Clinical Social Work/Therapist, LCSW
Verified Verified
Ballwin, MO 63021
I'm Dr. Malachi Oledibe, a seasoned, experienced, and licensed psychotherapist in the States of Kansas and Missouri. I apply different approaches to therapy depending on the needs of my clients. Some of my approaches to therapy include Trauma Informed Care (TIC), Solution-Focused (SF), Problem-Solving (PS), and Motivational Interviewing (MI). I provide therapy to children and adults who are challenged with emotional, mental, and life-changing trauma, events, and relational issues.
I'm Dr. Malachi Oledibe, a seasoned, experienced, and licensed psychotherapist in the States of Kansas and Missouri. I apply different approaches to therapy depending on the needs of my clients. Some of my approaches to therapy include Trauma Informed Care (TIC), Solution-Focused (SF), Problem-Solving (PS), and Motivational Interviewing (MI). I provide therapy to children and adults who are challenged with emotional, mental, and life-changing trauma, events, and relational issues.
(636) 630-8507 View (636) 630-8507
Photo of Lezley Stehlick, MS, LPC, Licensed Professional Counselor
Lezley Stehlick
Licensed Professional Counselor, MS, LPC
Verified Verified
Ellisville, MO 63021  (Online Only)
I am an approved supervisor for those seeking their LPC licensure and have counseled in different capacities for years. Stuck? Overwhelmed? Or just kind of Blah? Let’s dive in. I am passionate about exploring this with you in hopes to find what is keeping you down, while finding healing in areas you did not realize were there.
I am an approved supervisor for those seeking their LPC licensure and have counseled in different capacities for years. Stuck? Overwhelmed? Or just kind of Blah? Let’s dive in. I am passionate about exploring this with you in hopes to find what is keeping you down, while finding healing in areas you did not realize were there.
(636) 205-8030 View (636) 205-8030
Photo of Luke Calvin, MA, LPC, MDiv, Licensed Professional Counselor
Luke Calvin
Licensed Professional Counselor, MA, LPC, MDiv
Verified Verified
1 Endorsed
Manchester, MO 63021
In my ten years as a counselor, it's been my privilege to care for men, teens, and couples wrestling with depression, stress, and anxiety; addiction (drugs and alcohol; gambling; sexual...); the grief involved with divorce; the struggles associated with life's transitions; difficulties in school and relationships; and family conflict. My hope is that the men and women I talk to would be able to experience intimacy in their relationships, fullness of life, and find success in their daily lives.
In my ten years as a counselor, it's been my privilege to care for men, teens, and couples wrestling with depression, stress, and anxiety; addiction (drugs and alcohol; gambling; sexual...); the grief involved with divorce; the struggles associated with life's transitions; difficulties in school and relationships; and family conflict. My hope is that the men and women I talk to would be able to experience intimacy in their relationships, fullness of life, and find success in their daily lives.
(636) 333-5178 View (636) 333-5178
Photo of Bernard Godfrey, LPC, Licensed Professional Counselor
Bernard Godfrey
Licensed Professional Counselor, LPC
Verified Verified
Ballwin, MO 63021  (Online Only)
Are you struggling with finding a purpose? Is it difficult for you to sustain motivation? Are you finding yourself in a losing battle with substance abuse? Do you struggle with a traumatic experience that is overwhelming you to the point that it's difficult to function daily?
Are you struggling with finding a purpose? Is it difficult for you to sustain motivation? Are you finding yourself in a losing battle with substance abuse? Do you struggle with a traumatic experience that is overwhelming you to the point that it's difficult to function daily?
(417) 739-0863 View (417) 739-0863
Photo of Elizabeth Quiros - Elizabeth Quiros - Trauma-related Dissociation, LPC, PhD, MEd, MA, MPhil, Licensed Professional Counselor
Elizabeth Quiros - Trauma-related Dissociation
Licensed Professional Counselor, LPC, PhD, MEd, MA, MPhil
Verified Verified
1 Endorsed
Ballwin, MO 63021
What would people think if they knew about the voices? Or that sometimes you don't know where or when you are, how you got there, or what you said to them yesterday? The fear of being discovered keeps you from connecting fully with others; the fear of knowing keeps you from fully connecting with yourself. What would it be like to feel safe enough to risk reconnection? I help adults experiencing trauma-related dissociation and DID feel safe enough in their mind and body to reclaim the lost and disowned parts of themselves- so that they can stop hiding, show up fully in their lives, and experience authentic connection with others.
What would people think if they knew about the voices? Or that sometimes you don't know where or when you are, how you got there, or what you said to them yesterday? The fear of being discovered keeps you from connecting fully with others; the fear of knowing keeps you from fully connecting with yourself. What would it be like to feel safe enough to risk reconnection? I help adults experiencing trauma-related dissociation and DID feel safe enough in their mind and body to reclaim the lost and disowned parts of themselves- so that they can stop hiding, show up fully in their lives, and experience authentic connection with others.
(314) 408-2307 View (314) 408-2307
Photo of Haley Fitzgibbons, LCSW, RPT, Clinical Social Work/Therapist
Haley Fitzgibbons
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
Ballwin, MO 63011  (Online Only)
I aim to connect with children and their families to help guide them through challenges, assist in their growth, and better understand themselves. I strive to provide a compassionate and safe space to support clients in processing emotions and building capacity for coping and growth. I value the therapeutic relationship and the powerful change that can occur through that trust. I use a strengths-based and individualized approach for each client and family, with a focus on play-based interventions.
I aim to connect with children and their families to help guide them through challenges, assist in their growth, and better understand themselves. I strive to provide a compassionate and safe space to support clients in processing emotions and building capacity for coping and growth. I value the therapeutic relationship and the powerful change that can occur through that trust. I use a strengths-based and individualized approach for each client and family, with a focus on play-based interventions.
(636) 736-0880 View (636) 736-0880
Photo of Dustin B Adamo, PhD, Psychologist
Dustin B Adamo
Psychologist, PhD
Verified Verified
1 Endorsed
Saint Louis, MO 63131
Available remotely in: AL, AZ, AR, CO, CN, CT, DE, DC, FL, GA, ID, IL, IN, KS, KY, ME, MD, MI, MN, MS, NE, NV, NH, NJ, NC, ND, OH, OK, PA, RI, SC, TN, TX, UT, VA, WA, WV, WI, WY. I was introduced to psychology while going through a difficult time as a young college student and seeking the help of a therapist. The experience taught me so much about myself and how to manage my emotions during difficult times that I decided to learn more about the field. One intro to psychology class turned into two more, and then just 12 short years later (with a few twists and turns along the way) I completed my PhD in counseling psychology!
Available remotely in: AL, AZ, AR, CO, CN, CT, DE, DC, FL, GA, ID, IL, IN, KS, KY, ME, MD, MI, MN, MS, NE, NV, NH, NJ, NC, ND, OH, OK, PA, RI, SC, TN, TX, UT, VA, WA, WV, WI, WY. I was introduced to psychology while going through a difficult time as a young college student and seeking the help of a therapist. The experience taught me so much about myself and how to manage my emotions during difficult times that I decided to learn more about the field. One intro to psychology class turned into two more, and then just 12 short years later (with a few twists and turns along the way) I completed my PhD in counseling psychology!
(636) 306-5279 x8 View (636) 306-5279 x8

See more therapy options for Valley Park

How does your Therapist compare?

Number of Therapists in Valley Park, MO

10+

Average cost per session

$120

Therapists in Valley Park, MO who prioritize treating:

92% Anxiety
85% Depression
85% Trauma and PTSD
77% Coping Skills
77% Stress
69% Life Transitions
62% Emotional Disturbance

Average years in practice

7 Years

Top 3 insurances accepted

91% UnitedHealthcare UHC | UBH
82% Aetna
73% Cigna and Evernorth

How Therapists in Valley Park, MO see their clients

85% In Person and Online
15% Online Only

Gender breakdown

64% Female
36% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Valley Park?

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.