Therapists in Hartley, Lincoln, NE

Photo of Holly Zerse Luedke, LIMHP, Counselor
Holly Zerse Luedke
Counselor, LIMHP
Verified Verified
Hartley, Lincoln, NE 68510
I believe the best way to help people is to encourage and teach them how to help themselves. Each of us has gifts and strengths. Sometimes we need help uncovering or realizing how our strengths can lead us to solutions. I strive to provide a nonjudgmental, safe, confidential, and nurturing environment where clients can talk about tough stuff. Using an eclectic, integrative therapy approach, I create treatment plans to meet each client’s individual needs. Additionally, I offer a welcoming place for clients to talk about their faith and religious or spiritual beliefs and values.
I believe the best way to help people is to encourage and teach them how to help themselves. Each of us has gifts and strengths. Sometimes we need help uncovering or realizing how our strengths can lead us to solutions. I strive to provide a nonjudgmental, safe, confidential, and nurturing environment where clients can talk about tough stuff. Using an eclectic, integrative therapy approach, I create treatment plans to meet each client’s individual needs. Additionally, I offer a welcoming place for clients to talk about their faith and religious or spiritual beliefs and values.
(402) 809-9920 View (402) 809-9920
Photo of Erica Sanders - Sanders Counseling Services, LIMHP, MSW, Counselor
Sanders Counseling Services
Counselor, LIMHP, MSW
Verified Verified
Hartley, Lincoln, NE 68503
Erica provides counseling services to address mental health areas including anxiety, depression, trauma, periods of transition/adjustment, ADHD, relationships/ couples, social skills, family dynamics, parenting skills, behavioral challenges, LGBTQIA+, grief, substance use, women's issues, self-image, mood disorders, and more. While much of her work has centered around children, adolescents, and families, Erica has experience with clients representing many demographics. Past clients have encompassed a variety of cultures, ethnicities, ages, sexual orientations, races, levels of mental and physical abilities, sexes, and walks of life.
Erica provides counseling services to address mental health areas including anxiety, depression, trauma, periods of transition/adjustment, ADHD, relationships/ couples, social skills, family dynamics, parenting skills, behavioral challenges, LGBTQIA+, grief, substance use, women's issues, self-image, mood disorders, and more. While much of her work has centered around children, adolescents, and families, Erica has experience with clients representing many demographics. Past clients have encompassed a variety of cultures, ethnicities, ages, sexual orientations, races, levels of mental and physical abilities, sexes, and walks of life.
(402) 307-5225 View (402) 307-5225
Photo of Leslie Seybold, MS, LIMHP, NCC, Counselor
Leslie Seybold
Counselor, MS, LIMHP, NCC
Verified Verified
2 Endorsed
Hartley, Lincoln, NE 68510
Waitlist for new clients
I truly believe in the effectiveness of counseling when the client and counselor can work together to identify concerns and generate effective and realistic solutions. My approach to counseling stems from the belief that you are the expert on your own life and I will work with you to find insight and create meaningful solutions that will impact the quality of your life. My goal is not to judge, but is instead to create a safe space where we can explore areas of difficulty together. Client’s I’ve worked with appreciate my ability recognize the uniqueness of each person’s story and provide an individualized approach.
I truly believe in the effectiveness of counseling when the client and counselor can work together to identify concerns and generate effective and realistic solutions. My approach to counseling stems from the belief that you are the expert on your own life and I will work with you to find insight and create meaningful solutions that will impact the quality of your life. My goal is not to judge, but is instead to create a safe space where we can explore areas of difficulty together. Client’s I’ve worked with appreciate my ability recognize the uniqueness of each person’s story and provide an individualized approach.
(531) 233-2986 View (531) 233-2986
Photo of Jillian Miles, PLMHP, Pre-Licensed Professional
Jillian Miles
Pre-Licensed Professional, PLMHP
Verified Verified
Hartley, Lincoln, NE 68510
Jillian is passionate about working with diverse individuals, couples, and families in an inclusive and affirming manner. Jillian has a special interest in providing trauma-informed therapy services to people who have been impacted by race-based traumatic stress and historical trauma. Jillian enjoys working to strengthen intimate relationships and families, and is especially interested in supporting multigenerational families. She also enjoys using an affirming perspective with LGBTQ+ individuals and families who have both spirituality and sexual identity concerns.
Jillian is passionate about working with diverse individuals, couples, and families in an inclusive and affirming manner. Jillian has a special interest in providing trauma-informed therapy services to people who have been impacted by race-based traumatic stress and historical trauma. Jillian enjoys working to strengthen intimate relationships and families, and is especially interested in supporting multigenerational families. She also enjoys using an affirming perspective with LGBTQ+ individuals and families who have both spirituality and sexual identity concerns.
(402) 940-7854 View (402) 940-7854
Photo of McKenzie Collins, MA, PLMHP
McKenzie Collins
Provisional Mental Health Practitioner, MA, PLMHP
Verified Verified
Hartley, Lincoln, NE 68510
While receiving my Masters I was skillfully trained in incorporating sound biblical principles into the therapeutic session, however, I always give my clients full choice in how much spirituality is integrated into sessions. I never push or shove religion on my clients. I think that it’s important to note that I haven’t always been the one in the therapist’s chair, but I’ve been on the couch divulging the hardest parts of my life. I’ve experienced, the lack of desire, the desperation, breakthrough moments, falling back into patterns, etc. I am equipped to help carry other’s burdens in a safe and open space because I can relate.
While receiving my Masters I was skillfully trained in incorporating sound biblical principles into the therapeutic session, however, I always give my clients full choice in how much spirituality is integrated into sessions. I never push or shove religion on my clients. I think that it’s important to note that I haven’t always been the one in the therapist’s chair, but I’ve been on the couch divulging the hardest parts of my life. I’ve experienced, the lack of desire, the desperation, breakthrough moments, falling back into patterns, etc. I am equipped to help carry other’s burdens in a safe and open space because I can relate.
(531) 571-5122 View (531) 571-5122
Photo of Ryan W Tenopir, MA, LIMHP, Counselor
Ryan W Tenopir
Counselor, MA, LIMHP
Verified Verified
Hartley, Lincoln, NE 68509
I feel every individual is unique; therefore every therapeutic relationship is unique. For therapy to be successful it is essential that you find a therapist with whom you feel comfortable and understood. I respect the difficulty of undertaking the therapeutic journey, and therefore consider myself challenging yet empathetic. I consider myself and active therapist, yet the session is not about me...this is your time. I work with adolescents and adults on an individual basis. I also work with couples, families and groups.
I feel every individual is unique; therefore every therapeutic relationship is unique. For therapy to be successful it is essential that you find a therapist with whom you feel comfortable and understood. I respect the difficulty of undertaking the therapeutic journey, and therefore consider myself challenging yet empathetic. I consider myself and active therapist, yet the session is not about me...this is your time. I work with adolescents and adults on an individual basis. I also work with couples, families and groups.
(402) 835-4385 View (402) 835-4385
Photo of Stephen J Abraham, MS, CGP, LIMHP, Counselor
Stephen J Abraham
Counselor, MS, CGP, LIMHP
Verified Verified
1 Endorsed
Hartley, Lincoln, NE 68509
I work with individuals, couples, families, adolescents, children, and LGBTQs. I like to delve into the depression, anxiety, or whatever is troubling you to get at and transform, moving towards a productive satisfying life. I'm good at getting at the potential, power, genius, and strength which lies within, surfacing creativity, health, and well being. Usually, when one discovers their potential it is like dropping a pebble in the calm lake, rippling goodness for all around them.
I work with individuals, couples, families, adolescents, children, and LGBTQs. I like to delve into the depression, anxiety, or whatever is troubling you to get at and transform, moving towards a productive satisfying life. I'm good at getting at the potential, power, genius, and strength which lies within, surfacing creativity, health, and well being. Usually, when one discovers their potential it is like dropping a pebble in the calm lake, rippling goodness for all around them.
(402) 519-4063 View (402) 519-4063
Photo of Allyson G. Northup, MS, LMFT, LIMHP, Marriage & Family Therapist
Allyson G. Northup
Marriage & Family Therapist, MS, LMFT, LIMHP
Verified Verified
2 Endorsed
Hartley, Lincoln, NE 68509  (Online Only)
I believe therapy offers people an opportunity to gain a better understanding of who they are, where they've come from, who they'd like to be, & where they'd like to go. Life can become overwhelming quickly. Too often people forget that it's okay to stop and ask for directions. As a therapist, I believe the most important part of the human experience is feeling comfortable in your own skin and feeling in control of your own life. When it all becomes too much, support from a therapist can be one of the most gratifying and rewarding experiences.
I believe therapy offers people an opportunity to gain a better understanding of who they are, where they've come from, who they'd like to be, & where they'd like to go. Life can become overwhelming quickly. Too often people forget that it's okay to stop and ask for directions. As a therapist, I believe the most important part of the human experience is feeling comfortable in your own skin and feeling in control of your own life. When it all becomes too much, support from a therapist can be one of the most gratifying and rewarding experiences.
(402) 260-5188 View (402) 260-5188
Photo of Lindsay A Tweten, MS, LMHP, LMFT, Marriage & Family Therapist
Lindsay A Tweten
Marriage & Family Therapist, MS, LMHP, LMFT
Verified Verified
1 Endorsed
Hartley, Lincoln, NE 68509  (Online Only)
Counseling provides a safe place to resolve many of the symptoms of emotional and physical stress related to addiction, depression, anxiety or trauma. Through relationship counseling, people learn how to reconnect after conflict and discover the power of truly listening to others in conversation. Helping people learn how to respond rather than react in close and intimate relationships, resolving conflict through healthy communication.
Counseling provides a safe place to resolve many of the symptoms of emotional and physical stress related to addiction, depression, anxiety or trauma. Through relationship counseling, people learn how to reconnect after conflict and discover the power of truly listening to others in conversation. Helping people learn how to respond rather than react in close and intimate relationships, resolving conflict through healthy communication.
(402) 810-7988 View (402) 810-7988
Photo of Tina D Hoffman, PhD, Psychologist
Tina D Hoffman
Psychologist, PhD
Verified Verified
5 Endorsed
Hartley, Lincoln, NE 68503
I offer services for each and every client and enjoy working with collaboratively with my clients to build insight, understanding, resiliency, and empowerment. We begin by getting to know one another, establishing goals that match your current needs, and work toward finding happiness and balance in your life while managing symptoms and other general life events that can affect personal wellness.
I offer services for each and every client and enjoy working with collaboratively with my clients to build insight, understanding, resiliency, and empowerment. We begin by getting to know one another, establishing goals that match your current needs, and work toward finding happiness and balance in your life while managing symptoms and other general life events that can affect personal wellness.
(402) 810-8833 View (402) 810-8833
Photo of Blue Valley Behavioral Health - Blue Valley Behavioral Health
Blue Valley Behavioral Health
Verified Verified
Hartley, Lincoln, NE 68503
Blue Valley Behavioral Health (BVBH) has been providing outpatient Mental Health, Community Support, Medication Management and Substance Abuse counseling for over 50 years to adults, youth and families. BVBH has a long standing reputation of providing professional and quality treatment to people of all ages who are dealing with problems such as anxiety, depression, anger, relationship difficulties, substance abuse and other related issues that are common to all of us.
Blue Valley Behavioral Health (BVBH) has been providing outpatient Mental Health, Community Support, Medication Management and Substance Abuse counseling for over 50 years to adults, youth and families. BVBH has a long standing reputation of providing professional and quality treatment to people of all ages who are dealing with problems such as anxiety, depression, anger, relationship difficulties, substance abuse and other related issues that are common to all of us.
(402) 814-8404 View (402) 814-8404
Photo of Dr. Cassandra Leow, PhD, LIMHP, LMFT, CMFT, Marriage & Family Therapist
Dr. Cassandra Leow
Marriage & Family Therapist, PhD, LIMHP, LMFT, CMFT
Verified Verified
5 Endorsed
Hartley, Lincoln, NE 68503
Mental illness does not discriminate; everyone can struggle with challenges that are unique to them, such as anxiety, depression, relationship issues and many more. It takes a lot of courage to seek therapy; it involves facing our shortcomings and accepting that we need help. It is a journey of self-discovery and growth, and it is an opportunity to learn more about ourselves and grow to be the person we were always made to be. This journey is a vulnerable journey, and therapy can serve as a safe space and supportive environment to help you reach your goals and lead fulfilling lives.
Mental illness does not discriminate; everyone can struggle with challenges that are unique to them, such as anxiety, depression, relationship issues and many more. It takes a lot of courage to seek therapy; it involves facing our shortcomings and accepting that we need help. It is a journey of self-discovery and growth, and it is an opportunity to learn more about ourselves and grow to be the person we were always made to be. This journey is a vulnerable journey, and therapy can serve as a safe space and supportive environment to help you reach your goals and lead fulfilling lives.
(402) 937-1767 View (402) 937-1767
Photo of Alicia Webber, LICSW, Clinical Social Work/Therapist
Alicia Webber
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Hartley, Lincoln, NE 68509  (Online Only)
Sometimes we lose ourselves when we get caught up in the way we think we "should" be in various relationships, workspaces, and societal expectations. Losing or ignoring who we truly are can lead to relationship issues, depression, anxiety, and general life dissatisfaction. "Losing ourselves" can happen due to traumatic life circumstances and/or years of unrelenting pressures. Let's get curious about your passions, work together to let go of what's not working, and build a roadmap so you can step in to a more authentic you.
Sometimes we lose ourselves when we get caught up in the way we think we "should" be in various relationships, workspaces, and societal expectations. Losing or ignoring who we truly are can lead to relationship issues, depression, anxiety, and general life dissatisfaction. "Losing ourselves" can happen due to traumatic life circumstances and/or years of unrelenting pressures. Let's get curious about your passions, work together to let go of what's not working, and build a roadmap so you can step in to a more authentic you.
(402) 872-0866 View (402) 872-0866
Photo of Jessica Grossnicklaus, PsyD, Psychologist
Jessica Grossnicklaus
Psychologist, PsyD
Verified Verified
Hartley, Lincoln, NE 68503
Do you feel your life is moving too fast and you can’t gain control? You wake up with dread and fear in your stomach for what the day will bring. You wonder if you’re on the right path. Maybe you’re getting ready to graduate college and are doubting your abilities and who you are as you transition to this new chapter. Or maybe you’re navigating pregnancy, postpartum, or another significant life transition. Perhaps you're having trouble finding joy in your day-to-day.
Do you feel your life is moving too fast and you can’t gain control? You wake up with dread and fear in your stomach for what the day will bring. You wonder if you’re on the right path. Maybe you’re getting ready to graduate college and are doubting your abilities and who you are as you transition to this new chapter. Or maybe you’re navigating pregnancy, postpartum, or another significant life transition. Perhaps you're having trouble finding joy in your day-to-day.
(402) 576-5225 View (402) 576-5225

Online Therapists

Photo of Liz Sizer, Ms Ed, LIMHP, LADC, Counselor
Liz Sizer
Counselor, Ms Ed, LIMHP, LADC
Verified Verified
Lincoln, NE 68506
I am a trauma focused therapist that is passionate about helping people identify triggers, barriers, or hang ups that are preventing them from living their most fulfilled and happiest life. I offer supportive insights and tools to assist clients in their life journey toward their identified goals. I enjoy utilizing creative techniques and tools in treatment such as narrative or art therapy.
I am a trauma focused therapist that is passionate about helping people identify triggers, barriers, or hang ups that are preventing them from living their most fulfilled and happiest life. I offer supportive insights and tools to assist clients in their life journey toward their identified goals. I enjoy utilizing creative techniques and tools in treatment such as narrative or art therapy.
(531) 214-1195 View (531) 214-1195
Photo of Patty Kimberly-Martinez, MA, LIMHP, LCP, Counselor
Patty Kimberly-Martinez
Counselor, MA, LIMHP, LCP
Verified Verified
Lincoln, NE 68510
Every person wants happiness and contentment, but we also face challenges that leaves us confused, or even stuck. I realize it may not always be easy coming to a therapist, but personal growth, empowerment, and feeling whole are wonderful gifts to yourself. My hope is to foster trust by providing a safe environment to make sense of thoughts, feelings and pain. I love what I do and feel honored to gain your trust and hear about life, joys, and struggles.
Every person wants happiness and contentment, but we also face challenges that leaves us confused, or even stuck. I realize it may not always be easy coming to a therapist, but personal growth, empowerment, and feeling whole are wonderful gifts to yourself. My hope is to foster trust by providing a safe environment to make sense of thoughts, feelings and pain. I love what I do and feel honored to gain your trust and hear about life, joys, and struggles.
(402) 620-6071 View (402) 620-6071
Photo of Shae Taylor, MA, LIMHP, Counselor
Shae Taylor
Counselor, MA, LIMHP
Verified Verified
2 Endorsed
Lincoln, NE 68512
I have a background working with individuals with depression, anxiety, trauma, and interpersonal issues. My passion is working with individuals who struggle with a variety of relational issues such as intimate partner violence, boundary issues, and communication skills. My goal as a mental health practitioner is to create a non-judgemental environment and to meet individuals where they are at in life.
I have a background working with individuals with depression, anxiety, trauma, and interpersonal issues. My passion is working with individuals who struggle with a variety of relational issues such as intimate partner violence, boundary issues, and communication skills. My goal as a mental health practitioner is to create a non-judgemental environment and to meet individuals where they are at in life.
(531) 204-3002 x2017 View (531) 204-3002 x2017
Photo of Hannah Couillard, MSEd, LIMHP, CPC, Counselor
Hannah Couillard
Counselor, MSEd, LIMHP, CPC
Verified Verified
2 Endorsed
Lincoln, NE 68516
I believe in working collaboratively with every individual to identify treatment needs, personal strengths, as well as creating a plan to foster personal growth, development, and success. In my career, I have had the privilege to serve a variety of populations across the life span, ranging from college-aged students, individuals who experience severe and persistent mental illness, to children who sexually harm, families, and adults. I would describe my approach laid back and go-with-the flow. I encourage all clients to come as they are, which can look different daily.
I believe in working collaboratively with every individual to identify treatment needs, personal strengths, as well as creating a plan to foster personal growth, development, and success. In my career, I have had the privilege to serve a variety of populations across the life span, ranging from college-aged students, individuals who experience severe and persistent mental illness, to children who sexually harm, families, and adults. I would describe my approach laid back and go-with-the flow. I encourage all clients to come as they are, which can look different daily.
(531) 208-1957 View (531) 208-1957
Photo of Kristi Lee Pawlowski, MA, LIMHP, LADC, CPC, Counselor
Kristi Lee Pawlowski
Counselor, MA, LIMHP, LADC, CPC
Verified Verified
1 Endorsed
Lincoln, NE 68516
As a trauma focused therapist, I am honored to help each client discover what their healing process looks like by helping identify stressors, triggers and barriers. My viewpoint is that each client be treated compassionately and not judged. My primary focus is to identify my client's strengths and assist them in accomplishing life goals. My goal is to support individuals in their journey of working through issues that may impacting their ability to achieve balance and optimum mental and emotional health.
As a trauma focused therapist, I am honored to help each client discover what their healing process looks like by helping identify stressors, triggers and barriers. My viewpoint is that each client be treated compassionately and not judged. My primary focus is to identify my client's strengths and assist them in accomplishing life goals. My goal is to support individuals in their journey of working through issues that may impacting their ability to achieve balance and optimum mental and emotional health.
(402) 869-6134 View (402) 869-6134
Photo of Jamie Weatherly, LMHP, Counselor
Jamie Weatherly
Counselor, LMHP
Verified Verified
4 Endorsed
Lincoln, NE 68510
I became a therapist because your life is worth my time. I'm so glad you're here. Whether this is your first or fifth time seeking a therapist, welcome! Regardless of the reasons why you're interested in starting or continuing your therapy journey, it can be complicated to be at this stage of trying to find the right fit for you. I'm happy to help. I approach therapy through a collaborative and humble lens. I may have degrees and licenses that make me educated in this field but I am not an expert of YOU. So you and I will work together to make the changes you see fit and identify the areas of life you would like to improve.
I became a therapist because your life is worth my time. I'm so glad you're here. Whether this is your first or fifth time seeking a therapist, welcome! Regardless of the reasons why you're interested in starting or continuing your therapy journey, it can be complicated to be at this stage of trying to find the right fit for you. I'm happy to help. I approach therapy through a collaborative and humble lens. I may have degrees and licenses that make me educated in this field but I am not an expert of YOU. So you and I will work together to make the changes you see fit and identify the areas of life you would like to improve.
(402) 539-5930 View (402) 539-5930

How does your Therapist compare?

Number of Therapists in Hartley, Lincoln, NE

10+

Average cost per session

$120

Therapists in Hartley, Lincoln, NE who prioritize treating:

86% Relationship Issues
86% Depression
86% Anxiety
86% Trauma and PTSD
79% Self Esteem
71% Coping Skills
57% Suicidal Ideation

Average years in practice

9 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
62% Medicaid
62% UnitedHealthcare UHC | UBH

How Therapists in Hartley, Lincoln, NE see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Hartley, Lincoln?

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.