Therapists in Brentwood, MO

Photo of Geno Martino, MSW, LMSW, CADC, Clinical Social Work/Therapist
Geno Martino
Clinical Social Work/Therapist, MSW, LMSW, CADC
Verified Verified
Brentwood, MO 63144
I'm a Licensed Master Social Worker (LMSW) and maintain credentials specializing in the treatment of alcohol and substance use disorder. I understand the insidious nature of the disease of addiction and have successfully assist individuals and families to identify their strengths, gain awareness of their needs and foster their journey of healthy self-care and recovery. Asking for help is a sign of strength and courage to take responsibility for what is not working. I provide a sacred space to look at the hard stuff while being supported and challenged to adapt healthy and transformative interventions.
I'm a Licensed Master Social Worker (LMSW) and maintain credentials specializing in the treatment of alcohol and substance use disorder. I understand the insidious nature of the disease of addiction and have successfully assist individuals and families to identify their strengths, gain awareness of their needs and foster their journey of healthy self-care and recovery. Asking for help is a sign of strength and courage to take responsibility for what is not working. I provide a sacred space to look at the hard stuff while being supported and challenged to adapt healthy and transformative interventions.
(314) 310-5243 View (314) 310-5243
Photo of Barry McClintock, PLPC, Pre-Licensed Professional
Barry McClintock
Pre-Licensed Professional, PLPC
Verified Verified
3 Endorsed
Brentwood, MO 63144
It can be hard to reach out and ask for help, and if you’re reading this then you’ve taken the first step! I help clients who struggle with Depression, Anxiety, Identity Development, Strained Relationships and more. Together we navigate these challenges, valuing self-exploration and growth. I help those needing a safe, supportive space to cultivate self-acceptance and develop coping skills. My desire is to help you develop presence and awareness, access more choices, and find freedom from limiting narratives.
It can be hard to reach out and ask for help, and if you’re reading this then you’ve taken the first step! I help clients who struggle with Depression, Anxiety, Identity Development, Strained Relationships and more. Together we navigate these challenges, valuing self-exploration and growth. I help those needing a safe, supportive space to cultivate self-acceptance and develop coping skills. My desire is to help you develop presence and awareness, access more choices, and find freedom from limiting narratives.
(314) 860-6856 View (314) 860-6856
Photo of Rebecca Barach, MEd, MSW, LCSW, Clinical Social Work/Therapist
Rebecca Barach
Clinical Social Work/Therapist, MEd, MSW, LCSW
Verified Verified
Brentwood, MO 63144
Change takes time and hard work, and frequently also requires compassion, perspectives, and ideas from outside our own minds. Therapy is one way to help make the changes you want in your life. Using compassion-focused therapy, dialectical behavioral therapy, and solution-focused models, I help adolescents and adults practice ways to move away from self-defeating behaviors into more peace.
Change takes time and hard work, and frequently also requires compassion, perspectives, and ideas from outside our own minds. Therapy is one way to help make the changes you want in your life. Using compassion-focused therapy, dialectical behavioral therapy, and solution-focused models, I help adolescents and adults practice ways to move away from self-defeating behaviors into more peace.
(314) 501-6541 View (314) 501-6541
Photo of David van Buskirk - Somatic Trauma Therapist, MA, LPC, SEP, Licensed Professional Counselor
David van Buskirk - Somatic Trauma Therapist
Licensed Professional Counselor, MA, LPC, SEP
Verified Verified
Brentwood, MO 63144
I am a somatic therapist and an SEP, working with adults addressing issues related to trauma and PTSD, childhood trauma, anxiety, depression, concussions and traumatic brain injuries, and attachment. When calling please understand that there is a long delay before the voicemail picks up. Thanks for your patience and please do leave a message.
I am a somatic therapist and an SEP, working with adults addressing issues related to trauma and PTSD, childhood trauma, anxiety, depression, concussions and traumatic brain injuries, and attachment. When calling please understand that there is a long delay before the voicemail picks up. Thanks for your patience and please do leave a message.
(314) 449-9629 View (314) 449-9629
Photo of Brittany Elizabeth Buchannon, MS, NCC, LPC
Brittany Elizabeth Buchannon
MS, NCC, LPC
Verified Verified
Brentwood, MO 63144
My ideal client is anyone who is ready to enter into their stages of change. This can be anyone reasy to make shifts and changes as well as adopt new habits that can be reinforced or improved by initiating healing and working on their mental health.
My ideal client is anyone who is ready to enter into their stages of change. This can be anyone reasy to make shifts and changes as well as adopt new habits that can be reinforced or improved by initiating healing and working on their mental health.
(314) 350-4517 View (314) 350-4517
Photo of Kelly O'Donnell - Wise Mind Therapy, LCSW, CHHC, Clinical Social Work/Therapist
Wise Mind Therapy
Clinical Social Work/Therapist, LCSW, CHHC
Verified Verified
2 Endorsed
Brentwood, MO 63144
Are you struggling to handle stress and anxiety? Do you find yourself turning to food or other substances to comfort yourself? Do you feel like you have lost control? Did a difficult period or event in your life cause you to feel depressed, anxious, or unlike yourself? Many people struggle with emotional eating and/or substance abuse when they are stressed, unhappy, or have an imbalance in their life. We can help you get control of your life again and come to a place of peace and contentment.
Are you struggling to handle stress and anxiety? Do you find yourself turning to food or other substances to comfort yourself? Do you feel like you have lost control? Did a difficult period or event in your life cause you to feel depressed, anxious, or unlike yourself? Many people struggle with emotional eating and/or substance abuse when they are stressed, unhappy, or have an imbalance in their life. We can help you get control of your life again and come to a place of peace and contentment.
(314) 403-1798 View (314) 403-1798
Photo of Heather Forys, MS, PLPC, NCC, Pre-Licensed Professional
Heather Forys
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
Brentwood, MO 63144
Kudos to you for considering counseling and researching your options. Whether you are returning to counseling or just getting started, it can be a daunting task, especially since counselors are not "one size fits all." Taking time to find a counselor that you "click with" can take your session from "okay" to meaningful and fulfilling. Many of my clients report feeling "stuck" in their situations and "tired of pretending to be okay". Some experience dark thoughts that they don't understand or know how to talk about, while others are ready for a change but don't know where to start. I often say, "being human is a messy experience."
Kudos to you for considering counseling and researching your options. Whether you are returning to counseling or just getting started, it can be a daunting task, especially since counselors are not "one size fits all." Taking time to find a counselor that you "click with" can take your session from "okay" to meaningful and fulfilling. Many of my clients report feeling "stuck" in their situations and "tired of pretending to be okay". Some experience dark thoughts that they don't understand or know how to talk about, while others are ready for a change but don't know where to start. I often say, "being human is a messy experience."
(314) 936-2922 View (314) 936-2922
Photo of Chelsea Davis, LCSW, Clinical Social Work/Therapist
Chelsea Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
Brentwood, MO 63144
My ideal client needs a compassionate, client-centered approach to build trust and foster healing. Their goals include enhancing emotion regulation, fortifying parent-child connections, and developing effective communication skills. They seek my expertise in CBT, DBT, Play Therapy, DDP, and ARC to achieve resilience, personal growth, and positive transformation. Driven by a desire for stability and well-being, they find a safe, supportive space to overcome challenges and embrace change under my guidance.
My ideal client needs a compassionate, client-centered approach to build trust and foster healing. Their goals include enhancing emotion regulation, fortifying parent-child connections, and developing effective communication skills. They seek my expertise in CBT, DBT, Play Therapy, DDP, and ARC to achieve resilience, personal growth, and positive transformation. Driven by a desire for stability and well-being, they find a safe, supportive space to overcome challenges and embrace change under my guidance.
(314) 742-7082 View (314) 742-7082
Photo of Katie Lange, MSW, LCSW, TF-CBT, Clinical Social Work/Therapist
Katie Lange
Clinical Social Work/Therapist, MSW, LCSW, TF-CBT
Verified Verified
1 Endorsed
Brentwood, MO 63144
Not accepting new clients
Congratulations! By seeking support you are already exhibiting emotional strength and taking steps to increase it! Does it seem like your mind is your worst enemy? Do you want to learn how to challenge the way you think? Strong Mind Counseling & Wellness (SMCW) will help you build a personal toolbox to get your mind back on your side and improve your overall well-being.
Congratulations! By seeking support you are already exhibiting emotional strength and taking steps to increase it! Does it seem like your mind is your worst enemy? Do you want to learn how to challenge the way you think? Strong Mind Counseling & Wellness (SMCW) will help you build a personal toolbox to get your mind back on your side and improve your overall well-being.
(314) 274-6512 View (314) 274-6512
Photo of Sara Carpenter, PhD, LPC-S, RPT, Licensed Professional Counselor
Sara Carpenter
Licensed Professional Counselor, PhD, LPC-S, RPT
Verified Verified
Brentwood, MO 63144
My focus is to help youth and teens uncover what they already possess--highlighting their strengths, resilience, and ability to cope with life. Together, your child, your family, and I will work to make sense of troubling experiences and identify and learn coping strategies that allow my clients to realize the power they have in themselves. Using play based interventions, children can communicate their inner world in a way that is natural and feels comfortable to them. Using sand tray, expressive arts, and games, play provides a concrete, action-oriented way for children to work through what they are going through.
My focus is to help youth and teens uncover what they already possess--highlighting their strengths, resilience, and ability to cope with life. Together, your child, your family, and I will work to make sense of troubling experiences and identify and learn coping strategies that allow my clients to realize the power they have in themselves. Using play based interventions, children can communicate their inner world in a way that is natural and feels comfortable to them. Using sand tray, expressive arts, and games, play provides a concrete, action-oriented way for children to work through what they are going through.
(314) 470-9954 View (314) 470-9954
Photo of Dr. Patricia Keller, PhD, LPC, NCC, Licensed Professional Counselor
Dr. Patricia Keller
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Brentwood, MO 63144  (Online Only)
Are feeling stuck, overwhelmed, and unsure about your next steps? I'm dedicated to helping women navigate life's challenges and transitions, offering counseling, life coaching, and therapeutic support. I'm deeply committed to empowering individuals, especially during life challenges. My focus areas encompass stress management, anxiety, depression, motivation, relationships, life transitions, self-esteem, and confidence, both in personal growth and career development.
Are feeling stuck, overwhelmed, and unsure about your next steps? I'm dedicated to helping women navigate life's challenges and transitions, offering counseling, life coaching, and therapeutic support. I'm deeply committed to empowering individuals, especially during life challenges. My focus areas encompass stress management, anxiety, depression, motivation, relationships, life transitions, self-esteem, and confidence, both in personal growth and career development.
(314) 271-1600 x104 View (314) 271-1600 x104
Photo of Sarah Lopez, PLPC, Pre-Licensed Professional
Sarah Lopez
Pre-Licensed Professional, PLPC
Verified Verified
Brentwood, MO 63144
Sarah Lopez, PLPC (she/her) is a part of a group practice at Upaya Counseling LLC. She works with clients with a broad range of cultural backgrounds and clinical concerns. Sarah sees children and adolescents age 8 and older, adults, and older adults and specialized in trauma/PTSD, depression, anxiety, ADHD, mood disorders, LGBTQIA+ concerns, BIPOC concerns, couples, family therapy, and addictions.
Sarah Lopez, PLPC (she/her) is a part of a group practice at Upaya Counseling LLC. She works with clients with a broad range of cultural backgrounds and clinical concerns. Sarah sees children and adolescents age 8 and older, adults, and older adults and specialized in trauma/PTSD, depression, anxiety, ADHD, mood disorders, LGBTQIA+ concerns, BIPOC concerns, couples, family therapy, and addictions.
(314) 948-5213 View (314) 948-5213
Photo of Christina Warden, MEd, LPC, Licensed Professional Counselor
Christina Warden
Licensed Professional Counselor, MEd, LPC
Verified Verified
8 Endorsed
Brentwood, MO 63144  (Online Only)
I specialize in helping critically-thinking women, sexual and gender minorities, and nontraditional couples who have already overcome so much, but find that something keeps holding them back. I help people decidedly outside the mainstream, who aren't looking for a professional to fit them back into conformity. I work best with individuals and couples who already have some practice with self-reflection but you now need a fresh perspective and stronger support. I enjoy helping diverse people, in terms of relationship style, abilities, brain type, or cultural identities. I also specialize in recovery from cults or narcissistic abuse.
I specialize in helping critically-thinking women, sexual and gender minorities, and nontraditional couples who have already overcome so much, but find that something keeps holding them back. I help people decidedly outside the mainstream, who aren't looking for a professional to fit them back into conformity. I work best with individuals and couples who already have some practice with self-reflection but you now need a fresh perspective and stronger support. I enjoy helping diverse people, in terms of relationship style, abilities, brain type, or cultural identities. I also specialize in recovery from cults or narcissistic abuse.
(314) 762-6471 View (314) 762-6471
Photo of Serena Steuber, LPC, Licensed Professional Counselor
Serena Steuber
Licensed Professional Counselor, LPC
Verified Verified
Brentwood, MO 63144
My ideal clients are children, adolescents, and young adults seeking a supportive and understanding environment to navigate emotional challenges such as anxiety, depression, family concerns, grief, self-esteem issues, coping skills, school challenges, and life transitions. They need a safe space, empathy, personalized approaches, and practical strategies. Together, we'll work towards emotional well-being, resilience, self-understanding, improved relationships, and academic and life success. Clients seek relief from symptoms, support, personal growth, and practical solutions for stress management.
My ideal clients are children, adolescents, and young adults seeking a supportive and understanding environment to navigate emotional challenges such as anxiety, depression, family concerns, grief, self-esteem issues, coping skills, school challenges, and life transitions. They need a safe space, empathy, personalized approaches, and practical strategies. Together, we'll work towards emotional well-being, resilience, self-understanding, improved relationships, and academic and life success. Clients seek relief from symptoms, support, personal growth, and practical solutions for stress management.
(314) 470-8910 View (314) 470-8910
Photo of Ali Oldani, MSW, LCSW, Clinical Social Work/Therapist
Ali Oldani
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Brentwood, MO 63144
Waitlist for new clients
Our identities and experiences shape us, influencing how we move through the world and relate to ourselves and others. I believe in the transformative power of a therapeutic space that fosters safety, support, respect, and empowerment for positive change. My commitment to working with LGBTQIA individuals and ensuring an inclusive and affirming environment for all clients is a personal tenant. I have a holistic approach, utilizing modalities including EMDR, Ego State, CBT, mindfulness, and somatic work. When I’m with you in a session, I’m fully present, attuned, and ready to support and help navigate whatever may arise.
Our identities and experiences shape us, influencing how we move through the world and relate to ourselves and others. I believe in the transformative power of a therapeutic space that fosters safety, support, respect, and empowerment for positive change. My commitment to working with LGBTQIA individuals and ensuring an inclusive and affirming environment for all clients is a personal tenant. I have a holistic approach, utilizing modalities including EMDR, Ego State, CBT, mindfulness, and somatic work. When I’m with you in a session, I’m fully present, attuned, and ready to support and help navigate whatever may arise.
(314) 947-6019 View (314) 947-6019
Photo of Salina Pounds, LPC, NCC, Licensed Professional Counselor
Salina Pounds
Licensed Professional Counselor, LPC, NCC
Verified Verified
3 Endorsed
Brentwood, MO 63144
Do you ever feel like your emotions overwhelm you, making it hard to keep relationships steady? You long for security but find it difficult to trust others fully. Struggling with self-esteem, you want to feel more confident and grounded. Your goal is to manage your emotions, improve communication, and set healthier boundaries. You’re ready to heal because you crave stability, self-love, and relationships that bring peace, not chaos.
Do you ever feel like your emotions overwhelm you, making it hard to keep relationships steady? You long for security but find it difficult to trust others fully. Struggling with self-esteem, you want to feel more confident and grounded. Your goal is to manage your emotions, improve communication, and set healthier boundaries. You’re ready to heal because you crave stability, self-love, and relationships that bring peace, not chaos.
(314) 949-3719 View (314) 949-3719
Rebekah Connor
Licensed Professional Counselor, LPC, LCPC
Verified Verified
Brentwood, MO 63144
Each of us has a unique history that shapes how we make sense of our inner and outer world. I have over 15 years of experience working in mental health with diverse clients who have a variety of concerns they bring to our relationship. Some of the typical issues that I have helped clients address include depression, anxiety, mania, trauma histories, and substance use. In addition, I have a personal passion working with clients who are exploring their gender identity and/or sexuality. Often because of the concerns that my clients bring up, I help people with life changes, career questions, self-esteem, and relationship issues.
Each of us has a unique history that shapes how we make sense of our inner and outer world. I have over 15 years of experience working in mental health with diverse clients who have a variety of concerns they bring to our relationship. Some of the typical issues that I have helped clients address include depression, anxiety, mania, trauma histories, and substance use. In addition, I have a personal passion working with clients who are exploring their gender identity and/or sexuality. Often because of the concerns that my clients bring up, I help people with life changes, career questions, self-esteem, and relationship issues.
(314) 742-9188 View (314) 742-9188
Photo of Alisha Beseth, MA, LPC, Counselor
Alisha Beseth
Counselor, MA, LPC
Verified Verified
1 Endorsed
Brentwood, MO 63144
Waitlist for new clients
If you're hoping to get unstuck from the past, move out of survival mode, and figure out how to thrive, please reach out! I'll help assess what's stuck, work with you to get unstuck, and collaborate with you to change and grow. I also really enjoy working with people who are ready to try EMDR (either as a primary approach or in conjunction with talk therapy, depending on your needs).
If you're hoping to get unstuck from the past, move out of survival mode, and figure out how to thrive, please reach out! I'll help assess what's stuck, work with you to get unstuck, and collaborate with you to change and grow. I also really enjoy working with people who are ready to try EMDR (either as a primary approach or in conjunction with talk therapy, depending on your needs).
(314) 292-9067 View (314) 292-9067
Photo of Elise Harowitz, MA, LPC, BC-DMT, SEP, Licensed Professional Counselor
Elise Harowitz
Licensed Professional Counselor, MA, LPC, BC-DMT, SEP
Verified Verified
7 Endorsed
Brentwood, MO 63144
Are you struggling with anxiety, processing trauma, disordered eating, a life transition, depression, or changes in your mood? Do you or your child experience your emotions through your body's felt sense? Are you or your child struggling to adjust to new life circumstances and experiencing emotional dysregulation? Life brings challenges and with those challenges comes opportunity for growth. If you are ready or your loved one is ready to embark on a new path towards self-discovery, I am here to offer support, guidance and strategies to facilitate healthy change.
Are you struggling with anxiety, processing trauma, disordered eating, a life transition, depression, or changes in your mood? Do you or your child experience your emotions through your body's felt sense? Are you or your child struggling to adjust to new life circumstances and experiencing emotional dysregulation? Life brings challenges and with those challenges comes opportunity for growth. If you are ready or your loved one is ready to embark on a new path towards self-discovery, I am here to offer support, guidance and strategies to facilitate healthy change.
(314) 274-9601 View (314) 274-9601
Photo of Claire Martin - Dr. Claire Martin - Spring To Life Counseling, LLC, PhD, LPC, NCC, ACS, BC-TMH, Licensed Professional Counselor
Dr. Claire Martin - Spring To Life Counseling, LLC
Licensed Professional Counselor, PhD, LPC, NCC, ACS, BC-TMH
Verified Verified
7 Endorsed
Brentwood, MO 63144  (Online Only)
Not accepting new clients
We have all experienced adversities at some point in our life; sometimes these adversities leave us defeated, wondering how we can gather our strengths to move pass these falls. The journey seems unpredictable at times and we forget that we have what it takes within us to recover from those adversities. As your counselor, my goal is to be alongside you in this journey of searching for the strength that is within you to not only overcome these adversities but also to help you understand how you’ve come to develop these patterns of behaviors that no longer serve you well.
We have all experienced adversities at some point in our life; sometimes these adversities leave us defeated, wondering how we can gather our strengths to move pass these falls. The journey seems unpredictable at times and we forget that we have what it takes within us to recover from those adversities. As your counselor, my goal is to be alongside you in this journey of searching for the strength that is within you to not only overcome these adversities but also to help you understand how you’ve come to develop these patterns of behaviors that no longer serve you well.
(314) 876-8592 View (314) 876-8592
1

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How does your Therapist compare?

Number of Therapists in Brentwood, MO

90+

Average cost per session

$140

Therapists in Brentwood, MO who prioritize treating:

96% Depression
95% Anxiety
77% Self Esteem
74% Stress
71% Relationship Issues
70% Coping Skills
69% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

91% Cigna and Evernorth
90% Aetna
84% UnitedHealthcare UHC | UBH

How Therapists in Brentwood, MO see their clients

65% In Person and Online
35% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Brentwood?

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.