Therapists in Zachary, LA

Photo of Dr. Christy Mamou, Pastoral Counselor in Zachary, LA
Dr. Christy Mamou
Pastoral Counselor, MTh, PsyD
Verified Verified
Zachary, LA 70791  (Online Only)
Are you finding it difficult to navigate through a transition in your life? Are you overwhelmed with multiple challenges? Are you struggling with low self esteem, depression, anxiety, or stress? Do you feel like things are out of control? Do you struggle with your identity? Have you experienced a traumatic event? Are you a survivor of a suicide attempt seeking a safe space to assist you in moving forward in life? Without the right tools and coping skills, adjusting to change and navigating through adversity can be difficult. If you have answered yes to any of these questions, know that there is help. Allow me to help you through it.
Are you finding it difficult to navigate through a transition in your life? Are you overwhelmed with multiple challenges? Are you struggling with low self esteem, depression, anxiety, or stress? Do you feel like things are out of control? Do you struggle with your identity? Have you experienced a traumatic event? Are you a survivor of a suicide attempt seeking a safe space to assist you in moving forward in life? Without the right tools and coping skills, adjusting to change and navigating through adversity can be difficult. If you have answered yes to any of these questions, know that there is help. Allow me to help you through it.
(225) 635-8974 View (225) 635-8974
Photo of Myiesha Beard, Licensed Professional Counselor in Zachary, LA
Myiesha Beard
Licensed Professional Counselor, LPC-S, NCC, LMHP, CAMS-II, CCTP
Verified Verified
1 Endorsed
Zachary, LA 70791
The purpose of therapy is to restore the client to a healthy state of life by helping to remove barriers that may hinder this process. I specialize in the mental health care of children, adults, couples and families. My services include individual, group, marriage counseling and family therapy. Parent training, workshops, play therapy and prevention groups are also offered. I have twenty years experience working within the field of mental health. I utilize a number of therapeutic techniques and interventions that are tailored to the the client. I'm an Independent Assessor, Clinical Supervisor, mentor and consultant.
The purpose of therapy is to restore the client to a healthy state of life by helping to remove barriers that may hinder this process. I specialize in the mental health care of children, adults, couples and families. My services include individual, group, marriage counseling and family therapy. Parent training, workshops, play therapy and prevention groups are also offered. I have twenty years experience working within the field of mental health. I utilize a number of therapeutic techniques and interventions that are tailored to the the client. I'm an Independent Assessor, Clinical Supervisor, mentor and consultant.
(225) 570-4999 View (225) 570-4999
Photo of Dana LeTard Vicellio, Licensed Professional Counselor in Zachary, LA
Dana LeTard Vicellio
Licensed Professional Counselor, EdS, LPC
Verified Verified
Zachary, LA 70791
I offer Christian counseling for a variety of life's challenges such as grief, depression, anxiety, anger management, school adjustment, ADHD, as well as other issues that may be causing a disruption in a young person's well-being and quality of life.
I offer Christian counseling for a variety of life's challenges such as grief, depression, anxiety, anger management, school adjustment, ADHD, as well as other issues that may be causing a disruption in a young person's well-being and quality of life.
(225) 351-2883 View (225) 351-2883
Photo of Leslie de Graaf, Counselor in Zachary, LA
Leslie de Graaf
Counselor, MA, LPC, LMHC, CRC
Verified Verified
2 Endorsed
Zachary, LA 70791  (Online Only)
Waitlist for new clients
I specialize in working with women with a family history of emotional abuse and neglect and individuals who have experienced trauma. Common symptoms are depression, anxiety, guilt, and shame. Perhaps you're here because you're ready to move from your past and present circumstances to live the life you’ve always dreamed of. I know that you’re the expert in your own life. I work to be the guide that allows you to find new ways of healing and being. A lot of times it feels scary to come to therapy. I just want you to understand that here, there’s no judgment. Here, it’s safe for you to feel, say, and be exactly who you are.
I specialize in working with women with a family history of emotional abuse and neglect and individuals who have experienced trauma. Common symptoms are depression, anxiety, guilt, and shame. Perhaps you're here because you're ready to move from your past and present circumstances to live the life you’ve always dreamed of. I know that you’re the expert in your own life. I work to be the guide that allows you to find new ways of healing and being. A lot of times it feels scary to come to therapy. I just want you to understand that here, there’s no judgment. Here, it’s safe for you to feel, say, and be exactly who you are.
(833) 473-3399 View (833) 473-3399
Photo of Kristin Tubre, Psychologist in Zachary, LA
Kristin Tubre
Psychologist, PsyD
Verified Verified
Zachary, LA 70791
I have a part-time private practice in Zachary, Louisiana. I work with individuals and couples. I use an integrated and eclectic approach when treating clients. This means that I will meet you where you are emotionally and use techniques that fit your unique situation. I have successfully worked with clients with depression, anxiety, PTSD, and marital/family discord. I also work with clients who are looking for someone to help them on their journey in personal growth and wellness.
I have a part-time private practice in Zachary, Louisiana. I work with individuals and couples. I use an integrated and eclectic approach when treating clients. This means that I will meet you where you are emotionally and use techniques that fit your unique situation. I have successfully worked with clients with depression, anxiety, PTSD, and marital/family discord. I also work with clients who are looking for someone to help them on their journey in personal growth and wellness.
(225) 269-8933 View (225) 269-8933
Photo of Maranda B. Gilmore, Licensed Professional Counselor in Zachary, LA
Maranda B. Gilmore
Licensed Professional Counselor, NCC, LPC
Verified Verified
2 Endorsed
Zachary, LA 70791
​ Are you feeling stuck? Have issues become overwhelming? Do you feel like giving up? Has your relationship or marriage lost its spark? We all have times when life seems tough. It is during those times that we need a nonjudgmental listening ear. I would love to help you!
​ Are you feeling stuck? Have issues become overwhelming? Do you feel like giving up? Has your relationship or marriage lost its spark? We all have times when life seems tough. It is during those times that we need a nonjudgmental listening ear. I would love to help you!
(225) 442-9532 View (225) 442-9532
Photo of Lakeisha Miller in Zachary, LA
Lakeisha Miller
LPC
Verified Verified
Zachary, LA 70791
One of the goals of counseling is to gain knowledge and insight into problematic behaviors, beliefs, feelings, and relationship issues. I believe that a person can come into the knowledge of self to regain control, motivation, and self-worth to reach their full potential. In this I believe in establishing realistic and achievable goals for individuals and families that will bring forth true freedom. I incorporate several therapeutic techniques and interventions that are designed for the individual client that includes but not limited to; person centered, brief solution-focused, and cognitive behavioral therapy.
One of the goals of counseling is to gain knowledge and insight into problematic behaviors, beliefs, feelings, and relationship issues. I believe that a person can come into the knowledge of self to regain control, motivation, and self-worth to reach their full potential. In this I believe in establishing realistic and achievable goals for individuals and families that will bring forth true freedom. I incorporate several therapeutic techniques and interventions that are designed for the individual client that includes but not limited to; person centered, brief solution-focused, and cognitive behavioral therapy.
(225) 681-8026 View (225) 681-8026
Photo of Alexis Young, Clinical Social Work/Therapist in Zachary, LA
Alexis Young
Clinical Social Work/Therapist, LCSW
Verified Verified
Zachary, LA 70791  (Online Only)
Alexis Young is a licensed clinical social worker who has worked for over 15 years in the state, federal, and non profit arenas serving children, adults, and families in the areas of crisis and trauma intervention, adjustment to illness issues, depression and anxiety management, and non profit program development. Alexis obtained both a BSW and MSW from Grambling State University and is a certified clinical trauma practitioner. In 2018, Alexis founded Therapeutic Wellness Solutions, LLC which serves gen z, millennial, and gen x persons who are looking to heal through holistic approaches such as brain body connections and nutrit
Alexis Young is a licensed clinical social worker who has worked for over 15 years in the state, federal, and non profit arenas serving children, adults, and families in the areas of crisis and trauma intervention, adjustment to illness issues, depression and anxiety management, and non profit program development. Alexis obtained both a BSW and MSW from Grambling State University and is a certified clinical trauma practitioner. In 2018, Alexis founded Therapeutic Wellness Solutions, LLC which serves gen z, millennial, and gen x persons who are looking to heal through holistic approaches such as brain body connections and nutrit
(225) 777-6591 View (225) 777-6591
Photo of Charnel Jackson, Licensed Professional Counselor in Zachary, LA
Charnel Jackson
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Zachary, LA 70791  (Online Only)
Waitlist for new clients
If you are ready for change, ready for a Metamorphosis, then please consider me as your service provider. From teenagers to adults I offer services that focus on the symptoms of depression, anxiety, and interpersonal conflicts such as divorce, grief, and other significant life changes. I also have experience in working with victims of sexual abuse and/or assault. If you're looking for a unique and creative perspective being offered in a calming yet professional environment give me an opportunity to provide you with quality care. I currently accept most major insurance, but unfortunately, I do not accept Medicaid plans at this time.
If you are ready for change, ready for a Metamorphosis, then please consider me as your service provider. From teenagers to adults I offer services that focus on the symptoms of depression, anxiety, and interpersonal conflicts such as divorce, grief, and other significant life changes. I also have experience in working with victims of sexual abuse and/or assault. If you're looking for a unique and creative perspective being offered in a calming yet professional environment give me an opportunity to provide you with quality care. I currently accept most major insurance, but unfortunately, I do not accept Medicaid plans at this time.
(225) 307-3866 View (225) 307-3866
Photo of Chalonda Banks Hollins, Clinical Social Work/Therapist in Zachary, LA
Chalonda Banks Hollins
Clinical Social Work/Therapist, MSW, LCSW, BACS, C-SSWS
Verified Verified
Zachary, LA 70791  (Online Only)
I am a Licensed Clinical Social Worker - Board Approved Clinical Supervisor and a Certified- School Social Work Specialist. For the last 24 years, I have welcomed the opportunity to work with children, adolescents, adults, and elderly through empowering, advocating, educating and facilitating services to assist them in reaching their goals. I have experience working with behavioral disorders, anxiety, depression, school related issues, victims of abuse and neglect, mood disorders, childhood disorders, at-risk youth, anger management, emotional distress, and Employee Assistance Program matters.
I am a Licensed Clinical Social Worker - Board Approved Clinical Supervisor and a Certified- School Social Work Specialist. For the last 24 years, I have welcomed the opportunity to work with children, adolescents, adults, and elderly through empowering, advocating, educating and facilitating services to assist them in reaching their goals. I have experience working with behavioral disorders, anxiety, depression, school related issues, victims of abuse and neglect, mood disorders, childhood disorders, at-risk youth, anger management, emotional distress, and Employee Assistance Program matters.
(225) 307-3951 View (225) 307-3951
Photo of Lynn Gresham, Licensed Professional Counselor in Zachary, LA
Lynn Gresham
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Zachary, LA 70791
Trying to manage the stress in our relationships can be overwhelming, frustrating, and painful. Are you questioning the commitment you made, and wondering if things can get any better? Did an event happen causing your relationship to change? Do you want to take the next step in your commitment, but would like to identify strengths and examine potential roadblocks before moving forward? Maybe you're doing well, but could strengthen intimacy, communication, or understanding within your relationship.
Trying to manage the stress in our relationships can be overwhelming, frustrating, and painful. Are you questioning the commitment you made, and wondering if things can get any better? Did an event happen causing your relationship to change? Do you want to take the next step in your commitment, but would like to identify strengths and examine potential roadblocks before moving forward? Maybe you're doing well, but could strengthen intimacy, communication, or understanding within your relationship.
(225) 442-9620 View (225) 442-9620
Photo of James Charles Smith, Psychologist in Zachary, LA
James Charles Smith
Psychologist, PhD
Not Verified Not Verified
Zachary, LA 70791
I specialize in the assessment and treatment of learning difficulties, including those caused by AD/HD. My approach to academic difficulties goes beyond the limited information contained in a diagnosis. I identify the specific causes of learning problems that can be targeted with academic therapy or accommodations in the classroom. I provide detailed interventions and recommendations that target specific cognitive processes (e.g., working memory, processing speed, planning, organization, etc.), higher level language and comprehension skills, and basic academic skills required for efficient learning. I use the latest research on individual differences to tailor interventions.
I specialize in the assessment and treatment of learning difficulties, including those caused by AD/HD. My approach to academic difficulties goes beyond the limited information contained in a diagnosis. I identify the specific causes of learning problems that can be targeted with academic therapy or accommodations in the classroom. I provide detailed interventions and recommendations that target specific cognitive processes (e.g., working memory, processing speed, planning, organization, etc.), higher level language and comprehension skills, and basic academic skills required for efficient learning. I use the latest research on individual differences to tailor interventions.
(225) 800-4197 View (225) 800-4197
Photo of Anita Lopez, Licensed Professional Counselor in Zachary, LA
Anita Lopez
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Zachary, LA 70791
It is an honor to walk with individuals through their most difficult, anxiety provoking and painful times in life- in a safe, non-judgmental, and non-biased atmosphere. My goal is to collaboratively identify personal strengths, extract meaning, utilize effective coping skills, and develop a new understanding of self, in order to help you get the most out of life. The therapeutic alliance is built on trust, immediacy, and honest, open communication. Even if the process is new to you - if you are ready to honestly face your life circumstances, fears, anxieties, and choices - I am ready to assist you.
It is an honor to walk with individuals through their most difficult, anxiety provoking and painful times in life- in a safe, non-judgmental, and non-biased atmosphere. My goal is to collaboratively identify personal strengths, extract meaning, utilize effective coping skills, and develop a new understanding of self, in order to help you get the most out of life. The therapeutic alliance is built on trust, immediacy, and honest, open communication. Even if the process is new to you - if you are ready to honestly face your life circumstances, fears, anxieties, and choices - I am ready to assist you.
(225) 240-1551 View (225) 240-1551
Photo of Logan McIlwain, Clinical Social Work/Therapist in Zachary, LA
Logan McIlwain
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
7 Endorsed
Zachary, LA 70791
Are you struggling with life's curve balls? Is your child or teenager angry, defiant, stressed, or depressed? Is your relationship an emotional roller-coaster? Are you looking for better ways to co-parent? If so, we will work together to find a solution that meets your needs!
Are you struggling with life's curve balls? Is your child or teenager angry, defiant, stressed, or depressed? Is your relationship an emotional roller-coaster? Are you looking for better ways to co-parent? If so, we will work together to find a solution that meets your needs!
(225) 590-5917 View (225) 590-5917
Photo of Simone Marcantel O'Connor, Clinical Social Work/Therapist in Zachary, LA
Simone Marcantel O'Connor
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Zachary, LA 70791
Life can be difficult, and just when you figure one thing out, it changes. But you are not alone. You may feel anxious, or hopeless, and not sure how to cope. Together, we will get through this. Reaching out is as a sign of STRENGTH, rather than weakness. I offer a nurturing, non-judgmental, compassionate approach that is individualized and solution focused. My office can be a safe place where you can be Yourself. You will leave our sessions with healthy coping skills, a better understanding of yourself, your relationships, as well as improved interpersonal skills and action steps that will help you create the life you desire.
Life can be difficult, and just when you figure one thing out, it changes. But you are not alone. You may feel anxious, or hopeless, and not sure how to cope. Together, we will get through this. Reaching out is as a sign of STRENGTH, rather than weakness. I offer a nurturing, non-judgmental, compassionate approach that is individualized and solution focused. My office can be a safe place where you can be Yourself. You will leave our sessions with healthy coping skills, a better understanding of yourself, your relationships, as well as improved interpersonal skills and action steps that will help you create the life you desire.
(225) 910-6809 View (225) 910-6809
Photo of Sherry Desselle, Psychologist in Zachary, LA
Sherry Desselle
Psychologist, PhD
Verified Verified
Zachary, LA 70791
Ready to reclaim your life? I offer specialized treatment for anxiety, panic, depression, and issues related to surviving traumatic experiences. My approach is based on the most current and valid research findings, with a good dose of warmth and support. My goal is to help you develop skills to overcome your symptoms and enhance the rest of your life.
Ready to reclaim your life? I offer specialized treatment for anxiety, panic, depression, and issues related to surviving traumatic experiences. My approach is based on the most current and valid research findings, with a good dose of warmth and support. My goal is to help you develop skills to overcome your symptoms and enhance the rest of your life.
(225) 395-9910 View (225) 395-9910
Photo of Michael Gaines Counseling Service , Clinical Social Work/Therapist in Zachary, LA
Michael Gaines Counseling Service
Clinical Social Work/Therapist, PsyD, QMHP, LCSW, BCD, BACS
Verified Verified
Zachary, LA 70791
For over 40 + years I have been an advocate for children and families in need of mental health services. It has been gratifying to provide a milieu of services that has effectively met the needs of my clients. The knowledge I have acquired has been recognized by the Office of Juvenile Justice, Department of Children and Family Services, and Family Roads as a sound clinical practice. I have successfully implemented Parenting and Fathering Models which have had a micro and macro impact on service delivery in Louisiana.
For over 40 + years I have been an advocate for children and families in need of mental health services. It has been gratifying to provide a milieu of services that has effectively met the needs of my clients. The knowledge I have acquired has been recognized by the Office of Juvenile Justice, Department of Children and Family Services, and Family Roads as a sound clinical practice. I have successfully implemented Parenting and Fathering Models which have had a micro and macro impact on service delivery in Louisiana.
(225) 283-0066 View (225) 283-0066
Photo of Viveca L. Johnson, Licensed Professional Counselor in Zachary, LA
Viveca L. Johnson
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
3 Endorsed
Zachary, LA 70791
Are you facing a difficult time? Are you stuck in emotional pain and ready to do something about it? Are you dealing with a traumatic event & unclear how to get through it? Are you tired of having unhealthy relationships? Would you like to discover tools to become your best self? Counseling provides the tools and answers to get through these type of difficult questions/circumstances. It is time for you to live your best life!! As a Licensed Professional Counselor with over ten years experience, I would like to take the journey with you in discovering your best life.
Are you facing a difficult time? Are you stuck in emotional pain and ready to do something about it? Are you dealing with a traumatic event & unclear how to get through it? Are you tired of having unhealthy relationships? Would you like to discover tools to become your best self? Counseling provides the tools and answers to get through these type of difficult questions/circumstances. It is time for you to live your best life!! As a Licensed Professional Counselor with over ten years experience, I would like to take the journey with you in discovering your best life.
(225) 395-9992 View (225) 395-9992
Photo of Cassandra Bradley Jones, Licensed Professional Counselor in Zachary, LA
Cassandra Bradley Jones
Licensed Professional Counselor, MA, LPC-S, NCC, CCTP
Verified Verified
1 Endorsed
Zachary, LA 70791
Cassandra B. Jones, M.A. LPC-S, NCC, CCTP addresses issues surrounding trauma, substance use, depression, anxiety, and other mental health disorders. These avenues of experience have allowed her to hone her abilities to have an exceptional understanding and knowledge of how to treat her clients with great professionalism and a unique approach.
Cassandra B. Jones, M.A. LPC-S, NCC, CCTP addresses issues surrounding trauma, substance use, depression, anxiety, and other mental health disorders. These avenues of experience have allowed her to hone her abilities to have an exceptional understanding and knowledge of how to treat her clients with great professionalism and a unique approach.
(225) 269-5773 View (225) 269-5773
Ryan Dale Phillips
Licensed Professional Counselor, LPC, NCC, MEd
Verified Verified
Zachary, LA 70791
I believe in incorporating family participation to insure a healthy balance between recovery, family, and career. It's been my experience that counseling from a holistic approach focuses on the core beliefs and associated behaviors contributing to the issues we struggle with daily in our lives.I approach counseling from a cognitive-behavioral perspective in that patterns of thoughts and actions are explored in order to better understand the client's problems and to develop solutions. I work with a variety of formats, including individually, as couples, and as families.
I believe in incorporating family participation to insure a healthy balance between recovery, family, and career. It's been my experience that counseling from a holistic approach focuses on the core beliefs and associated behaviors contributing to the issues we struggle with daily in our lives.I approach counseling from a cognitive-behavioral perspective in that patterns of thoughts and actions are explored in order to better understand the client's problems and to develop solutions. I work with a variety of formats, including individually, as couples, and as families.
(225) 627-8053 View (225) 627-8053

How does your Therapist compare?

Number of Therapists in Zachary, LA

30+

Average cost per session

$125

Therapists in Zachary, LA who prioritize treating:

97% Anxiety
93% Depression
90% Grief
80% Relationship Issues
77% Coping Skills
73% Self Esteem
70% Trauma and PTSD

Average years in practice

17 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
67% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in Zachary, LA see their clients

74% In Person and Online
26% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Zachary?

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.