Therapists in Springfield, MO

Photo of Lauren Sawyer, Licensed Professional Counselor in Springfield, MO
Lauren Sawyer
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Springfield, MO 65804
I provide Individual, Couples, and Family Counseling to children, adolescents, and adults. I have a specific interest in working with women who may be experiencing depression and/or anxiety from various life stressors, including postpartum needs, divorce, grief, and other relational issues.
I provide Individual, Couples, and Family Counseling to children, adolescents, and adults. I have a specific interest in working with women who may be experiencing depression and/or anxiety from various life stressors, including postpartum needs, divorce, grief, and other relational issues.
(417) 815-4325 View (417) 815-4325
Photo of Lisa Milakovich MS, LPC, NCC, Licensed Professional Counselor in Springfield, MO
Lisa Milakovich MS, LPC, NCC
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Springfield, MO 65810
Does anxiety, depression, or trauma feel so big that you can't see over the top of it right now? Are you feeling stressed-out, overwhelmed, or struggling to breakthrough the things that are holding you back from being your true authentic self? Are you not even sure that you know who you are anymore? In this fast paced world it's easy to feel left behind. You're not alone. Are you ready to begin a journey of self-discovery and healing? I am here and ready to walk beside you on your journey. I can help you reconnect with who you are or transform into who you'd like to be. Taking the first step is hard, but you're worth it.
Does anxiety, depression, or trauma feel so big that you can't see over the top of it right now? Are you feeling stressed-out, overwhelmed, or struggling to breakthrough the things that are holding you back from being your true authentic self? Are you not even sure that you know who you are anymore? In this fast paced world it's easy to feel left behind. You're not alone. Are you ready to begin a journey of self-discovery and healing? I am here and ready to walk beside you on your journey. I can help you reconnect with who you are or transform into who you'd like to be. Taking the first step is hard, but you're worth it.
(417) 497-2631 View (417) 497-2631
Photo of Shellie Robinson, Counselor in Springfield, MO
Shellie Robinson
Counselor, MA, LPC
Verified Verified
1 Endorsed
Springfield, MO 65804
I use a person-centered approach that facilitates healing through providing empathetic support to assist in exploring past hurts, put a voice to their feelings, make sense of their world and help each person to make meaning out of their lives. She has experience working with adolescents and adults with a variety of issues including depression, ADHD, trauma and gender identity issues.
I use a person-centered approach that facilitates healing through providing empathetic support to assist in exploring past hurts, put a voice to their feelings, make sense of their world and help each person to make meaning out of their lives. She has experience working with adolescents and adults with a variety of issues including depression, ADHD, trauma and gender identity issues.
(417) 924-5164 View (417) 924-5164
Photo of Halle Eggleston in Springfield, MO
Halle Eggleston
MS, PLPC
Verified Verified
2 Endorsed
Springfield, MO 65807
My goal is to provide a safe and non-judgmental space in which you can feel heard and accepted. I most often work with individuals (ages 12+) struggling with anxiety, depression, trauma, stress, or relationship issues. I also offer couples counseling and Eye Movement Desensitization and Reprocessing (EMDR) therapy. I utilize a variety of evidenced-based techniques, including EMDR, mindfulness-based interventions, and self-regulation skills. I am passionate about helping individuals who want to heal from trauma, learn how to better regulate their emotions, and understand themselves more deeply. I am an LBGTQ+ affirming counselor.
My goal is to provide a safe and non-judgmental space in which you can feel heard and accepted. I most often work with individuals (ages 12+) struggling with anxiety, depression, trauma, stress, or relationship issues. I also offer couples counseling and Eye Movement Desensitization and Reprocessing (EMDR) therapy. I utilize a variety of evidenced-based techniques, including EMDR, mindfulness-based interventions, and self-regulation skills. I am passionate about helping individuals who want to heal from trauma, learn how to better regulate their emotions, and understand themselves more deeply. I am an LBGTQ+ affirming counselor.
(417) 265-5137 View (417) 265-5137
Photo of Pursuing Peace Mental Health & Wellness Inc, Counselor in Springfield, MO
Pursuing Peace Mental Health & Wellness Inc
Counselor, LPC
Verified Verified
Springfield, MO 65803
Pursuing Peace is a non-profit that exist to help people find quality mental health treatment available to help clients deal with stress, anxiety, relationship issues, family conflicts, & intimacy related issues. I have worked in social work and ministry as well as tradition therapy, and all these have helped me grow and learn how to better serve my clients. It has been my experience that collaborating with clients to help facilitate healing and growth is empowering and transformative for them. It takes courage to seek out a more fulfilling and peace-filled life and look forward to walking beside you on that journey.
Pursuing Peace is a non-profit that exist to help people find quality mental health treatment available to help clients deal with stress, anxiety, relationship issues, family conflicts, & intimacy related issues. I have worked in social work and ministry as well as tradition therapy, and all these have helped me grow and learn how to better serve my clients. It has been my experience that collaborating with clients to help facilitate healing and growth is empowering and transformative for them. It takes courage to seek out a more fulfilling and peace-filled life and look forward to walking beside you on that journey.
(417) 547-1156 View (417) 547-1156
Photo of Boyd Allen, Licensed Professional Counselor in Springfield, MO
Boyd Allen
Licensed Professional Counselor, MS, LPC, ASAT, AMAT
Verified Verified
4 Endorsed
Springfield, MO 65807
Currently Accepting New Clients. With several years of personal and professional experience working with recovery from pornography and problematic sexual behavior, I utilize a trauma-informed approach to treat anxiety, depression, PTSD, and process addictions. I hold a Bachelor’s of Science in Human Services from Evangel University, and received my Masters in Clinical Mental Health Counseling from Missouri State University.
Currently Accepting New Clients. With several years of personal and professional experience working with recovery from pornography and problematic sexual behavior, I utilize a trauma-informed approach to treat anxiety, depression, PTSD, and process addictions. I hold a Bachelor’s of Science in Human Services from Evangel University, and received my Masters in Clinical Mental Health Counseling from Missouri State University.
(424) 242-2693 View (424) 242-2693
Photo of Lynn M. Schirk, Licensed Professional Counselor in Springfield, MO
Lynn M. Schirk
Licensed Professional Counselor, PhD, NCC, CST, LPC-S
Verified Verified
Springfield, MO 65804
Belief: life is comprised of a multitude of experiences each shaping who we are and how we engage in the world around us. We have the ability to re-evaluate and transform difficult or traumatic experiences into something new, creating a more whole self. This takes work, a desire to self-reflect, and at times, move toward change.
Belief: life is comprised of a multitude of experiences each shaping who we are and how we engage in the world around us. We have the ability to re-evaluate and transform difficult or traumatic experiences into something new, creating a more whole self. This takes work, a desire to self-reflect, and at times, move toward change.
(417) 238-0616 View (417) 238-0616
Photo of Magda Hayton in Springfield, MO
Magda Hayton
MS, NCC, PLPC, CTP
Verified Verified
1 Endorsed
Springfield, MO 65802
Maybe you're feeling overwhelmed by stress, depression, anxiety, or a disturbing experience. Maybe there's a part of you that is questioning your self-worth or feeling trapped in old patterns. Whatever it is, you're feeling that you want to take a deep-dive and grow toward increased peace and a more authentic you. Change is possible and you don't have to keep feeling stuck. Therapy is a collaborative process that offers a confidential, safe space to do this work.
Maybe you're feeling overwhelmed by stress, depression, anxiety, or a disturbing experience. Maybe there's a part of you that is questioning your self-worth or feeling trapped in old patterns. Whatever it is, you're feeling that you want to take a deep-dive and grow toward increased peace and a more authentic you. Change is possible and you don't have to keep feeling stuck. Therapy is a collaborative process that offers a confidential, safe space to do this work.
(417) 939-2093 View (417) 939-2093
Photo of Cara Love, Pre-Licensed Professional in Springfield, MO
Cara Love
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Springfield, MO 65804
What a Stressful world we are living in today! Sometimes life can feel overwhelming. In a society that values hard work over mental health, it can be difficult to carve out time for yourself. As challenging as it is, you deserve to find balance and peace in your life. There is a way to find happiness again and to improve relationships with the ones you love. It is my passion to teach self-love, acceptance, relaxation techniques, and empowerment to women, couples, and families. With this in mind, we will uncover root causes of suffering and work towards healing and solutions.
What a Stressful world we are living in today! Sometimes life can feel overwhelming. In a society that values hard work over mental health, it can be difficult to carve out time for yourself. As challenging as it is, you deserve to find balance and peace in your life. There is a way to find happiness again and to improve relationships with the ones you love. It is my passion to teach self-love, acceptance, relaxation techniques, and empowerment to women, couples, and families. With this in mind, we will uncover root causes of suffering and work towards healing and solutions.
(417) 497-2849 View (417) 497-2849
Photo of Chris Carver - Courage to Be LLC, Licensed Professional Counselor in Springfield, MO
Chris Carver - Courage to Be LLC
Licensed Professional Counselor, PhD, LPC
Verified Verified
Springfield, MO 65804
Waitlist for new clients
Many of my clients enter therapy to address the feeling of groundlessness that can occur when things fall apart. It may be an episode of significant depression or anxiety, unresolved trauma, a life changing loss such as divorce or death, or a crisis of awakening and challenging previously held understandings of the self in the world. There are many paths that take us into therapy, and I walk that path with my clients to develop a better understanding and integration to adapt to life when we find ourselves at these challenging points.
Many of my clients enter therapy to address the feeling of groundlessness that can occur when things fall apart. It may be an episode of significant depression or anxiety, unresolved trauma, a life changing loss such as divorce or death, or a crisis of awakening and challenging previously held understandings of the self in the world. There are many paths that take us into therapy, and I walk that path with my clients to develop a better understanding and integration to adapt to life when we find ourselves at these challenging points.
(417) 323-6509 View (417) 323-6509
Photo of Deborah Hansel, Pre-Licensed Professional in Springfield, MO
Deborah Hansel
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
4 Endorsed
Springfield, MO 65804
Has your relationship become a struggle? Are you confused about what is happening between you and your partner, wondering what to do about it? You want closeness and understanding, to feel happy in your marriage again. In these uncertain times, more couples than ever want to experience their relationship as a secure base, a safe haven from the storms of life. I use an emotion-focused, attachment-based couples therapy approach to restore hope by rebuilding a secure bond. Call or e-mail now for a free consultation.
Has your relationship become a struggle? Are you confused about what is happening between you and your partner, wondering what to do about it? You want closeness and understanding, to feel happy in your marriage again. In these uncertain times, more couples than ever want to experience their relationship as a secure base, a safe haven from the storms of life. I use an emotion-focused, attachment-based couples therapy approach to restore hope by rebuilding a secure bond. Call or e-mail now for a free consultation.
(417) 660-2685 View (417) 660-2685
Photo of Denniese Dysart, Counselor in Springfield, MO
Denniese Dysart
Counselor, MS, LPC, NCC, MAC
Verified Verified
Springfield, MO 65804  (Online Only)
My name is Denniese Dysart and my goal is to provide a casual and welcoming atmosphere while assisting you to find your own path in personal discovery and wellness. On this course I will help you identify and cope more effectively with problems in daily living and to deal with inner conflicts which may disrupt your ability to function effectively. A very important aspect of counseling is the relationship that builds between the client and the counselor. This may be the only time and place where you can take front and center stage, be actually “heard”, and be in the presence of someone who is non-judgmental.
My name is Denniese Dysart and my goal is to provide a casual and welcoming atmosphere while assisting you to find your own path in personal discovery and wellness. On this course I will help you identify and cope more effectively with problems in daily living and to deal with inner conflicts which may disrupt your ability to function effectively. A very important aspect of counseling is the relationship that builds between the client and the counselor. This may be the only time and place where you can take front and center stage, be actually “heard”, and be in the presence of someone who is non-judgmental.
(417) 352-2250 View (417) 352-2250
Photo of Beyond Healing Center, Licensed Professional Counselor in Springfield, MO
Beyond Healing Center
Licensed Professional Counselor, LPC, PLPC, LCSW
Verified Verified
5 Endorsed
Springfield, MO 65807
Beyond Healing Center is a therapy group committed to helping people find safety in connection through embodied healing practices. We practice an interdisciplinary health care approach that invites healers from various disciplines to join together under a shared language and conceptualization approach where interventions can be thoughtfully co-discovered and contextualized in the therapeutic journey. Our team is constantly growing which brings rich new disciplines to the treatment setting including psychotherapy, movement and yoga, massage, art, and physical wellness.
Beyond Healing Center is a therapy group committed to helping people find safety in connection through embodied healing practices. We practice an interdisciplinary health care approach that invites healers from various disciplines to join together under a shared language and conceptualization approach where interventions can be thoughtfully co-discovered and contextualized in the therapeutic journey. Our team is constantly growing which brings rich new disciplines to the treatment setting including psychotherapy, movement and yoga, massage, art, and physical wellness.
(417) 765-0556 View (417) 765-0556
Photo of Becky Breckner, Licensed Professional Counselor in Springfield, MO
Becky Breckner
Licensed Professional Counselor, MS, LPC
Verified Verified
Springfield, MO 65804
Healthy boundaries, relationships and communication can be really hard. Feelings of doubt, anxiety and /or depression can influence our behaviors, emotions and mood. If these or other areas of concern are preventing you from reaching your full potential, counseling can be an empowering experience. We open our lives and our hearts to strangers in counseling. It’s natural to want to find a person whom you can relate to and trust before beginning this journey. I look forward to partnering with you during your time of discovery. As an EMDR practioner we can discuss if this integrated approach is right for you.
Healthy boundaries, relationships and communication can be really hard. Feelings of doubt, anxiety and /or depression can influence our behaviors, emotions and mood. If these or other areas of concern are preventing you from reaching your full potential, counseling can be an empowering experience. We open our lives and our hearts to strangers in counseling. It’s natural to want to find a person whom you can relate to and trust before beginning this journey. I look forward to partnering with you during your time of discovery. As an EMDR practioner we can discuss if this integrated approach is right for you.
(417) 280-3290 View (417) 280-3290
Photo of Kelly Bridges, Pre-Licensed Professional in Springfield, MO
Kelly Bridges
Pre-Licensed Professional, MS, PLPC
Verified Verified
Springfield, MO 65804
Fear, self-doubt, and shame can be the result of growing up in family dysfunction with parents or caregivers who suffer from alcoholism, mental illness, religious extremism, etc. We develop strategies that help us cope with our childhood circumstances but end up leaving us stuck “tight in a bud.” Anais Nin wrote, “And the day came when the risk to remain tight in a bud was more painful than the risk it took to bloom.” And then the day comes when we decide we can no longer stay stuck where we are. We have dreams and desires; goals we want to achieve - we want to bloom!
Fear, self-doubt, and shame can be the result of growing up in family dysfunction with parents or caregivers who suffer from alcoholism, mental illness, religious extremism, etc. We develop strategies that help us cope with our childhood circumstances but end up leaving us stuck “tight in a bud.” Anais Nin wrote, “And the day came when the risk to remain tight in a bud was more painful than the risk it took to bloom.” And then the day comes when we decide we can no longer stay stuck where we are. We have dreams and desires; goals we want to achieve - we want to bloom!
(417) 473-2485 View (417) 473-2485
Photo of Mending Hearts Counseling, Counselor in Springfield, MO
Mending Hearts Counseling
Counselor, LPC, LCPC
Verified Verified
2 Endorsed
Springfield, MO 65804  (Online Only)
Are you looking for a safe space to explore sexuality and/or gender identity? Are you looking for a professional who is affirmative, empathetic, and well-trained with the LBGTQIA+ community? Look no further than Mending Hearts Counseling. My name is Marissa Moore, and I believe that every person deserves an empathetic and non-judgmental space to explore their sexuality and/or gender identity. Through our therapeutic relationship, we identify goals for managing stress, learning new coping methods, and improving relationships.
Are you looking for a safe space to explore sexuality and/or gender identity? Are you looking for a professional who is affirmative, empathetic, and well-trained with the LBGTQIA+ community? Look no further than Mending Hearts Counseling. My name is Marissa Moore, and I believe that every person deserves an empathetic and non-judgmental space to explore their sexuality and/or gender identity. Through our therapeutic relationship, we identify goals for managing stress, learning new coping methods, and improving relationships.
(417) 228-2480 View (417) 228-2480
Photo of Dr. C Steven Shaffer Phd, Licensed Professional Counselor in Springfield, MO
Dr. C Steven Shaffer Phd
Licensed Professional Counselor, PhD, LPC, NBCC
Verified Verified
Springfield, MO 65810  (Online Only)
Most of my clients are facing relational challenges due to areas that are out of balance in their lives. At the present time, I have about 100 clients. I spend much time working with people with high levels of stress, anxiety and depression. My greatest strengths are in Marriage & Family and Youth Counseling due to the fact that I look for root problems in the lives of people and find ways to retrain them so that they can be much more functional. I am also very effective with self-esteem issues. With additional counselors we can address substance abuse, weight management, child custody issues, divorce mediation, etc.
Most of my clients are facing relational challenges due to areas that are out of balance in their lives. At the present time, I have about 100 clients. I spend much time working with people with high levels of stress, anxiety and depression. My greatest strengths are in Marriage & Family and Youth Counseling due to the fact that I look for root problems in the lives of people and find ways to retrain them so that they can be much more functional. I am also very effective with self-esteem issues. With additional counselors we can address substance abuse, weight management, child custody issues, divorce mediation, etc.
(417) 620-0416 View (417) 620-0416
Photo of Sydney Vandegrift, Clinical Social Work/Therapist in Springfield, MO
Sydney Vandegrift
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Springfield, MO 65807
Waitlist for new clients
I am passionate about working with people; it is my mission to provide services that bring clarity and healing to people's lives. I have experience working with individuals who struggle with mental health and behavioral health needs. I utilize Cognitive Behavioral and Solution Focused therapeutic approaches when working with individuals. I believe people's thoughts, feelings, and behaviors are closely linked. I utilize these approaches to bring about awareness while also discussing potential solutions to problems. I will partner with you, challenge you, and support you through this exploration and healing process.
I am passionate about working with people; it is my mission to provide services that bring clarity and healing to people's lives. I have experience working with individuals who struggle with mental health and behavioral health needs. I utilize Cognitive Behavioral and Solution Focused therapeutic approaches when working with individuals. I believe people's thoughts, feelings, and behaviors are closely linked. I utilize these approaches to bring about awareness while also discussing potential solutions to problems. I will partner with you, challenge you, and support you through this exploration and healing process.
(417) 547-6047 x1 View (417) 547-6047 x1
Photo of Counseling Group of the Ozarks, Clinical Social Work/Therapist in Springfield, MO
Counseling Group of the Ozarks
Clinical Social Work/Therapist, MA, LPC
Verified Verified
1 Endorsed
Springfield, MO 65804
Waitlist for new clients
You even checking out this site shows how much strength and bravery you have. Just know that you don’t have to go through things alone. We believe people seek out help when the things they do to deal with life no longer work. A lot of people think counseling is only for those who need “professional help,” but it’s really about talking to someone who is safe and not biased about what you should think or feel. You make think “there must be better out there,” — a better life, a way to feel less stressed, a happier marriage, a job you love… but you are just trying to survive this day.
You even checking out this site shows how much strength and bravery you have. Just know that you don’t have to go through things alone. We believe people seek out help when the things they do to deal with life no longer work. A lot of people think counseling is only for those who need “professional help,” but it’s really about talking to someone who is safe and not biased about what you should think or feel. You make think “there must be better out there,” — a better life, a way to feel less stressed, a happier marriage, a job you love… but you are just trying to survive this day.
(417) 212-5724 View (417) 212-5724
Photo of Jenn Listens, LLC, Licensed Professional Counselor in Springfield, MO
Jenn Listens, LLC
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Springfield, MO 65804
My name is Jenn Sullivan-Cox and my ideal client is someone who wants to be their most authentic self. Clients who are ready to start down the road of living the life they want can take it at their own pace with me. I provide support and guidance as we navigate your journey together.
My name is Jenn Sullivan-Cox and my ideal client is someone who wants to be their most authentic self. Clients who are ready to start down the road of living the life they want can take it at their own pace with me. I provide support and guidance as we navigate your journey together.
(417) 739-8666 View (417) 739-8666

How does your Therapist compare?

Number of Therapists in Springfield, MO

300+

Average cost per session

$110

Therapists in Springfield, MO who prioritize treating:

90% Anxiety
84% Depression
75% Trauma and PTSD
74% Self Esteem
72% Relationship Issues
69% Coping Skills
68% Stress

Average years in practice

9 Years

Top 3 insurances accepted

72% Aetna
64% Cigna and Evernorth
64% UnitedHealthcare UHC | UBH

How Therapists in Springfield, MO see their clients

76% In Person and Online
24% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Springfield?

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.