Therapists in Geneva, IL

Photo of Lisa Hardekopf, Licensed Professional Counselor in Geneva, IL
Lisa Hardekopf
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Geneva, IL 60134
Hi there! I'm Lisa Hardekopf, a Certified Eating Disorders Associate with over 20 years of experience. I've worked extensively with teens and adults, addressing eating disorders, body image concerns, trauma, substance abuse, and OCD. I am passionate about making therapy more approachable and effective through creative and thoughtful interventions, utilizing a variety of expressive forms of therapy for those times when talking isn't quite enough. My therapeutic approach is creatively tailored to each individual, and infused with warmth and humor. I also offer innovative animal-assisted therapy with my therapy dog and/or my horse!
Hi there! I'm Lisa Hardekopf, a Certified Eating Disorders Associate with over 20 years of experience. I've worked extensively with teens and adults, addressing eating disorders, body image concerns, trauma, substance abuse, and OCD. I am passionate about making therapy more approachable and effective through creative and thoughtful interventions, utilizing a variety of expressive forms of therapy for those times when talking isn't quite enough. My therapeutic approach is creatively tailored to each individual, and infused with warmth and humor. I also offer innovative animal-assisted therapy with my therapy dog and/or my horse!
(331) 267-7070 View (331) 267-7070
Photo of Dianne Grande, Psychologist in Geneva, IL
Dianne Grande
Psychologist, PhD
Verified Verified
1 Endorsed
Geneva, IL 60134  (Online Only)
Whether you are seeking help with a current situation or a longer-term problem, you're probably needing understanding and support. I have worked with individuals, couples, and families for over 25 years. The majority of my experience has been working with individuals experiencing depression, anxiety disorders, and relationship problems. I also have expertise with adult ADHD, Highly Sensitive Persons (HSPs), and Bipolar Disorder. I will offer you support, empathy, and helpful tools which address your particular symptoms. I enjoy getting to know each person and helping them create a more satisfying life.
Whether you are seeking help with a current situation or a longer-term problem, you're probably needing understanding and support. I have worked with individuals, couples, and families for over 25 years. The majority of my experience has been working with individuals experiencing depression, anxiety disorders, and relationship problems. I also have expertise with adult ADHD, Highly Sensitive Persons (HSPs), and Bipolar Disorder. I will offer you support, empathy, and helpful tools which address your particular symptoms. I enjoy getting to know each person and helping them create a more satisfying life.
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Photo of Sean Martiny, Counselor in Geneva, IL
Sean Martiny
Counselor, LCPC, DBTC, NCC
Verified Verified
3 Endorsed
Geneva, IL 60134  (Online Only)
Each of us have the capacity to reach our fullest potentials. However, we often find ourselves stuck in negative patterns of thinking and being, unable to see other possibilities. Therapy allows us as individuals and family units to create meaning out of the various life experiences that we have encountered and can help to open up new ways of thinking, feeling, and being. I provide individual and family counseling in a comfortable and confidential setting. I treat those who experience issues related to trauma, anger management, self-injury, depression, anxiety, relationship issues, identity issues, and self-esteem challenges.
Each of us have the capacity to reach our fullest potentials. However, we often find ourselves stuck in negative patterns of thinking and being, unable to see other possibilities. Therapy allows us as individuals and family units to create meaning out of the various life experiences that we have encountered and can help to open up new ways of thinking, feeling, and being. I provide individual and family counseling in a comfortable and confidential setting. I treat those who experience issues related to trauma, anger management, self-injury, depression, anxiety, relationship issues, identity issues, and self-esteem challenges.
(331) 241-6631 View (331) 241-6631
Photo of Jeff Lange, Licensed Professional Counselor in Geneva, IL
Jeff Lange
Licensed Professional Counselor, LPC, CADC
Verified Verified
Geneva, IL 60134
Jeffery Lange, LPC, CADC, would like to assist and help you navigate through your issues and work at your pace. If you struggle with anxiety, depression, addiction, grief, or relationship issues, I can help. I have 20 years of experience working in the addictions and mental health field. I would like to welcome you to work with you in a safe and secure environment. My main goal is helping you achieve your goals. I have a background in CBT, DBT, and ACT therapies.
Jeffery Lange, LPC, CADC, would like to assist and help you navigate through your issues and work at your pace. If you struggle with anxiety, depression, addiction, grief, or relationship issues, I can help. I have 20 years of experience working in the addictions and mental health field. I would like to welcome you to work with you in a safe and secure environment. My main goal is helping you achieve your goals. I have a background in CBT, DBT, and ACT therapies.
(630) 866-7780 View (630) 866-7780
Photo of Stephanie Shelton, Clinical Social Work/Therapist in Geneva, IL
Stephanie Shelton
Clinical Social Work/Therapist, LSW, CADC, RYT
Verified Verified
Geneva, IL 60134
I am now accepting new clients! As a therapist, I specialize in addiction and trauma therapy, employing trauma-focused Cognitive Behavioral Therapy (TF-CBT). With empathy and expertise, I address depression, anxiety, and related issues, tailoring treatment to individual needs. Experienced with adolescents and middle-aged adults, I welcome clients at various life stages.
I am now accepting new clients! As a therapist, I specialize in addiction and trauma therapy, employing trauma-focused Cognitive Behavioral Therapy (TF-CBT). With empathy and expertise, I address depression, anxiety, and related issues, tailoring treatment to individual needs. Experienced with adolescents and middle-aged adults, I welcome clients at various life stages.
(630) 454-1747 View (630) 454-1747
Photo of Kerri Phalp, Clinical Social Work/Therapist in Geneva, IL
Kerri Phalp
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Geneva, IL 60134  (Online Only)
Asking for help is not always easy. I strive to build a safe, non judgmental, empathetic environment where you can feel comfortable to openly explore the issues leading you to seek support. I believe that the therapeutic process involves building a strong, trusting, collaborative relationship while helping pinpoint issues and assisting you in developing effective strategies to resolve them.
Asking for help is not always easy. I strive to build a safe, non judgmental, empathetic environment where you can feel comfortable to openly explore the issues leading you to seek support. I believe that the therapeutic process involves building a strong, trusting, collaborative relationship while helping pinpoint issues and assisting you in developing effective strategies to resolve them.
(630) 791-5399 View (630) 791-5399
Photo of Priscilla Brinkman, Clinical Social Work/Therapist in Geneva, IL
Priscilla Brinkman
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Geneva, IL 60134
Experiences of grief and loss occur throughout the life span.The response to these experiences is unique and personal. I believe everyone has a story which is important to tell. As a therapist I work to create a trusting environment in which to tell that story. It is in the understanding of the story one can discover solutions to problems, acceptance of the past and hope for the future.
Experiences of grief and loss occur throughout the life span.The response to these experiences is unique and personal. I believe everyone has a story which is important to tell. As a therapist I work to create a trusting environment in which to tell that story. It is in the understanding of the story one can discover solutions to problems, acceptance of the past and hope for the future.
(630) 471-2117 View (630) 471-2117
Photo of Alison Arendt, MSW, LCSW, Clinical Social Work/Therapist in Geneva, IL
Alison Arendt, MSW, LCSW
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Geneva, IL 60134
Finding authentic connections with ourselves and others can be difficult. I support people with goals for strong and healty relationships. I welcome adult and adolescent individuals seeking support for a wide range of challenges. Difficulty coping with significant life events, emerging sexual identity, relationship issues, concerns related to professional experience or school experiences, are areas in which I am competent in providing professional assistance.
Finding authentic connections with ourselves and others can be difficult. I support people with goals for strong and healty relationships. I welcome adult and adolescent individuals seeking support for a wide range of challenges. Difficulty coping with significant life events, emerging sexual identity, relationship issues, concerns related to professional experience or school experiences, are areas in which I am competent in providing professional assistance.
(630) 491-6068 View (630) 491-6068
Photo of Nicole Kothe, Licensed Professional Counselor in Geneva, IL
Nicole Kothe
Licensed Professional Counselor, LPC
Verified Verified
Geneva, IL 60134
Nicole Kothe, LPC, helps clients overcome challenges by finding their strengths. She works with teens and adults struggling with anxiety, depression, motivation issues, stress, and more. Nicole received an undergraduate degree from Hope College and an MSED from Northern Illinois University. Her career includes over two decades of experience as a middle and high school counselor where she served students with various social, emotional, and academic issues. In therapy, Nicole uses a client-centered approach and also incorporates mindfulness. Her goal is for each client to feel heard and gain the skills they need to move forward.
Nicole Kothe, LPC, helps clients overcome challenges by finding their strengths. She works with teens and adults struggling with anxiety, depression, motivation issues, stress, and more. Nicole received an undergraduate degree from Hope College and an MSED from Northern Illinois University. Her career includes over two decades of experience as a middle and high school counselor where she served students with various social, emotional, and academic issues. In therapy, Nicole uses a client-centered approach and also incorporates mindfulness. Her goal is for each client to feel heard and gain the skills they need to move forward.
(630) 884-5307 View (630) 884-5307
Photo of Melissa Kozlowski, Counselor in Geneva, IL
Melissa Kozlowski
Counselor, PsyD, LCPC
Verified Verified
Geneva, IL 60134
When you make the choice to seek counseling, you are no longer alone in your struggles. Time is too precious to spend it feeling lost, hopeless, and frustrated. My goal is to help you find hope and healing by developing new skills to cope with personal, emotional, and relationship difficulties. You deserve a healthier, balanced, more fulfilling life. Working together in a safe relationship that meets your needs can help you to stop struggling and start living a more satisfying life. I look forward to helping you.
When you make the choice to seek counseling, you are no longer alone in your struggles. Time is too precious to spend it feeling lost, hopeless, and frustrated. My goal is to help you find hope and healing by developing new skills to cope with personal, emotional, and relationship difficulties. You deserve a healthier, balanced, more fulfilling life. Working together in a safe relationship that meets your needs can help you to stop struggling and start living a more satisfying life. I look forward to helping you.
(815) 923-0020 View (815) 923-0020
Photo of Marcy O'Dell, Licensed Clinical Professional Counselor in Geneva, IL
Marcy O'Dell
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
6 Endorsed
Geneva, IL 60134
I am a LCPC working in Geneva, IL. My specialties include DBT, CBT, and experiential work utilizing art and mindfulness. I find something as simple as taking a walk while noticing our senses can shift the dynamic of a typical therapy session. Creating using various art media is another way to engage with our thoughts and emotions when words fall short of explaining how we feel. I especially enjoy working with adolescents and the emerging adulthood population, with experience working with adults also.
I am a LCPC working in Geneva, IL. My specialties include DBT, CBT, and experiential work utilizing art and mindfulness. I find something as simple as taking a walk while noticing our senses can shift the dynamic of a typical therapy session. Creating using various art media is another way to engage with our thoughts and emotions when words fall short of explaining how we feel. I especially enjoy working with adolescents and the emerging adulthood population, with experience working with adults also.
(331) 248-6181 View (331) 248-6181
Photo of The Couples Clinic in Geneva, IL
The Couples Clinic
Verified Verified
Geneva, IL 60134
Don’t gamble with the most important relationship in your life. Get proven help! This week, thousands of partners around the world used our approach to get their relationships back on track. Next week, you can be one of them. For over 35 years, we have been refining a power-packed, streamlined system for restoring broken connections. Our guidance is practical, step-by-step, and straight to the heart of the matter. We’ll pinpoint the changes that you need to make, guide you through the tough conversations, and steer you away from the rabbit holes that can sidetrack progress.
Don’t gamble with the most important relationship in your life. Get proven help! This week, thousands of partners around the world used our approach to get their relationships back on track. Next week, you can be one of them. For over 35 years, we have been refining a power-packed, streamlined system for restoring broken connections. Our guidance is practical, step-by-step, and straight to the heart of the matter. We’ll pinpoint the changes that you need to make, guide you through the tough conversations, and steer you away from the rabbit holes that can sidetrack progress.
(630) 599-8797 View (630) 599-8797
Photo of Nida Haider, Licensed Professional Counselor in Geneva, IL
Nida Haider
Licensed Professional Counselor, LPC
Verified Verified
Geneva, IL 60134
Let's be real. Therapy can be scary! Sitting in front of a total stranger and sharing your deepest and possibly even darkest thoughts can sound terrifying. Well, I can definitely reassure you that, yes, while therapy can be scary, if your therapist is able to create a warm environment, making you feel seen and heard, it can very quickly become an appointment we look forward to! My goal is to make sure my therapy room is a judgement- free, safe space for my clients. I love using an eclectic, scientific- based and holistic approach to therapy.
Let's be real. Therapy can be scary! Sitting in front of a total stranger and sharing your deepest and possibly even darkest thoughts can sound terrifying. Well, I can definitely reassure you that, yes, while therapy can be scary, if your therapist is able to create a warm environment, making you feel seen and heard, it can very quickly become an appointment we look forward to! My goal is to make sure my therapy room is a judgement- free, safe space for my clients. I love using an eclectic, scientific- based and holistic approach to therapy.
(630) 349-2058 View (630) 349-2058
Photo of Chris Skinner, Counselor in Geneva, IL
Chris Skinner
Counselor, LCPC
Verified Verified
Geneva, IL 60134
“I know what I need to do to feel better”, “How is talking about my problems going to do anything”,...these are just a couple of the reasons why people can be apprehensive about therapy. Let’s talk about what therapy can do for you instead. By working collaboratively we can work together to decrease anxiety and depression, increase self esteem, enhance insight and better understanding of self, as well as to identify patterns of behaviors and thinking just to name a few benefits. Therapy isn’t a magic wand, and you aren’t going to be happy every day, or never experience stress again.
“I know what I need to do to feel better”, “How is talking about my problems going to do anything”,...these are just a couple of the reasons why people can be apprehensive about therapy. Let’s talk about what therapy can do for you instead. By working collaboratively we can work together to decrease anxiety and depression, increase self esteem, enhance insight and better understanding of self, as well as to identify patterns of behaviors and thinking just to name a few benefits. Therapy isn’t a magic wand, and you aren’t going to be happy every day, or never experience stress again.
(331) 704-1047 View (331) 704-1047
Photo of Michelle Voris, Clinical Social Work/Therapist in Geneva, IL
Michelle Voris
Clinical Social Work/Therapist, LCSW, CCTP, CADC
Verified Verified
Geneva, IL 60134
Looking for guidance through one of life’s transitions? Whether you’re starting high school or college, or entering another stage of life like empty nesting, retirement or menopause, sometimes we just need someone’s help. Taking that first step toward self-improvement positively affects how you view yourself, and can help you find balance in your life. I use a practical approach to work collaboratively with you in establishing a supportive therapeutic relationship, and guiding you in building on your strengths to maximize your personal potential. You have what you need, and together we will find it and bring it to the surface.
Looking for guidance through one of life’s transitions? Whether you’re starting high school or college, or entering another stage of life like empty nesting, retirement or menopause, sometimes we just need someone’s help. Taking that first step toward self-improvement positively affects how you view yourself, and can help you find balance in your life. I use a practical approach to work collaboratively with you in establishing a supportive therapeutic relationship, and guiding you in building on your strengths to maximize your personal potential. You have what you need, and together we will find it and bring it to the surface.
(630) 426-7575 View (630) 426-7575
Photo of Meghan Dean, Clinical Social Work/Therapist in Geneva, IL
Meghan Dean
Clinical Social Work/Therapist, LCSW
Verified Verified
Geneva, IL 60134
I believe therapy is a process that helps you gain awareness of your strengths, behavior patterns, and thinking in order to provide the opportunity to make significant and meaningful changes in your life. I am dedicated to everyone I work with and committed to finding the best strategy to help you find peace and fulfillment. I am focused on helping you learn the skills to ultimately help yourself. After 20+ years of experience in the field, I have gained expertise with anxiety, emotional and behavioral challenges, parenting, mood disorders, self-esteem, ADHD, stress management, and family of origin issues.
I believe therapy is a process that helps you gain awareness of your strengths, behavior patterns, and thinking in order to provide the opportunity to make significant and meaningful changes in your life. I am dedicated to everyone I work with and committed to finding the best strategy to help you find peace and fulfillment. I am focused on helping you learn the skills to ultimately help yourself. After 20+ years of experience in the field, I have gained expertise with anxiety, emotional and behavioral challenges, parenting, mood disorders, self-esteem, ADHD, stress management, and family of origin issues.
(331) 214-3083 View (331) 214-3083
Photo of Michelle Hansen, Psychologist in Geneva, IL
Michelle Hansen
Psychologist, PsyD
Verified Verified
Geneva, IL 60134
Dr. Michelle Hansen, Licensed Clinical Psychologist, is guided by compassion for the human experience in assisting her clients. She specializes in providing psychological testing services for her clients as the underlying cause for difficulties in cognitive, learning, emotional, or interpersonal difficulties is not always clear. Dr. Hansen's goals in assessment services are helping her clients discover their strengths and utilizing their challenges as opportunities to promote personal and interpersonal growth.
Dr. Michelle Hansen, Licensed Clinical Psychologist, is guided by compassion for the human experience in assisting her clients. She specializes in providing psychological testing services for her clients as the underlying cause for difficulties in cognitive, learning, emotional, or interpersonal difficulties is not always clear. Dr. Hansen's goals in assessment services are helping her clients discover their strengths and utilizing their challenges as opportunities to promote personal and interpersonal growth.
(630) 381-4553 View (630) 381-4553
Photo of Marissa Faustini, Counselor in Geneva, IL
Marissa Faustini
Counselor, LCPC
Verified Verified
Geneva, IL 60134  (Online Only)
So many things can distance and distract us from experiencing meaningful relationships with ourselves and with others. Depression and anxiety, grief and loss, challenging life transitions and traumatic events can make our strengths and inner resources temporarily unavailable. Therapy can connect us back to these strengths and foster growth and healing. It can provide a safe space to share things that may feel overwhelming and hard to talk about and help us to feel safe, affirmed and encouraged in creating a fulfilling, authentic life.
So many things can distance and distract us from experiencing meaningful relationships with ourselves and with others. Depression and anxiety, grief and loss, challenging life transitions and traumatic events can make our strengths and inner resources temporarily unavailable. Therapy can connect us back to these strengths and foster growth and healing. It can provide a safe space to share things that may feel overwhelming and hard to talk about and help us to feel safe, affirmed and encouraged in creating a fulfilling, authentic life.
(630) 446-6402 View (630) 446-6402
Photo of Andrew Hamilton, Clinical Social Work/Therapist in Geneva, IL
Andrew Hamilton
Clinical Social Work/Therapist, MS, LCPC
Verified Verified
1 Endorsed
Geneva, IL 60134
I provide supportive services to individuals, couples, and families with concerns relating to life transitions, relationship struggles, grief and loss, as well as varying conditions of anxiety, depression, and other mood related conditions. My experience includes working with clients, ranging in age from adolescence to older adulthood, as they are working through difficult transitions and periods of time, when a sense of direction may feel lost and motivation is a struggle.
I provide supportive services to individuals, couples, and families with concerns relating to life transitions, relationship struggles, grief and loss, as well as varying conditions of anxiety, depression, and other mood related conditions. My experience includes working with clients, ranging in age from adolescence to older adulthood, as they are working through difficult transitions and periods of time, when a sense of direction may feel lost and motivation is a struggle.
(331) 244-5245 x402 View (331) 244-5245 x402
Photo of Kim Kuehne, Counselor in Geneva, IL
Kim Kuehne
Counselor, LCPC
Verified Verified
Geneva, IL 60134  (Online Only)
Are you struggling to manage difficult emotions, complex relationships, or daily stressors? We all deserve to live a fulfilling, authentic and healthy life but sometimes we can feel stuck, overwhelmed, or hopeless. Therapy is a powerful tool that empowers us to become the best version of ourselves and assists us in successfully navigating a complex world. I am a Licensed Clinical Professional Counselor with over 13 years of experience in the mental health field.
Are you struggling to manage difficult emotions, complex relationships, or daily stressors? We all deserve to live a fulfilling, authentic and healthy life but sometimes we can feel stuck, overwhelmed, or hopeless. Therapy is a powerful tool that empowers us to become the best version of ourselves and assists us in successfully navigating a complex world. I am a Licensed Clinical Professional Counselor with over 13 years of experience in the mental health field.
(630) 581-0556 View (630) 581-0556

How does your Therapist compare?

Number of Therapists in Geneva, IL

200+

Average cost per session

$150

Therapists in Geneva, IL who prioritize treating:

96% Anxiety
93% Depression
77% Self Esteem
72% Coping Skills
70% Relationship Issues
68% Trauma and PTSD
66% Grief

Average years in practice

14 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
77% Aetna
70% Cigna and Evernorth

How Therapists in Geneva, IL see their clients

81% In Person and Online
19% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Geneva?

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.