Therapists in Leawood, KS

Photo of Fred Mayfield, Counselor in Leawood, KS
Fred Mayfield
Counselor, PhD, LCPC, LCMFT
Verified Verified
Leawood, KS 66211
I am grateful to have been a part of helping so many individuals, couples, and blending families resolve their issues over the past 35 years. While the experience has honed my therapy skills, each new person or relationship is unique and requires exploring solutions that fit their individual personality.
I am grateful to have been a part of helping so many individuals, couples, and blending families resolve their issues over the past 35 years. While the experience has honed my therapy skills, each new person or relationship is unique and requires exploring solutions that fit their individual personality.
(913) 667-7149 View (913) 667-7149
Photo of Dr. Thomas M. Letvinchuck Ironwoods Behavioral Health in Leawood, KS
Dr. Thomas M. Letvinchuck Ironwoods Behavioral Health
PhD, LCMFT
Verified Verified
Leawood, KS 66211
Greetings! My name is Dr. Thomas M. Letvinchuck. I am the founder of Ironwoods Behavioral Health here in Leawood, Kansas. I hold a Ph.D. in Clinical Psychology and maintain a LCMFT license in the State of Kansas. "I believe it is important to establish a good rapport with you; I want you to feel safe, seen, and understood; to achieve symptom relief, solutions, and to get you back on the right track. The types of treatment utilized in my practice will be tailored to your individual needs. Psychotherapy is not just about talking out problems and crisis issues, but about building self-confidence, courage and a belief in oneself."
Greetings! My name is Dr. Thomas M. Letvinchuck. I am the founder of Ironwoods Behavioral Health here in Leawood, Kansas. I hold a Ph.D. in Clinical Psychology and maintain a LCMFT license in the State of Kansas. "I believe it is important to establish a good rapport with you; I want you to feel safe, seen, and understood; to achieve symptom relief, solutions, and to get you back on the right track. The types of treatment utilized in my practice will be tailored to your individual needs. Psychotherapy is not just about talking out problems and crisis issues, but about building self-confidence, courage and a belief in oneself."
(913) 357-6319 View (913) 357-6319
Photo of Steffon E Staley, Licensed Professional Counselor in Leawood, KS
Steffon E Staley
Licensed Professional Counselor, MS, LPC, CAMS-II, NCC
Verified Verified
Leawood, KS 66211
I help people live a life worth living. I help people reduce their unnecessary suffering. I help a lot of people struggling with anger, but I also help people struggling with anxiety, depression, marital issues, and life's struggles. You are more than enough and more than the worst things you have ever done. You are more than the worst things people can say, do, feel or think towards you. You can live a life worth living. You can learn the skills and tools needed to live a life worth living and enjoy meaningful relationships, meaningful purpose, meaningful conversations, and meaningful activities.
I help people live a life worth living. I help people reduce their unnecessary suffering. I help a lot of people struggling with anger, but I also help people struggling with anxiety, depression, marital issues, and life's struggles. You are more than enough and more than the worst things you have ever done. You are more than the worst things people can say, do, feel or think towards you. You can live a life worth living. You can learn the skills and tools needed to live a life worth living and enjoy meaningful relationships, meaningful purpose, meaningful conversations, and meaningful activities.
(816) 839-6875 View (816) 839-6875
Photo of James (Jamie) Copaken, Clinical Social Work/Therapist in Leawood, KS
James (Jamie) Copaken
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
Leawood, KS 66206
We're all faced with challenges, big and small. Sometimes these grow to overpower and overwhelm us. The adults, children, and families I work with say that I help them feel heard, valued, comfortable, and that I provide a safe place to explore options and pick the right solutions.
We're all faced with challenges, big and small. Sometimes these grow to overpower and overwhelm us. The adults, children, and families I work with say that I help them feel heard, valued, comfortable, and that I provide a safe place to explore options and pick the right solutions.
(913) 355-6267 View (913) 355-6267
Photo of Peter Kilbreth Jones, Clinical Social Work/Therapist in Leawood, KS
Peter Kilbreth Jones
Clinical Social Work/Therapist, LCSW, LISW, LSCSW
Verified Verified
Leawood, KS 66209
Waitlist for new clients
I work with individuals who have a desire for change with their mental health or are seeking quality of life improvements. Clients who are seeking to improve their lives and are seeking positive change or consultation. Clients issues can range from mental health needs, relationship issues, personal issues, medical disorders or problem-solving life issues. Clients desire long-term or short term change for the issues they are facing. Accountability for goals, desire for change, seek to problem solve, by learning coping strategies or finding solutions to satisfy one’s self-determination.
I work with individuals who have a desire for change with their mental health or are seeking quality of life improvements. Clients who are seeking to improve their lives and are seeking positive change or consultation. Clients issues can range from mental health needs, relationship issues, personal issues, medical disorders or problem-solving life issues. Clients desire long-term or short term change for the issues they are facing. Accountability for goals, desire for change, seek to problem solve, by learning coping strategies or finding solutions to satisfy one’s self-determination.
(913) 379-2016 View (913) 379-2016
Photo of Cathy Linde, Clinical Social Work/Therapist in Leawood, KS
Cathy Linde
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
3 Endorsed
Leawood, KS 66209
Are you struggling to feel like yourself? "Coping" but with lots of effort, distraction, or numbing? Feeling anxious, angry, overwhelmed? Thinking "What's wrong with me?!" As it turns out, you're not crazy or broken: Your thoughts, feelings, and behaviors make sense as responses to your unique life experiences. With me you will learn a new language to talk about what's happening inside, and to see it as a result of what you've been through vs a character flaw. When "broken" is no longer your identity, your symptoms have less power, and space opens up for your authentic, grounded, compassionate, and boundaried self to emerge.
Are you struggling to feel like yourself? "Coping" but with lots of effort, distraction, or numbing? Feeling anxious, angry, overwhelmed? Thinking "What's wrong with me?!" As it turns out, you're not crazy or broken: Your thoughts, feelings, and behaviors make sense as responses to your unique life experiences. With me you will learn a new language to talk about what's happening inside, and to see it as a result of what you've been through vs a character flaw. When "broken" is no longer your identity, your symptoms have less power, and space opens up for your authentic, grounded, compassionate, and boundaried self to emerge.
(913) 214-8563 View (913) 214-8563
Photo of Mike Doolin, Clinical Social Work/Therapist in Leawood, KS
Mike Doolin
Clinical Social Work/Therapist, LSCSW, ACSW, LCSW
Verified Verified
Leawood, KS 66211
Not accepting new clients
Sometimes life brings difficulties we never imagined we would have to deal with. These are situations, circumstances and events like parenting a difficult child, experiencing anxiety or depression, and problems at school, work, or home that we just don't feel equipped to deal with. Many of us expect ourselves to be able to resolve these difficulties and when we can't we feel defeated. Worry, distress, and apathy have run their course and now it's time to get help. I am sensitive to your situation and can help you find relief.
Sometimes life brings difficulties we never imagined we would have to deal with. These are situations, circumstances and events like parenting a difficult child, experiencing anxiety or depression, and problems at school, work, or home that we just don't feel equipped to deal with. Many of us expect ourselves to be able to resolve these difficulties and when we can't we feel defeated. Worry, distress, and apathy have run their course and now it's time to get help. I am sensitive to your situation and can help you find relief.
(913) 553-4595 View (913) 553-4595
Photo of Elizabeth Ekis, Clinical Social Work/Therapist in Leawood, KS
Elizabeth Ekis
Clinical Social Work/Therapist, LSCSW, LCSW
Verified Verified
1 Endorsed
Leawood, KS 66211
We all face stressors in our lives as a part of being human. Often times, these stressors can leave us feeling overwhelmed, afraid, and not knowing what to do. I want to help you not only face these stressors, but find a deeper connection to yourself as we navigate these challenges together. I believe that everyone deserves dignity, respect, and an opportunity to be heard and connect with their authentic selves.
We all face stressors in our lives as a part of being human. Often times, these stressors can leave us feeling overwhelmed, afraid, and not knowing what to do. I want to help you not only face these stressors, but find a deeper connection to yourself as we navigate these challenges together. I believe that everyone deserves dignity, respect, and an opportunity to be heard and connect with their authentic selves.
(913) 733-2670 View (913) 733-2670
Photo of Chelsea Link, Marriage & Family Therapist in Leawood, KS
Chelsea Link
Marriage & Family Therapist, MS, LCMFT, RPT
Verified Verified
2 Endorsed
Leawood, KS 66211
Life can be challenging, and I am here to walk beside you and your family in this journey. If you are feeling overwhelmed, lost, or experiencing struggles due to trauma to everyday stressors to parenting questions, I am here to help. I have worked with children, families and individuals who present with various needs ranging from struggles with life transitions to trauma. Having witnessed the calm and strength that can come from change, I am dedicated to helping my clients work toward their goals.
Life can be challenging, and I am here to walk beside you and your family in this journey. If you are feeling overwhelmed, lost, or experiencing struggles due to trauma to everyday stressors to parenting questions, I am here to help. I have worked with children, families and individuals who present with various needs ranging from struggles with life transitions to trauma. Having witnessed the calm and strength that can come from change, I am dedicated to helping my clients work toward their goals.
(913) 320-0939 View (913) 320-0939
Photo of Elaina Pivovar, Marriage & Family Therapist in Leawood, KS
Elaina Pivovar
Marriage & Family Therapist, MS, LMFT
Verified Verified
Leawood, KS 66211
Many of us have arrived at points in life where we feel alone and lost. Disappointments, losses and wounds leave us feeling that we are not enough, disconnected, hopeless and stuck. Whether life has brought new obstacles that feel impossible to cope with, or if you have past wounds that you don’t know how to heal from, I would be honored to be part of your journey. In our time together, I will work to help you finally find freedom from the lies that hold you back from living a meaningful, satisfying and connected life. You will find that I am empathetic, gentle and insightful, helping you feel safe and offering a new perspective.
Many of us have arrived at points in life where we feel alone and lost. Disappointments, losses and wounds leave us feeling that we are not enough, disconnected, hopeless and stuck. Whether life has brought new obstacles that feel impossible to cope with, or if you have past wounds that you don’t know how to heal from, I would be honored to be part of your journey. In our time together, I will work to help you finally find freedom from the lies that hold you back from living a meaningful, satisfying and connected life. You will find that I am empathetic, gentle and insightful, helping you feel safe and offering a new perspective.
(913) 347-5146 View (913) 347-5146
Photo of Nini B. Rosenstock, LSCSW, Clinical Social Work/Therapist in Leawood, KS
Nini B. Rosenstock, LSCSW
Clinical Social Work/Therapist, MSW, LSCSW, BCD
Verified Verified
Leawood, KS 66209
As a licensed psychotherapist and life coach with more than 35 years of experience, I bring energy, compassion and insight to my practice to support clients in their overall health and well-being. I love my work and am committed to working in partnership with each of my clients to attain the desired outcome. My specialties include relationship building, couples counseling, anxiety and mood disorders, eating disorders, sexual dysfunction and life balance.
As a licensed psychotherapist and life coach with more than 35 years of experience, I bring energy, compassion and insight to my practice to support clients in their overall health and well-being. I love my work and am committed to working in partnership with each of my clients to attain the desired outcome. My specialties include relationship building, couples counseling, anxiety and mood disorders, eating disorders, sexual dysfunction and life balance.
(913) 355-6495 View (913) 355-6495
Photo of Sally King, Clinical Social Work/Therapist in Leawood, KS
Sally King
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
2 Endorsed
Leawood, KS 66206
Not accepting new clients
I enjoy using IFS (Internal Family Systems) to work with adults and older adults who are going through a major life "event," such as burnout, retirement, or grief and loss. I see many fellow social workers and healthcare providers and we work together in figuring out how to be emotionally ok while working in healthcare (especially post-covid). Many of my clients are caregivers who need support and validation around being so isolated. Clients do best with me who are open to changing some behaviors (including self-care) and are not easily offended when some "therapeutic cussing" occurs!
I enjoy using IFS (Internal Family Systems) to work with adults and older adults who are going through a major life "event," such as burnout, retirement, or grief and loss. I see many fellow social workers and healthcare providers and we work together in figuring out how to be emotionally ok while working in healthcare (especially post-covid). Many of my clients are caregivers who need support and validation around being so isolated. Clients do best with me who are open to changing some behaviors (including self-care) and are not easily offended when some "therapeutic cussing" occurs!
(913) 361-6794 View (913) 361-6794
Photo of Sylvia Neil, Licensed Professional Counselor in Leawood, KS
Sylvia Neil
Licensed Professional Counselor, LPC, ALMFT, NCC
Verified Verified
Leawood, KS 66209  (Online Only)
I specialize in the areas of stress, anxiety, depression, self-worth, irrational and ruminating thoughts, grief, trauma, life transitions, relational distress, communication and intimacy concerns, emotional healing, infidelity, and the challenges and opportunities of blended families.
I specialize in the areas of stress, anxiety, depression, self-worth, irrational and ruminating thoughts, grief, trauma, life transitions, relational distress, communication and intimacy concerns, emotional healing, infidelity, and the challenges and opportunities of blended families.
(913) 937-5321 View (913) 937-5321
Photo of Hollie Jo McKinney, Licensed Professional Counselor in Leawood, KS
Hollie Jo McKinney
Licensed Professional Counselor, LPC, CPT, NCC
Verified Verified
3 Endorsed
Leawood, KS 66211
Waitlist for new clients
Welcome! I understand the courage it takes to reach out. I am the owner of InDwell, a mental health service for children, teens and adults. I am a licensed therapist, certified play therapist, and trained in EMDR. I spent 20 years working as a nurse providing me with an understanding of how our physical & mental health are intertwined. My approach addresses the whole person believing that wellness comes from harmonizing the mind, body and spirit. I offer a Christian perspective for those seeking it, while respecting the unique worldview and beliefs of each client.
Welcome! I understand the courage it takes to reach out. I am the owner of InDwell, a mental health service for children, teens and adults. I am a licensed therapist, certified play therapist, and trained in EMDR. I spent 20 years working as a nurse providing me with an understanding of how our physical & mental health are intertwined. My approach addresses the whole person believing that wellness comes from harmonizing the mind, body and spirit. I offer a Christian perspective for those seeking it, while respecting the unique worldview and beliefs of each client.
(913) 372-3860 View (913) 372-3860
Photo of Arena Counseling, Clinical Social Work/Therapist in Leawood, KS
Arena Counseling
Clinical Social Work/Therapist, LSCSW
Verified Verified
1 Endorsed
Leawood, KS 66211
Not accepting new clients
My promise to you is that I will listen and genuinely try to understand what you are going through. Because I care about you, I will be respectful, but honest. My mission is to help you search for the answers, skills and strength needed to make changes that will put you in a position to cope with the circumstances of your life. Since many of those dilemmas are often the result of self-defeating thoughts, I use Cognitive Behavior Therapy and Exposure Response Therapy. I am EMDR trained for anxiety and trauma related counseling and healing.
My promise to you is that I will listen and genuinely try to understand what you are going through. Because I care about you, I will be respectful, but honest. My mission is to help you search for the answers, skills and strength needed to make changes that will put you in a position to cope with the circumstances of your life. Since many of those dilemmas are often the result of self-defeating thoughts, I use Cognitive Behavior Therapy and Exposure Response Therapy. I am EMDR trained for anxiety and trauma related counseling and healing.
(785) 337-4146 View (785) 337-4146
Photo of Keslie Redel, Licensed Clinical Professional Counselor in Leawood, KS
Keslie Redel
Licensed Clinical Professional Counselor, LCPC, ATR-BC, RPT, AS
Verified Verified
1 Endorsed
Leawood, KS 66211
Are you feeling exhausted because hard-to-manage thoughts and emotions are clouding your mind and heart? It may feel like you're just getting by when you'd rather be thriving. Do you struggle with organizing your thoughts or emotions, making decisions, engaging in relationships, accepting change, or knowing where to even start to help yourself? Maybe memories of tough experiences are affecting your ability to feel safe or to focus on the present. Living with challenges like these can feel tiring, disappointing, frustrating, and sometimes hopeless. You deserve to feel good. Let's figure out how to help you do that together!
Are you feeling exhausted because hard-to-manage thoughts and emotions are clouding your mind and heart? It may feel like you're just getting by when you'd rather be thriving. Do you struggle with organizing your thoughts or emotions, making decisions, engaging in relationships, accepting change, or knowing where to even start to help yourself? Maybe memories of tough experiences are affecting your ability to feel safe or to focus on the present. Living with challenges like these can feel tiring, disappointing, frustrating, and sometimes hopeless. You deserve to feel good. Let's figure out how to help you do that together!
(913) 372-3573 View (913) 372-3573
Photo of Elizabeth Miranda, Marriage & Family Therapist in Leawood, KS
Elizabeth Miranda
Marriage & Family Therapist, MS, LCMFT, RPT-S
Verified Verified
3 Endorsed
Leawood, KS 66211
As a Marriage and Family Therapist, I especially enjoy working with children, teens, and couples facing a variety of issues. Life is a journey in which change is often the only constant. My job is to honor the journey you are on, and provide avenues for healing and hope both for you and your family. I believe that by working with individuals and families, healing and relational satisfaction can take place and change in relationships can occur.
As a Marriage and Family Therapist, I especially enjoy working with children, teens, and couples facing a variety of issues. Life is a journey in which change is often the only constant. My job is to honor the journey you are on, and provide avenues for healing and hope both for you and your family. I believe that by working with individuals and families, healing and relational satisfaction can take place and change in relationships can occur.
(913) 416-1050 View (913) 416-1050
Photo of Sydney S. Spears, Clinical Social Work/Therapist in Leawood, KS
Sydney S. Spears
Clinical Social Work/Therapist, PhD, LCSW, LSCSW
Verified Verified
Leawood, KS 66211  (Online Only)
I work with adults in their 30s-70s who is overwhelmed with chronic stress, anxiety, panic attacks, depression, grief/loss and/or life disrupting childhood trauma/post-traumatic stress. I also work with individuals and couples who want to resolve problems within their relationships, life transitions, divorce, including cultural identity issues. I work well with men who are in midlife (30s-70s) struggling with anxiety, aging and/or depression. I also work with those who are going through many life changes and identity conflicts. These clients often feel lost, stuck and alone. Their anxiety, negativity and low mood is out of control.
I work with adults in their 30s-70s who is overwhelmed with chronic stress, anxiety, panic attacks, depression, grief/loss and/or life disrupting childhood trauma/post-traumatic stress. I also work with individuals and couples who want to resolve problems within their relationships, life transitions, divorce, including cultural identity issues. I work well with men who are in midlife (30s-70s) struggling with anxiety, aging and/or depression. I also work with those who are going through many life changes and identity conflicts. These clients often feel lost, stuck and alone. Their anxiety, negativity and low mood is out of control.
(913) 305-4391 View (913) 305-4391
Photo of Laura K. Burt, Counselor in Leawood, KS
Laura K. Burt
Counselor, MS, LPC
Verified Verified
1 Endorsed
Leawood, KS 66211
Life is unexpected and sometimes we struggle with finding our path. My goal in therapy is to work with my clients on being comfortable with vulnerability. I believe that consciously choosing to not hide your emotions or desires from others is key to healing and growth. In therapy I learn about and help my clients use their unique strengths to help them resolve current conflicts. I am working on certification in perinatal care and menopause. My focus is primarily assisting women experiencing depression and anxiety, but I also take male clients.
Life is unexpected and sometimes we struggle with finding our path. My goal in therapy is to work with my clients on being comfortable with vulnerability. I believe that consciously choosing to not hide your emotions or desires from others is key to healing and growth. In therapy I learn about and help my clients use their unique strengths to help them resolve current conflicts. I am working on certification in perinatal care and menopause. My focus is primarily assisting women experiencing depression and anxiety, but I also take male clients.
(913) 380-1460 View (913) 380-1460
Photo of Hannah Meyer, Marriage & Family Therapist in Leawood, KS
Hannah Meyer
Marriage & Family Therapist, LMFT
Verified Verified
Leawood, KS 66206
My hope is that when you enter my office you feel safe, heard, and seen when you share your story with me. I provide therapy for children 5+, teens, and adults, including families. I specialize in trauma, anxiety, depression, familial/relationship stress, and women's therapy
My hope is that when you enter my office you feel safe, heard, and seen when you share your story with me. I provide therapy for children 5+, teens, and adults, including families. I specialize in trauma, anxiety, depression, familial/relationship stress, and women's therapy
(913) 392-5766 View (913) 392-5766

How does your Therapist compare?

Number of Therapists in Leawood, KS

200+

Average cost per session

$135

Therapists in Leawood, KS who prioritize treating:

95% Anxiety
92% Depression
84% Relationship Issues
79% Self Esteem
74% Trauma and PTSD
72% Coping Skills
72% Stress

Average years in practice

11 Years

Top 3 insurances accepted

55% Aetna
54% UnitedHealthcare UHC | UBH
53% BlueCross and BlueShield

How Therapists in Leawood, KS see their clients

90% In Person and Online
10% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Leawood?

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.