Therapists in Denver, CO

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Photo of Abby Vasey, Clinical Social Work/Therapist in Denver, CO
Abby Vasey
Clinical Social Work/Therapist, LSW
Verified Verified
Denver, CO 80209
I am a Licensed Social Worker specializing in eating disorders, body image, substance use, anxiety, depression, PTSD, trauma, relationships, and OCD. I enjoy guiding teens and adults toward holistic healing and self discovery. I offer a safe haven for those navigating life’s most intricate challenges and believe in the inherent worth of each individual.
I am a Licensed Social Worker specializing in eating disorders, body image, substance use, anxiety, depression, PTSD, trauma, relationships, and OCD. I enjoy guiding teens and adults toward holistic healing and self discovery. I offer a safe haven for those navigating life’s most intricate challenges and believe in the inherent worth of each individual.
(720) 386-4603 View (720) 386-4603
Photo of All Minds Counseling, Marriage & Family Therapist in Denver, CO
All Minds Counseling
Marriage & Family Therapist, MS , LMFT
Verified Verified
5 Endorsed
Denver, CO 80222
We are a group practice providing individual, family, and couples therapy to neurodiverse families. Our passion is providing mental health services to children and adults with neuodiversity to help them find a true authentic self while balancing stressors of every day life. It can be difficult to find the care you need to address the complexities of co-occuring diagnosis’, which can make finding the right provider feel overwhelming. Finding a therapist who understands how your brain works differently is beneficial to create the change you want in your life. We are a trauma informed and neurodiverse affirming therapeutic practice.
We are a group practice providing individual, family, and couples therapy to neurodiverse families. Our passion is providing mental health services to children and adults with neuodiversity to help them find a true authentic self while balancing stressors of every day life. It can be difficult to find the care you need to address the complexities of co-occuring diagnosis’, which can make finding the right provider feel overwhelming. Finding a therapist who understands how your brain works differently is beneficial to create the change you want in your life. We are a trauma informed and neurodiverse affirming therapeutic practice.
(720) 605-9699 View (720) 605-9699
Photo of Maggie Elliott, Licensed Professional Counselor in Denver, CO
Maggie Elliott
Licensed Professional Counselor, LPC, NCC
Verified Verified
Denver, CO 80212
You want to make sure your connection is long-lasting. You love your partner and you feel confident in your relationship, but sometimes you struggle with the small stuff. When you're in conflict, it's hard to listen to your partner and understand where they're coming from. Sometimes you don't feel heard and you don't always know how to voice your complaints and get your needs met. You enjoy spending time together but you also want to take care of yourself and spend time with friends. It can be hard to balance the me vs. we of it all. You want to make sure your relationship remains fun, balanced, and connecting.
You want to make sure your connection is long-lasting. You love your partner and you feel confident in your relationship, but sometimes you struggle with the small stuff. When you're in conflict, it's hard to listen to your partner and understand where they're coming from. Sometimes you don't feel heard and you don't always know how to voice your complaints and get your needs met. You enjoy spending time together but you also want to take care of yourself and spend time with friends. It can be hard to balance the me vs. we of it all. You want to make sure your relationship remains fun, balanced, and connecting.
(720) 336-5896 View (720) 336-5896
Photo of Caitlin Bovard, Licensed Professional Counselor in Denver, CO
Caitlin Bovard
Licensed Professional Counselor, LPC, CST
Verified Verified
5 Endorsed
Denver, CO 80123  (Online Only)
We all want a life filled with love and pleasure but getting there can seem impossible. Many of my clients felt broken or like a failure when we met. Through sex therapy, my clients are able to overcome hangups & barriers to find ease, joy and comfort in sex again. Whether its low desire, erectile dysfunction, pain during sex or wanting to learn to communicate about sex, I work frequently with clients experiencing anxiety, shutting down or avoidance of sex. It's human instinct to try harder when stuck but often it's hard to know where to start or which direction to invest in. You deserve guidance tailored to your needs and goals.
We all want a life filled with love and pleasure but getting there can seem impossible. Many of my clients felt broken or like a failure when we met. Through sex therapy, my clients are able to overcome hangups & barriers to find ease, joy and comfort in sex again. Whether its low desire, erectile dysfunction, pain during sex or wanting to learn to communicate about sex, I work frequently with clients experiencing anxiety, shutting down or avoidance of sex. It's human instinct to try harder when stuck but often it's hard to know where to start or which direction to invest in. You deserve guidance tailored to your needs and goals.
(720) 669-7322 View (720) 669-7322
Photo of Wild Joy Counseling, Licensed Professional Counselor in Denver, CO
Wild Joy Counseling
Licensed Professional Counselor, LPC, LMHC, MA
Verified Verified
1 Endorsed
Denver, CO 80211
Do you feel stuck? Do you feel lonely and ready for healthier relationships? Do you find yourself fantasizing about a different life? Do you spend more days than not, feeling anxious or sad? Do you feel dissatisfied in your relationships? Have you experienced something hard or traumatic, and ready to feel relief? Do you feel ready for change, and just need help with where to start? I'm here to help create a safe space for you to take the first step towards relief and change. Reach out to set up your free 15 min consultation!
Do you feel stuck? Do you feel lonely and ready for healthier relationships? Do you find yourself fantasizing about a different life? Do you spend more days than not, feeling anxious or sad? Do you feel dissatisfied in your relationships? Have you experienced something hard or traumatic, and ready to feel relief? Do you feel ready for change, and just need help with where to start? I'm here to help create a safe space for you to take the first step towards relief and change. Reach out to set up your free 15 min consultation!
(720) 743-6336 View (720) 743-6336
Photo of Patrick Cole, Licensed Professional Counselor in Denver, CO
Patrick Cole
Licensed Professional Counselor, LPC
Verified Verified
Denver, CO 80246  (Online Only)
Congrats on your first step! Being here means you are that much closer to your goals! At times, life challenges you in ways that can be hard to accept, sometimes you can't seem to catch a break. As your therapist, my goal aims to help you understand and process the difficult emotions to life's challenges: whether it be anxiety, depression, anger, trauma responses, relationship problems, or general life stress. I want you to recognize and improve your strengths. I help you build skills through using many proven therapeutic approaches, with a strong focus on solutions.
Congrats on your first step! Being here means you are that much closer to your goals! At times, life challenges you in ways that can be hard to accept, sometimes you can't seem to catch a break. As your therapist, my goal aims to help you understand and process the difficult emotions to life's challenges: whether it be anxiety, depression, anger, trauma responses, relationship problems, or general life stress. I want you to recognize and improve your strengths. I help you build skills through using many proven therapeutic approaches, with a strong focus on solutions.
(720) 782-6718 View (720) 782-6718
Photo of Michael Laughlin, Licensed Professional Counselor in Denver, CO
Michael Laughlin
Licensed Professional Counselor, MA, LPC
Verified Verified
Denver, CO 80220  (Online Only)
Talk...it's how we connect. That means the quality of therapy depends on the communication abilities and wisdom of the clinician. I value listening to my clients, truly “hearing” their life stories (because we are so much more than a single story), their struggles and their triumphs...always with compassion and acceptance, and often with some laughter (it's very therapeutic!). Then, together, we examine how these experiences shape how they meet today's goals and challenges. Further, we explore ways they can use these experiences and personal strengths to overcome anxiety, sadness, anger and conflict.
Talk...it's how we connect. That means the quality of therapy depends on the communication abilities and wisdom of the clinician. I value listening to my clients, truly “hearing” their life stories (because we are so much more than a single story), their struggles and their triumphs...always with compassion and acceptance, and often with some laughter (it's very therapeutic!). Then, together, we examine how these experiences shape how they meet today's goals and challenges. Further, we explore ways they can use these experiences and personal strengths to overcome anxiety, sadness, anger and conflict.
(303) 951-7871 View (303) 951-7871
Photo of Angela Shaiman, Marriage & Family Therapist in Denver, CO
Angela Shaiman
Marriage & Family Therapist, LMFT
Verified Verified
Denver, CO 80209  (Online Only)
Telehealth Only - As a psychotherapist, it’s an honor to be a witness and facilitator to client transformation, resilience, and growth. My perceptiveness, compassion, and holding of a nonjudgmental space allow discovery and observation of patterns that may no longer be helpful. I see my work through a social justice perspective and understand oppression itself as a form of stress and trauma. As a mixed-race and multicultural person of African-American and Jewish ancestry, I honor experiences of intersecting identities and am deeply interested in intergenerational trauma and resilience.
Telehealth Only - As a psychotherapist, it’s an honor to be a witness and facilitator to client transformation, resilience, and growth. My perceptiveness, compassion, and holding of a nonjudgmental space allow discovery and observation of patterns that may no longer be helpful. I see my work through a social justice perspective and understand oppression itself as a form of stress and trauma. As a mixed-race and multicultural person of African-American and Jewish ancestry, I honor experiences of intersecting identities and am deeply interested in intergenerational trauma and resilience.
(510) 674-0948 View (510) 674-0948
Photo of Djanne Smith, Licensed Social Worker in Denver, CO
Djanne Smith
Licensed Social Worker , LSW
Verified Verified
1 Endorsed
Denver, CO 80237  (Online Only)
Not accepting new clients
Hi! I am Djanne (Ja-nay) Smith, a Licensed Social Worker. I am a Black woman therapist with 7 years’ experience in the mental health and public service field. Through a person centered approach, I will work alongside you to empower you to work through issues such as anxiety, depression, trauma, work related stress, and racial identity/trauma, etc. Compassion, non-judgement, and understanding are at the core of my practice, and I will provide a safe space to unpack a happier version of YOU!
Hi! I am Djanne (Ja-nay) Smith, a Licensed Social Worker. I am a Black woman therapist with 7 years’ experience in the mental health and public service field. Through a person centered approach, I will work alongside you to empower you to work through issues such as anxiety, depression, trauma, work related stress, and racial identity/trauma, etc. Compassion, non-judgement, and understanding are at the core of my practice, and I will provide a safe space to unpack a happier version of YOU!
(720) 782-1241 View (720) 782-1241
Photo of Dr. Jonathan Fricke, Pre-Licensed Professional in Denver, CO
Dr. Jonathan Fricke
Pre-Licensed Professional, PsyD
Verified Verified
3 Endorsed
Denver, CO 80222
(Currently Accepting New Clients) I approach therapy with a balance of warmth and directness. My aim is to create an open and lively space where we may understand your hopes and goals, and collaboratively explore how to move towards them. My approach is informed by evidenced-based relational and insight-oriented therapies.
(Currently Accepting New Clients) I approach therapy with a balance of warmth and directness. My aim is to create an open and lively space where we may understand your hopes and goals, and collaboratively explore how to move towards them. My approach is informed by evidenced-based relational and insight-oriented therapies.
(720) 821-7564 View (720) 821-7564
Photo of Nyanna Quoi, Pre-Licensed Professional in Denver, CO
Nyanna Quoi
Pre-Licensed Professional, LPCC
Verified Verified
Denver, CO 80210
Accepting new clients in-person and online!.... Hi there, Life can be really hard sometimes. We all deserve the opportunity to be our best selves, heal from the past, and create the lives we dream of living. I believe healthy people make happy relationships and strong communities. Originally from the East Coast, I value having authentic, connective relationships with people. My goal is to create a safe space for you to keep it real, explore who you are, and unlock your freedom. I use a sociocultural and trauma-informed lens in my work with clients. What’s your story and how does it impact who you are?
Accepting new clients in-person and online!.... Hi there, Life can be really hard sometimes. We all deserve the opportunity to be our best selves, heal from the past, and create the lives we dream of living. I believe healthy people make happy relationships and strong communities. Originally from the East Coast, I value having authentic, connective relationships with people. My goal is to create a safe space for you to keep it real, explore who you are, and unlock your freedom. I use a sociocultural and trauma-informed lens in my work with clients. What’s your story and how does it impact who you are?
(720) 764-9736 View (720) 764-9736
Photo of Karina Dach, Counselor in Denver, CO
Karina Dach
Counselor, MS, LMHC, LPC, NCC
Verified Verified
Denver, CO 80238
When we experience anxiety and stress it is not uncommon to feel like our lives are unraveling and we are no longer in control. My passion is to bring healing and change to people who experience excessive worry and fear, anxiety and stress. I guide my clients to find a healthier perspective of themselves, others, and the world around them. I help them strengthen their relationships so they begin to feel more capable and safe with who they are and what they do.
When we experience anxiety and stress it is not uncommon to feel like our lives are unraveling and we are no longer in control. My passion is to bring healing and change to people who experience excessive worry and fear, anxiety and stress. I guide my clients to find a healthier perspective of themselves, others, and the world around them. I help them strengthen their relationships so they begin to feel more capable and safe with who they are and what they do.
(720) 538-9994 View (720) 538-9994
Photo of Yolanda Mani Esatai, Licensed Professional Counselor in Denver, CO
Yolanda Mani Esatai
Licensed Professional Counselor, MEd, LPC
Verified Verified
Denver, CO 80224  (Online Only)
I view psychotherapy as a process of exploration and affirmation of one's life path, including the experiences and wisdom gained along this journey. This is just the beginning point for the psychotherapeutic process of healing and identifying one's pathway to continue the journey of personal growth, transformation and achieving balance (mind, body & Spirit). I see my role as a therapist as that of a witness and source of support and knowledge, joining with you to help facilitate the individual process of developing a deeper sense of self-awareness, achieving personal growth and transformation: to create the life you want.
I view psychotherapy as a process of exploration and affirmation of one's life path, including the experiences and wisdom gained along this journey. This is just the beginning point for the psychotherapeutic process of healing and identifying one's pathway to continue the journey of personal growth, transformation and achieving balance (mind, body & Spirit). I see my role as a therapist as that of a witness and source of support and knowledge, joining with you to help facilitate the individual process of developing a deeper sense of self-awareness, achieving personal growth and transformation: to create the life you want.
(303) 720-6990 View (303) 720-6990
Photo of Andrea Harbeck, Clinical Social Work/Therapist in Denver, CO
Andrea Harbeck
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Denver, CO 80220  (Online Only)
Are you feeling anxious and stressed? Would you like to feel more peace and calm? Would you like to move forward with intentionality, confidence and clarity? Are you a young adult looking for meaning, purpose and belonging? I specialize in helping adults overcome anxiety, trauma and stress. I help people explore and find solutions to complex life decisions. I am also skilled in helping young adults struggling to find meaning and purpose.
Are you feeling anxious and stressed? Would you like to feel more peace and calm? Would you like to move forward with intentionality, confidence and clarity? Are you a young adult looking for meaning, purpose and belonging? I specialize in helping adults overcome anxiety, trauma and stress. I help people explore and find solutions to complex life decisions. I am also skilled in helping young adults struggling to find meaning and purpose.
(720) 778-2167 View (720) 778-2167
Photo of Aaron Eigler - Affordable Sex | Relational Therapist, Pre-Licensed Professional in Denver, CO
Aaron Eigler - Affordable Sex | Relational Therapist
Pre-Licensed Professional, MA, MFTC, LPCC
Verified Verified
2 Endorsed
Denver, CO 80209
Nurturing relationships are essential to our survival. And, they require work. That's where I come in! Whether you’re in a relationship or single, deep connection is at the foundation of a meaningful life. Let's collaborate to design a life you can truly feel proud of. Whatever your individual or relational issue is (sexual functioning, better communication, sexual compulsivity/sex addiction, discrepancies in desire, etc), they're all related at the end of the day. I specialize in working with men and intimacy-related issues, and I'm excited to work with you to create a stronger, happier, and more vibrant relationship.
Nurturing relationships are essential to our survival. And, they require work. That's where I come in! Whether you’re in a relationship or single, deep connection is at the foundation of a meaningful life. Let's collaborate to design a life you can truly feel proud of. Whatever your individual or relational issue is (sexual functioning, better communication, sexual compulsivity/sex addiction, discrepancies in desire, etc), they're all related at the end of the day. I specialize in working with men and intimacy-related issues, and I'm excited to work with you to create a stronger, happier, and more vibrant relationship.
(720) 707-2398 View (720) 707-2398
Photo of Kathryn Tromans, Clinical Social Work/Therapist in Denver, CO
Kathryn Tromans
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Denver, CO 80216  (Online Only)
Your journey begins here. Whether you are suffering from issues like depression, anxiety, relationship challenges, life transitions, grief and loss, or are struggling to find meaning and purpose in your life, the services offered here will help you heal. Some of us have trauma to process and it is difficult to talk about. Others need guidance to find their inner strengths and know how to use them to their advantage. Kathryn provides a confidential, on-line experience, where you will feel listened to and supported. Kathryn is an experienced and knowledgable teletherapist and is sought out for her expertise.
Your journey begins here. Whether you are suffering from issues like depression, anxiety, relationship challenges, life transitions, grief and loss, or are struggling to find meaning and purpose in your life, the services offered here will help you heal. Some of us have trauma to process and it is difficult to talk about. Others need guidance to find their inner strengths and know how to use them to their advantage. Kathryn provides a confidential, on-line experience, where you will feel listened to and supported. Kathryn is an experienced and knowledgable teletherapist and is sought out for her expertise.
(720) 782-5799 View (720) 782-5799
Photo of Kelly L Caywood, Psychologist in Denver, CO
Kelly L Caywood
Psychologist, MS, PhD
Verified Verified
2 Endorsed
Denver, CO 80206
Although we all need support, it can be very difficult to ask for help. I strive to create a collaborative, respectful, and supportive environment in order to address your challenges, determine your goals, and achieve the personal changes you want to make.
Although we all need support, it can be very difficult to ask for help. I strive to create a collaborative, respectful, and supportive environment in order to address your challenges, determine your goals, and achieve the personal changes you want to make.
(720) 903-2652 View (720) 903-2652
Photo of Laura Panczak, Licensed Professional Counselor in Denver, CO
Laura Panczak
Licensed Professional Counselor, LPC, LAC, NCC, MA
Verified Verified
Denver, CO 80203  (Online Only)
Are feelings of worry, dread, panic, and unwanted intrusive thoughts making living an enjoyable life more difficult? Change and transformation are difficult; it takes courage, work, and patience to heal- but there is hope! I specialize in Obsession Compulsive Disorder (OCD), Anxiety, Panic, and assisting clients with processing and rewiring unhelpful habits. Unwanted intrusive thoughts (Obsessions) can be scary at times. Compulsions and avoidance behaviors can also have a devastating effect both emotionally, interpersonally, and physically,
Are feelings of worry, dread, panic, and unwanted intrusive thoughts making living an enjoyable life more difficult? Change and transformation are difficult; it takes courage, work, and patience to heal- but there is hope! I specialize in Obsession Compulsive Disorder (OCD), Anxiety, Panic, and assisting clients with processing and rewiring unhelpful habits. Unwanted intrusive thoughts (Obsessions) can be scary at times. Compulsions and avoidance behaviors can also have a devastating effect both emotionally, interpersonally, and physically,
(720) 730-3891 View (720) 730-3891
Photo of Georgia Hitchcock, Licensed Professional Counselor in Denver, CO
Georgia Hitchcock
Licensed Professional Counselor, LPC, CACIII
Verified Verified
Denver, CO 80210
Do you feel overwhelmed? Are relationships frustrating? Are your kids driving you nuts? Are you having difficulty adjusting to changes in your life? Are you depressed, anxious or fearful?
Do you feel overwhelmed? Are relationships frustrating? Are your kids driving you nuts? Are you having difficulty adjusting to changes in your life? Are you depressed, anxious or fearful?
(303) 816-8159 View (303) 816-8159
Photo of Mary Prinz, Clinical Social Work/Therapist in Denver, CO
Mary Prinz
Clinical Social Work/Therapist, LCSW
Verified Verified
Denver, CO 80246  (Online Only)
Having provided client centered therapy for over 30 years, from emergency work to research and clinical practice, I have learned that no one is immune to life's difficulties, robbing some of peace in their daily existence. These years have taught me the importance of working together on the specific issues while also providing the tools needed to create a healthier life...no matter what our environment deals us. I believe that although depression and anxiety can sometimes color our lives, ultimately, we have dominion over our existence !
Having provided client centered therapy for over 30 years, from emergency work to research and clinical practice, I have learned that no one is immune to life's difficulties, robbing some of peace in their daily existence. These years have taught me the importance of working together on the specific issues while also providing the tools needed to create a healthier life...no matter what our environment deals us. I believe that although depression and anxiety can sometimes color our lives, ultimately, we have dominion over our existence !
(720) 734-9739 View (720) 734-9739

How does your Therapist compare?

Number of Therapists in Denver, CO

3,000+

Average cost per session

$150

Therapists in Denver, CO who prioritize treating:

93% Anxiety
87% Depression
79% Relationship Issues
75% Trauma and PTSD
75% Self Esteem
71% Stress
68% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

76% Aetna
68% UnitedHealthcare UHC | UBH
64% Cigna and Evernorth

How Therapists in Denver, CO see their clients

63% In Person and Online
37% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Denver?

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.