Therapists in 63123
![Photo of Emily Scheaffer, M Ed, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/79fe90ef-8506-4b9b-b6a8-494ffcf60d85/1/320x400.jpeg)
Emily Scheaffer
Licensed Professional Counselor, M Ed, NCC
Verified Verified
Saint Louis, MO 63123 (Online Only)
My ideal client is a courageous heart who is looking to take control of their life to get what they want! I work best with clients who are motivated, ready to make a change in their lives and who are a little outside the norm. I want you to get what you want out of therapy, so we will set personalized goals and move forward with intention while handling any bumps along the way.
My ideal client is a courageous heart who is looking to take control of their life to get what they want! I work best with clients who are motivated, ready to make a change in their lives and who are a little outside the norm. I want you to get what you want out of therapy, so we will set personalized goals and move forward with intention while handling any bumps along the way.
![Photo of Amy Frankel - Amy Frankel, Ph.D., LLC, PhD, Psychologist](https://photos.psychologytoday.com/3f207d0f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a clinical psychologist licensed in the state of Missouri since 1988. I've worked in psychiatric hospitals, residential care facilities, and private practice. I currently work in a solo private practice in south St. Louis County and also as a consultant to a child and adolescent residential treatment program in Florissant. I have been a featured presenter and trainer on a variety of topics to community groups, schools, and mental health organizations.
I am a clinical psychologist licensed in the state of Missouri since 1988. I've worked in psychiatric hospitals, residential care facilities, and private practice. I currently work in a solo private practice in south St. Louis County and also as a consultant to a child and adolescent residential treatment program in Florissant. I have been a featured presenter and trainer on a variety of topics to community groups, schools, and mental health organizations.
![Photo of Frankie Salisbury, LCPC, NCC, C-DBT, Counselor](https://photos.psychologytoday.com/f64a63cc-042c-4ed6-93e4-061e5cc74c08/3/320x400.jpeg)
I tailor my approach based on your needs, strengths, and personality. My approaches are very effective for helping find more balanced emotions, taming anxiety and stress, and building healthier relationships. I'm certified in Dialectical Behavior Therapy (DBT) and trained in Acceptance and Commitment Therapy (ACT) and Internal Family Systems (IFS).
I tailor my approach based on your needs, strengths, and personality. My approaches are very effective for helping find more balanced emotions, taming anxiety and stress, and building healthier relationships. I'm certified in Dialectical Behavior Therapy (DBT) and trained in Acceptance and Commitment Therapy (ACT) and Internal Family Systems (IFS).
![Photo of Shanon Harlow - Understanding Minds Psychological Services, Psychologist](https://photos.psychologytoday.com/22654d46-11ca-4d2f-b304-d0b62ab940ad/2/320x400.jpeg)
Understanding Minds provides trusted, confidential, and comprehensive mental health services. Our supportive team of providers take a proactive approach with assessment, collaborative treatment planning, progress review, and validated approaches to make progress achievable. Your needs are important to us, and we strive to offer the best possible experience in mental healthcare. This is why we have administrative staff available to assist you 5 days a week and we request feedback from you about your experience and fit with your provider.
Understanding Minds provides trusted, confidential, and comprehensive mental health services. Our supportive team of providers take a proactive approach with assessment, collaborative treatment planning, progress review, and validated approaches to make progress achievable. Your needs are important to us, and we strive to offer the best possible experience in mental healthcare. This is why we have administrative staff available to assist you 5 days a week and we request feedback from you about your experience and fit with your provider.
![Photo of Raymond T Fezzi, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bd5fcb0-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Raymond T Fezzi
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63123
Not accepting new clients
My name is Raymond Fezzi and my office is conveniently located 1/2 mile northwest of Hwy I-55 in the South County area. I offer a range of services, including assessment and therapy for individuals seeking help for relationship difficulties, depression, anxiety disorders, and addictions. I make every attempt to make your first visit comfortable by answering any questions when calling for an initial appointment, and by helping you to clarify your needs and goals for treatment.
My name is Raymond Fezzi and my office is conveniently located 1/2 mile northwest of Hwy I-55 in the South County area. I offer a range of services, including assessment and therapy for individuals seeking help for relationship difficulties, depression, anxiety disorders, and addictions. I make every attempt to make your first visit comfortable by answering any questions when calling for an initial appointment, and by helping you to clarify your needs and goals for treatment.
![Photo of Lanny W Mcfarland, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/3e351842-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Lanny W Mcfarland
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63123
If you are reading this, then chances are you or someone you love is in need of professional counseling. I understand this can be a difficult process and cause significant anxiety. But you are just a simple phone call away. So whether you are struggling with depression or anxiety disorder, marital problems, spiritual abuse or issues of faith, trauma from childhood abuse, or some form of addiction, you have turned to the right place. Together, as a relationship of trust begins, we will identify what you hope counseling will provide and a plan to address that hope.
If you are reading this, then chances are you or someone you love is in need of professional counseling. I understand this can be a difficult process and cause significant anxiety. But you are just a simple phone call away. So whether you are struggling with depression or anxiety disorder, marital problems, spiritual abuse or issues of faith, trauma from childhood abuse, or some form of addiction, you have turned to the right place. Together, as a relationship of trust begins, we will identify what you hope counseling will provide and a plan to address that hope.
![Photo of Colleen Smithson - St. Louis Play Therapy, LLC, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d88a2df6-e70a-4103-98e0-199b3add94a9/2/320x400.jpeg)
St. Louis Play Therapy, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63123
Not accepting new clients
Do you have a child or teen who is struggling with things such as anxiety, depression, anger? Do you have a young child who has tantrums and difficulty listening at home and school? Are you a parent who needs help managing your child's behaviors?
Do you have a child or teen who is struggling with things such as anxiety, depression, anger? Do you have a young child who has tantrums and difficulty listening at home and school? Are you a parent who needs help managing your child's behaviors?
![Photo of Nicole Morgan Ely, MA, LPC, NCC, Counselor](https://photos.psychologytoday.com/3cd6dcb8-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Virtual appointments only. I believe that we live in a complex world of beauty and brokenness. My goal is to come alongside you in your suffering while encouraging you towards growing in hope and healing. Relationships are important and I care deeply about my clients and I strive to bring light to my client's strengths to help them face their challenges and start feeling better.
Virtual appointments only. I believe that we live in a complex world of beauty and brokenness. My goal is to come alongside you in your suffering while encouraging you towards growing in hope and healing. Relationships are important and I care deeply about my clients and I strive to bring light to my client's strengths to help them face their challenges and start feeling better.
![Photo of Deanna Stassi, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3d33f3c8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Deanna Stassi
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63123
Not accepting new clients
Do you feel overwhelmed by the circumstances of your life? Are you feeling anxious or depressed? It can be hard to break out of these feelings on your own. The gentle guidance of a counselor can help you recognize that you have the strength within you to overcome the obstacles in your life and to use them to grow emotionally. My goal as a counselor is to empower you to recognize your own strengths and to help you reach your goals. Please visit my website: www.deannastassi.com.
Do you feel overwhelmed by the circumstances of your life? Are you feeling anxious or depressed? It can be hard to break out of these feelings on your own. The gentle guidance of a counselor can help you recognize that you have the strength within you to overcome the obstacles in your life and to use them to grow emotionally. My goal as a counselor is to empower you to recognize your own strengths and to help you reach your goals. Please visit my website: www.deannastassi.com.
![Photo of Jennifer Morgan, MA, LPC, BCPCC, Licensed Professional Counselor](https://photos.psychologytoday.com/17392666-5ba8-43ae-a7fb-4d2dd873523c/1/320x400.jpeg)
Jennifer Morgan
Licensed Professional Counselor, MA, LPC, BCPCC
Verified Verified
Saint Louis, MO 63123
My focus is developing a relationship with my clients that becomes the foundation for transformation. My work is guided by the belief that much in life is related to the core need of knowing and being known. After addressing physical needs & causes, I often lean into the idea that our thoughts are part of what cause our feelings and behaviors. If we are able to change the way we think about the world, we will be able to change the way we feel and act. Most importantly, having someone who cares walk along side you can make all the difference in the world. Change isn't easy, but seeking help means you don't have to do it alone.
My focus is developing a relationship with my clients that becomes the foundation for transformation. My work is guided by the belief that much in life is related to the core need of knowing and being known. After addressing physical needs & causes, I often lean into the idea that our thoughts are part of what cause our feelings and behaviors. If we are able to change the way we think about the world, we will be able to change the way we feel and act. Most importantly, having someone who cares walk along side you can make all the difference in the world. Change isn't easy, but seeking help means you don't have to do it alone.
![Photo of Nicole Schwarz, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/b9ec4f35-febb-4a3f-a999-9bc4d6f41d49/1/320x400.jpeg)
You know you don't want to live like this anymore. You want to learn how to manage feelings of anxiety or depression. You've been confused, lonely, and frustrated for long enough, and are ready for a positive change. Or maybe you aren't quite sure what you need, but you're willing to give therapy a try. My goal is to provide a safe, non-judgmental space where you can feel heard, supported, and encouraged. I especially enjoy working with women of all ages who are struggling with low self-esteem, negative self-image, relationships, burnout, motherhood, guilt, or breaking generational patterns.
You know you don't want to live like this anymore. You want to learn how to manage feelings of anxiety or depression. You've been confused, lonely, and frustrated for long enough, and are ready for a positive change. Or maybe you aren't quite sure what you need, but you're willing to give therapy a try. My goal is to provide a safe, non-judgmental space where you can feel heard, supported, and encouraged. I especially enjoy working with women of all ages who are struggling with low self-esteem, negative self-image, relationships, burnout, motherhood, guilt, or breaking generational patterns.
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Melissa Weber
Pre-Licensed Professional, MS, NCC, PLPC
Verified Verified
1 Endorsed
Saint Louis, MO 63123
My clients often describe me as having a warm and calming presence. I work with individuals navigating the difficulties and complexities in life, clients managing depression, anxiety, and significant life transitions such as divorce, grief, career changes, and relationship challenges. My background includes extensive work in domestic and sexual abuse and I value a compassionate focus on trauma work.
My clients often describe me as having a warm and calming presence. I work with individuals navigating the difficulties and complexities in life, clients managing depression, anxiety, and significant life transitions such as divorce, grief, career changes, and relationship challenges. My background includes extensive work in domestic and sexual abuse and I value a compassionate focus on trauma work.
![Photo of Erick Kenneth French, MSW, LCSW, ACHT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4f0b4fe8-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Erick Kenneth French
Clinical Social Work/Therapist, MSW, LCSW, ACHT
Verified Verified
Saint Louis, MO 63123
I like to work with people who are internally motivated to learn and grow and desire to live meaningful and fulfilling lives. Whatever challenges they are facing I want them to know that working with me will at some point mean paying attention to and allowing themselves to feel their feelings. A conscious relationship with self is had through attending to the feelings we have about ourselves. Understanding feelings will be essential in generating improved self-awareness and a sense of personal integrity.
I like to work with people who are internally motivated to learn and grow and desire to live meaningful and fulfilling lives. Whatever challenges they are facing I want them to know that working with me will at some point mean paying attention to and allowing themselves to feel their feelings. A conscious relationship with self is had through attending to the feelings we have about ourselves. Understanding feelings will be essential in generating improved self-awareness and a sense of personal integrity.
![Photo of Krystal Iris Llera - Blooming Oasis Therapy Services, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6e036264-94a1-4ed0-b347-659ff6e431e2/2/320x400.jpeg)
Blooming Oasis Therapy Services
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Affton, MO 63123
Waitlist for new clients
Are you struggling to feel accepted & comfortable in your own skin? Blooming Oasis is a private practice that focuses on individual, couples, and LGBTQ+. We are located in Affton and Saint Louis area as well as telehealth therapy. We help by actively listening to your story and fostering a calm environment by providing a healthy model for boundaries and relationships. We help clients navigate through change and life events. We will take a person-centered integrated approach to help you gain healthy, effective coping skills and balance in your daily life.
Are you struggling to feel accepted & comfortable in your own skin? Blooming Oasis is a private practice that focuses on individual, couples, and LGBTQ+. We are located in Affton and Saint Louis area as well as telehealth therapy. We help by actively listening to your story and fostering a calm environment by providing a healthy model for boundaries and relationships. We help clients navigate through change and life events. We will take a person-centered integrated approach to help you gain healthy, effective coping skills and balance in your daily life.
![Photo of Mallory Francis, MA, PLPC, Pre-Licensed Professional](https://photos.psychologytoday.com/41c381d5-4d73-4d31-9d06-56196dcae38a/3/320x400.png)
My approach to therapy is one that focuses most on authenticity and collaboration, as I believe people tend to be happiest when they are engaging authentically with the world around them. It is my intention to show up to session as my authentic self and collaboratively create a space where you can do the same. I believe that you are the expert on your own life and experiences and that through thoughtful questioning, purposeful reflection, and evidence based tools and techniques, we can work together to align your most authentic self with your most realistic self.
My approach to therapy is one that focuses most on authenticity and collaboration, as I believe people tend to be happiest when they are engaging authentically with the world around them. It is my intention to show up to session as my authentic self and collaboratively create a space where you can do the same. I believe that you are the expert on your own life and experiences and that through thoughtful questioning, purposeful reflection, and evidence based tools and techniques, we can work together to align your most authentic self with your most realistic self.
![Photo of Sam Hackett, LPC, MEd, Licensed Professional Counselor](https://photos.psychologytoday.com/7d69048c-865c-483c-8548-7c0638ede4bd/1/320x400.jpeg)
Welcome! I'm Sam Hackett, a sports performance coach dedicated to helping athletes reach their peak potential. With expertise in psychology, I specialize in enhancing mental resilience, optimizing goal-setting strategies, and cultivating winning mindsets. Let's work together to unlock your full capabilities and achieve success on and off the field! Additionally, I enjoy working with couples to connect more fully by communicating safely and effectively. If you want to gain a better understanding of conflict in the relationship and find ways to heal from past pain, send me a message to see if we'd be a good fit!
Welcome! I'm Sam Hackett, a sports performance coach dedicated to helping athletes reach their peak potential. With expertise in psychology, I specialize in enhancing mental resilience, optimizing goal-setting strategies, and cultivating winning mindsets. Let's work together to unlock your full capabilities and achieve success on and off the field! Additionally, I enjoy working with couples to connect more fully by communicating safely and effectively. If you want to gain a better understanding of conflict in the relationship and find ways to heal from past pain, send me a message to see if we'd be a good fit!
![Photo of Anessa Kemna, PLPC, Pre-Licensed Professional](https://photos.psychologytoday.com/e9afde11-0ffe-43e3-9b35-c2535f89b8fe/1/320x400.jpeg)
Anessa Kemna
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Saint Louis, MO 63123 (Online Only)
Have you ever felt like you were a square peg in a round hole? Many people experience shame about who they are and how they think, which makes them feel like they don’t fit in their world. This can leave them feeling isolated, or make them think they’re broken. You’re not broken, and you don’t have to navigate this alone. I accept you for who you are, not who you think you should be, and will support you as you discover who that person is.
Have you ever felt like you were a square peg in a round hole? Many people experience shame about who they are and how they think, which makes them feel like they don’t fit in their world. This can leave them feeling isolated, or make them think they’re broken. You’re not broken, and you don’t have to navigate this alone. I accept you for who you are, not who you think you should be, and will support you as you discover who that person is.
![Photo of Rod Campbell, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/63a44ddf-9e29-4961-a15d-77c29eb9fc88/2/320x400.jpeg)
Feeling overwhelmed or stuck? Experiencing panic or feeling anxious? As an LMFT, I offer a compassionate, non-judgmental space to explore your feelings and develop a plan to feel better. Together, we'll uncover the roots of your challenges and work towards meaningful change. You deserve to feel understood and connected—let’s take the first step on your journey to healing and growth.
Feeling overwhelmed or stuck? Experiencing panic or feeling anxious? As an LMFT, I offer a compassionate, non-judgmental space to explore your feelings and develop a plan to feel better. Together, we'll uncover the roots of your challenges and work towards meaningful change. You deserve to feel understood and connected—let’s take the first step on your journey to healing and growth.
![Photo of Dr. Derek J. Wall, PhD, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3db1724e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I provide therapeutic counseling services to individuals, couples, and families who are hurting due to conflict, anxiety, grief, and depression. With consistent, positive support, I serve my clients with a deep appreciation of their individuality and sensitivity to their struggle. Conflict and harm can be devastating, but it does not have to be. You deserve the opportunity to discover peace and to know that you do not have to search alone. Contact me today or learn more about me on my website.
I provide therapeutic counseling services to individuals, couples, and families who are hurting due to conflict, anxiety, grief, and depression. With consistent, positive support, I serve my clients with a deep appreciation of their individuality and sensitivity to their struggle. Conflict and harm can be devastating, but it does not have to be. You deserve the opportunity to discover peace and to know that you do not have to search alone. Contact me today or learn more about me on my website.
![Photo of Tiffany Happel, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/d0d3f929-bec7-41ec-bffb-8177bec0da73/1/320x400.jpeg)
Tiffany Happel
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63123 (Online Only)
My name is Tiffany Happel, and I am a Licensed Professional Counselor dedicated to assisting you in navigating life's challenges. My goal is to offer a safe and comforting space where you can delve into your thoughts and feelings freely. I have a background rooted in addressing diverse challenges, including depression, anxiety, relationship issues, complex trauma, and PTSD. I look forward to working alongside you as we strive to understand the issues that may be holding you back. Together, we will embark on a journey of self-discovery and healing.
My name is Tiffany Happel, and I am a Licensed Professional Counselor dedicated to assisting you in navigating life's challenges. My goal is to offer a safe and comforting space where you can delve into your thoughts and feelings freely. I have a background rooted in addressing diverse challenges, including depression, anxiety, relationship issues, complex trauma, and PTSD. I look forward to working alongside you as we strive to understand the issues that may be holding you back. Together, we will embark on a journey of self-discovery and healing.
See more therapy options for 63123
How does your Therapist compare?
Number of Therapists in 63123
60+
Average cost per session
$125
Therapists in 63123 who prioritize treating:
97% | Anxiety |
95% | Depression |
77% | Coping Skills |
74% | Self Esteem |
72% | Relationship Issues |
71% | Stress |
69% | Grief |
Average years in practice
11 Years
Top 3 insurances accepted
92% | UnitedHealthcare UHC | UBH |
85% | Aetna |
75% | Cigna and Evernorth |
How Therapists in 63123 see their clients
85% | In Person and Online | |
15% | Online Only |
Gender breakdown
71% | Female | |
29% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 63123?
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
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.
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.
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.