Therapists in Omaha, NE

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Photo of Centered Mental Health, Independent Mental Health Practitioner in Omaha, NE
Centered Mental Health
Independent Mental Health Practitioner, MS, LLC, LMHC, LMHP
Verified Verified
6 Endorsed
Omaha, NE 68144
Just a quick THANK YOU for reading my profile, looking for a therapist can be a overwhelming process and reading all these profiles can be frustrating. I have a deep understanding of trauma, PTSD, domestic violence, ADHD, anxiety, parenting, marriage and divorce. If you would to like to know more please visit my website. www.therapistomaha.com
Just a quick THANK YOU for reading my profile, looking for a therapist can be a overwhelming process and reading all these profiles can be frustrating. I have a deep understanding of trauma, PTSD, domestic violence, ADHD, anxiety, parenting, marriage and divorce. If you would to like to know more please visit my website. www.therapistomaha.com
(402) 385-7543 View (402) 385-7543
Photo of Margo Botkin, Counselor in Omaha, NE
Margo Botkin
Counselor, LIMHP, LPC
Verified Verified
Omaha, NE 68116
Welcome! I'm so glad you're here. I am a Licensed Independent Mental Health Practitioner (LIMHP) who offers in-person or telehealth counseling services to clients in Nebraska or Iowa. I am passionate about working with individuals struggling with perinatal mental health issues, stress, grief, anxiety, depression and trauma. Together, we determine your goals and develop a treatment plan to meet your needs.
Welcome! I'm so glad you're here. I am a Licensed Independent Mental Health Practitioner (LIMHP) who offers in-person or telehealth counseling services to clients in Nebraska or Iowa. I am passionate about working with individuals struggling with perinatal mental health issues, stress, grief, anxiety, depression and trauma. Together, we determine your goals and develop a treatment plan to meet your needs.
(402) 624-4257 View (402) 624-4257
Photo of Brittany Martinez, Counselor in Omaha, NE
Brittany Martinez
Counselor, LIMHP, LPC, NCC
Verified Verified
Omaha, NE 68118
Have you found yourself feeling lost recently? Perhaps navigating daily tasks has become increasingly difficult due to various hurdles. Or maybe feeling overwhelmed and could benefit from some support. I want to reassure you that you are not facing this alone. Together we'll work to identify and remove unhealthy patterns, while fostering personal growth. As a dedicated therapist, I will collaborate closely with you to create meaningful goals and pathways towards your full potential. I offer an empathetic safe space to navigate life's challenges, while empowering you to overcome struggles, manage anxiety, and embrace positive change.
Have you found yourself feeling lost recently? Perhaps navigating daily tasks has become increasingly difficult due to various hurdles. Or maybe feeling overwhelmed and could benefit from some support. I want to reassure you that you are not facing this alone. Together we'll work to identify and remove unhealthy patterns, while fostering personal growth. As a dedicated therapist, I will collaborate closely with you to create meaningful goals and pathways towards your full potential. I offer an empathetic safe space to navigate life's challenges, while empowering you to overcome struggles, manage anxiety, and embrace positive change.
(402) 226-1954 View (402) 226-1954
Photo of Mollie Stehl, Counselor in Omaha, NE
Mollie Stehl
Counselor, MS, PLMHP, PLADC
Verified Verified
Omaha, NE 68154
“The truest story – the one that will always be truest – is that I am a human being, being human. Sometimes, I am my best self. Sometimes, not so much. But goshdarn, I am trying to do better. I am always trying to do better. My guess is that you are, too.” – Laura McKowen. Life is a mixed bag of wonderful and weird. I believe therapy is a collaborative effort between client and clinician that consists of making sense of past experiences and being able to “re-story” our lives. You are the expert in your own life, and I am honored to be on this journey with you.
“The truest story – the one that will always be truest – is that I am a human being, being human. Sometimes, I am my best self. Sometimes, not so much. But goshdarn, I am trying to do better. I am always trying to do better. My guess is that you are, too.” – Laura McKowen. Life is a mixed bag of wonderful and weird. I believe therapy is a collaborative effort between client and clinician that consists of making sense of past experiences and being able to “re-story” our lives. You are the expert in your own life, and I am honored to be on this journey with you.
(402) 923-8819 View (402) 923-8819
Photo of Erica Jensen, Counselor in Omaha, NE
Erica Jensen
Counselor, PLMPH
Verified Verified
1 Endorsed
Omaha, NE 68134
I’m so glad you’re here. Life is tough, but trust me, you got this. Taking steps to find the right therapist can feel intense, but I’m here to make it an empowered process. I work with folks starting at 19 and specialize in couples and the LGBTQIA+ population. Here’s what you can expect when we enter session together:
I’m so glad you’re here. Life is tough, but trust me, you got this. Taking steps to find the right therapist can feel intense, but I’m here to make it an empowered process. I work with folks starting at 19 and specialize in couples and the LGBTQIA+ population. Here’s what you can expect when we enter session together:
(402) 623-6862 View (402) 623-6862
Photo of Jumoke M Omojola, Clinical Social Work/Therapist in Omaha, NE
Jumoke M Omojola
Clinical Social Work/Therapist, LCSW, LIMHP, LISW
Verified Verified
5 Endorsed
Omaha, NE 68124  (Online Only)
Life seems really good, right? Your family loves you. You love them too. You love your job, have a great career, or you are are working towards one. yet you feel sad, scared, hurt and lonely. You want to be happy, joyful and hopeful about life. Days and nights all run together and life seems meaningless and without purpose. Your relationships are not fulfilling. You have crying spells but you wear a game face like everything is going great. It's time to find joy and happiness. it's time to build and enjoy nurturing relationships.
Life seems really good, right? Your family loves you. You love them too. You love your job, have a great career, or you are are working towards one. yet you feel sad, scared, hurt and lonely. You want to be happy, joyful and hopeful about life. Days and nights all run together and life seems meaningless and without purpose. Your relationships are not fulfilling. You have crying spells but you wear a game face like everything is going great. It's time to find joy and happiness. it's time to build and enjoy nurturing relationships.
(402) 807-2759 View (402) 807-2759
Photo of Corina Maher, Counselor in Omaha, NE
Corina Maher
Counselor, LIMHP, CPC, LMHC, RPT
Verified Verified
Omaha, NE 68114
Waitlist for new clients
That's it! You've had enough!! Life has dealt you something unlivable and you need help. You can't imagine it being easier, different. For a second, try and imagine someone offering support, guidance, and validation to help you process and overcome those difficult moments. Together we can help ease the tension, reduce the stress, change the helplessness, and move toward a more livable existence. With specialty training I help clients achieve this through various therapy tools, like EMDR, talk therapy, music, Play Therapy and expressive art therapy. You can also find more about me on my website: unityyfs.com.
That's it! You've had enough!! Life has dealt you something unlivable and you need help. You can't imagine it being easier, different. For a second, try and imagine someone offering support, guidance, and validation to help you process and overcome those difficult moments. Together we can help ease the tension, reduce the stress, change the helplessness, and move toward a more livable existence. With specialty training I help clients achieve this through various therapy tools, like EMDR, talk therapy, music, Play Therapy and expressive art therapy. You can also find more about me on my website: unityyfs.com.
(402) 526-5215 View (402) 526-5215
Photo of Michelle Oczki, Counselor in Omaha, NE
Michelle Oczki
Counselor, MS, LIMHP, CPC
Verified Verified
1 Endorsed
Omaha, NE 68134
Everyone encounters challenges in their life that may feel overwhelming. Seeking counseling during these times is a sign of strength, as it suggests the willingness to address problems rather than avoid them. I teach solution-focused tools that clients can use in the real world. I have a collaborative approach with my clients and believe humor and empowerment are key components to therapy. If stressful thoughts are keeping you up at night, it may be a sign that you're ready tackle the things that are holding you back. I would like to help.
Everyone encounters challenges in their life that may feel overwhelming. Seeking counseling during these times is a sign of strength, as it suggests the willingness to address problems rather than avoid them. I teach solution-focused tools that clients can use in the real world. I have a collaborative approach with my clients and believe humor and empowerment are key components to therapy. If stressful thoughts are keeping you up at night, it may be a sign that you're ready tackle the things that are holding you back. I would like to help.
(402) 571-3995 x2 View (402) 571-3995 x2
Photo of Jeff Wibel, Counselor in Omaha, NE
Jeff Wibel
Counselor, LIMHP, CMSW
Verified Verified
Omaha, NE 68144
Jeff has worked in behavioral health for nearly 30 years. Jeff sees individuals (18 years and older). His areas of focus include life transitions, anxiety, depression, trauma, serious mental illness and couples. Jeff also enjoys providing therapy and support to behavioral health professionals and other therapists. In addition, he is a resource for family members and other caregivers of people with serious mental illness. He enjoys second half of life questions and exploring ways mindfulness improves mental health. Jeff has been married for over 30 years and has 3 children.
Jeff has worked in behavioral health for nearly 30 years. Jeff sees individuals (18 years and older). His areas of focus include life transitions, anxiety, depression, trauma, serious mental illness and couples. Jeff also enjoys providing therapy and support to behavioral health professionals and other therapists. In addition, he is a resource for family members and other caregivers of people with serious mental illness. He enjoys second half of life questions and exploring ways mindfulness improves mental health. Jeff has been married for over 30 years and has 3 children.
(402) 780-8639 View (402) 780-8639
Photo of Rashmi Moily, Counselor in Omaha, NE
Rashmi Moily
Counselor, MS, MBBS, PLMHP, AMFT
Verified Verified
1 Endorsed
Omaha, NE 68105  (Online Only)
Now accepting clients! If we do not author a love story with ourselves, we may never know the wounds of our own soul. In the safety net of therapy we can show up for ourselves, discover our inner world, learn why we do what we do. In the comfort of knowing ourselves, we find our true belonging. In this eventuality, in the fullness of time, we can belong in this world and show up for others without betraying ourselves. There is a wealth of love and freedom in this way of being. The process of therapy can navigate you towards your most cherished home, yourself. Our relational stories bloom from this place of abundance only.
Now accepting clients! If we do not author a love story with ourselves, we may never know the wounds of our own soul. In the safety net of therapy we can show up for ourselves, discover our inner world, learn why we do what we do. In the comfort of knowing ourselves, we find our true belonging. In this eventuality, in the fullness of time, we can belong in this world and show up for others without betraying ourselves. There is a wealth of love and freedom in this way of being. The process of therapy can navigate you towards your most cherished home, yourself. Our relational stories bloom from this place of abundance only.
(402) 799-4813 x13 View (402) 799-4813 x13
Photo of Leslie A. Epstein, Counselor in Omaha, NE
Leslie A. Epstein
Counselor, MA, LMHP, LPC
Verified Verified
3 Endorsed
Omaha, NE 68144
Are you depressed, stressed-out, feeling like life is out of control, and sometimes just like giving up on it all? You CAN live a happier and more fulfilling life. There is hope--at times like this, it's important to have someone calm, supportive and understanding to help you work things out. I have 2 Master's degrees and have been practicing gender-affirming therapy for over 25 years. Specializing in transgender issues, my style is both collaborative and compassionate. Together we can solve problems to help you and your loved ones lead a better life.
Are you depressed, stressed-out, feeling like life is out of control, and sometimes just like giving up on it all? You CAN live a happier and more fulfilling life. There is hope--at times like this, it's important to have someone calm, supportive and understanding to help you work things out. I have 2 Master's degrees and have been practicing gender-affirming therapy for over 25 years. Specializing in transgender issues, my style is both collaborative and compassionate. Together we can solve problems to help you and your loved ones lead a better life.
(402) 517-0533 View (402) 517-0533
Photo of Liz Hessman, Counselor in Omaha, NE
Liz Hessman
Counselor, MA, PLMHP, NCC
Verified Verified
Omaha, NE 68137
Hi, my name is Liz! As a mental health counselor, I accompany individuals through life’s challenges and bear witness to their experiences. I work to provide children, teens, and young adults the tools and a safe space to grow and succeed. I have experience working in the behavioral health field in outpatient, partial care, and home settings. I specialize in addressing a variety of challenges, including anxiety, depression, trauma, attachment issues, ADHD, anger management, and other behavioral concerns.
Hi, my name is Liz! As a mental health counselor, I accompany individuals through life’s challenges and bear witness to their experiences. I work to provide children, teens, and young adults the tools and a safe space to grow and succeed. I have experience working in the behavioral health field in outpatient, partial care, and home settings. I specialize in addressing a variety of challenges, including anxiety, depression, trauma, attachment issues, ADHD, anger management, and other behavioral concerns.
(402) 741-4036 View (402) 741-4036
Photo of Becky Baruth, Pre-Licensed Professional in Omaha, NE
Becky Baruth
Pre-Licensed Professional, PLMHP, PMH-C, CPD
Verified Verified
Omaha, NE 68127
Are you facing a major life transition like parenthood, a difficult medical diagnosis, loss of a loved one, or a significant relationship change? Feeling overwhelmed, stuck in worry, and unsure where to turn for support? If you do reach out, it never goes well. They just don't seem to get it. So you try to do it on your own again but somehow it doesn't work. Whether it's your first time considering therapy or you've been thinking about it for a while, you might feel anxious about even taking that step.
Are you facing a major life transition like parenthood, a difficult medical diagnosis, loss of a loved one, or a significant relationship change? Feeling overwhelmed, stuck in worry, and unsure where to turn for support? If you do reach out, it never goes well. They just don't seem to get it. So you try to do it on your own again but somehow it doesn't work. Whether it's your first time considering therapy or you've been thinking about it for a while, you might feel anxious about even taking that step.
(531) 202-3860 View (531) 202-3860
Photo of Katie Jensen, Counselor in Omaha, NE
Katie Jensen
Counselor, LMHP
Verified Verified
3 Endorsed
Omaha, NE 68127
I am dedicated to bringing peace to the world, one person, one couple, one family, one community and one organization at a time. My speciality is working with survivors of trauma, high conflict couples and families. We use the DBT skills as the foundation of our program adding the notion of 100% accountability. I am also trained in EMDR, Exposure therapy and CBT for trauma. Many of my clients have substance abuse issues and have yet to find true serenity despite working an AA program. Our program teaches the skills for intimacy and connection...and this brings inner peace.
I am dedicated to bringing peace to the world, one person, one couple, one family, one community and one organization at a time. My speciality is working with survivors of trauma, high conflict couples and families. We use the DBT skills as the foundation of our program adding the notion of 100% accountability. I am also trained in EMDR, Exposure therapy and CBT for trauma. Many of my clients have substance abuse issues and have yet to find true serenity despite working an AA program. Our program teaches the skills for intimacy and connection...and this brings inner peace.
(402) 218-1063 View (402) 218-1063
Photo of Laura Pryor, Counselor in Omaha, NE
Laura Pryor
Counselor, LIMHP, LPC
Verified Verified
2 Endorsed
Omaha, NE 68114
I best help those grow who are willing to reflect, take accountability, and initiate change. My areas of specialty include: Trauma & PTSD, Generational Trauma, Attachment Wounds, Narcissistic Abuse, and Personality Conflict. I currently hold a license in the state of Nebraska and Iowa.
I best help those grow who are willing to reflect, take accountability, and initiate change. My areas of specialty include: Trauma & PTSD, Generational Trauma, Attachment Wounds, Narcissistic Abuse, and Personality Conflict. I currently hold a license in the state of Nebraska and Iowa.
(402) 620-6838 View (402) 620-6838
Photo of New Direction Counseling LLC, Drug & Alcohol Counselor in Omaha, NE
New Direction Counseling LLC
Drug & Alcohol Counselor, BA, LADC
Verified Verified
Omaha, NE 68106
Is substance use controlling your life? Is addiction by a family member effecting your relationships? Do you need help recognizing your patterns of relapse and desire to end this painful cycle? Would you appreciate a kind, empathetic, experienced, and validating solution? Please contact me. My mission is to help.
Is substance use controlling your life? Is addiction by a family member effecting your relationships? Do you need help recognizing your patterns of relapse and desire to end this painful cycle? Would you appreciate a kind, empathetic, experienced, and validating solution? Please contact me. My mission is to help.
(402) 603-6133 View (402) 603-6133
Photo of Magda M Blanco, Counselor in Omaha, NE
Magda M Blanco
Counselor, LIMHP, NCC, CHT
Verified Verified
Omaha, NE 68105
I am currently accepting clients. I am a bilingual psychotherapist who offers services in both English and Spanish. I use an integrated approach which combines aspects of cognitive behavioral therapy, dialectical behavioral therapy, and hypnotherapy. My areas of expertise are Post Traumatic Stress Disorder, including CPTSD, complex trauma, sexuality, ADHD, panic attack, anxiety, schizophrenia, borderline personality disorder, Dissociative Identity Disorder, and depression. My career is my passion, my vision, and my mission.
I am currently accepting clients. I am a bilingual psychotherapist who offers services in both English and Spanish. I use an integrated approach which combines aspects of cognitive behavioral therapy, dialectical behavioral therapy, and hypnotherapy. My areas of expertise are Post Traumatic Stress Disorder, including CPTSD, complex trauma, sexuality, ADHD, panic attack, anxiety, schizophrenia, borderline personality disorder, Dissociative Identity Disorder, and depression. My career is my passion, my vision, and my mission.
(402) 794-1210 View (402) 794-1210
Photo of Nichole Goebel, Counselor in Omaha, NE
Nichole Goebel
Counselor, MS, PLMHP, NCC
Verified Verified
1 Endorsed
Omaha, NE 68114
Waitlist for new clients
Only accepting clients ages 19 and up. Do you ever feel like breaking down? Do you ever feel out of place? Like somehow you just don’t belong, and no one understands you? Thanks for the great intro pop punk band Simple Plan. But seriously, have you ever felt any of these things? I know I have. It is hard to have all these sucky feelings and have no one to turn to for support. Unfortunately, many people out there will say “Depressed? Isn’t that just a fancy word for feeling bummed out?”, which I am sure makes you want to scream. That is where I come in!
Only accepting clients ages 19 and up. Do you ever feel like breaking down? Do you ever feel out of place? Like somehow you just don’t belong, and no one understands you? Thanks for the great intro pop punk band Simple Plan. But seriously, have you ever felt any of these things? I know I have. It is hard to have all these sucky feelings and have no one to turn to for support. Unfortunately, many people out there will say “Depressed? Isn’t that just a fancy word for feeling bummed out?”, which I am sure makes you want to scream. That is where I come in!
(402) 698-3615 View (402) 698-3615
Photo of Laurie A Hanry, Counselor in Omaha, NE
Laurie A Hanry
Counselor, MS, LIMHP
Verified Verified
Omaha, NE 68137
Teens are unique and capable of realizing their potential in an optimal, therapeutic environment. Building a relationship based on acceptance and trust with my clients is my priority. I listen carefully and help them develop an understanding of what has led them to unsatisfying thoughts, feelings and behaviors. My passion is working with young people who are experiencing symptoms of trauma, anxiety, depression, and substance use. I consider myself an ally to the LGBTQIA+ community and welcome young people with the struggles that accompany their sexuality with compassion and a nonjudgmental approach.
Teens are unique and capable of realizing their potential in an optimal, therapeutic environment. Building a relationship based on acceptance and trust with my clients is my priority. I listen carefully and help them develop an understanding of what has led them to unsatisfying thoughts, feelings and behaviors. My passion is working with young people who are experiencing symptoms of trauma, anxiety, depression, and substance use. I consider myself an ally to the LGBTQIA+ community and welcome young people with the struggles that accompany their sexuality with compassion and a nonjudgmental approach.
(402) 698-3713 View (402) 698-3713
Photo of Rachael Griffin, Clinical Social Work/Therapist in Omaha, NE
Rachael Griffin
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
3 Endorsed
Omaha, NE 68137
"Owning your story is the bravest thing you will ever do."- Brené Brown We all have stories, some that we have chosen to create and others that were created for us. Maybe your story is easy, maybe your story is hard, perhaps your story is embarrassing or maybe your story creates feelings of guilt or shame; Whatever the story, whatever chapter you may be in, whatever chapter you may be thinking about opening, I commend your bravery and courage. You do not have to suffer alone.
"Owning your story is the bravest thing you will ever do."- Brené Brown We all have stories, some that we have chosen to create and others that were created for us. Maybe your story is easy, maybe your story is hard, perhaps your story is embarrassing or maybe your story creates feelings of guilt or shame; Whatever the story, whatever chapter you may be in, whatever chapter you may be thinking about opening, I commend your bravery and courage. You do not have to suffer alone.
(402) 415-2062 View (402) 415-2062

How does your Therapist compare?

Number of Therapists in Omaha, NE

900+

Average cost per session

$150

Therapists in Omaha, NE who prioritize treating:

93% Anxiety
91% Depression
79% Self Esteem
77% Relationship Issues
76% Trauma and PTSD
75% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
70% UnitedHealthcare UHC | UBH
68% Aetna

How Therapists in Omaha, NE see their clients

86% In Person and Online
14% Online Only

Gender breakdown

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

How can I find a therapist in Omaha?

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.