Photo of Carley D Starling Psyd, LP, Psychologist
Carley D Starling Psyd
Psychologist, LP
Verified Verified
Hastings, NE 68901
I enjoy working with children and families who are having difficulty due to challenging behavior. Every individual and family deserves an opportunity to tell their story and work with a provider in order to make life better; I am the person who will listen to your story and then work on a plan to make life better. Not only do I provide the services of assessment, diagnosis, and treatment plans, but I will continue to assist your entire family until my services are no longer needed.
I enjoy working with children and families who are having difficulty due to challenging behavior. Every individual and family deserves an opportunity to tell their story and work with a provider in order to make life better; I am the person who will listen to your story and then work on a plan to make life better. Not only do I provide the services of assessment, diagnosis, and treatment plans, but I will continue to assist your entire family until my services are no longer needed.
(308) 646-6657 View (308) 646-6657
Photo of Michael Keegan, MC, LPC, SEP, Counselor
Michael Keegan
Counselor, MC, LPC, SEP
Verified Verified
2 Endorsed
Hastings, NE 68901  (Online Only)
You work hard. You do your best. Yet you are still struggling to find happiness, peace, and meaning in your life. It's not your fault (really, it's not), but there are somethings you can do to make it better. There are ways to reduce your anxiety and depression, and to feel happy again. You can have meaningful relationships, an enjoyable worklife, and have fun again. You can be the person you want to be.
You work hard. You do your best. Yet you are still struggling to find happiness, peace, and meaning in your life. It's not your fault (really, it's not), but there are somethings you can do to make it better. There are ways to reduce your anxiety and depression, and to feel happy again. You can have meaningful relationships, an enjoyable worklife, and have fun again. You can be the person you want to be.
(623) 326-4681 View (623) 326-4681
Photo of Dr. Beth L Reiners, PsyD, Psychologist
Dr. Beth L Reiners
Psychologist, PsyD
Verified Verified
Hastings, NE 68901
As a licensed Clinical Psychologist, my goal is to help you achieve your overall health goals. I specialize in working with women, focusing on anxiety, depressive disorders, and considering the whole person. I also do advanced clinical coaching if needed to work towards overall health and goal attainment. My approach is tailored to your specific needs, using primarily the Internal Family Systems model and considering attachment wound tendencies. I am a Christian Psychologist that can consider your faith needs. I do not take emergency clients needing hospital services. In-person sessions are available after an initial consultation.
As a licensed Clinical Psychologist, my goal is to help you achieve your overall health goals. I specialize in working with women, focusing on anxiety, depressive disorders, and considering the whole person. I also do advanced clinical coaching if needed to work towards overall health and goal attainment. My approach is tailored to your specific needs, using primarily the Internal Family Systems model and considering attachment wound tendencies. I am a Christian Psychologist that can consider your faith needs. I do not take emergency clients needing hospital services. In-person sessions are available after an initial consultation.
(402) 796-6310 View (402) 796-6310
Photo of Dr. Eve Rosno, PhD, Psychologist
Dr. Eve Rosno
Psychologist, PhD
Verified Verified
Hastings, NE 68901
Curiosity leads to compassion. I believe that helping you become more curious rather than critical about yourself and others is the beginning of tremendous growth, healing, and discovering your greatest purpose and potential. When you can see the past from a new perspective, you can let go of the hurt and heal the wounds that hold you back.
Curiosity leads to compassion. I believe that helping you become more curious rather than critical about yourself and others is the beginning of tremendous growth, healing, and discovering your greatest purpose and potential. When you can see the past from a new perspective, you can let go of the hurt and heal the wounds that hold you back.
(402) 921-4570 View (402) 921-4570
Photo of Barb Fischer, LIMHP, LADC, Licensed Professional Counselor
Barb Fischer
Licensed Professional Counselor, LIMHP, LADC
Verified Verified
Hastings, NE 68901
Not accepting new clients
Are you struggling with depression, feeling stressed out and anxious, or grieving a loss? Are you feeling alone in your struggle or that you have no one who can give you their unbiased opinion? Do you often wonder how you can possibly improve your satisfaction with life? I can help you cope with unwanted thoughts and behaviors in order to get to a more positive and healthy place. Feel free to reach out today with any questions you may have. I would love to help you on this journey and look forward to speaking to you soon.
Are you struggling with depression, feeling stressed out and anxious, or grieving a loss? Are you feeling alone in your struggle or that you have no one who can give you their unbiased opinion? Do you often wonder how you can possibly improve your satisfaction with life? I can help you cope with unwanted thoughts and behaviors in order to get to a more positive and healthy place. Feel free to reach out today with any questions you may have. I would love to help you on this journey and look forward to speaking to you soon.
(402) 674-4259 View (402) 674-4259
Photo of Darnice B Nyce, MS, LIMHP, LMHP, Counselor
Darnice B Nyce
Counselor, MS, LIMHP, LMHP
Verified Verified
1 Endorsed
Hastings, NE 68901
As we all navigate life amidst Covid-19., above all take care of yourself and hold faith for continual care and certainty. Based on the recommendations of the CDC, I hold no gatherings of 10 or more, typically one or two only. My office is sanitized after each session. I offer a secure telehealth option as well. Please ask about this option when you reach out. I strive to create an emotionally safe environment to empower each person toward finding creative solutions. Through the years I have learned a wide range of therapies so as to create an integrative approach to problems.
As we all navigate life amidst Covid-19., above all take care of yourself and hold faith for continual care and certainty. Based on the recommendations of the CDC, I hold no gatherings of 10 or more, typically one or two only. My office is sanitized after each session. I offer a secure telehealth option as well. Please ask about this option when you reach out. I strive to create an emotionally safe environment to empower each person toward finding creative solutions. Through the years I have learned a wide range of therapies so as to create an integrative approach to problems.
(402) 509-8539 View (402) 509-8539
Photo of Maria T Kerkman, MSW, PCMSW, PLMHP, Clinical Social Work/Therapist
Maria T Kerkman
Clinical Social Work/Therapist, MSW, PCMSW, PLMHP
Verified Verified
1 Endorsed
Hastings, NE 68901
Life is constantly changing, and sometimes change is difficult to accept; stress, anxiety, and depression are part of our lives; taking care of our mental health is the key to enjoy life and bein the best we can. I can provide therapy in English or Spanish this helps to break the language barrier and help with life changes through therapy. La vida siempre esta cambiando, los cambios son dificiles de aceptar, el estress, la anciedad, depresion son parte de nuestas vidas, para poder disfrutar una vida plena es importante tener salud mental. El idioma no es una barrera ya que hablo espanol.
Life is constantly changing, and sometimes change is difficult to accept; stress, anxiety, and depression are part of our lives; taking care of our mental health is the key to enjoy life and bein the best we can. I can provide therapy in English or Spanish this helps to break the language barrier and help with life changes through therapy. La vida siempre esta cambiando, los cambios son dificiles de aceptar, el estress, la anciedad, depresion son parte de nuestas vidas, para poder disfrutar una vida plena es importante tener salud mental. El idioma no es una barrera ya que hablo espanol.
(402) 588-5840 View (402) 588-5840
Photo of Shari L Schnuelle - Shari L. Schnuelle Professional Counseling Svcs., LIMHP, LPC, Counselor
Shari L. Schnuelle Professional Counseling Svcs.
Counselor, LIMHP, LPC
Verified Verified
2 Endorsed
Hastings, NE 68901
Do you have the sense that something is missing from your life? Almost as though everyone else got the handbook but somehow you missed out? Do you feel stuck and yearn to create a life you LOVE? I help clients heal deeply, foster posttraumatic growth, and flourish to design the life they long for. If you are looking to transform your life, you want a creative, highly trained, experienced, deeply compassionate therapist to help: contact me! Your past doesn't have to define you; you can heal, move forward with your life, and THRIVE
Do you have the sense that something is missing from your life? Almost as though everyone else got the handbook but somehow you missed out? Do you feel stuck and yearn to create a life you LOVE? I help clients heal deeply, foster posttraumatic growth, and flourish to design the life they long for. If you are looking to transform your life, you want a creative, highly trained, experienced, deeply compassionate therapist to help: contact me! Your past doesn't have to define you; you can heal, move forward with your life, and THRIVE
(308) 536-4063 View (308) 536-4063
Photo of Dr. Sarah Griess, PsyD, LP, Psychologist
Dr. Sarah Griess
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Hastings, NE 68901
Waitlist for new clients
I work with individuals and couples expressing a range of mental health needs, from depression and anxiety, to trauma, healthy relationships, and general self-development. I believe that building the therapeutic relationship helps to create a space where you can share your story while experimenting with new perspectives and behaviors while working toward a new understanding of yourself and a healthier sense of well-being. It is important to me to understand a person on a holistic level, including various identities that an individual may hold, life influences and experiences, multicultural factors, and one's own values and beliefs.
I work with individuals and couples expressing a range of mental health needs, from depression and anxiety, to trauma, healthy relationships, and general self-development. I believe that building the therapeutic relationship helps to create a space where you can share your story while experimenting with new perspectives and behaviors while working toward a new understanding of yourself and a healthier sense of well-being. It is important to me to understand a person on a holistic level, including various identities that an individual may hold, life influences and experiences, multicultural factors, and one's own values and beliefs.
(308) 210-4297 View (308) 210-4297
Photo of Lindsey R Wright, MSEd, LIMHP, NCC, CPC, Counselor
Lindsey R Wright
Counselor, MSEd, LIMHP, NCC, CPC
Verified Verified
Hastings, NE 68901
Isn't it time to take care of you? Counseling can help navigate life's difficult times and assist individuals in reaching their greatest potential. It is my passion to assist clients in achieving wellness in all areas of life. Having worked in the mental health field for 15 years, I am experienced in working with clients ages 19 and older. I specialize in anxiety, depression, and stress management, and I have worked with individuals experiencing a wide range of other mental health conditions.
Isn't it time to take care of you? Counseling can help navigate life's difficult times and assist individuals in reaching their greatest potential. It is my passion to assist clients in achieving wellness in all areas of life. Having worked in the mental health field for 15 years, I am experienced in working with clients ages 19 and older. I specialize in anxiety, depression, and stress management, and I have worked with individuals experiencing a wide range of other mental health conditions.
(308) 280-8759 View (308) 280-8759
Photo of Christopher Allen Partin - Christopher partin counseling, LIMHP, LICSW, PLADC, Clinical Social Work/Therapist
Christopher partin counseling
Clinical Social Work/Therapist, LIMHP, LICSW, PLADC
Verified Verified
1 Endorsed
Hastings, NE 68901
My name is Christopher Partin. I am a Licensed Independent Mental Health Practitioner. My practice is a practice that focuses on helping you find solutions and resolution to the problems that are causing issues in your life. I work with adolescents, families, couples, individuals, and veterans. Thank you for reading
My name is Christopher Partin. I am a Licensed Independent Mental Health Practitioner. My practice is a practice that focuses on helping you find solutions and resolution to the problems that are causing issues in your life. I work with adolescents, families, couples, individuals, and veterans. Thank you for reading
(308) 280-8407 View (308) 280-8407
Photo of Renee Duffek, Counselor
Renee Duffek
Counselor
Verified Verified
Hastings, NE 68901  (Online Only)
Are you ready to resolve uncomfortable emotions and become content in life? I am excited to learn about those whom I work with, and I truly enjoy empowering individuals while also learning from them. Life can be a struggle at times. I advocate hope for those who come into therapy, whom I believe are courageous. My therapeutic process is a non-judgmental approach combined with compassion. My philosophy is to challenge individuals to increase self-confidence to successfully navigate their lives.
Are you ready to resolve uncomfortable emotions and become content in life? I am excited to learn about those whom I work with, and I truly enjoy empowering individuals while also learning from them. Life can be a struggle at times. I advocate hope for those who come into therapy, whom I believe are courageous. My therapeutic process is a non-judgmental approach combined with compassion. My philosophy is to challenge individuals to increase self-confidence to successfully navigate their lives.
(402) 581-9127 View (402) 581-9127
Photo of Lisa Barnes, LICSW, Clinical Social Work/Therapist
Lisa Barnes
Clinical Social Work/Therapist, LICSW
Verified Verified
Hastings, NE 68901
Hello. My name is Lisa Barnes. I am a Licensed Clinical Social Worker and Licensed Independent Mental Health Practitioner. I have 21 years of experience providing mental health services. I'm excited to have started my private practice, Fall Forward LLC, in 2020. My focus is to help guide my clients through the process of healing with the use of acceptance, mindfulness, values clarification and a loving and compassionate stance.
Hello. My name is Lisa Barnes. I am a Licensed Clinical Social Worker and Licensed Independent Mental Health Practitioner. I have 21 years of experience providing mental health services. I'm excited to have started my private practice, Fall Forward LLC, in 2020. My focus is to help guide my clients through the process of healing with the use of acceptance, mindfulness, values clarification and a loving and compassionate stance.
(308) 303-3091 View (308) 303-3091
Photo of Integrated Behavioral Health Of Fch - Integrated Behavioral Health Services of FCH, LIMHP, APRN, LCSW, Counselor
Integrated Behavioral Health Services of FCH
Counselor, LIMHP, APRN, LCSW
Verified Verified
Hastings, NE 68901
We know how difficult it can be to find quality, evidence-based, and integrated mental health therapy. Fillmore County Hospital has had the privilege to be a regional leader in providing such mental health care since 2011. We are passionate about helping people by assessing and treating a variety of conditions including depression, anxiety, severe/persistent mental illness, grief, trauma, eating disorders, relationship problems, family conflicts, and many other life stressors. We treat diverse individuals across the entire lifespan from 0-100+ years of age!
We know how difficult it can be to find quality, evidence-based, and integrated mental health therapy. Fillmore County Hospital has had the privilege to be a regional leader in providing such mental health care since 2011. We are passionate about helping people by assessing and treating a variety of conditions including depression, anxiety, severe/persistent mental illness, grief, trauma, eating disorders, relationship problems, family conflicts, and many other life stressors. We treat diverse individuals across the entire lifespan from 0-100+ years of age!
(402) 876-6423 View (402) 876-6423
Photo of Shannon Peterson, NE-LCSW, IA-LISW, Counselor
Shannon Peterson
Counselor, NE-LCSW, IA-LISW
Verified Verified
1 Endorsed
Hastings, NE 68901  (Online Only)
I am currently accepting clients. Are you struggling with family, friends or significant other relationships? Does it seem like you end up in the same place again? Or maybe you feel stuck, you've lost your oomph, or life is on repeat. Maybe you feel alone and that no one has your back. Somewhere along the way you lost who you were. We're so busy with making others happy or trying to get everything done, it doesn't seem like there's anything else left in the end. If you are dealing with shame, substance use, toxic families and relationships, mental or emotional abuse, anxiety, depression, burnout or stress-please reach out.
I am currently accepting clients. Are you struggling with family, friends or significant other relationships? Does it seem like you end up in the same place again? Or maybe you feel stuck, you've lost your oomph, or life is on repeat. Maybe you feel alone and that no one has your back. Somewhere along the way you lost who you were. We're so busy with making others happy or trying to get everything done, it doesn't seem like there's anything else left in the end. If you are dealing with shame, substance use, toxic families and relationships, mental or emotional abuse, anxiety, depression, burnout or stress-please reach out.
(515) 417-2704 View (515) 417-2704
Photo of Emiliana Blanco, Counselor
Emiliana Blanco
Counselor
Verified Verified
Hastings, NE 68901  (Online Only)
I am a bilingual clinician who speaks Spanish as well as English. I have spent a good amount of time working with individuals in the Latine/Chicane community in Nebraska for individual therapy, couples' therapy, and in non-clinical advocacy roles. When not in office, I run a Latine LGBTQIA2S+ support group and provide education and consultation to clinicians and nonprofits with regards to gender-affirming healthcare and community resources.
I am a bilingual clinician who speaks Spanish as well as English. I have spent a good amount of time working with individuals in the Latine/Chicane community in Nebraska for individual therapy, couples' therapy, and in non-clinical advocacy roles. When not in office, I run a Latine LGBTQIA2S+ support group and provide education and consultation to clinicians and nonprofits with regards to gender-affirming healthcare and community resources.
(402) 576-0534 View (402) 576-0534
Photo of Michaela Mastny, LICSW, LIMHP, Counselor
Michaela Mastny
Counselor, LICSW, LIMHP
Verified Verified
2 Endorsed
Hastings, NE 68901  (Online Only)
Do you feel that there is something that is holding you back from living the life you want to live? That you are stuck in a place and either anxiety, depression, or apathy won’t allow you to live the life you want? Whether it’s a small or big challenge you are facing, the health of your inner self is important and you deserve a safe place to heal. I can offer you a space where you will feel comfortable and can find relief from the heaviness of everyday life. I’ll work with you on discovering what is making you feel this way and help you along your journey of personal growth.
Do you feel that there is something that is holding you back from living the life you want to live? That you are stuck in a place and either anxiety, depression, or apathy won’t allow you to live the life you want? Whether it’s a small or big challenge you are facing, the health of your inner self is important and you deserve a safe place to heal. I can offer you a space where you will feel comfortable and can find relief from the heaviness of everyday life. I’ll work with you on discovering what is making you feel this way and help you along your journey of personal growth.
(531) 208-1432 View (531) 208-1432
Photo of Jen Myers, MAEd, LMHP, CPC, Counselor
Jen Myers
Counselor, MAEd, LMHP, CPC
Verified Verified
Hastings, NE 68901
Jen specializes in working with adolescents and women who struggle with anxiety, depression, low self-esteem, difficulty managing emotions or tolerating distress, and who are experiencing difficult life transitions. She offers a warm, empathetic approach to therapy and holds to the highest standards of confidentiality. Jen uses an eclectic approach with her clients intertwining Person-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and Mindfulness Self-Compassion. She is passionate about creating a safe environment in which personal growth is fostered.
Jen specializes in working with adolescents and women who struggle with anxiety, depression, low self-esteem, difficulty managing emotions or tolerating distress, and who are experiencing difficult life transitions. She offers a warm, empathetic approach to therapy and holds to the highest standards of confidentiality. Jen uses an eclectic approach with her clients intertwining Person-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and Mindfulness Self-Compassion. She is passionate about creating a safe environment in which personal growth is fostered.
(308) 455-4326 View (308) 455-4326
Photo of Sarah Spellbrink, MS, LIMHP, Counselor
Sarah Spellbrink
Counselor, MS, LIMHP
Verified Verified
Hastings, NE 68901
I am a licensed mental health practitioner in private practice and work with individuals, couples, and families. I engage in counseling with adolescents and adults struggling with a variety of concerns including the effects of trauma, anxiety, depression, eating disorders, relationship issues, grief/loss, and family/marital conflict. I specialize in helping those who have been impacted by trauma to process the thoughts and feelings related to their past experiences and develop a positive sense of self, meaningful relationships in the present, and hope for their future.
I am a licensed mental health practitioner in private practice and work with individuals, couples, and families. I engage in counseling with adolescents and adults struggling with a variety of concerns including the effects of trauma, anxiety, depression, eating disorders, relationship issues, grief/loss, and family/marital conflict. I specialize in helping those who have been impacted by trauma to process the thoughts and feelings related to their past experiences and develop a positive sense of self, meaningful relationships in the present, and hope for their future.
(308) 210-7431 View (308) 210-7431
Photo of Courtney K Miller - Immaculate Heart of Mary Counseling Center (IHMCC), PhD, Psychologist
Immaculate Heart of Mary Counseling Center (IHMCC)
Psychologist, PhD
Verified Verified
Hastings, NE 68901
Waitlist for new clients
Welcome! My name is Dr. Courtney K. Miller and I am the Director of Clinical Services at the Immaculate Heart of Mary Counseling Center (IHMCC). We at IHMCC want to support anyone who may be experiencing difficulties in their day to day life. Sometimes individuals may need a supportive environment to refine what they are doing; sometimes individuals need longer, more intensive therapy to address and heal past wounds. It can be difficult sometimes to know what to do, how to do it or who to ask. We are here to help.
Welcome! My name is Dr. Courtney K. Miller and I am the Director of Clinical Services at the Immaculate Heart of Mary Counseling Center (IHMCC). We at IHMCC want to support anyone who may be experiencing difficulties in their day to day life. Sometimes individuals may need a supportive environment to refine what they are doing; sometimes individuals need longer, more intensive therapy to address and heal past wounds. It can be difficult sometimes to know what to do, how to do it or who to ask. We are here to help.
(531) 300-0902 View (531) 300-0902
1

How does your Therapist compare?

Number of Therapists in 68901

20+

Average cost per session

$150

Therapists in 68901 who prioritize treating:

100% Anxiety
96% Depression
85% Trauma and PTSD
81% Coping Skills
77% Self Esteem
73% Relationship Issues
73% Grief

Average years in practice

16 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
91% UnitedHealthcare UHC | UBH
77% Aetna

How Therapists in 68901 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 68901?

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.

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