Therapists in Mehlville, Saint Louis, MO

Photo of Multiple Therapists - Insightful Life Therapy Services, Clinical Social Work/Therapist
Insightful Life Therapy Services
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Mehlville, Saint Louis, MO 63129
Insightful Life Therapy Services has immediate openings at this point in time. We are a group of licensed, experienced therapists providing quality services in South County St. Louis. We offer therapy services for a variety of issues for children, teens, adults, and families. We also have group therapy beginning in October 2023.
Insightful Life Therapy Services has immediate openings at this point in time. We are a group of licensed, experienced therapists providing quality services in South County St. Louis. We offer therapy services for a variety of issues for children, teens, adults, and families. We also have group therapy beginning in October 2023.
(314) 970-5236 View (314) 970-5236
Photo of Andy Kerckhoff, MA, LPC-S, NCC, Counselor
Andy Kerckhoff
Counselor, MA, LPC-S, NCC
Verified Verified
1 Endorsed
Mehlville, Saint Louis, MO 63129
I help individuals with depression, anxiety, anger, addiction, trauma, grief, or shame. Many of my clients are in major life transitions. I help people become more aware of their emotional responses to stressors and to find better ways to manage their inner lives. I can help you become more empowered to make wiser decisions with a stronger sense of self, so you will be more satisfied with your life.
I help individuals with depression, anxiety, anger, addiction, trauma, grief, or shame. Many of my clients are in major life transitions. I help people become more aware of their emotional responses to stressors and to find better ways to manage their inner lives. I can help you become more empowered to make wiser decisions with a stronger sense of self, so you will be more satisfied with your life.
(636) 215-6600 View (636) 215-6600
Photo of Emily Seligson, MA, PLPC
Emily Seligson
MA, PLPC
Verified Verified
1 Endorsed
Mehlville, Saint Louis, MO 63129
Many of us long for genuine connection and safety in relation to ourselves and to others. Sometimes we want to better understand who we are and where we came from, but it can feel daunting to even know where to begin. Other times, we hope for tools and awareness that can enable us to feel more regulated, as we move forward through challenging moments. Whatever it is that brought you here today, Emily considers it an honor to walk alongside you. Through a fostering of safety and trust in the therapeutic relationship, she strives to create healthy settings for change, growth, and healing.
Many of us long for genuine connection and safety in relation to ourselves and to others. Sometimes we want to better understand who we are and where we came from, but it can feel daunting to even know where to begin. Other times, we hope for tools and awareness that can enable us to feel more regulated, as we move forward through challenging moments. Whatever it is that brought you here today, Emily considers it an honor to walk alongside you. Through a fostering of safety and trust in the therapeutic relationship, she strives to create healthy settings for change, growth, and healing.
(314) 635-9206 View (314) 635-9206
Photo of Stacy Peebles, Clinical Social Work/Therapist
Stacy Peebles
Clinical Social Work/Therapist
Verified Verified
Mehlville, Saint Louis, MO 63125  (Online Only)
I am an Emotional Wellness Practitioner with extensive experience providing services to adult women seeking support in navigating through life's challenges. My goal is to empower you to make positive and informed decisions that will lead to a sense of well-being and serenity. I take a holistic approach to health care. Our emotional well-being is at the center of living a healthy and fulfilled life. I focus on promoting a sense of self-love and empowering my clients to live the meaningful life that they deserve. I have over twenty years’ experience in assisting clients in developing a plan of action to meet their goals.
I am an Emotional Wellness Practitioner with extensive experience providing services to adult women seeking support in navigating through life's challenges. My goal is to empower you to make positive and informed decisions that will lead to a sense of well-being and serenity. I take a holistic approach to health care. Our emotional well-being is at the center of living a healthy and fulfilled life. I focus on promoting a sense of self-love and empowering my clients to live the meaningful life that they deserve. I have over twenty years’ experience in assisting clients in developing a plan of action to meet their goals.
(314) 350-4244 View (314) 350-4244
Photo of Mary Downey-Jones, Licensed Professional Counselor
Mary Downey-Jones
Licensed Professional Counselor
Verified Verified
Mehlville, Saint Louis, MO 63125  (Online Only)
I have been a Licensed Professional Counselor for over five years. I received my Bachelor of Science degree in Psychology from the Washington University and received Master’s degree in Guidance and Counseling from Missouri Baptist University. I have clinical skills experience in trauma informed residential care working with children, teens and families. I have worked with sexual abuse, physical abuse, depression, self-harm, anxiety, anger management, eating disorders and family trauma with individuals from diverse backgrounds.
I have been a Licensed Professional Counselor for over five years. I received my Bachelor of Science degree in Psychology from the Washington University and received Master’s degree in Guidance and Counseling from Missouri Baptist University. I have clinical skills experience in trauma informed residential care working with children, teens and families. I have worked with sexual abuse, physical abuse, depression, self-harm, anxiety, anger management, eating disorders and family trauma with individuals from diverse backgrounds.
(314) 876-0317 View (314) 876-0317
Photo of Holly Klostermann, LCSW, Clinical Social Work/Therapist
Holly Klostermann
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Mehlville, Saint Louis, MO 63125  (Online Only)
I am Holly Klostermann, licensed clinical social worker. I enjoy working with clients of all backgrounds including but not limited to anxiety, depression, and trauma.
I am Holly Klostermann, licensed clinical social worker. I enjoy working with clients of all backgrounds including but not limited to anxiety, depression, and trauma.
(636) 339-3988 View (636) 339-3988
Photo of Diana Dee-Williams, MA, LPC, Licensed Professional Counselor
Diana Dee-Williams
Licensed Professional Counselor, MA, LPC
Verified Verified
Mehlville, Saint Louis, MO 63125
Not accepting new clients
My name is Diana Dee-Williams, I am a Licensed professional counselor in the State of MO. My focus is to create a safe sense of comfort for clients to build rapport while helping them solve their life challenges. I am psychotherapist who believes in helping individuals explore their inner thoughts, feelings, behaviors behind their significant life challenges as well help him or her move toward Self-Achievement and Self-Growth. The goal is for the therapist and individuals to work together in maintaining stability with the intentional plan to work through those circumstances and reach a positive balance and purpose in life.
My name is Diana Dee-Williams, I am a Licensed professional counselor in the State of MO. My focus is to create a safe sense of comfort for clients to build rapport while helping them solve their life challenges. I am psychotherapist who believes in helping individuals explore their inner thoughts, feelings, behaviors behind their significant life challenges as well help him or her move toward Self-Achievement and Self-Growth. The goal is for the therapist and individuals to work together in maintaining stability with the intentional plan to work through those circumstances and reach a positive balance and purpose in life.
(314) 408-2838 View (314) 408-2838
Photo of Timothy Messer, Licensed Professional Counselor
Timothy Messer
Licensed Professional Counselor
Verified Verified
Mehlville, Saint Louis, MO 63125  (Online Only)
My outlook on therapy is the client / therapist relationship is the highest priority. Without a strong connection, the rest is not as effective. I work hard to meet clients where they are at, and think through what kind of goals they want to set and how to get there. I have been practicing since 2019, and have experience working with adults, adolescents, and families. I have worked a great deal with anxiety and depression, and learning how to cope with them and get back to living. Most of my background is using CBT and DBT, but I strive to use whatever tools are going to be most effective for each individual client.
My outlook on therapy is the client / therapist relationship is the highest priority. Without a strong connection, the rest is not as effective. I work hard to meet clients where they are at, and think through what kind of goals they want to set and how to get there. I have been practicing since 2019, and have experience working with adults, adolescents, and families. I have worked a great deal with anxiety and depression, and learning how to cope with them and get back to living. Most of my background is using CBT and DBT, but I strive to use whatever tools are going to be most effective for each individual client.
(314) 350-5492 View (314) 350-5492
Photo of Katie Lorenz, MEd, LPC, Licensed Professional Counselor
Katie Lorenz
Licensed Professional Counselor, MEd, LPC
Verified Verified
Mehlville, Saint Louis, MO 63129
Are you feeling overwhelmed? Weighed down by anxiety? Difficulties in relationships or tensions with your children? I can provide you with tools and teach you how to use them, which can help to provide a more satisfying life and to help you become a healthier individual. I am driven by a passion for improving the lives of others and work diligently to provide a custom approach to meet client’s needs. I want to help individuals discover their true identities and God-given gifts, potential, and purposes in life. My approach is to provide empathy and challenge and help clients move toward transformation to make necessary changes.
Are you feeling overwhelmed? Weighed down by anxiety? Difficulties in relationships or tensions with your children? I can provide you with tools and teach you how to use them, which can help to provide a more satisfying life and to help you become a healthier individual. I am driven by a passion for improving the lives of others and work diligently to provide a custom approach to meet client’s needs. I want to help individuals discover their true identities and God-given gifts, potential, and purposes in life. My approach is to provide empathy and challenge and help clients move toward transformation to make necessary changes.
(314) 907-1834 View (314) 907-1834
Photo of Devin Feeney, MA, LPC, Licensed Professional Counselor
Devin Feeney
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Mehlville, Saint Louis, MO 63129
In a world marked by brokenness, counseling provides space for us to confront our experiences with safety and support. Many things in life can throw us off balance. My goal is to help you navigate these challenges, fostering new ways of relating and flourishing. As a counselor, I aim to create an environment where you can find your footing, feel secure, and be embraced for who you truly are. I believe that genuine change occurs when we reconnect with ourselves and build safe, meaningful relationships with others. Whether you're experiencing joy or struggling, my commitment is to meet you exactly where you are.
In a world marked by brokenness, counseling provides space for us to confront our experiences with safety and support. Many things in life can throw us off balance. My goal is to help you navigate these challenges, fostering new ways of relating and flourishing. As a counselor, I aim to create an environment where you can find your footing, feel secure, and be embraced for who you truly are. I believe that genuine change occurs when we reconnect with ourselves and build safe, meaningful relationships with others. Whether you're experiencing joy or struggling, my commitment is to meet you exactly where you are.
(314) 897-3947 View (314) 897-3947
Photo of Amanda Woollard, MA, LPC, NCC, Licensed Professional Counselor
Amanda Woollard
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Mehlville, Saint Louis, MO 63129
Not accepting new clients
I am passionate about helping people and believe therapy is a collaborative process where we will work together to determine your goals and how to achieve them. Current or past issues may have you feeling discouraged or defeated about your ability to feel better. My goal is to create a safe environment that allows you to feel comfortable enough to engage fully in therapy so that I can help you achieve your full potential. Clients find themselves at ease working with me and are able to address what prompted them to seek therapy without fear of being judged or criticized.
I am passionate about helping people and believe therapy is a collaborative process where we will work together to determine your goals and how to achieve them. Current or past issues may have you feeling discouraged or defeated about your ability to feel better. My goal is to create a safe environment that allows you to feel comfortable enough to engage fully in therapy so that I can help you achieve your full potential. Clients find themselves at ease working with me and are able to address what prompted them to seek therapy without fear of being judged or criticized.
(314) 287-5397 View (314) 287-5397
Photo of Edward Donald Flynn, ABS, MA, LPC, NBCCH, DBTC, Licensed Professional Counselor
Edward Donald Flynn
Licensed Professional Counselor, ABS, MA, LPC, NBCCH, DBTC
Verified Verified
1 Endorsed
Mehlville, Saint Louis, MO 63129
I am a nationally certified DBT therapist. Dialectical Behavior Therapy is my orientation and specialty. My orientation and personal experiences have inspired me to work toward the treatment of clients struggling with childhood trauma, PTSD, anxiousness, distress tolerance, emotion regulation, relationship issues, LGBTQ concerns, NSSI(Self-Injury) and Borderline Personality Disorder.
I am a nationally certified DBT therapist. Dialectical Behavior Therapy is my orientation and specialty. My orientation and personal experiences have inspired me to work toward the treatment of clients struggling with childhood trauma, PTSD, anxiousness, distress tolerance, emotion regulation, relationship issues, LGBTQ concerns, NSSI(Self-Injury) and Borderline Personality Disorder.
(314) 254-9322 View (314) 254-9322
Photo of Carolyn Catchings, Licensed Professional Counselor
Carolyn Catchings
Licensed Professional Counselor
Verified Verified
Mehlville, Saint Louis, MO 63125  (Online Only)
With 9 years experience as a Licensed Professional Counselor (LPC) and Certified Rehabilitation Counselor (CRC ), I utilize evidence based therapies to help clients change maladaptive behaviors, heal from trauma, develop personal strengths and overcome barriers. I help clients learn cognitive restructuring and behavior modification techniques to release their personal power, making change operational in their everyday life. I address physical, mental, emotional & spiritual issues through a wellness paradigm vs. symptom treatment approach.
With 9 years experience as a Licensed Professional Counselor (LPC) and Certified Rehabilitation Counselor (CRC ), I utilize evidence based therapies to help clients change maladaptive behaviors, heal from trauma, develop personal strengths and overcome barriers. I help clients learn cognitive restructuring and behavior modification techniques to release their personal power, making change operational in their everyday life. I address physical, mental, emotional & spiritual issues through a wellness paradigm vs. symptom treatment approach.
(314) 804-2263 View (314) 804-2263
Photo of Taylor Jacks, MA, CIT, Pre-Licensed Professional
Taylor Jacks
Pre-Licensed Professional, MA, CIT
Verified Verified
2 Endorsed
Mehlville, Saint Louis, MO 63129
Life is the culmination of each moment, hard or beautiful, as it attempts to redefine our purposes, meanings, stories, and personhood. Unfortunately, it our most painful encounters that can leave us feeling confused, angry, and grieved. Whether you are dealing with struggles in the present, grappling with trials from your past, or just looking for a safe space to process and grow, you are more than the pain you have endured, and Healing. Is. Possible. If this story feels all too familiar for you, I understand, and I am glad you are here.
Life is the culmination of each moment, hard or beautiful, as it attempts to redefine our purposes, meanings, stories, and personhood. Unfortunately, it our most painful encounters that can leave us feeling confused, angry, and grieved. Whether you are dealing with struggles in the present, grappling with trials from your past, or just looking for a safe space to process and grow, you are more than the pain you have endured, and Healing. Is. Possible. If this story feels all too familiar for you, I understand, and I am glad you are here.
(314) 350-8131 View (314) 350-8131
Photo of Alexis Choppi, Licensed Professional Counselor
Alexis Choppi
Licensed Professional Counselor
Verified Verified
Mehlville, Saint Louis, MO 63125  (Online Only)
Alexis Choppi is a Licensed Professional Counselor. Alexis earned her Master of Arts in Clinical Mental Health Counseling from Northwestern University. Alexis is trained in Psychodynamic Therapy and Humanist approaches. She is driven to contribute to the betterment of mental health and wellness on a global scale. Alexis approaches her clients with genuine curiosity and aims to provide a safe space where compassion, respect, and presence lay the foundation for the counseling relationship and allow for growth.
Alexis Choppi is a Licensed Professional Counselor. Alexis earned her Master of Arts in Clinical Mental Health Counseling from Northwestern University. Alexis is trained in Psychodynamic Therapy and Humanist approaches. She is driven to contribute to the betterment of mental health and wellness on a global scale. Alexis approaches her clients with genuine curiosity and aims to provide a safe space where compassion, respect, and presence lay the foundation for the counseling relationship and allow for growth.
(314) 350-4255 View (314) 350-4255
Photo of Jack Barnett, Clinical Social Work/Therapist
Jack Barnett
Clinical Social Work/Therapist
Verified Verified
Mehlville, Saint Louis, MO 63125  (Online Only)
Sometimes our best efforts don't end up with the results we hoped for. We try to deal with problems in the best way we know how, but nothing seems to give us the relief we seek. It can seem that other people are in the way, that life is just too complex, or that there are forces working against us. I have had lot of success helping people sort through this labyrinth of solutions and I think I can help you, too. I have a Masters degree in counseling and have been a licensed counselor (LCSW) since 1990. I have assisted a wide range of women and men from all walks of life and have helped my clients with problems.
Sometimes our best efforts don't end up with the results we hoped for. We try to deal with problems in the best way we know how, but nothing seems to give us the relief we seek. It can seem that other people are in the way, that life is just too complex, or that there are forces working against us. I have had lot of success helping people sort through this labyrinth of solutions and I think I can help you, too. I have a Masters degree in counseling and have been a licensed counselor (LCSW) since 1990. I have assisted a wide range of women and men from all walks of life and have helped my clients with problems.
(417) 345-3343 View (417) 345-3343
Photo of Toni Autrey, Clinical Social Work/Therapist
Toni Autrey
Clinical Social Work/Therapist
Verified Verified
Mehlville, Saint Louis, MO 63125  (Online Only)
I am a Licensed Clinical Social Worker in the state of Missouri with 14 years experience working in the mental health field. I have been a Mental Health Therapist for the last 4 years and currently offer virtual sessions. I began my career assisting families in their homes. This exposure had a significant influence on how I address treatment. Through a Person-Centered Perspective, I see the treatment process as a partnership. I believe in order to bring about healing, there must be an atmosphere free from judgment, full of respect, encouragement and empathy. This is what I strive for. I borrow from several different treatment
I am a Licensed Clinical Social Worker in the state of Missouri with 14 years experience working in the mental health field. I have been a Mental Health Therapist for the last 4 years and currently offer virtual sessions. I began my career assisting families in their homes. This exposure had a significant influence on how I address treatment. Through a Person-Centered Perspective, I see the treatment process as a partnership. I believe in order to bring about healing, there must be an atmosphere free from judgment, full of respect, encouragement and empathy. This is what I strive for. I borrow from several different treatment
(866) 738-3081 View (866) 738-3081
Photo of Casey R Thompson - Coffee with Casey Counseling, MA, LPC, Counselor
Coffee with Casey Counseling
Counselor, MA, LPC
Verified Verified
Mehlville, Saint Louis, MO 63125
If you're tired of being stuck in an unsatisfying rut in this messy world-- your comeback story can start here. One cup at a time, we will use a holistic approach to help you become your best self. We can work together to help you live the abundant, rewarding life that is in store for you. Learn more at coffeewithcaseycounseling.com
If you're tired of being stuck in an unsatisfying rut in this messy world-- your comeback story can start here. One cup at a time, we will use a holistic approach to help you become your best self. We can work together to help you live the abundant, rewarding life that is in store for you. Learn more at coffeewithcaseycounseling.com
(314) 310-2951 View (314) 310-2951
Photo of Cathleen Burks, Licensed Professional Counselor
Cathleen Burks
Licensed Professional Counselor
Verified Verified
Mehlville, Saint Louis, MO 63125  (Online Only)
After working for many many years at a different jobs that left me feeling unfulfilled and insignificant I felt stuck in a depressive rut so I made the decision to make a life change in 2011, which is when I started pursuing my dream of becoming a counselor. I am now living my dream working with others in the pursuit of a life filled with joy, peace and happiness. I have been working in the mental health field for over 7 years serving both adults and adolescents and truly love what I do.
After working for many many years at a different jobs that left me feeling unfulfilled and insignificant I felt stuck in a depressive rut so I made the decision to make a life change in 2011, which is when I started pursuing my dream of becoming a counselor. I am now living my dream working with others in the pursuit of a life filled with joy, peace and happiness. I have been working in the mental health field for over 7 years serving both adults and adolescents and truly love what I do.
(417) 345-3292 View (417) 345-3292
Photo of Larry Townsley, Marriage & Family Therapist
Larry Townsley
Marriage & Family Therapist
Verified Verified
Mehlville, Saint Louis, MO 63125  (Online Only)
I am an experienced Marriage and Family Therapist working to provide those individuals, couples, and families with whom I am privileged to work the information, tools, and practical experience needed to live successfully. I believe very strongly that our feelings, when regarded, provide important information to help modify our thinking and behaviors. Whereas the "why" may elude us what we are experiencing is readily available to help us make better choices. I would not have continued in the profession if I had not believed in hope.
I am an experienced Marriage and Family Therapist working to provide those individuals, couples, and families with whom I am privileged to work the information, tools, and practical experience needed to live successfully. I believe very strongly that our feelings, when regarded, provide important information to help modify our thinking and behaviors. Whereas the "why" may elude us what we are experiencing is readily available to help us make better choices. I would not have continued in the profession if I had not believed in hope.
(417) 670-2137 View (417) 670-2137
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How does your Therapist compare?

Number of Therapists in Mehlville, Saint Louis, MO

40+

Average cost per session

$85

Therapists in Mehlville, Saint Louis, MO who prioritize treating:

96% Anxiety
89% Depression
68% Stress
66% Trauma and PTSD
66% Family Conflict
64% Relationship Issues
64% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

94% Cigna and Evernorth
91% Aetna
85% UnitedHealthcare UHC | UBH

How Therapists in Mehlville, Saint Louis, MO see their clients

54% In Person and Online
46% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Mehlville, Saint Louis?

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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