Therapists in Mount Pleasant, SC
Tiffany Reese- Grief And Growth
Licensed Professional Counselor Associate, LPC-A
Verified Verified
3 Endorsed
Mount Pleasant, SC 29464
We put a mask on to get through the day and even though we hope for someone to see behind it, there's a fear of feeling like a burden if they did. You may have heard people say, "I don't know how you do it", but in your mind you're wishing someone would tell you that you didn't have to. You may be used to showing up for others and holding it all together. There are moments in life that can feel overwhelming, exhausting, and even defeating. Whether you are grieving a loss; navigating an experience with cancer/illness; feeling stuck in the grasp of anxiety and/or depression; at a crossroads in your life, I welcome you to pause here.
We put a mask on to get through the day and even though we hope for someone to see behind it, there's a fear of feeling like a burden if they did. You may have heard people say, "I don't know how you do it", but in your mind you're wishing someone would tell you that you didn't have to. You may be used to showing up for others and holding it all together. There are moments in life that can feel overwhelming, exhausting, and even defeating. Whether you are grieving a loss; navigating an experience with cancer/illness; feeling stuck in the grasp of anxiety and/or depression; at a crossroads in your life, I welcome you to pause here.
Susan Jillson
Clinical Social Work/Therapist, LISW-SP
Verified Verified
Mount Pleasant, SC 29464
Susan Jillson is a Licensed Independent Clinical Social Worker (LICSW) who has 7 years of experience in the mental health field. Susan has always had a passion for serving others and decided to return to school after having children of her own to pursue a Master of Social Work (MSW). After graduating from Fordham University, she became a counselor in a residential program where she worked with clients who were struggling with a myriad of mental health issues such as depression, anxiety, post-traumatic stress disorder (PTSD), and substance abuse.
Susan Jillson is a Licensed Independent Clinical Social Worker (LICSW) who has 7 years of experience in the mental health field. Susan has always had a passion for serving others and decided to return to school after having children of her own to pursue a Master of Social Work (MSW). After graduating from Fordham University, she became a counselor in a residential program where she worked with clients who were struggling with a myriad of mental health issues such as depression, anxiety, post-traumatic stress disorder (PTSD), and substance abuse.
Nicola Boyd
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
Mount Pleasant, SC 29466
As a Marriage and Family Therapist, I am dedicated to working with children, adults, couples, and families. I have a Master of Arts (M.A.) in counseling psychology from the Wright Institute, Berkeley, California, where I gained solid education and professional training to work using a range of therapeutic approaches.
As a Marriage and Family Therapist, I am dedicated to working with children, adults, couples, and families. I have a Master of Arts (M.A.) in counseling psychology from the Wright Institute, Berkeley, California, where I gained solid education and professional training to work using a range of therapeutic approaches.
Allison M. Humplik
Clinical Social Work/Therapist, MSW, LISW-CP, S
Verified Verified
1 Endorsed
Mount Pleasant, SC 29466
Wellness. Intentions. Nurture. Growth. Success. These are concepts we will address together to give you, or a loved one the support you need for real change. Treating the whole person, whether you are a family struggling with relationships, a child or young adult trying to find your way in life, or simply ready to change negative thought patterns, we can begin together. In your first session, you can expect us to explore setting one’s own intentions, a path to achieve those goals, what personal growth may look like for YOU and how to realize true fulfillment.
Wellness. Intentions. Nurture. Growth. Success. These are concepts we will address together to give you, or a loved one the support you need for real change. Treating the whole person, whether you are a family struggling with relationships, a child or young adult trying to find your way in life, or simply ready to change negative thought patterns, we can begin together. In your first session, you can expect us to explore setting one’s own intentions, a path to achieve those goals, what personal growth may look like for YOU and how to realize true fulfillment.
Adult ADHD & Relationship Success George Goldston
Marriage & Family Therapist, LMFT
Verified Verified
Mount Pleasant, SC 29464 (Online Only)
You can never seem to get on track. You’ve tried everything you can think of, from ideas from YouTube to suggestions from other people. The message you’re getting through life is to try harder. And just trying harder never seems to work. Whether you have ADHD or some of the traits attributed to it, trying harder isn’t going to work. What the well-meaning people who try to help don’t know is that you need to try something different. Each time you lose your keys, forget to turn off the stove, or get sidetracked and lose track of time, you roll your eyes at yourself. Not again!
You can never seem to get on track. You’ve tried everything you can think of, from ideas from YouTube to suggestions from other people. The message you’re getting through life is to try harder. And just trying harder never seems to work. Whether you have ADHD or some of the traits attributed to it, trying harder isn’t going to work. What the well-meaning people who try to help don’t know is that you need to try something different. Each time you lose your keys, forget to turn off the stove, or get sidetracked and lose track of time, you roll your eyes at yourself. Not again!
Stacy L Albarran
Marriage & Family Therapist, LISW-CP, LPCS, LMFTS
Verified Verified
Mount Pleasant, SC 29466 (Online Only)
Hi, I'm Stacy. Are you ready to get out of your head and create a life that you are excited to wake up for? Constantly overthinking, leads to feeling stressed and being less productive. You may be wondering, is this anxiety, adult ADHD, or stuff from my childhood I haven't really talked about? You are not alone, let me help you figure it out. I specialize in helping others engage in new ways of thinking about themselves, along with using new skills which leads to reducing anxiety, depression and overwhelm. Imagine having more focus, less stress and more joy. Isn't it time to stop the negative self-talk and claim your worth?
Hi, I'm Stacy. Are you ready to get out of your head and create a life that you are excited to wake up for? Constantly overthinking, leads to feeling stressed and being less productive. You may be wondering, is this anxiety, adult ADHD, or stuff from my childhood I haven't really talked about? You are not alone, let me help you figure it out. I specialize in helping others engage in new ways of thinking about themselves, along with using new skills which leads to reducing anxiety, depression and overwhelm. Imagine having more focus, less stress and more joy. Isn't it time to stop the negative self-talk and claim your worth?
Kayla Marie King
Licensed Professional Counselor Associate, M Ed, LPC-A
Verified Verified
1 Endorsed
Mount Pleasant, SC 29464
One of my greatest joys as a Licensed Professional Counselor Associate is having the privilege of offering support, empathy, and compassion, as someone discovers healing and happiness. The therapeutic relationship should be validating, comforting, exciting, and powerful! I strive to use a holistic approach so that we can meet your specific needs. It is my hope that in working together, we can celebrate your resilience and successes every step of the way. I offer support for various concerns, such as anxiety, trauma, substance use, eating disorders, sexual concerns, and adjustment issues.
One of my greatest joys as a Licensed Professional Counselor Associate is having the privilege of offering support, empathy, and compassion, as someone discovers healing and happiness. The therapeutic relationship should be validating, comforting, exciting, and powerful! I strive to use a holistic approach so that we can meet your specific needs. It is my hope that in working together, we can celebrate your resilience and successes every step of the way. I offer support for various concerns, such as anxiety, trauma, substance use, eating disorders, sexual concerns, and adjustment issues.
Todd Steiner Counseling Services, MA, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Mount Pleasant, SC 29464
I have been a therapist and counselor for over 15 years. I work with people who have a DEEP desire for change in relationship to why they are coming in for counseling.
I specialize in helping people work through their personal issues such as; marriage problems, depression, anxiety, ADD, ADHD, mood disorders, sexual issues, communication issues, career/life coaching, parenting coaching, dysfunctional relationships, or any other behavior problems that are interfering with a normal or higher quality of life.
I have been a therapist and counselor for over 15 years. I work with people who have a DEEP desire for change in relationship to why they are coming in for counseling.
I specialize in helping people work through their personal issues such as; marriage problems, depression, anxiety, ADD, ADHD, mood disorders, sexual issues, communication issues, career/life coaching, parenting coaching, dysfunctional relationships, or any other behavior problems that are interfering with a normal or higher quality of life.
Cindy Boatwright
Licensed Professional Counselor, MA, MEd, LPC, NBCC
Verified Verified
Mount Pleasant, SC 29466 (Online Only)
You've started looking for a therapist because something is getting in the way of your leading the life you want: worsening anxiety, a life event, feeling down, stuck or unhappy. My specialty is individualized counseling based on the personality, needs and goals of my patients. I don't judge. I will be your biggest cheerleader to help you over whatever hurdles are in your way. Everyone wants to lead life to the fullest, and we should feel worthy of that life. All too often I hear patients say, "I don't deserve.." or "I'm not good enough." We get trapped in comparing ourselves to others and hearing past messages of discouragement.
You've started looking for a therapist because something is getting in the way of your leading the life you want: worsening anxiety, a life event, feeling down, stuck or unhappy. My specialty is individualized counseling based on the personality, needs and goals of my patients. I don't judge. I will be your biggest cheerleader to help you over whatever hurdles are in your way. Everyone wants to lead life to the fullest, and we should feel worthy of that life. All too often I hear patients say, "I don't deserve.." or "I'm not good enough." We get trapped in comparing ourselves to others and hearing past messages of discouragement.
Kerry Wischusen
Licensed Professional Counselor Associate, MA, LPCA
Verified Verified
Mount Pleasant, SC 29464
Don't worry, it's not just you. Life is really challenging! If you find yourself moving through life on autopilot or reacting in ways that are not aligned with the type of person you want to be, professionals at Sweetgrass Psychiatry can help. We are dedicated to providing a person-first experience of mental healthcare, where your needs as an individual are prioritized in a compassionate environment.
Don't worry, it's not just you. Life is really challenging! If you find yourself moving through life on autopilot or reacting in ways that are not aligned with the type of person you want to be, professionals at Sweetgrass Psychiatry can help. We are dedicated to providing a person-first experience of mental healthcare, where your needs as an individual are prioritized in a compassionate environment.
Meg Williams Humphrey
Licensed Psycho-Educational Specialist, EdS, LPES, NCSP
Verified Verified
Mount Pleasant, SC 29464
Meg W. Humphrey is a Licensed Psychoeducational Specialist who is certified by the SC Board of Education as a School Psychologist II and by The National Association of School Psychologists as a Nationally Certified School Psychologist. Meg completed her undergraduate work at the College of Charleston and received a Bachelor of Science degree in Psychology. She obtained a Master's degree and a Specialist degree in School Psychology from The Citadel. Meg has extensive experience working in the diverse settings of inner city schools, magnet schools, private schools, and private practice.
Meg W. Humphrey is a Licensed Psychoeducational Specialist who is certified by the SC Board of Education as a School Psychologist II and by The National Association of School Psychologists as a Nationally Certified School Psychologist. Meg completed her undergraduate work at the College of Charleston and received a Bachelor of Science degree in Psychology. She obtained a Master's degree and a Specialist degree in School Psychology from The Citadel. Meg has extensive experience working in the diverse settings of inner city schools, magnet schools, private schools, and private practice.
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MA, NCC
Not Verified Not Verified
Mount Pleasant, SC 29464
You are a BADASS - let's settle that now. You probably look like (on instagram) like you have your life together, but inside have a shaky sense of self, low self-esteem, and maybe some problems in relationships? Maybe you don’t feel like you’re doing “enough” and that you are comparing yourself to the curated lives of others (been here, too). You have looked inward and decided it’s time to put YOU first and create the life you want to have. With the right therapist (me?), you can and WILL have a life that you are excited about, deal with those internal struggles, and be your unashamed, authentic you. If this is you, let's talk.
You are a BADASS - let's settle that now. You probably look like (on instagram) like you have your life together, but inside have a shaky sense of self, low self-esteem, and maybe some problems in relationships? Maybe you don’t feel like you’re doing “enough” and that you are comparing yourself to the curated lives of others (been here, too). You have looked inward and decided it’s time to put YOU first and create the life you want to have. With the right therapist (me?), you can and WILL have a life that you are excited about, deal with those internal struggles, and be your unashamed, authentic you. If this is you, let's talk.
Stephanie Sams
Licensed Professional Counselor Associate, MA, LPCA
Verified Verified
Mount Pleasant, SC 29464
Many times we find ourselves off balance in our lives. Chronic illness, anxiety, depression, and life changes can knock our worlds upside-down and have us feeling out of control. My clients seek help putting their lives back in balance. If chronic illness is a factor, we need to have a safe space to grieve our old selves, the space to be angry at circumstances, and the space to be mindful and rebuild our new normal. It is hard to cope with the idea that your whole life can change in an instant by a medical diagnosis. It is important that clients realize they don't have to go through this alone.
Many times we find ourselves off balance in our lives. Chronic illness, anxiety, depression, and life changes can knock our worlds upside-down and have us feeling out of control. My clients seek help putting their lives back in balance. If chronic illness is a factor, we need to have a safe space to grieve our old selves, the space to be angry at circumstances, and the space to be mindful and rebuild our new normal. It is hard to cope with the idea that your whole life can change in an instant by a medical diagnosis. It is important that clients realize they don't have to go through this alone.
Integrative Therapy, Inc.
Psychologist, PsyD, ABPP
Verified Verified
3 Endorsed
Mount Pleasant, SC 29466 (Online Only)
I founded Integrative Therapy, Inc. to provide healing through the integration of counseling, consulting, or coaching throughout the United States and internationally. As a therapy practice, every patient will have the opportunity to increase their wellness and mental health to the level of their satisfaction. As a training practice, every therapist is in constant training to increase competencies in our specialties: trauma, early childhood, adolescents, individual, family, and couples. If, you're interested then, feel free to review our therapists and reach out at our email or office line. We look forward to connecting with you!
I founded Integrative Therapy, Inc. to provide healing through the integration of counseling, consulting, or coaching throughout the United States and internationally. As a therapy practice, every patient will have the opportunity to increase their wellness and mental health to the level of their satisfaction. As a training practice, every therapist is in constant training to increase competencies in our specialties: trauma, early childhood, adolescents, individual, family, and couples. If, you're interested then, feel free to review our therapists and reach out at our email or office line. We look forward to connecting with you!
Samantha Tomer
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
7 Endorsed
Mount Pleasant, SC 29466
It’s like you’ve become a master at putting on a face, so that no one sees the true pain you feel. Maybe it’s a daily struggle to make sense of everything you’re feeling. Even on your best days, it can feel like your body is fighting against you, leaving you drained and defeated. You wish you could relax or slow down, but how? What you’ve been through has left deep scars on your personal life and relationships. It’s affecting your ability to trust others and feel safe. You may find yourself avoiding family and anything that triggers memories of the past, making it difficult to connect with others on a deep or meaningful level.
It’s like you’ve become a master at putting on a face, so that no one sees the true pain you feel. Maybe it’s a daily struggle to make sense of everything you’re feeling. Even on your best days, it can feel like your body is fighting against you, leaving you drained and defeated. You wish you could relax or slow down, but how? What you’ve been through has left deep scars on your personal life and relationships. It’s affecting your ability to trust others and feel safe. You may find yourself avoiding family and anything that triggers memories of the past, making it difficult to connect with others on a deep or meaningful level.
Rebecca Ambrose, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Mount Pleasant, SC 29466
Convenient office location in the Park West community of Mt. Pleasant, SC. As a licensed therapist in clinical practice for over 15 years, I specialize in assisting adult and adolescent clients recover from symptomatic feelings and behaviors establish healthier relationships and achieve personal goals.
Convenient office location in the Park West community of Mt. Pleasant, SC. As a licensed therapist in clinical practice for over 15 years, I specialize in assisting adult and adolescent clients recover from symptomatic feelings and behaviors establish healthier relationships and achieve personal goals.
Karen E Lewis
Licensed Professional Counselor, MA, LPCA
Verified Verified
1 Endorsed
Mount Pleasant, SC 29464
I am currently accepting new clients. Your new life begins here! Helping you to improve your quality of life is my passion. I specialize in substance abuse, trauma, anxiety and depression; and helping individuals become more resilient to manage the challenges in their lives. I have many years of clinical, educational, and personal experience in working with clients struggling with addictions, anxiety, depression, codependency and relationship issues. I am experienced in providing therapy to individuals by delivering comprehensive support and healing to those struggling with a variety of mental health issues.
I am currently accepting new clients. Your new life begins here! Helping you to improve your quality of life is my passion. I specialize in substance abuse, trauma, anxiety and depression; and helping individuals become more resilient to manage the challenges in their lives. I have many years of clinical, educational, and personal experience in working with clients struggling with addictions, anxiety, depression, codependency and relationship issues. I am experienced in providing therapy to individuals by delivering comprehensive support and healing to those struggling with a variety of mental health issues.
Kristin Shulman
Clinical Social Work/Therapist, MSW, LISW-CP
Verified Verified
Mount Pleasant, SC 29464 (Online Only)
Hello - I'm Kristin! Entering into therapy can be scary, but here's the deal - working through scary is where growth occurs! If you feel stuck, lost, struggling with change, afraid, or unsure of the next step, I hope you will give counseling a try. My role as a therapist is not to fix your feelings but to hold your discomfort, distress, and fears in safe, caring hands. We will work together to find new ways to conquer your problems, heal old wounds and move you into a safe place where you can grow. I have worked with chronic illness, depression, anxiety, trauma, loss, codependence, eating disorders, and pre / post-bariatric clients.
Hello - I'm Kristin! Entering into therapy can be scary, but here's the deal - working through scary is where growth occurs! If you feel stuck, lost, struggling with change, afraid, or unsure of the next step, I hope you will give counseling a try. My role as a therapist is not to fix your feelings but to hold your discomfort, distress, and fears in safe, caring hands. We will work together to find new ways to conquer your problems, heal old wounds and move you into a safe place where you can grow. I have worked with chronic illness, depression, anxiety, trauma, loss, codependence, eating disorders, and pre / post-bariatric clients.
Caroline O'Neill Gage
Licensed Professional Counselor Associate, LPC-A
Verified Verified
8 Endorsed
Mount Pleasant, SC 29466
Caroline is a Licensed Professional Counselor Associate. She graduated with her master's degree in clinical counseling. Find a better quality of life today with the support that you deserve. Caroline enjoys helping individuals work through life transitions and improving relationships with loved ones, family, and friends. Caroline operates from a holistic perspective. In addition to her mental health credentials and training, Caroline also possesses expertise in fitness, nutrition, and faith-based integration (if desired). True and thorough healing begins with the components of mind, body, and spirit working together in harmony.
Caroline is a Licensed Professional Counselor Associate. She graduated with her master's degree in clinical counseling. Find a better quality of life today with the support that you deserve. Caroline enjoys helping individuals work through life transitions and improving relationships with loved ones, family, and friends. Caroline operates from a holistic perspective. In addition to her mental health credentials and training, Caroline also possesses expertise in fitness, nutrition, and faith-based integration (if desired). True and thorough healing begins with the components of mind, body, and spirit working together in harmony.
Ward Lassoe Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Mount Pleasant, SC 29464
I have an unusual background for a psychotherapist. Before I started my counseling career, I worked as a TV news reporter, an online media executive, and an adjunct college professor. This diverse experience in journalism, business, and education has given me valuable skills that I use in my counseling practice. My sense of humor is another important part of my counseling style. I take my work with clients seriously, but there are times when therapy needs to include some humor. I also offer life coaching for clients who want to make some changes but don't know where to start.
I have an unusual background for a psychotherapist. Before I started my counseling career, I worked as a TV news reporter, an online media executive, and an adjunct college professor. This diverse experience in journalism, business, and education has given me valuable skills that I use in my counseling practice. My sense of humor is another important part of my counseling style. I take my work with clients seriously, but there are times when therapy needs to include some humor. I also offer life coaching for clients who want to make some changes but don't know where to start.
See more therapy options for Mount Pleasant
How does your Therapist compare?
Number of Therapists in Mount Pleasant, SC
400+
Average cost per session
$140
Therapists in Mount Pleasant, SC who prioritize treating:
92% | Anxiety |
88% | Depression |
76% | Relationship Issues |
73% | Self Esteem |
71% | Coping Skills |
66% | Stress |
65% | Life Transitions |
Average years in practice
11 Years
Top 3 insurances accepted
73% | BlueCross and BlueShield |
54% | UnitedHealthcare UHC | UBH |
53% | Aetna |
How Therapists in Mount Pleasant, SC see their clients
79% | In Person and Online | |
21% | Online Only |
Gender breakdown
84% | Female | |
15% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Mount Pleasant?
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.