Therapists in Hickory, NC

Photo of Todd E Byrd in Hickory, NC
Todd E Byrd
MDiv, MA, LCMHC, NCC, CSAT
Verified Verified
3 Endorsed
Hickory, NC 28601
My work is focused on helping older adolescents and men deal with life's challenges, struggles, and difficulties with particular emphasis and attention to the unique concerns and needs of men. I provide individual, marital and family counseling, counseling for relationship concerns, men's issues, adjustment disorders, anxiety, depression, grief and loss, spirituality, communication, intimacy, attachment, self-esteem difficulties, and trauma work.
My work is focused on helping older adolescents and men deal with life's challenges, struggles, and difficulties with particular emphasis and attention to the unique concerns and needs of men. I provide individual, marital and family counseling, counseling for relationship concerns, men's issues, adjustment disorders, anxiety, depression, grief and loss, spirituality, communication, intimacy, attachment, self-esteem difficulties, and trauma work.
(828) 476-4297 View (828) 476-4297
Photo of Ami Silva, Licensed Professional Counselor in Hickory, NC
Ami Silva
Licensed Professional Counselor, LCMHC
Verified Verified
2 Endorsed
Hickory, NC 28602
Waitlist for new clients
Everyone’s journey is different. At times, this journey is wonderful and inspiring, and other times it can be overwhelming or exhausting. My mission is to support children, adolescents, families, and adults of all ages as we identify your unique qualities and resources. Together we will navigate the challenges you are experiencing, draw on your strengths, and seek manageable steps that empower you. It is okay to ask for someone to walk alongside you during this journey, and comforting to have someone new on your team!
Everyone’s journey is different. At times, this journey is wonderful and inspiring, and other times it can be overwhelming or exhausting. My mission is to support children, adolescents, families, and adults of all ages as we identify your unique qualities and resources. Together we will navigate the challenges you are experiencing, draw on your strengths, and seek manageable steps that empower you. It is okay to ask for someone to walk alongside you during this journey, and comforting to have someone new on your team!
(980) 243-0769 View (980) 243-0769
Photo of Brian S Hissom, Counselor in Hickory, NC
Brian S Hissom
Counselor, MA, NCC, LPC
Verified Verified
Hickory, NC 28601
I believe that each of us has the potential to achieve most all of the goals that we have. When emotions or behaviors prevent you from reaching your potential, counseling can be very helpful. My goal is to provide quality, effective, confidential evaluation and counseling services while maintaining excellent relationships with physicians and other professionals who may also be helping you. I specialize in working with adolescents and adults with emotional, behavioral, relationship difficulties. I also provide pre-surgical assessments for bariatric and pain management surgeries.
I believe that each of us has the potential to achieve most all of the goals that we have. When emotions or behaviors prevent you from reaching your potential, counseling can be very helpful. My goal is to provide quality, effective, confidential evaluation and counseling services while maintaining excellent relationships with physicians and other professionals who may also be helping you. I specialize in working with adolescents and adults with emotional, behavioral, relationship difficulties. I also provide pre-surgical assessments for bariatric and pain management surgeries.
(828) 348-1898 View (828) 348-1898
Photo of Thrive Counseling and Wellness, Lic Clinical Mental Health Counselor Associate in Hickory, NC
Thrive Counseling and Wellness
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
Hickory, NC 28602
I believe life needs to be fully experienced and enjoyed! Too often, the stresses and traumas of life prevent us from stepping into a full life. My goal is to create a welcoming environment where you can feel safe enough to start working on creating the life you dreamed of having and to develop the skills necessary for personal growth. Prior to becoming a counselor, I worked as as a Qualified Professional with individuals with developmental delays over a decade. I enjoyed assisting individuals with specific behavioral and life skill needs. I enjoy spending time with my son, riding horses and gardening.
I believe life needs to be fully experienced and enjoyed! Too often, the stresses and traumas of life prevent us from stepping into a full life. My goal is to create a welcoming environment where you can feel safe enough to start working on creating the life you dreamed of having and to develop the skills necessary for personal growth. Prior to becoming a counselor, I worked as as a Qualified Professional with individuals with developmental delays over a decade. I enjoyed assisting individuals with specific behavioral and life skill needs. I enjoy spending time with my son, riding horses and gardening.
(828) 662-9183 View (828) 662-9183
Photo of Shauna E Allen, Licensed Clinical Mental Health Counselor in Hickory, NC
Shauna E Allen
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Hickory, NC 28601  (Online Only)
There is so much excitement around babies. From the sound of soft baby coos to the warm cuddles right before a nap. Ideally, babies are fun, but new parenthood can be overwhelming, scary, and anxiety provoking. That’s something we don’t talk about enough. From brain fog, not feeling like yourself, body betrayals, feeling out of place, shifts in relationships, grief, exhaustion all the way to isolation, there is so much that can come up in the journey to parenthood. You want to feel balanced, and enjoy yourself again. You want your body to do what it’s supposed to. You want to feel heard, seen, and connected.
There is so much excitement around babies. From the sound of soft baby coos to the warm cuddles right before a nap. Ideally, babies are fun, but new parenthood can be overwhelming, scary, and anxiety provoking. That’s something we don’t talk about enough. From brain fog, not feeling like yourself, body betrayals, feeling out of place, shifts in relationships, grief, exhaustion all the way to isolation, there is so much that can come up in the journey to parenthood. You want to feel balanced, and enjoy yourself again. You want your body to do what it’s supposed to. You want to feel heard, seen, and connected.
(704) 272-2034 View (704) 272-2034
Photo of Pamela J Schultz, Clinical Social Work/Therapist in Hickory, NC
Pamela J Schultz
Clinical Social Work/Therapist, MSW, LCSW, Pamela
Verified Verified
Hickory, NC 28601  (Online Only)
I work with adults and adolescents who are struggling with the challenges of daily life or who feel weighed down by issues of the past. My clients are often people who struggle with anxiety, depression, identity issues, grief, stress, or relationship issues. My ideal client is ready for change, or contemplating what the first steps of change look like. I practice exclusively through teletherapy sessions, and require clients to have reliable and consistent access to internet services. I offer a safe space for BIPOC, women, LGBTQIA+/trans/poly, neurodivergent, and other diverse communities.
I work with adults and adolescents who are struggling with the challenges of daily life or who feel weighed down by issues of the past. My clients are often people who struggle with anxiety, depression, identity issues, grief, stress, or relationship issues. My ideal client is ready for change, or contemplating what the first steps of change look like. I practice exclusively through teletherapy sessions, and require clients to have reliable and consistent access to internet services. I offer a safe space for BIPOC, women, LGBTQIA+/trans/poly, neurodivergent, and other diverse communities.
(828) 332-5932 View (828) 332-5932
Photo of Katelyn Millinor, Counselor in Hickory, NC
Katelyn Millinor
Counselor, MA, NCC, LPC, LPCC, LCMHC, BC-TMH
Verified Verified
1 Endorsed
Hickory, NC 28601  (Online Only)
I value the mind-body connection and believe we can find healing when we approach our health from a holistic perspective. Counseling requires a lot of effort and can only be truly transformative if you show up as yourself. I will show up as mine and that may include laughing, maybe some crying, and definitely some hard conversations. I am passionate about helping women adjust to motherhood, women experiencing fertility challenges, and those with anxiety and self-esteem issues. My role is to listen, ask questions, guide, and challenge you to shape your own path.
I value the mind-body connection and believe we can find healing when we approach our health from a holistic perspective. Counseling requires a lot of effort and can only be truly transformative if you show up as yourself. I will show up as mine and that may include laughing, maybe some crying, and definitely some hard conversations. I am passionate about helping women adjust to motherhood, women experiencing fertility challenges, and those with anxiety and self-esteem issues. My role is to listen, ask questions, guide, and challenge you to shape your own path.
(828) 761-6609 View (828) 761-6609
Photo of Catawba Valley Neurofeedback and Counseling, Licensed Clinical Mental Health Counselor in Hickory, NC
Catawba Valley Neurofeedback and Counseling
Licensed Clinical Mental Health Counselor, LCMHC, BCN, MA
Verified Verified
Hickory, NC 28602
Have you ever caught a glimpse of the favorite version of yourself? What does that look like for you? Do you want to find out what it takes to be able to enjoy yourself on this level more often, or even permanently? By achieving optimal brain health you can feel amazing! Shay has been transforming brains for 10+ years, including her own! With a combination of educating you about your own brain health status and utilizing brain training referred to as neurofeedback, you can discover your favorite version of self.
Have you ever caught a glimpse of the favorite version of yourself? What does that look like for you? Do you want to find out what it takes to be able to enjoy yourself on this level more often, or even permanently? By achieving optimal brain health you can feel amazing! Shay has been transforming brains for 10+ years, including her own! With a combination of educating you about your own brain health status and utilizing brain training referred to as neurofeedback, you can discover your favorite version of self.
(828) 522-5763 View (828) 522-5763
Photo of Greg G Bright, Counselor in Hickory, NC
Greg G Bright
Counselor, MA, LCMHCA, CADC
Verified Verified
2 Endorsed
Hickory, NC 28602
As we journey through life, we can face multiple challenges. Sometimes we can solve these challenges and become stronger. Sometimes the challenges can feel overwhelming, and we can feel like we are no longer in control of our thoughts, our emotions, our lives. It is at these times when we may need help in overcoming these challenges; challenges like depression, anxiety, grief or loss, unresolved trauma, sleep disturbances, anger, or even alcohol or substance use concerns.
As we journey through life, we can face multiple challenges. Sometimes we can solve these challenges and become stronger. Sometimes the challenges can feel overwhelming, and we can feel like we are no longer in control of our thoughts, our emotions, our lives. It is at these times when we may need help in overcoming these challenges; challenges like depression, anxiety, grief or loss, unresolved trauma, sleep disturbances, anger, or even alcohol or substance use concerns.
(828) 675-7918 View (828) 675-7918
Photo of Jessica Spears, Clinical Social Work/Therapist in Hickory, NC
Jessica Spears
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Hickory, NC 28602
My journey of helping individuals and families began as a hospice social worker. I worked closely with individuals and families to provide a "total care" approach while offering guidance through the emotional process of death. Now in private practice, I have worked with many cases and continue to use the "total care" approach with each client. I welcome all individuals and find incorporating your values/beliefs in therapy is supportive of the healing process. As I share with clients, we have to embrace our past, present and future to begin the healing process.
My journey of helping individuals and families began as a hospice social worker. I worked closely with individuals and families to provide a "total care" approach while offering guidance through the emotional process of death. Now in private practice, I have worked with many cases and continue to use the "total care" approach with each client. I welcome all individuals and find incorporating your values/beliefs in therapy is supportive of the healing process. As I share with clients, we have to embrace our past, present and future to begin the healing process.
(828) 705-3431 View (828) 705-3431
Photo of Magnolia Counseling, PLLC, Counselor in Hickory, NC
Magnolia Counseling, PLLC
Counselor, PhD, LCMHCA
Verified Verified
Hickory, NC 28601  (Online Only)
Not accepting new clients
Patty Hickham Tousey, PhD, LCMHCA. Life experiences, particularly traumatic events and relationships, impact all facets of life (all the way down to the nervous system), but we continue to move naturally towards healing and growth. I want to work with you to help facilitate that process! Self-awareness, self-acceptance, and self-compassion are some of the essential foundations of wellness. I'm devoted to helping clients navigate their healing journey to cultivate a deep sense of self-love and understanding.
Patty Hickham Tousey, PhD, LCMHCA. Life experiences, particularly traumatic events and relationships, impact all facets of life (all the way down to the nervous system), but we continue to move naturally towards healing and growth. I want to work with you to help facilitate that process! Self-awareness, self-acceptance, and self-compassion are some of the essential foundations of wellness. I'm devoted to helping clients navigate their healing journey to cultivate a deep sense of self-love and understanding.
(336) 664-8187 View (336) 664-8187
Photo of Ken Doyle, Counselor in Hickory, NC
Ken Doyle
Counselor, MA, LCMHC, NCC
Verified Verified
Hickory, NC 28602
My ideal client is anyone who is in need of help, wants to make a change, or interested in bettering their lives. Anyone looking for a therapist who is understanding, accepting, and cares about their overall forward progress.
My ideal client is anyone who is in need of help, wants to make a change, or interested in bettering their lives. Anyone looking for a therapist who is understanding, accepting, and cares about their overall forward progress.
(828) 268-3778 View (828) 268-3778
Photo of Dakota Sain, Lic Clinical Mental Health Counselor Associate in Hickory, NC
Dakota Sain
Lic Clinical Mental Health Counselor Associate, MA, LCMHC-A
Verified Verified
1 Endorsed
Hickory, NC 28602
Therapy can be a transformative experience. I am glad you are here! My goal for therapy is to provide an environment where you can feel safe and work towards being your authentic self. This judgment-free zone will be filled with warmth, understanding and genuine curiosity as we move through the therapy process. You can count on me to ask the hard questions, challenge unhelpful thoughts and educate my clients. I will also listen, laugh, respect and meet my clients where they are in their therapy journey.
Therapy can be a transformative experience. I am glad you are here! My goal for therapy is to provide an environment where you can feel safe and work towards being your authentic self. This judgment-free zone will be filled with warmth, understanding and genuine curiosity as we move through the therapy process. You can count on me to ask the hard questions, challenge unhelpful thoughts and educate my clients. I will also listen, laugh, respect and meet my clients where they are in their therapy journey.
(828) 554-7608 View (828) 554-7608
Photo of Jill Ryon, Clinical Social Work/Therapist in Hickory, NC
Jill Ryon
Clinical Social Work/Therapist, LCSW
Verified Verified
Hickory, NC 28601  (Online Only)
Life challenges occur at different stages in our lives and sometimes they are overwhelming to navigate on our own. We can often get lost in feelings of sadness, anger, anxiety, and confusion which cultivates hopelessness as we allow these thoughts and emotions to take over our lives.
Life challenges occur at different stages in our lives and sometimes they are overwhelming to navigate on our own. We can often get lost in feelings of sadness, anger, anxiety, and confusion which cultivates hopelessness as we allow these thoughts and emotions to take over our lives.
(828) 548-0403 View (828) 548-0403
Photo of Christina Ann LaBond, Clinical Social Work/Therapist in Hickory, NC
Christina Ann LaBond
Clinical Social Work/Therapist
Verified Verified
Hickory, NC 28601  (Online Only)
Hi! I’m Christina. I'm Certified in Neuropsychotherapy, an LCSW in NC & MI, a Certified Clinical Trauma Professional, and IFS & EMDR informed. Does liberation from past barriers, realization of your true potential and finding meaning/purpose in your life feel authentic in your individual growth? If so, I’d like to walk with you. Let’s explore your individuality, beauty, and unique strengths to improve your self-image, and repair your interpersonal relationships through healthy attachment and behavioral patterns to facilitate neuroplasticity.
Hi! I’m Christina. I'm Certified in Neuropsychotherapy, an LCSW in NC & MI, a Certified Clinical Trauma Professional, and IFS & EMDR informed. Does liberation from past barriers, realization of your true potential and finding meaning/purpose in your life feel authentic in your individual growth? If so, I’d like to walk with you. Let’s explore your individuality, beauty, and unique strengths to improve your self-image, and repair your interpersonal relationships through healthy attachment and behavioral patterns to facilitate neuroplasticity.
(828) 827-4381 View (828) 827-4381
Photo of Melody Annas, Lic Clinical Mental Health Counselor Associate in Hickory, NC
Melody Annas
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Verified Verified
Hickory, NC 28602  (Online Only)
Are you struggling with anxiety, depression, and/or stress? I aim to support my clients through processing and navigating the many challenges that we face in today’s world. I strive to provide a safe space for my clients in order to grow and heal. I work with clients to establish goals that will better their mental health, well-being, and future.
Are you struggling with anxiety, depression, and/or stress? I aim to support my clients through processing and navigating the many challenges that we face in today’s world. I strive to provide a safe space for my clients in order to grow and heal. I work with clients to establish goals that will better their mental health, well-being, and future.
(828) 827-5749 View (828) 827-5749
Photo of Tia Evans, Clinical Social Work/Therapist in Hickory, NC
Tia Evans
Clinical Social Work/Therapist, MSW, MEd, LCSW, CST
Verified Verified
4 Endorsed
Hickory, NC 28601
Are you walking through life feeling as though something is missing? Maybe, it's joy, fulfillment, success, career advancement, or even a relationship? Do you try to please others to avoid working on yourself? Is it possible you've tried to fix yourself, but it was just a matter of time before you fell back into your old habits? If you answered yes to any of those you questions you are not alone & you don't have to go through these feelings by yourself any longer. I want to you get the life you desire, the life you deserve. Let me help you get your life back on track TODAY! Please email me to get started on your journey of change.
Are you walking through life feeling as though something is missing? Maybe, it's joy, fulfillment, success, career advancement, or even a relationship? Do you try to please others to avoid working on yourself? Is it possible you've tried to fix yourself, but it was just a matter of time before you fell back into your old habits? If you answered yes to any of those you questions you are not alone & you don't have to go through these feelings by yourself any longer. I want to you get the life you desire, the life you deserve. Let me help you get your life back on track TODAY! Please email me to get started on your journey of change.
(828) 604-6241 View (828) 604-6241
Photo of Amy Neal, Licensed Professional Counselor in Hickory, NC
Amy Neal
Licensed Professional Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Hickory, NC 28601  (Online Only)
Do you find yourself struggling with life in the present… anxiety, depression, memories from the past? You want to move forward, live freely, and truly enjoy life, work, and meaningful relationships with others. You have goals you want to achieve and are tired of feeling held back. Through reflection you realize that many of these struggles are tied to the past... perhaps to childhood experiences, unhealthy relationships, trauma, or past difficult situations you went through. Perhaps you can't even quite identify the reason, you just feel a heavy emotional burden and that something is holding you back.
Do you find yourself struggling with life in the present… anxiety, depression, memories from the past? You want to move forward, live freely, and truly enjoy life, work, and meaningful relationships with others. You have goals you want to achieve and are tired of feeling held back. Through reflection you realize that many of these struggles are tied to the past... perhaps to childhood experiences, unhealthy relationships, trauma, or past difficult situations you went through. Perhaps you can't even quite identify the reason, you just feel a heavy emotional burden and that something is holding you back.
(828) 970-1584 View (828) 970-1584
Photo of Runy Thao, LCSW Associate in Hickory, NC
Runy Thao
LCSW Associate, MSW, LCSW-A
Verified Verified
Hickory, NC 28602  (Online Only)
It can be difficult to process our life experiences through the expectations we may feel from others and ourselves. What does our suffering, struggles, and experiences say about who we are? My desire is to provide a safe and brave place for individuals who may need to process and make sense of their experiences. I have worked with adults who have experienced depression, anxiety, trauma, relational issues, and adults who have needed coping skills and are in the middle of life transitions.
It can be difficult to process our life experiences through the expectations we may feel from others and ourselves. What does our suffering, struggles, and experiences say about who we are? My desire is to provide a safe and brave place for individuals who may need to process and make sense of their experiences. I have worked with adults who have experienced depression, anxiety, trauma, relational issues, and adults who have needed coping skills and are in the middle of life transitions.
(828) 521-0483 View (828) 521-0483
Photo of Liz Sakatos, Licensed Professional Counselor in Hickory, NC
Liz Sakatos
Licensed Professional Counselor, LCMHC
Verified Verified
1 Endorsed
Hickory, NC 28601  (Online Only)
Not accepting new clients
I specialize in helping clients learn to take control of their anxiety and lives by examining the impact of internal pressure (like unhealthy self-talk) and external triggers (like toxic relationships) and replacing what doesn't work with strategies to feel more empowered. I firmly believe that the way that we speak to ourselves impacts how we handle the pressures we face and let's be honest, we are often our own harshest critics. That is why I use a strengths-based approach to treatment to help clients get rid of hurtful self-talk and learn to embrace their own power!
I specialize in helping clients learn to take control of their anxiety and lives by examining the impact of internal pressure (like unhealthy self-talk) and external triggers (like toxic relationships) and replacing what doesn't work with strategies to feel more empowered. I firmly believe that the way that we speak to ourselves impacts how we handle the pressures we face and let's be honest, we are often our own harshest critics. That is why I use a strengths-based approach to treatment to help clients get rid of hurtful self-talk and learn to embrace their own power!
(828) 634-7201 View (828) 634-7201

How does your Therapist compare?

Number of Therapists in Hickory, NC

100+

Average cost per session

$132

Therapists in Hickory, NC who prioritize treating:

91% Anxiety
86% Depression
76% Self Esteem
73% Relationship Issues
67% Trauma and PTSD
67% Coping Skills
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
69% Aetna
62% Cigna and Evernorth

How Therapists in Hickory, NC see their clients

73% In Person and Online
27% Online Only

Gender breakdown

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

How can I find a therapist in Hickory?

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.