Therapists in Charlotte, NC

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Photo of Marlena Thomas, Intrinsic Counseling Services, Licensed Professional Counselor in Charlotte, NC
Marlena Thomas, Intrinsic Counseling Services
Licensed Professional Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Charlotte, NC 28209
Waitlist for new clients
Do you feel that your life is spinning out of control, not sure if you are coming or going, and feel no one understands? Intrinsic Counseling Services is for you. I offer empathetic listening, non-judgemental attitude, relaxing atmosphere and most of all an experienced therapist. I have an array of skills and knowledge to guide you to achieve your lifelong goals. Intrinsic Counseling Services offer a safe place to share your emotional, mental, and physical concerns so you or your family member will not feel alone.
Do you feel that your life is spinning out of control, not sure if you are coming or going, and feel no one understands? Intrinsic Counseling Services is for you. I offer empathetic listening, non-judgemental attitude, relaxing atmosphere and most of all an experienced therapist. I have an array of skills and knowledge to guide you to achieve your lifelong goals. Intrinsic Counseling Services offer a safe place to share your emotional, mental, and physical concerns so you or your family member will not feel alone.
(980) 238-3648 View (980) 238-3648
Photo of Audrey A. File, Psychologist in Charlotte, NC
Audrey A. File
Psychologist, PhD
Verified Verified
5 Endorsed
Charlotte, NC 28210
Emotional health and relationship difficulties can lead to a ripple effect of stress throughout all components of life. My goal is to provide a comfortable environment to build a collaborative and supportive therapeutic relationship. The focus of my work is addressing symptoms while exploring other important aspects of your life such as your values, goals, relationships, and how and where you invest your time and resources. Expanding your understanding of how all of these factors interact to affect your emotional and physical health can lead to a treatment plan that helps you discover the path to the life you want.
Emotional health and relationship difficulties can lead to a ripple effect of stress throughout all components of life. My goal is to provide a comfortable environment to build a collaborative and supportive therapeutic relationship. The focus of my work is addressing symptoms while exploring other important aspects of your life such as your values, goals, relationships, and how and where you invest your time and resources. Expanding your understanding of how all of these factors interact to affect your emotional and physical health can lead to a treatment plan that helps you discover the path to the life you want.
(704) 870-3686 View (704) 870-3686
Photo of Amy O'Bryan, Licensed Clinical Mental Health Counselor in Charlotte, NC
Amy O'Bryan
Licensed Clinical Mental Health Counselor, LCMHC, MEd, NCC
Verified Verified
2 Endorsed
Charlotte, NC 28226
My personal philosophy and approach to counseling begins and ends with compassion and a willingness to enter into my clients’ experiences alongside them. I became active in this field because I have an authentic, listening heart that desires to see people live as whole, healthy, individuals. My interests include depression, anxiety, self-esteem, peer and family relationships. With a master’s degree in education and experience working in schools, I also provide academic, social, and emotional support. Treatment plans are created based on the individuals' needs and combine evidenced based practices with personal wellness.
My personal philosophy and approach to counseling begins and ends with compassion and a willingness to enter into my clients’ experiences alongside them. I became active in this field because I have an authentic, listening heart that desires to see people live as whole, healthy, individuals. My interests include depression, anxiety, self-esteem, peer and family relationships. With a master’s degree in education and experience working in schools, I also provide academic, social, and emotional support. Treatment plans are created based on the individuals' needs and combine evidenced based practices with personal wellness.
(704) 270-5380 View (704) 270-5380
Photo of Inobeme Polk, Clinical Social Work/Therapist in Charlotte, NC
Inobeme Polk
Clinical Social Work/Therapist, LCSW, LISW-CP, LCAS-A, CAMS-II
Verified Verified
Charlotte, NC 28262
I provide services to a vast and diverse population. I have the education, training and experiential knowledge to treat trauma, psychological, emotional and behavioral symptoms that interfere with day to day living. I work with teens, adolescents, adults, couples and families.
I provide services to a vast and diverse population. I have the education, training and experiential knowledge to treat trauma, psychological, emotional and behavioral symptoms that interfere with day to day living. I work with teens, adolescents, adults, couples and families.
(704) 313-0174 View (704) 313-0174
Photo of Dr. Heather Wright, Psychologist in Charlotte, NC
Dr. Heather Wright
Psychologist, MS, PsyD
Verified Verified
Charlotte, NC 28210
Meet Tinkerbell, my 5 lb. Maltese and Hunter, my 115 lb. German Shepherd. I grew up on a farm and animals are incredibly important to me. They teach us so much about ourselves and have the capacity to unconditionally love us and at times, they can really challenge us. That's what therapy is all about - unconditional positive regard and pushing us to be our best selves. I work with females; teens to adulthood and their families. Anxiety, depression, trauma, self-harm behaviors, relational issues, and emotional challenges are among my specialties. I love helping those find their purpose, path, and inspiration!
Meet Tinkerbell, my 5 lb. Maltese and Hunter, my 115 lb. German Shepherd. I grew up on a farm and animals are incredibly important to me. They teach us so much about ourselves and have the capacity to unconditionally love us and at times, they can really challenge us. That's what therapy is all about - unconditional positive regard and pushing us to be our best selves. I work with females; teens to adulthood and their families. Anxiety, depression, trauma, self-harm behaviors, relational issues, and emotional challenges are among my specialties. I love helping those find their purpose, path, and inspiration!
(704) 703-2728 View (704) 703-2728
Photo of Emily Rollins, Clinical Social Work/Therapist in Charlotte, NC
Emily Rollins
Clinical Social Work/Therapist, LCSWA , LMSW
Verified Verified
1 Endorsed
Charlotte, NC 28209  (Online Only)
My philosophy as a therapist is anchored in the principle of meeting you where you are. I recognize that the journey to therapy is often paved with challenges that are difficult to articulate. In these times, I stand as a supportive ally, guiding you through your struggles. My focus is on fostering a harmonious connection between body and mind.
My philosophy as a therapist is anchored in the principle of meeting you where you are. I recognize that the journey to therapy is often paved with challenges that are difficult to articulate. In these times, I stand as a supportive ally, guiding you through your struggles. My focus is on fostering a harmonious connection between body and mind.
(704) 459-3115 View (704) 459-3115
Photo of Heather L Douglas, Clinical Social Work/Therapist in Charlotte, NC
Heather L Douglas
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28205
Not accepting new clients
Life can become overwhelming and take unexpected turns. I help people through difficult or challenging life transitions, specializing in women who are experiencing perinatal mood and anxiety disorders as well as individuals affected by fertility issues, pregnancy loss, marital strain, parenting, career stress, trauma, and grief. It can be a daunting task to ask for help when challenges arise, but if you do, it can lead you down a path of hope and healing. I will empower you to regain a sense of well being and self-worth, bringing balance and harmony back into your life.
Life can become overwhelming and take unexpected turns. I help people through difficult or challenging life transitions, specializing in women who are experiencing perinatal mood and anxiety disorders as well as individuals affected by fertility issues, pregnancy loss, marital strain, parenting, career stress, trauma, and grief. It can be a daunting task to ask for help when challenges arise, but if you do, it can lead you down a path of hope and healing. I will empower you to regain a sense of well being and self-worth, bringing balance and harmony back into your life.
(704) 228-4329 View (704) 228-4329
Photo of Profound Counseling, Licensed Professional Counselor in Charlotte, NC
Profound Counseling
Licensed Professional Counselor, LCMHC, QS, LPC, Supervi
Verified Verified
8 Endorsed
Charlotte, NC 28277  (Online Only)
Do you struggle with overthinking and constant worrying? Are you familiar with the phrases "just get over it" or "just stop doing it" ? These are phrases that family and friends will constantly say but can never give you the "how". I am here to suggest tools that can help you identify the "how". I specialize in helping you navigate through the challenging parts of life, identifying triggers and managing emotional symptoms. Lets work together to Find a path where you will feel empowered and travel on a positive path to growth and well-being. Call today to begin your journey!
Do you struggle with overthinking and constant worrying? Are you familiar with the phrases "just get over it" or "just stop doing it" ? These are phrases that family and friends will constantly say but can never give you the "how". I am here to suggest tools that can help you identify the "how". I specialize in helping you navigate through the challenging parts of life, identifying triggers and managing emotional symptoms. Lets work together to Find a path where you will feel empowered and travel on a positive path to growth and well-being. Call today to begin your journey!
(980) 220-0435 View (980) 220-0435
Suzanne Link
Licensed Professional Counselor, MA, LPC
Not Verified Not Verified
Charlotte, NC 28210
I've been in private practice for 25 years. I blend cognitive, developmental, neurological, and behavioral psychologies and tailor each treatment plan. It doesn't take much to figure out what the problems are. My focus is, "What we do about it?"
I've been in private practice for 25 years. I blend cognitive, developmental, neurological, and behavioral psychologies and tailor each treatment plan. It doesn't take much to figure out what the problems are. My focus is, "What we do about it?"
(704) 529-9156 x704343 View (704) 529-9156 x704343
Photo of McKayla Demulling, Clinical Social Work/Therapist in Charlotte, NC
McKayla Demulling
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
2 Endorsed
Charlotte, NC 28277  (Online Only)
Counseling should be a safe and judgment-free place for individuals to voice their concerns. In a world where we are constantly judged, I feel that counseling provides a unique place to allow for personal understanding and growth while reflecting on what drives our concerns, emotions, and behaviors. The counseling journey should be a joint partnership to help the client realize their own potential for growth. I use a variety of therapeutic interventions that are centered around each individual.
Counseling should be a safe and judgment-free place for individuals to voice their concerns. In a world where we are constantly judged, I feel that counseling provides a unique place to allow for personal understanding and growth while reflecting on what drives our concerns, emotions, and behaviors. The counseling journey should be a joint partnership to help the client realize their own potential for growth. I use a variety of therapeutic interventions that are centered around each individual.
(704) 610-4793 View (704) 610-4793
Photo of Erica Ardern, Counselor in Charlotte, NC
Erica Ardern
Counselor, LCMHCA
Verified Verified
1 Endorsed
Charlotte, NC 28204
I am here to listen without judgment, to hold a space that is safe for you to say anything that is on your mind, and to support and encourage you on your journey to a greater sense of wellbeing and mental health.I am the person in your corner, someone who truly has your best interest at heart and who wants you to succeed. My philosophy and approach to counseling is that while I have a certain skill set, you are the expert on yourself and what is best for you.
I am here to listen without judgment, to hold a space that is safe for you to say anything that is on your mind, and to support and encourage you on your journey to a greater sense of wellbeing and mental health.I am the person in your corner, someone who truly has your best interest at heart and who wants you to succeed. My philosophy and approach to counseling is that while I have a certain skill set, you are the expert on yourself and what is best for you.
(980) 389-7687 View (980) 389-7687
Photo of Jerome Triplin II, Marriage & Family Therapist in Charlotte, NC
Jerome Triplin II
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Charlotte, NC 28269  (Online Only)
It's not too late! It can be difficult looking for a therapist while dealing with all of life's challenges. As a sex positive, LGBTQIA+ affirming, kink & BDSM competent, and ethical non-monogamous competent therapist, my goal is to create a safe space for all of those who come into my care. Whether it’s relationship issues, trust, depression, anxiety, or any other life stressor, therapy can be a helpful tool.
It's not too late! It can be difficult looking for a therapist while dealing with all of life's challenges. As a sex positive, LGBTQIA+ affirming, kink & BDSM competent, and ethical non-monogamous competent therapist, my goal is to create a safe space for all of those who come into my care. Whether it’s relationship issues, trust, depression, anxiety, or any other life stressor, therapy can be a helpful tool.
(980) 655-2570 View (980) 655-2570
Photo of Lisa Littlejohn Hill, Licensed Professional Counselor in Charlotte, NC
Lisa Littlejohn Hill
Licensed Professional Counselor, PhD, MBA, LCMHC
Verified Verified
1 Endorsed
Charlotte, NC 28202
We sometimes need help in order to live out the life we envision. I serve individuals and couples that seek to improve their quality of life by better understanding themselves, their choices, and their relationships. I work with women to increase self-esteem, find effective coping strategies, make healthy decisions, or address more deep-rooted issues. I work with couples to improve communication, manage conflict, clarify and achieve goals, and create healthy functional relationships.
We sometimes need help in order to live out the life we envision. I serve individuals and couples that seek to improve their quality of life by better understanding themselves, their choices, and their relationships. I work with women to increase self-esteem, find effective coping strategies, make healthy decisions, or address more deep-rooted issues. I work with couples to improve communication, manage conflict, clarify and achieve goals, and create healthy functional relationships.
(704) 900-0878 View (704) 900-0878
Photo of Dr. Carly Bobal, Psychologist in Charlotte, NC
Dr. Carly Bobal
Psychologist, PsyD, LP, HSP-P, NCSP
Verified Verified
2 Endorsed
Charlotte, NC 28209
Does your child have trouble focusing or performing in school? Are you looking for parent strategies to better support your child’s needs? Are you concerned with your child's mental health or development? As a parent/caregiver, your natural instinct is to provide support for your child, although knowing the "what" or "how" is not always clear. All behavior communicates something. Whether it is a skill deficit, learned pattern, or underlying symptom, determining what lies behind the behavior is the first step to supporting it. You bring the experience as the parent and together we will determine the "what," "why," and "how."
Does your child have trouble focusing or performing in school? Are you looking for parent strategies to better support your child’s needs? Are you concerned with your child's mental health or development? As a parent/caregiver, your natural instinct is to provide support for your child, although knowing the "what" or "how" is not always clear. All behavior communicates something. Whether it is a skill deficit, learned pattern, or underlying symptom, determining what lies behind the behavior is the first step to supporting it. You bring the experience as the parent and together we will determine the "what," "why," and "how."
(704) 966-9003 View (704) 966-9003
Photo of Mary Lucas Lacey, Licensed Professional Counselor in Charlotte, NC
Mary Lucas Lacey
Licensed Professional Counselor, DBH, LPC
Verified Verified
Charlotte, NC 28277
Now Accepting New Patients! How long have you been in pain? Have you been living with it so long that you don't remember how it started? Past and current damage can sabotage our attempts at living the life we deserve and prevent us from trusting others. Often before people enter therapy, they have tried many things to make changes in their lives in order to feel better. Nothing has worked- at least for long. Talking about your problems is not enough. I will help you identify destructive patterns that have interfered with your ability to enjoy life and replace them with healthy solutions.
Now Accepting New Patients! How long have you been in pain? Have you been living with it so long that you don't remember how it started? Past and current damage can sabotage our attempts at living the life we deserve and prevent us from trusting others. Often before people enter therapy, they have tried many things to make changes in their lives in order to feel better. Nothing has worked- at least for long. Talking about your problems is not enough. I will help you identify destructive patterns that have interfered with your ability to enjoy life and replace them with healthy solutions.
(980) 365-8220 View (980) 365-8220
Photo of Serenity Counseling of the Carolinas PLLC, Licensed Clinical Mental Health Counselor in Charlotte, NC
Serenity Counseling of the Carolinas PLLC
Licensed Clinical Mental Health Counselor, LCMHC, LCASA, QS
Verified Verified
1 Endorsed
Charlotte, NC 28206
At the heart of our practice is the belief in fostering health and well-being. Rather than focusing solely on the negative effects of emotional or behavioral distress, we emphasize a holistic approach that promotes personal growth and resilience. Through dedicated one-on-one talk therapy sessions, we aim to empower individuals to navigate life's challenges with newfound strength and clarity. Our Services: Safe Environment: We provide a safe and confidential space for individuals to explore and understand their thoughts and emotions. Therapeutic Approaches: Our therapists are trained in various therapeutic modalities, allowing us
At the heart of our practice is the belief in fostering health and well-being. Rather than focusing solely on the negative effects of emotional or behavioral distress, we emphasize a holistic approach that promotes personal growth and resilience. Through dedicated one-on-one talk therapy sessions, we aim to empower individuals to navigate life's challenges with newfound strength and clarity. Our Services: Safe Environment: We provide a safe and confidential space for individuals to explore and understand their thoughts and emotions. Therapeutic Approaches: Our therapists are trained in various therapeutic modalities, allowing us
(704) 270-2938 View (704) 270-2938
Photo of Schivette Hill, Marriage & Family Therapist Associate in Charlotte, NC
Schivette Hill
Marriage & Family Therapist Associate
Verified Verified
1 Endorsed
Charlotte, NC 28273
Accepting New Clients! Hello, my name is Schivette Hill. I am originally from Virginia Beach VA, but have resided in Charlotte, NC for the last 20 yrs. In my previous years, I spent 8 yrs in the U.S. Air Force as a medic. As a Veteran, I have seen firsthand the power of therapy for various issues that soldiers encounter. I am excited to serve military families as well as various client groups including those experiencing relationship challenges and those who’ve encountered sexual trauma/abuse.
Accepting New Clients! Hello, my name is Schivette Hill. I am originally from Virginia Beach VA, but have resided in Charlotte, NC for the last 20 yrs. In my previous years, I spent 8 yrs in the U.S. Air Force as a medic. As a Veteran, I have seen firsthand the power of therapy for various issues that soldiers encounter. I am excited to serve military families as well as various client groups including those experiencing relationship challenges and those who’ve encountered sexual trauma/abuse.
(704) 761-7515 View (704) 761-7515
Photo of Katherine Sherrill, Counselor in Charlotte, NC
Katherine Sherrill
Counselor, MA, LCMHC, MT-BC
Verified Verified
2 Endorsed
Charlotte, NC 28270
Beginning counseling can be an overwhelming process. At Sanctuary Counseling Group, we believe in creating therapeutic relationships with our clients that promote the healing of heart, mind, and soul. I believe that we are whole persons, with unique physical, psychological, social, and spiritual needs, so I am committed to an eclectic approach to meet my clients where they are. Our sessions will always be focused on you and your needs. I strive to be genuine and open with my clients in offering support, encouragement, and reflection. Together, we will explore the issues that you bring to counseling in a holistic way.
Beginning counseling can be an overwhelming process. At Sanctuary Counseling Group, we believe in creating therapeutic relationships with our clients that promote the healing of heart, mind, and soul. I believe that we are whole persons, with unique physical, psychological, social, and spiritual needs, so I am committed to an eclectic approach to meet my clients where they are. Our sessions will always be focused on you and your needs. I strive to be genuine and open with my clients in offering support, encouragement, and reflection. Together, we will explore the issues that you bring to counseling in a holistic way.
(563) 677-6134 View (563) 677-6134
Photo of Colleen Baldrige, Clinical Social Work/Therapist in Charlotte, NC
Colleen Baldrige
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Charlotte, NC 28226
I am a Licensed Clinical Social Worker (LCSW) who truly believes in a person’s ability to work through complications that arise throughout life’s different phases, overwhelming emotions, negative self-image, and relationships to regain control of their lives when given the right tools and skills. I work towards helping clients learn, practice, and apply those tools and skills in order to move towards a happier and healthier future. I love having the trust and ability to step into a client’s life in order to work together to reach their goals.
I am a Licensed Clinical Social Worker (LCSW) who truly believes in a person’s ability to work through complications that arise throughout life’s different phases, overwhelming emotions, negative self-image, and relationships to regain control of their lives when given the right tools and skills. I work towards helping clients learn, practice, and apply those tools and skills in order to move towards a happier and healthier future. I love having the trust and ability to step into a client’s life in order to work together to reach their goals.
(704) 286-3055 View (704) 286-3055
Photo of Connie Lee Hayes, Licensed Clinical Mental Health Counselor in Charlotte, NC
Connie Lee Hayes
Licensed Clinical Mental Health Counselor, LPC, NCC
Verified Verified
Charlotte, NC 28204
I have practiced as a Licensed Professinal Counselor for the past 20 years in both North and South Carolina. I have worked with individuals, couples, and families as they seek help in facing and working through the stresses and challenges of living. I have trained extensively in the treatment of anxiety, depression, grief, relationship issues and co-parenting.
I have practiced as a Licensed Professinal Counselor for the past 20 years in both North and South Carolina. I have worked with individuals, couples, and families as they seek help in facing and working through the stresses and challenges of living. I have trained extensively in the treatment of anxiety, depression, grief, relationship issues and co-parenting.
(704) 275-0760 View (704) 275-0760

How does your Therapist compare?

Number of Therapists in Charlotte, NC

3,000+

Average cost per session

$135

Therapists in Charlotte, NC who prioritize treating:

93% Anxiety
87% Depression
77% Self Esteem
72% Relationship Issues
72% Coping Skills
69% Stress
65% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

80% BlueCross and BlueShield
73% Aetna
62% UnitedHealthcare UHC | UBH

How Therapists in Charlotte, NC see their clients

61% In Person and Online
39% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Charlotte?

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.