Photo of Rochelle A Council, MA, LMHP-R
Rochelle A Council
Resident in Counseling, MA, LMHP-R
Verified Verified
1 Endorsed
Portsmouth, VA 23701
Through the psychotherapeutic process, you will learn to become more aware of why you act, react, and feel the way you do. You will develop more constructive methods to resolve life's difficulties and stressors, and you will work to strengthen your inner resources. I would like to be a listener, a comforter, an impartial person who helps to identify triggers and develop goals and coping skills to improve their lives.
Through the psychotherapeutic process, you will learn to become more aware of why you act, react, and feel the way you do. You will develop more constructive methods to resolve life's difficulties and stressors, and you will work to strengthen your inner resources. I would like to be a listener, a comforter, an impartial person who helps to identify triggers and develop goals and coping skills to improve their lives.
(757) 799-1693 View (757) 799-1693
Photo of Cheniqua Goode, LPC, Licensed Professional Counselor
Cheniqua Goode
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23701  (Online Only)
There are times when life throws curve balls, leaving you unable to cope. You may feel depressed, anxious, alone, or unsure how to function in relationships, work environemnt, and the world around you. Perhaps, you are at a place in life where you need additional support, outside of family and friends. Regardless of the reason, congratulations on taking the first step towards your new journey. Together, we can process the stressors and identify healthy coping skills to manage emotions and navigate through life challenges.
There are times when life throws curve balls, leaving you unable to cope. You may feel depressed, anxious, alone, or unsure how to function in relationships, work environemnt, and the world around you. Perhaps, you are at a place in life where you need additional support, outside of family and friends. Regardless of the reason, congratulations on taking the first step towards your new journey. Together, we can process the stressors and identify healthy coping skills to manage emotions and navigate through life challenges.
(757) 280-1829 View (757) 280-1829
Photo of Stacy Coward - UOM Counseling Center, LPC, Licensed Professional Counselor
UOM Counseling Center
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23701
Join our Preceptorship and Internship programs and benefit from our mental health wellness programs. We support individuals seeking tools for recovery and personal growth. Our team is committed to providing tailored resources, guidance, and support to help you achieve your goals. Take the first step towards a brighter future and let us help you take many more. At times, we may feel stuck in life and unsure of how to progress towards the person we want to become. We understand that change, growth, development, and stability are crucial for achieving our goals. However, it's not always easy to know where to start or how to get there.
Join our Preceptorship and Internship programs and benefit from our mental health wellness programs. We support individuals seeking tools for recovery and personal growth. Our team is committed to providing tailored resources, guidance, and support to help you achieve your goals. Take the first step towards a brighter future and let us help you take many more. At times, we may feel stuck in life and unsure of how to progress towards the person we want to become. We understand that change, growth, development, and stability are crucial for achieving our goals. However, it's not always easy to know where to start or how to get there.
(757) 516-0214 View (757) 516-0214
Photo of Diana Hughes Luce, LPC, Licensed Professional Counselor
Diana Hughes Luce
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23701  (Online Only)
I am a licensed professional counselor in Virginia with over 5 years experience assisting individuals in need. Today's modern world has revved up our need to feel as if someone is hearing our concerns and helping us to make sense of things occurring in our society. I have worked with clients who have a wide range of concerns including depression, anxiety, relationship issues, parenting concerns, adjustment issues, anger management, OCD, and ADHD. I also help people who have experienced physical, emotional, and sexual abuse.
I am a licensed professional counselor in Virginia with over 5 years experience assisting individuals in need. Today's modern world has revved up our need to feel as if someone is hearing our concerns and helping us to make sense of things occurring in our society. I have worked with clients who have a wide range of concerns including depression, anxiety, relationship issues, parenting concerns, adjustment issues, anger management, OCD, and ADHD. I also help people who have experienced physical, emotional, and sexual abuse.
(757) 801-5312 View (757) 801-5312
Photo of Taylor - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Portsmouth, VA 23701
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
We're confident we can help you achieve your therapy goals. We believe you're best served by a therapist passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to helping therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. Working with us, you'll get results.
(757) 239-3898 View (757) 239-3898
Photo of Dr. Bernadette Ward, EdD, LPC, NCC, Licensed Professional Counselor
Dr. Bernadette Ward
Licensed Professional Counselor, EdD, LPC, NCC
Verified Verified
2 Endorsed
Portsmouth, VA 23701  (Online Only)
Whew, who would have thought you would be here scrolling?!?! Well, no worries, many of us reach this stage in our lives where we need a little more support than we have had before! I am Dr. Ward, a licensed professional counselor in Virginia. I am sorry that you are not feeling your best mentally however I am excited that you have taken the first steps on your wellness journey. I have over 12 years of clinical experience and a wealth of knowledge in various techniques. All treatment is tailored to the individual and what he or she desires to accomplish.
Whew, who would have thought you would be here scrolling?!?! Well, no worries, many of us reach this stage in our lives where we need a little more support than we have had before! I am Dr. Ward, a licensed professional counselor in Virginia. I am sorry that you are not feeling your best mentally however I am excited that you have taken the first steps on your wellness journey. I have over 12 years of clinical experience and a wealth of knowledge in various techniques. All treatment is tailored to the individual and what he or she desires to accomplish.
(757) 505-7322 View (757) 505-7322
Dayra Marshall-Brown
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23701  (Online Only)
I am committed to supporting clients in recapturing the joy and peace they once had and how to maintain it. My clients are my priority. I will walk you through mending the areas of your life to achieve a better you.
I am committed to supporting clients in recapturing the joy and peace they once had and how to maintain it. My clients are my priority. I will walk you through mending the areas of your life to achieve a better you.
(757) 529-8972 View (757) 529-8972
Photo of Erin Gossage, LPC, NCC, Licensed Professional Counselor
Erin Gossage
Licensed Professional Counselor, LPC, NCC
Verified Verified
Portsmouth, VA 23701
At Wishing Well Counseling Center, wellness isn't just a wish; it's a way of life. I am committed to assisting you on your journey to wellness, and offer a variety of treatment options to further your progress. I see therapy as a gift that only you can give yourself. When we work together towards your healing and wellness, I believe you will be able to overcome suffering, and begin to enjoy the life you were meant to have. I truly feel it is a privilege to do the work I love.
At Wishing Well Counseling Center, wellness isn't just a wish; it's a way of life. I am committed to assisting you on your journey to wellness, and offer a variety of treatment options to further your progress. I see therapy as a gift that only you can give yourself. When we work together towards your healing and wellness, I believe you will be able to overcome suffering, and begin to enjoy the life you were meant to have. I truly feel it is a privilege to do the work I love.
(757) 793-2643 View (757) 793-2643
Photo of Nicole Harris, EdD, LPC, LSATP, Licensed Professional Counselor
Nicole Harris
Licensed Professional Counselor, EdD, LPC, LSATP
Verified Verified
1 Endorsed
Portsmouth, VA 23701
As a client, you will experience a warm, welcoming, friendly, and open therapeutic relationship. Each client is an unique individual; therefore, I work extremely hard to meet you where you are and assist you with making the change you desire. Changing requires patience, determination, dedication, and commitment to the therapeutic process. I hope all my clients are willing to be resilient on this journey called life as we work together to make your desired change.
As a client, you will experience a warm, welcoming, friendly, and open therapeutic relationship. Each client is an unique individual; therefore, I work extremely hard to meet you where you are and assist you with making the change you desire. Changing requires patience, determination, dedication, and commitment to the therapeutic process. I hope all my clients are willing to be resilient on this journey called life as we work together to make your desired change.
(757) 828-2390 View (757) 828-2390
Photo of Lloyd Cloud, MA, LCSW, Clinical Social Work/Therapist
Lloyd Cloud
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Portsmouth, VA 23701
Have you experienced childhood trauma or experienced trauma in adulthood that resulted in you feeling sad, down, low energy, anxious, fearful, or unsafe and not your usual self. Do you have difficulty keeping up with your daily routine? Lloyd Cloud Therapy Services, LLC can help you regain your usual self. Lloyd Cloud Therapy Services, LLC specialized in trauma treatment, stress management strategies and hypnosis to help you regain your usual self.
Have you experienced childhood trauma or experienced trauma in adulthood that resulted in you feeling sad, down, low energy, anxious, fearful, or unsafe and not your usual self. Do you have difficulty keeping up with your daily routine? Lloyd Cloud Therapy Services, LLC can help you regain your usual self. Lloyd Cloud Therapy Services, LLC specialized in trauma treatment, stress management strategies and hypnosis to help you regain your usual self.
(757) 296-1793 View (757) 296-1793
Photo of Patricia Ann Cody - Changing Lives Counseling Services, LLC, MSEd, LPC, Licensed Professional Counselor
Changing Lives Counseling Services, LLC
Licensed Professional Counselor, MSEd, LPC
Verified Verified
2 Endorsed
Portsmouth, VA 23701
I have been counseling individuals, children, families, and couples for 25 years. I have experience treating depression, PTSD, anxiety, adolescent behavioral problems, domestic violence, sexual abuse, anger management issues. My clients regard me as someone who has not only helped them navigate through some of life's most difficult challenges but someone who advocates strongly for them and cares about them. Helping people improve their lives is my mission and my passion in life.
I have been counseling individuals, children, families, and couples for 25 years. I have experience treating depression, PTSD, anxiety, adolescent behavioral problems, domestic violence, sexual abuse, anger management issues. My clients regard me as someone who has not only helped them navigate through some of life's most difficult challenges but someone who advocates strongly for them and cares about them. Helping people improve their lives is my mission and my passion in life.
(757) 656-4053 View (757) 656-4053
Photo of Sheronda Farrow, PhD, LCP, Psychologist
Sheronda Farrow
Psychologist, PhD, LCP
Verified Verified
Portsmouth, VA 23701  (Online Only)
Waitlist for new clients
I have a passion for helping and a quest for healing; understanding that recovery to wellness is a journey that you must take, with myself as a willing guide. It's my pleasure to assist you in discovering the tools you already possess to be successful on this journey. I've provided counseling and psychological testing services to children, adults, and families for 13 years. I have experience in treating a variety of issues including depression, anxiety, behavior problems, ADHD, family/relationship issues, and anger management. Testing services include cognitive, achievement, and personality assessment. I also provide consultation, education, and training within the community.
I have a passion for helping and a quest for healing; understanding that recovery to wellness is a journey that you must take, with myself as a willing guide. It's my pleasure to assist you in discovering the tools you already possess to be successful on this journey. I've provided counseling and psychological testing services to children, adults, and families for 13 years. I have experience in treating a variety of issues including depression, anxiety, behavior problems, ADHD, family/relationship issues, and anger management. Testing services include cognitive, achievement, and personality assessment. I also provide consultation, education, and training within the community.
(757) 350-8807 View (757) 350-8807
Photo of Dr. Angela M. Holley, PhD, LPC, CSAC, CCTP, CAMS-I, Licensed Professional Counselor
Dr. Angela M. Holley
Licensed Professional Counselor, PhD, LPC, CSAC, CCTP, CAMS-I
Verified Verified
Portsmouth, VA 23701
I am a Licensed Professional Counselor, a Certified Substance Abuse Counselor, a Certified Clinical Trauma Professional, and a Certified Anger Management Specialist-I. I work with populations from children to senior adults. I have worked in various clinical settings including state and local hospitals, group homes, in-home, and a university counseling center. I have over 30 years of experience providing individual, group, and couples counseling, along with training programs, and seminars on various topics.
I am a Licensed Professional Counselor, a Certified Substance Abuse Counselor, a Certified Clinical Trauma Professional, and a Certified Anger Management Specialist-I. I work with populations from children to senior adults. I have worked in various clinical settings including state and local hospitals, group homes, in-home, and a university counseling center. I have over 30 years of experience providing individual, group, and couples counseling, along with training programs, and seminars on various topics.
(757) 785-0782 View (757) 785-0782
Photo of Yolanda Michelle Artis - YM Artis Consulting, LLC, MA, LPC, Licensed Professional Counselor
YM Artis Consulting, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Portsmouth, VA 23701  (Online Only)
We Are Here To Help You Navigate The Challenges Of Life! We are providing mental health services (virtually) for individuals located in Virginia. Our mission is to be a place of healing and restoration for individuals living with behavioral problems, emotional issues, mental distress, or mental illness. This is accomplished by helping you get a GRIP: G- providing guidance in developing healthy lifestyles and relationships. R- leading the way to rest that brings restoration and healthy thinking. I- inciting insight that gives clarity into who an individual really is. P- help creating peace from the chaos and challenges of life.
We Are Here To Help You Navigate The Challenges Of Life! We are providing mental health services (virtually) for individuals located in Virginia. Our mission is to be a place of healing and restoration for individuals living with behavioral problems, emotional issues, mental distress, or mental illness. This is accomplished by helping you get a GRIP: G- providing guidance in developing healthy lifestyles and relationships. R- leading the way to rest that brings restoration and healthy thinking. I- inciting insight that gives clarity into who an individual really is. P- help creating peace from the chaos and challenges of life.
(757) 993-7920 View (757) 993-7920
Photo of Elektra Smith, MSW, Pre-Licensed Professional
Elektra Smith
Pre-Licensed Professional, MSW
Verified Verified
2 Endorsed
Portsmouth, VA 23701
At Release it Counseling, we understand the profound challenges that can hinder the journey to true peace, freedom, and joy. The weight of past pain and current obstacles can leave you feeling stuck, hopeless, and broken. That's why we specialize in Christian Professional counseling and life coaching, offering a pathway to healing and freedom. Having firsthand understanding of the transformative power of therapy & Christ has fueled my passion for helping others achieve total wellbeing. But most importantly showed me that every life is worth fighting for. I want to help others find this same gift through therapy in their life too.
At Release it Counseling, we understand the profound challenges that can hinder the journey to true peace, freedom, and joy. The weight of past pain and current obstacles can leave you feeling stuck, hopeless, and broken. That's why we specialize in Christian Professional counseling and life coaching, offering a pathway to healing and freedom. Having firsthand understanding of the transformative power of therapy & Christ has fueled my passion for helping others achieve total wellbeing. But most importantly showed me that every life is worth fighting for. I want to help others find this same gift through therapy in their life too.
(757) 997-6269 View (757) 997-6269
Photo of Madeline Garrett, LCSW, Clinical Social Work/Therapist
Madeline Garrett
Clinical Social Work/Therapist, LCSW
Verified Verified
Portsmouth, VA 23701  (Online Only)
Madeline Garrett is a Licensed Clinical Social Worker in the states of Virginia and Florida who has over 9 years of experience providing clinical assessments and therapeutic care to teens and adults seeking help with anxiety, depression, trauma, bipolar disorder, addiction, co-dependency, grief and loss, parenting assistance, and sexuality issues. She identifies as an ally of the LGBTQIA+ community and affirms all spiritual beliefs. Madeline completed her Bachelor of Psychology from Florida State University, Master of Social Work from the University of Southern California, and her Master of Leadership from Grand Canyon University.
Madeline Garrett is a Licensed Clinical Social Worker in the states of Virginia and Florida who has over 9 years of experience providing clinical assessments and therapeutic care to teens and adults seeking help with anxiety, depression, trauma, bipolar disorder, addiction, co-dependency, grief and loss, parenting assistance, and sexuality issues. She identifies as an ally of the LGBTQIA+ community and affirms all spiritual beliefs. Madeline completed her Bachelor of Psychology from Florida State University, Master of Social Work from the University of Southern California, and her Master of Leadership from Grand Canyon University.
(757) 993-4369 View (757) 993-4369
Photo of Andrea Stephen, Pre-Licensed Professional
Andrea Stephen
Pre-Licensed Professional
Verified Verified
Portsmouth, VA 23701
Andrea Stephen is a Resident in Counseling in the State of Virginia who specializes in depression, anxiety, trauma, sexual abuse, relationship issues, grief, stress management, PTSD, Christian counseling, and academic/work issues. She is passionate about meeting others where they are and helping them to navigate through the challenges of life. Andrea is a graduate of Old Dominion University with an Ed. S in Counseling. She also holds a master’s degree in Human Services Counseling certified in Psychological First Aid and Collaborative Assessment Management of Suicidality (CAMS), life coaching, and wellness coaching.
Andrea Stephen is a Resident in Counseling in the State of Virginia who specializes in depression, anxiety, trauma, sexual abuse, relationship issues, grief, stress management, PTSD, Christian counseling, and academic/work issues. She is passionate about meeting others where they are and helping them to navigate through the challenges of life. Andrea is a graduate of Old Dominion University with an Ed. S in Counseling. She also holds a master’s degree in Human Services Counseling certified in Psychological First Aid and Collaborative Assessment Management of Suicidality (CAMS), life coaching, and wellness coaching.
(757) 992-8333 View (757) 992-8333
Photo of Lily Flynn, Pre-Licensed Professional
Lily Flynn
Pre-Licensed Professional
Verified Verified
Portsmouth, VA 23701
Lily Flynn is a Resident in Counseling (RIC) with more than 3 years of experience working with adults and seniors who are seeking help in coping with trauma, anxiety, depression, LGBTQIA+ issues, self-care, stress, ADHD, and much more. She graduated with honors from the University of Florida with a Bachelor's degree in Psychology and earned her Master's degree in Clinical Mental Health Counseling from Old Dominion University.
Lily Flynn is a Resident in Counseling (RIC) with more than 3 years of experience working with adults and seniors who are seeking help in coping with trauma, anxiety, depression, LGBTQIA+ issues, self-care, stress, ADHD, and much more. She graduated with honors from the University of Florida with a Bachelor's degree in Psychology and earned her Master's degree in Clinical Mental Health Counseling from Old Dominion University.
(757) 505-7309 View (757) 505-7309
Photo of Jerusha McClendon, LCSW, Clinical Social Work/Therapist
Jerusha McClendon
Clinical Social Work/Therapist, LCSW
Verified Verified
Portsmouth, VA 23701  (Online Only)
Jerusha McClendon is a Licensed Clinical Social Worker (LCSW) who has worked with many people experiencing mental health and addiction personally or in their family. Jerusha has 8 years of experience in the mental health field. She completed her Master of Social Work (MSW) at Ohio State University. Jerusha believes there is a need to identify and understand where the seeds of doubt and fear come from, as well as how to connect with the seeds of hope and purpose in the present and the future.
Jerusha McClendon is a Licensed Clinical Social Worker (LCSW) who has worked with many people experiencing mental health and addiction personally or in their family. Jerusha has 8 years of experience in the mental health field. She completed her Master of Social Work (MSW) at Ohio State University. Jerusha believes there is a need to identify and understand where the seeds of doubt and fear come from, as well as how to connect with the seeds of hope and purpose in the present and the future.
(757) 571-8342 View (757) 571-8342
Photo of Enid Candelaria Vega, LPC, Licensed Professional Counselor
Enid Candelaria Vega
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23701
As an EMDR therapist, I specialize in helping individuals to unlock their natural ability to heal. Using Eye Movement Desensitization and Reprocessing (EMDR) therapy, I facilitate a gentle yet powerful process that it's not about erasing the past, but allowing you to finally reclaim your present and future.
As an EMDR therapist, I specialize in helping individuals to unlock their natural ability to heal. Using Eye Movement Desensitization and Reprocessing (EMDR) therapy, I facilitate a gentle yet powerful process that it's not about erasing the past, but allowing you to finally reclaim your present and future.
(757) 586-4603 View (757) 586-4603
1

See more therapy options for 23701

How does your Therapist compare?

Number of Therapists in 23701

30+

Average cost per session

$122

Therapists in 23701 who prioritize treating:

86% Anxiety
81% Depression
70% Trauma and PTSD
70% Women's Issues
68% Coping Skills
68% Stress
65% Grief

Average years in practice

10 Years

Top 3 insurances accepted

88% UnitedHealthcare UHC | UBH
88% Anthem | Elevance
85% Aetna

How Therapists in 23701 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

97% Female
3% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 23701?

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.