Therapists in 24293

Photo of Shaylan Gross, Pre-Licensed Professional
Shaylan Gross
Pre-Licensed Professional
Wise, VA 24293
Hi, I'm Shaylan. Life can shift in ways we don’t anticipate, and sometimes we wake up feeling lost in our own story. Maybe you’re working through relationship trouble, struggling to set boundaries, or battling the quiet exhaustion of trying to hold it all together. I offer a space where you can unpack it all, meeting you exactly where you are, without expectations.
Hi, I'm Shaylan. Life can shift in ways we don’t anticipate, and sometimes we wake up feeling lost in our own story. Maybe you’re working through relationship trouble, struggling to set boundaries, or battling the quiet exhaustion of trying to hold it all together. I offer a space where you can unpack it all, meeting you exactly where you are, without expectations.
(276) 531-3339 View (276) 531-3339
Photo of Sarabeth Marshall, Pre-Licensed Professional, MEd
Sarabeth Marshall
Pre-Licensed Professional, MEd
4 Endorsed
Wise, VA 24293
You may be feeling stressed, anxious, or weighed down by challenges in your life or relationships. Maybe you want a safe space to talk things through, sort out what you are feeling, and find healthier ways to cope. You might also be hoping for stronger connections with the people you care about or simply wishing to feel more at peace with yourself. If you're ready to take steps toward greater self-understanding, I would be honored to walk alongside you. Together, we can work on managing emotions, improving communication, and building the confidence to face life’s ups and downs. My goal is to support you along the way.
You may be feeling stressed, anxious, or weighed down by challenges in your life or relationships. Maybe you want a safe space to talk things through, sort out what you are feeling, and find healthier ways to cope. You might also be hoping for stronger connections with the people you care about or simply wishing to feel more at peace with yourself. If you're ready to take steps toward greater self-understanding, I would be honored to walk alongside you. Together, we can work on managing emotions, improving communication, and building the confidence to face life’s ups and downs. My goal is to support you along the way.
(276) 421-4109 View (276) 421-4109
Photo of Stephanie Hope Strouth - Anchoring Hope Counseling, LLC, Licensed Professional Counselor, LPC
Anchoring Hope Counseling, LLC
Licensed Professional Counselor, LPC
4 Endorsed
Wise, VA 24293
At Anchoring Hope, we are here to support you in overcoming life’s challenges. Whether you're struggling with anxiety, depression, relationship issues, or family dynamics, our compassionate therapists are ready to guide you. Our goal is to help you build coping skills and emotional resilience, empowering you to live a more fulfilling, balanced life. We offer individual, couple, and family therapy to address your unique needs. Visit www.ahchope.com to connect with a therapist, complete our interest form, or explore helpful resources!
At Anchoring Hope, we are here to support you in overcoming life’s challenges. Whether you're struggling with anxiety, depression, relationship issues, or family dynamics, our compassionate therapists are ready to guide you. Our goal is to help you build coping skills and emotional resilience, empowering you to live a more fulfilling, balanced life. We offer individual, couple, and family therapy to address your unique needs. Visit www.ahchope.com to connect with a therapist, complete our interest form, or explore helpful resources!
(276) 242-3540 View (276) 242-3540
Photo of Brittany Wampler, Licensed Professional Counselor, LPC
Brittany Wampler
Licensed Professional Counselor, LPC
4 Endorsed
Wise, VA 24293
Let’s walk through your story together! I’m Brittany Wampler, an LPC in Virginia. My journey started in teaching, but after experiencing personal loss and challenges, I felt called to help others navigate their own struggles. With a Master’s in Education from Lindsey Wilson, along with degrees in Education, English, and Literature, I bring a unique perspective to therapy—one that values your personal story and the meaning behind your experiences. Whether you're facing grief, life transitions, or emotional challenges, I’m here to provide a compassionate space where you feel heard, understood, and empowered to move forward.
Let’s walk through your story together! I’m Brittany Wampler, an LPC in Virginia. My journey started in teaching, but after experiencing personal loss and challenges, I felt called to help others navigate their own struggles. With a Master’s in Education from Lindsey Wilson, along with degrees in Education, English, and Literature, I bring a unique perspective to therapy—one that values your personal story and the meaning behind your experiences. Whether you're facing grief, life transitions, or emotional challenges, I’m here to provide a compassionate space where you feel heard, understood, and empowered to move forward.
(276) 566-1702 View (276) 566-1702
Photo of John S. Paul, Resident in Counseling, MA, BC-TMH
John S. Paul
Resident in Counseling, MA, BC-TMH
7 Endorsed
Wise, VA 24293
Healing from attachment wounds and early life trauma can feel overwhelming. If you struggle with self-doubt, shame, or a sense of not being enough, you are not alone. Even taking a moment to read this is a meaningful step. You can move toward feeling more connected, accepted, and at peace with yourself. Simply know you don’t have to do it alone. You might feel stuck or unsure where to turn. Maybe you’re craving relief, clarity, or just a place to slow down and be seen. I offer a safe, supportive space to explore your experiences, reconnect with yourself, and start finding the balance and understanding you’ve been looking for.
Healing from attachment wounds and early life trauma can feel overwhelming. If you struggle with self-doubt, shame, or a sense of not being enough, you are not alone. Even taking a moment to read this is a meaningful step. You can move toward feeling more connected, accepted, and at peace with yourself. Simply know you don’t have to do it alone. You might feel stuck or unsure where to turn. Maybe you’re craving relief, clarity, or just a place to slow down and be seen. I offer a safe, supportive space to explore your experiences, reconnect with yourself, and start finding the balance and understanding you’ve been looking for.
(276) 688-6203 View (276) 688-6203
Photo of Lori M Long, Licensed Professional Counselor, MEd, LPC, NCC
Lori M Long
Licensed Professional Counselor, MEd, LPC, NCC
Serves Area
Lori Long, a Licensed Professional and National Certified Virginia Counselor, has worked in varied fields, including public and private schools, and in-home and psychiatric hospital settings. Long has many years of experience addressing anxiety, depression, attention deficit disorders, autism, bi-polar behavior, attachment/adjustment difficulties, serious emotional issues, behavioral challenges and trauma survival. By offering unique opportunity in a private, confidential setting, Long seeks to empower her clients to overcome challenges, leading them toward the authentic realization of a satisfying, rewarding life.
Lori Long, a Licensed Professional and National Certified Virginia Counselor, has worked in varied fields, including public and private schools, and in-home and psychiatric hospital settings. Long has many years of experience addressing anxiety, depression, attention deficit disorders, autism, bi-polar behavior, attachment/adjustment difficulties, serious emotional issues, behavioral challenges and trauma survival. By offering unique opportunity in a private, confidential setting, Long seeks to empower her clients to overcome challenges, leading them toward the authentic realization of a satisfying, rewarding life.
(276) 325-2420 View (276) 325-2420
Photo of Dora Smith, Licensed Professional Counselor, LPC
Dora Smith
Licensed Professional Counselor, LPC
Online Only
Hello, I'm Dora Smith. I am a Licensed Professional Counselor, in the state of Virginia and South Carolina. I am a former teacher who worked with the regular and special education environment. I received my Bachelor’s degree from the University of Alabama and my Master’s degree in Clinical Mental Health from the University of the Cumberlands in Williamsburg, Kentucky. I work with individuals, couples, and adolescents to improve relationship concerns, self-esteem, depression, anxiety, post-partum, grief, life transitions, ADHD, PTSD, and addictions. I believe everyone can overcome their struggles with support and genuine effort.
Hello, I'm Dora Smith. I am a Licensed Professional Counselor, in the state of Virginia and South Carolina. I am a former teacher who worked with the regular and special education environment. I received my Bachelor’s degree from the University of Alabama and my Master’s degree in Clinical Mental Health from the University of the Cumberlands in Williamsburg, Kentucky. I work with individuals, couples, and adolescents to improve relationship concerns, self-esteem, depression, anxiety, post-partum, grief, life transitions, ADHD, PTSD, and addictions. I believe everyone can overcome their struggles with support and genuine effort.
(276) 242-2382 View (276) 242-2382
Photo of Gregory Allen George II, Licensed Professional Counselor, LPC, ALPS
Gregory Allen George II
Licensed Professional Counselor, LPC, ALPS
1 Endorsed
Online Only
My ideal client is seeking personal growth and healing from trauma, stress, and emotional regulation issues. They need a safe, empathetic environment to explore their thoughts and feelings. Their goals include improving mental health, enhancing relationships, and gaining coping strategies. They want to feel empowered and resilient, driven by a desire for self-discovery and meaningful change.
My ideal client is seeking personal growth and healing from trauma, stress, and emotional regulation issues. They need a safe, empathetic environment to explore their thoughts and feelings. Their goals include improving mental health, enhancing relationships, and gaining coping strategies. They want to feel empowered and resilient, driven by a desire for self-discovery and meaningful change.
(304) 836-3687 View (304) 836-3687
Photo of Heather Doute, Counselor, LPC, CSOTP
Heather Doute
Counselor, LPC, CSOTP
1 Endorsed
Online Only
Welcome to your new beginning! I am a Licensed Professional Counselor who supports those who suffer from sexual related issues to include sex therapy and sexual deviancy, anxiety, LGBTQ+ issues, stress, and relationship dysfunction utilizing a Cognitive Behavioral, Person Centered, and Acceptance Approach. My goal is to join with my clients to discuss current stressors, process emotions, and assist in determining solutions together. Whether you choose to focus on your current issues or issues from your past, together, we can work through those issues and develop appropriate coping skills which will lead to manageable behaviors.
Welcome to your new beginning! I am a Licensed Professional Counselor who supports those who suffer from sexual related issues to include sex therapy and sexual deviancy, anxiety, LGBTQ+ issues, stress, and relationship dysfunction utilizing a Cognitive Behavioral, Person Centered, and Acceptance Approach. My goal is to join with my clients to discuss current stressors, process emotions, and assist in determining solutions together. Whether you choose to focus on your current issues or issues from your past, together, we can work through those issues and develop appropriate coping skills which will lead to manageable behaviors.
(571) 506-6514 View (571) 506-6514

More Therapists Nearby

Sarah May
Licensed Professional Counselor, LPC
Big Stone Gap, VA 24219
Hello! As a seasoned and experienced Therapist, I take pride in assisting others become the best version of themselves, meeting people where they are, empowering others to to overcome struggles, finding resilience, and recognizing value and worth in prioritizing mental health. I do have an eclectic approach to therapy, meeting individuals where they are on their journey, but the primary theory that I draw experience and motivation with is Cognitive Behavioral Therapy as well as Trauma Informed Care
Hello! As a seasoned and experienced Therapist, I take pride in assisting others become the best version of themselves, meeting people where they are, empowering others to to overcome struggles, finding resilience, and recognizing value and worth in prioritizing mental health. I do have an eclectic approach to therapy, meeting individuals where they are on their journey, but the primary theory that I draw experience and motivation with is Cognitive Behavioral Therapy as well as Trauma Informed Care
(276) 496-2852 View (276) 496-2852
Photo of Kandice Ketterling - Thriveworks Counseling & Psychiatry Abingdon, Counselor
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(855) 524-5193 View (855) 524-5193
Photo of Cheri Ann Meadowlark, Marriage & Family Therapist, LMFT
Cheri Ann Meadowlark
Marriage & Family Therapist, LMFT
Clintwood, VA 24228
My focus is to help individuals heal, energize, and become aware of their inner strengths. I create a safe space for you to work through trauma, OCD, anxiety and depression. This is a judgment free zone. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan that supports you in reaching your goals. .
My focus is to help individuals heal, energize, and become aware of their inner strengths. I create a safe space for you to work through trauma, OCD, anxiety and depression. This is a judgment free zone. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan that supports you in reaching your goals. .
(276) 323-9682 View (276) 323-9682
Photo of Melissa Dye, Clinical Social Work/Therapist, LCSW, CSOTP
Melissa Dye
Clinical Social Work/Therapist, LCSW, CSOTP
Dungannon, VA 24245
My clients ages range across the lifespan from age three to eighty three. Working in different environments such as inpatient, outpatient, and school based programs has enhanced my skills and knowledge to provide person centered care.
My clients ages range across the lifespan from age three to eighty three. Working in different environments such as inpatient, outpatient, and school based programs has enhanced my skills and knowledge to provide person centered care.
(276) 531-9328 View (276) 531-9328
Photo of Benjamin Keith Watkins, Licensed Professional Counselor, LPC
Benjamin Keith Watkins
Licensed Professional Counselor, LPC
Bristol, VA 24202
I work with a variety of concerns, including ADHD, trauma, depression, anxiety, and attachment challenges. I also have several years of experience in foster care, where I supported children and teens through the unique difficulties that come with that system. These experiences have given me a deep appreciation for resilience and the many different paths people take toward healing.
I work with a variety of concerns, including ADHD, trauma, depression, anxiety, and attachment challenges. I also have several years of experience in foster care, where I supported children and teens through the unique difficulties that come with that system. These experiences have given me a deep appreciation for resilience and the many different paths people take toward healing.
(276) 521-5964 View (276) 521-5964
Photo of Barbara Pittman, Clinical Social Work/Therapist, LCSW, RPT-S
Barbara Pittman
Clinical Social Work/Therapist, LCSW, RPT-S
4 Endorsed
Serves Area
If you're a parent seeking support for your child, you’re looking for a therapist who radiates warmth and positivity—someone who can create a safe and nurturing space where your child can heal and grow. You want an experienced professional with over two decades of expertise in play therapy and trauma recovery, who truly understands the unique needs of children aged 3 to 17. Whether your child is navigating PTSD, ADHD, anxiety, depression, or other challenges, you’re seeking more than just a therapist—you want a compassionate partner who will walk alongside your family on the path to healing and resilience.
If you're a parent seeking support for your child, you’re looking for a therapist who radiates warmth and positivity—someone who can create a safe and nurturing space where your child can heal and grow. You want an experienced professional with over two decades of expertise in play therapy and trauma recovery, who truly understands the unique needs of children aged 3 to 17. Whether your child is navigating PTSD, ADHD, anxiety, depression, or other challenges, you’re seeking more than just a therapist—you want a compassionate partner who will walk alongside your family on the path to healing and resilience.
(276) 877-2850 View (276) 877-2850
Photo of Dr. Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Norton, VA 24273
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(276) 624-6831 View (276) 624-6831
Photo of Brandi O'Quinn, Licensed Professional Counselor, LPC, NCC, CCATP, C-PD
Brandi O'Quinn
Licensed Professional Counselor, LPC, NCC, CCATP, C-PD
2 Endorsed
Serves Area
For many years, I have been dedicated to working with individuals who struggle with many challenges that life has to bring. While we all face challenges, sometimes there are hardships or circumstances that leave us feeling like things are out of our control. I am passionate about working with individuals who are having difficulties with managing intense emotions, self-esteem, anxiety, depression, interpersonal relationship difficulties, stress management, and other difficulties in life.
For many years, I have been dedicated to working with individuals who struggle with many challenges that life has to bring. While we all face challenges, sometimes there are hardships or circumstances that leave us feeling like things are out of our control. I am passionate about working with individuals who are having difficulties with managing intense emotions, self-esteem, anxiety, depression, interpersonal relationship difficulties, stress management, and other difficulties in life.
(276) 530-2140 View (276) 530-2140
Photo of Lillian Arriona Yates, Clinical Social Work/Therapist, LCSW
Lillian Arriona Yates
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
Waitlist for new clients
Therapy is a place to heal, grow, set goals, and get to know yourself, where you don’t have to wear a mask or say you’re “Okay” even if you’re not. A place to be your genuine self without judgement or criticism. I practice strengths-based treatment and want my clients to feel accomplished, validated, and supported at the end of a session. We all have different goals for therapy. Whether yours is healing trauma, improving relationships or managing stress your goals are important and deserve the time and effort that therapy requires. I can help you to gain new perspective and move toward achieving your goal.
Therapy is a place to heal, grow, set goals, and get to know yourself, where you don’t have to wear a mask or say you’re “Okay” even if you’re not. A place to be your genuine self without judgement or criticism. I practice strengths-based treatment and want my clients to feel accomplished, validated, and supported at the end of a session. We all have different goals for therapy. Whether yours is healing trauma, improving relationships or managing stress your goals are important and deserve the time and effort that therapy requires. I can help you to gain new perspective and move toward achieving your goal.
(423) 607-0809 View (423) 607-0809
Photo of Teri Dahley, Licensed Professional Counselor, LPC, LSATP, LMHP
Teri Dahley
Licensed Professional Counselor, LPC, LSATP, LMHP
Online Only
Hi, I'm Teri, Licensed Professional Counselor (LPC) and Licensed Substance Abuse Treatment Practitioner (LSATP) with experience in behavioral health and addictions since 2018. I am dedicated to supporting individuals navigating mental health challenges and substance use disorders, using an educational and insight-oriented approach to help clients understand how past experiences and behavioral patterns influence their present lives and future potential.
Hi, I'm Teri, Licensed Professional Counselor (LPC) and Licensed Substance Abuse Treatment Practitioner (LSATP) with experience in behavioral health and addictions since 2018. I am dedicated to supporting individuals navigating mental health challenges and substance use disorders, using an educational and insight-oriented approach to help clients understand how past experiences and behavioral patterns influence their present lives and future potential.
(276) 388-1773 View (276) 388-1773
Photo of Cheri Meadowlark, Marriage & Family Therapist
Cheri Meadowlark
Marriage & Family Therapist
Online Only
Hi; my name is Cheri Meadowlark and I am a Licensed Marriage and Family therapist. I am from the Southwest part of Virginia. I have 20 years experience working in different cultures around the world. I have a Masters degree in Clinical Psychology with an emphasis in Marriage and Family Therapy. I worked in Africa for 10 years with organizations to develop support groups and training for women coming out of human trafficking. I use equine therapy with individuals who have experienced trauma and I have experience in Dialectical Behavioral therapy; Cognitive Behavioral therapy; ERP and Prolonged Exposure for.
Hi; my name is Cheri Meadowlark and I am a Licensed Marriage and Family therapist. I am from the Southwest part of Virginia. I have 20 years experience working in different cultures around the world. I have a Masters degree in Clinical Psychology with an emphasis in Marriage and Family Therapy. I worked in Africa for 10 years with organizations to develop support groups and training for women coming out of human trafficking. I use equine therapy with individuals who have experienced trauma and I have experience in Dialectical Behavioral therapy; Cognitive Behavioral therapy; ERP and Prolonged Exposure for.

See more therapy options for 24293

How does your Therapist compare?

Number of Therapists in 24293

< 10

Therapists in 24293 who prioritize treating:

78% Anxiety
67% Depression
67% Trauma and PTSD
67% Women's Issues
67% Stress
56% Relationship Issues
56% ADHD

Average years in practice

13 Years

Top 3 insurances accepted

88% Aetna
88% BlueCross and BlueShield
88% Anthem

How Therapists in 24293 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 24293?

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.