Therapists in 27530

Madonna Brown
Licensed Clinical Mental Health Counselor, LCMHC-S
1 Endorsed
Goldsboro, NC 27530
At Life Recovery, you matter! Your thoughts, feelings and desires are focused on in order to provide a Person-Centered Approach to therapy. You will be COMPLETELY accepted by your counselor or coach and you will be given the opportunity to create a Treatment Plan that works for you as an individual. There is no cookie-cutter counseling practiced at Life Recovery. We believe in seeing people as individuals and being sensitive to each person's experiences in order to better understand what you are feeling.
At Life Recovery, you matter! Your thoughts, feelings and desires are focused on in order to provide a Person-Centered Approach to therapy. You will be COMPLETELY accepted by your counselor or coach and you will be given the opportunity to create a Treatment Plan that works for you as an individual. There is no cookie-cutter counseling practiced at Life Recovery. We believe in seeing people as individuals and being sensitive to each person's experiences in order to better understand what you are feeling.
(984) 395-2784 View (984) 395-2784
Therapeutic Treasures Mental Health Counseling
Licensed Clinical Mental Health Counselor, LCMHCS, LCAS-A
Goldsboro, NC 27530
Sometimes it doesn’t look like a crisis; it looks like staying busy, keeping it together, and pushing through while stress, anger, or anxiety quietly build. You might notice your patience getting shorter, your mood shifting faster, or relationships feeling more strained than usual. I am here to assist you as you navigate through various challenges! My name is Tiffany Compton Murchison, and I am a licensed clinical mental health counselor supervisor as well as a licensed clinical addiction specialist associate. It would be an honor to assist you with identifying your personal goals and supporting you on your healing journey!
Sometimes it doesn’t look like a crisis; it looks like staying busy, keeping it together, and pushing through while stress, anger, or anxiety quietly build. You might notice your patience getting shorter, your mood shifting faster, or relationships feeling more strained than usual. I am here to assist you as you navigate through various challenges! My name is Tiffany Compton Murchison, and I am a licensed clinical mental health counselor supervisor as well as a licensed clinical addiction specialist associate. It would be an honor to assist you with identifying your personal goals and supporting you on your healing journey!
(984) 315-7551 View (984) 315-7551
Leah Sosnik Bozeman
Lic Clinical Mental Health Counselor Associate, MS, LCMHCA
Goldsboro, NC 27530
Life is full of ups and downs, and at times we are pushed beyond our limits in ways that challenge who we believe ourselves to be. Under pressure, it’s easy to slip into reacting rather than living intentionally. Moving forward is not simple—our attention is pulled in many directions, resources feel limited, and progress can falter. My role is to help identify and change the factors that keep you stuck, so you can move with greater clarity, purpose, and resilience. Together, we will define what success truly means for you and create a path that supports it.
Life is full of ups and downs, and at times we are pushed beyond our limits in ways that challenge who we believe ourselves to be. Under pressure, it’s easy to slip into reacting rather than living intentionally. Moving forward is not simple—our attention is pulled in many directions, resources feel limited, and progress can falter. My role is to help identify and change the factors that keep you stuck, so you can move with greater clarity, purpose, and resilience. Together, we will define what success truly means for you and create a path that supports it.
(984) 217-6727 View (984) 217-6727
Rose Stevenson
Counselor, LCMHC
1 Endorsed
Goldsboro, NC 27530
I have a love for people and as long as I can remember, I walked in the role as a counselor before I realized it was a profession. My greatest passion is helping others in any capacity. I was a School teacher for over 20 years teaching grades 6-9. As a teacher, I wore many hats which included being a counselor for my students as well as the entire school. I am a Licensed Clinical Mental Health Counselor in North Carolina. I attended Liberty University where I received my Masters’ Degree in Professional Counseling.
I have a love for people and as long as I can remember, I walked in the role as a counselor before I realized it was a profession. My greatest passion is helping others in any capacity. I was a School teacher for over 20 years teaching grades 6-9. As a teacher, I wore many hats which included being a counselor for my students as well as the entire school. I am a Licensed Clinical Mental Health Counselor in North Carolina. I attended Liberty University where I received my Masters’ Degree in Professional Counseling.
(919) 739-2985 View (919) 739-2985
Stacia Marie Harlan
Counselor, MA, LCMHC
Goldsboro, NC 27530
My heart has always been drawn to helping and encouraging others. My desire and passion is working with children, adolescents, and women who are going through life challenges or have experienced events in their past that need to be brought to the surface so that true, lasting healing can occur. I believe that the most important aspect of counseling is my relationship with the client and that is my main focus with my clients. I am currently accepting BCBS, Med Cost, and self pay If you are interested in my services, please call me so that we can discuss fees.
My heart has always been drawn to helping and encouraging others. My desire and passion is working with children, adolescents, and women who are going through life challenges or have experienced events in their past that need to be brought to the surface so that true, lasting healing can occur. I believe that the most important aspect of counseling is my relationship with the client and that is my main focus with my clients. I am currently accepting BCBS, Med Cost, and self pay If you are interested in my services, please call me so that we can discuss fees.
(984) 205-9340 View (984) 205-9340
Marvin R Alexander
Drug & Alcohol Counselor, MDiv, MS, LCAS-A, PC
Goldsboro, NC 27530
***WELCOMING NEW CLIENTS*** at Purpose Filled Counseling we realize that at some point all of us have found ourselves in the midst of some stressful seasons of life. We refer to those rough seasons as "drops." The reality is that each of us have been dropped at some point and each drop can potentially leave us with some scars - be it emotionally, mentally and in some cases even spiritually. Our goal is to provide a holistic approach to the counseling process. Spiritual Psychotherapy helps to give us the strength to continue our journey and ensures that you have someone that is willing to walk along side of you.
***WELCOMING NEW CLIENTS*** at Purpose Filled Counseling we realize that at some point all of us have found ourselves in the midst of some stressful seasons of life. We refer to those rough seasons as "drops." The reality is that each of us have been dropped at some point and each drop can potentially leave us with some scars - be it emotionally, mentally and in some cases even spiritually. Our goal is to provide a holistic approach to the counseling process. Spiritual Psychotherapy helps to give us the strength to continue our journey and ensures that you have someone that is willing to walk along side of you.
(919) 739-4258 View (919) 739-4258
Christina Jones
Counselor, MA, LCMHC
1 Endorsed
Goldsboro, NC 27530
Life can be overwhelming. Do you struggle with feeling anxious, racing thoughts, times of sadness, struggling with a loss of your sense of self that affects your day-to-day life, your work, career or relationships? Do you feel exhausted, overwhelmed, or frustrated by what it means to live up to someone else’s standards, just getting through the day, answering emails, texts or calls or basic tasks? Now more than ever people are feeling uncertain and unsure of where to begin. You are not alone! There is hope and answers! At Something Beautiful Counseling offers counseling, coaching and pathways to a better life for each client.
Life can be overwhelming. Do you struggle with feeling anxious, racing thoughts, times of sadness, struggling with a loss of your sense of self that affects your day-to-day life, your work, career or relationships? Do you feel exhausted, overwhelmed, or frustrated by what it means to live up to someone else’s standards, just getting through the day, answering emails, texts or calls or basic tasks? Now more than ever people are feeling uncertain and unsure of where to begin. You are not alone! There is hope and answers! At Something Beautiful Counseling offers counseling, coaching and pathways to a better life for each client.
(919) 372-4483 View (919) 372-4483
Fallon M Williams
Clinical Social Work/Therapist, LCSW, LCAS
3 Endorsed
Goldsboro, NC 27530
“Fake it til you make it” is a saying that many of us are familiar with and a motto that many of us unknowingly live by. Behind every smile is a story of a personal struggle. Have you ever wondered how your life would look if you didn’t have to fake happiness, joy, or contentment? What if you had the tools needed to not only survive but truly enjoy living?
“Fake it til you make it” is a saying that many of us are familiar with and a motto that many of us unknowingly live by. Behind every smile is a story of a personal struggle. Have you ever wondered how your life would look if you didn’t have to fake happiness, joy, or contentment? What if you had the tools needed to not only survive but truly enjoy living?
(252) 300-0461 View (252) 300-0461
Elizabeth B Saylors
Psychological Associate, MA, LPA, HSP-PA
Goldsboro, NC 27530
I opened my practice, ENC Psychological Services, in 2009, and am committed to providing my clients a wonderful therapeutic experience. I work with all ages and am able to provide a full range of psychological testing, individual and family therapy, and behavior plans. I believe that taking the first step and seeking the help you need is often the most difficult part, and I am here to help you along your path to healing.
I opened my practice, ENC Psychological Services, in 2009, and am committed to providing my clients a wonderful therapeutic experience. I work with all ages and am able to provide a full range of psychological testing, individual and family therapy, and behavior plans. I believe that taking the first step and seeking the help you need is often the most difficult part, and I am here to help you along your path to healing.
(252) 509-0096 View (252) 509-0096
Nicole Wagoner
Licensed Professional Counselor, MA, LCMHC, ASDCS
4 Endorsed
Serves Area
Hi! My name is Nicole. I am a Licensed Clinical Mental Health Counselor working at Ocean's Crest Counseling Center, PLLC in New Bern, NC. We are accepting new clients with BCBS, United Healthcare, Tricare, United Healthcare Community Plan, and Healthy Blue, Amerihealth, and Wellcare. I am certified as an Autism Spectrum Disorder Clinical Specialist. I have experience with a variety of mental health diagnoses. I have experience working with children, young adults, and military with a variety of mental health diagnoses. Some of these diagnoses have included PTSD, anxiety, depression, ODD, ADHD, and Conduct Disorder.
Hi! My name is Nicole. I am a Licensed Clinical Mental Health Counselor working at Ocean's Crest Counseling Center, PLLC in New Bern, NC. We are accepting new clients with BCBS, United Healthcare, Tricare, United Healthcare Community Plan, and Healthy Blue, Amerihealth, and Wellcare. I am certified as an Autism Spectrum Disorder Clinical Specialist. I have experience with a variety of mental health diagnoses. I have experience working with children, young adults, and military with a variety of mental health diagnoses. Some of these diagnoses have included PTSD, anxiety, depression, ODD, ADHD, and Conduct Disorder.
(252) 765-4397 View (252) 765-4397
Stevie Robertson
Pre-Licensed Professional, MA, LCAS-A
Serves Area
Making the first call is sometimes the hardest part of the therapeutic journey. We all will face times when our heart is in pain. We might suffer heartbreak, death, failure, disappointment, or many otherchallenges. In those times, how do you care for yourself? You have the power to heal your life, and you need to know that. I understand that life can throw curveballs that may make it hard to complete simple tasks like getting out of bed and enjoying the things you once found joy in. C.S. Lewis said " You can't go back and change the beginning but you can start where you are and change the ending." I strive to create a safe place
Making the first call is sometimes the hardest part of the therapeutic journey. We all will face times when our heart is in pain. We might suffer heartbreak, death, failure, disappointment, or many otherchallenges. In those times, how do you care for yourself? You have the power to heal your life, and you need to know that. I understand that life can throw curveballs that may make it hard to complete simple tasks like getting out of bed and enjoying the things you once found joy in. C.S. Lewis said " You can't go back and change the beginning but you can start where you are and change the ending." I strive to create a safe place
(984) 237-3124 View (984) 237-3124
Jamin H. Croom
LCSW Associate , MSW, LCSW-A
1 Endorsed
Serves Area
Feeling stuck, disconnected, or frustrated in your relationships or personal life? I work with youth (ages 10-17), adults, and couples who are ready for change but unsure where to begin. Many clients come in facing communication breakdowns, stress, or emotional overwhelm. I provide a supportive, culturally aware, and faith-informed (not limited) space. Using Cognitive Behavioral Therapy (CBT) and a strengths-based approach, I help you challenge unhelpful patterns, improve communication, and move forward with clarity, confidence, and purpose.
Feeling stuck, disconnected, or frustrated in your relationships or personal life? I work with youth (ages 10-17), adults, and couples who are ready for change but unsure where to begin. Many clients come in facing communication breakdowns, stress, or emotional overwhelm. I provide a supportive, culturally aware, and faith-informed (not limited) space. Using Cognitive Behavioral Therapy (CBT) and a strengths-based approach, I help you challenge unhelpful patterns, improve communication, and move forward with clarity, confidence, and purpose.
(252) 818-4276 View (252) 818-4276
Carolina Wellness and Counseling, PLLC
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Serves Area
Life can feel overwhelming at times, but you do not have to navigate it alone. By diving deeper into the root cause of unhealthy thoughts and behaviors, I help clients create new, cohesive, and healthy neural pathways to heal both mind and body. Parts Work is often integrated into the process, as it allows clients to address and rewrite the unhealthy scripts, coping mechanisms, and behaviors that were created as a result of past experiences and internal conflict. My specialties include: PTSD, trauma/abuse, anxiety, ADHD, depression, attachment wounds, and grief.
Life can feel overwhelming at times, but you do not have to navigate it alone. By diving deeper into the root cause of unhealthy thoughts and behaviors, I help clients create new, cohesive, and healthy neural pathways to heal both mind and body. Parts Work is often integrated into the process, as it allows clients to address and rewrite the unhealthy scripts, coping mechanisms, and behaviors that were created as a result of past experiences and internal conflict. My specialties include: PTSD, trauma/abuse, anxiety, ADHD, depression, attachment wounds, and grief.
(252) 397-4603 View (252) 397-4603
LaMiya Harrison
Clinical Social Work/Therapist, MSW, LCSWA
Serves Area
Do you ever feel like you’re carrying the weight of everything but still feel unseen or misunderstood? It’s hard to explain the anxiety, the overthinking, or why simple things feel so heavy. There’s a desire for peace, clarity, and a space to just be without judgment or pressure to perform. You want to feel heard, accepted, and supported while figuring out who you are and where you're going. Healing doesn’t have to look one way you’re seeking connection, creativity, and a space that feels safe enough to grow, at your own pace, in your own way.
Do you ever feel like you’re carrying the weight of everything but still feel unseen or misunderstood? It’s hard to explain the anxiety, the overthinking, or why simple things feel so heavy. There’s a desire for peace, clarity, and a space to just be without judgment or pressure to perform. You want to feel heard, accepted, and supported while figuring out who you are and where you're going. Healing doesn’t have to look one way you’re seeking connection, creativity, and a space that feels safe enough to grow, at your own pace, in your own way.
(252) 595-7146 View (252) 595-7146
Venita Wiley Wright-Blake
Marriage & Family Therapist, MS, LMFT, RPT
1 Endorsed
Serves Area
First, congratulations on taking the first step toward healing. Recognizing a problem is the first step toward finding solutions. Depression, anxiety, insecurity, fear, doubt and other feelings can weigh you down. These feelings can stem from trauma such as any form of abuse, neglect, domestic violence, infertility, divorce, loss of loved ones, medical problems, and other forms of trauma. You want change and need someone to help. You need a partner that understands and will walk with you on the journey of growth and healing. You have made the first step and you are ready to take the next. How do you get your life back?
First, congratulations on taking the first step toward healing. Recognizing a problem is the first step toward finding solutions. Depression, anxiety, insecurity, fear, doubt and other feelings can weigh you down. These feelings can stem from trauma such as any form of abuse, neglect, domestic violence, infertility, divorce, loss of loved ones, medical problems, and other forms of trauma. You want change and need someone to help. You need a partner that understands and will walk with you on the journey of growth and healing. You have made the first step and you are ready to take the next. How do you get your life back?
(252) 582-6241 View (252) 582-6241
Starr Odom
Clinical Social Work/Therapist, MSW, LCSWA
3 Endorsed
Serves Area
If you’re feeling caught in a cycle of worry or depression, you’re not alone. Life’s challenges can leave us feeling overwhelmed, stuck, or unsure of ourselves. Whether you’re dealing with anxiety, lack of motivation, or adjusting to a new life transition, therapy can offer support, clarity, and meaningful change. I am passionate about helping individuals create realistic and sustainable ways to prioritize their mental health. No matter what season of life you are in, you deserve to be a priority.
If you’re feeling caught in a cycle of worry or depression, you’re not alone. Life’s challenges can leave us feeling overwhelmed, stuck, or unsure of ourselves. Whether you’re dealing with anxiety, lack of motivation, or adjusting to a new life transition, therapy can offer support, clarity, and meaningful change. I am passionate about helping individuals create realistic and sustainable ways to prioritize their mental health. No matter what season of life you are in, you deserve to be a priority.
(252) 888-3221 View (252) 888-3221
Danielle Young
Clinical Social Work/Therapist, LCSW
Serves Area
Danielle Young, PhD, LCSW I’m Danielle Young, a doctoral-level clinician and licensed clinical social worker based in Goldsboro, NC, offering both in-person and secure virtual therapy. I work collaboratively with adults and couples who are ready to move from surviving to living with greater clarity, connection, and emotional balance. My approach is warm, direct, and rooted in evidence-based practices tailored to each person’s needs and pace. If you’re seeking a therapist who balances empathy with clear, action-oriented steps, we may be a good fit.
Danielle Young, PhD, LCSW I’m Danielle Young, a doctoral-level clinician and licensed clinical social worker based in Goldsboro, NC, offering both in-person and secure virtual therapy. I work collaboratively with adults and couples who are ready to move from surviving to living with greater clarity, connection, and emotional balance. My approach is warm, direct, and rooted in evidence-based practices tailored to each person’s needs and pace. If you’re seeking a therapist who balances empathy with clear, action-oriented steps, we may be a good fit.
(984) 983-4439 View (984) 983-4439
Tiffany Farmer
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Serves Area
When you are dealing with anxiety, depression, trauma, or the heavy cycle of addiction, life can feel like an endless uphill battle. You might feel stuck in the past, overwhelmed by the present, or worried that you are "too far gone" to ever find true happiness again. It is incredibly exhausting to carry these burdens alone while trying to maintain a brave face for the world around you. I am here to tell you that healing is entirely achievable, and you do not have to navigate this alone. In our sessions, you will find a completely non-judgmental space to vent, process your pain, and untangle the unexpected challenges of life.
When you are dealing with anxiety, depression, trauma, or the heavy cycle of addiction, life can feel like an endless uphill battle. You might feel stuck in the past, overwhelmed by the present, or worried that you are "too far gone" to ever find true happiness again. It is incredibly exhausting to carry these burdens alone while trying to maintain a brave face for the world around you. I am here to tell you that healing is entirely achievable, and you do not have to navigate this alone. In our sessions, you will find a completely non-judgmental space to vent, process your pain, and untangle the unexpected challenges of life.
(919) 899-7720 View (919) 899-7720
Mitchell McLamb
Pastoral Counselor, MTS, BCPC, BCLC
Serves Area
Seasons of life come and go and with each season comes new challenges. Many times, turning the page to the next chapter is difficult. While serving in pastoral ministry for over 10 years, I've had the privilege to witness many individuals and couples turn the page and experience the life that God desires for them. You can be all that God has created you to be and you can experience life abundantly. Sometimes we just need a little help reaching goals and working through situations and circumstances. I want to help you find the abundant life and turn the page to your next chapter.
Seasons of life come and go and with each season comes new challenges. Many times, turning the page to the next chapter is difficult. While serving in pastoral ministry for over 10 years, I've had the privilege to witness many individuals and couples turn the page and experience the life that God desires for them. You can be all that God has created you to be and you can experience life abundantly. Sometimes we just need a little help reaching goals and working through situations and circumstances. I want to help you find the abundant life and turn the page to your next chapter.
(984) 369-8566 View (984) 369-8566
Nicole Lewis
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CCS
3 Endorsed
Serves Area
How are you? No, really..what do you need right now? What are you carrying that feels to heavy? Have you been dealing with hurt and pain or do your emotions feel like that are overtaking you? If any of this sounds familiar, maybe you are in the right place to ask for what you need....a little support and a little help. We all need that sometimes. Take a deep breath and be assured that you have already taken the hardest step...looking for help and reaching out. So, if you are ready, let's get started helping you build more confidence in your ability to handle the unexpected events that have left you feeling shaken, defeated or alone.
How are you? No, really..what do you need right now? What are you carrying that feels to heavy? Have you been dealing with hurt and pain or do your emotions feel like that are overtaking you? If any of this sounds familiar, maybe you are in the right place to ask for what you need....a little support and a little help. We all need that sometimes. Take a deep breath and be assured that you have already taken the hardest step...looking for help and reaching out. So, if you are ready, let's get started helping you build more confidence in your ability to handle the unexpected events that have left you feeling shaken, defeated or alone.
(252) 594-8907 View (252) 594-8907

See more therapy options for 27530

How does your Therapist compare?

Number of Therapists in 27530

30+

Average cost per session

$125

Therapists in 27530 who prioritize treating:

97% Depression
97% Anxiety
97% Social Anxiety
97% Health Anxiety
97% Driving Anxiety
86% Stress
81% Self Esteem

Average years in practice

8 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
85% Aetna
64% Cigna and Evernorth

How Therapists in 27530 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 27530?

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.