Therapists in 27577

Photo of Gena Pittman Phillips, Lic Clinical Mental Health Counselor Supervisor, LCMHCS, LCAS, CCS
Gena Pittman Phillips
Lic Clinical Mental Health Counselor Supervisor, LCMHCS, LCAS, CCS
1 Endorsed
Smithfield, NC 27577
Since 2000, I’ve helped people overcome the obstacles that seem to be holding them back in life. Life's too short to be unhappy, unsure, or unfulfilled. Let me help you recognize and develop better ways to handle the issues that are standing in the way of your goals. If you are seeking a private and relaxed setting where you can leave each session with practical skills and/or information that you can apply in your everyday life, then I am the counselor for you. I also offer quick turn around times for appointments and you will not have to wait in an overcrowded and loud waiting area prior to your appointment.
Since 2000, I’ve helped people overcome the obstacles that seem to be holding them back in life. Life's too short to be unhappy, unsure, or unfulfilled. Let me help you recognize and develop better ways to handle the issues that are standing in the way of your goals. If you are seeking a private and relaxed setting where you can leave each session with practical skills and/or information that you can apply in your everyday life, then I am the counselor for you. I also offer quick turn around times for appointments and you will not have to wait in an overcrowded and loud waiting area prior to your appointment.
(984) 205-1765 View (984) 205-1765
Photo of Renee Watson Adams - Living Beyond It Counseling and Consultations, Lic Clinical Mental Health Counselor Supervisor, MS, LCMHCSS, LCAS, CCS
Living Beyond It Counseling and Consultations
Lic Clinical Mental Health Counselor Supervisor, MS, LCMHCSS, LCAS, CCS
Smithfield, NC 27577
Our Therapists are Accepting Medicaid and ChampVA....You Can Live Beyond It ... Let us show you how! We have amazing therapist with skills to help you refresh, be happy and find pleasure in life again. If you have never engaged in counseling before, we are easy to talk to. If you have been in therapy before, we will be your last therapist. We listen with unconditional acceptance to assist you in finding solutions and coping skills for that difficult situation you are going through! Email me or follow this link to schedule your appointment NOW www.therapyportal.com/p/reneewatson
Our Therapists are Accepting Medicaid and ChampVA....You Can Live Beyond It ... Let us show you how! We have amazing therapist with skills to help you refresh, be happy and find pleasure in life again. If you have never engaged in counseling before, we are easy to talk to. If you have been in therapy before, we will be your last therapist. We listen with unconditional acceptance to assist you in finding solutions and coping skills for that difficult situation you are going through! Email me or follow this link to schedule your appointment NOW www.therapyportal.com/p/reneewatson
(984) 374-9848 View (984) 374-9848
Photo of Sharell Williams, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Sharell Williams
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
1 Endorsed
Smithfield, NC 27577
Offering In-person and online sessions. You are valuable and valued. I am here to support your journey. Life can get complicated and challenging at any given time. It is my pleasure to listen empathically and extend genuine positive respect through life challenges, changes, and transitions. Wellness is a top priority, and I strive to create a safe space for exploration of thoughts, emotions, and life events. I believe in the power of healing through connection and understanding.
Offering In-person and online sessions. You are valuable and valued. I am here to support your journey. Life can get complicated and challenging at any given time. It is my pleasure to listen empathically and extend genuine positive respect through life challenges, changes, and transitions. Wellness is a top priority, and I strive to create a safe space for exploration of thoughts, emotions, and life events. I believe in the power of healing through connection and understanding.
(984) 306-5235 View (984) 306-5235
Photo of LoriAnn Ford - Pawsitive Vibes Counseling, PLLC, Clinical Social Work/Therapist, MSW, LCSW
Pawsitive Vibes Counseling, PLLC
Clinical Social Work/Therapist, MSW, LCSW
Smithfield, NC 27577
Welcome to Pawsitive Vibes Counseling, PLLC! Animal-Assisted Therapy offers numerous benefits for all age groups. Animals can help with stress reduction, emotion regulation, social interaction, and trauma recovery. Working along beside me will be my dog, Piper. She has worked with many children, teens, and adults. Piper wants to help you too!
Welcome to Pawsitive Vibes Counseling, PLLC! Animal-Assisted Therapy offers numerous benefits for all age groups. Animals can help with stress reduction, emotion regulation, social interaction, and trauma recovery. Working along beside me will be my dog, Piper. She has worked with many children, teens, and adults. Piper wants to help you too!
(984) 283-5042 View (984) 283-5042
Photo of Renee Watson Adams, Licensed Professional Counselor, MS, LCMHCS, LCAS, CCS
Renee Watson Adams
Licensed Professional Counselor, MS, LCMHCS, LCAS, CCS
2 Endorsed
Smithfield, NC 27577
YOU CAN LIVE BEYOND IT.... LET ME SHOW YOU HOW! I have the skills to help you refresh, be happy and find pleasure in life again. If you have never engaged in counseling before, I am easy to talk to. If you have been in therapy before, I will be your last therapist. I have worked with both children and adults with mental health and substance abuse issues since 1995. I listen with unconditional acceptance to assist you in finding solutions and coping skills for that difficult situation you are going through! Email me or follow this link to schedule your appointment NOW https://www.therapyportal.com/p/reneewatson/
YOU CAN LIVE BEYOND IT.... LET ME SHOW YOU HOW! I have the skills to help you refresh, be happy and find pleasure in life again. If you have never engaged in counseling before, I am easy to talk to. If you have been in therapy before, I will be your last therapist. I have worked with both children and adults with mental health and substance abuse issues since 1995. I listen with unconditional acceptance to assist you in finding solutions and coping skills for that difficult situation you are going through! Email me or follow this link to schedule your appointment NOW https://www.therapyportal.com/p/reneewatson/
(984) 374-9848 View (984) 374-9848
Photo of Melissa Penley, Counselor, LCMHCA
Melissa Penley
Counselor, LCMHCA
Smithfield, NC 27577
I desire to be a therapist that provides the space and place for someone to walk into the counseling room and can know that they are seen and heard. I love working with children, teens and adults. I utilize cognitive-behavioral techniques and a variety of other methods to help each person that enters into my office. I know that beginning a therapeutic relationship is not an easy task, and I am grateful for the opportunity to serve.
I desire to be a therapist that provides the space and place for someone to walk into the counseling room and can know that they are seen and heard. I love working with children, teens and adults. I utilize cognitive-behavioral techniques and a variety of other methods to help each person that enters into my office. I know that beginning a therapeutic relationship is not an easy task, and I am grateful for the opportunity to serve.
(919) 336-0668 View (919) 336-0668
Photo of Stevie Robertson, Pre-Licensed Professional, MA, LCAS-A
Stevie Robertson
Pre-Licensed Professional, MA, LCAS-A
Smithfield, NC 27577
Making the first call is sometimes the hardest part of the therapeutic journey. We may all face times when our heart is in pain. We might suffer heartbreak, death, failure, disappointment, or man other challenges. 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 provide to create a safe plac
Making the first call is sometimes the hardest part of the therapeutic journey. We may all face times when our heart is in pain. We might suffer heartbreak, death, failure, disappointment, or man other challenges. 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 provide to create a safe plac
(984) 300-4218 View (984) 300-4218
Photo of Kathryn Piper, Clinical Social Work/Therapist, MSW, LCSWA
Kathryn Piper
Clinical Social Work/Therapist, MSW, LCSWA
Smithfield, NC 27577
Sometimes life can be challenging and full of distress. At times we need someone to help us navigate these situations and help explore past and present situations that may have contributed to current challenges.
Sometimes life can be challenging and full of distress. At times we need someone to help us navigate these situations and help explore past and present situations that may have contributed to current challenges.
(984) 314-1070 View (984) 314-1070
Photo of Jennifer L Harrell, Licensed Clinical Mental Health Counselor, LCMHC, LCASA, CRC
Jennifer L Harrell
Licensed Clinical Mental Health Counselor, LCMHC, LCASA, CRC
1 Endorsed
Smithfield, NC 27577
I am a therapist at Living Beyond It in Smithfield, NC. I have spent the past two decades working in the mental health and substance use field. I am accepting new youth and adult patients. My specialties are transition age youth (ages 14-24) and at risk populations. If you or your child are having difficulty with anxiety, depression, social relationships or life in general, I would love to help!
I am a therapist at Living Beyond It in Smithfield, NC. I have spent the past two decades working in the mental health and substance use field. I am accepting new youth and adult patients. My specialties are transition age youth (ages 14-24) and at risk populations. If you or your child are having difficulty with anxiety, depression, social relationships or life in general, I would love to help!
(919) 899-2750 View (919) 899-2750
Photo of Kairashia Boyce Rasberry - KBR Counseling and Services, PLLC, MS, NCC, LCMHC, LCAS, QS,CCS, LPC
KBR Counseling and Services, PLLC
Verified Verified
1 Endorsed
Smithfield, NC 27577
Life's challenges can leave you feeling overwhelmed, anxious, and depressed, even if those around you are unaware. You may be struggling to maintain control and desperately need a safe space to address these issues without fear of judgment or shame. Perhaps your relationships or marriage are suffering, or stress is impacting your health and work productivity. If you're yearning for balance, peace, and a sense of calm, you're not alone.
Life's challenges can leave you feeling overwhelmed, anxious, and depressed, even if those around you are unaware. You may be struggling to maintain control and desperately need a safe space to address these issues without fear of judgment or shame. Perhaps your relationships or marriage are suffering, or stress is impacting your health and work productivity. If you're yearning for balance, peace, and a sense of calm, you're not alone.
(252) 888-6759 View (252) 888-6759
Photo of Caren Wharton, Licensed Clinical Mental Health Counselor, LCMHC
Caren Wharton
Licensed Clinical Mental Health Counselor, LCMHC
2 Endorsed
Serves Area
I provide services for children, teens, and adults that are looking to be holistically supported that face a wide range of challenges , including (but not limited to): Depression and anxiety, Emotional regulation, Behavioral challenges, ODD, Relationship issues and conflict resolution, Separation/Divorce support, Life transitions/adjustments, Grief, ADHD, Autism support, and Boundary setting and self-love, Using an eclectic approach to therapy, I tailor each treatment plan to meet the unique needs of my clients—helping them move toward their most balanced, fulfilled, and joyful life.
I provide services for children, teens, and adults that are looking to be holistically supported that face a wide range of challenges , including (but not limited to): Depression and anxiety, Emotional regulation, Behavioral challenges, ODD, Relationship issues and conflict resolution, Separation/Divorce support, Life transitions/adjustments, Grief, ADHD, Autism support, and Boundary setting and self-love, Using an eclectic approach to therapy, I tailor each treatment plan to meet the unique needs of my clients—helping them move toward their most balanced, fulfilled, and joyful life.
(984) 374-1906 View (984) 374-1906
Photo of Richard Beasley, Pastoral Counselor, MA, BCPC
Richard Beasley
Pastoral Counselor, MA, BCPC
Serves Area
NOW working as a INTERN in a clinical practice…. Are you experiencing a sense of disconnection from yourself or those around you? Do you find yourself prioritizing others’ needs while wondering why life feels less fulfilling than you hoped? In today’s uncertain world, many people feel anxious, overwhelmed, and unsure how to navigate relationships, work, and well-being. I’m a former pastor with several years of experience as a pastoral counselor and now a clinical intern providing evidence-based therapy. I believe healing and a better quality of life shouldn’t feel like an uphill battle—and you don’t have to do it alone.
NOW working as a INTERN in a clinical practice…. Are you experiencing a sense of disconnection from yourself or those around you? Do you find yourself prioritizing others’ needs while wondering why life feels less fulfilling than you hoped? In today’s uncertain world, many people feel anxious, overwhelmed, and unsure how to navigate relationships, work, and well-being. I’m a former pastor with several years of experience as a pastoral counselor and now a clinical intern providing evidence-based therapy. I believe healing and a better quality of life shouldn’t feel like an uphill battle—and you don’t have to do it alone.
(910) 569-8128 View (910) 569-8128
Photo of Beverly R Wallace, PhD, MDiv, MEd
Beverly R Wallace
Verified Verified
1 Endorsed
Serves Area
I am eager to work with you, your partner, and/or your family to guide you toward a more enlivened life. I received my Ph.D. from the University of Minnesota where I concentrated in Marriage and Family Therapy. I love to explore Family Systems, engage partners in couples counseling, and love working with individuals on personal growth issues. I am also an ordained pastor currently under call as a professor of Pastoral Care and Counseling with a specialty in Grief and Loss, Women's Emotional Health, Stress and Coping, Healthy Sexual Relations, Cultural Development and many other life concerns.
I am eager to work with you, your partner, and/or your family to guide you toward a more enlivened life. I received my Ph.D. from the University of Minnesota where I concentrated in Marriage and Family Therapy. I love to explore Family Systems, engage partners in couples counseling, and love working with individuals on personal growth issues. I am also an ordained pastor currently under call as a professor of Pastoral Care and Counseling with a specialty in Grief and Loss, Women's Emotional Health, Stress and Coping, Healthy Sexual Relations, Cultural Development and many other life concerns.
(404) 495-8516 View (404) 495-8516
Photo of Mackenzie Wrench, Clinical Social Work/Therapist, MSW, LCSWA, CMNCS
Mackenzie Wrench
Clinical Social Work/Therapist, MSW, LCSWA, CMNCS
Serves Area
I work with adolescents, teens, adults, couples, and families, specializing in eating disorders, body image concerns, addiction, self-harm, OCD, anxiety, and depression. I walk alongside clients through daily challenges, supporting reconnection with their sense of self and gently grieving parts of who they’ve been. I am DBT certified and draw from evidence-based approaches including ACT and CBT. My integrative, individualized approach allows me to meet clients where they are.
I work with adolescents, teens, adults, couples, and families, specializing in eating disorders, body image concerns, addiction, self-harm, OCD, anxiety, and depression. I walk alongside clients through daily challenges, supporting reconnection with their sense of self and gently grieving parts of who they’ve been. I am DBT certified and draw from evidence-based approaches including ACT and CBT. My integrative, individualized approach allows me to meet clients where they are.
(984) 370-4219 View (984) 370-4219
Photo of Tracy Turner Cruse, Licensed Professional Counselor, LCMHC
Tracy Turner Cruse
Licensed Professional Counselor, LCMHC
1 Endorsed
Serves Area
I am eager to help you find your best self. Depression, anxiety, and life challenges can try to steal your happiness, but you have the power within to overcome through goal setting, relaxation techniques, and by building coping skills that can strengthen your resiliency. Sometimes it just takes an unbiased listening ear to provide you with the opportunity to express your feelings and thoughts, creating a safe space for you to process and discover who you are, where you want to go, and how you can get there.
I am eager to help you find your best self. Depression, anxiety, and life challenges can try to steal your happiness, but you have the power within to overcome through goal setting, relaxation techniques, and by building coping skills that can strengthen your resiliency. Sometimes it just takes an unbiased listening ear to provide you with the opportunity to express your feelings and thoughts, creating a safe space for you to process and discover who you are, where you want to go, and how you can get there.
(984) 223-8085 View (984) 223-8085
Photo of Tiara A. Nichole Griffis, Licensed Clinical Mental Health Counselor, PhD, LCMHC, BCC
Tiara A. Nichole Griffis
Licensed Clinical Mental Health Counselor, PhD, LCMHC, BCC
2 Endorsed
Serves Area
Have you been feeling the urge to begin a therapeutic journey? I am here to help! My goal is to assist you with your life goals and help you find a healthy way to process your past traumas so you can live out your best future. By utilizing an eclectic approach to therapy, I aim to provide a safe and supportive space where I can collaborate to help you reach your desired goals.
Have you been feeling the urge to begin a therapeutic journey? I am here to help! My goal is to assist you with your life goals and help you find a healthy way to process your past traumas so you can live out your best future. By utilizing an eclectic approach to therapy, I aim to provide a safe and supportive space where I can collaborate to help you reach your desired goals.
(919) 301-9983 View (919) 301-9983
Photo of Mitchell McLamb, Pastoral Counselor, MTS, BCPC, BCLC
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
Photo of Patti Stapleton Bock, Clinical Social Work/Therapist, MSW, LCSW, LCAS, TF-CBT
Patti Stapleton Bock
Clinical Social Work/Therapist, MSW, LCSW, LCAS, TF-CBT
Serves Area
I invite you to utilize my years of mental health/addictions education and experience, empowering you with highly effective and enduring therapy, resolving long term and recent issues that block your happiness and success. Adults, youths, couples and whole families are carefully taught needed skills and facilitated actual healing processes, step by step, to remedy thought distortions, repressed feelings and dysfunctional behaviors and attitudes that impair your relationships, socialization, work or school success. Treatment is customized in consideration of individual schedules, preferences, strengths, obstacles and goals for lasting growth and change. Christian counseling is available upon request.
I invite you to utilize my years of mental health/addictions education and experience, empowering you with highly effective and enduring therapy, resolving long term and recent issues that block your happiness and success. Adults, youths, couples and whole families are carefully taught needed skills and facilitated actual healing processes, step by step, to remedy thought distortions, repressed feelings and dysfunctional behaviors and attitudes that impair your relationships, socialization, work or school success. Treatment is customized in consideration of individual schedules, preferences, strengths, obstacles and goals for lasting growth and change. Christian counseling is available upon request.
(919) 249-7169 View (919) 249-7169
Robert Slemmer
Licensed Professional Counselor, LCMHC, MEd
Serves Area
I think of therapy as a journey. I see my role as walking along side my client, shedding light on the past, helping make connections between events, thoughts, actions, and feelings. Working collaboratively, we make use of these insights to develop new perspectives on the past and the present. At the end of our time together, I want my client to feel more secure and confident moving forward under their own power, liking who they are and what they have to offer the world.
I think of therapy as a journey. I see my role as walking along side my client, shedding light on the past, helping make connections between events, thoughts, actions, and feelings. Working collaboratively, we make use of these insights to develop new perspectives on the past and the present. At the end of our time together, I want my client to feel more secure and confident moving forward under their own power, liking who they are and what they have to offer the world.
(919) 935-0881 View (919) 935-0881
Photo of Lora S. Williams, Clinical Social Work/Therapist, LCSW
Lora S. Williams
Clinical Social Work/Therapist, LCSW
Serves Area
As we partner together to find real-life solutions to real-world problems, we begin with the conviction that with God's help, we can find healing and restoration. As a Christian counselor with more than twenty years of experience, I have found that Christian counseling is not only unique, but also facilitates an excellent therapeutic outcome for the client. When applicable, we will apply Biblical principles during the process of counseling. When appropriate I will be blessed to pray for you during our session. Combined with sound therapeutic techniques, Christian counseling has proven to help people experience healing.
As we partner together to find real-life solutions to real-world problems, we begin with the conviction that with God's help, we can find healing and restoration. As a Christian counselor with more than twenty years of experience, I have found that Christian counseling is not only unique, but also facilitates an excellent therapeutic outcome for the client. When applicable, we will apply Biblical principles during the process of counseling. When appropriate I will be blessed to pray for you during our session. Combined with sound therapeutic techniques, Christian counseling has proven to help people experience healing.
(919) 343-0609 View (919) 343-0609

See more therapy options for 27577

How does your Therapist compare?

Number of Therapists in 27577

40+

Average cost per session

$120

Therapists in 27577 who prioritize treating:

91% Anxiety
89% Depression
77% Relationship Issues
75% Self Esteem
66% Stress
64% Grief
61% Trauma and PTSD

Average years in practice

6 Years

Top 3 insurances accepted

90% Aetna
85% BlueCross and BlueShield
59% Cigna and Evernorth

How Therapists in 27577 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 27577?

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.