Photo of Ignacio Bidegain, LCMHCA, NCC, LCASA, Counselor
Ignacio Bidegain
Counselor, LCMHCA, NCC, LCASA
Verified Verified
Stallings, NC 28104
Has your life lost its color? Do you find yourself experiencing less joy and interest in pretty much anything? Do you struggle to recognize yourself in the mirror? Simply put, things don't feel how they used to, and these feelings are starting to become concerning to you and those that love you. Although you have tried to cope and find solutions to these “new” feelings, they have not been successful and you are starting to lose hope. As everything else in your life seems to be slowly falling apart, you keep trying to "push through," but these feelings keep blocking your way to the life that you want.
Has your life lost its color? Do you find yourself experiencing less joy and interest in pretty much anything? Do you struggle to recognize yourself in the mirror? Simply put, things don't feel how they used to, and these feelings are starting to become concerning to you and those that love you. Although you have tried to cope and find solutions to these “new” feelings, they have not been successful and you are starting to lose hope. As everything else in your life seems to be slowly falling apart, you keep trying to "push through," but these feelings keep blocking your way to the life that you want.
(980) 414-8556 View (980) 414-8556
Photo of Melinda Willison, MS, LCMHCA, NCC, Counselor
Melinda Willison
Counselor, MS, LCMHCA, NCC
Verified Verified
1 Endorsed
Weddington, NC 28104
Humanity thrives through relationships, yet these same relationships often spawn challenges creating various levels and types of mental distress. Mental distress leads to second guessing, criticism of self and others, even hopelessness. As a result, gaining a guide to support personal navigation through the situational dynamics are desired in order to gain insight and skills to be confident in steps forward to a better life.
Humanity thrives through relationships, yet these same relationships often spawn challenges creating various levels and types of mental distress. Mental distress leads to second guessing, criticism of self and others, even hopelessness. As a result, gaining a guide to support personal navigation through the situational dynamics are desired in order to gain insight and skills to be confident in steps forward to a better life.
(704) 286-8622 View (704) 286-8622
Photo of Chris Vrabel - Chris Vrabel, PsyD, PLLC, PsyD, Psychologist
Chris Vrabel, PsyD, PLLC
Psychologist, PsyD
Verified Verified
Weddington, NC 28104
I'm here to listen and help. I am a licensed psychologist with over 15 years of experience. I help people stay organized and focused, cope with anxiety and depression, develop social skills and manage relationships, and adjust to the challenges of life. I specialize in attention-deficit/hyperactivity disorder, executive functioning, autism spectrum disorders, anxiety, depression, and adjusting to life changes.
I'm here to listen and help. I am a licensed psychologist with over 15 years of experience. I help people stay organized and focused, cope with anxiety and depression, develop social skills and manage relationships, and adjust to the challenges of life. I specialize in attention-deficit/hyperactivity disorder, executive functioning, autism spectrum disorders, anxiety, depression, and adjusting to life changes.
(704) 237-6572 View (704) 237-6572
Photo of Pamela Poston, PhD, MA, LCMHC
Pamela Poston
Licensed Clinical Mental Health Counselor, PhD, MA, LCMHC
Verified Verified
Weddington, NC 28104
Not accepting new clients
Call for an appointment if you struggle with ADHD, anxiety, chronic illness, surgery preparation, prenatal or postpartum depression, relationship challenges, stress management, life skills, life transitions, insomnia, or want to create a healthier lifestyle. I blend Eastern philosophy with Western psychology in my holistic practice. If you have tried traditional therapy and have not found relief, I'd love the opportunity to help you become the best version of yourself. I regret to inform potential clients that I have been and continue to be on medical leave. I will update you when I can practice again. Thanks
Call for an appointment if you struggle with ADHD, anxiety, chronic illness, surgery preparation, prenatal or postpartum depression, relationship challenges, stress management, life skills, life transitions, insomnia, or want to create a healthier lifestyle. I blend Eastern philosophy with Western psychology in my holistic practice. If you have tried traditional therapy and have not found relief, I'd love the opportunity to help you become the best version of yourself. I regret to inform potential clients that I have been and continue to be on medical leave. I will update you when I can practice again. Thanks
(704) 946-5540 View (704) 946-5540
Photo of Karen Moore (Formerly Karen Pierce), LCSW, Owner, Clinical Social Work/Therapist
Karen Moore (Formerly Karen Pierce)
Clinical Social Work/Therapist, LCSW, Owner
Verified Verified
Matthews, NC 28104
You've experienced a lot of success, but you're feeling discontent. Perhaps your relationship isn't working. You question whether there is something wrong with you. You've tried to change some things, but feel stuck. You're losing hope that change can happen. You're ashamed and wonder why you haven't figured it out. After all, you've managed on your own up to now; even calling your own shots. You want a trusted confidential atmosphere where you can learn to experience lasting joy again...You have a place to go; you can stop waiting.
You've experienced a lot of success, but you're feeling discontent. Perhaps your relationship isn't working. You question whether there is something wrong with you. You've tried to change some things, but feel stuck. You're losing hope that change can happen. You're ashamed and wonder why you haven't figured it out. After all, you've managed on your own up to now; even calling your own shots. You want a trusted confidential atmosphere where you can learn to experience lasting joy again...You have a place to go; you can stop waiting.
(980) 295-1296 View (980) 295-1296
Photo of Chudney Drew, MA, LCMHC, NCC
Chudney Drew
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
1 Endorsed
Weddington, NC 28104
My greatest passion is helping clients grow, heal, and develop greater self-awareness without guilt or shame. I don’t want to just walk with you on your journey—I want to help you find the strength to heal, grow, and rediscover the parts of yourself you thought were lost.
My greatest passion is helping clients grow, heal, and develop greater self-awareness without guilt or shame. I don’t want to just walk with you on your journey—I want to help you find the strength to heal, grow, and rediscover the parts of yourself you thought were lost.
(704) 800-0913 View (704) 800-0913
Photo of Michael Hyder, MA, LCMHC
Michael Hyder
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Matthews, NC 28104
EMDR Certified Trauma Specialist.   Your voice matters. Your feelings matter. Your story matters. Your life matters. You are important and you matter. I believe we have an innate ability to adapt and heal when given the right space to do so. My goal is to provide the space where you can access your resources and strengths and confidently create the change you want. Clients often leave my office feeling lighter and that they experienced a deeper understanding of being heard and valued.
EMDR Certified Trauma Specialist.   Your voice matters. Your feelings matter. Your story matters. Your life matters. You are important and you matter. I believe we have an innate ability to adapt and heal when given the right space to do so. My goal is to provide the space where you can access your resources and strengths and confidently create the change you want. Clients often leave my office feeling lighter and that they experienced a deeper understanding of being heard and valued.
(704) 318-4035 View (704) 318-4035
Photo of Alma Williams Burch, PhD, LCMHC, CCMC
Alma Williams Burch
Licensed Clinical Mental Health Counselor, PhD, LCMHC, CCMC
Verified Verified
Online Only
People come to counseling because they want to change their personal or family situation, solve a particular problem, or simply bring a healthier balance to their lives. My role as your counselor is to support, encourage and assist you in doing the necessary work to discover, understand, heal and move forward. I use particular concepts and techniques selected from a broad range of therapies. I primarily draw from Cognitive Behavioral Therapy, Solutions Focused, Behavior Therapy, Talk Therapy, and Mindfulness. I integrate these and other therapies with Biblical principles and a Christian worldview.
People come to counseling because they want to change their personal or family situation, solve a particular problem, or simply bring a healthier balance to their lives. My role as your counselor is to support, encourage and assist you in doing the necessary work to discover, understand, heal and move forward. I use particular concepts and techniques selected from a broad range of therapies. I primarily draw from Cognitive Behavioral Therapy, Solutions Focused, Behavior Therapy, Talk Therapy, and Mindfulness. I integrate these and other therapies with Biblical principles and a Christian worldview.
(704) 228-9263 View (704) 228-9263
Photo of Karen Lago-Fairey, LCSW, Clinical Social Work/Therapist
Karen Lago-Fairey
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I’m a licensed clinical social worker with experience working with children, young adults, adults, and seniors. My primary focus has been working with those who struggle with depression, anxiety, trauma, family/Relationship dynamics and much more. I have 40+ years, working with concerns regarding interpersonal relationships, trauma, domestic violence, and many other psychiatric Issues.
I’m a licensed clinical social worker with experience working with children, young adults, adults, and seniors. My primary focus has been working with those who struggle with depression, anxiety, trauma, family/Relationship dynamics and much more. I have 40+ years, working with concerns regarding interpersonal relationships, trauma, domestic violence, and many other psychiatric Issues.
(516) 957-2769 View (516) 957-2769
Photo of Christy Lynne Jacoby (Formerly Lewis), MSW, LCSW, Clinical Social Work/Therapist
Christy Lynne Jacoby (Formerly Lewis)
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Online Only
When faced with anxiety or depression, you often wonder if there is anything you can do to truly feel better or transform yourself. It seems like you’ve tried everything, and nothing has worked. Strong emotions are causing other issues -trouble relating with others, over/under eating, problems with work or family relationships or even more serious issues. At times, relationship struggles leave you wondering "should I stay or go?" but it can be hard to navigate this alone. The "real you" is in there, but hard to find.
When faced with anxiety or depression, you often wonder if there is anything you can do to truly feel better or transform yourself. It seems like you’ve tried everything, and nothing has worked. Strong emotions are causing other issues -trouble relating with others, over/under eating, problems with work or family relationships or even more serious issues. At times, relationship struggles leave you wondering "should I stay or go?" but it can be hard to navigate this alone. The "real you" is in there, but hard to find.
(910) 613-6413 View (910) 613-6413
Photo of Linnea Realon, LCPC, LCMHC, NCC, MS, Counselor
Linnea Realon
Counselor, LCPC, LCMHC, NCC, MS
Verified Verified
1 Endorsed
Online Only
Life can be relentless and present challenges that feel overwhelming. It takes strength to ask for help and courage to become vulnerable with someone new. I recognize this and will work at your pace to form a trusting relationship with you where you can feel safe, validated, and respected. I have experience working with teens and adults who find themselves worrying about the future or things they cannot control. I have worked with people who are processing past hurtful and stressful life events so they can find a sense of strength and security in the present. I enjoy helping people see their worth so their self-talk transforms.
Life can be relentless and present challenges that feel overwhelming. It takes strength to ask for help and courage to become vulnerable with someone new. I recognize this and will work at your pace to form a trusting relationship with you where you can feel safe, validated, and respected. I have experience working with teens and adults who find themselves worrying about the future or things they cannot control. I have worked with people who are processing past hurtful and stressful life events so they can find a sense of strength and security in the present. I enjoy helping people see their worth so their self-talk transforms.
(833) 453-1051 View (833) 453-1051
Photo of Kyle Gerard Slough - At Ease Therapy, LMHC, LCMHC, LCAS, LPC, Licensed Professional Counselor
At Ease Therapy
Licensed Professional Counselor, LMHC, LCMHC, LCAS, LPC
Verified Verified
Matthews, NC 28104
Waitlist for new clients
Are you feeling overwhelmed and stressed? I can help you sort through the issues causing your stress so you can have a calmer frame of mind. My mission is to enable you to find balance and peace in your life. I provide my clients the tools they need to overcome challenges with their careers, relationships and the transition from military to civilian life. I also have training working with people who have issues with attention difficulties and alcohol/substance use.
Are you feeling overwhelmed and stressed? I can help you sort through the issues causing your stress so you can have a calmer frame of mind. My mission is to enable you to find balance and peace in your life. I provide my clients the tools they need to overcome challenges with their careers, relationships and the transition from military to civilian life. I also have training working with people who have issues with attention difficulties and alcohol/substance use.
(215) 600-4825 View (215) 600-4825
Photo of Dannie Doskocil, LCMHC, BC-TMH, CCTP, Counselor
Dannie Doskocil
Counselor, LCMHC, BC-TMH, CCTP
Verified Verified
Online Only
I work with youth, young adults, and families to meet their goals via Telehealth/Virtual Therapy. My Telehealth works predates the pandemic, and I work hard to ensure my clients feel as comfortable online as they would in a physical office. I am a licensed Clinical Mental Health Counselor, a Board-Certified Telemental Health Clinician, a Certified Clinical Trauma Professional, and a North Carolina Licensed School Counselor. Counseling is a partnership, but you are the team captain! We work together to meet your goals and remove barriers that are getting in your way.
I work with youth, young adults, and families to meet their goals via Telehealth/Virtual Therapy. My Telehealth works predates the pandemic, and I work hard to ensure my clients feel as comfortable online as they would in a physical office. I am a licensed Clinical Mental Health Counselor, a Board-Certified Telemental Health Clinician, a Certified Clinical Trauma Professional, and a North Carolina Licensed School Counselor. Counseling is a partnership, but you are the team captain! We work together to meet your goals and remove barriers that are getting in your way.
(980) 704-0345 View (980) 704-0345
Photo of Kelly Stilwell Saylor, MACC, LCMHC, LMFT, AAMFT-S, LPC
Kelly Stilwell Saylor
Licensed Clinical Mental Health Counselor, MACC, LCMHC, LMFT, AAMFT-S, LPC
Verified Verified
14 Endorsed
Matthews, NC 28104
Hello! I am a licensed clinical mental health counselor, licensed marriage and family therapist and co-founder of SureHope Counseling & Training Center. I have a master's degree in Christian counseling from Gordon-Conwell Theological Seminary. I have worked with children, adolescents, adults, couples, families and groups. I specialize in counseling couples concerning dating, engagement and marital issues. I offer couple intensives and train other therapists and church staff in working with couples. I work with the challenges of anxiety, depression, and trauma. Counseling offered online for the states of NC, SC and FL!
Hello! I am a licensed clinical mental health counselor, licensed marriage and family therapist and co-founder of SureHope Counseling & Training Center. I have a master's degree in Christian counseling from Gordon-Conwell Theological Seminary. I have worked with children, adolescents, adults, couples, families and groups. I specialize in counseling couples concerning dating, engagement and marital issues. I offer couple intensives and train other therapists and church staff in working with couples. I work with the challenges of anxiety, depression, and trauma. Counseling offered online for the states of NC, SC and FL!
(704) 469-4192 View (704) 469-4192
Photo of Jonathan Anslow, PsyD, Psychologist
Jonathan Anslow
Psychologist, PsyD
Verified Verified
5 Endorsed
Matthews, NC 28104
I tend to work well with someone who yearns for understanding. Someone who may crave social interaction, but is not quite sure how to go about it. Someone who is developing their identity and consolidating their sense of self. Someone who wants more out of life but is not quite sure how to get it. Someone who feels lost and plagued with self-doubt. Someone who is not sure why they engage in the same self-defeating behaviors over and over and over. I am open to working with a wide diversity of clients who represent various sexualities, ethnicities, racial identities, genders, and ages.
I tend to work well with someone who yearns for understanding. Someone who may crave social interaction, but is not quite sure how to go about it. Someone who is developing their identity and consolidating their sense of self. Someone who wants more out of life but is not quite sure how to get it. Someone who feels lost and plagued with self-doubt. Someone who is not sure why they engage in the same self-defeating behaviors over and over and over. I am open to working with a wide diversity of clients who represent various sexualities, ethnicities, racial identities, genders, and ages.
(704) 750-8092 View (704) 750-8092
Photo of Amy Garcia, LCMHCS, Licensed Professional Counselor
Amy Garcia
Licensed Professional Counselor, LCMHCS
Verified Verified
Weddington, NC 28104
I can relate to the anxious neurodivergent mind and understand interpersonal stress and urges to self destruct. Through counseling sessions, We will work on building your self awareness in order to make positive changes in the way you think and feel. My passion is building connections with people. I will take the time to build a relationship of trust and understanding in order to best support you. It would be an honor to be apart of your journey.
I can relate to the anxious neurodivergent mind and understand interpersonal stress and urges to self destruct. Through counseling sessions, We will work on building your self awareness in order to make positive changes in the way you think and feel. My passion is building connections with people. I will take the time to build a relationship of trust and understanding in order to best support you. It would be an honor to be apart of your journey.
(704) 251-6611 View (704) 251-6611
Photo of Heather VanKoughnett, MA, LCMHC, NCC, Licensed Professional Counselor
Heather VanKoughnett
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
Matthews, NC 28104
My clinical work has included helping those suffering from a broad range of presentations and trauma related disorders. I have experience working in both the hospital and outpatient setting and share a specific passion for working with individuals suffering trauma related disorders. I am intensively trained in dialectical behavior therapy (DBT), level 1 trained in eye movement desensitization reprocessing (EMDR) and level 2 trained in Sensorimotor Psychotherapy. I have experience working with individuals who struggle with both over controlled and under controlled emotional states and trauma related disorders.
My clinical work has included helping those suffering from a broad range of presentations and trauma related disorders. I have experience working in both the hospital and outpatient setting and share a specific passion for working with individuals suffering trauma related disorders. I am intensively trained in dialectical behavior therapy (DBT), level 1 trained in eye movement desensitization reprocessing (EMDR) and level 2 trained in Sensorimotor Psychotherapy. I have experience working with individuals who struggle with both over controlled and under controlled emotional states and trauma related disorders.
(704) 741-3975 View (704) 741-3975
Photo of Kristy Walgren - Walgren Counseling, PLLC, MSW, LCSW, LISW-CP
Walgren Counseling, PLLC
MSW, LCSW, LISW-CP
Verified Verified
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
At Walgren Counseling, PLLC we have 20 therapists. Although each has a unique set of training & experience, our approach to working with you is similar. We all have a holistic, client-centered, and tailored approach. Rather than identifying an ideal client, we believe in developing a relationship with you that will be most helpful to you. Our therapists strive to bring out each person's ability to find balance and healing from within. Our entire office, from office staff to clinician, is committed to making you feel well-cared for.
(704) 312-4364 View (704) 312-4364
Photo of Womens Issues And Trauma Recovery Hollis Wilson, MACC, LCMHC, Counselor
Womens Issues And Trauma Recovery Hollis Wilson
Counselor, MACC, LCMHC
Verified Verified
Matthews, NC 28104
I offer a holistic counseling approach focusing on women’s issues and utilize tools to help women find healing and wholeness in mind, body, and spirit. Whether you are looking for healing from childhood trauma or ways to find better balance in your life or decrease your anxiety, I am here to support you. As women we face unique challenges and at Womens Integrative Counseling we are trained and equipped to meet you exactly where you are at.
I offer a holistic counseling approach focusing on women’s issues and utilize tools to help women find healing and wholeness in mind, body, and spirit. Whether you are looking for healing from childhood trauma or ways to find better balance in your life or decrease your anxiety, I am here to support you. As women we face unique challenges and at Womens Integrative Counseling we are trained and equipped to meet you exactly where you are at.
(980) 553-2092 View (980) 553-2092
Photo of Amy L Sanderson, MA, LPC, LCAS, CCS, NCC
Amy L Sanderson
Licensed Clinical Mental Health Counselor, MA, LPC, LCAS, CCS, NCC
Verified Verified
7 Endorsed
Weddington, NC 28104
Are you feeling stuck, overwhelmed, or sad? You are brave to reach out for help. I'm here to support you in moving forward. I truly believe in the therapeutic process and am continually inspired by the progress my clients achieve to create more fulfilling and joyful lives. In addition to office appointments, I offer video counseling, where we communicate through live video in the privacy of your own home. I also offer walk and talk counseling through peaceful, wooded trails. Ketamine Assisted Psychotherapy is an additional modality I use.
Are you feeling stuck, overwhelmed, or sad? You are brave to reach out for help. I'm here to support you in moving forward. I truly believe in the therapeutic process and am continually inspired by the progress my clients achieve to create more fulfilling and joyful lives. In addition to office appointments, I offer video counseling, where we communicate through live video in the privacy of your own home. I also offer walk and talk counseling through peaceful, wooded trails. Ketamine Assisted Psychotherapy is an additional modality I use.
(980) 400-9377 View (980) 400-9377
1

See more therapy options for 28104

How does your Therapist compare?

Number of Therapists in 28104

100+

Average cost per session

$150

Therapists in 28104 who prioritize treating:

96% Anxiety
92% Depression
78% Trauma and PTSD
76% Relationship Issues
74% Self Esteem
69% Grief
69% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
85% Aetna
56% UnitedHealthcare UHC | UBH

How Therapists in 28104 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

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

How can I find a therapist in 28104?

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.