Therapists in 28278

Photo of Jessica Maguire, Clinical Social Work/Therapist in 28278, NC
Jessica Maguire
Clinical Social Work/Therapist, LCSW
Verified
Charlotte, NC 28278  (Online Only)
Not accepting new clients
The decision to start therapy is a courageous one. I create an open and safe environment for you to embark on your therapeutic journey. In my practice I take a strength-based approach to help you learn and grow. I am interested in exploring who you are as an individual and helping you get where you want to be. Together I hope to build a respectful and collaborative therapeutic alliance.
The decision to start therapy is a courageous one. I create an open and safe environment for you to embark on your therapeutic journey. In my practice I take a strength-based approach to help you learn and grow. I am interested in exploring who you are as an individual and helping you get where you want to be. Together I hope to build a respectful and collaborative therapeutic alliance.
(704) 368-3991 View (704) 368-3991
Photo of Brooke Osterhoudt, Clinical Social Work/Therapist in 28278, NC
Brooke Osterhoudt
Clinical Social Work/Therapist, LCSW, LISW-CP, MSW
Verified
Charlotte, NC 28278
We are all capable of experiencing connection, joy, and a sense of wonder in our everyday lives. However, there are several barriers that prevent us from getting the most out of life such as depression, addiction, grief, loss, low self-esteem, feeling disconnected and unfulfilled. I work in a caring, supportive, and respectful way to confront self-sabotaging behaviors. Together, we will explore present day conflicts, especially relationship and attachment issues, which have prevented you from achieving your goals in life. I am committed to helping you discover new possibilities that will support an abundant and purposeful life.
We are all capable of experiencing connection, joy, and a sense of wonder in our everyday lives. However, there are several barriers that prevent us from getting the most out of life such as depression, addiction, grief, loss, low self-esteem, feeling disconnected and unfulfilled. I work in a caring, supportive, and respectful way to confront self-sabotaging behaviors. Together, we will explore present day conflicts, especially relationship and attachment issues, which have prevented you from achieving your goals in life. I am committed to helping you discover new possibilities that will support an abundant and purposeful life.
(704) 703-8523 View (704) 703-8523
Photo of Charlene Dyer, Counselor in 28278, NC
Charlene Dyer
Counselor, MA, LCMHCS, NASMCPT
Verified
Charlotte, NC 28278  (Online Only)
Welcome! I am so excited you've taken this first step towards therapy! I currently serve adults age 18 and up. I am well versed in working with those who are experiencing symptoms of depression, anxiety, Race-Based Traumatic Stress, micro-aggressions in the work place, relationship conflict, and survivors of traumatic experiences. I believe in working collaboratively with my clients to help them achieve goals such as increasing their self-esteem, develop healthy coping skills, decrease feelings of depressions and isolation, and increasing ones ability to make positive choices to help increase their quality of life.
Welcome! I am so excited you've taken this first step towards therapy! I currently serve adults age 18 and up. I am well versed in working with those who are experiencing symptoms of depression, anxiety, Race-Based Traumatic Stress, micro-aggressions in the work place, relationship conflict, and survivors of traumatic experiences. I believe in working collaboratively with my clients to help them achieve goals such as increasing their self-esteem, develop healthy coping skills, decrease feelings of depressions and isolation, and increasing ones ability to make positive choices to help increase their quality of life.
(980) 243-4129 View (980) 243-4129
Photo of LaGreta Cameron, Clinical Social Work/Therapist in 28278, NC
LaGreta Cameron
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Charlotte, NC 28278
Life can come at you fast and at times, become a little overwhelming. Sometimes, feelings of hopelessness, stress, frustration and even sadness may occur. It can be a little hard trying to manage everyday life stressors, like school or even family dynamics. This can all cause feelings of disappointment or hopelessness.
Life can come at you fast and at times, become a little overwhelming. Sometimes, feelings of hopelessness, stress, frustration and even sadness may occur. It can be a little hard trying to manage everyday life stressors, like school or even family dynamics. This can all cause feelings of disappointment or hopelessness.
(984) 224-6877 View (984) 224-6877
Photo of Maria Teresa Holman, Clinical Social Work/Therapist in 28278, NC
Maria Teresa Holman
Clinical Social Work/Therapist, MSW, LCSW, LCAS-A
Verified
Charlotte, NC 28278  (Online Only)
I am a bilingual therapist with over 15 years of experience in individual therapy, couples therapy, family therapy, and alcohol abuse therapy. I also specialize in working with people with gender identity and sexuality concerns. I have extensive experience in advising people from different backgrounds.
I am a bilingual therapist with over 15 years of experience in individual therapy, couples therapy, family therapy, and alcohol abuse therapy. I also specialize in working with people with gender identity and sexuality concerns. I have extensive experience in advising people from different backgrounds.
(704) 419-8314 View (704) 419-8314
Photo of The La Dream Institute LLC, Drug & Alcohol Counselor in 28278, NC
The La Dream Institute LLC
Drug & Alcohol Counselor, EdD, LCASA, LCMHCA, CADC, CHES
Verified
Charlotte, NC 28278
I am passionate about working with clients seeking assistance on their life journey as they navigate the complexities of mental health, with a particular emphasis on understanding and addressing negative thought patterns. They may be grappling with issues related to trauma, interpersonal relationships, or co-occurring substance use disorders and psychological distress. I work in partnership with my clients to develop coping strategies and break free from the cycle of negative thoughts and behaviors.
I am passionate about working with clients seeking assistance on their life journey as they navigate the complexities of mental health, with a particular emphasis on understanding and addressing negative thought patterns. They may be grappling with issues related to trauma, interpersonal relationships, or co-occurring substance use disorders and psychological distress. I work in partnership with my clients to develop coping strategies and break free from the cycle of negative thoughts and behaviors.
View
Photo of Theodore R Gilbert, Clinical Social Work/Therapist in 28278, NC
Theodore R Gilbert
Clinical Social Work/Therapist, LCSW, CYC-P
Verified
Charlotte, NC 28278  (Online Only)
I believe that the most important factor of successful treatment starts with establishing a genuine therapeutic relationship. I have over 20 years of experience working with children, adults and families with co-occurring disorders, and the expectation is that each client is treated with dignity and respect. There is a higher calling on my life to serve people and this combines with education, training and life experience to better connect with others while assisting in the healing process.
I believe that the most important factor of successful treatment starts with establishing a genuine therapeutic relationship. I have over 20 years of experience working with children, adults and families with co-occurring disorders, and the expectation is that each client is treated with dignity and respect. There is a higher calling on my life to serve people and this combines with education, training and life experience to better connect with others while assisting in the healing process.
(704) 457-1049 View (704) 457-1049
Photo of Breathe Again Counseling Center, LLC, Clinical Social Work/Therapist in 28278, NC
Breathe Again Counseling Center, LLC
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified
2 Endorsed
Charlotte, NC 28278  (Online Only)
Breathing is the first thing we do when we come into this world and the last thing we do when we leave it. What happens when we don’t pay attention to our breathing? Are there moments and challenges that take our breath away? Do periods of heightened anxiety, depression, stress, past traumas, grief, and loss overwhelm us to the point that we forget to take a deep breath, to take stock of life? I want to help you breathe again. Working collaboratively with you, I can help you identify meaningful treatment goals and options for healing.
Breathing is the first thing we do when we come into this world and the last thing we do when we leave it. What happens when we don’t pay attention to our breathing? Are there moments and challenges that take our breath away? Do periods of heightened anxiety, depression, stress, past traumas, grief, and loss overwhelm us to the point that we forget to take a deep breath, to take stock of life? I want to help you breathe again. Working collaboratively with you, I can help you identify meaningful treatment goals and options for healing.
(301) 880-9772 View (301) 880-9772
Photo of Therese Newton, Lic Clinical Mental Health Counselor Associate in 28278, NC
Therese Newton
Lic Clinical Mental Health Counselor Associate, PhD, LCMHCA, NCC
Verified
2 Endorsed
Charlotte, NC 28278  (Online Only)
I specialize in supporting women during periods of personal and professional change- with a special focus on new and expecting mothers. The journey into motherhood is a period of profound change. Changes during and following pregnancy are often multi-layered, occur across many areas of daily life, and are accompanied by a range of emotions. From identity transitions, physical and emotional changes, relationships and family dynamics, employment, health and safety, etc. I provide informed care and support that attends to these many areas of change. Know that you are not alone and you do not need to navigate this space by yourself.
I specialize in supporting women during periods of personal and professional change- with a special focus on new and expecting mothers. The journey into motherhood is a period of profound change. Changes during and following pregnancy are often multi-layered, occur across many areas of daily life, and are accompanied by a range of emotions. From identity transitions, physical and emotional changes, relationships and family dynamics, employment, health and safety, etc. I provide informed care and support that attends to these many areas of change. Know that you are not alone and you do not need to navigate this space by yourself.
(704) 908-6607 View (704) 908-6607
Photo of Latise Moore, Clinical Social Work/Therapist in 28278, NC
Latise Moore
Clinical Social Work/Therapist, LCSW
Verified
Charlotte, NC 28278  (Online Only)
Life can be a wild time, sometimes. If you find yourself caught in the trap of overthinking, battling indecision, and wrestling with low mood or motivation, I'm here to help. Usually, you're a powerhouse—driven, self-motivated, and somewhat self-aware. Yet, there are those times when self-care takes a back seat, and you feel stuck in patterns that just won't budge.
Life can be a wild time, sometimes. If you find yourself caught in the trap of overthinking, battling indecision, and wrestling with low mood or motivation, I'm here to help. Usually, you're a powerhouse—driven, self-motivated, and somewhat self-aware. Yet, there are those times when self-care takes a back seat, and you feel stuck in patterns that just won't budge.
(704) 966-6131 View (704) 966-6131
Photo of Crystal Agnew, Licensed Professional Counselor in 28278, NC
Crystal Agnew
Licensed Professional Counselor, LPC, LCMHC, LCPC
Verified
Charlotte, NC 28278
Not accepting new clients
Crystal Agnew is the Founder and Owner of Kendall Cares Counseling & Consultation Services PLLC. She provides therapy services for adults facing a wide range of behavioral or mental health concerns. Her therapeutic approach is tailored for each clients' needs and goals. She strives to create a warm and safe environment that allow individuals to share and express emotional vulnerability without fear of judgement. Crystal works collaboratively with each client to explore their inner thoughts, emotions, feelings, and behaviors to bring about healing and positive changes.
Crystal Agnew is the Founder and Owner of Kendall Cares Counseling & Consultation Services PLLC. She provides therapy services for adults facing a wide range of behavioral or mental health concerns. Her therapeutic approach is tailored for each clients' needs and goals. She strives to create a warm and safe environment that allow individuals to share and express emotional vulnerability without fear of judgement. Crystal works collaboratively with each client to explore their inner thoughts, emotions, feelings, and behaviors to bring about healing and positive changes.
(704) 459-7930 View (704) 459-7930
Photo of Kristen Feemster, Marriage & Family Therapist in 28278, NC
Kristen Feemster
Marriage & Family Therapist, LMFT
Verified
2 Endorsed
Charlotte, NC 28278  (Online Only)
Sometimes we are so overwhelmed by our circumstances that we can’t see a way out. In an attempt to feel better, we fall into unhealthy patterns and habits that ultimately keep us stuck or make things worse. It can permeate our personal, professional and interpersonal lives but there is still hope. If you desire freedom for yourself and peace in your relationships, you've found a great starting place.
Sometimes we are so overwhelmed by our circumstances that we can’t see a way out. In an attempt to feel better, we fall into unhealthy patterns and habits that ultimately keep us stuck or make things worse. It can permeate our personal, professional and interpersonal lives but there is still hope. If you desire freedom for yourself and peace in your relationships, you've found a great starting place.
(833) 444-9147 View (833) 444-9147
Photo of Peaceful Minds Counseling and Consulting, PLLC, Clinical Social Work/Therapist in 28278, NC
Peaceful Minds Counseling and Consulting, PLLC
Clinical Social Work/Therapist, MSW, LCSW
Verified
1 Endorsed
Charlotte, NC 28278  (Online Only)
Ever been afraid to ask for help because you're supposed to be the strong one, the smart one, or the successful one who has it all? Have you ever been surrounded by friends, family, and loved ones, yet you are all alone? Afraid to open your mouth because your culture, race, religion, or ideology of life says that doing so means you are speaking negatively over your life, therefore you're a complainer and miserable? Do you just want to get some things off your chest without fear of judgement ? Are you so overwhelmed with work or other obligations that you've lost or forgotten who you are?
Ever been afraid to ask for help because you're supposed to be the strong one, the smart one, or the successful one who has it all? Have you ever been surrounded by friends, family, and loved ones, yet you are all alone? Afraid to open your mouth because your culture, race, religion, or ideology of life says that doing so means you are speaking negatively over your life, therefore you're a complainer and miserable? Do you just want to get some things off your chest without fear of judgement ? Are you so overwhelmed with work or other obligations that you've lost or forgotten who you are?
(704) 270-8113 View (704) 270-8113
Photo of Angela Adamcik, Licensed Professional Counselor in 28278, NC
Angela Adamcik
Licensed Professional Counselor, LCMHC, LPC, CCTP
Verified
2 Endorsed
Charlotte, NC 28278
Anxiety, stressors of daily life related to family responsibilities, social, financial & work issues, grief from loss of people and situations, and traumatic events, past or present, whether sudden or planned can impact our daily life and make us feel lost or confused, angry, isolated, or engaging in unhealthy behaviors. As a licensed counselor I work with adults who want help to feel more in control, more empowered, more successful and find enjoyment in their daily lives. I am committed to work with you to heal from your past and find enjoyment in your present and plan your future.
Anxiety, stressors of daily life related to family responsibilities, social, financial & work issues, grief from loss of people and situations, and traumatic events, past or present, whether sudden or planned can impact our daily life and make us feel lost or confused, angry, isolated, or engaging in unhealthy behaviors. As a licensed counselor I work with adults who want help to feel more in control, more empowered, more successful and find enjoyment in their daily lives. I am committed to work with you to heal from your past and find enjoyment in your present and plan your future.
(980) 276-2739 View (980) 276-2739
Photo of Jessica Lowery, Counselor in 28278, NC
Jessica Lowery
Counselor, MEd, LCMHC-A, LPC-A
Verified
4 Endorsed
Charlotte, NC 28278
Hey there, I'm Jess. I support and empower individuals as they grow through healing. When was the last time that you truly felt like yourself? Have you been feeling trapped, stuck, or stagnant? If so, it may be time to think about talking to a counselor. Life is complex, complicated, and sometimes overwhelming. Oftentimes we get into the unhelpful habit of putting our needs on the back-burner so that we can focus on the fast-paced present. Counseling is an opportunity to expand your mind, self-reflect, practice gratitude, heal, slow down, rest, and recharge. It’s an opportunity to end harmful cycles, habits, beliefs, and behaviors.
Hey there, I'm Jess. I support and empower individuals as they grow through healing. When was the last time that you truly felt like yourself? Have you been feeling trapped, stuck, or stagnant? If so, it may be time to think about talking to a counselor. Life is complex, complicated, and sometimes overwhelming. Oftentimes we get into the unhelpful habit of putting our needs on the back-burner so that we can focus on the fast-paced present. Counseling is an opportunity to expand your mind, self-reflect, practice gratitude, heal, slow down, rest, and recharge. It’s an opportunity to end harmful cycles, habits, beliefs, and behaviors.
(803) 859-4394 View (803) 859-4394
Photo of Tiffany Schiffner, Psychologist in 28278, NC
Tiffany Schiffner
Psychologist, PhD
Verified
Charlotte, NC 28278  (Online Only)
Dr. Schiffner is a Latinx licensed psychologist who provides culturally inclusive, empowerment and compassion-based psychotherapy focused on heart healing. She offers individual therapy to adults, older adults (seniors) and psychological assessments to Veterans. Dr. Schiffner specializes in working with diverse client populations and combines cognitive-behavioral, strengths-based, solution focused, sex positivity and mindfulness-based approaches to help clients with relationship difficulties, chronic health and pain concerns, and life transitions. She is trauma-informed and honors the interconnectedness of mind, body and spirit.
Dr. Schiffner is a Latinx licensed psychologist who provides culturally inclusive, empowerment and compassion-based psychotherapy focused on heart healing. She offers individual therapy to adults, older adults (seniors) and psychological assessments to Veterans. Dr. Schiffner specializes in working with diverse client populations and combines cognitive-behavioral, strengths-based, solution focused, sex positivity and mindfulness-based approaches to help clients with relationship difficulties, chronic health and pain concerns, and life transitions. She is trauma-informed and honors the interconnectedness of mind, body and spirit.
(321) 730-3872 View (321) 730-3872
Photo of Lauren Conley, Clinical Social Work/Therapist in 28278, NC
Lauren Conley
Clinical Social Work/Therapist, LCSW-R, LCSW, CCTP
Verified
Charlotte, NC 28278  (Online Only)
Not accepting new clients
Welcome! I have been a clinical therapist for 20 years in both New York and North Carolina, specializing in trauma, anxiety, and relationship issues. I have experience in various treatment approaches to ensure that your goals are being prioritized at your pace. In my professional career, I have been privileged to work with many people to achieve a level of stability, progress, and peace of mind that they never thought possible.
Welcome! I have been a clinical therapist for 20 years in both New York and North Carolina, specializing in trauma, anxiety, and relationship issues. I have experience in various treatment approaches to ensure that your goals are being prioritized at your pace. In my professional career, I have been privileged to work with many people to achieve a level of stability, progress, and peace of mind that they never thought possible.
(716) 671-3365 View (716) 671-3365
Photo of Tracy Dobbins Barcott, Psychologist in 28278, NC
Tracy Dobbins Barcott
Psychologist, PhD
Verified
Charlotte, NC 28278
I am passionate about improving the lives of children and their families by collaborating with parents and children to help them meet their goals. I work with children of all ages to address difficulties including anxiety, ADHD, OCD, depression, anger management, school difficulties, social skills, and behavioral problems. In order to help clients achieve clarity about their strengths and challenges, I specialize in comprehensive evaluations for children from birth through adolescence. Assessments can provide information about learning/academic achievement, developmental delays, kindergarten readiness, giftedness, attention/ADHD, behavior, or social/emotional vulnerabilities.
I am passionate about improving the lives of children and their families by collaborating with parents and children to help them meet their goals. I work with children of all ages to address difficulties including anxiety, ADHD, OCD, depression, anger management, school difficulties, social skills, and behavioral problems. In order to help clients achieve clarity about their strengths and challenges, I specialize in comprehensive evaluations for children from birth through adolescence. Assessments can provide information about learning/academic achievement, developmental delays, kindergarten readiness, giftedness, attention/ADHD, behavior, or social/emotional vulnerabilities.
(704) 512-0109 View (704) 512-0109
Photo of Cristina Andreescu, Psychologist in 28278, NC
Cristina Andreescu
Psychologist, PhD
Verified
Charlotte, NC 28278
Are you living with worry, constantly moving from one concern to another and not really finding a break? Are you struggling to manage OCD yet nothing seems to make it stop? Is food or weight becoming a nagging thought in your mind? As a psychologist, I am trained to help adolescents and adults develop skills that will change these worries and reclaim a meaningful and satisfying life.
Are you living with worry, constantly moving from one concern to another and not really finding a break? Are you struggling to manage OCD yet nothing seems to make it stop? Is food or weight becoming a nagging thought in your mind? As a psychologist, I am trained to help adolescents and adults develop skills that will change these worries and reclaim a meaningful and satisfying life.
(704) 419-8071 View (704) 419-8071
Raymond J Ball
Counselor, BSc, MA, LCMHC
Verified
2 Endorsed
Charlotte, NC 28278
Real change is hard, long-term work not meant to be done alone. Dysfunctions around sexuality, food, money and work (the so-called "process" addictions) are primarily a struggle with intimacy. One needs to understand THE FUNCTION OF one's own self - destructive behaviors: that self hatred is not low self esteem; that contempt for others is not good self concept; that my wife is not the problem; and that sex is not my greatest need. I am several steps ahead of you on a journey I encourage you to take. Real change is hard, don't do it alone. :)
Real change is hard, long-term work not meant to be done alone. Dysfunctions around sexuality, food, money and work (the so-called "process" addictions) are primarily a struggle with intimacy. One needs to understand THE FUNCTION OF one's own self - destructive behaviors: that self hatred is not low self esteem; that contempt for others is not good self concept; that my wife is not the problem; and that sex is not my greatest need. I am several steps ahead of you on a journey I encourage you to take. Real change is hard, don't do it alone. :)
(704) 577-4311 View (704) 577-4311

See more therapy options for 28278

How does your Therapist compare?

Number of Therapists in 28278

50+

Average cost per session

$130

Therapists in 28278 who prioritize treating:

92% Anxiety
88% Self Esteem
84% Depression
80% Coping Skills
78% Relationship Issues
71% Stress
69% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
68% UnitedHealthcare UHC | UBH
65% Aetna

How Therapists in 28278 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

90% Female
10% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 28278?

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.